Scaling Up Nutrition for a More Resilient Mali

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dc.creatorShekar, Meera
dc.creatorMattern, Max
dc.creatorEozenou, Patrick
dc.creatorDayton Eberwein, Julia
dc.creatorKweku Akuoku, Jonathan
dc.creatorDi Gropello, Emanuela
dc.creatorKaramba, Wendy
dc.date2015-04-24T17:58:05Z
dc.date2015-04-24T17:58:05Z
dc.date2015-02
dc.date.accessioned2026-07-01T00:31:22Z
dc.descriptionThis paper builds on the global experience and Mali s context to identify an effective nutrition approach as well as costs and benefits of key nutrition programs, as part of a resilience agenda after the crisis. It is intended to help guide the selection of the most cost-effective interventions as well as strategies for scaling these up. The paper looks at both relevant nutrition-specific interventions, largely delivered through the health sector, and at multisectoral nutrition-sensitive interventions delivered through other sectors such as agriculture, social protection, and water and sanitation that have the potential to strengthen nutritional outcomes in Mali. We first estimate that the costs and benefits of implementing 10 nutrition-specific interventions in all regions of Mali would require a yearly public investment of $64 million. The expected benefits are large: annually about 480,000 Disability-adjusted Life Years (DALYs) and more than 14,000 lives would be saved and over 260,000 cases of stunting among children under five would be averted. However, because it is unlikely that the Government of Mali or its partners will find the $64 million necessary to reach full national coverage, we also consider three potential scale-up scenarios based on considerations of their potential for impact, the burden of stunting, resource requirements, and implementation capacity. Using cost-benefit analyses, we propose scale-up scenarios that represent a compromise between the need to move to full coverage and the constraints imposed by limited resources. We identify and cost six nutrition-sensitive interventions that are relevant to Mali s context and for which there are both evidence of positive impact on nutrition outcomes and some cost information. These findings point to a powerful set of nutrition-specific interventions and a candidate list of nutrition-sensitive approaches that represent a highly cost-effective approach to reducing child malnutrition in Mali.
dc.formatapplication/pdf
dc.formattext/plain
dc.identifierhttp://documents.worldbank.org/curated/en/2015/02/24366205/scaling-up-nutrition-more-resilient-mali-nutrition-diagnostics-costed-plan-scaling-up
dc.identifierhttps://hdl.handle.net/10986/21772
dc.identifier10.1596/21772
dc.identifier.urihttp://hdl.handle.net/123456789/405213
dc.languageEnglish
dc.languageen_US
dc.publisherWorld Bank, Washington, DC
dc.relationHealth Nutrition and Population (HNP) discussion paper.;
dc.rightsCC BY 3.0 IGO
dc.rightshttp://creativecommons.org/licenses/by/3.0/igo/
dc.rightsWorld Bank
dc.subjectACCESS TO FOOD
dc.subjectACUTE MALNUTRITION
dc.subjectACUTE RESPIRATORY INFECTIONS
dc.subjectAGED
dc.subjectAGRICULTURAL EXTENSION
dc.subjectAGRICULTURAL INNOVATION
dc.subjectAGRICULTURAL PRODUCTION
dc.subjectANEMIA
dc.subjectANIMAL HUSBANDRY
dc.subjectBASIC HEALTH
dc.subjectBASIC HEALTH SERVICES
dc.subjectBREASTFEEDING
dc.subjectCALCIUM
dc.subjectCAPACITY CONSTRAINTS
dc.subjectCASH TRANSFER PROGRAM
dc.subjectCHILD CARE
dc.subjectCHILD FEEDING
dc.subjectCHILD FEEDING PRACTICES
dc.subjectCHILD MALNUTRITION
dc.subjectCHILD MORTALITY
dc.subjectCHILD MORTALITY RATES
dc.subjectCHILD NUTRITION
dc.subjectCHILD STUNTING
dc.subjectCHILDHOOD ILLNESSES
dc.subjectCHRONIC MALNUTRITION
dc.subjectCHRONIC UNDERNUTRITION
dc.subjectCOMMUNITY HEALTH
dc.subjectCOMMUNITY NUTRITION
dc.subjectCOMPLEMENTARY FEEDING
dc.subjectCONDITIONAL CASH TRANSFERS
dc.subjectCOST-EFFECTIVENESS
dc.subjectDETERMINANTS OF MALNUTRITION
dc.subjectDIAGNOSTICS
dc.subjectDIARRHEA
dc.subjectDIARRHEAL DISEASES
dc.subjectDIETS
dc.subjectDISEASES
dc.subjectECONOMIC PRODUCTIVITY
dc.subjectEQUITABLE ACCESS
dc.subjectESSENTIAL NUTRITION ACTIONS
dc.subjectEXTENSION AGENTS
dc.subjectFAMILIES
dc.subjectFAMILY MEMBERS
dc.subjectFAMINE
dc.subjectFARMER
dc.subjectFARMERS
dc.subjectFEEDING PROGRAMS
dc.subjectFEMALE-HEADED HOUSEHOLDS
dc.subjectFLOUR
dc.subjectFOLIC ACID
dc.subjectFOOD CROPS
dc.subjectFOOD DISTRIBUTION
dc.subjectFOOD INSECURITY
dc.subjectFOOD INTAKES
dc.subjectFOOD POLICY
dc.subjectFOOD SAFETY
dc.subjectFOOD SECURITY
dc.subjectFOOD STANDARDS
dc.subjectFOOD SUPPLEMENTATION
dc.subjectFOOD SUPPLIES
dc.subjectGEOGRAPHIC REGION
dc.subjectGROUNDNUTS
dc.subjectGROWTH MONITORING
dc.subjectGROWTH PROMOTION
dc.subjectHEALTH CARE
dc.subjectHEALTH INDICATORS
dc.subjectHEALTH SERVICES
dc.subjectHEALTH STATUS
dc.subjectHIV/AIDS
dc.subjectHOUSEHOLD HEAD
dc.subjectHOUSEHOLD HEADS
dc.subjectHOUSEHOLD INCOME
dc.subjectHOUSEHOLD VULNERABILITY
dc.subjectHOUSEHOLDS WITH CHILDREN
dc.subjectHUMAN CAPITAL
dc.subjectHUMAN DEVELOPMENT
dc.subjectHUMAN DEVELOPMENT INDEX
dc.subjectHUMANITARIAN AID
dc.subjectHUNGER
dc.subjectHYGIENE
dc.subjectHYGIENE PRACTICES
dc.subjectINCOME QUINTILE
dc.subjectINFANT MORTALITY
dc.subjectINFANT MORTALITY RATE
dc.subjectINFECTION
dc.subjectINTERVENTION
dc.subjectIODINE
dc.subjectIRON
dc.subjectIRON DEFICIENCY
dc.subjectIRRIGATION
dc.subjectLACK OF KNOWLEDGE
dc.subjectLIFE EXPECTANCY
dc.subjectLIVE BIRTHS
dc.subjectLIVER CANCER
dc.subjectLIVER CIRRHOSIS
dc.subjectMALARIA
dc.subjectMALNOURISHED CHILDREN
dc.subjectMALNUTRITION RATES
dc.subjectMATERNAL HEALTH
dc.subjectMATERNAL MORTALITY
dc.subjectMEASLES
dc.subjectMICRONUTRIENT DEFICIENCIES
dc.subjectMICRONUTRIENT SUPPLEMENTATION
dc.subjectMICRONUTRIENTS
dc.subjectMINERAL
dc.subjectMINERALS
dc.subjectMODERATE MALNUTRITION
dc.subjectMORBIDITY
dc.subjectMORTALITY
dc.subjectMORTALITY RATES
dc.subjectNATURAL DISASTER
dc.subjectNUTRIENT
dc.subjectNUTRITION
dc.subjectNUTRITION EDUCATION
dc.subjectNUTRITION INTERVENTIONS
dc.subjectNUTRITION OUTCOMES
dc.subjectNUTRITION POLICY
dc.subjectNUTRITION PROGRAMS
dc.subjectNUTRITION SECTOR
dc.subjectNUTRITION SERVICES
dc.subjectNUTRITION STATISTICS
dc.subjectNUTRITION STATUS
dc.subjectNUTRITIONAL OUTCOMES
dc.subjectNUTRITIONAL STATUS
dc.subjectORAL REHYDRATION SALTS
dc.subjectPHYSICAL DEVELOPMENT
dc.subjectPOOR HEALTH
dc.subjectPOOR HOUSEHOLDS
dc.subjectPOOR NUTRITION
dc.subjectPOPULATION GROWTH
dc.subjectPOVERTY GAP
dc.subjectPOVERTY RATE
dc.subjectPOVERTY REDUCTION
dc.subjectPOVERTY REDUCTION PROGRAMS
dc.subjectPREGNANCY
dc.subjectPREGNANT WOMEN
dc.subjectPRIMARY HEALTH CARE
dc.subjectPRIMARY SCHOOLS
dc.subjectPUBLIC HEALTH
dc.subjectREGIONAL DISTRIBUTION
dc.subjectREGIONAL VARIATION
dc.subjectRESPIRATORY INFECTIONS
dc.subjectRICE
dc.subjectRURAL AREAS
dc.subjectSAFETY NETS
dc.subjectSALT IODIZATION
dc.subjectSANITATION
dc.subjectSCHOOL ATTENDANCE
dc.subjectSCHOOLING
dc.subjectSMALL-SCALE AGRICULTURE
dc.subjectSOCIAL PROTECTION
dc.subjectSPATIAL DISTRIBUTION
dc.subjectSTAPLE FOODS
dc.subjectSTUNTED CHILDREN
dc.subjectSTUNTING
dc.subjectSUPPLEMENTARY FEEDING
dc.subjectSWEET POTATO
dc.subjectUNDERNUTRITION
dc.subjectVITAMIN
dc.subjectVITAMIN A
dc.subjectVITAMIN A SUPPLEMENTATION
dc.subjectVITAMINS
dc.subjectVULNERABILITY TO POVERTY
dc.subjectVULNERABLE REGIONS
dc.subjectWASTING
dc.subjectWATER SOURCES
dc.subjectWORKERS
dc.subjectWORLD FOOD PROGRAM
dc.subjectYOUNG CHILD
dc.titleScaling Up Nutrition for a More Resilient Mali
dc.titleNutrition Diagnostics and Costed Plan for Scaling Up
dc.typeWorking Paper
dc.typeDocument de travail
dc.typeDocumento de trabajo

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