Costs of Malnutrition
          The costs of malnutrition are found in… 
              morbidity and mortality
              excess health expenditure
              reduced school performance
              reduced work productivity
          If unaddressed…
             …over 10 years malnutrition would cost $ 1.6 billion
                 $ 800 million for protein-energy malnutrition
                 $ 600 million for iodine deficiency disorders
                 $ 190 million from anemia
             …and thousands of  children < 5 would die unnecessarily 
                each year. 
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          An Evolving Response
          1970          1980              1990            2000
               Drought            SAP         CFA Devaluation      MDG/PRSP
              PPNS (1973-1985)              PNC (1995-2000)      NUT POLICY
                                                                PRN (2002-2012)
           Ministry of Health/CRS              AGETIP          NGO/MINISTRIES
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        National Committee against 
        Malnutrition (CLM)
        Mission:
             Define a multi-sectoral national nutrition policy
             Monitor nutrition program implementation
        Location: Prime Minister’s Office
        Composition: technical ministries, local 
           government, civil society
        Development partners: World Bank, 
           USAID/BASICS, UNICEF,  WFP, WHO, KFW, 
           NGOs
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          Vision for Economic Growth in 
          Senegal 
          Policy shift in 2000 leading to: 
           Positive vision to invest in good nutrition for child 
             and sustainable development—not simply to combat 
             malnutrition: 
                    CLM Vision: a country where every individual has 
                    satisfactory nutritional status, and adopts adequate 
                    behaviors for her/his own well-being and for the 
                    development of the community.
           Emphasis on achieving Millennium Development 
             Goals
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           Nutrition Enhancement Program Phases
        PHASE 1 (2002-2006)
        PHASE 1 (2002-2006)                     Identify cost effective and 
        To test different intervention 
        To test different intervention            sustainable strategies
        strategies
        strategies
           PHASE 2 (2006-2010)                                  Extend nutrition 
           PHASE 2 (2006-2010)                                    interventions 
           To extend interventions to all regions
           To extend interventions to all regions
                                                                  in rural areas
            PHASE 3 (2010-2015)                                           Sustainable 
             PHASE 3 (2010-2015)                                       improvement of 
            To ensure integration of nutrition objectives into 
             To ensure integration of nutrition objectives into      nutritional status of 
            sectoral programmes
             sectoral programmes                                      vulnerable groups
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