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Investing in Nutrition and Child Health

A strategy for economic development: the Senegalese experience

Mamadou SidibeMinister of Planning and Sustainable Development - Senegal

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Costs of Malnutrition

The costs of malnutrition are found in… morbidity and mortality excess health expenditure reduced school performance reduced work productivity

If unaddressed……over 10 years malnutrition would cost $ 1.6 billion

$ 800 million for protein-energy malnutrition$ 600 million for iodine deficiency disorders$ 190 million from anemia

…and thousands of children < 5 would die unnecessarily each year.

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Drought SAP CFA Devaluation

PPNS (1973-1985) PNC (1995-2000)

Ministry of Health/CRS AGETIP

1970 1980 1990 2000

An Evolving Response

MDG/PRSP

NUT POLICY

PRN (2002-2012)

NGO/MINISTRIES

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National Committee against Malnutrition (CLM) Mission:

Define a multi-sectoral national nutrition policy Monitor nutrition program implementation

Location: Prime Minister’s Office Composition: technical ministries, local

government, civil society Development partners: World Bank,

USAID/BASICS, UNICEF, WFP, WHO, KFW, NGOs

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Vision for Economic Growth in Senegal Policy shift in 2000 leading to: Positive vision to invest in good nutrition for child

and sustainable development—not simply to combat malnutrition:

CLM Vision: a country where every individual has satisfactory nutritional status, and adopts adequate behaviors for her/his own well-being and for the development of the community.

Emphasis on achieving Millennium Development Goals

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PHASE 1 (2002-2006)To test different intervention strategies

PHASE 1 (2002-2006)To test different intervention strategies

PHASE 2 (2006-2010)To extend interventions to all regionsPHASE 2 (2006-2010)To extend interventions to all regions

PHASE 3 (2010-2015)To ensure integration of nutrition objectives into sectoral programmes

PHASE 3 (2010-2015)To ensure integration of nutrition objectives into sectoral programmes

Identify cost effective and sustainable strategies

Extend nutrition interventions in rural areas

Sustainable improvement of

nutritional status of vulnerable groups

Nutrition Enhancement Program Phases

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Nutrition Enhancement Program Description Built on Successful Pilots Strategies

Integration of nutrition objectives in sectoral ministries such as Health, Education, Agriculture

Community based nutrition and IMCI for vulnerable groups

Core interventions C-IMCI Essential Nutrition Activities Growth Promotion

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Core Interventions Tailored to District Needs Shift from “umbrella” delivery approach to

district-specific approaches

Grandmother’s groups Pregnant women’s

support groups

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Nutrition Program Coverage and Malnutrition Rate

27

23

1513

1111

1618

2022 22

18

0

5

10

15

20

25

30

june 2004 sept 2004 dec 2004 mar 2005 june 2005 sept-05

malnourished beneficiaries (%) program coverage

10

Pre

vale

nce

un

de

r 5

Un

de

rwe

igh

t (%

)

Millenium Development Goals

Results of National Surveys (DHS and MICS)

Projection without intervention

Projection with current interventions intensifiied

0

5

10

15

20

25

30

1992 1996 2000 2005 2010 2015

10

20

22

1817

Progress Toward Nutrition MDG26

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Un

de

r 5

Mo

rta

lity

(pe

r 1

00

0))

Millenium Development Goals

Results of National Surveys (DHS )

Projection without intervention

Projection with current interventions intensifiied

25

50

75

100

125

150

175

1992 1997 2005 2010 2015 2020

44

131

139

121

Progress Toward Child Mortality MDG

175

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Costs

Cost to reach MDG target: $150 million over 10 years

Cost to “do nothing”: $1.6 billion and thousands of child deaths over 10 years

$150 million investment for nutrition nets $1.6 billion in savings…a 1,000% return!

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Reaching MDGs in Nutrition and Child Survival in Senegal

Commitment by the highest level of Government Partnership with NGOs and Local Governments

to scale up and sustain proven nutrition and child health interventions

Integration of nutrition within the health system Community ownership through the involvement

of local government Investment of both government funds and

international partners

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THANK YOU FOR YOUR ATTENTION