What are the priorities for investment in improved nutrition data?

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dc.creatorInternational Food Policy Research Institute
dc.date2014
dc.date2024-08-01T02:52:20Z
dc.date2024-08-01T02:52:20Z
dc.date.accessioned2026-06-27T15:11:27Z
dc.descriptionTwice annually, Uganda implements Child Days Plus (CDP), a month-long outreach activity that distributes vitamin A capsules to preschool children and deworms children 6 months to 14 years old. Introduced initially as a temporary, interim strategy, CDP is now a decade old.To assess how well CDP is implemented using an activity-based cost analysis.In the absence of a cost-accounting system for CDP, we defined the six major CDP activities as cost centers and identified five important subactivities required to implement a round of CDP. Based on a purposive sample, we conducted a structured interview survey of 59 Ministry of Health facilities, 9 district offices, and national-level CDP staff.Only one-third of the facilities implemented all 11 CDP core activities. The survey revealed that Ministry of Health staff and volunteers are frequently paid substantially less in allowances than they are entitled to for their CDP outreach activities. Viewing these two practices—nonimplementation and less-than-full-reimbursement—as indicators of CDP's underfinancing, we estimate the program is underfinanced by the equivalent of 37% of its “full implementation” costs. Two-thirds of underfinancing is manifested in nonimplementation and one-third as less-than full-reimbursement. CDP exploits economies of scale and scope and has an average cost per child served of US$0.22. We estimate that it annually saves 367,000 disability-adjusted life-years (DALYs) at an average cost of US$12.5, making it—despite its underfinancing—highly cost-effective.Increased CDP funding would enable its vitamin A coverage rate of 58% and its deworming coverage rate of 62% to be increased, thereby increasing its effectiveness and efficiency. CDP should be “relaunched,” as part of an effort to improve the structure of the program, set expectations about it, and earmark a minimum of resources for CDP. The Ministry of Health should demonstrate its new, greater commitment to CDP by introducing a program-specific budget line item, increasing CDP's budget allocation, and developing and implementing a training program that identifies the minimum uniform activities required to implement CDP.
dc.formatapplication/pdf
dc.identifierhttps://hdl.handle.net/10568/150559
dc.identifier.urihttp://hdl.handle.net/123456789/97214
dc.languageen
dc.publisherInternational Food Policy Research Institute
dc.relationhttps://doi.org/10.2499/9780896295643
dc.rightsOpen Access
dc.sourceInternational Food Policy Research Institute (IFPRI). 2014. What are the priorities for investment in improved nutrition data? In Global nutrition report 2014: Actions and accountability to accelerate the world's progress on nutrition. International Food Policy Research Institute. Chapter 9 Pp. 67-70. Washington, DC: International Food Policy Research Institute (IFPRI). https://hdl.handle.net/10568/150559
dc.subjectgender
dc.subjectdata
dc.subjectchild wasting
dc.subjecteconomic development
dc.subjectagricultural policies
dc.subjectsocial protection
dc.subjectstunting
dc.subjectmeasurement
dc.subjectchildren
dc.subjectdiet
dc.subjectsocial safety nets
dc.subjectsustainable development goals
dc.subjectbirth weight
dc.subjectnutritional status
dc.subjectnutrition security
dc.subjectanaemia
dc.subjectnutrition policies
dc.subjectindicators
dc.subjecthunger
dc.subjectsustainable development
dc.subjectmalnutrition
dc.subjectnutrition
dc.subjecttrade
dc.subjectfood security
dc.subjectmortality
dc.subjectbreastfeeding
dc.subjectwomen
dc.subjectgovernance
dc.titleWhat are the priorities for investment in improved nutrition data?
dc.typeBook Chapter

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Instituto Internacional de Investigación sobre Políticas Alimentarias (IFPRI)