110525 ifad sun progress nabarro

SUN

Scaling-Up Nutrition: IFAD’s contribution to Nutrition-sensitive Agriculture

May 25th 2011

2204440-53-Road Map-23Aug10-vs01-PK-MUN.ppt

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


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


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



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



High Coverage of Nutrition-Specific

Interventions

Policies that Prioritize Food, Nutrition and

Health Security for All

Nutrition-Sensitive

Development across

different sectors


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.


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


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


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


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


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


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


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.


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


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


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


SUN “EARLY RISER” COUNTRIES

FEBRUARY 2011

Bangladesh, Ethiopia, Ghana Guatemala, Malawi, Mozambique, Nepal, Peru, Senegal, Tanzania, Uganda Zambia

ADDITIONAL

BeninHaitiMaliNigerRwandaSierra Leone

INTERESTED

AfghanistanBurkina FasoCambodiaIndonesiaLaosMauretaniaPakistan


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


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


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+


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]


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


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 …….


National Authorities with in-country local authority, civil

society, business and scientific

partners

Roles of Agriculture, Health, Social Welfare, Education, Relief, Employment, Gender…


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

110525 ifad sun progress nabarro

Health & Medicine

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