Meeting the global goals for malnutrition
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Meeting the Global Goals for Malnutrition: How Much Will It Cost, and Who Will Pay? Financing for Development July 2015
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Transcript of Meeting the global goals for malnutrition
Meeting the Global Goals for Malnutrition: How Much Will It Cost, and Who Will Pay?
Financing for Development July 2015
Stunting Prevalence:20 -30%30-40%>40% 85% of stunting concentrated in 37 countries
162 million children stunted in 2013 Global target: reduce to ~ 100 million by 2025
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Investments in nutrition build human capital and boost shared prosperity
SCHOOLINGEarly nutrition programs can
increase school completion by
one year
EARNINGSEarly
nutrition programs can
raise adult wages by 5-
50%
POVERTYChildren who
escape stunting are 33% more
likely to escape poverty as
adults
ECONOMYReductions in stunting can increase GDP
by 4-11%in Asia &
Africa
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The 1,000 day window of opportunity
• The first 1,000 days between pregnancy and a child’s 2nd birthday sets the life-long foundation for human capital
• Adequate nutrition in this 1000-day window is imperative
• If not, the damage to future human capital is irreversible
WELL-NOURISHED BRAIN CELLS
UNDERNOURISHED BRAIN CELLS
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An affordable package of interventions to reduce stunting
• Improving nutrition for women during pregnancy
• Improving infant and young child feeding practices, including exclusive breastfeeding for the first six months
• Improving child nutrition, including micronutrient supplementation
• Improving policy coordination, capacity and evaluation
ANNUAL ADDITIONAL
COST PER CHILD UNDER-5
$8.50$42 billion additional
financing for 37 highest burden
countries over 10 years
$49.6 billion additional
financing globally over ten years
$34.0 billion required for 2021-2025$15.6 billion required for 2016-2020
~ 74 million fewer
children stunted in 2025
Nutrition-specificinterventions
* Includes per capita GDP, food availability and diversity, and women’s education, health and empowerment
Cost and impact on child stunting
Underlying determinantsof stunting*
162m stunted
$1 invested in stunting = ~ $18 economic returns
~100m stunted by 40% by 2025
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Total $49.6 billion over ten years
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Current spending on stunting is drastically inadequate
1.1
1.6
Households
Donor
2.9
Domestic
0.2
Annual expenditures (USD billions), 2014
Invested by 37 governments
External contributions
Out of pocket spending
Financing for stunting prevention will have to triple to $9 billion a year in 2025, if we are to achieve the global goal
Business as Usual would result in a shortfall of $27 billion, condemning 40 million children to avoidable stunting in 2025
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2025
9.0
2.9
0.31.4
1.0
2024
8.9
2.9
1.3
0.9
2023
8.8
2.9
1.2
0.8
2022
8.7
2.9
1.1
0.7
2021
8.6
2.9
0.90.6
2020
7.5
2.9
0.80.5
2019
6.5
2.9
0.6
2018
5.6
2.9
2017
4.6
2.9
2016
3.8
2.9
2015
2.9
2026
BaselineAdditional donorAdditional domesticAdditional householdRemaining gap
Resource gap remains
1.01.7
2.33.1
3.8 3.7 3.6 3.5 3.4
Scale-up
Maintenance
Increases due to GDP
growth alone
“Global Solidarity” could generate the resourcesto achieve the global stunting reduction target
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2.9
1.6
1.2
2018
5.6
2.9
1.0
0.9
2017
4.6
2.9
0.80.6
2016
3.8
2.9
2015
2.9
2023
8.8
2.9
2.0
2.7
0.8
2022
8.7
2.9
2.3
2.3
0.7
2021
8.6
2.9
2.6
2.0
0.6
2020
7.5
2.9
2.1
1.6
0.56.5
9.0
2.9
1.3
3.3
1.0
20242019
0.9
8.9
2.9
1.7
3.0
2025
0.4
Additional householdInnovative sources Additional donor BaselineAdditional domestic
Countries increase spending to income
group medians
Donors and countries share remaining gap in proportion to income
Scale-up phaseMaintenance phase
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The global resource mobilization challenge totackle child stunting is large but achievable
Additional resources needed, 2016-2025
High-burden countries (n=37) 42.2 B
Remaining LIC and LMICs (n=75) 7.4 B
Total to achieve the global stunting goal 49.6 B
Between 2001 and 2011, AIDS spending in low and middle income countries grew from <$1 billion to $15 billion annually –a larger amount of incremental spending and a higher rate of growth than what is needed to fight stunting
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What will it take to reach this goal?POLITICALDECISION MAKING
ADVOCACY RESOURCE
MOBILIZATIONWIDESPREAD
IMPLEMENTATIONMONITORING & ACCOUNTABILITY
Leaders Committingto increasing
nutrition investments
Prioritizinglow cost, high
return interventions in plans and
budgets
Unlocking extra
financing from
domestic & external, new & traditional
sources
Acceleratingthe pace of scale-up to achieve the
stunting goal by 2025
Making All Stakeholders Accountable
through better
tracking,analysis, and
reporting
