Scaling Up Nutrition: What Will It Cost? (Directions in Development)

Contents......Page 7
Foreword......Page 11
Acknowledgments......Page 13
About the Authors......Page 15
Abbreviations......Page 17
Glossary......Page 19
Executive Summary......Page 21
Why Scale Up Now?......Page 33
The Objectives of This Report......Page 34
The Scope of These Estimates......Page 37
A Methodology Based on Experience......Page 41
A Program of Proven Interventions......Page 44
Some Assumptions about Coverage......Page 45
Some Assumptions about Delivery of Services......Page 52
Estimated Costs......Page 57
Supportive Policies and Programs: Conditional Cash Transfers......Page 66
Expected Outcomes......Page 68
Financing Options......Page 72
A Phased Approach for the Scale-Up......Page 79
4.3 Official Development Assistance Commitments for Nutrition and Emergency Food Aid, 1995–2007......Page 83
Appendix A Meeting Participants......Page 89
Appendix B Rationale for Selected Nutrition Interventions and Comparisons with the 2008 Lancet Undernutrition Series......Page 93
Appendix C Estimation of the Target Populations in the 36 Countries with the Highest Burden of Undernutrition......Page 97
Pregnant Women......Page 98
Mothers of Young Children......Page 99
Pregnant Women in Areas with a Severe Shortage of Iodized Salt......Page 100
Malnourished Children 0–60 Months of Age......Page 101
Entire Population......Page 103
Treatment of Severe Acute Malnutrition......Page 105
Treatment and Prevention of Moderate Malnutrition......Page 108
Costing Strategy......Page 111
References......Page 119
Index......Page 125
ES.1 A Two-Step Process for Scaling Up Direct Nutrition Interventions......Page 27
2.1 Target Population Currently Covered by Nutrition Interventions and Planned Additional Coverage......Page 51
3.1 Estimated Additional Costs for Scaling Up Nutrition Interventions to Full Coverage in the 36 Countries with the Highest Burden of Undernutrition......Page 65
3.2 Current Spending and Additional Financing Needed to Scale Up Nutrition Interventions to Full Coverage in the 36 Countries with the Highest Burden of Undernutrition......Page 67
4.1 A Two-Step Process for Scaling Up Direct Nutrition Interventions......Page 80
4.2 Official Development Assistance Commitments for Health, HIV/AIDS, and Nutrition, 1995–2007......Page 82
4.4 Share of Total Official Development Assistance for Health Commitments, by Selected Donors, 1998–2000......Page 84
4.5 Share of Total Official Development Assistance for Health Commitments, by Selected Donors, 2005–07......Page 85
2.1 The 36 Countries with the Highest Burden of Undernutrition and 32 Smaller High-Burden Countries with Rates of Child Stunting or Underweight Greater Than 20 Percent......Page 39
2.1 The 36 Countries with 90 Percent of the Global Burden of Stunting and an Additional 32 High-Burden Countries with Underweight or Stunting Rates Greater Than 20 Percent......Page 38
2.2 Regional Cost Multipliers and Countries Covered......Page 43
2.3 Nutrition Interventions, Target Populations, and Delivery Platforms Used to Estimate Financing Needs......Page 46
2.4 Some Delivery Platforms Used in Programmatic Settings for Nutrition Interventions......Page 49
2.5 Populations in Selected Demographic Groups in the 36 Countries with the Highest Burden of Undernutrition, by Region......Page 50
2.6 Estimated Unit Costs for Nutrition Interventions......Page 53
3.1 Estimated Annual Financing Needs for Scaling Up Nutrition Interventions to Full Coverage of Target Populations in the 36 Countries with the Highest Burden of Undernutrition, by Region......Page 58
3.2 Estimated Benefits from Scaling Up Nutrition Interventions......Page 70
3.3 Effects of Changing Five Assumptions about the Costs of Scaling Up Nutrition Interventions......Page 73
B.1 Interventions Included/Excluded in This Costing Exercise......Page 94
B.2 Proposed Interventions and Rationale for Inclusion/Exclusion......Page 96
D.1 Cost per Case of Severe Acute Malnutrition Treated......Page 112
D.2 Cost per Child 6–18 Months of Age Receiving Preventive Feeding for Moderate Malnutrition......Page 116