The enabling environment is improving, but not quickly enough

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dc.creatorInternational Food Policy Research Institute
dc.date2014
dc.date2024-08-01T02:51:29Z
dc.date2024-08-01T02:51:29Z
dc.date.accessioned2026-06-27T15:45:44Z
dc.descriptionMicronutrient deficiencies continue to constitute a major burden of disease, particularly in Africa and South Asia. Programs to address micronutrient deficiencies have been increasing in number, type, and scale in recent years, creating an ever-growing need to understand their combined coverage levels, costs, and impacts so as to more effectively combat deficiencies, avoid putting individuals at risk for excess intakes, and ensure the efficient use of public health resources.To analyze combinations of the two current programs—sugar fortification and Child Health Week (CHW)—together with four prospective programs—vegetable oil fortification, wheat flour fortification, maize meal fortification, and biofortified vitamin A maize—to identify Zambia's optimal vitamin A portfolio.Combining program cost estimates and 30-year Zambian food demand projections, together with the Zambian 2005 Living Conditions Monitoring Survey, the annual costs, coverage, impact, and cost-effectiveness of 62 Zambian portfolios were modeled for the period from 2013 to 2042.Optimal portfolios are identified for each of five alternative criteria: average cost-effectiveness, incremental cost-effectiveness, coverage maximization, health impact maximization, and affordability. The most likely scenario is identified to be one that starts with the current portfolio and takes into account all five criteria. Starting with CHW and sugar fortification, it phases in vitamin A maize, oil, wheat flour, and maize meal (in that order) to eventually include all six individual interventions.Combining cost and Household Consumption and Expenditure Survey (HCES) data provides a powerful evidence-generating tool with which to understand how individual micronutrient programs interact and to quantify the tradeoffs involved in selecting alternative program portfolios.
dc.formatapplication/pdf
dc.identifierhttps://hdl.handle.net/10568/150339
dc.identifier.urihttp://hdl.handle.net/123456789/113872
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. The enabling environment is improving, but not quickly enough. In Global nutrition report 2014: Actions and accountability to accelerate the world's progress on nutrition. International Food Policy Research Institute. Chapter 7 Pp. 47-55. Washington, DC: International Food Policy Research Institute (IFPRI). https://hdl.handle.net/10568/150339
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.titleThe enabling environment is improving, but not quickly enough
dc.typeBook Chapter

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Instituto Internacional de Investigación sobre Políticas Alimentarias (IFPRI)