An Investment Framework for Nutrition in Zambia: Reducing Stunting and Other Forms of Child Malnutrition Dayton Eberwein, Julia Kakietek, Jakub Shekar, Meera Subandoro, Ali Pereira, Audrey Hyder, Zia Sunkutu, Rosemary Akuoku, Jonathan Kweku 2017-10-11T15:47:39Z 2017-10-11T15:47:39Z 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.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.subject NUTRITION
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 2017-09-27
okr.doctype Publications & Research
okr.doctype Publications & Research :: Working Paper
okr.identifier.doi 10.1596/28496
okr.identifier.externaldocumentum 090224b08501d791_1_0
okr.identifier.internaldocumentum 28011655 120102
okr.imported true
okr.language.supported en
okr.pdfurl en
okr.region.administrative Africa 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)
Original bundle
Now showing 1 - 2 of 2
Thumbnail Image
English PDF
1.82 MB
Adobe Portable Document Format
No Thumbnail Available
English Text
230.54 KB
Plain Text
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
1.71 KB
Plain Text