Equity & Nutrition Through Agriculture_Lewis_5.10.11
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Transcript of Equity & Nutrition Through Agriculture_Lewis_5.10.11
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Gender Informed Nutrition and Agriculture (GINA) Alliance
AndNutrition Collaborative Research
Support Program
Cheryl Jackson LewisSenior Nutrition and Health Advisor
USAID/Bureau for Food Security
CORE, Baltimore, MDMay 10, 2011
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GINA Program Description
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To use integrated agriculture and health interventions to improve nutritional outcomes of children less than 5 years of age
GINA Goal
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– Mozambique, Uganda and Nigeria
• Implement community-based nutrition activities
• Introduce nutritious crops and animal food sources to complement basic staples
• Provide technical support to farmer groups to increase yields through better planting, harvesting, storage and processing technologies
• Provide BCC to ensure that a diversified food supply translated into adequate diets
• Empower women with knowledge and skills to improve their capacity to care for their children, increase their access to resources, incomes and decision making roles
• Promote the nutrition dimension in development, poverty and food security plans, policies and budgets at multiple levels.
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Objectives
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GINA Country-Led Partnership
Mozambique Nigeria Uganda
Agriculture IIAM Fed. Min. of Agric & Rural Dev
National Agriculture Advisory Services
Health MOH MOH MOH
Nutrition SETSAN, MOH Dept. of Human Nutrition, Univ of Ibadan
MOH
NGOs World Vision Food Basket Foundational International
Africare
Agric. Research Institutions
IIAM IITA NARO
Other Ministry of Education Fed. Planning Commission
Makerere University
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Creating the Policy Environment
GINA began at the national level to influence agriculture – nutrition policy formation and institutional development
Mozambique Nigeria Uganda
Agriculture Policies / Institutions PMA, NAADS
Nutrition Policies / Institutions SETSAN National Policy on Food and Nutrition
Food and Nutrition
Investment Plan
Food Security / Multi-sectoral Policies/ Institutions
PARPA, SETSAN
SCFN, LGCFN, NCFN,
PEAP, Food & Nutrition Investment
Plan
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HumanCapital
Agriculturalprocessing
Mealpreparation
Nutritional status
Kept forhousehold
Sold at market
Non-foodcash crops
Livestock, fish, non-
timber forestproducts
Foodcrops
Income
Care
Dietary Intake
Agriculture and Nutrition Pathways
Food
Assets & ResourcesInternational Center for Research on Women
Health
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HumanCapital
International Center for Research on Women
Agriculturalprocessing
Mealpreparation
Nutritional status
Kept forhousehold
Sold at market
Non-foodcash crops
Livestock, fish, non-
timber forestproducts
Foodcrops
Income
Dietary Intake
Male & Female Domains
Food
Health
Care
Assets & Resources
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Gender Perspective
• Address male and female domains; agriculture and health domains
• Though focus was on women, participation by men was significant
• Special emphasis on women because of their role as care givers, producers, processors of food
• The implications of the project on household resources
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Expanded Program of Immunization (EPI)
Micronutrient Supplementation
Nutrition Malaria Diarrhea Control
Family Planning
Mozambique
&
Uganda
Educational messages
MOH Linkage
Household surveillance
Promotion of childhood health
Promotion of Vitamin A, iron, iodine
Promotion of maternal health
MOH Linkage
Promotional messages(breast feeding; complementary feeding)
Growth Monitoring
Food demo activities
Backyard & community garden
Educational messages (treated nets; Insecticide use)
Creation of water supplies
Development of household latrines
Sanitation & Safety
Educational messages
Preparation & use of ORT
Sanitation and safety
MOH Linkage
Educational messages - Birth Spacing
Nigeria Educational messages
MOH Linkage
Household surveillance
Promotion of childhood health
Promotion of Vitamin A, iron, iodine
Promotion of maternal healthMOH LinkageHousehold surveillance
Promotional messages(breast feeding; complementary feeding)
GMP
Food demos
Backyard & community garden
Educational messages (treated Insecticide nets) Creation of H20 supplies
Development of HH latrines
Sanitation & Safety
Educational messages
Preparation & use of ORT
Sanitation and safety
MOH Linkage
No GINA -related activities
The Health Perspective of GINA: Strengthening Efforts to Reduce Childhood Undernutrition
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GINA Outcomes
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Policy Outcomes
• Policies and Strategies to address hunger, food insecurity and under-nutrition
• Nutrition positioned in the national development policy frameworks
• Multi-disciplinary Advisory Committees at National/Local levels
National Food and Nutrition Policy
National Plan of Action forFood and Nutrition Security
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Agricultural Outcomes
• Improved farm management practices
• Increased availability of nutritious foods in
participating households
• 23 Technologies Transferred
• Linkages to Markets
• GINA Farmer Groups organized into functioning entities
• GINA groups have included both men and women farmers, which yielded many benefits for participants
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Community demonstration gardens
BackyardGardens
Small Ruminants
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Income Generating Activities
Smoked fish for sale
Processing cassava into Gari
Processing oil from palm kennels
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• Nutritional Status improved for 3,000 children in targeted areas in Nigeria, Mozambique and Uganda
• GINA II Average (Wt/Age)• 32.% (baseline)• 14.1% (final)
• Growth Monitoring and Promotion• Monthly GMP sessions plus health
activities based on Essential Nutrition Actions for children 0-5 years
• Trained 200 community leaders on essential nutrition actions
• 80 growth promoters trained to monitor and weigh children
• Increased knowledge of women about IYCF Practices
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Nutrition Outcomes
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Gender Outcomes
Empowerment of women and men with:
• Knowledge and skills to prevent or reverse undernutrition
• Access to technical resources to improve food production and food processing
• Increased participation in decision making
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Best Practices
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Best Practice 1- Geographical Information System
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Strengthen linkages between policies, programs, & actions:
Two-pronged strategy - Top-down and bottom-up
Coordination of Multiple Ministries
Best Practice 2
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Translating Policies and Action Plans to Program Implementation
Strong Advocacy - Champions
Strong Technical Skills
Best Practice 3
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Capacity Building
Project Management Capacity – National, provincial, state and local
Financial Management Capacity Management - Performance and Accountability
Standards Field Based Implementation Capacity Current Technical Issues
Best Practice 4
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Best Practice 5
• Utilize Integrated Community-Based Activities
• Sensitize and raise awareness about nutrition and health with :
• Farmer groups• Community Based
Organizations• Local Chiefs Councils • Rural Communities
• Social marketing and behavioral change component
• Farmer exchange visits
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Best Practice 6
• Select implementing partners with strong and established local networks
• Ensure adequate timeframe for
community participatory approach to promote project ownership and participation
• Well trained health workers and social promoters were essential for the dialogue with mothers and caretakers and increased community engagement to promote GMP, IYCF practices and agricultural practices
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Nutrition Collaborative Research Support Program
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Nutrition Collaborative Research Support Program (NCRSP)
Creating the Evidence Base
• Tufts University• $15 Million USD• USAID/Uganda• USAID/Nepal
Themes:• Improve the nutritional status of
women and children through agriculture and food based programs
• Scientific Research• Developing Host Country Human
and Institutional Capacity
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Nutrition Collaborative Research Support Program (NCRSP)
Aim: To determine which investments in
agriculture based strategies, policies, and health can be used to achieve:
• Large scale and sustainable improvements in nutritional outcomes
• Improvements in dietary diversity, dietary quality and improved IYCF
• Improved community capacity to combat under-nutrition
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Let us be united, sharing each others
experiencesWalking across countries,
Walking the worldShowing what we do, Surpassing the limits
WE CAN BE THE BEST NUTRITION, HEALTH AND AGRICULTURE AMBASSADORS
WE CAN CHANGE REALITY OF HUNGER IN THE WORLD
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