Mainstreaming Nutrition in Poverty Reduction Strategy Papers : What Does It Take? A Review of the Early Experience
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World Bank, Washington, DC
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This paper reviews 40 full poverty
reduction strategy papers (PRSPs) with regard to whether
these strategy papers (1) recognize under-nutrition as a
development problem in the country, (2) whether they use
nutrition information for poverty analysis, and (3) whether
the PRSP includes specific nutrition activities (policies,
strategies, and programs) to deal with the unique nutrition
problems in each country. The review shows that three
quarters of the PRSPs recognize that under-nutrition is a
development problem that leads to loss of human capital
and/or productivity. Also, many PRSPs, either explicitly or
implicitly, include country nutrition profiles in their
poverty analysis. Consequently, a majority of PRSPs include
strategies and specific actions to mitigate the effects of
malnutrition. However, there appears to be little
prioritization or sequencing of proposed actions. More
importantly, the strategies and actions included in PRSPs
often do not reflect an appropriate response to the nature
of the nutrition problem in the country. In a quarter of
countries with macronutrient deficiencies and about 40% of
countries with micronutrient deficiencies, the PRSPs fail to
address these two problems. Moreover, tackling nutrition
issues requires greater institutional capacity and budget
allocations than currently seem to exist. Gross mismatches
between the causes of malnutrition and responses to the
nutrition problem inevitably lead to a lack of impact and a
waste of resources, which will further contribute to the
marginalization of nutrition in future PRSPs.
Palabras clave
ACCESS TO FOOD, ACCESS TO SERVICES, AGED, AGRICULTURAL PRODUCTIVITY, AGRICULTURAL TECHNOLOGIES, ANEMIA, BABY, BASIC HEALTH, BASIC HEALTH SERVICES, BEHAVIOR CHANGE, BREASTFEEDING, BULLETIN, CAPACITY BUILDING, CHILD CARE, CHILD FEEDING, CHILD HEALTH, CHILD MORTALITY, CHILD NUTRITION, CHILDHOOD MALNUTRITION, COMMUNICABLE DISEASES, COMMUNITY NUTRITION, COMMUNITY NUTRITION INTERVENTIONS, DEFINITIONS OF POVERTY, DETERMINANTS OF MALNUTRITION, DEVELOPING COUNTRIES, DEVELOPMENT ASSISTANCE, DEVELOPMENT PLANS, DEVELOPMENT STRATEGIES, DIARRHEA, DIET, DIETARY ENERGY, DIMENSIONS OF POVERTY, DIRECT NUTRITION INTERVENTIONS, DIVERSIFICATION, EARLY CHILDHOOD, ECONOMIC GROWTH, ECONOMIC POLICIES, ECONOMIC PRODUCTIVITY, EDUCATION PROGRAMS, EDUCATIONAL ATTAINMENT, EMACIATION, EMERGENCIES, ENERGY CONSUMPTION, EPIDEMIOLOGY, ERADICATION OF POVERTY, ESSENTIAL HEALTH CARE, EXTENSION AGENTS, EXTREME POVERTY, FAMILIES, FOOD AID, FOOD AVAILABILITY, FOOD INSECURITY, FOOD POLICY, FOOD PRODUCTION, FOOD PRODUCTS, FOOD PROGRAMS, FOOD SECURITY, FOOD SECURITY PROBLEMS, FOOD SUBSIDIES, FOOD SUPPLEMENTATION, GENDER EQUALITY, GLOBAL DEVELOPMENT, GOITER, GROWTH MONITORING, HEALTH CARE, HEALTH EDUCATION, HEALTH PROBLEMS, HEALTH SYSTEMS, HEALTHY LIFE, HIV, HOSPITALS, HUMAN CAPITAL, HUMAN CAPITAL FORMATION, HUMAN DEVELOPMENT, HUMAN DEVELOPMENT INDEX, HUMAN POVERTY, HUMAN POVERTY INDEX, HUNGER, IDD, IDENTIFICATION OF STRATEGIES, ILL HEALTH, ILLNESS, ILLNESSES, INCOME, INCOME GROWTH, INCOME POVERTY, INDICATORS FOR POVERTY, INFANT, INFORMED DECISIONS, INSTITUTIONAL CAPACITY, INTERVENTION, IODINE, IODINE DEFICIENCY, IODINE DEFICIENCY DISORDERS, IODINE SUPPLEMENTATION, IRON, IRON DEFICIENCY, LEVEL OF POVERTY, LEVELS OF EDUCATION, LIFE EXPECTANCY, LIVE BIRTHS, LOSS OF PRODUCTIVITY, LOW BIRTH WEIGHT, LOW-INCOME COUNTRIES, MACROECONOMIC STABILITY, MALARIA, MALNOURISHED CHILDREN, MALNUTRITION, MALNUTRITION RATES, MATERNAL HEALTH, MATERNAL MORTALITY, MICRONUTRIENT DEFICIENCIES, MICRONUTRIENT DEFICIENCY, MICRONUTRIENT FORTIFICATION, MICRONUTRIENTS, MIGRATION, MILLENNIUM DEVELOPMENT GOALS, MINISTRY OF HEALTH, MORBIDITY, NATIONAL DEVELOPMENT, NUTRIENT, NUTRITION, NUTRITION COMPONENTS, NUTRITION EDUCATION, NUTRITION IMPROVEMENT, NUTRITION INDICATORS, NUTRITION INFORMATION, NUTRITION INTERVENTIONS, NUTRITION MONITORING, NUTRITION OUTCOMES, NUTRITION POLICIES, NUTRITION POLICY, NUTRITION PROBLEMS, NUTRITION PROGRAMMES, NUTRITION PROGRAMS, NUTRITION REHABILITATION, NUTRITION REHABILITATION CENTERS, NUTRITION STATUS, NUTRITION TRENDS, NUTRITIONAL STATUS, OBESITY, ORPHANS, OVERNUTRITION, PACIFIC REGION, PEM, POOR, POOR COUNTRIES, POOR HEALTH, POOR NUTRITION, POOR PEOPLE, POVERTY ANALYSIS, POVERTY INDICATORS, POVERTY RATES, POVERTY REDUCTION, POVERTY REDUCTION EFFORTS, POVERTY REDUCTION STRATEGIES, POVERTY REDUCTION STRATEGY, POVERTY REDUCTION STRATEGY PAPERS, POVERTY TARGET, PREGNANT WOMEN, PRESCHOOL CHILDREN, PREVENTION ACTIVITIES, PRIMARY HEALTH CARE, PROGRESS, PROTEIN, PROTEIN ENERGY MALNUTRITION, PUBLIC HEALTH, PUBLIC HEALTH PROBLEM, PUBLIC WORKS, RESOURCE ALLOCATIONS, RISK FACTORS, RURAL, RURAL DEVELOPMENT, SAFETY NET, SAFETY NET PROGRAMS, SANITATION, SAVINGS, SCHOOL ATTENDANCE, SCHOOL FEEDING, SCHOOL FEEDING PROGRAMS, SCHOOLING, SECONDARY SCHOOL, SOCIAL FUNDS, SOCIAL ISSUES, SOCIAL PROTECTION, SUSTAINABLE ACCESS, SUSTAINABLE HUMAN DEVELOPMENT, TARGETING, THE GAMBIA, UNDERNUTRITION, UNIVERSAL PRIMARY EDUCATION, VICIOUS CYCLE, VITAMIN, VITAMIN A, VITAMIN A DEFICIENCY, VULNERABILITY, VULNERABLE GROUPS, WASTE, WEAKNESS, WORKERS, WORLD HEALTH ORGANIZATION, YOUNG CHILD, YOUNG CHILDREN