FAFSA-2

Food and Nutrition Technical Assistance III Project (FANTA)

FHI 360 1825 Connecticut Ave., NW Washington, DC 20009

Tel: 202-884-8000 Fax: 202-884-8432 Email: fantamail@fhi360.org Website: www.fantaproject.org

III

Multisector Program Integration

Roberta van HaeftenFSN Network Knowledge Sharing MeetingWashington DC, November 13-15, 2012

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Multisector Programs: Their Rationale

Logic

•Illustrated in the Food Security Conceptual Framework

Evidence

•Economic growth helps increase food demand and improve nutritional outcomes (World Bank)

•“Economic growth is good but not sufficient to improve child nutrition” (IFPRI)

Strong links between poverty (lack of income), lack of access to food, and undernutrition

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Food Security Conceptual Framework Developed for Use in the FAFSA-2

Adapted by Roberta van Haeften and Mary Ann Anderson from Riely et al., 1999 and UNICEF, 1990.

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Multisector Programs in Title II

USAID/FFP

Guidance

•No preference expressed for multisector programs

•Only guidance on how to handle if this option selected

Food Secur

ity Programmi

ng Framewor

ks

•Several recommended multisector programs and improvements in program integration

•Bangladesh, Burkina Faso, Malawi

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Multisector Programs During The FAFSA-2 Time Period

•Most programs included at least two technical sectors – AG/NRM/LH and MCHN

Popular

•The degree of integration

•The impact of integration

Not Well Documented

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Multisector Programs in FAFSA-2

Goal: Improve Food Security/Reduce Food

Insecurity

Strategic Objective: MCHN

(82 Programs)

Strategic Objective: AG/LH

(79 Programs)72 Programs

with Both Objectives

FAFSA-2 Universe – 101 Programs in 28 Countries

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Integration of Multisector Programs

• Definition – programs that have activities in two or more technical sectors operating in the same geographic area and/or serving the same target population

• Geographic co-location, i.e., delivering services in the same:– Country?– Major region?– Sub-unit (administrative

sub-division, agro ecological)?

– Community?– Household????

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Integration of Multisector Programs

Delivering program services to the same target groups?

Food Insecure Communities – Increasing Community Capacity and Reducing Vulnerability

Farm Households (Including the Food Insecure) – Improving Livelihoods and Incomes

Households with Children under Two and Pregnant and Lactating Women – Reducing Chronic Child Undernutrition

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Multisector Programs: Extent of Integration in FAFSA-2

At the Community Level:• CRS/Ethiopia• CRS/Madagascar• SC/Uganda

At the Household Level:• The four Guatemala

programs – CARE, CRS, SC, SHARE

• The four Haiti programs – CARE, CRS, SC, WV

Few programs reported on the extent of program integration

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Multisector Programs: Few Programs Reported on Results of Integration

BangladeshSC (FY 2005–2010) found that its program almost achieved its nutritional goals in the unions where it did both food access (LH) and food utilization (HN) interventions while nutritional improvement was minimal in unions where it only did HN.

CARE (FY 2005–2010) documented a positive correlation between the Household Dietary Diversity Score and number of project components in which households participated.

Bolivia

The joint final evaluation of the four programs concluded that the impressive reductions in stunting and underweight were due to doubling or quadrupling incomes plus effective CBGP, SBCC, and health services in the same communities.

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Multisector Programs: Constraints to Increased Integration

Serious trade-offs may be required due to differences in:– Resource requirements by sector– Program dynamics and time requirements– Coverage and capacities of government service

providers– Sustainability strategies

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This presentation is made possible by the generous support of the American people through the support of the Office of Food for Peace, Bureau for Democracy, Conflict and Humanitarian Assistance, and the Office of Health, Infectious Diseases and Nutrition, Bureau for Global Health, U.S. Agency for International Development (USAID), under terms of Cooperative Agreement No. AID-OAA-A-12-00005, through FANTA, managed by FHI 360. The contents are the responsibility of FHI 360 and do not necessarily reflect the views of USAID or the United States Government.