Publication: Scaling Up Nutrition for a More Resilient Mali: Nutrition Diagnostics and Costed Plan for Scaling Up
Date
2015-02
ISSN
Published
2015-02
Author(s)
Shekar, Meera
Mattern, Max
Eozenou, Patrick
Dayton Eberwein, Julia
Kweku Akuoku, Jonathan
Karamba, Wendy
Abstract
This paper builds on the global
experience and Mali s context to identify an effective
nutrition approach as well as costs and benefits of key
nutrition programs, as part of a resilience agenda after the
crisis. It is intended to help guide the selection of the
most cost-effective interventions as well as strategies for
scaling these up. The paper looks at both relevant
nutrition-specific interventions, largely delivered through
the health sector, and at multisectoral nutrition-sensitive
interventions delivered through other sectors such as
agriculture, social protection, and water and sanitation
that have the potential to strengthen nutritional outcomes
in Mali. We first estimate that the costs and benefits of
implementing 10 nutrition-specific interventions in all
regions of Mali would require a yearly public investment of
$64 million. The expected benefits are large: annually about
480,000 Disability-adjusted Life Years (DALYs) and more than
14,000 lives would be saved and over 260,000 cases of
stunting among children under five would be averted.
However, because it is unlikely that the Government of Mali
or its partners will find the $64 million necessary to reach
full national coverage, we also consider three potential
scale-up scenarios based on considerations of their
potential for impact, the burden of stunting, resource
requirements, and implementation capacity. Using
cost-benefit analyses, we propose scale-up scenarios that
represent a compromise between the need to move to full
coverage and the constraints imposed by limited resources.
We identify and cost six nutrition-sensitive interventions
that are relevant to Mali s context and for which there are
both evidence of positive impact on nutrition outcomes and
some cost information. These findings point to a powerful
set of nutrition-specific interventions and a candidate list
of nutrition-sensitive approaches that represent a highly
cost-effective approach to reducing child malnutrition in Mali.
Citation
“Shekar, Meera; Mattern, Max; Eozenou, Patrick; Dayton Eberwein, Julia; Kweku Akuoku, Jonathan; Di Gropello, Emanuela; Karamba, Wendy. 2015. Scaling Up Nutrition for a More Resilient Mali : Nutrition Diagnostics and Costed Plan for Scaling Up. Health Nutrition and Population (HNP)
discussion paper.;. © World Bank, Washington, DC. http://openknowledge.worldbank.org/handle/10986/21772 License: CC BY 3.0 IGO.”