Mali. Costed Plan for Scaling Up Nutrition (SUN). Meera Shekar , Christine McDonald, Patrick Hoang-Vu Eozenou , and Ali Subandoro World Bank October 2013. Agenda. Country context Costing the scale-up of nutrition in Mali M ethodology for costing Next steps.
Costed Plan for Scaling Up Nutrition (SUN)
MeeraShekar, Christine McDonald, Patrick Hoang-Vu Eozenou, and Ali Subandoro
Data Source: Horton, Shekar, et al, World Bank 2009
Three broad intervention groups
Some possible interventions
Source: Nigeria local unit cost and delivery cost estimates, when feasible, otherwise from WB SUNWWIC, 2009
The proposed option is to scale up step 1 and step 2 interventions in states where stunting rates is higher than 25% (Step 1 and step 2 states) which amounts to $224.9 million
* Using LIST tool, based on 5 years projection
Recommendation: Comparing across all four options, option 4 is the most cost-effective and feasible option, with an annual investment of US$224 million, a cost/DALYs saved of $30.3, more than 7.4 million DALYs saved, and a very conservative estimate of over 200,000 lives saved over five years.
Consider different individual observations each with a different z-score
The prevalence measure will count the red dots, irrespective of their distance to the reference line.
The undernutrition gap takes into account the distance between the undernourished and the reference line.
Inequalities in undernutrition (both prevalence and severity) have decreased between 2001 and 2006, but then increased again between 2006 and 2010
According to a recent Biofortification prioritization tool developed by IFPRI, Mali could be considered a top priority country for vitamin A maize, vitamin A sweet potato, and zinc rice