What Gets Measured Gets Managed : Assessing Public Financing for Improving Nutrition Outcomes and Human Capital in Bhutan
This study summarizes estimates and lessons learned from application of the scaling up nutrition (SUN) methodology to assess public financing for nutrition in Bhutan. Using Bhutan’s classification of nutrition interventions, per capita public finan...
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| Format: | Working Paper |
| Language: | English |
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World Bank, Washington, DC
2019
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| Online Access: | http://documents.worldbank.org/curated/en/117001576820223544/What-Gets-Measured-Gets-Managed-Assessing-Public-Financing-for-Improving-Nutrition-Outcomes-and-Human-Capital-in-Bhutan http://hdl.handle.net/10986/33076 |
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okr-10986-330762021-09-16T15:47:16Z What Gets Measured Gets Managed : Assessing Public Financing for Improving Nutrition Outcomes and Human Capital in Bhutan Ahmed, Shakil Bhattarai, Manav Dzed, Laigden Ghimire, Mamata Lhazom, Pema Tandon, Ajay Ulep, Valerie MATERNAL HEALTH CHILD HEALTH NUTRITION HUMAN CAPITAL HEALTH FINANCE PUBLIC EXPENDITURE SCHOOL FEEDING WATER AND SANITATION HYGIENE This study summarizes estimates and lessons learned from application of the scaling up nutrition (SUN) methodology to assess public financing for nutrition in Bhutan. Using Bhutan’s classification of nutrition interventions, per capita public financing for addressing malnutrition is estimated to be Nu 2,003 (approximately United States (U.S.) 29 dollars, 1 percent of gross domestic product (GDP), and 3 percent of total government expenditures), 30 percent of which was for nutrition-specific activities, and about one-third the level of public spending on health. The level of public spending for nutrition is similar in magnitude - and in the shares across nutrition-specific and nutrition-sensitive interventions - when compared with other developing countries; recent estimates from Asia indicated an average of 2 percent of aggregate government expenditures went toward addressing nutrition, with a 20 percent share for nutrition-specific interventions. Despite the level of spending increasing from Nu 1,744 in financial year (FY) 2013-14, there does not appear to be any increase in priority to nutrition over the course of the 11th five-year plan (FYP): increases in the levels of expenditure for nutrition have resulted from growth of the economy and not because of higher budget allocation to addressing nutrition. The largest nutrition-specific expenditures were those related to the national school feeding program and the largest nutrition-sensitive expenditures were those related to water, sanitation, and hygiene (WASH) programs. Notably, the financing locus for nutrition-related expenditures lies within the Ministry of Education (MoE) and the Ministry of Works and Human Settlement (MoWHS). Although Bhutan defines nutrition-specific and nutrition-sensitive interventions somewhat differently from how they are defined globally, the magnitude of resources allocated toward improving nutrition appears similar to those in other developing countries even when adjusted to enhance global comparability. 2019-12-23T20:26:54Z 2019-12-23T20:26:54Z 2020-01 Working Paper http://documents.worldbank.org/curated/en/117001576820223544/What-Gets-Measured-Gets-Managed-Assessing-Public-Financing-for-Improving-Nutrition-Outcomes-and-Human-Capital-in-Bhutan http://hdl.handle.net/10986/33076 English Health, Nutrition, and Population Discussion Paper; CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo World Bank World Bank, Washington, DC Publications & Research Publications & Research :: Working Paper South Asia Bhutan |
| repository_type |
Digital Repository |
| institution_category |
Foreign Institution |
| institution |
Digital Repositories |
| building |
World Bank Open Knowledge Repository |
| collection |
World Bank |
| language |
English |
| topic |
MATERNAL HEALTH CHILD HEALTH NUTRITION HUMAN CAPITAL HEALTH FINANCE PUBLIC EXPENDITURE SCHOOL FEEDING WATER AND SANITATION HYGIENE |
| spellingShingle |
MATERNAL HEALTH CHILD HEALTH NUTRITION HUMAN CAPITAL HEALTH FINANCE PUBLIC EXPENDITURE SCHOOL FEEDING WATER AND SANITATION HYGIENE Ahmed, Shakil Bhattarai, Manav Dzed, Laigden Ghimire, Mamata Lhazom, Pema Tandon, Ajay Ulep, Valerie What Gets Measured Gets Managed : Assessing Public Financing for Improving Nutrition Outcomes and Human Capital in Bhutan |
| geographic_facet |
South Asia Bhutan |
| relation |
Health, Nutrition, and Population Discussion Paper; |
| description |
This study summarizes estimates and
lessons learned from application of the scaling up nutrition
(SUN) methodology to assess public financing for nutrition
in Bhutan. Using Bhutan’s classification of nutrition
interventions, per capita public financing for addressing
malnutrition is estimated to be Nu 2,003 (approximately
United States (U.S.) 29 dollars, 1 percent of gross domestic
product (GDP), and 3 percent of total government
expenditures), 30 percent of which was for
nutrition-specific activities, and about one-third the level
of public spending on health. The level of public spending
for nutrition is similar in magnitude - and in the shares
across nutrition-specific and nutrition-sensitive
interventions - when compared with other developing
countries; recent estimates from Asia indicated an average
of 2 percent of aggregate government expenditures went
toward addressing nutrition, with a 20 percent share for
nutrition-specific interventions. Despite the level of
spending increasing from Nu 1,744 in financial year (FY)
2013-14, there does not appear to be any increase in
priority to nutrition over the course of the 11th five-year
plan (FYP): increases in the levels of expenditure for
nutrition have resulted from growth of the economy and not
because of higher budget allocation to addressing nutrition.
The largest nutrition-specific expenditures were those
related to the national school feeding program and the
largest nutrition-sensitive expenditures were those related
to water, sanitation, and hygiene (WASH) programs. Notably,
the financing locus for nutrition-related expenditures lies
within the Ministry of Education (MoE) and the Ministry of
Works and Human Settlement (MoWHS). Although Bhutan defines
nutrition-specific and nutrition-sensitive interventions
somewhat differently from how they are defined globally, the
magnitude of resources allocated toward improving nutrition
appears similar to those in other developing countries even
when adjusted to enhance global comparability. |
| format |
Working Paper |
| author |
Ahmed, Shakil Bhattarai, Manav Dzed, Laigden Ghimire, Mamata Lhazom, Pema Tandon, Ajay Ulep, Valerie |
| author_facet |
Ahmed, Shakil Bhattarai, Manav Dzed, Laigden Ghimire, Mamata Lhazom, Pema Tandon, Ajay Ulep, Valerie |
| author_sort |
Ahmed, Shakil |
| title |
What Gets Measured Gets Managed : Assessing Public Financing for Improving Nutrition Outcomes and Human Capital in Bhutan |
| title_short |
What Gets Measured Gets Managed : Assessing Public Financing for Improving Nutrition Outcomes and Human Capital in Bhutan |
| title_full |
What Gets Measured Gets Managed : Assessing Public Financing for Improving Nutrition Outcomes and Human Capital in Bhutan |
| title_fullStr |
What Gets Measured Gets Managed : Assessing Public Financing for Improving Nutrition Outcomes and Human Capital in Bhutan |
| title_full_unstemmed |
What Gets Measured Gets Managed : Assessing Public Financing for Improving Nutrition Outcomes and Human Capital in Bhutan |
| title_sort |
what gets measured gets managed : assessing public financing for improving nutrition outcomes and human capital in bhutan |
| publisher |
World Bank, Washington, DC |
| publishDate |
2019 |
| url |
http://documents.worldbank.org/curated/en/117001576820223544/What-Gets-Measured-Gets-Managed-Assessing-Public-Financing-for-Improving-Nutrition-Outcomes-and-Human-Capital-in-Bhutan http://hdl.handle.net/10986/33076 |
| _version_ |
1764477982017060864 |