Egypt Strategy Support Program: Public health and nutrition

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Presentation by Jef Leroy, Senior Research Fellow at IFPRI, on March 2, 2016 in Cairo Egypt.

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Egypt Strategy Support Program: Public health and nutrition

  1. 1. Theme 4 Public Health and Nutrition Jef Leroy, IFPRI Research Priority Setting Workshop Egypt Strategy Support Program MARCH 1, 2016 | CAIRO, EGYPT
  2. 2. Background & Rationale • Both under- and overnutrition have high individual and societal costs and limit a country’s development potential, e.g.:  Undernutrition: reduced schooling, reduced earnings at adulthood  Overnutrition: increased incidence of non-communicable diseases, increased disability, increased healthcare costs • The rate at which maternal overweight and obesity increase with rising wealth is higher than the accompanying decline in the prevalence of stunting in children • Result: double burden, i.e. households with  Stunted child  Overweight/obese adult • Higher BMI significantly associated with higher all-cause mortality
  3. 3. IFPRI Research Example: Weight gain in adult women following a food-basket and cash intervention in Mexico Source: Leroy et al. 2013 Weight gain (g) per annum in women 423 718 647 0 100 200 300 400 500 600 700 800 Weightgain(g) Control Food basket Cash +70% +53%
  4. 4. IFPRI Research Example: The role of maternal education in reducing maternal weight gain Source: Leroy et al. 2014 Child Mother Wealth Wealth
  5. 5. Discussion • Only relieving household budget constraints is not sufficient to have the desired impact on nutrition: - Mexico program had an adverse effect on women’s weight; - The impact on child growth was small. • Higher education provides a stimulating effect for children nutrition and a protective effect for women’s weight. • How education exerts its impact is not exactly known.
  6. 6. Knowledge Gaps & Research Questions • How can we ensure that interventions and programs aimed at increasing wealth are “nutrition-sensitive”, i.e. - They improve the nutritional status of the most vulnerable groups (young children, women, adolescent girls) - They do not lead to unhealthy weight gain. • What is the role of education? How does education work? How can education be used to provide desired impacts on improving the nutrition and health of all. • How can effective behavior change communication be combined with interventions in other sectors (agriculture, social protection,…) to improve the nutritional status of all household members?

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