World Bank2015-04-282015-04-282014-09https://hdl.handle.net/10986/21808This paper estimates country-specific costs and benefits of scaling up key nutrition investments in Nigeria. Building on the methodology established in the global report scaling up nutrition: what will it cost? Authors first estimate the costs and benefits of a nationwide scale up of ten effective nutrition-specific interventions. This will require an annual public investment of $837 million and would yield enormous benefits: over 8.7 million DALYs and 183,000 lives would be saved annually, while more than 3 million cases of stunting among children under five will be averted. As it is unlikely that the Government of Nigeria or its partners will find the $837 million necessary to reach full national coverage, authors also consider five potential scale-up scenarios based on considerations of burden of stunting, potential for impact, resource requirements and capacity for implementation in Nigeria. Using cost-benefit analyses authors propose scale-up scenarios that represent a compromise between the need to move to full coverage and the constraints imposed by limited resources and capacities. This analysis takes an innovative approach to nutrition costing by not only estimating the costs and benefits of nutrition-specific interventions, but also exploring costs for a selected number of nutrition-sensitive interventions implemented outside of the health sector. We identify and cost four candidate nutrition-sensitive interventions with impact potential in Nigeria, including bio-fortification of cassava, aflatoxin control, school-based deworming, and school-based promotion of good hygiene. Overall, these findings point to a candidate list of nutrition-sensitive approaches that represent a cost-effective approach to reducing child malnutrition in Nigeria. Moving forward, these results are intended to help guide decision makers as they plan future efforts to scale-up action against malnutrition in Nigeria and develop nutrition financing plans that bring to bear resources from the health, social protection, education, and agriculture sectors.en-USCC BY 3.0 IGOACCESS TO FOODACUTE MALNUTRITIONACUTE RESPIRATORY INFECTIONSAGEDAGRICULTURAL SECTORANEMIAANTENATAL CAREARIBASIC HEALTHBASIC HEALTH SERVICESBLINDNESSBREASTFEEDINGCALCIUMCAPACITY CONSTRAINTSCAPACITY-BUILDINGCHILD CARECHILD CARE PROGRAMSCHILD FEEDINGCHILD FEEDING PRACTICESCHILD GROWTHCHILD HEALTHCHILD MALNUTRITIONCHILD MORTALITYCHILD NUTRITIONCHILD NUTRITION OUTCOMESCHILD STUNTINGCHILDHOOD DISEASESCHILDHOOD ILLNESSESCHRONIC UNDERNUTRITIONCLASSROOMCLINICSCOGNITIVE DEVELOPMENTCOGNITIVE OUTCOMESCOGNITIVE SKILLSCOMMUNITY MANAGEMENTCOMMUNITY NUTRITIONCOMMUNITY PROGRAMSCOMPLEMENTARY FEEDINGCOMPLEMENTARY FOODSCONDITIONAL CASH TRANSFERSCOST EFFECTIVENESSCOST-EFFECTIVENESSDETERMINANTS OF MALNUTRITIONDIARRHEADIARRHEAL DISEASESDISABILITY ADJUSTED LIFE YEARSEARLY YEARS OF LIFEECONOMIC PRODUCTIVITYEDUCATION SECTORENROLLMENTFAMILIESFAMILIES WITH CHILDRENFAMILY MEMBERSFARMERFARMERSFLOURFOLIC ACIDFOOD BASKETFOOD INTAKESFOOD SUPPLIESGEOGRAPHIC REGIONGLOBAL CHILD SURVIVALGLOBAL PARTNERSHIPGROUNDNUTSGROWTH MONITORINGGROWTH PROMOTIONHEALTH POLICYHEALTH SERVICESHEALTH STATUSHIV/AIDSHUMAN CAPITALHUMAN DEVELOPMENTHUMAN DEVELOPMENT INDEXHUNGERHYGIENEHYGIENE PRACTICESIMCIINFANT MORTALITYINFANT MORTALITY RATEINFECTIONINFECTIOUS DISEASESINTERVENTIONIODINEIODINE SUPPLEMENTATIONIRONIRON DEFICIENCYLEADERSHIPLEARNINGLIFE EXPECTANCYLIVE BIRTHSLIVER CANCERLIVER CIRRHOSISMALARIAMALNOURISHED CHILDRENMALNUTRITION IN CHILDRENMALNUTRITION RATESMATERNAL MORTALITYMEASLESMICRONUTRIENT DEFICIENCIESMICRONUTRIENT DEFICIENCYMICRONUTRIENT SUPPLEMENTATIONMINERALMINERALSMODERATE MALNUTRITIONMORBIDITYMORTALITYNTDSNUTRIENTNUTRIENTSNUTRITIONNUTRITION INDICATORSNUTRITION INTERVENTIONSNUTRITION OUTCOMESNUTRITION POLICYNUTRITION PROGRAMSNUTRITION SERVICESNUTRITION STATUSNUTRITIONAL OUTCOMESNUTRITIONAL STATUSPARASITESPHYSICAL DEVELOPMENTPOOR HEALTHPOOR HOUSEHOLDSPOVERTY ANALYSISPOVERTY ESTIMATESPOVERTY LINEPOVERTY MAPPOVERTY RATEPOVERTY RATESPOVERTY REDUCTIONPOVERTY REDUCTION PROGRAMSPREGNANCYPREGNANT WOMENPRIMARY HEALTH CAREPRIMARY SCHOOLSREGIONAL AVERAGEREGIONAL VARIATIONRESPIRATORY INFECTIONSRICERISK FACTORSSAFETY NETSSALT IODIZATIONSANITATIONSCHOOL ATTENDANCESCHOOL HEALTHSCHOOL READINESSSCHOOL TEACHERSSCHOOL-AGE CHILDRENSCHOOLINGSOCIAL PROTECTIONSTAPLE FOODSSTUNTED CHILDRENSTUNTINGSUGARSWEET POTATOTARGET POPULATIONSTEACHERSTEACHINGTRAINING MATERIALSUNDERNUTRITIONVITAMINVITAMIN AVITAMIN A DEFICIENCIESVITAMIN A DEFICIENCYVITAMIN A SUPPLEMENTATIONVITAMIN A SUPPLEMENTSVITAMINSWASTINGWORKERSYOUNG CHILDYOUTHWorking PaperWorld Bank10.1596/21808