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Cost of the Diet

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By: Iyisha Rocke

Last updated: 2024-03-21T13:44:17

The Cost of the Diet (CotD) is an innovative method and software developed by Save the Children UK to estimate the amount and combination of locally available foods that are needed to provide a typical family or individual with a diet that meets their average needs for energy and their recommended intakes of protein, fat and micronutrients. The method was developed as a response to research undertaken by Save the Children which demonstrated that the impact of traditional nutrition education programmes has been limited because of the economic constraints facing many households in low-income countries. The tool aims to answer the following questions: 1. What is the minimum cost of foods that meet the nutrient needs of a typical household? 2. Can a nutritious diet be achieved by people using locally available foods? 3. Is this diet affordable? 4. If not, what could be done?

Photo: Sri Budiatmi shops with her daughter in Sulawesi, Indonesia

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CotD Process

A Cost of the Diet assessment follows a logical process from identifying the food security  and nutrition problem, collecting and analysing data, through to report writing, including recommendations and conclusions.

Cost of Diet Process  This figure gives an overview of the tasks
and information required for a Cost of the Diet
assessment.The Cost of the Diet Practitioner’s
Guide explains each of these steps in more
detail. The timeframe for a Cost of the Diet
assessment will depend upon the length of data collection. Use the following timeframe as a rough guide:

  • Week 1: Background literature review
  • Week 2: Recruit and train staff, identify markets, write a food list
  • Week 3: Collect market data, conduct interviews and FGDs
  • Week 4: Enter, clean and analyse data
  • Wks 5/6: Write report

 

Cost of the Diet Software

Cost of the Diet software uses the collected data to generate hypothetical diets using a combination of foods that will enable a family to meet their energy and nutrient requirements, as recommended by the World Health Organisation and the Food and Agriculture Organisation, at the lowest possible cost.

Limitations, or constraints, may be used to reflect typical household food consumption patterns. For example, specifying that a particular food is eaten three times a day, every day. In this way, the software can identify a diet that is more realistic in terms of the frequency with which foods are eaten.

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Hypothetical Diets
The software can estimate the cost of four hypothetical diets:
1. Energy-only diet: Meets specified needs for energy only
2. Macronutrient diet:  Meets specified needs for energy, fat and protein only
3. Nutritious diet: Meets specified needs for all nutrients at lowest cost
4. Food habits, nutritious diet: Meets specified needs for all nutrients at lowest cost using typically consumed local foods

Individual or Household Output
The software produces the following outputs for each of the four diets. For an individual or household:

  • Average daily cost of the diet
  • Average monthly cost of the diet
  • Daily cost of the diet by season
  • Percentage of nutrient specifications met by the diets, by season
  • Annual cost of the diet
  • Annual diet summary
  • Affordability of diets by wealth group, if HEA data available (or other income source)
  • Cost of the food groups by week (food habits diet only)
  • Seasonal cost fluctuations (food habits diet only)

Food Output
The software produces the following outputs for each of the four diets. For each food selected by the software:

  • Total daily weight (g)
  • Total weekly weight (g)
  • Edible daily weight (g)
  • Edible weekly weight (g)
  • Cost of the edible daily weight
  • Cost of the edible weekly amount
  • Daily number of servings
  • Weekly number of servings
  • Daily amount of each nutrient provided by the edible portion
  • Weekly quantity of each nutrient provided by the edible portion
  • Percentage (%) of each nutrient target provided a day by the edible portion
  • Percentage (%) of each nutrient target provided a week by the edible portion

Software capabilities
Cost of the Diet software can:

  • Estimate minimum cost of a locally specified diet for a range of household types
  • Take into account seasonal variation in prices
  • Identify the least expensive sources of energy and all nutrients
  • Identify nutrients for which it may be hard to meet requirements
  • Identify the foods that contribute the most to the cost of the diet
  • Estimate the cost of the diet for typical families (between 5-10 members), aligned with income data generated from HEA, to estimate the affordability
  • Estimate the impact on the diet or its cost of potential interventions that might help households meet their needs for energy and nutrients

 

‘What if’ Models
‘What if?’ models may be generated in Cost of the Diet, for specific individuals or households as a whole, to determine the potential effect of:

  • New or existing nutrition interventions
  • New or existing food security interventions
  • New or existing social protection interventions
  • Changing the nutrient specifications
  • Sudden shocks
  • Current infant and young child feeding practices

… on the cost, quality, composition and affordability of a nutritious diet.

 

Cost of the Diet examples:

cost_of_the_diet_turkana_0.pdf_5.png
A Cost of the Diet Analysis in Turkana County, Kenya

2017 · Save the Children

Situated in the North-West of Kenya, Turkana is one of the poorest regions of the country and affected by persistently high rates of malnutrition. Persistently high rates of... View Full Abstract

cotd-report-anrin-nigeria-2022-oyo-state-2022-04-25-final(thumbnail)
A Cost of the Diet Analysis in Oyo State in South-Western Nigeria

2022 · Save the Children International

Situated in the southwestern region of Nigeria, Oyo state has the highest prevalence (34.5 percent) of stunting among children under five; and two out of three children have... View Full Abstract

The Cost of the Diet analysis software and the guidelines are free to use. However, we do request that whenever you use Cost of the Diet analysis in reports/publications, you reference the method in the following way:

“Analysis was done using Save the Children UK’s Cost of the Diet method”.

We are keen to explore the ways that the Cost of the Diet can be used as part of programming, research and advocacy. If you have any suggestions. feedback or would like a copy of the software, please contact the Hunger Reduction and Livelihoods team at Save the Children UK at: cotd@savethechildren.org.uk

Cost of the Diet examples

4 resources

bd-cotd-study-summary-report-2023(thumbnail)
Cost of the Diet (CotD) Assessment in Sylhet & Moulvibazar districts of North-East Bangladesh: Learnings and finding from three rounds of CotD assessment between 2018 and 2022

2022 · Save the Children Bangladesh

This report shares the findings and recommendations of the Cost of the Diet (CotD) assessment conducted in the Sylhet and Moulvibazar districts of Bangladesh in 2022. In addition,... View Full Abstract

13 pages PDF (3.0 MiB)

cotd-report-anrin-nigeria-2022-oyo-state-2022-04-25-final(thumbnail)
A Cost of the Diet Analysis in Oyo State in South-Western Nigeria

2022 · Save the Children International

Situated in the southwestern region of Nigeria, Oyo state has the highest prevalence (34.5 percent) of stunting among children under five; and two out of three children have... View Full Abstract

75 pages PDF (1.5 MiB)

brick-research-brief_design-26-6-2023(thumbnail)
Cost and Affordability of a Nutritious Diet in Myanmar: A Cost of the Diet Study in Northern Shan State and Kachine State, BRICKS Project 2023

2023 · Save the Children Myanmar

This research brief summarises the findings from the Cost of the Diet analysis conducted as part of the BRICKS project. This study shows that affordability of diet is a main... View Full Abstract

5 pages PDF (4.0 MiB)

cotd_bd_research_brief_-_v6_-_final.pdf_2.png
A Cost of the Diet Analysis in Sylhet and Moulvibazar District of North-East Bangladesh

2019 · Save the Children Bangladesh

This research brief summarises the key findings and recommendations of the Cost of the Diet (CotD) assessment conducted in Sylhet and Moulvibazar districts of Bangladesh in 2018.... View Full Abstract

11 pages pdf (2.9 MiB)

Cost of the Diet Software Guidelines

This guide aims to provide a Cost of the Diet practitioner with the information required to run a full Cost of the Diet assessment.

These guidelines and the Cost of the Diet software are free to use and can be downloaded here.

A French version of this guide and the Cost of the Diet reporting guidelines are available on request by contacting cotd@savethechildren.org.uk.


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