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Findings for IANDA / Cost of the Diet in Ghana

WFP, 2017

Locally available

food items

Least expensive nutritious

diet

Possible diets meeting all

nutrient requirements of the household

Linear optimization (Cost of the Diet, developed by SC-UK) determines the least expensive nutritious diet

using locally available foods

Least expensive nutritious

diet adjusted to include two servings of preferredstaple per

day (SNUT)

Brong Afaho

Ashanti

WesternCentral

Eastern

Greater Accra

Northern

Upper West

Upper EastThe Cost of the Diet analysis has been conducted for 2

Regions: Northern & Brong Afaho

Volta

Nu

mb

er o

f fo

od

s in

th

e an

alys

is

SNUT – Original food list (Oct 2015 prices)

SNUT – Original food list (Nov 2016 – Jan 2017

prices)

SNUT – IANDA expanded food list (Nov 2016 – Jan 2017 prices)

38

56

+ 6 vegetables + 4 fruits/legumes + 5 fish/meat+ 3 others

The Cost of the Diet analysis has been conducted with different sets of data

SNUT also REACHED in the BA region

Note: SNUT NOT REACHED in the BA region

New locally produced fortified products, which were designed for Ghanaian market, were also added to the list of foods

Source: http://obaasimaghana.com/home.php

The cost of the Nutritious diet (SNUT) is 30% less expensive using a broader food dataset - Northern Region

0.30 0.60 0.36

1.211.24

1.12

6.995.5

2.76

2.21

1.83

1.76

3.89

4.01

3.16

14.60

13.18

9.17

0.00

2.00

4.00

6.00

8.00

10.00

12.00

14.00

16.00

SNUT - orginial food list (Oct 2015) SNUT - orginial food list (Nov 2016-Jan 2017) SNUT - IANDA expanded food list (Nov 2016-Jan 2017)

Co

st o

f th

e SN

UT

per

ind

ivid

ual

(G

H¢)

Woman, 30-59y, 45kg, moderatly active (lactation, semester average)Man, 30-59y, 50kg, moderatly activeAdolescent girl 14-15yChild 6-7 yearsChild 12-23 monthsHousehold

SNUT – Original food list (Oct 2015)

SNUT – Original food list (Nov 2016 – Jan 2017)

SNUT – IANDA expanded food list (Nov 2016 – Jan 2017)Source: WFP

analysis, 2017

0.36 0.55

1.12

1.64

1.76

2.63

3.16

4.00

2.76

0

1

2

3

4

5

6

7

8

9

10

Northern Brong Afaho

AV

ERA

GE

DA

ILY

CO

ST (

GH

C)

Adolescent girl 14-15yWoman, 30-59y, 45kg, moderatly active (lactation, semester average)Man, 30-59y, 50kg, moderatly activeChild 6-7 yearsChild 12-23 months

The cost of the Nutritious diet (SNUT) is 29% more expensive in the BA than in the Northern region

Northern Brong Afaho

+ 29 % cost

Source: WFPanalysis, 2017

Adolescent girl 14-15 yearsWoman, 30-59y, 45kg, moderately active (lactation, semester average)

Child 6-7 yearsChild 12-23 months

Man, 30-59y, 50kg, moderately active

814 810 805

321

790 775

437

10269

375

646

119168

0

1178

0

200

400

600

800

1000

1200

1400

SNUT - orginial food list (Oct 2015) SNUT - orginial food list (Nov 2016-Jan 2017) SNUT - IANDA expanded food list (Nov 2016-Jan2017)

Qu

anti

ty o

f fo

od

s p

er H

H p

er d

ay (

g)

Roots and tubersLegumes, nuts and seedsFish, seafood, amphibians and invertebratesEggs and egg productsVegetables and vegetable products

SNUT – Original food list (Oct 2015)

SNUT – Original food list (Nov 2016 – Jan 2017)

SNUT – IANDA expanded food list (Nov 2016 – Jan 2017)

A broader variety of vegetables reduces the cost of the Nutritious diet of the Household – Northern region

Source: WFPanalysis, 2017

From SNUT-Original (Nov2016-Jan2017) SNUT – IANDA (Nov2016-Jan2017)+ 1178g of vegetable daily (instead of 0)

5.5 times less animal source proteinLeads to a 30 % cost reduction of the Nutritious diet for the Household

Key findings

Between 2015 and 2016, the cost of the nutritious diet decreased by 10%, based onlyon price variation (same foods list)

Having a broader list of foods including nutritious vegetables and legumes decreasedthe cost of the nutritious diet by 30 %

The cost of the nutritious diet for a 4 member household is 29% more expensive inthe BA region than in the Northern region.

Key targeted groupsChild 12-23months

Kidifeed, Super Cerealplus and LNS-SQ reduce the cost of the child’s Nutritious diet (SNUT) the most - Northern region

0.36

0.15

0.11

0.28

0.06

0.17

0.10

0.07

0.10

0.29

0

0.1

0.2

0.3

0.4

0.5

0.6

SNUT SQ-LNS(GrowNut)(voucher)

SQ-LNS (iLiNS)(voucher)

Koko plus(voucher)

Kidifeed(voucher)

Ceresoy(voucher)

SC+ (voucher) SC+ (CHAI)(voucher)

SC (voucher) Maisoy Forte(voucher)

AV

ERA

GE

DA

ILY

CO

ST G

HC

SNUT SQ-LNS GrowNut(voucher)

SQ-LNS iLiNS

(voucher)

Koko plus(voucher)

Kidifeed(voucher)

Ceresoy(voucher)

SC+(voucher)

SC+ (CHAI)

(voucher)

SC(voucher)

MaisoyForte

(voucher)

Source: WFPanalysis, 2017

Kidifeed, Super Cereal plus and LNS-SQ reduce the cost of the child’s Nutritious diet (SNUT) the most - BA region

0.55

0.23

0.15

0.36

0.08

0.32

0.19

0.09

0.19

0.38

0

0.1

0.2

0.3

0.4

0.5

0.6

SNUT SQ-LNS(GrowNut)(voucher)

SQ-LNS (iLiNS)(voucher)

Koko plus(voucher)

Kidifeed(voucher)

Ceresoy(voucher)

SC+ (voucher) SC+ (CHAI)(voucher)

SC (voucher) Maisoy Forte(voucher)

AV

ERA

GE

DA

ILY

CO

ST G

HC

SNUT SQ-LNS GrowNut(voucher)

SQ-LNS iLiNS

(voucher)

Koko plus(voucher)

Kidifeed(voucher)

Ceresoy(voucher)

SC+(voucher)

SC+ (CHAI)

(voucher)

SC(voucher)

MaisoyForte

(voucher)

Source: WFPanalysis, 2017

Key targeted groupsAdolescent girl

Comparison of the Average Cost of the Diet of a Adolescent Girl with different interventions - Northern region

2.76

2.03

2.27

2.67

2.46 2.48

2.19

0

0.5

1

1.5

2

2.5

3

3.5

4

4.5

SNUT Fruit and egg (voucher)Obaasima products (voucher) TomVita (voucher) lola Milk Biscuit (voucher) Samba Shito (voucher) OFSP (voucher)

AV

ERA

GE

DA

ILY

CO

ST G

HC

Source: WFPanalysis, 2017

OFSP(voucher)SNUT Fruit & eggs

(voucher)

Obaasima products(voucher)

TomVita(voucher)

Lola Milk Biscuit(voucher)

Samba Shito(voucher)

OFSP(voucher)

3.78

2.44

3.07

2.83

3.31

3.10

4.02

0

0.5

1

1.5

2

2.5

3

3.5

4

4.5

SNUT Fruit & eggs (voucher) Obaasima products(voucher)

TomVita (voucher) Lola Milk Biscuit(voucher)

Samba Shito (voucher) OFSP (voucher)

AV

ERA

GE

DA

ILY

CO

ST G

HC

SNUT Fruit & eggs(voucher)

Obaasima products(voucher)

TomVita(voucher)

Lola Milk Biscuit

(voucher)

Samba Shito(voucher)

OFSP(voucher)

Source: WFPanalysis, 2017

Comparison of the Average Cost of the Diet of a Adolescent Girl with different interventions - Brong Afaho region

Key targeted groupsLactating woman

3.16

1.78 1.80 1.80

2.72

3.19

2.91 2.95

2.59

0

0.5

1

1.5

2

2.5

3

3.5

4

4.5

SNUT SC & fortified oil(voucher)

SC (voucher) SC+ (voucher) Obaasimaproducts(voucher)

TomVita(voucher)

lola Milk Biscuit(voucher)

Samba Shito(voucher)

OFSP (voucher)

AV

ERA

GE

DA

ILY

CO

ST G

HC

SNUT SC & Fortified oil(voucher)Source: WFP

analysis, 2017

Comparison of the Average Cost of the Diet of a lactating woman with different interventions - Northern region

SC(voucher)

SC+(voucher)

Obaasima products(voucher)

TomVita(voucher)

Lola Milk Biscuit

(voucher)

Samba Shito

(voucher)

OFSP(voucher)

Comparison of the Average Cost of the Diet of a lactating woman with different interventions - Brong Afaho region

4

1.73

2.04 2.02

2.66

3.27

3.03

3.57

3.73

3.2

2.61

0

0.5

1

1.5

2

2.5

3

3.5

4

4.5

SNUT SC & Fortifiedoil (voucher)

SC (voucher) SC+ (voucher) Obaasimaproducts(voucher)

TomVita(voucher)

Lola Milk Biscuit(voucher)

Samba Shito(voucher)

OFSP (voucher) Fruit & Fish(voucher)

Fruit & egg(voucher)

AV

ERA

GE

DA

ILY

CO

ST (G

HC

)

(voucher)SNUT Fortified

oil & SC (voucher)

SC(voucher)

SC+(voucher)

Obaasima products(voucher)

TomVita(voucher)

Lola Milk Biscuit

(voucher)

Samba Shito

(voucher)

OFSP(voucher)

Fruit & egg(voucher)

Fruit & Fish

(voucher)

Source: WFPanalysis, 2017

Key findings

For the child (6-23 months) provision of locally produced Kidifeed (voucher), SuperCerealplus and SQ-LNS (Grownut) (voucher) were the most effective in reducing thecost of a nutritious diet, by an average in both regions of 84%, 82% and 60%,respectively, indicating that they are very good sources of essential nutrients.

For the adolescent girl, the fresh food voucher for eggs and green leafy vegetableswas the most cost-effective (average of 30% cost reduction in both regions), which isexplained by their relatively high content of calcium, iron and B12, which are limitingnutrients.

For lactating women, SC interventions (SC, SC+ and SC with fortified oil) were themost cost-effective and even more so when SC was modelled added to a diet thatincluded one serving of staple. On average, provision of SuperCereal for free (using avoucher) reduced the cost of a nutritious diet for lactating women by 50% in bothregions.

Obaasima modelling

3.323.24

2.55 2.562.42

2.28

3.32

2.87

0

0.5

1

1.5

2

2.5

3

3.5

4

4.5

Market price voucher Market price Subsidies price (50 %) voucher Market price voucher

SNUT (Maize, Cassava) TomVita lola Milk Biscuit Samba Shito

AV

ERA

GE

DA

ILY

CO

ST G

HC

Lola milk Biscuit reduces the cost of the Nutritious diet of lactating women by 23% even at market price - Northern region

SNUT TomVitaLola Milk

BiscuitSamba Shito

SNUT

-23%

Source: WFPanalysis, 2017

Lola milk Biscuit reduces the cost of the Nutritious diet of the Adolescent girl by 11% when modelled at zero cost - Northern region

2.76 2.752.67 2.70

2.582.46

2.76

2.48

0

0.5

1

1.5

2

2.5

3

3.5

4

4.5

Market price voucher Market price Subsidies price 50 % voucher Market price voucher

SNUT TomVita lola Milk Biscuit Samba Shito

AV

ERA

GE

DA

ILY

CO

ST G

HC

Source: WFPanalysis, 2017

TomVitaLola Milk

BiscuitSamba Shito

SNUT

-11%

4.00 3.99

3.27 3.313.17

3.03

4.00

3.43

0.0

0.5

1.0

1.5

2.0

2.5

3.0

3.5

4.0

4.5

Market price voucher Market price Subsidies price (50 %) voucher Market price voucher

SNUT (Maize,Cassava)

TomVita lola Milk Biscuit Samba Shito

AV

ERA

GE

DA

ILY

CO

ST G

HC

Source: WFPanalysis, 2017

Lola milk Biscuit reduces the cost of the Nutritious diet of lactating women by 17% even at market price & 24% at zero cost - BA region

-24%

-17%

TomVitaLola Milk

BiscuitSamba Shito

SNUT

Lola milk Biscuit reduces cost of Nutritious diet of adolescent girl by 17% even at market price & 25% at zero cost - BA region

3.78 3.75

3.07 3.112.97

2.83

3.76

3.31

0

0.5

1

1.5

2

2.5

3

3.5

4

4.5

snut Market price voucher Market price Subsidies price 50 % voucher Subsidies price 50 % voucher

SNUT TomVita Lola Milk Biscuit Samba Shito

AV

ERA

GE

DA

ILY

CO

ST G

HC

Source: WFPanalysis, 2017

TomVitaLola Milk

BiscuitSamba Shito

SNUT

SNUT

-17%

-25%

Obaasima & Super Cereal Sensitivity Analysis

SNUT – IANDA2 staples

SNUT – IANDA 1 staples

50 %

Energy intakes (%RNI)

Sensitivity analysis: replacing the daily portion of cassava (one of the staple) by a portion of TomVita or Super Cereal

Source: WFPanalysis, 2017

100 %

1 portion

1 portion

Other foods

1 portion

Other foods

OrOther foods

Or

OrOther foods

Or

3.16

2.67

1.80

3.16 3.14

2.49

2.31

1.44

2.49 2.48

0

0.5

1

1.5

2

2.5

3

3.5

4

4.5

SNUT SC(market price)

SC(voucher)

TomVita (marketprice)

TomVita(voucher)

SNUT SC(market price)

SC(voucher)

TomVita (marketprice)

TomVita(voucher)

2 Staples 1 Staples

AV

ERA

GE

DA

ILY

CO

ST G

HC

Super cereal when modelled at zero cost reduces the cost of the

Nutritious diet of lactating women by 43% (2 staples) & 42% (1 staple) -Northern region

TomVita (market price)

TomVita (voucher)

SC (market price)

SNUT SC (voucher)

TomVita (market price)

TomVita (voucher)

SC (market price)

SNUT SC (voucher)

1 Staple2 StaplesSource: WFPanalysis, 2017

-43%

-42%

2.762.63

2.11

2.752.67

2.38

2.07

1.50

2.382.28

0

0.5

1

1.5

2

2.5

3

3.5

4

4.5

SNUT SC(market price)

SC(voucher)

TomVita (marketprice)

TomVita(voucher)

SNUT SC(market price)

SC(voucher)

TomVita (marketprice)

TomVita(voucher)

2 Staples 1 Staples

AV

ERA

GE

DA

ILY

CO

ST G

HC

Source: WFPanalysis, 2017

Super cereal when modelled at zero cost reduces the cost of the Nutritious diet of adolescent girl by 24% (2 staples) & 37% (1 staple) -

Northern region

TomVita (market price)

TomVita (voucher)

SC (market price)

SNUT SC (voucher)

TomVita (market price)

TomVita (voucher)

SC (market price)

SNUT SC (voucher)

1 Staple2 Staples

TomVita (market price)

TomVita (market price)

-24%

-37%

4.00

2.91

2.04

3.99

3.27

3.92

2.89

2.02

3.92

3.16

0.0

0.5

1.0

1.5

2.0

2.5

3.0

3.5

4.0

4.5

SNUT SC(market price)

SC(voucher)

TomVita (marketprice)

TomVita(voucher)

SNUT SC(market price)

SC(voucher)

TomVita (marketprice)

TomVita(voucher)

2 Staples 1 Staples

AV

ERA

GE

DA

ILY

CO

ST G

HC

Source: WFPanalysis, 2017

Super cereal when modelled at zero cost reduces the cost of the Nutritious diet of lactating women by 49% (2 staples) & 48% (1 staple) -

BA region

TomVita (market price)

TomVita (voucher)

SC (market price)

SNUT SC (voucher)

TomVita (market price)

TomVita (voucher)

SC (market price)

SNUT SC (voucher)

1 Staple2 Staples

TomVita (market price)

TomVita (market price)

TomVita (market price)

-49% -48%

3.78

3.42

3.10

3.75

3.07

3.67

3.06

2.51

3.65

2.95

0

0.5

1

1.5

2

2.5

3

3.5

4

4.5

SNUT SC(market price)

SC(voucher)

TomVita (marketprice)

TomVita(voucher)

SNUT SC(market price)

SC(voucher)

TomVita (marketprice)

TomVita(voucher)

2 Staples 1 Staples

AV

ERA

GE

DA

ILY

CO

ST G

HC

Source: WFPanalysis, 2017

Super cereal when modelled at zero cost reduces the cost of the Nutritious diet of adolescent girl by 18% (2 staples) & 32% (1 staple) - BA

region

TomVita (market price)

TomVita (voucher)

SC (market price)

SNUT SC (voucher)

TomVita (market price)

TomVita (voucher)

SC (market price)

SNUT SC (voucher)

1 Staple2 Staples

TomVita (market price)

TomVita (market price)

TomVita (market price)

-18%

-32%

Key findings

For the Obaasima products, the analysis found them to be less cost-effective to meetnutrient requirements compared to other options, which is due to the fact that theircontent of specific nutrients, including pantothenic acid, iron and vitamin B12, waslower than that of the other fortified options (SC, SC+, SC/oil) included in the model.

Among the three products, the Lola Milk Biscuit performed better, indicating that it wasa more cost-effective source of essential nutrients. Besides nutrient content and cost,acceptability and actual amount consumed by the intended targeted group are alsoimportant determinants of whether a specific food will be able to make a goodcontribution to improving nutrient intake.

Consumption of Obaasima products is likely to make a meaningful contribution tomeeting nutrient intake requirements even when it has a lower content of certainmicronutrients than other foods that consumers may or may not prefer over thoseproducts. Nevertheless, it would be good to consider increasing the content of thespecific micronutrients for which content is relatively low.

Note, CotD software aims to meet full requirements of energy, protein and 13 MNs

Many thanks for Your Attention !

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