Meeting the Global Goals for Malnutrition: How Much Will It Cost, - - PowerPoint PPT Presentation

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

SCHOOLING

Early nutrition programs can increase school completion by

• ne year

EARNINGS

Early nutrition programs can raise adult wages by 5- 50%

POVERTY

Children who escape stunting are 33% more likely to escape poverty as adults

ECONOMY

Reductions 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

• ver ten years

$34.0 billion required for 2021-2025 $15.6 billion required for 2016-2020

~ 74 million fewer children stunted in 2025

Nutrition-specific interventions

* Includes per capita GDP, food availability and diversity, and women’s education, health and empowerment

Cost and impact on child stunting

Underlying determinants

• f 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 0.3 1.4 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 0.9 0.6 2020 7.5 2.9 0.8 0.5 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 Baseline Additional donor Additional domestic Additional household Remaining gap

Resource gap remains

1.0 1.7 2.3 3.1 3.8 3.7 3.6 3.5 3.4

Scale-up Maintenance

Increases due to GDP growth alone

“Global Solidarity” could generate the resources to 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 0.8 0.6 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 0.5 6.5 9.0 2.9 1.3 3.3 1.0 2024 2019 0.9 8.9 2.9 1.7 3.0 2025 0.4 Additional household Innovative sources Additional donor Baseline Additional domestic

Countries increase spending to income group medians Donors and countries share remaining gap in proportion to income

Scale-up phase Maintenance phase

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The global resource mobilization challenge to tackle 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?

POLITICAL DECISION MAKING ADVOCACY RESOURCE MOBILIZATION WIDESPREAD

IMPLEMENTATION

MONITORING &

ACCOUNTABILITY

Leaders Committing to increasing nutrition investments Prioritizing low cost, high return interventions in plans and budgets Unlocking extra financing from domestic & external, new & traditional sources Accelerating the pace of scale-up to achieve the stunting goal by 2025 Making All Stakeholders Accountable through better tracking, analysis, and reporting