Improving nutrition outcomes through enhanced allocative efficiency of investments in 24 high risk counties in Kenya: An Optima Nutrition modelling study

Undernutrition remains a significant global challenge, severely impacting children’s development and growth. To address this, the Sustainable Development Goals target a substantial reduction in stunting and wasting by 2025. Achieving these goals requires scaling up evidence-based nutritional interventions; however, limited budgets pose challenges in funding all necessary programs. To assist policymakers in making informed decisions, the World Bank developed the Optima Nutrition Modelling tool, which optimizes the allocation of nutrition investments. Kenya, with its high prevalence of stunting, was the focus of this study. Using the Optima Nutrition model, the study aimed to assess the impact of scaling up evidence-based nutrition interventions and determine how existing resources could be optimized to reduce stunting, wasting, and anemia in children under five and anemia in pregnant women across 24 counties with the poorest nutrition outcomes.

This study provided a comprehensive assessment of the prevalence of stunting, wasting, and anemia among children under five years in 24 counties in Kenya. The Optima model suggested that scaling up nutrition-specific interventions under the same baseline budgets could lead to significant reductions in stunting, wasting, and anemia in Kenya. Additionally, the study identified interventions that should be prioritized during nutrition intervention resource allocation.