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Responses to paper by 
Per Pinstrup-Andersen 
Patrick Webb 
Friedman School 
of Nutrition Science and Politics 
PREPARATORY TECHNICAL MEETING 
FAO 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.”
Source: Black et al. (2013) Lancet series II 5 
Source: 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
INTERNATIONAL CONFERENCE ON NUTRITION 
World Declaration and Plan of Action for Nutrition 
Rome, December 1992 
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
Natural Disasters 1900-2011 
People affected 
People killed

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ICN2-Responses to paper by Per Pinstrup-Andersen

  • 1. Responses to paper by Per Pinstrup-Andersen Patrick Webb Friedman School of Nutrition Science and Politics PREPARATORY TECHNICAL MEETING FAO Headquarters, Rome, Italy 13-15 November 2013
  • 2. 1. “Cost-efficacy of food and agriculture-based nutrition enhancing interventions has not been rigorously evaluated.”
  • 3. 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
  • 4. 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.”
  • 5. Source: Black et al. (2013) Lancet series II 5 Source: Black et al. (2013) Lancet series II
  • 6. 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.”
  • 8. INTERNATIONAL CONFERENCE ON NUTRITION World Declaration and Plan of Action for Nutrition Rome, December 1992 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
  • 9. Natural Disasters 1900-2011 People affected People killed