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Building Tomorrow Through Better Nutrition

Building Tomorrow Through Better Nutrition

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Building Tomorrow Through Better Nutrition

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  1. Building Tomorrow Through Better Nutrition Tamer Rabie Senior Health Specialist The World Bank Europe & Central Asia

  2. Irrefutable Evidence for Nutrition

  3. Impact of Undernutrition Interventions on the MDGs

  4. Impact of Undernutrition Interventions on the MDGscont’d

  5. Background for KG Nutrition Report • Joint World Bank/UNICEF report • to calculate the potential human & economic benefits from increasing nutrition investments • Objective Epidemiology of undernutrition Physical & economic consequences • Situational Analysis Systems for delivering nutrition interventions Coverage of nutrition interventions Economic gains

  6. Three Domains for Nutrition Analysis

  7. (A)Physical Burden of Undernutrition

  8. Deaths Resulting from Undernutrition

  9. DALYs Caused by Undernutrition

  10. (B) • Economic Burden of Undernutrition

  11. Cost of Lost Workforce

  12. Cost of Future Productivity Losses

  13. Iodine Sufficient Brain Iodine Deficient Brain Source: From Legrand, 1967

  14. Total Economic Losses Attributable to Undernutrition US$ 32 million Annually

  15. (C) Benefitsfrom Scaling Up Nutrition Interventions

  16. Future Gain in Productivity, Million US$/Year

  17. Future Gain in Workforce, Million US$/Year

  18. (D) Choosing Priorities

  19. Prioritization Method Three criteria used to rank interventions • Deaths averted • Economic return on investments • Feasibility of implementation at scale Two ranking systems developed • Operational priority -- weight to feasibility of implementation at scale • Evidence for interventions – weight to the “evidence base” set out in The Lancetseries

  20. Highest Priority Interventions • Early initiation of breastfeeding, exclusive breastfeeding until six months of age, and timely and appropriate complementary feeding • Supplementing pregnant women with iron folic acid or multiple micronutrients • Expand salt iodization and flour fortification programs

  21. Second Priority Interventions • Maintain twice-annually vitamin A supplementation • Expand deworming program • Zinc for the management of diarrhea • Severe acute malnutrition treatment • Address underlying and basic causes of undernutrition through other sectors • Promoting handwashing and hygiene

  22. Conclusions • Undernutrition costs the Kyrgyz Republic more than US$ 32 million annually • Scaling up proven interventions could save over US$ 6 million annually • SUN Framework brings global consensus on implementing two complementary approaches addressing: • Immediate causes: a set of direct public health interventions focusing on the minus 9 to 24-month window of opportunity • Underlying causes: a broader set of longer-route interventions in agriculture & social protection

  23. Building Tomorrow Through Better Nutrition