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Planning for Nutrition Investment in Uzbekistan

Planning for Nutrition Investment in Uzbekistan. Jack Bagriansky UNICEF Consultant. Negative Cycle of Malnutrition & Poverty. Malnutrition. Poverty. Poor Birth Outcome. Work Deficit. Poor Health. School Deficit. Cognitive Deficit. Learning Deficit.

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Planning for Nutrition Investment in Uzbekistan

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  1. Planning for Nutrition Investment in Uzbekistan Jack Bagriansky UNICEF Consultant

  2. Negative Cycle of Malnutrition & Poverty Malnutrition Poverty Poor Birth Outcome Work Deficit Poor Health School Deficit Cognitive Deficit Learning Deficit

  3. Measuring Economic Impact of Malnutrition • Science and evidence-base for many indicators of malnutrition, is sufficiently concrete and specific for summary coefficients of risk or deficit. • % Deficit, Relative Risk or other factors. • Computer modeling links coefficients of risk/deficit to national demographic, health, labor and financial data to project national economic damage of various indicators of malnutrition. • Consequence Model: Cost of Status Quo • Global Results Show High Benefit Cost Ratios For Nutrition Interventions. • UNICEF Damage Assessment Reports • Copenhagen Consensus

  4. Annual Cost of Doing Nothing

  5. Nutrition Investment Program: Building the Economic Case Economic Value 3-Year Objectives & Projected Impact Describing & Budgeting Intervention Analysis & Consensus on National Economic Losses Build on Consensus on Prevalence

  6. Population-Wide Proven Interventions Defined Intervention Target Group Multiple Causes/Strategies Value on Human Life?

  7. Strategic Steps: Making Economic Case for Investment in Nutrition Economic Value 3-Year Objectives Describing & Budgeting Intervention Analysis & Consensus on Economic Losses Consensus on Prevalence& Rationale

  8. Missing Steps to Credible Case:Implementation Orientation Economic Value Focusing on Interventions Clear Objectives 3-Year Budget Implementation Plan Based on Capacity Defined Interventions Focusing on Problems. Prevalence, Loss & Rationale

  9. Essential Nutrition Services Vitamin Supplements Iron Supplements Sprinkles Breast Feeding Behavior Change High Risk Population Covered Low Cost Per Person Covered Defined Intervention Portfolio & Programs Mix At Risk Population Market/Public Financing Public Financing Flour Fortification & Salt Iodization

  10. Implementation Focus: Planning w/Logical Framework & Budget Output Activity Budgeted Task

  11. Multi-Intervention Portfolio Summary: 3-Year Budget

  12. Strategic Steps: Making Economic Case for Investment in Nutrition Economic Value 3-Year Objectives & Projected Impact Describing & Budgeting Intervention Analysis & Consensus on Economic Losses Consensus on Prevalence& Rationale

  13. Intervention Goal or Impact

  14. Analysis Program Coverage Objectives

  15. Analysis for Program Coverage Objectives: ENS

  16. Evidence-Based Goal for Impact

  17. Evidence-Based Goals for Impact Essential Nutrition Services

  18. Strategic Steps: Making Economic Case for Investment in Nutrition Economic Value 3-Year Objectives Describing & Budgeting Intervention Analysis & Consensus on Economic Losses Consensus on Prevalence& Rationale

  19. Calculating Economic Value:6-Year Benefit Cost Ratio = Benefit Cost Ratio

  20. Summary 6-Year Benefit Cost

  21. Success is not the NIP Document but Results: Increased Investment • Not the Numbers… But the Process • Data Gathering & Reviewing Global Best Practice • Agreeing on Estimates & Assumptions • Designing & Budgeting Interventions • Not the Numbers… But the Consensus • Multi Sectoral Consultation of Public & Private Sectors • Harmonized View of Health & Economic Experts • Not the Numbers… But a Policy Tool • Leverage Investment within Competitive Environment • Not Reality but Projections • Moral Imperative not only Economic Benefit

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