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Optima Nutrition: A New Tool

  1. 1. OPTIMA NUTRITION: A NEW TOOL Introduction to the Session Ellen G. Piwoz November 28, 2018
  2. 2. Last updated: December 11, 2018 © Bill & Melinda Gates Foundation | 2 SESSION OVERVIEW 16:30 Context setting Dr. Ellen Piwoz 16:40 Introduction to Optima Nutrition Dr. Meera Shekar 17:00 Bangladesh reflections Dr. Md. M. Islam Bulbul 17:10 WHO reflections Dr. Francesco Branca 17:20 DFID reflections Dr. Abigail Perry 17:30 Audience Q&A
  3. 3. Last updated: December 11, 2018 © Bill & Melinda Gates Foundation | 3 In 2012 the World Health Assembly Resolution 65.6 endorsed a Comprehensive Implementation Plan on Maternal, Infant and Young Child Nutrition (1), which specified a set of six global nutrition targets (2) that by 2025 aim to…
  4. 4. Last updated: December 11, 2018 © Bill & Melinda Gates Foundation | 4 THIS GAVE RISE TO… http://www.who.int/nutrition/trackingtool/en
  5. 5. Last updated: December 11, 2018 © Bill & Melinda Gates Foundation | 5 … & THE FIRST EVER GLOBAL INVESTMENT FRAMEWORK FOR NUTRITION Global Targets (WHA/SDG) • How much it will cost? • What impact will come with this investment? • Nutrition outcomes • Health lives saved • Economic benefits • How can it be financed? • How to use this information to galvanize national political commitment? • How can we maximize return on investment?
  6. 6. Last updated: December 11, 2018 • Optima Nutrition was developed to translate the Global Investment Framework into a country facing decision-support tool • Optima Nutrition has two main uses: • Optimising investment for best health outcomes • Projecting future scenarios: estimating the impact of different funding scenarios • The model has secondary uses for: • Assessing the impact of interventions on multiple malnutrition conditions: - Stunting in children - Wasting in children - Anaemia in children and women of reproductive age - Child and maternal mortality © Bill & Melinda Gates Foundation | 6 WHY OPTIMA NUTRITION?
  7. 7. Last updated: December 11, 2018 • How can a fixed budget be “optimally” allocated across interventions? • If additional funding were available: - which interventions should be prioritised and why? - which geographical regions should be prioritised? (and which interventions in these regions) • Target setting: - What would reasonable nutrition targets be? - If intervention coverage targets are met, what impact might this lead to? - How close is a country likely to get to their existing nutrition targets? - What is the minimum funding required to meet the nutrition targets? © Bill & Melinda Gates Foundation | 7 SOME QUESTIONS THAT OPTIMA CAN ANSWER
  8. 8. Last updated: December 11, 2018 • The model is not a costing tool: it includes unit costs and some marginal cost assumptions but the user needs to decide how to model costs • The model can not estimate impacts for interventions for which we do not have an agreed upon evidence base: examples include estimates for interventions to improve diet quality, or to improve agricultural policies and practices ◦ It does identify research gaps and can facilitate conversations on these issues • And it does not include broader reproductive and maternal health interventions • The model does not adjust for secular changes over time or intergenerational effects in its future projections ◦ For example it does not incorporate changes in poverty due to changes in birth rates © Bill & Melinda Gates Foundation | 8 ….AND SOME QUESTIONS THAT IT CANNOT (YET) ANSWER
  9. 9. Last updated: December 11, 2018 A nutrition modeling consortium has been formed to advance and align tools and help end users understand and use them © Bill & Melinda Gates Foundation | 9 OPTIMA IS ONE OF SEVERAL TOOLS TO FACILITATE NUTRITION DECISION MAKING
  10. 10. THANK YOU

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