13 Mamadou Sidibe No photos

Investing in Nutrition and Child Health : 

1 Investing in Nutrition and Child Health A strategy for economic development: the Senegalese experience Mamadou Sidibe Minister of Planning and Sustainable Development - Senegal

Costs of Malnutrition : 

2 Costs of Malnutrition The costs of malnutrition are found in… morbidity and mortality excess health expenditure reduced school performance reduced work productivity If unaddressed… …over 10 years malnutrition would cost $ 1.6 billion $ 800 million for protein-energy malnutrition $ 600 million for iodine deficiency disorders $ 190 million from anemia …and thousands of children < 5 would die unnecessarily each year.

An Evolving Response : 

3 Drought SAP CFA Devaluation PPNS (1973-1985) PNC (1995-2000) Ministry of Health/CRS AGETIP 1970 1980 1990 2000 An Evolving Response MDG/PRSP NUT POLICY PRN (2002-2012) NGO/MINISTRIES

National Committee against Malnutrition (CLM) : 

4 National Committee against Malnutrition (CLM) Mission: Define a multi-sectoral national nutrition policy Monitor nutrition program implementation Location: Prime Minister’s Office Composition: technical ministries, local government, civil society Development partners: World Bank, USAID/BASICS, UNICEF, WFP, WHO, KFW, NGOs

Vision for Economic Growth in Senegal : 

5 Vision for Economic Growth in Senegal Policy shift in 2000 leading to: Positive vision to invest in good nutrition for child and sustainable development—not simply to combat malnutrition: CLM Vision: a country where every individual has satisfactory nutritional status, and adopts adequate behaviors for her/his own well-being and for the development of the community. Emphasis on achieving Millennium Development Goals

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6 Nutrition Enhancement Program Phases

Nutrition Enhancement Program Description : 

7 Nutrition Enhancement Program Description Built on Successful Pilots Strategies Integration of nutrition objectives in sectoral ministries such as Health, Education, Agriculture Community based nutrition and IMCI for vulnerable groups Core interventions C-IMCI Essential Nutrition Activities Growth Promotion

Core Interventions Tailored to District Needs : 

8 Core Interventions Tailored to District Needs Shift from “umbrella” delivery approach to district-specific approaches Grandmother’s groups Pregnant women’s support groups

Nutrition Program Coverage and Malnutrition Rate : 

9 Nutrition Program Coverage and Malnutrition Rate

Progress Toward Nutrition MDG : 

10 Prevalence under 5 Underweight (%) Progress Toward Nutrition MDG 26

Progress Toward Child Mortality MDG : 

11 Under 5 Mortality (per 1000)) 44 131 139 121 Progress Toward Child Mortality MDG 175

Costs : 

12 Costs Cost to reach MDG target: $150 million over 10 years Cost to “do nothing”: $1.6 billion and thousands of child deaths over 10 years $150 million investment for nutrition nets $1.6 billion in savings…a 1,000% return!

Reaching MDGs in Nutrition and Child Survival in Senegal : 

13 Reaching MDGs in Nutrition and Child Survival in Senegal Commitment by the highest level of Government Partnership with NGOs and Local Governments to scale up and sustain proven nutrition and child health interventions Integration of nutrition within the health system Community ownership through the involvement of local government Investment of both government funds and international partners

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14 THANK YOU FOR YOUR ATTENTION