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    REACHENDING CHILD HUNGER AND UNDERNUTRITION

    REACH overview for journalists

    March 2012

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    Underlying

    causes athousehold /family level

    Malnutrition,death & disability

    Inadequate

    dietary intakeDisease

    Insufficient access

    to FOOD

    Immediatecauses

    Basic causes atsocietal level

    Conceptual framework for analysing the causes of malnutrition

    Outcomes

    Quantity and quality of actual resourceshuman, economic & organisational - and the way they are controlled

    Inadequatematernal & child

    CARE practices

    Poor water,

    sanitation &inadequate

    HEALTH services

    Potential resources: environment, technology, people

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    REACH multi-sector nutrition actions

    Interventions are proven and known to be effective.The challenge is to scale them up

    Improve breastfeedingand complementary

    feeding

    Improve hygiene andparasite control

    Hand washing with soap

    Household water treatment

    Bed nets and intermittent preventivetreatment

    Deworming

    Complementary feeding

    Exclusive breastfeeding

    Improve availability anddiversity of food andsupport livelihoods

    Increase treatment ofsevere acute malnutrition

    Food security

    HealthCare

    Increase micronutrientintake

    Strengthening local purchase

    from smallholder farmers

    Local homestead food

    production

    Transfers and safety nets

    Therapeutic feeding

    Micronutrient supplementationand fortification

    Supplementary feeding

    Improve maternal nutrition

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    UN Agencies/IFIs

    Private Sector/Corporations

    NGOs

    Donors

    AcademiaGovernment(lead)

    Building partnership and functional working teamDifferent partners have a role to play

    Aim is to make partnerships fully operational andoutput-oriented

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    Letter by 4 UN Agency HQs committing to REACH initiative

    [...]

    [...]

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    Increased efficiencyand accountability

    Strengthenednational policiesand programmes

    Increased capacityat all levels for

    action

    Increasedawareness of theproblem and of

    potential solutions

    Financing andresource

    mobilization

    Facilitated institutionalcapacity development

    to strengthen national capacity to scaleup evidence-based solutions

    Knowledge-sharing

    REACH develops institutional capacity for scaled-up action

    Situationanalysis

    Multi-sectorcoordination

    Policy andprogramme

    planning

    Monitoring andevaluation

    Outcomes

    Advocacy andcommunications

    REACH

    components

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    REACH approach adds value to existing country processesFeedback from Mauritania, Lao PDR, Mozambique, Bangladesh and regional hub in Senegal

    Expert and neutral facilitation ensures results-focused coordination that produces concreteoutputs and actions, and builds consensus across partners

    Skill set of facilitator complements technical know-how of partners: mediation, conflict-resolution, process and change management skills

    Institutional capacity development for planning and analysis, program design, coordination, andmonitoring through ongoing, in-service engagement with Government

    Platform for joint advocacy to elevate nutrition on national agenda

    Identification of clear synergies between operations and delivery mechanisms Proactively identify and overcome barriers to collaboration and scale-up

    Development of a sound investment case

    Maximizes impact of existing investments, and systematically and proactively mobilizesadditional resources for scale-up

    Country case disseminated as best practice through REACH knowledge sharing service

    REACH seeks to transform the way governments and donorsapproach planning and investing in nutrition

    Draft for discussion only

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    Growing adoption of REACH approach in West Africa

    MauritanieMali

    Niger

    Ghana

    SierraLeone

    Burkina

    Faso

    Chad

    Since 2008

    ECHO funding

    SUN member

    Since 2010

    BM-Gates funding

    SUN application on-going

    2012-2014

    EU funding

    SUN member

    2012-2014

    CIDA funding SUN member

    2012-2014

    CIDA funding

    SUN member

    REACH is also in present in 10 other countries inEast Africa and Asia

    2012?

    Fund-raising

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    Significant rapid improvements are possibleMalnutrition has been dropping in Mauritania since 2008

    48

    32 3130

    31

    2826.7

    24.5

    0

    10

    20

    30

    40

    50

    1990 2001 2006 2007 2008 2009 2010 2011

    %

    24%

    MDGTarget

    Children 6-59 months suffering from Underweight (lean season)

    Source: National Nutrition Action Plan (DHS, MICS, SMART, Rapide)

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    REACH toolsCoverage example from Lao PDR

    ~80% of districts cover less than 25% of

    population with package of 6+ interventions

    Note: Map produced by the NSC, July 2003. Coverage map reflects districts proposed for early implementation of MNCH core package as having full coverageSource: Poverty statistics reports, provincial committees/authorities

    A typical child in Lao PDR receives only ~4 of

    the interventions it needs

    Supplementaryfeeding (

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    UN Agencies/IFIs

    Private Sector/Corporations

    NGOs

    Donors

    AcademiaGovernment

    (lead)

    SUN movement focuses on mobilizing and organizing donors