Planning for Nutrition Investment in Uzbekistan

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Planning for Nutrition Investment in Uzbekistan

• Jack Bagriansky
• UNICEF Consultant

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

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Annual Cost of Doing Nothing
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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
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Defined Intervention Target Group
Multiple Causes/Strategies
Value on Human Life?
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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
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Missing Steps to Credible CaseImplementation
Orientation
Economic Value
Focusing on Interventions
Clear Objectives 3-Year Budget Implementation
Plan Based on Capacity Defined Interventions
Focusing on Problems.
Prevalence, Loss Rationale
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Defined Intervention Portfolio Programs Mix
At Risk Population
Market/Public Financing
Public Financing
Flour Fortification Salt Iodization
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Implementation Focus Planning w/Logical
Framework Budget
Output
Activity
Budgeted Task
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Multi-Intervention Portfolio Summary 3-Year
Budget
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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
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Intervention Goal or Impact
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Analysis Program Coverage Objectives


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Analysis for Program Coverage Objectives ENS
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Evidence-Based Goal for Impact
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Evidence-Based Goals for Impact Essential
Nutrition Services
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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
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Calculating Economic Value6-Year Benefit Cost
Ratio
Benefit Cost Ratio
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Summary 6-Year Benefit Cost
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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