The World Bank has joined with more than 100 partner agencies and organizations to endorse Scaling Up Nutrition: A Framework for Action, which sets forth principles and priorities for action to address undernutrition and help countries reach the Millennium Development Goals by 2015.
The main elements of the framework for action are:
1. Start from the principle that what ultimately matters is what happens at the country level. Individual country nutrition strategies and programs, while drawing on international evidence of good practice, must be country-“owned” and built on the country’s specific needs and capacities.
2. Sharply scale up evidence-based cost-effective interventions to prevent and treat undernutrition, with highest priority to the minus 9 to 24-month “window of opportunity” where we get the highest returns from investments. A conservative global estimate of financing needs for these interventions is $10+ billion per year.
3. Take a multisectoral approach that includes integrating nutrition in related sectors and using indicators of impact on undernutrition as one of the key measures of overall progress in these sectors.The closest actionable links are to food security (including agriculture), social protection (including emergency relief) and health (including maternal and child health care, immunization and family planning). There are also important links to education, water supply and sanitation as well as to cross-cutting issues like gender equality, governance (including accountability and corruption), and state fragility.
4. Provide substantially scaled up domestic and external assistance for country-owned nutrition programs and capacity. Ensure that nutrition is explicitly supported in global as well as national initiatives for food security, social protection and health, and that external assistance follows the agreed principles of aid effectiveness of the Paris Declaration and the Accra Agenda for Action. Support major efforts at the national and global levels for strengthening the evidence base—through better data, monitoring and evaluation, and research—and, importantly, for advocacy.