NUTRITION IN THE 2014 NATIONAL BUDGET

A BUDGET ANALYSIS
BY
ZAMBIA CIVIL SOCIETY SCALING UP NUTRITION ALLIANCE
(CSO-SUN)
0
Contnt!
List of Tables................................................................................................................................2
1. Introduction............................................................................................................................3
2. State of Malnutrition...........................................................................................................3
3. Government Reaction to the Malnutrition Crisis......................................................4
4. Government Resonse To Malnutrition ! Throu"h #ational $ud"et................5
4.1 #utrition in the national bud"et allocations........................................................5
%. #utrition allocations in the Ministr& of 'ealth...........................................................5
Table 1 $ud"et #utritional allocations to Ministr& of 'ealth............................6
(. #utrition allocations to the Ministr& of Communit& )eveloment* Mother +
Child 'ealth.................................................................................................................................7
Table 2, $ud"et #utritional allocations to Ministr& of Communit&
)eveloment* Mother and Child 'ealth...................................................................7
-. #utritional allocations to Ministr& of ."riculture and Livestoc/.........................9
Table 3, $ud"et #utritional allocations to Ministr& of ."riculture and
Livestoc/.............................................................................................................................10
Table 3.1, $ud"et #utritional allocations Ministr& of ."riculture and
Livestoc/.............................................................................................................................15
0ro"ramme 12%31 2armer Inut Suort 0ro"ram............................................15
Table 3.2 0ro"ram 111%, Grants to Institutions, 2ood Reserve ."enc&.....16
3. #utrition allocations to Ministr& of 4ducation* Science* 5ocational Trainin"
and 4arl& 4ducation...............................................................................................................17
Table 4, $ud"et #utritional allocations Ministr& of 4ducation* Science*
5ocational Trainin" and 4arl& 4ducation................................................................18
6.7ater and Sanitation.........................................................................................................20
$ud"et .llocation to 7ater and Sanitation...........................................................20
11. Government 48enditure 0er Child 9nder 2 :ears ;the 1111 Most Critical
)a&s<............................................................................................................................................21
11. 1 Methodolo"& used in calculatin".......................................................................21
11. Conclusion..........................................................................................................................23
1
L"!t o# T$%&!
Table 1 $ud"et #utritional allocations to Ministr& of 'ealth ....................................... (
Table 2, $ud"et #utritional allocations to Ministr& of Communit& )eveloment*
Mother and Child 'ealth ............................................................................................. -
Table 3, $ud"et #utritional allocations to Ministr& of ."riculture and Livestoc/ ...... 11
Table 3.1, $ud"et #utritional allocations Ministr& of ."riculture and Livestoc/,
0ro"ramme 12%31 2armer Inut Suort 0ro"ram ................................................... 14
Table 3.2 0ro"ram 111%, Grants to Institutions, 2ood Reserve ."enc& .................... 1%
Table 4, $ud"et #utritional allocations Ministr& of 4ducation* Science* 5ocational
Trainin" and 4arl& 4ducation .................................................................................... 1(
2
1' Int(o)*+t"on
=ambia CS>?S9# .lliance brin"s to"ether CS>s to increase understandin" about
the crisis of undernutrition in earl& life and to elevate nutrition on the national
a"enda. 7e focus our attention on the critical 1*111 da& @indo@ of oortunit& from
re"nanc& until a childAs second birthda&* durin" @hich adeBuate nutrition has the
"reatest imact on savin" lives* develoin" a childAs co"nitive and h&sical
caacit&* and miti"atin" the ris/ of chronic diseases. 7e are @or/in" to@ards C.
=ambia @here ever& child is assured of suDcient nutrition throu"h stren"thened
olic&* Enancial commitment and adeBuate ro"ramme imlementationA.
2' St$t o# M$&n*t("t"on
Malnutrition is a $IG roblem in =ambia and the "overnment is a@are. The E"ht
a"ainst malnutrition demands the full involvement of Members of 0arliament. >ur
concern is that Malnutrition in all its forms ? under nutrition* micronutrient
deEciencies* over@ei"ht and obesit& imoses hi"h economic and social costs on
societ& at all income levels. The cost to the national econom& caused b&
malnutrition* due to lost roductivit& and direct health care costs* accounts for over
% ercent of G)0. .lso* under?nutrition comromises h&sical and co"nitive
develoment of children. This is essentiall& the focus in this resentation* @ith the
hoe that @e could be"in to move to@ards a shared understandin" of the issues
involved and ho@ @e can combine our various s&ner"ies in an eFort to minimiGe or
eliminate it.
In =ambia* malnutrition underlies u to %2H of all under?Eve deaths. The stuntin"
rate in under?Eve children currentl& stands at 4%H* @ith %H bein" acutel&
malnourished ;@asted< and 1%H under@ei"ht. The rates of micronutrient
deEciencies are also hi"h* @ith %3H 5itamin . deEcienc& and 4(H Iron deEcienc&
anaemia ;#2#C* 2113<* @hile 4H of school a"ed children are at ris/ of mild to
severe iodine disorders deEcienc& ;#2#C* 2112<. ! Z$,%"$n-! .$/ )"0+*&t1 "n
$++!!"n2 2oo) n*t("t"on (3.t.( )* to $/$"&$%"&"t14 $5o()$%"&"t1 o(
$++6t$%"&"t1 o# n*t("t"o*! #oo)!)' A! $ (!*&t4 n$(&1 .$&# o# Z$,%"$n
3
+."&)(n +$n-t 2(o3 no(,$&&1 to 5+t"/&1 +ont("%*t to n$t"on$&
)/&o6,nt 5o(t!'
7' Go/(n,nt R$+t"on to t. M$&n*t("t"on C("!"!
To combat the revailin" under?nutrition situation* the Government* throu"h the
#ational 2ood and #utrition Strate"ic 0lan ;#2#S0< for 2111?211%* has committed
itself to 0revention of Stuntin" in Children 9nder?T@o :ears of ."e. This is contained
in Strate"ic )irection 1 of the #2#S0 @hich focuses rimaril& on the eriod of the
Erst 1*111 da&s that start @ith the be"innin" of re"nanc& throu"h the second &ear
of life.
2urther to this* on Iune 3
th
2113 in London durin" the #utrition for Gro@th Summit*
=ambia throu"h the 5ice 0resident )r Gu& Scott made the follo@in" commitments,
reducin" chronic undernutrition b& %1H in the ne8t 11 &ears
Resolvin" the human resource and Enancial "as in the % /e& line Ministries
;'ealthJ Communit& )eveloment* Mother and Child 'ealthJ Local
Government and 'ousin"J ."riculture and Livestoc/J 4ducation* Science*
5ocational Trainin" and 4arl& 4ducation< resonsible for nutrition actions* at
rovincial* and district levels* includin" increasin" direct suort to
communitiesJ
To increase Government e8enditure on nutrition to reach the estimated
additional 9SK31 er child under?Eve reBuired to scale u hi"h imact
nutrition interventions as calculated b& 7orld $an/J
To ro"ressivel& match additional cooeratin" artnerAs resources throu"h
ne@ and e8istin" nutrition bud"et lines. It @ill aim to increase its Enancial
contributions b& at least 21H annuall& for the ne8t 11 &ears throu"h the
#ational $ud"et.
4
0ro"ressivel& encoura"e the involvement of the rivate sector to enable
access to aFordable and aroriate nutritious foods to mothers* children
and other vulnerable "rousJ
Stren"then the "overnance and coordination mechanisms of the nutrition
sector
4' Go/(n,nt R!6on! To M$&n*t("t"on 8 T.(o*2. N$t"on$& B*)2t
4'1 N*t("t"on "n t. n$t"on$& %*)2t $&&o+$t"on!
2undin" to nutrition is sread?out alon" 4 main line ministriesJ namel& ;a< Ministr&
of Communit& )eveloment* Mother + Child 'ealth* ;b< Ministr& of 'ealth* ;c<
Ministr& of 4ducation and ;d< the Ministr& of ."riculture* Livestoc/* 2isheries and
Cooeratives.
In our anal&sis for this submission @e have directed our focus on bud"et lines that
directl& contribute to nutrition ;direct #utrition interventions < develoment in
=ambia. In summar&* @e End that the siGe of the "rand total of the national bud"et
has increased b& aro8imatel& 24H from last &ear. >f this* onl& 1.13H constitutes
direct )irect #utrition interventions as a share of the national bud"et. This
reresents no chan"e from 2113 @hich reLects the same ercenta"e share of the
bud"et.
9' N*t("t"on $&&o+$t"on! "n t. M"n"!t(1 o# H$&t.
In the Table belo@ @e note an increase in fundin" to the #ational 2ood and #utrition
Commission b& 2(H* a ver& ositive ste "iven #2#CAs /e& role in leadin" the
imlementation of the 2irst 1111 Most Critical )a&s ro"ramme* and an increase
@hich is more than the 21H #utrition for Gro@th Commitment. 7e further observe
that the line services Mana"ement of Malnutrition and Infant and :oun" Child
feedin"s* reviousl& under P(o2($,: 9104 N*t("t"on* have been moved to the
Ministr& of Communit& )eveloment Mother and Child 'ealth. .s a result
5
e8enditure to@ards nutrition related interventions as a ercenta"e of 'ead Total
e8enditure in the Ministr& of 'ealth* stands at 1.31H.

6
T$%& 1 B*)2t N*t("t"on$& $&&o+$t"on! to M"n"!t(1 o# H$&t.
2017 2014 +.$n2
(2017 to
2014)
;
+.$n2
N$t"on$& B*)2t
E<6n)"t*( &"n!
A66(o/) S*66&,n
t$(1
A*t.o("=) A66(o/)
#ational 2ood and
#utrition
Commission
(*1%2*4%1.11 (*1%2*4%1.11 3*1-3*466.11 2*121*146.1
1
2(H
P(o2($,: 9104
N*t("t"on
?
Mana"ement of
Malnutrition
214*133.11 ? 214*133.11 ? ?214*133.11
Infant and :oun"
Child 2eedin"
214*133.11 ? 4%*4%1.11 ? ?4%*4%1.11
P(o2($, Tot$&:
9104 N*t("t"on
413*2-(.11 246*%33.11 ?46*%33.11
H$) Tot$&-
M"n"!t(1 o#
H$&t.
2409742>742
>?'00
- 2409742>742
>?'00
24?4?47@044
4?'00
9@7410A41?
0'00
22;
E<6n)"t*( o#
N*t("t"on "n t.
M"n"!t(1
0'71;
7
?' N*t("t"on $&&o+$t"on! to t. M"n"!t(1 o# Co,,*n"t1 D/&o6,nt4 Mot.( B C."&) H$&t.
9nder the M"n"!t(1 o# Co,,*n"t1 D/&o6,nt4 Mot.( B C."&) H$&t.* our anal&sis is resented in the table
belo@,
T$%& 2: B*)2t N*t("t"on$& $&&o+$t"on! to M"n"!t(1 o# Co,,*n"t1 D/&o6,nt4 Mot.( $n) C."&) H$&t.
2017 2014 +.$n2
(2017 to
2014)
;
+.$n2
N$t"on$& B*)2t
E<6n)"t*( &"n!
A66(o/) S*66&,n
t$(1
A*t.o("=) A66(o/)
P(o2($,: 9104 N*t("t"on ?
M$n$2,nt o#
M$&n*t("t"on
214*133.11 ? 214*133.11 233*623.11 26*-61.11 13H
In#$nt $n) Yo*n2 C."&)
C)"n2
11(*1%1.11 ? 11(*1%1.11 121*%2-.11 1%*4--.11 13H
Co,,*n"t1 B$!)
G(o3t. Mon"to("n2
P(o2($,
111*111.11 ? 111*111.11 11%*-41.11 14*-41.11 13H
M"+(on*t("nt P(o2($, 1%1*%11.11 ? 1%1*%11.11 1-3*(16.11 22*116.11 13H
8
P(o2($, Tot$&: 9104
N*t("t"on
%(2*(33.11 %(2*(33.11 (44*314.11 32*11(.11 13H
P(o2($, 90A1:
R6(o)*+t"/ H$&t.
?
Co+*!) Ant N$t$& C$(
$n) S$# Mot.( Hoo)
%(6*%22.11 ? %(6*%22.11 %33*1(%.11 13*%43.11 3H
Tot$& N*t("t"on R&$t)
Int(/nt"on!
1*132*211.11 1*132*211.11 1*232*3(6.11 111*(%6.11 3H
H$) Tot$&-M"n"!t(1 o#
CDMCH
1*%4(*((3*%4
1.11
? 1*%4(*((3*%4
1.11
1*361*332*%(
1.11
343*((6*12
1.11
13H
E<6n)"t*( o#
N*t("t"on "n t. M"n"!t(1
0'0A; 0'0A;
2rom Table 2 above @e ma/e the follo@in" observationsJ
7e note that the 0ro"ram, %114 #utrition @hich moved to this Ministr& from the Ministr& of 'ealth* has moved from
the )eartment of 0ublic 'ealth to the )eartment of Mother and Child 'ealth. 7ith re"ards to sendin" lines* there
is an avera"e increase in
9
allocation to this ro"ram b& 13H. That is* the activities fallin" under this ro"ram
namel&J Mana"ement of Malnutrition* Infant and Child 2eedin"* Communit& based
Gro@th Monitorin" 0ro"ram and Micronutrient 0ro"ram have each received an
avera"e of 13H increase in fundin" resectivel&. .dditionall&* Government has
increased allocation to@ards the 2ocused .nte #atal Care and Safe Motherhood
activit& under the 0ro"ram %1-1, Reroductive 'ealth b& 3H. .lthou"h Government
has increased total sendin" to@ards nutrition related interventions in this Ministr&
b& 3H* @e note that this translates to a mere 1.1-H increase in total sendin"
to@ards nutritional interventions as a ercenta"e of 'ead Total sendin" in this
Ministr&. Considerin" that 'ead Total sendin" has increased b& 13H from last &ear*
@e feel that much more allocation can be made to direct #utrition interventions in
this Ministr&* articualrl& allocations to@ards /e& nutrition ro"rams such as the
Infant and :oun" Child feedin" counsellin"* Mana"ement of Malnutrition*
Communit& based Gro@th Monitorin" 0ro"ram and Micronutrient 0ro"ram.
4videntl&* the allocation to these direct intervention is ver& lo@.
A' N*t("t"on$& $&&o+$t"on! to M"n"!t(1 o# A2("+*&t*( $n) L"/!to+D
In anal&Gin" $ud"et allocations to nutritional interventions in this Ministr& @e
considered* the nutrition section of the Ministr& and fundin" to the =ambia
."riculture Research Institute ;=.RI<. =.RIMs bud"et lines @ill lead to research into
ne@ methods of food reservation* rocessin" and stora"e* comonents that
suort imroved nutrition.
7e have artitioned our anal&sis of Government sendin" to@ards nutritional
interventions in this Ministr& into t@o main subsections, #utritional $ud"et
allocations to nutrition sections in the Ministr& of ."riculture and Livestoc/ in
"eneral on the one hand and $ud"et allocations to the 2armer Inut Suort
0ro"ram and 2ood Reserve ."enc& on the other. 7e did this to better hi"hli"ht
allocations to@ards the 2IS0 and 2R. resectivel&* in Endin" out to @hat e8tent the&
have been diversiEed for imroved nutrition.
10
T$%& 7: B*)2t N*t("t"on$& $&&o+$t"on! to M"n"!t(1 o# A2("+*&t*( $n) L"/!to+D
2017 2014 +.$n2 (2017
to 2014)
;
+.$n2
N$t"on$& B*)2t
E<6n)"t*( &"n!
A66(o/) S*66&,n
t$(1
A*t.o("=
)
A66(o/)
AGRICULTURE
DEPARTMENT
Coo) $n) N*t("t"on
P(o2($, 1007: C$6$+"t1
B*"&)"n2
$ac/stoin" 2ood and
#utrition 33*(-3.11
? 33*(-3.1
1
44*%-3.11 11*36%.11 24H
P(o2($, Tot$&
774?A>'00
774?A>'
00
4449A7'0
0
104>@9'00 24;
Coo) Con!(/$t"on4
P(!(/$t"on $n)
Sto($2 P(o2($, 10A>
?
2ood Stora"e and
0rocessin" Trainin" 41*-3-.11
? 41*-3-.1
1
121*111.1
1
-6*213.11 ((H
P(o2($, Tot$&
404A>A'00
404A>A'
00
1204000'
00
A@4217'00 ??;
11
Coo) P(o+!!"n2 $n)
Ut"&"=$t"on P(o2($,
10A@
?
2ood 0rocessin" and
#utrition .ssessment 24*1%-.11
? 24*1%-.1
1
(4*413.11 41*3%1.11 (3H
Traditional Recie
)eveloment 46*211.11
? 46*211.1
1
61*111.11 41*311.11 4%H
P(o2($, Tot$&
A7429A'00
A7429A'
00
194440>'
00
>14191'00 97;
DEPARTMENT TOTAL
14A4A22'00
14A4A22
'00
71>4@>1'
00
1A1429@'00 97;
Un"t Tot$& 91@472@'00 91@472@
'00
14211424
@'00
?@14@20'00 9A;
N*t("t"on (&$t)
<6n)"t*( $! $
6(+nt$2 o# Un"t tot$& 2>; 2?;
ZAMBIA AGRICULTURE
RESEARCH INSTITUTE
Coo) Con!(/$t"on4 P(!(/$t"on $n) Sto($2
P(o2($, 10A>
?
)eveloment of imroved
stora"e structures 11*111.11
? 11*111.1
1
%1*111.11 41*111.11 31H
2ood Stora"e and 0rocessin"
Trainin" 31*111.11
31*111.1
1
%1*111.11 21*111.11 41H
12
P(o2($, Tot$&
404000'00
404000'
00
1004000'
00
?04000'00 ?0;
Coo) P(o+!!"n2 $n)
Ut"&"=$t"on P(o2($, 10A@
-
)eveloment of Small scale
rocessin" technolo"ies 11*111.11
? 11*111.1
1
%1*111.11 41*111.11 31H
P(o2($, Tot$&
104000'00
104000'
00
904000'0
0
404000'00 >0;
DEPARTMENT TOTAL
904000'00
904000'
00
1904000'
00
1004000'00 ?A;
LIVESTOCE DEVELOPMENT
DEPARTMENT
?
R!$(+. $n) D/&o6,nt
P(o2($, 1191
-
Livestoc/ #utritional Surve&s
%1*111.11
? %1*111.1
1
%-%*111.1
1
%2%*111.11 61H
P(o2($, Tot$&
904000'00
904000'
00
9A94010'
00
9294010'00 @1;
R2*&$t"on $n) F*$&"t1
Cont(o& P(o2($, 114@
?
Inventor& and Re"istration of
Livestoc/ 0rocessin" 2acilities 132*111.11
? 132*111.
11
111*31%.1
1
?31*(6%.11 ?32H
Monitorin" Nualit& of Livestoc/
and Livestoc/ 0roducts 21*111.11
? 21*111.1
1
1%*163.11 ?4*312.11 ?32H
Revie@ Livestoc/ Grades and
Standards 6(*111.11
? 6(*111.1
1
-2*64-.11 ?23*1%3.11 ?32H
13
SensitiGation of 0rocessors on
Good Manufacturin" 0ractices 1%*111.11
? 1%*111.1
1
11*363.11 ?3*(12.11 ?32H
P(o2($, Tot$&
2?74000'00
2?74000
'00
1@@4>4>'
00
-?74192'00 -72;
DEPARTMENT TOTAL
7174000'00
7174000
'00
AA44>9>'
00
4?14>9>'00 ?0;
Tot$& 9104A22'00 9104A22
'00
142474>7
@'00
A77411A'00 9@;
E<6n)"t*( o#
N*t("t"on "nt(/nt"on $!
6(+nt$2 o# H$) Tot$&
2>; 2?;
2rom Table 3 above* @e observe the follo@in"sJ
Government has increased overall allocations to nutritional related interventions in the A2("+*&t*(
D6$(t,nt b& %(H. This deartment houses the follo@in" direct #utrition interventions and the& have
received increments in fundin" as described subseBuentl&. .llocations to@ards, the $ac/stoin" 2ood and
#utrition activit& @hich is housed under 2ood and #utrition 0ro"ram 1113, Caacit& $uildin" increased b&
24H* the 2ood Stora"e and 0rocessin" Trainin" activit& @hich is under the 2ood Conservation* 0reservation
and Stora"e 0ro"ram 11-3 increased b& ((H* and the 2ood 0rocessin" and #utrition .ssessment* and
Traditional Recie )eveloment activities @hich both fall under 2ood 0rocessin" and 9tiliGation 0ro"ram 11-6
received (3H and 4%H increments in fundin" resectivel&. 7e commend these increments in fundin"
to@ards these nutritional related interventions as a Erst ste for@ard for Government in /eein" to its
14
commitments in the E"ht a"ainst under?nutrition. 'o@ever @e note that #utrition related e8enditure as a
ercenta"e of the 9nit total for this deartment has droed b& 2H to 2(H from last &ear mainl& due to the
maOor increment in allocations to this Ministr& "oin" to 2R. .
15
9nder the A2("+*&t*( R!$(+. In!t"t*t* @e commend "overnment for
an overall (-H increase in allocation to@ards nutrition related activities.
.llocations to@ards the follo@in" activities increased in the aroriations as
described, )eveloment of imroved stora"e structures activit& and 2ood
Stora"e and 0rocessin" Trainin" activit& hosted under 2ood Conservation*
0reservation and Stora"e 0ro"ram 11-3 increased b& 31H and 41H
resectivel& @hile )eveloment of Small scale rocessin" technolo"ies
activit& under 2ood 0rocessin" and 9tiliGation 0ro"ram 11-6 increased b&
31H. 2urthermore* @e note that #utrition related e8enditure as a
ercenta"e of the 9nit total for the Institute has increased b& 2.(H to 1%H
from last &ear.
9nder the L"/!to+D D/&o6,nt D6$(t,nt* @e note the overall (1H
increase in allocations to@ards nutrition related interventions. .llocations
to@ards Livestoc/ #utritional Surve&s activities housed under Research and
)eveloment 0ro"ram 11%1 increased 61H. 'o@ever* @e note that there @as
an avera"e 32H dro in allocations to@ards activities under the Re"ulation
and Nualit& Control 0ro"ram 1146.
7e note a %6H increase in allocations to@ards nutrition related interventions*
in "eneral* to the Ministr& of ."riculture and Livestoc/.
16
T$%& 7'1: B*)2t N*t("t"on$& $&&o+$t"on! M"n"!t(1 o# A2("+*&t*( $n) L"/!to+D
P(o2($,, 12970 C$(,( In6*t S*66o(t P(o2($,
2017 2014 +.$n2 (2017
to 2014)
;
+.$n2

N$t"on$& B*)2t
E<6n)"t*( &"n!
A66(o/) S*66&,
nt$(1
A*t.o("=) A66(o/)
Co?ordinate
0ro"ram
Imlementation
>419?4@>4'
00
- >419?4@>4'
00
?47?2412A'
00
?1*-64*3%-.11 ?23H
Conduct 0ro"ram
monitorin"
and insection
2*14(*14(.1
1
? 2*14(*14(.1
1
1*2-(*%33.1
1
?-(6*(13.11 ?(1H
Conduct 4valuation
andPor
$eneEciar& Imact
.ssessment
416*226.11 ? 416*226.11 2%%*31-.11 ?1%3*622.11 ?(1H
Conduct Revenue
Monitorin"
313*4%3.11 ? 313*4%3.11 %11*(1%.11 ?31-*343.11 ?(1H
0ilot 4stablishment
of
Inut 5oucher
S&stem
111*461*33%
.11
? 111*461*33%
.11
? ?111*461*33%.11
Conduct 0ro"ram
.ccounts .udit
416*226.11 ? 416*226.11 2-2*--3.11 ?13(*4%(.11 ?%1H
17
0rocurement and
)istribution
of Inuts
3--*226*21%
.11
? 3--*226*21%
.11
31-*21%*163
.11
?(1*124*112.11 ?13H
P(o2($, Tot$& 4@@49?1417
?'00
4@@49?1417
?'00
7294>>2449
7'00
-
1A74?A>4?>7'0
0
-97;
Tot$& N*t("t"on
R&$t)
Int(/nt"on!
90040A14>9
>'00
90040A14>9
>'00
72A412?42@
2'00
-
1A24@4949??'0
0
-97;
H$) Tot$&- 14A4>4A0A4
01?'00
- 14A4>4A0A4
01?'00
740714?944
7>9'00
142>24@4A47?@'
00
42;
T$%& 7'2 P(o2($, 1009: G($nt! to In!t"t*t"on!: Coo) R!(/ A2n+1
N$t"on$& B*)2t
E<6n)"t*( &"n!
2017 2014
+.$n2 (2017
to 2014)
;
+.$n2

A66(o/)
S*66&,nt
$(1 A*t.o("=) A66(o/)
0ro"ram 111%,
Grants to
Institutions
3*111*31%.1
1
3*111*31%.1
1
31*111*111.
11 -(*666*134.36 6(H
In our anal&sis @e are unable to see the e8tent to @hich 0ro"ramme 12%31 2armer Inut Suort 0ro"ram and
0ro"ram 111% Grants to Instituitions, 2ood Reserve ."enc& have been diversiEed for imroved nutrition. This is
because the E"ures indicative of allocations to@ards these institutions are not seciEc enou"h. 2urthermore* @e note
that @hile allocations to@ards 2R. have increased b& 6(H* an allocation to@ards 2IS0 has droed b& %3H. 7e have
18
observed that there is a "eneral commitment to@ards increasin" resources to tr& and address some of the
challen"es facin" the sector. 'o@ever it has to be noted that even thou"h resources have been increased* the
comonent of the ersonal emolument and "eneral administrations have ta/en u much of the bud"et leavin"
relativel& mea"er resources for actual ro"rams.
19
The Table belo@ comares 'ead Total sendin" in 2R.* 2IS0 and 2isheries
deartment in an eFort to sho@ Government riorit&.
Head Totals 2113 2114 H Chan"e
FISHERIES 13*2%2*3-4 11*6-(*12( ?1-H
FISP 416*226.11 2-2*--3.11 ?%1H
FRA
3*111*31%.11 31*111*111.11
6(H
In a summar&* our anal&sis of fundin" to this Ministr& reveals that current
allocations to ."riculture are li/el& not to deliver suDcient nutritious food to meet
the nutritional needs of @omen* infants and children. This is due to micronutrient
malnutrition and hidden hun"er @hich aQicts 4-H of =ambians* resultin" in oor
health* obesit&* increased rates of non?communicable diseases and lo@ @or/er
roductivit&. .n a"riculture allocation as a share of the bud"et is resonsible for this
because it has never held nutrition as an e8licit obOective of its roduction
s&stems. ."ricultural olicies* @hich have romoted non?diverse food securit& "oals*
have enabled the decline in micronutrient inta/e and eroded dietar& diversit& for
the oor. .nd this is @hat @e see in the 2114 bud"et.
>' N*t("t"on $&&o+$t"on! to M"n"!t(1 o# E)*+$t"on4 S+"n+4 Vo+$t"on$&
T($"n"n2 $n) E$(&1 E)*+$t"on
9nder the M"n"!t(1 o# E)*+$t"on* food is rocured for educational institutions to
suort learnin" and trainin" throu"h $asic schools* Secondar& ;'i"h< schools and
Teacher trainin" institutions. These activities are underta/en as School 'ealth and
#utrition ;S'#< interventions* usuall& as cross?cuttin" ro"rammes in suort of the
core business activities ;learnin" + trainin"< of this Ministr&. Table 4 belo@ illustrates
fundin" to@ards S'# ro"rams across re"ions.
20
T$%& 4: B*)2t N*t("t"on$& $&&o+$t"on! M"n"!t(1 o# E)*+$t"on4 S+"n+4 Vo+$t"on$& T($"n"n2 $n) E$(&1
E)*+$t"on
2017 2014 +.$n2
(2017 to
2014)
;
+.$n2
N$t"on$& B*)2t
E<6n)"t*( &"n!
A66(o/) S*66&,n
t$(1
A*t.o("=) A66(o/)
P(o2($, 9021:
EG*"t1 S+.oo& H$&t.
$n) N*t("t"on
-
0L.##I#G .#)
I#2>RM.TI># )IR4CT>R.T4
1*6-6*2-1.11 1*6-6*2-1.11 3*612*(41.11 1*633*3(6.11 46H
R4GI>#.L 'N? L9S.R. 11*-(3.11 ? 11*-(3.11 12*313.11 1*141.11 3H
R4GI>#.L 'N? C>004R$4LT 1-*461.11 1-*461.11 16*13-.11 1*%4(.11 3H
R4GI>#.L 'N? C4#TR.L 13*416.11 ? 13*416.11 21*13-.11 1*(23.11 3H
R4GI>#.L 'N? #>RT'4R# 32*441.11 ? 32*441.11 3%*316.11 2*3(3.11 3H
R4GI>#.L 'N? 74ST4R# 42*313.11 ? 42*313.11 4(*%6-.11 3*-34.11 3H
R4GI#.L 'N? 4.ST4R# 16*311.11 ? 16*311.11 21*11(.11 1*-1(.11 3H
R4GI>#.L 'N? L9.09L. 13*434.11 ? 13*434.11 21*1(4.11 1*(31.11 3H
R4GI>#.L 'N? #>R'
74ST4R#
21*--%.11 ? 21*--%.11 22*(12.11 1*33-.11 3H
R4GI>#.L 'N? S>9T'4R# 13*111.11 ? 13*111.11 16*%62.11 1*%62.11 3H
21
R4GI>#.L 'N? M9C'I#G. 16*(36.11 ? 16*(36.11 21*426.11 1*-41.11 3H
Tot$& N*t("t"on
R&$t) Int(/nt"on!
241>04>@9'0
0
241>04>@9'0
0
4417240>@'0
0
14@9141@4'0
0
4A;
H$) Tot$& 94?1@422>4A
94'00
- 94?1@422>4A
94'00
>49@@414A4A
99'00
24@A@4@1@40
01'00
79;
E<6n)"t*( o#
N*t("t"on "n t. M"n"!t(1
0'04; 0'09; 0'01;
2rom the table above* @e observe GovernmentAs allocation to@ards School and 'ealth #utrition ;S'#< activities
@hich are housed under 0ro"ramme %121 4Buit&. The& have been increased b& an avera"e of 3H each er Re"ional
'eadBuarters. In eFect* this has resulted in a 4-H overall increase in #utrition Related interventions in the Ministr&.
7e note ho@ever that e8enditure of #utrition in the Ministr& as a ercenta"e of 'ead Total e8enditure has onl&
increased b& 1.11H from 2113 bud"et.
22
@'H$t( $n) S$n"t$t"on
7e commend GovernmentAs commitment to increase rural access to clean and safe
drin/in" @ater from the current (1 ercent to (% ercent. This is ver& crucial in
stein" u the E"ht a"ainst Malnutrition because "ood @ater sul& and sanitation
are /e& to "ood nutrition. 'o@ever* @e note that the increment is not enou"h
because the roortion of the oulation @ithout access to imroved sanitation
facilities is not "ettin" an& better. >n the contrar&* it @orsened from 2( ercent in
1661 to (-.3 ercent in 2111. =ambia is therefore @ell oF trac/ to achieve the M)G
tar"et of 13 ercent b& 211%. $elo@ is a tabulation of allocations to@ards 7ater and
Sanitation in the #ational $ud"et articularl& in infrastructure develoment.
B*)2t A&&o+$t"on to H$t( $n) S$n"t$t"on
H$t( $n) S$n"t$t"on "n
C."#)o,!
%1*111.1
1
%1*111.1
1
S$n"t$t"on (Un)(
MLGH)
In#($!t(*+t*(
D/&o6,nt
%11*111.
11
(31*36%.
11
S$n"t$t"on (Un)( MAL)
In#($!t(*+t*(
D/&o6,nt
26*63%.-
(
42*111.1
1
Tot$&! 9A@4@>9
'A?
AA74>@9
23
10' Go/(n,nt E<6n)"t*( P( C."&) Un)( 2 Y$(! (t. 1000 Mo!t
C("t"+$& D$1!)
11. 1 Methodolo"& used in calculatin"
In estimatin" the annual cost for suDcient Scalin" 9 #utrition* the 7orld $an/
determined reBuisite sendin" at an avera"e of 9S) 3( ;=M7 13-.2< er child for
children under 2 &ears old for direct nutrition interventions. These include as
ac/a"ed b& the 7orld $an/J $reastfeedin" romotion included in communit&
nutrition ro"rammes* Comlementar& 'and?@ashin" sensitiGation ro"rammes*
micronutrient* de?@ormin" and Treatment of severe malnutrition er eisode and
Cash transfer er ersons.
7hen calculatin" the amount that Government sends on direct #utrition
interventions directed at children under?t@o &ears old* @e adoted the follo@in"
methodolo"&,
$earin" in mind that oulation E"ures stand at,
Po6*&$t"on 2(o*6 P(+nt$2 Po6*&$t"on I2*(!
#ational 0oulation 111H 13*2%-*111
9nder?% 0oulation 21H 2*(%1*411
9nder 2 :ear oulation 3H 1*1(1*%(1
Children (?24 months (H -6%*421
Severe .cute Malnutrition %H 132*%-1
7e identiEed direct direct #utrition interventions as indicated in the 2114
:ello@ $oo/. 7e did not consider the Social Cash Transfer activit& because its
desi"nation in the #ational $ud"et is too "eneric ;@hether it is allocated to
the oulation as a @hole or articularl& to children under the a"e of 2 is not
clear<.
7e totaled allocations to@ards these interventions to End out sendin"
to@ards the entire oulation of children under 2 &ears old in the countr&.
To calculate @hat "overnment is sendin" er child under t@o &ears old* @e
divided the total sendin" on nutrition interventions aimed at children under
t@o b& the total oulation of children under t@o in the countr&* as tabulated,
Nutrition interventions 2014
24
directed
at under 2 year olds
Infant and Young Child Feeding 121*%2-.
11
Micronutrient rogra! 1-3*(16.
11
Focu"ed #nte $atal Care
and %afe Mother &ood
%33*1(%.
11
Manage!ent of Malnutrition 233*623.
11
Co!!unit' (a"ed )ro*th
Monitoring rogra!
11%*-41.
11
+ater and %anitation in
Chiefdo!"
%1*111.1
1
%anitation ,-nder M.)&/ (31*36%.
11
%anitation ,-nder M#./ 42*111.1
1
#d0ocac' and Co!!unication
,$F$C/
14(*24%.
11
1e"earch ,$F$C/ 1004 19?
$utrition )o0ernance 91?49@9
Total 3, 186, 11!""
S#endin$ #er %&ild under 2
years old
7'0
7e determined that "overnment is sendin" an avera"e of ZMH 7'0 er
child under t@o &ears old on nutrition interventions. #ote that the
25
This comares unfavorabl& @ith the estimated =M7 161 er child as
rescribed b& the 7orld $an/.
11' Con+&*!"on
It is a shared understandin" that the state of Malnutrition is in crisis in =ambia
toda&. 0oor nutrition aFects overall "ro@th in childhood and limits the develoment
of full intellectual and h&sical otential of children. In eFect* it devalues the
countr&Cs human caital. 7e commend the Goverment for be"innin" to meet* in
art* some of the commitments made durin" the #utrition for Gro@th in London.
In as much as @e note bud"et line increase* allocations on direct nutrition
intervention remain ver& lo@. Government has not increased allocation on direct
#utrition interventions b& 21H as committed. Instead* in li"ht of the overal increase
in the siGe of the #ational $ud"et* there is no chan"e in rovision to direct #utrition
Interventions from last &ear. It still stands at 1.13H as a share of the #ational
$ud"et.
7e also ma/e the follo@in" conclusionsJ
The focus on livestoc/ seems to be limited to cattle restoc/in" and E"htin" cattle
diseases. 7e @ould recommend that "overnment be"in to suort small
livestoc/ farmin"* such us Goats* i"s* shee etc. These la& an imortant role
@hen see/in" to imrove the nutrition status of the eole.
7e are ha& @ith "overnmentMs focus on Esheries* but a"ain @e reiterate that
the focus should not onl& be about the economic "ains throu"h e8orts but also
stron"l& focus on imrovin" the diet of the eole.
7e con"ratulate the "overnment for rioritiGation social rotection* as a ver&
imortant indirect intervention of E"htin" malnutrition. 'o@ever* a maOor
concern is that a hu"e ortion of the funds is "oin" to ensions ;R-%4.2 Million
out of R1.13 $illion< the mone& that Government o@es to former emlo&ees.
5er& little is remainin" for E"htin" overt& amon" vulnerable households.
7e see a health focus of "overnment as that one of curative thin/in" and not
reventative. 7e @ould recommend that Government adot a more reventive
26
aroach in order to reduce its disease burden* investment in nutrition is best
@a& this can be achieved.
)eferrin" ne@ recruitment is a blo@ to our ambitions of resolvin" the human
resource for nutrition* @here =ambia is in a crisis sta"e. Moreover* Government
committed itself to resolvin" the human resource "as in the Eve /e& line
ministries durin" the nutrition for "ro@th summit in London.
Lastl& @e ASE our M,%(! o# P$(&"$,nt to contribute to nutrition develoment
throu"h toJ
'oldin" Government to account on the 1111 da&s ro"ram and commitments
made thereof ;the #2#C Strate"ic 0lan<.
Raisin" #utrition issues in 0arliament as articulated in this 0resentation.
4nsurin" that the Minister of 2inance resents Social?4conomic indicators in
the ne8t $ud"et. 0rovide clear data and information on the roblemJ
4nsurin" eFective hi"h level coordination of nutrition interventions
Reform e8istin" ro"rammes that aFect nutrition outcomesJ
4nablin" rivate sector articiation in the roduction of aFordable nutritious
foods* this can be done @ith incentives from Government.
27