South Africa GNR Haddad Final

7/23/2019 South Africa GNR Haddad Final

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Johannesburg

October 2, 2015


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Assess Progress Identify Actions Improve Accountability

www.globalnutritionreport.org


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Stakeholder Group Independent Expert Group ! authors

"!# indicators$ %&'countries

open access data



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(hat is malnutrition)

(hy should your

country invest inimproving nutrition)

*ow bad is it in your

country and in SA+,) (hat you can do about

it

e


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-alnutrition

,hildren do not grow properly Adults are too thin

People are de/cient in vitamins 0 minerals Adults are overweight or obese

,aused by

Interaction of poor diets 0 unhealthy environments


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(hichever way you look atthe world1

1malnutrition a2ects every countrywww.globalnutritionreport.org


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3he 45ew 5ormal6

of countries aredealing with undernutrition 0overweight7obesity

8

1we need to seemalnutrition inmultipledimensions

9:



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(hy invest in nutrition)


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of allchild

deathsfrompoor

nutrition

9:8



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;backfor every ; invested

in nutrition programmes

3he economics isalso convincing

'! yearcompound

rate ofinterest of

%!8www.globalnutritionreport.org


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9! low andmiddleincome

countries(hat are thereturns toscaling upnutrition

interventions)

?%I@P=I !%9


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Progress on 5utrition Statusin SA+,


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"

'9 >

" &'% ''

':

9!9 9' 9'

9&

Fncourse

F2 course$ someprogress

F2 course$ noprogress

5ot enough data to makeassessment

Prevalence of under-5 stunting (%)

Some progress on reducing Stunting$ but mostSA+, countries are o2 course to meet (orld*ealth Assembly 3argets for !:


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' !>

>9

9& 9"9 9% 9% 9%

% !

"

Exclusive breastfeeding of infants below > months 8H

Fn course F2 course$ noprogress

5ot enough data to makeassessment

Some progress on increasing Exclusive


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%'

" " " & & & '''

9!99 9:

9&

Anaemia in women of reproductive age 8H

5ote? all data estimated. !%% Fncourse

F2 course

All SA+, countries o2 course to meet (orld*ealth Assembly 3argets for !: on Anemiain (omen


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% '

>&

'% '%

':

9% 9'9:

9"

:9 ::

ow 0increasing

*igh 0increasing

5ote? all data estimated. !%9. (*F

All SA+, countries o2 course to meet (orld*ealth Assembly 3argets for !: for AdultFverweight and Fbesity


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Stuntingchildren under :

(astingchildrenunder :Fverweightchildrenunder :Anemia

women aged%:9& years

Exclusive months

Adult

Fverweight #Fbesity


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(hat can Governments0 other stakeholders

do about it)


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%. Show ,ommitment


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South Africas Rankingin 2!5

Fverall? & out of 9: upfrom %> last yearH

%%79: in *ungerreduction

%:79: in -alnutritionreduction

www.hancindex.org


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Set Ambitious but =ealistic

3argets for 5utritionImprovement

Ambitious targets for

stunting)"igh #ediu$ o&

5amibia Kambia 3anBania

Kimbabwe

Global 5utrition =eport !%:$p.'%


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(hich SA+, countries are Signatories tothe !%'

5utrition for Growth ,ompact)Les 5o5amibia Angola

3anBania


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Noin the Scaling p 5utrition S5H-ovement

SA+, country a member ofS5)

Les 5o


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. -easure ,overageof Programmes


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'overage of rogra$s $attersAn example from Odisha, India

!%!

!

'!

9!

:!>!

!

"!

&!

%!!Pregnancy !> months >9 months

Avula et al.$ forthcomin

8 ofpopulation

receiving


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'. Strive for Policy,oherence

+ k h t d l i


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+o you know what your underlyingdeterminant dashboard looks like

for SA)

8 @ood insecure @AFH

5urses and -idwives7%!!! people

8 girls never in secondary school

nimproved water 8H

nimproved sanitation 8H

Gender ineMuality score !Olow$ % O highH

Gov Exp on *ealth$ Ed$ SP$ Ag as 8 of budgetH

:

9.&

!

:

:

!.9>

.:

http?77globalnutritionreport.org7/les7!%97%7gnr%9cpsouthafrica.pdf


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9. ,ash? Invest -ore in5utrition Actions


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+omestic


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-ore resources are needed fornutrition

to meet (*A undernutritiontargets

Spending on nutrition speci/c interventions$ !%:!:

x x

*overn$ent

s

+onors

=9+ and (orld


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:. ,ommunity?+elivery and

accountability

E t di thi h


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-aharashtra

Extraordinary things can happen

EconomicGrowth

Poverty

reduction

5utrition and*ealth#issions

ImprovedProgram

Performance

@rontlinenutrition sta2

recruited

5utrition

spending

tunting fell from '8 to 98 in year



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Participator

y budgeting

,itiBen

report cards

,ommunityscore card

Social Audit

3ools for social

accountability



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>. ,ount? Invest in+ata to -onitor

Success


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99

'! ! %& % %: %9 %9 %9

%%"

8 -issing indicators in the SA+, 5utrition ,ountry Pro/les

(hich SA+, countries are missingthe most data on nutrition indicators)

,alls to Action


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,alls to Action%. ,ommitment

Strengthen national targets on nutrition

-ake a 5utrition for Growth commitment at =io!%> Noin S5Q

. ,overage Increase coverage of nutrition programmes 0

measure coverageQ

'. ,oherence


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GN

R

(ant 4+esigner6


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3hank Lou

South Africa GNR Haddad Final

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