Investing in Nutrition and Child Health

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Investing in Nutrition and Child Health

• A strategy for economic development the
  Senegalese experience
• Mamadou Sidibe
• Minister 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 lt 5 would die
  unnecessarily each year.

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An Evolving Response
1970
1980
1990
2000
SAP
CFA Devaluation
MDG/PRSP
Drought
PPNS (1973-1985)
PNC (1995-2000)
NUT POLICY PRN (2002-2012)
Ministry of Health/CRS
AGETIP
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 Ministers 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 developmentnot 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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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

8
Core Interventions Tailored to District Needs

• Shift from umbrella delivery approach to
  district-specific approaches

• Grandmothers groups
• Pregnant womens support groups

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Nutrition Program Coverage and Malnutrition Rate
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Progress Toward Nutrition MDG
26
Prevalence under 5 Underweight ()
11
Progress Toward Child Mortality MDG
175
139
131
121
Under 5 Mortality (per 1000))
44
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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 savingsa 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