Report

Political Economy of Nutrition Policy in Senegal

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collection.link.95
https://openknowledge.worldbank.org/handle/10986/2203
collection.name.95
Other Health Study
dc.contributor.author
Fox, Ashley M.
dc.date.accessioned
2019-09-30T18:50:04Z
dc.date.available
2019-09-30T18:50:04Z
dc.date.issued
2018-06
dc.date.lastModified
2019-10-01T05:11:00Z
dc.description.abstract
Senegal has a reputation for having one of the most effective and far-reaching nutritionservice delivery systems in Africa. Chronic malnutrition has dropped to less than 20 percent, oneof the lowest in Sub-Saharan Africa. The reduction in stunting in particular has been deemed a success in Senegal with the prevalence of child stunting one of the lowest in Sub-Saharan Africa in absolute terms (Nene 2017). This success has at least in part been attributed to broad-based government commitment to nutrition, which has grown from US$0.3 million per year in 2002 to US$5.7 million per year in 2015, increasing from approximately 0.02 percent to 0.12 percent of the national budget. Yet concerns remain regarding whether the level of government support for nutrition is sufficient and the degree to which nutrition has been as effectively “mainstreamed” across major line ministries, such as agriculture, education, water and sanitation, socialprotection and health, to support both nutrition-specific and nutrition-sensitive interventions. Moreover, the nutrition field as a whole is characterized by a myriad of actors (international donors, NGOs, and technical support agencies) whose interventions are not well coordinated, leading to duplications of effort and inefficiencies in the provision of services. A series ofexternal shocks, including food shortages stemming from drought, the global financial crisis, and the instability of prices for local foodstuffs since 2007, has revealed the continued need for additional investment in nutrition and better intersectoral coordination of activities to counter cyclical attention to nutrition and a predominant focus on food insufficiency rather than abroader focus on nutrition. To this end, the government of Senegal, through the CLM, is in the process of drafting the new PSMN to develop a reform agenda for the sector. The PSMN will lay out a framework and timeline for the development of a nutrition financing strategy that will requirespecific analysis of the sector spending and financial basis, linking it to the coverage and quality of nutrition services and assessing the contribution of different sectors and actors to the budget. As part of the Analysis & Perspective: 15 Years of Experience in the Development of Nutrition Policy in Senegal series, the World Bank commissioned this report to elaborate the specific political challenges to and opportunities for further raising the profile ofnutrition on the government’s agenda and secure a sustainable effort to reduce maternal and child malnutrition. The nutrition agenda is often prone to political economy challenges when it competes for government support, as the impact of nutritional intervention is neither immediate nor tangible. Though the benefits of proper nutrition are life-long and are foundational to proper growth and development, nutrition can fall by the wayside in policymakers’ inevitably shorter-termoutlook. With this in mind, the objective of this report was to identify the policy and political levers that can be used to foster government leadership and galvanize intersectoral coordination that mainstreams nutrition into government policies and programs and effectively, efficiently, and sustainably delivers nutrition interventions in Senegal.
en
dc.identifier
http://documents.worldbank.org/curated/en/467841568925115388/Political-Economy-of-Nutrition-Policy-in-Senegal
dc.identifier.uri
http://hdl.handle.net/10986/32471
dc.language
English
dc.publisher
World Bank, Washington, DC
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
NUTRITION POLICY
dc.subject
HEALTH SECTOR REFORM
dc.subject
POLITICAL ECONOMY
dc.subject
NATIONAL GOVERNANCE
dc.subject
FOOD SECURITY
dc.subject
MANDATES
dc.subject
MALNUTRITION
dc.subject
POLITICAL WILL
dc.subject
DONOR COORDINATION
dc.subject
MULTISECTORAL STRATEGIC NUTRITION PLAN
dc.subject
DECENTRALIZATION
dc.subject
STATE CAPACITY
dc.title
Political Economy of Nutrition Policy in Senegal
en
dc.type
Report
en
okr.date.disclosure
2019-09-19
okr.doctype
Economic & Sector Work :: Other Health Study
okr.doctype
Economic & Sector Work
okr.docurl
http://documents.worldbank.org/curated/en/467841568925115388/Political-Economy-of-Nutrition-Policy-in-Senegal
okr.googlescholar.linkpresent
yes
okr.identifier.externaldocumentum
090224b0871078f7_1_0
okr.identifier.internaldocumentum
31419473
okr.identifier.report
141932
okr.imported
true
en
okr.language.supported
en
okr.pdfurl
http://documents.worldbank.org/curated/en/467841568925115388/pdf/Political-Economy-of-Nutrition-Policy-in-Senegal.pdf
en
okr.region.administrative
Africa
okr.region.country
Senegal
okr.topic
Agriculture :: Food Security
okr.topic
Governance :: National Governance
okr.topic
Governance :: Politics and Government
okr.topic
Health, Nutrition and Population :: Early Child and Children's Health
okr.topic
Health, Nutrition and Population :: Food & Nutrition Policy
okr.topic
Health, Nutrition and Population :: Health Policy and Management
okr.topic
Health, Nutrition and Population :: Nutrition
okr.unit
Health Nutri & Population AFR 3 (HAFH3)

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