The enabling environment is improving, but not quickly enough
Micronutrient 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 leve...
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| Format: | Book Chapter |
| Language: | Inglés |
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International Food Policy Research Institute
2014
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| Online Access: | https://hdl.handle.net/10568/150339 |
| _version_ | 1855542930634178560 |
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| author | International Food Policy Research Institute |
| author_browse | International Food Policy Research Institute |
| author_facet | International Food Policy Research Institute |
| author_sort | International Food Policy Research Institute |
| collection | Repository of Agricultural Research Outputs (CGSpace) |
| description | Micronutrient 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. |
| format | Book Chapter |
| id | CGSpace150339 |
| institution | CGIAR Consortium |
| language | Inglés |
| publishDate | 2014 |
| publishDateRange | 2014 |
| publishDateSort | 2014 |
| publisher | International Food Policy Research Institute |
| publisherStr | International Food Policy Research Institute |
| record_format | dspace |
| spelling | CGSpace1503392025-11-06T04:19:11Z The enabling environment is improving, but not quickly enough International Food Policy Research Institute gender data child wasting economic development agricultural policies social protection stunting measurement children diet social safety nets sustainable development goals birth weight nutritional status nutrition security anaemia nutrition policies indicators hunger sustainable development malnutrition nutrition trade food security mortality breastfeeding women governance Micronutrient 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. 2014 2024-08-01T02:51:29Z 2024-08-01T02:51:29Z Book Chapter https://hdl.handle.net/10568/150339 en https://doi.org/10.2499/9780896295643 Open Access application/pdf International Food Policy Research Institute International 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 |
| spellingShingle | gender data child wasting economic development agricultural policies social protection stunting measurement children diet social safety nets sustainable development goals birth weight nutritional status nutrition security anaemia nutrition policies indicators hunger sustainable development malnutrition nutrition trade food security mortality breastfeeding women governance International Food Policy Research Institute The enabling environment is improving, but not quickly enough |
| title | The enabling environment is improving, but not quickly enough |
| title_full | The enabling environment is improving, but not quickly enough |
| title_fullStr | The enabling environment is improving, but not quickly enough |
| title_full_unstemmed | The enabling environment is improving, but not quickly enough |
| title_short | The enabling environment is improving, but not quickly enough |
| title_sort | enabling environment is improving but not quickly enough |
| topic | gender data child wasting economic development agricultural policies social protection stunting measurement children diet social safety nets sustainable development goals birth weight nutritional status nutrition security anaemia nutrition policies indicators hunger sustainable development malnutrition nutrition trade food security mortality breastfeeding women governance |
| url | https://hdl.handle.net/10568/150339 |
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