Raising Nutrition Awareness
Transcript of Raising Nutrition Awareness
Raising Nutrition Awareness
› Workshop for FDOV/SDGP advisors
› Utrecht, 28 October 2019 The Netherlands Working Group on international Nutrition, represented by Herbert Smorenburg
Arine Valstar Marijke de Graaf
› Who is who?
› Today’s workshop
– Context of our assignment
– Why Nutrition?
– Framework for Nutrition Improvement
– Application to three types of FDOV/SDGP projects
– Coffee break
Introduction
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– Example project
– Indicators and M&E tools for nutrition
– Next steps
– End (13.00)
› Marijke de Graaf, ICCO
› Nutritionist, who worked for UNICEF in Latin America and Asia, and is now responsible for ICCO’s food and nutrition security (FNS) policy
› Provides guidance on design, planning, implementation and monitoring of FNS programs
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› Herbert Smorenburg, Partnering with Purpose BV
› Helps partnerships to become more effective and efficient to contribute to a better world
› Provides advice, in-company training, lectures, mentoring/coaching of individuals and interim-management of organisations and collaborations
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Levels of nutrition skill
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Know
Knows how
Shows how
Does
Knows about
Heard of
Miller’s pyramid
Nutritionists
Advisors and
project owners
• 1 in 3 people worldwide are malnourished
• Leading cause of poor health
• Unhealthy diets pose a greater risk to morbidity and mortality than does unsafe sex, and alcohol, drug, and tobacco use combined.
• 6 of the top 10 risk factors are diet related
• Enormous economic and human capital costs
Why Nutrition?
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Sources: see Reference slide
Occupational risks
High total cholesterol
Tobacco
Alcohol and drug use
High body mass index
High fasting plasma glucose
Air pollution
High systolic blood pressure
Dietary risks
Child and maternal malnutrition
The Global Burden of Disease:
6 of the top 10 Risk Factors for are Diet Related
DALYs
Different forms of malnutrition co-exist
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• Childhood stunting
• height for age < -2 std dev.
• Anaemia and other micronutrient deficiency related disorders
• Overweight and Obesity (risk factor for non-communicable diseases)
• Body Mass Index > 25 kg/m2
End hunger, achieve food security and improved nutrition and promote sustainable agriculture
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Targets (Nutrition focused)
2.1 By 2030, end hunger and ensure access by all people, in particular the poor and people in vulnerable situations, including infants, to safe, nutritious and sufficient food all year round
2.2 By 2030, end all forms of malnutrition, including achieving, by 2025, the internationally agreed targets on stunting and wasting in children under 5 years of age, and address the nutritional needs of adolescent girls, pregnant and lactating women and older persons
2.3 …
Indicators
2.1.1 Prevalence of undernourishment
2.1.2 Prevalence of moderate or severe food insecurity in the population, based on the Food Insecurity Experience Scale (FIES)
2.2.1 Prevalence of stunting (height for age <-2 standard deviation from the median of the World Health Organization (WHO) Child Growth Standards) among children under 5 years of age
2.2.2 Prevalence of malnutrition (weight for height >+2 or <-2 standard deviation from the median of the WHO Child Growth Standards) among children under 5 years of age, by type (wasting and overweight)
Improving nutrition can have a powerful and positive multiplier effect across multiple aspects of development, including poverty, environmental sustainability, and peace and stability.
“Nutrition is one of the best drivers of development: it sparks a virtuous cycle of socioeconomic improvements, such as increasing access to education and employment.”
Kofi Annan, 2018
Nutrition as driver of development
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› Reflect on one of the listed project(s)
› Identify where in this framework your project may contribute
› Write keyword on a post-it
› Present to group
How does your project contribute to nutrition?
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Project name Programme Country Outcome 1
Outcome 2 Outcome 3
RiceTechCambodia: Adding value to the organic rice sector in Cambodia leading to inclusive growth
SDGP Cambodia increased income
South Senegal Rice on the Rise
SDGP Senegal increased income
increased resilience
increased local and national food security
Sugar and Steam - Sustainable Intensification of Agro-Forestry Production Systems
SDGP Indonesia increased income
increased income for women
Development of sustainable bean value chains for smallholders to increase food security in Zimbabwe
FDOV Zimbabwe increased access to dry beans
Inclusive milk supply chain development to increase food security
FDOV Bhutan increased availability
fortified milk at schools (?)
She Sells Shea-35,000 women entrepeneurs making a living
FDOV Burkina faso increased women entrepreneurship
increased income
increased nutrition
Source: based on aiddata.rvo.nl
Overview SDGP portfolio
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Project name
Programme Country Outcome 1 Outcome 2 Outcome 3
Agroforestry interventions for uphill food and income security and downhill tea plantation protection
SDGP Rwanda increased income access to nutritious foods
Circular Coffee from Peru: creating value across the chain SDGP Peru increased food security
East: Africa, Tanzania: a Farmers’ Roadmap of Expanding Successful Horticulture (EAT: FRESH)
SDGP Tanzania, united republic of
high quality, high value vegetables
EcoCajou - Cashew processing in Northern Côte d’Ivoire SDGP Côte d'ivoire fair working conditions
Fish Farming Value Chain Development Project in Burundi SDGP Burundi new fishfarmers Going Bananas - Restoring Livelihoods of Conflict Affected Farmers in Cotabato
SDGP Philippines (the) increased income increased nutritional value and food security
Increased Maize Value Chain Efficiency in Rwanda SDGP Rwanda less aflatoxin increased income
Increased potato value chain efficiency in Great Lakes Region SDGP Rwanda increased productivity
LEAP2 Bridging the digital Gap SDGP Kenya increased income increased income for women and youth
Lions oignons: Improving the onion value chain in Senegal based on the Dutch three-pillar approach
SDGP Senegal improved local productivity small holder farmers
MasterPeas, Myanmar Pulses for agricultural growth, higher incomes and nutrition
SDGP Myanmar increased income improved access to pulses
RiceTechCambodia: Adding value to the organic rice sector in Cambodia leading to inclusive growth
SDGP Cambodia increased income
South Senegal Rice on the Rise SDGP Senegal increased income increased resilience increased local and national food security
Sugar and Steam - Sustainable Intensification of Agro-Forestry Production Systems
SDGP Indonesia increased income increased income for women
SupporTing EnVironmentally sound stevia production for improved Income in Madagascar
SDGP Madagascar increased income
Sustainable and Accessible Fish for All SDGP Myanmar increased income promotion of fish to consumers
Sustainable Food and Nutrition Security and Transforming Smallholders’ Livelihood in Madhya Pradesh, India
SDGP India reduce malnutrition in rural groups
improved access to healthy and diverse food
improved income
Transforming Nigeria’s Vegetable Markets SDGP Nigeria increased productivity domestic vegetables
improved dietary balance of rural households
Source: based on aiddata.rvo.nl
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Project name
Programme Country Outcome 1 Outcome 2 Outcome 3
Dairy Farm Equipment, Ethiopia FDOV Ethiopia increased income increased access to milk & milk products
Development of a sustainable dairy sector in Vietnam FDOV Viet nam increased affordability increased quality
Development of sustainable bean value chains for smallholders to increase food security in Zimbabwe
FDOV Zimbabwe increased access to dry beans
Development of sustainable dairy villages in Indonesia FDOV Indonesia increased access / affordability increased quality
Fair Planet five year plan for Ethiopia FDOV Ethiopia increased yield high value vegetables
Farming crickets for food and business FDOV Kenya, Uganda increased availability increased consumption
Food for all Project in Kenya (F4APK) FDOV Kenya increased production of bananas, vegetables and high value products like milk and French beans
Food Security through improved resilience of small scale producers
FDOV Kenya, Ethiopia improved productivity of crops for local markets
improved resilience
Food security via vertical integration of a new Kenyan pot chain FDOV Kenya increased productivity of potatoes
FoodTechAfrica FDOV Kenya increased production of fish
Going Nuts FDOV Malawi less aflatoxin
Inclusive milk supply chain development to increase food security FDOV Bhutan increased availability fortified milk at schools (?) Market Access & Food Security for Nicaraguan coffee & cocoa farmers
FDOV Nicaragua increased food security nutrition education changing eating habits
PPP Macadamia Value Chain Enhancement FDOV Malawi increased income smallholders
She Sells Shea-35,000 women entrepeneurs making a living FDOV Burkina faso increased women entrepreneurship
increased income increased nutrition
Sustainable and affordable poultry for all FDOV Myanmar increased affordability
Overview FDOV portfolio
Source: based on aiddata.rvo.nl
FDOV/SDGP: three clusters of pathways that may lead to nutrition improvement
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Income
Improved diet
Access
Income
› Impact depends on – Intra-household dynamics (inclusion of women)
– Awareness and attitudes
– Food access
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Relevant interventions Indicators and M&E
Women Empowerment Gender disaggregated data for reach interventions Women’s Empowerment in Agriculture Index (WEAI)
Nutrition education and Social and Behaviour Change Communication
Nutrition and food safety-related knowledge and attitudes (KAP) survey
Food access interventions Household food insecurity scale (HFIAS) and Months of Adequate Household Food Provisioning (MAHFP)
Access to a specific food crop
› Impact depends on:
– nutritional value
– dietary gap
– affordability and accessibility to target group throughout the year
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Relevant interventions Indicators and M&E
All mentioned for income + • Nutritional relevance of crop • Accessibility to vulnerable groups (BoP, children,
women,…) • Uptake of improved post-harvest and processing practices • Increased demand for, purchase and/or consumption of
nutritious crop • Food frequency questionnaire
In case of nutrient dense crops: • Adequate post-harvest handling and processing • Promotion of own consumption
In case of staple or non-food crops: • Alongside homestead food production
Improved diet
› Meaning: a diet that is diverse, healthy and adequate. The diet should:
– cover all nutritional needs: energy, proteins, micronutrients , essential fats, fibre and water
– be suitable for the age of the targeted group
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Relevant interventions Indicators and M&E
All mentioned for income and access + • Minimum Acceptable Diet (MAD) for 6-24 months old infants and children
• Minimum Dietary Diversity (MDD-W) for women of reproductive age
Participatory appraisal of dietary habits (involve people in assessing their own food and nutrition situation and identifying the causes of food and nutrition problems according to their perceptions)
Cooking / food processing demonstrations
An alternative perspective: Workforce nutrition
› Workforce nutrition programmes
– Organised by employer
– Part of the solution to malnutrition
– Important for business returns and, ultimately, on GDP
– Most suitable where employer can organise interventions at the workplace and make these accessible to the entire workforce
› Interventions
– Healthy food at work
– Nutrition education
– Nutrition-focused health checks
– Breastfeeding support
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Source: GAIN, Workforce Nutrition evidence briefs, 2019 https://nutritionconnect.org/resource-center/workforce-nutrition-evidence-briefs
› All information available on NWGN website https://the-nwgn.org/information/tools-methods/
› Invitation to all project owners by RVO: w/c 28 Oct.
› We will organise:
– a 1 hr webinar to explain the essentials (Nov)
– a 3 hr workshop in NL, similar to today’s workshop (Nov)
– consultation sessions where we are available to project teams (Nov)
› We hope that this will result in increased nutrition awareness in FDOV & SDGP projects and lead to tangible and measurable contributions towards improved nutrition.
What’s next?
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› Don’t forget to fill out the evaluation survey
› For further information and questions don’t hesitate to contact us:
– Herbert Smorenburg
– Email: [email protected]
– Tel: +31627011363
– Skype: Herbert_Smorenburg
Questions / recommendations
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References
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› Why Nutrition?
Sources: Development Initiatives, 2018 Global Nutrition Report: Shining a light to spur action on nutrition. Bristol, UK, 2018. Institute for Health Metrics and Evaluation (IHME), University of Washington. GBD Compare Data Visualization. Seattle, USA, 2018. Available from http://vizhub.healthdata.org/gbd-compare. (Accessed 26 August 2019) Global Panel on Agriculture and Food Systems for Nutrition. Cost of malnutrition, https://glopan.org/cost-of-malnutrition
Herforth, A. & Ballard, T. 2016. Nutrition indicators in agriculture projects: current measurements, priorities and gaps. Global Food Security. Available at: https://www.sciencedirect.com/science/article/pii/S2211912415300109
(accessed 26 August 2019)
› Simplified Framework for Nutrition Improvement