Publication: Repositioning Nutrition as Central to Development : A Strategy for Large Scale Action
Loading...
Published
2006
ISSN
Date
2012-06-07
Author(s)
Editor(s)
Abstract
Persistent malnutrition is contributing not only to widespread failure to meet the first Millennium Development Goals-to halve poverty and hunger-but to meet other goals in maternal and child health, HIV/AIDS, education, and gender equity. The choice is now between continuing to fail, or to finally make nutrition central to development. Underweight prevalence among children is the key indicator for measuring progress on non-income poverty and malnutrition remains the world's most serious health problem and the single biggest contributor to child mortality. Nearly a third of children in the developing world are either underweight or stunted, and more than 30 percent of the developing world's population suffers from micronutrient deficiencies. There are also new dimensions to malnutrition. The epidemic of obesity and diet-related non-communicable diseases is spreading to the developing world and malnutrition is also linked to the growing HIV/AIDS pandemic. This report makes the case for development partners and developing countries to focus on nutrition, and to fund nutrition investments much more heavily than has been the case in the past. This case is based on evidence that such programs are excellent economic investments and essential for faster progress in reducing poverty; and on program experience showing that they can improve nutrition much faster than relying on economic growth alone. The report sets out a global strategy for stepped-up action in nutrition, for discussion in the international development community.
Link to Data Set
Citation
“World Bank. 2006. Repositioning Nutrition as Central to Development : A Strategy for Large Scale Action. © World Bank. http://hdl.handle.net/10986/7409 License: CC BY 3.0 IGO.”
Digital Object Identifier
Associated URLs
Associated content
Other publications in this report series
Publication Democratic Republic of Congo Urbanization Review(Washington, DC: World Bank, 2018)The Democratic Republic of Congo has the third largest urban population in sub-Saharan Africa (estimated at 43% in 2016) after South Africa and Nigeria. It is expected to grow at a rate of 4.1% per year, which corresponds to an additional 1 million residents moving to cities every year. If this trend continues, the urban population could double in just 15 years. Thus, with a population of 12 million and a growth rate of 5.1% per year, Kinshasa is poised to become the most populous city in Africa by 2030. Such strong urban growth comes with two main challenges – the need to make cities livable and inclusive by meeting the high demand for social services, infrastructure, education, health, and other basic services; and the need to make cities more productive by addressing the lack of concentrated economic activity. The Urbanization Review of the Democratic Republic of Congo argues that the country is urbanizing at different rates and identifies five regions (East, South, Central, West and Congo Basin) that present specific challenges and opportunities. The Urbanization Review proposes policy options based on three sets of instruments, known as the three 'I's – Institutions, Infrastructures and Interventions – to help each region respond to its specific needs while reaping the benefits of economic agglomeration The Democratic Republic of the Congo is at a crossroads. The recent decline in commodity prices could constitute an opportunity for the country to diversify its economy and invest in the manufacturing sector. Now is an opportune time for Congolese decision-makers to invest in cities that can lead the country's structural transformation and facilitate greater integration with African and global markets. Such action would position the country well on the path to emergence.Publication Strengthening Competitiveness In Bangladesh—Thematic Assessment(Washington, DC: World Bank, 2016-07-15)This is volume 2 of a three-volume publication on Bangladesh’s trade prospects. Bangladesh’s ambition is to build on its very solid growth and poverty reduction achievements, and accelerate growth to become a middle income country by 2021, and share prosperity more widely amongst its citizens. This includes one of its greatest development challenges: to provide gainful employment to the over 2 million people that will join the labor force each year over the next decade. Moreover, only 54.1 million of its 94 million working age people are employed. Bangladesh needs to use its labor endowment even more intensively to increase growth and, in turn, to absorb the incoming labor. The Diagnostic Trade Integration Study identifies the following actions centered around four pillars to sustain and accelerate export growth: (1) breaking into new markets through a) better trade logistics to reduce delivery lags ; as world markets become more competitive and newer products demand shorter lead times, to generate new sources of competitiveness and thereby enable market diversification; and b) better exploitation of regional trading opportunities in nearby growing and dynamic markets, especially East and South Asia; (2) breaking into new products through a) more neutral and rational trade policy and taxation and bonded warehouse schemes; b) concerted efforts to spur domestic investment and attract foreign direct investment, to contribute to export promotion and diversification, including by easing the energy and land constraints; and c) strategic development and promotion of services trade; (3) improving worker and consumer welfare by a) improving skills and literacy; b) implementing labor and work safety guidelines; and c) making safety nets more effective in dealing with trade shocks; and (4) building a supportive environment, including a) sustaining sound macroeconomic fundamentals; and b) strengthening the institutional capacity for strategic policy making aimed at the objective of international competitiveness to help bring focus and coherence to the government’s reform efforts. This second volume provides in-depth analysis across seven cross-cutting themes that underpin most of the findings of pillars 1 and 2 above.Publication At a Crossroads(World Bank, Washington, DC, 2017-05-02)Higher education (HE) has expanded dramatically in Latin America and the Caribbean (LAC) since 2000. While access became more equitable, quality concerns remain. This volume studies the expansion, as well as HE quality, variety and equity in LAC. It investigates the expansion’s demand and supply drivers, and outlines policy implications.Publication An Investment Framework for Nutrition(Washington, DC: World Bank, 2017-04-12)The report estimates the costs, impacts and financing scenarios to achieve the World Health Assembly global nutrition targets for stunting, anemia in women, exclusive breastfeeding and the scaling up of the treatment of severe wasting among young children. To reach these four targets, the world needs $70 billion over 10 years to invest in high-impact nutrition-specific interventions. This investment would have enormous benefits: 65 million cases of stunting and 265 million cases of anemia in women would be prevented in 2025 as compared with the 2015 baseline. In addition, at least 91 million more children would be treated for severe wasting and 105 million additional babies would be exclusively breastfed during the first six months of life over 10 years. Altogether, achieving these targets would avert at least 3.7 million child deaths. Every dollar invested in this package of interventions would yield between $4 and $35 in economic returns, making investing in early nutrition one of the best value-for-money development actions. Although some of the targets—especially those for reducing stunting in children and anemia in women—are ambitious and will require concerted efforts in financing, scale-up, and sustained commitment, recent experience from several countries suggests that meeting these targets is feasible. These investments in the critical 1000 day window of early childhood are inalienable and portable and will pay lifelong dividends – not only for children directly affected but also for us all in the form of more robust societies – that will drive future economies.Publication Leveraging the Potential of Argentine Cities(Washington, DC: World Bank, 2016-10-18)Argentina’s path to economic prosperity is through efficient, sustainable and economically thriving cities. Not only are cities a spatial concentration of people, but also they generate agglomeration economies by concentrating ideas, talent, and knowledge. Argentina is one of the most urbanized countries in Latin America, with 90 percent of Argentine people currently living in cities. Argentina’s cities are geographically and economically diverse, and its largest urban area – Metropolitan Buenos Aires – is one of Latin America’s urban giants. Argentine cities need to address three main challenges to leverage their economic potential. Argentina’s current patterns of urban development are characterized by (a) high primacy and unbalanced regional development, (b) limited global economic footprint of urban economies, with employment concentrated in nontradable and resource intensive sectors, and (c) unplanned low-density urban expansion. Argentine cities thus face the challenges of moving toward a more balanced regional development, transitioning from local to global cities, and from urban sprawl to articulated densities to take full advantage of the benefits of agglomeration economies. To address these challenges, Argentina needs the leadership of the federal government; the coordinating power of provinces; and the capacity of empowered, financially sound municipalities. Argentine cities also need system-wide policy reforms in areas such as territorial planning, municipal finance, housing, urban transport, and local economic development. Leveraging the Potential of Argentine Cities: A Framework for Policy Action aims to deepen our empirical understanding of the interplay between urbanization and agglomeration economies in Argentina by asking the following: (a) What are the main trends and spatial patterns of Argentina’s urbanization that underlie agglomeration economies?, (b) Are urban policies leveraging or undermining the benefits of agglomeration economies?, and (c) Are Argentine cities fully reaping the benefits of agglomeration economies to deliver improvements in prosperity and livability? By addressing such questions and exploring their implications for action, this study provides a conceptual framework, empirical data, and strategic directions for leveraging the potential of Argentine cities.
Journal
Journal Volume
Journal Issue
Collections
Related items
Showing items related by metadata.
Publication United Republic of Tanzania : Advancing Nutrition for Long-Term Equitable Growth(Washington, DC, 2007-12)This report explores the importance of nutrition for Tanzania. It demonstrates that the prevalence of malnutrition is very high. In fact, Tanzania appears to be affected by a double burden of malnutrition, with a very high incidence of undernourished children, but with a high prevalence of overweight and obese adults as well, particularly in urban areas. The report highlights the high (economic and welfare) costs associated to such high rates of malnutrition by discussing the consequence of malnutrition for infant mortality, education outcomes, the health system and labor productivity. For nutrition to be successfully advanced high level support is needed. Efforts to advance nutrition in Tanzania have made before, with the earliest attempts dating back to the late 1970s. Most have not been very successful. To enhance the likelihood of success this time, commitment from all stakeholders is needed. A social contract that is announced at a public event by a high level policy maker may be one way to commit the actors to change. Such a social contract would have to set clear objectives and a timeline, it would have to define roles and responsibilities of the various stakeholders and provide an accountability framework. The high incidence of malnutrition thus presents an opportunity to enhance school performance, reduce maternal and infant and child mortality and to improve the ability of the labor force to be productive.Publication How to Protect and Promote the Nutrition of Mothers and Children in Latin America and the Caribbean(World Bank, Washington, DC, 2011)This toolkit is the first of its kind to provide information on promoting and protecting the nutritional status of mothers and children in crises and emergencies. Latin America and the Caribbean is one of the most vulnerable regions in the world to major crises and emergencies. This toolkit aims to improve the resilience of the most vulnerable in times of intensified nutritional needs, most notably pregnant and lactating mothers as well as children less than two years of age. Its principal objective is to offer countries, when faced with the transition from stable times into and out of crisis, clear guidance on how to safeguard the nutritional status of mothers and children during times of stability, crisis, and emergency. The principal objective of this toolkit is to offer clear guidance, in a single-source compilation, that will assist countries in safeguarding the nutritional status of mothers and children during times of stability, crisis, and emergency. It aims to inform changes in countries' policies and practices and to guide their attempts to deal with persistently high prevalence rates of malnutrition among their poorest, least educated, and indigenous populations. This toolkit has been crafted so that it can be readily used by non-nutrition specialists.Publication Nutritional Failure in Ecuador : Causes, Consequences, and Solutions(Washington, DC: World Bank, 2007)This study supports the development of a more coherent and effective nutrition strategy in Ecuador through an analysis of the main nutrition issues, based on in-depth statistical analysis of a large new household survey dataset (ENDEMAIN 2004) and other data sources, together with a review of qualitative evidence regarding behavioral and program-access obstacles to improved nutritional outcomes. It also reviews the existing programs and policies which aim to improve nutritional outcomes, considered the available evidence on the efficiency, effectiveness, targeting and inter-programmatic coherence of the programs and projects reviewed and suggests an agenda for policy discussions to improve these outcomes.Publication Multisectoral Approaches to Addressing Malnutrition in Bangladesh : The Role of Agriculture and Microcredit(Washington, DC, 2008-04)The objective of this study is to demonstrate how the interaction between sectors can be improved to increase the effectiveness of sectoral interventions, and how the interventions in the agricultural sector and microfinance can be used to improve nutritional outcomes. The study will examine what has been done to improve nutrition through interventions in the agriculture sector and microcredit programmes in Bangladesh and around the world, how they were implemented and to the extent possible, what the impact of those interventions was. The populations of primary concern for this study are infants, children and women of childbearing age, the group that is the target of many of the millennium development goals. The study will also pay special attention to the extent to which programmes and policies are successful at reaching poor and vulnerable groups in society and thus, reduce inequalities in nutrition. The introduction provides the background and rationale for this work. Chapter two assesses the status of malnutrition in Bangladesh, provides a brief history of policies and programmes to address malnutrition in the country and lays out the case for a multi-sectoral response to malnutrition. Chapter three reviews the potential role of interventions in the agriculture sector, including existing evidence on the impact of such interventions and institutional and other challenges to enhancing the impact. Chapter four provides a similar review of the role of microcredit programmes in improving nutrition outcomes. Recommendations on using multi-sectoral approaches to improve nutrition in Bangladesh are the subject of chapter five.Publication Mainstreaming Nutrition in Poverty Reduction Strategy Papers : What Does It Take? A Review of the Early Experience(World Bank, Washington, DC, 2006-12)This paper reviews 40 full poverty reduction strategy papers (PRSPs) with regard to whether these strategy papers (1) recognize under-nutrition as a development problem in the country, (2) whether they use nutrition information for poverty analysis, and (3) whether the PRSP includes specific nutrition activities (policies, strategies, and programs) to deal with the unique nutrition problems in each country. The review shows that three quarters of the PRSPs recognize that under-nutrition is a development problem that leads to loss of human capital and/or productivity. Also, many PRSPs, either explicitly or implicitly, include country nutrition profiles in their poverty analysis. Consequently, a majority of PRSPs include strategies and specific actions to mitigate the effects of malnutrition. However, there appears to be little prioritization or sequencing of proposed actions. More importantly, the strategies and actions included in PRSPs often do not reflect an appropriate response to the nature of the nutrition problem in the country. In a quarter of countries with macronutrient deficiencies and about 40% of countries with micronutrient deficiencies, the PRSPs fail to address these two problems. Moreover, tackling nutrition issues requires greater institutional capacity and budget allocations than currently seem to exist. Gross mismatches between the causes of malnutrition and responses to the nutrition problem inevitably lead to a lack of impact and a waste of resources, which will further contribute to the marginalization of nutrition in future PRSPs.
Users also downloaded
Showing related downloaded files
Publication Argentina Country Climate and Development Report(World Bank, Washington, DC, 2022-11)The Argentina Country Climate and Development Report (CCDR) explores opportunities and identifies trade-offs for aligning Argentina’s growth and poverty reduction policies with its commitments on, and its ability to withstand, climate change. It assesses how the country can: reduce its vulnerability to climate shocks through targeted public and private investments and adequation of social protection. The report also shows how Argentina can seize the benefits of a global decarbonization path to sustain a more robust economic growth through further development of Argentina’s potential for renewable energy, energy efficiency actions, the lithium value chain, as well as climate-smart agriculture (and land use) options. Given Argentina’s context, this CCDR focuses on win-win policies and investments, which have large co-benefits or can contribute to raising the country’s growth while helping to adapt the economy, also considering how human capital actions can accompany a just transition.Publication Distortions to Agricultural Incentives in Western Europe(World Bank, Washington, DC, 2008-09)Agriculture in Western Europe enjoys a degree of diversity that reflects a wide variety of soils and climatic conditions ranging from the arid Mediterranean regions to the Arctic Circle. Superimposed on this natural diversity is the complexity of different social, economic and political conditions in the eighteen countries that are the subject of this chapter. History has played a major part in creating this patchwork, particularly the different paths that countries took from feudalism to independent farming units and the inheritance laws that influenced the extent to which land ownership was transmitted from generation to generation. Average farm size varies considerably in the countries of Western Europe, in turn reflecting the relative political and social importance of landowners and small farmers. By the late nineteenth century, these various factors had determined a structure of farming in the Western European region that is still visible today. Productivity growth in Western Europe's agricultural sector compared favorably with that in the manufacturing sector in the immediate post-war period. Over the period 1949 to 1959, by which time the economy had largely recovered from the war-time disruptions, output per person in agriculture had increased by more than that in manufacturing in most of the countries in Western Europe. The productivity growth was a combination of output increases as a result of mechanization and modernization, and the outflow of labor as other sectors absorbed rural workers.Publication Classroom Assessment to Support Foundational Literacy(Washington, DC: World Bank, 2025-03-21)This document focuses primarily on how classroom assessment activities can measure students’ literacy skills as they progress along a learning trajectory towards reading fluently and with comprehension by the end of primary school grades. The document addresses considerations regarding the design and implementation of early grade reading classroom assessment, provides examples of assessment activities from a variety of countries and contexts, and discusses the importance of incorporating classroom assessment practices into teacher training and professional development opportunities for teachers. The structure of the document is as follows. The first section presents definitions and addresses basic questions on classroom assessment. Section 2 covers the intersection between assessment and early grade reading by discussing how learning assessment can measure early grade reading skills following the reading learning trajectory. Section 3 compares some of the most common early grade literacy assessment tools with respect to the early grade reading skills and developmental phases. Section 4 of the document addresses teacher training considerations in developing, scoring, and using early grade reading assessment. Additional issues in assessing reading skills in the classroom and using assessment results to improve teaching and learning are reviewed in section 5. Throughout the document, country cases are presented to demonstrate how assessment activities can be implemented in the classroom in different contexts.Publication Digital Africa(Washington, DC: World Bank, 2023-03-13)All African countries need better and more jobs for their growing populations. "Digital Africa: Technological Transformation for Jobs" shows that broader use of productivity-enhancing, digital technologies by enterprises and households is imperative to generate such jobs, including for lower-skilled people. At the same time, it can support not only countries’ short-term objective of postpandemic economic recovery but also their vision of economic transformation with more inclusive growth. These outcomes are not automatic, however. Mobile internet availability has increased throughout the continent in recent years, but Africa’s uptake gap is the highest in the world. Areas with at least 3G mobile internet service now cover 84 percent of Africa’s population, but only 22 percent uses such services. And the average African business lags in the use of smartphones and computers as well as more sophisticated digital technologies that catalyze further productivity gains. Two issues explain the usage gap: affordability of these new technologies and willingness to use them. For the 40 percent of Africans below the extreme poverty line, mobile data plans alone would cost one-third of their incomes—in addition to the price of access devices, apps, and electricity. Data plans for small- and medium-size businesses are also more expensive than in other regions. Moreover, shortcomings in the quality of internet services—and in the supply of attractive, skills-appropriate apps that promote entrepreneurship and raise earnings—dampen people’s willingness to use them. For those countries already using these technologies, the development payoffs are significant. New empirical studies for this report add to the rapidly growing evidence that mobile internet availability directly raises enterprise productivity, increases jobs, and reduces poverty throughout Africa. To realize these and other benefits more widely, Africa’s countries must implement complementary and mutually reinforcing policies to strengthen both consumers’ ability to pay and willingness to use digital technologies. These interventions must prioritize productive use to generate large numbers of inclusive jobs in a region poised to benefit from a massive, youthful workforce—one projected to become the world’s largest by the end of this century.Publication World Development Report 2006(Washington, DC, 2005)This year’s Word Development Report (WDR), the twenty-eighth, looks at the role of equity in the development process. It defines equity in terms of two basic principles. The first is equal opportunities: that a person’s chances in life should be determined by his or her talents and efforts, rather than by pre-determined circumstances such as race, gender, social or family background. The second principle is the avoidance of extreme deprivation in outcomes, particularly in health, education and consumption levels. This principle thus includes the objective of poverty reduction. The report’s main message is that, in the long run, the pursuit of equity and the pursuit of economic prosperity are complementary. In addition to detailed chapters exploring these and related issues, the Report contains selected data from the World Development Indicators 2005‹an appendix of economic and social data for over 200 countries. This Report offers practical insights for policymakers, executives, scholars, and all those with an interest in economic development.