An Investment Framework for Nutrition in Zambia: Reducing Stunting and Other Forms of Child Malnutrition

doi:10.1596/28496

Publication:
An Investment Framework for Nutrition in Zambia: Reducing Stunting and Other Forms of Child Malnutrition

dc.contributor.author	Dayton Eberwein, Julia
dc.contributor.author	Kakietek, Jakub
dc.contributor.author	Shekar, Meera
dc.contributor.author	Subandoro, Ali
dc.contributor.author	Pereira, Audrey
dc.contributor.author	Hyder, Zia
dc.contributor.author	Sunkutu, Rosemary
dc.contributor.author	Akuoku, Jonathan Kweku
dc.date.accessioned	2017-10-11T15:47:39Z
dc.date.available	2017-10-11T15:47:39Z
dc.date.issued	2016-11
dc.description.abstract	This paper builds on global experience and Zambia's specific context to identify aneffective nutrition approach along with costs and benefits of key nutrition interventions. It isintended to help guide the selection of the most cost-effective interventions as well as strategiesfor scaling these up. The paper considers both relevant "nutrition-specific" interventions, largelydelivered through the health sector, and multisectoral "nutrition-sensitive" interventions, delivered through other sectors such as agriculture, education, and water and sanitation. We estimate that the costs and benefits of implementing 10 nutrition-specific interventions would require an annual public investment of $40.5 million and would avert over 112,000 DALYs, save over 2,800 lives, and prevent 62,000 cases of stunting. Economic productivity could potentially increase by $915 million annually over the productive lives of the beneficiaries, with an impressive internal rate of return of 32 percent. However, because it is unlikely that the Government of the Zambia or its partners will find the $40.5 million necessary each year to reach full coverage, we also consider scale-up scenarios based on considerations of their potential for impact, burden of stunting, resource requirements, and implementation capacity. The two scenarios that scale up the nine most cost-effective nutrition-specific interventions (excluding the public provision of complementary foods) are the most advantageous in terms of cost-effectiveness and resource requirements and would require $11 million to scale up to partial levels and $23 to scale up to full coverage levels. Among the 8 nutrition-specific interventions we consider, school-baseddeworming is low cost and effective. The interventions we reviewed in the agriculture sector areexpensive when compared to nutrition-specific interventions, although very little cost effectiveness data are available for the nutrition-sensitive interventions to make carefulcomparisons. These findings point to a powerful set of nutrition-specific interventions and acandidate list of nutrition-sensitive approaches that represent a highly cost-effective approach toreducing child malnutrition in Zambia.	en
dc.identifier	http://documents.worldbank.org/curated/en/652911506528094122/An-investment-framework-for-nutrition-in-Zambia-reducing-stunting-and-other-forms-of-child-malnutrition
dc.identifier.doi	10.1596/28496
dc.identifier.uri	https://hdl.handle.net/10986/28496
dc.language	English
dc.language.iso	en_US
dc.publisher	World Bank, Washington, DC
dc.relation.ispartofseries	Health, Nutrition and Population Discussion Paper;
dc.rights	CC BY 3.0 IGO
dc.rights.holder	World Bank
dc.rights.uri	http://creativecommons.org/licenses/by/3.0/igo
dc.subject	NUTRITION
dc.subject	HEALTH FINANCE
dc.subject	AGRICULTURE
dc.subject	EDUCATION
dc.title	An Investment Framework for Nutrition in Zambia	en
dc.title.subtitle	Reducing Stunting and Other Forms of Child Malnutrition	en
dc.type	Working Paper	en
dc.type	Document de travail	fr
dc.type	Documento de trabajo	es
dspace.entity.type	Publication
okr.crossref.title	An Investment Framework for Nutrition in Zambia
okr.date.disclosure	2017-09-27
okr.doctype	Publications & Research
okr.doctype	Publications & Research::Working Paper
okr.docurl	http://documents.worldbank.org/curated/en/652911506528094122/An-investment-framework-for-nutrition-in-Zambia-reducing-stunting-and-other-forms-of-child-malnutrition
okr.guid	652911506528094122
okr.identifier.doi	10.1596/28496
okr.identifier.externaldocumentum	090224b08501d791_1_0
okr.identifier.internaldocumentum	28011655
okr.identifier.report	120102
okr.imported	true
okr.language.supported	en
okr.pdfurl	http://documents.worldbank.org/curated/en/652911506528094122/pdf/120102-WP-PUBLIC-ADD-SERIES-84p-InvestmentFrameworkforNutritioninZambia.pdf	en
okr.region.administrative	Africa
okr.region.country	Zambia
okr.topic	Agriculture::Food Security
okr.topic	Education::School Health
okr.topic	Health, Nutrition and Population::Early Child and Children's Health
okr.topic	Health, Nutrition and Population::Nutrition
okr.topic	Health, Nutrition and Population::Reproductive Health
okr.unit	HNP Global Engagement (GHNGE)