Costed Plan for Scaling Up Nutrition : Nigeria

This paper estimates country-specific costs and benefits of scaling up key nutrition investments in Nigeria. Building on the methodology established in the global report scaling up nutrition: what will it cost? Authors first estimate the costs and benefits of a nationwide scale up of ten effective nutrition-specific interventions. This will require an annual public investment of $837 million and would yield enormous benefits: over 8.7 million DALYs and 183,000 lives would be saved annually, while more than 3 million cases of stunting among children under five will be averted. As it is unlikely that the Government of Nigeria or its partners will find the $837 million necessary to reach full national coverage, authors also consider five potential scale-up scenarios based on considerations of burden of stunting, potential for impact, resource requirements and capacity for implementation in Nigeria. Using cost-benefit analyses authors propose scale-up scenarios that represent a compromise between the need to move to full coverage and the constraints imposed by limited resources and capacities. This analysis takes an innovative approach to nutrition costing by not only estimating the costs and benefits of nutrition-specific interventions, but also exploring costs for a selected number of nutrition-sensitive interventions implemented outside of the health sector. We identify and cost four candidate nutrition-sensitive interventions with impact potential in Nigeria, including bio-fortification of cassava, aflatoxin control, school-based deworming, and school-based promotion of good hygiene. Overall, these findings point to a candidate list of nutrition-sensitive approaches that represent a cost-effective approach to reducing child malnutrition in Nigeria. Moving forward, these results are intended to help guide decision makers as they plan future efforts to scale-up action against malnutrition in Nigeria and develop nutrition financing plans that bring to bear resources from the health, social protection, education, and agriculture sectors.

Bibliographic Details

Main Author:	World Bank
Format:	Working Paper biblioteca
Language:	English en_US
Published:	Washington, DC 2014-09
Subjects:	ACCESS TO FOOD, ACUTE MALNUTRITION, ACUTE RESPIRATORY INFECTIONS, AGED, AGRICULTURAL SECTOR, ANEMIA, ANTENATAL CARE, ARI, BASIC HEALTH, BASIC HEALTH SERVICES, BLINDNESS, BREASTFEEDING, CALCIUM, CAPACITY CONSTRAINTS, CAPACITY-BUILDING, CHILD CARE, CHILD CARE PROGRAMS, CHILD FEEDING, CHILD FEEDING PRACTICES, CHILD GROWTH, CHILD HEALTH, CHILD MALNUTRITION, CHILD MORTALITY, CHILD NUTRITION, CHILD NUTRITION OUTCOMES, CHILD STUNTING, CHILDHOOD DISEASES, CHILDHOOD ILLNESSES, CHRONIC UNDERNUTRITION, CLASSROOM, CLINICS, COGNITIVE DEVELOPMENT, COGNITIVE OUTCOMES, COGNITIVE SKILLS, COMMUNITY MANAGEMENT, COMMUNITY NUTRITION, COMMUNITY PROGRAMS, COMPLEMENTARY FEEDING, COMPLEMENTARY FOODS, CONDITIONAL CASH TRANSFERS, COST EFFECTIVENESS, COST-EFFECTIVENESS, DETERMINANTS OF MALNUTRITION, DIARRHEA, DIARRHEAL DISEASES, DISABILITY ADJUSTED LIFE YEARS, EARLY YEARS OF LIFE, ECONOMIC PRODUCTIVITY, EDUCATION SECTOR, ENROLLMENT, FAMILIES, FAMILIES WITH CHILDREN, FAMILY MEMBERS, FARMER, FARMERS, FLOUR, FOLIC ACID, FOOD BASKET, FOOD INTAKES, FOOD SUPPLIES, GEOGRAPHIC REGION, GLOBAL CHILD SURVIVAL, GLOBAL PARTNERSHIP, GROUNDNUTS, GROWTH MONITORING, GROWTH PROMOTION, HEALTH POLICY, HEALTH SERVICES, HEALTH STATUS, HIV/AIDS, HUMAN CAPITAL, HUMAN DEVELOPMENT, HUMAN DEVELOPMENT INDEX, HUNGER, HYGIENE, HYGIENE PRACTICES, IMCI, INFANT MORTALITY, INFANT MORTALITY RATE, INFECTION, INFECTIOUS DISEASES, INTERVENTION, IODINE, IODINE SUPPLEMENTATION, IRON, IRON DEFICIENCY, LEADERSHIP, LEARNING, LIFE EXPECTANCY, LIVE BIRTHS, LIVER CANCER, LIVER CIRRHOSIS, MALARIA, MALNOURISHED CHILDREN, MALNUTRITION IN CHILDREN, MALNUTRITION RATES, MATERNAL MORTALITY, MEASLES, MICRONUTRIENT DEFICIENCIES, MICRONUTRIENT DEFICIENCY, MICRONUTRIENT SUPPLEMENTATION, MINERAL, MINERALS, MODERATE MALNUTRITION, MORBIDITY, MORTALITY, NTDS, NUTRIENT, NUTRIENTS, NUTRITION, NUTRITION INDICATORS, NUTRITION INTERVENTIONS, NUTRITION OUTCOMES, NUTRITION POLICY, NUTRITION PROGRAMS, NUTRITION SERVICES, NUTRITION STATUS, NUTRITIONAL OUTCOMES, NUTRITIONAL STATUS, PARASITES, PHYSICAL DEVELOPMENT, POOR HEALTH, POOR HOUSEHOLDS, POVERTY ANALYSIS, POVERTY ESTIMATES, POVERTY LINE, POVERTY MAP, POVERTY RATE, POVERTY RATES, POVERTY REDUCTION, POVERTY REDUCTION PROGRAMS, PREGNANCY, PREGNANT WOMEN, PRIMARY HEALTH CARE, PRIMARY SCHOOLS, REGIONAL AVERAGE, REGIONAL VARIATION, RESPIRATORY INFECTIONS, RICE, RISK FACTORS, SAFETY NETS, SALT IODIZATION, SANITATION, SCHOOL ATTENDANCE, SCHOOL HEALTH, SCHOOL READINESS, SCHOOL TEACHERS, SCHOOL-AGE CHILDREN, SCHOOLING, SOCIAL PROTECTION, STAPLE FOODS, STUNTED CHILDREN, STUNTING, SUGAR, SWEET POTATO, TARGET POPULATIONS, TEACHERS, TEACHING, TRAINING MATERIALS, UNDERNUTRITION, VITAMIN, VITAMIN A, VITAMIN A DEFICIENCIES, VITAMIN A DEFICIENCY, VITAMIN A SUPPLEMENTATION, VITAMIN A SUPPLEMENTS, VITAMINS, WASTING, WORKERS, YOUNG CHILD, YOUTH,
Online Access:	http://documents.worldbank.org/curated/en/2014/09/24364584/nigeria-costed-plans-scaling-up-nutrition http://hdl.handle.net/10986/21808
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