Nutrition Financing in Senegal
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World Bank, Washington, DC
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Senegal is known for having one of the
most effective and far-reaching nutrition service delivery
systems in Africa. Government commitment to improving the
nutritional status of the population has increased over time
and has been marked, among other things, by the creation in
2001 of the CLM and its Bureau Exécutif National (National
Executive Bureau) (BEN); an increase in annual budget
allocations to nutrition (from $0.3 million in 2002 to $5.7
million in 2015); and intensificationof community-based
nutrition interventions. These commitments are reflected in
the improvementof nutrition indicators, notably a 46 percent
reduction in under-five stunting from 1992 to
2014.Unfortunately, these improvements have not led to
greater visibility of nutrition sensitive interventions in
relevant sectors such as agriculture, livestock, education,
social protection and health. This shortfall, combined with
a recent series of exogenous shocks, has led to recurrent
fragmentation of nutrition approaches, paradigms and
interventions, resulting in the absence ofa general
framework that provides guidance on both nutrition-specific
and nutrition-sensitive investments.Meanwhile, progress in
reducing stunting has slowed,and low birthweight,
iron-deficiency anemia, adolescent undernutrition, and
maternal undernutrition have received little attention.
These shortcomings threaten the achievements of recent
decades. Recognizing this challenge, the government of
Senegal joined the Mouvement pour le Renforcement de la
Nutrition (Scaling Up Nutrition) SUN Movement in 2011 and
adopted the United Nations Approach to Renewed Efforts
Against Child Hunger and Undernutrition (REACH) in 2014.
These initiatives aim to strengthen institutional capacity
and facilitate a multisectoral process to help governments
plan, prioritize and more efficiently manage nutrition
actions involving multiple stakeholders. With respect to
national policy, the government of Senegal has adopted the
Politique Nationale de Développement de la Nutrition
(National Policy for the Development of Nutrition)(PNDN)2
covering the period 2015 to 2025, which will be
operationalized through a multisectoral nutrition strategy,
outlined in the Plan Stratégique Multisectoriel de la
Nutrition (Multisectoral Nutrition Strategic Plan) (PSNM).
These policies aim to expand coverage and improve the
quality of nutrition services in sectors whose functional
prerogatives affect the prevention and management of malnutrition.
Ce rapport identifie et analyse les sources de financement actuelles et potentielles pour la mise en oeuvre du Plan stratégique multisectoriel de nutrition (PSMN). Ces principaux objectifs étaient de : 1) définir un cadre opérationnel pour le suivi des dépenses de nutrition, 2) estimer le volume financier alloué aux interventions de nutrition, 3) analyser les flux financiers pour les interventions de nutrition, 4) estimer les ressources budgétaires pour financer les interventions de nutrition du gouvernement, 5) estimer le coût des interventions spécifiques à la nutrition, des interventions sensibles à la nutrition et des interventions liées à la gouvernance dans le domaine de la nutrition.
Ce rapport identifie et analyse les sources de financement actuelles et potentielles pour la mise en oeuvre du Plan stratégique multisectoriel de nutrition (PSMN). Ces principaux objectifs étaient de : 1) définir un cadre opérationnel pour le suivi des dépenses de nutrition, 2) estimer le volume financier alloué aux interventions de nutrition, 3) analyser les flux financiers pour les interventions de nutrition, 4) estimer les ressources budgétaires pour financer les interventions de nutrition du gouvernement, 5) estimer le coût des interventions spécifiques à la nutrition, des interventions sensibles à la nutrition et des interventions liées à la gouvernance dans le domaine de la nutrition.
Palabras clave
HEALTH EXPENDITURE, NUTRITION EXPENDITURE, CHILD HEALTH, CASH TRANSFERS, CONDITIONAL CASH TRANSFER, NUTRITION PROMOTION, CHILD NUTRITION, MATERNAL NUTRITION, MALNUTRITION, NUTRITION FINANCE