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Transcript of 110525 ifad sun progress nabarro
SUN
Scaling-Up Nutrition: IFAD’s contribution to Nutrition-sensitive Agriculture
May 25th 2011
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Part 1: The need to scale up efforts against rising under-nutrition in a coordinated multi-stakeholder approach
Unsatisfactory progress towards MDG 1...Unsatisfactory progress towards MDG 1... ...calls for coordinated action...calls for coordinated action
Intention endorsed by 100+ organizationsMillions
950
900
850
1.050
1.000
0
200920082004–2006
2002–2002
1995–1997
1990–1992
Rising number of undernourished people
1990 1995 2000 2005 2010 20150
10
20
30
40
50-1% p.a.
26%33%
∆ = 9.5%
%children < 5 underweight
Worldwide progress to MDG 1
I. Vision and History
Source: The State of Food Insecurity in the World, FAO (2009), Value for 2009 is a projection; Millennium Development Goals Report, 2008 (2006 data)
MDG 2015 target
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Why we need to act now,...
...because:• FOCUS: there is renewed international focus on human
rights as a basis for economic, social and human development, and on addressing food and nutrition security within that framework
• EVIDENCE: there is abundant evidence on the impact of under-nutrition on infant and young child mortality and its largely irreversible long-term effects on intellectual, physical and social development as well as on health
• RECOGNITION: there is widespread recognition (“a burden of knowledge”) that a series of well-tested and low-cost interventions can protect the nutrition of vulnerable individuals and communities and benefit millions of individuals if incorporated into agriculture, social protection, health and educational programmes
1
2
3
I. Vision and History
September 2010
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Priority Responses for Scaling Up Nutrition
Nutrition-Specific Interventions• interventions that have nutritional
improvement as the primary goal• Helping women ensure optimum nutrition
in pregnancy and when children are born• Dietary diversity through agriculture• Safety net programmes to provide
nutrients• Ante-natal nutrition, breast feeding,
complementary feeding, hygiene, adequate vitamin and minerals; nutritional management of infections; therapeutic feeding, special attention to at risk communities
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Priority Responses for Scaling Up Nutrition
Nutrition-Specific Interventions
• High coverage of interventions that have nutritional improvement as the primary goal
• Helping women ensure optimum nutrition in pregnancy and when children are born
• Ante-natal nutrition, breast feeding, complementary feeding, hygiene, adequate vitamin and minerals; nutritional management of infections; therapeutic feeding, special attention to at risk communities
Nutrition-Sensitive Development
• Nutritional outcomes as a key goal of national development policies
• Ensure optimal nutritional impact [“nutrition lens”] of
• agriculture and food security programmes,
• social protection and safety nets, • maternal, new-born and child
health, • child and adult education, • employment generation, • rural development and• emergency response programmes
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Priority Responses for Scaling Up Nutrition
High Coverage of Nutrition-Specific
Interventions
Policies that Prioritize Food, Nutrition and
Health Security for All
Nutrition-Sensitive
Development across
different sectors
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EXAMPLES OF NUTRITION-SPECIFIC INTERVENTIONS
Definition: interventions that have nutritional improvement as the primary goal
Outcomes:• Ensuring that all women are in the best possible position to ensure optimum nutrition
for themselves and their children (a) in pregnancy (b) when breastfeeding their children, and (c) when weaning their children – especially when children are ill and women face many demands on their time;
• Encouraging local markets to offer a nutritional diversity within food products (continuously available and accessible throughout the year with nutrients in a form tht is capable of being utilized) – through the implementation of appropriate agriculture and food policies;
• Ensuring that approprients nutrients are accessible and capable of being utilized through safety net programmes (whether food or cash based);
• Encouraging ante-natal nutrition, breast feeding, complementary feeding, hygiene, adequate vitamin and minerals; nutritional management of infections and therapeutic feeding for those who are affected by severe acute malnutrition (children, those with chroinic diseases etc) with special attention to at risk communities.
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NUTRITION SENSITIVE DEVELOPMENT
Definition : Nutritional outcomes as a key goal of national development policies
Outcomes:• Ensuring optimal nutritional impact of all agriculture and food security
programmes through research, action, close monitoring;• Ensuirng optimal nutritional impact of social protection programmes and
targeting of safety nets for vulnerable communities, • Ensuing appropriate nutritonal focus within maternal, new-born and child
health programmes, • Incorporating nutritional considerations within child and adult education, • Analyzing the nutritional impact of employment generation, rural
development and emergency response programmes and taking action as appropriate
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Part 2: HOW AGRICULTURE IMPROVES NUTRITION
3 purposes of Agriculture:1. Produce food for consumption2. Generate employment, income and support rural livelihoods3. Safeguard the environment
Nutritional value chain:• Production:
increased quantity (DES) - availability, stabilityimproved nutritional quality – variety, diversity and safety
• Preservation, storage, and processing – reduce losses in value and in nutritional quality along the chain
• Transportation and marketing• Consumption - education
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FOOD AND NUTRITION SECURITY
Embed nutrition into food security – “food and nutrition security” because:
• ‘food security’ and ‘nutrition security’ are not the same thing• adding nutrition emphasises nutrition is the ultimate goal• ensures nutrition is not lost or forgotten by food economists• not just calories but also food quality and dietary diversity• considers both under and over nutrition• unless we improve nutrition security, ending hunger and raising
levels of nutrition will not be automatic
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NARROWING THE “NUTRITION GAP”
the gap between what foods are available and what foods are needed for a healthy diet
Poor diets low in quantity, quality and variety lead to hunger and micro-nutrient deficiencies
Increase production of staple foods – YES but at the same time...• ...ensure local availability of the right mix of foods (dietary
diversity) in all seasons• ...ensure consumption of such diets through consumer education
for informed choices• ...establish collaboration with social protection programmes that
reach the poorest and most marginalized groups
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NARROWING THE “NUTRITION GAP” IN SPECIFIC FOOD SYSTEMS...
Root and tuber systems in West Africa• selectively breed cassava to improve nutrient content; boost
red palm oil production (vitamin A rich) and animal foodsRice systems in Asia
• introduce low-input short duration dry season crops (mung and soy bean, oil seed); integrated aquaculture/horticulture; agricultural extension-based nutrition education
Maize and bean systems in Central America• increase trash fish consumption; intercropping of maize, beans
and legumes (milpa system); greenhouse production of fruits and vegetables; nutrition education
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SUMMARY
Nutrition-sensitive agriculture means give a focus to:• people, to farmers and their families not just to farms or pharmacies• quality and diversity of food not just to quantity• the consumption of food not just to production
And speak of Food and Nutrition Security• so we do not forget about nutrition• and we integrate nutrition into agriculture and food security policies
and programmes
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INCREASED INCORPORATION OF NUTRITION-SENSITIVITY INTO IFAD’S AGRICULTURE AND FOOD SECURITY WORK
1 Examine the IFAD portfolio in one or more countries within the context of existing information about the determinants of both under- and over-nutrition;
2 Look at this portfolio within the context of national policies for food and nutrition security and the work of other development partners including the World Bank and regional MDBs;
3 Consider appropriate indicators for IFAD’s work – either on its own, or (ideally perhaps) within the context of national plans for food security and nutrition (and, where relevant, national contributions to the SUN movement);
4 Develop concepts for how IFAD programme managers might wish to adjust their patters of support at country level so that they can contribute (directly, or through leverage) to better nutritional outcomes;
5 Consider how this impact might be monitored and reported.
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PART 3: THE SUN MOVEMENT - STAKEHOLDER COORDINATION ON ALL LEVELS
UN SystemUN SystemBusiness
CommunityBusiness
CommunityCivil SocietyCivil SocietyGovernment
(lead)Government
(lead)Research
CommunityResearch
Community
Action at country level
Know how andcapacity
development
Global support functions
People
II. The Road Map
"...Coordination of stakeholders to encourage synergy of purpose and complementarity of action"
DonorsDonors
Financingpathways
NGOsNGOsGovernance
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Robust decisions with evidence-based actionRobust decisions with evidence-based action
• Move the numbers• Pursue detailed stock-
tacking and mapping• Set clear targets• Mobilize sufficient funds• Continuously track
progress
Shared vision with joint working
Shared vision with joint working
• Encourage mutual respect, confidence and trust
• Minimize potential conflicts of interest
• Generate excitement for a common goal
• Work together towards this goal with a common code of conduct
Robustdecisions
Joint working
People
II. The Road Map
Within a human rights framework
A STEP CHANGE REQUIRES BOTH JOINT WORKING AND EVIDENCE-BASED ACTIONS
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SUN ROAD MAP: BENCHMARKS FOR COUNTRY ENGAGEMENT
• Request from National Authorities • From Office of Head of Government, Planning Commission, or
designated Line Ministry. • National Focal Point identified.
• Active “Champion” to convene Development Partners• In Country Consultations underway via multi-stakeholder
platform and process• Nutrition Policy in place and being pursued• Stock-takes of actions and intentions underway• Action Plan with Results Framework. (incorporating promising
actions already underway)• Joint Validation• Implementation with coordinated support from Government and
partners
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SUN “EARLY RISER” COUNTRIES
FEBRUARY 2011
Bangladesh, Ethiopia, Ghana Guatemala, Malawi, Mozambique, Nepal, Peru, Senegal, Tanzania, Uganda Zambia
ADDITIONAL
BeninHaitiMaliNigerRwandaSierra Leone
INTERESTED
AfghanistanBurkina FasoCambodiaIndonesiaLaosMauretaniaPakistan
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Current Transition Arrangements
• Transition Team• (Backed by the Secretariat of the Standing Committee on Nutrition)• Task Forces • Country Support• Communications• Civil Society• Development Partners (Working Level and Senior Officials
Group)• Private Sector• Monitoring and Reporting• Country Reference Group• UN Reference Group (SCN, REACH, FAO, WHO, UNICEF, WFP)
• Stewardship Study
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Stocktake 2• 5 Transition Team Meetings to date• Early Riser Country Reference Group being established
• Reflecting the interests of National Focal Points • Taskforces fully engaged
• Task Force A - Country Support (ensuring strong engagement of REACH, other international agencies, academic groups and….)
• Task Force D – Development Partners (ensuring identity of DP conveners and supporters and links with national authroities)
• Task Force F – Support for Monitoring and Reporting (ensuring national authorities and task forces get support on indicators, monitoring processes and development of comparable results framework)
• Task Force C – Civil Society (ensuring national authorities get support on engagement of civil society)
• Task Force E – Private Sector (ensuring that national authorities can access help on ways to bring in businesses)
• Task Force B – Communications (ensuring that national authorities get support on messages, answers to FAQs, support for SUN champions)
• UN System Reference Group in place• Ensuring cross UN engagement and synergy
• All Task Forces Facilitated by SCN Secretariat
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PROGRESS IN 12 EARLY RISERS BY MID-APRIL 2011
BENCHMARK NUMBER
Letter of Request Received 9
In Country Focal Point Identified 10
In-country Consultations Underway 6
National Nutrition Policy in place and being pursued
10
Stocktaking and planning underway 7 (3 more soon)
Results Framework (RF) coming into place 3+
Joint Validation of Costed Plan and Results Framework at national level
Up to 5 in next three months
Collective in implementation Most
Results coming through 2+
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Stock-take April17th 2011STOCK-TAKE MAY 3RD 2010• This is the first year of a three year process – a year for learning
and adapting• Much greater interest than expected: 18 potential Early Risers• Intense activity (and challenges) in
• Bangladesh [Multiple stakeholders: key role of Government]• Ethiopia [Questions re value of SUN Movement]• Malawi [High level commitment and much effort]• Niger [Protracted crisis: new government]• Nepal [Intense activity, government change]• Peru [Active national efforts: strength of donor engagement?]• Senegal [Strong health and social protection engagement]• Tanzania [Identity of Government Focal Point]• Uganda [Strong national multi-sectoral platform]• Zambia [Intense country-led action]
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LOOKING AHEAD
By End of 2011 there will be • Progress (against benchmarks) in at least 12 Early Risers• Agreed Results Frameworks – with Commitments from
National Authorities and in-country development partners – in 5 countries
• Concerted Implementation Underway in all of these • Identification of Critical Resource Gaps• Agreements on which development partner will help meet
these gaps• Shared Ambition for realizing the results in coming two
years
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National Authorities with in-country local authority, civil
society, business and scientific
partners
Development Partners (including Donors)
Civil
Society Organizations
Nutrition Sensitive Businesses
Agencies of the UN System and REACH
Research Community
IN COUNTRIES …….
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National Authorities with in-country local authority, civil
society, business and scientific
partners
Roles of Agriculture, Health, Social Welfare, Education, Relief, Employment, Gender…
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SUMMARY - SCALE UP NUTRITION
NATIONAL AUTHORITIES IN CHARGE
FOCUS ON RESULTS
COORDINATED SUPPORT FROM NETWORKS OF REGIONAL AND INTERNATIONAL STAKEHOLDERS
NOT AN INITIATIVE OR PROGRAMME: BUILDING ON EXISTING ACTIONS