Responses to paper by Per Pinstrup-Andersen

Patrick Webb

Friedman School of Nutrition Science and Politics

PREPARATORY TECHNICAL MEETINGFAO Headquarters, Rome, Italy

13-15 November 2013

1. “Cost-efficacy of food and agriculture-based nutrition enhancing interventions has not been rigorously evaluated.”

Agency Annual Cost Inputs and services provided

World Bank $30/child Vitamin supplements, deworming, CMAM fortification of staples, salt iodization

REACH $36/child Soap, bed-nets, malaria treatment, home gardens, clean water

IFSP Mulanje

$46/person Seeds, irrigation, food-for-work, livelihoods (training, inputs), food technology

SNRP (EU) $61/person Nutrition education, water, hygiene, seeds, village savings banks, extension services

WALA (USAID)

$61/person Seeds, irrigation, nutrition and health education, health services, microfinance

Millennium Villages

>$120/ household

Village storage, seeds, clinics and schools, seeds, internet access, phones

1. “Cost-efficacy of food and agriculture-based nutrition enhancing interventions has not been rigorously evaluated.”

2. “It is important to remember that reducing poverty is important, but insufficient to eliminate nutritional deficiencies.”

5Source: Black et al. (2013) Lancet series IISource: Black et al. (2013) Lancet series II

1. “Cost-efficacy of food and agriculture-based nutrition enhancing interventions has not been rigorously evaluated.”

2. “It is important to remember that reducing poverty is important, but insufficient to eliminate nutritional deficiencies.”

3. “Food price fluctuations may contribute to transitory food insecurity and malnutrition. Policies to strengthen timely price information might reduce such negative effects.”

Source: Lancet series 2013

We pledge to make all efforts to eliminate before the end of this decade: Famine and famine-related deaths Starvation and nutritional deficiency diseases in …natural and man-made disasters

INTERNATIONAL CONFERENCE ON NUTRITION World Declaration and Plan of Action for Nutrition Rome, December 1992

Natural Disasters 1900-2011

People affected

People killed