Baseline Report - SUNscalingupnutrition.org/.../SUN_Baseline_Report_ENG... · 1.1. the purpose of the baseline study 5 1.2. the methodologies used in the baseline study 5 chapter

Baseline Report

September 2012

SUN Movement Secretariat

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Table of Contents

TABLE OF CONTENTS 2

ABBREVIATIONS 3

EXECUTIVE SUMMARY 4

CHAPTER 1 – INTRODUCTION 5

1.1. THE PURPOSE OF THE BASELINE STUDY 5

1.2. THE METHODOLOGIES USED IN THE BASELINE STUDY 5

CHAPTER 2 - SUN IMPACT 6

2.1. BASELINE FOR IMPACT IN LINE WITH WHA GLOBAL NUTRITION TARGETS 6

2.2. BASELINE FOR NUTRITION-SPECIFIC AND NUTRITION-SENSITIVE IMPACT 10

CHAPTER 3- SUN OUTCOMES 15

3.1 INTRODUCTION: RATIONALE AND METHODOLOGY 15

3.2 SUN MOVEMENT OUTCOMES: PROGRESS MARKERS IN FOUR PROCESSES 17

3.3 BASELINE FOR OUTCOMES AT COUNTRY LEVEL (COUNTRY PAGES) 19

3.4 BASELINE FOR OUTCOMES AT GLOBAL LEVEL 78

CHAPTER 4 - SUN OUTPUTS 81

4.1 INTRODUCTION TO SUN MOVEMENT OUTPUTS 81

4.2 BASELINE FOR OUTPUTS OF THE LEAD GROUP 82

4.3 BASELINE FOR OUTPUTS OF THE SECRETARIAT 82

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Abbreviations

CFS CommitteeonWorldFoodSecurity

CSA CivilSocietyAlliance(referstoCSONetworkatcountrylevel)

CSO CivilSocietyOrganisation

LG LeadGroup

M&E MonitoringandEvaluation

MDG MillenniumDevelopmentGoals

MSP Multi-StakeholderPlatform

PM ProgressMarker

PPP PublicPrivatePartnership

REACH RenewedEffortsAgainstChildHungerandundernutrition

SBN SUNBusinessNetwork

SCN StandingCommitteeforNutrition

SMS SUNMovementSecretariat

SUN ScalingUpNutrition

UN UnitedNations

WHA WorldHealthAssembly

WHO WorldHealthOrganisation

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Executive Summary

InSeptember2012,theSUNMovementStrategy2012–2015wasendorsedbytheSUNLeadGroup,creatinganimportantmilestoneinthelifetimeoftheSUNMovement.Animportantelementofthisstrategyistheresolutionacrossthemovementtopursuemutualaccountabilityfortheresultsofthemovementasawholeandthecontributionoftheindividualconstituentpartsthatmakeupthemovement.

Torealisethisambitionofmutualaccountability,acomprehensiveM&EFrameworkhasbeenadoptedtomeasureresultsofthemovementattheimpact,outcomeandoutputlevels.ThisM&EFrameworkhasbeenusedinmakingthefirstmeasurementofthestatusoftheMovementatallthreelevelsasofSeptember2012,andtherebyestablishingthebaselinefortheMovement.

TheresultsofthisfirstmeasurementaredescribedinthisbaselinereportwhichaimstoprovideacomprehensiveandaccuratepictureofthesituationacrosstheSUNMovementinSeptember2012.ThisbaselineismeanttoserveasareferencepointagainstwhichtocapturefutureprogressandachievementsacrosstheMovementintermsofimpact,outcomeandoutput.Assuch,thebaselinewillenabletheconstituentpartsoftheSUNMovementtobeaccountabletoeachotherandtomothersandchildrenatriskofunder-nutrition

ThereportreflectsdescriptivebaselineinformationconcerningthedesiredimpactoftheSUNMovementinlinewiththeWHAglobalnutritiontargetsandintermsofasetofagreednutrition-specificand–sensitiveimpactindicators.Inaddition,thereportreflectsbaselineinformationontheoutcomelevelintermsofbehaviouralcharacteristicsofthevariousconstituentpartsoftheSUNMovementatglobalandcountrylevels.Lastly,thereportreflectsbaselineinformationontheoutputlevelintermsofthecontributionoftwokeyentitiesintheMovement’sgovernancestructure,namelytheSUNLeadGroupandtheSUNMovementSecretariat.

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CHAPTER 1

Introduction

1.1. The purpose of the Baseline Study

ThebaselineinformationpresentedinthisreportprovidesareferencepointforthemonitoringandevaluationoftheprogressandachievementsoftheSUNMovement.TheinformationisstructuredaccordingtotheSUNMovementM&EFrameworkdevelopedinconsultationwiththeSUNNetworksandpresentedtotheSUNLeadGroupattheirmeetingonApril10,2013.ItcapturesthestartingsituationoftheMovementatthetimetheSUNMovementStrategyandtherevisedSUNRoadMapwereapprovedinSeptember2012.

ThebaselineinformationcollectedandvalidatedbythevariousconstituenciesoftheMovementsetsthegroundforfutureM&Eactivities.ThisismeanttoenablemutualaccountabilityandlearningamongthevariouspartsthatmakeuptheMovement(CountryGovernments,Donors,CivilSocietyOrganisations,UNAgencies,PrivateSector,LeadGroupandSUNMovementSecretariat).InadditionitwillenabletheMovementtobeaccountabletotheindividuals,familiesandcommunitieswhoareatriskofunder-nutrition.

1.2. The methodologies used in the Baseline Study

Thebaselineprovidesameasurementofanagreedsetofindicatorsonnutritionacrosscountries(i.e.impactlevel),anoverviewofthecontributionsofthevariousconstituentpartsatglobalandcountrylevelsthatmakeuptheMovement(i.e.outcomelevel)andthecontributionsoftheLeadGroupandtheSMS(i.e.outputlevel).DifferentmethodshavebeenusedtocollectinformationforeachofthesethreelevelsallusingSeptember2012asthebaselinedate.

1. Secondarydatatoassessthestatusoftheagreednutritionindicatorsbycountry,region,ageandgenderforinformationonImpactlevel;

2. OutcomeMapping1usingexistingdatacomplementedbyasurveytocapturebehaviouralcharacteristicsoftheconstituentpartsthatmakeuptheSUNMovement,i.e.informationonOutcomelevel.

3. DatacollectedbytheSMStodeterminethebaselinesituationintermsofcontributions/servicesprovidedbytheLeadGroupandtheSMSatOutputlevel.

1 ReferenceismadetotheM&Eframeworkdocument,foradetaileddescriptionofhowtheOutcomeMappingmethodologyisappliedhttp://scalingupnutrition.org/wp-content/uploads/2013/05/SUN-ME-Framework.pdf

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CHAPTER 2

SUN Impact

ThischapterreflectsthebaselineinformationconcerningthedesiredimpactoftheSUNMovement,i.e.SUNcountriesdemonstratingsignificantreductionsinunder-nutritioninlinewithglobaltargetsestablishedbythe2012WorldHealthAssembly:

• 40%reductionoftheglobalnumberofchildrenunderfivewhoarestunted;

• Reducingandmaintainingchildwastingtolessthan5%;

• 30%reductionoflowbirthweight;

• Noincreaseofchildoverweight;

• 50%reductionofanaemiainwomenofreproductiveage;

• Increaseexclusivebreastfeedinginthefirstsixmonthsoflifeuptoatleast50%.

Inaddition,chapter2.2reflectsbaselineinformationonanagreedsetofnutrition-specificand-sensitiveindicators.

2.1. Baseline for impact in line with WHA global nutrition targets

ThebaselineinformationontheimpactoftheSUNMovementconsistsofcomparativedataacrossSUNcountriesonthefollowingindicatorsofnutritioninlinewiththeWHAglobalnutritiontargets(seecompositetable1onthenextpage);

• U5 Stunting –Thepercentageofchildrenunderfiveyearsoldwhoseheight-for-ageisbelowminustwostandarddeviationsfromthemedianoftheWHOChildGrowthStandards.

• U5 Wasting –Theproportionofchildrenunderfivewhoseweightforheightismorethantwostandarddeviationsbelowthemedianfortheinternationalreferencepopulationages0-59.

• U5 Over Weight –Theprevalenceofoverweightchildrenisthepercentageofchildrenunderage5whoseweightforheightismorethantwostandarddeviationsabovethemedianfortheinternationalreferencepopulationofthecorrespondingageasestablishedbytheWHO’snewchildgrowthstandardsreleasedin2006.

We define impact as the ultimate, final changes in the nutritional well-being of women and children worldwide towards which we strive to contribute with broad cross-sector and cross-agency coordination.

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Imp

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• Low-birth weight –Thepercentageofallbirthswithnew-bornsweighinglessthan2,500grams,withthemeasurementtakenwithinthefirsthoursoflife,beforesignificantpostnatalweightlosshasoccurred.

• 0-6 months Exclusive Breastfeeding–Thepercentageofinfantsofage0to5monthswhoreceivedonlybreastmilk,withnoothersolidsorliquids,includingwater.

• Anaemia 15-49 years–Theprevalenceanemiaamongwomenofreproductiveage(15-49years).

The impact baseline data are based on the findings of the most recent validated national survey (see reference in the last column of table 1). The current data sources include:

• Demographic and Health Surveys (DHS)

• Multiple Indicator Cluster Survey (MICS)

• National Family Health Surveys

• National Maternal-Infant Health Surveys (ENSMI)

• Nutrition and food security survey

• FAO Strengths, weaknesses, opportunities and constraints/threats (SWOC)

• Database of Joint Monitoring Programme for Water Supply and Sanitation (JMP)

• The State of the World’s Midwifery Report (SOWMR)

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Imp

act

8Tab

le 1

. Co

mp

arat

ive

imp

act

dat

a ac

ross

SU

N c

ou

ntr

ies

on

th

e in

dic

ato

rs in

lin

e w

ith

th

e W

HA

glo

bal

nu

trit

ion

tar

ge

ts

Co

un

try

U5

Stu

nti

ng

U5

Was

tin

gU

5 O

ver

We

igh

tLo

w-b

irth

w

eig

ht

0-6

mo

nth

sE

xclu

sive

Bre

astf

ee

din

g

Dat

a S

ou

rce

sA

nae

mia

So

urc

e d

e

do

nn

ée

s

Bang

lade

sh41

.3%

15.6%

1.5%

21.6%

63.5%

DHS20

1129

.0%

WHO

200

1

Beni

n37

.0%

4.7%

9.0%

12.5%

43.1%

DHS20

06/AGV

SAN

2008

64.6%

WHO

200

1

Burk

ina

Faso

34.6%

15.5%

7.7%

16.2%

24.8%

DHS20

1038

.9%

WHO

199

3

Buru

ndi

57.7%

5.8%

2.7%

10.7%

69.3%

DHS20

1019

.0%

-

Ethi

opia

44.4%

9.7%

1.7%

10.8%

52.0%

DHS20

1123

.9%

WHO

200

5

Gha

na28

.0%

8.5%

5.3%

10.0%

62.8%

DHS20

0841

.4%

WHO

200

3

Gua

tem

ala

43.4%

0.9%

4.9%

11.4%

50.6%

ENSM

I200

8-20

0920

.2%

WHO

200

2

Hai

ti23

.0%

9.1%

3.9%

4.2%

40.6%

DHS20

05-200

645

.2%

WHO

200

5-20

06

Indo

nesi

a37

.0%

13.3%

12.2%

5.5%

41.5%

DHS20

07Noda

ta-

Kyrg

yz R

epub

lic17

.7%

2.7%

8.5%

5.3%

56.1%

DHS20

12Noda

ta-

Lao

PDR

44.0%

6.0%

0.8%

10.8%

26.4%

MICS20

06Noda

ta-

Mad

agas

car

50.1%

15.2%

6.2%

12.7%

50.7%

DHS20

08-200

944

.9%

WHO

200

3-20

04

Mal

awi

47.1%

4.0%

8.3%

12.3%

71.4%

DHS20

1045

.8%

WO200

4-20

05

Mal

i27

.8%

15.2%

4.7%

14.4%

37.8%

DHS20

0659

.5%

WHO

200

1

Mau

rita

nia

18.0%

11.9%

1.3%

33.7%

11.4%

MICS20

07Noda

ta-

Moz

ambi

que

42.6%

5.9%

7.4%

16.0%

41.1%

DHS20

1152

.8%

WHO

199

8

Nam

ibia

29.0%

7.5%

4.3%

14.0%

23.9%

DHS20

06-200

7Noda

ta-

Nep

al40

.5%

10.9%

1.4%

12.4%

69.6%

DHS20

1134

.0%

WHO

200

6

Nig

er47

.0%

10.3%

3.5%

20.5%

13.5%

DHS20

0643

.4%

WHO

200

6

Nig

eria

40.6%

13.9%

8.8%

7.6%

13.1%

DHS20

0862

.0%

WHO

199

3

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9

Co

un

try

U5

Stu

nti

ng

U5

Was

tin

gU

5 O

ver

We

igh

tLo

w-b

irth

w

eig

ht

0-6

mo

nth

sE

xclu

sive

Bre

astf

ee

din

g

Dat

a S

ou

rce

sA

nae

mia

So

urc

e d

e

do

nn

ée

s

Peru

19.5%

0.4%

9.8%

6.5%

70.6%

DHS20

1138

.2%

WHO

200

4

Rwan

da44

.2%

2.8%

6.7%

6.2%

84.9%

DHS20

1032

.6%

WHO

200

5

Sene

gal

15.5%

8.8%

2.5%

15.9%

39.0%

SMAR

T20

12/D

HS

2010

-11

57.5%

WHO

200

5

Sier

ra L

eone

44.4%

8.5%

9.6%

10.5%

31.6%

MICS20

10Noda

ta-

Tanz

ania

42.0%

4.8%

5.0%

6.9%

49.8%

DHS20

1046

.9%

WHO

200

4-20

05

The

Gam

bia

28.0%

6.4%

2.3%

19.9%

40.8%

MICS20

05-200

6Noda

ta-

Uga

nda

33.4%

4.7%

3.4%

14.0%

62.0%

DHS20

1126

.3%

WHO

200

0-20

01

Zam

bia

45.4%

5.2%

7.9%

4.4%

60.9%

DHS20

07Noda

ta-

Zim

babw

e32

.0%

3.0%

5.5%

9.5%

31.4%

DHS20

10-201

138

.3%

WHO

199

8

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Inadditiontomonitoringimpactintermsoftheglobalnutrition-relatedtargets,country-levelimpactwillalsobemonitoredusingnationalnutritiongoalsaddressingcountry-specificcausesofunder-nutrition,suchasincreasedaccesstoaffordablenutritiousfood,cleanwater,sanitation,healthcareandsocialprotection.ThesegoalsareconsideredoutsidethescopeofthisMovement-widebaselinereport.

2.2. Baseline for nutrition-specific and nutrition-sensitive impact

InadditiontotheWHAglobalnutritiontargets,theimpactoftheSUNMovementismeasuredthroughasetofnutrition-specificand-sensitiveindicatorsacrossSUNcountriesasdescribedbelow.Thebaselinemeasurementsaccordingtotheseindicatorsarereflectedincompositetables2and3onthenextpages.

Nutrition-specific indicators (table 2):

• 4+ food groups (6-23) –Theproportionofchildren6-23monthsofagewhoreceivefoodsfrom4ormorefoodgroups.

• Children IYCF (6-23) –Theproportionofinfantsandyoungchildren(6-23monthsofage)whoareappropriatelyfed.

• Zinc treatment–Theprevalenceofchildrenwhoweregivenzincaspartoftreatmentforacutediarrhoea.

• 4+ ANC for pregnant women–Thepercentageofwomenaged15-49withalivebirthinagiventimeperiodthatreceivedantenatalcarefourormoretimesduringpregnancy

• De-worming (12-59) –Thepercentageofchildren(12-34monthsor12-59months)receivingde-wormingdrugschildrentoreducelossesofnutrients.

• Vitamin A (6-59)–Thepercentageofchildrenbetweentheagesof6monthsand59monthsreceivingatleastonehigh-dosevitaminAsupplementinthepastsixmonthspriortosurvey.

• Presence of iodized salt in household –Thepercentageofhouseholdswithatleast15ppmofiodinelevelinhouseholdsalt.

Nutrition-sensitive indicators (table 3),aselectionoftheMDGIndicators21

• Access to improved water (% population)

• Access to improved sanitation (% population)

• Access to primary school enrolment

• Unmet need for family planning

• Percentage of births attended by skilled health personnel

12 DefinitionscanbefoundontheofficialUnitedNationssitefortheMDGIndicators http://mdgs.un.org/unsd/mdg/Host.aspx?Content=Indicators/OfficialList.htm

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. Co

mp

arat

ive

imp

act

dat

a ac

ross

SU

N c

ou

ntr

ies

on

th

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utr

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n-s

pe

cifi

c in

dic

ato

rs

Co

un

try

4+ f

oo

d

gro

up

s (6

-2

3)

Ch

ildre

n

3 IY

CF

(6

-23)

Zin

c tr

eat

me

nt

4+ A

NC

fo

r p

reg

nan

t w

om

en

De

-wo

rmin

g

(12

-59

)D

ata

So

urc

eV

itam

in

A (

6-5

9)

Dat

a S

ou

rce

Pre

sen

ce o

f io

diz

ed

sal

t in

ho

use

ho

ld

Dat

a

Bang

lade

sh25

.2%

20.9%

40.8%

25.5%

50.2%

DHS20

1159

.6%

DHS20

1182

.3%

DHS20

11

Beni

n61

.2%

32.3%

Noda

ta60

.5%

Noda

taDH

S20

0610

0.0%

SWOC20

1067

.0%

SOWC20

7

Burk

ina

Faso

6.0%

3.1%

0.4%

33.7%

12.8%

DHS20

1063

.0%

DHS20

1095

.9%

DHS20

10

Buru

ndi

18.5%

8.8%

0.1%

33.4%

62.4%

DHS20

1080

.7%

DHS20

1096

.1%

DHS20

10

Ethi

opia

4.8%

4.1%

Noda

ta19

.1%

21.0%

DHS20

1153

.1%

DHS20

1115

.6%

DHS20

11

Gha

na68

.9%

36.2%

1.8%

78.2%

41.9%

DHS20

0855

.8%

DHS20

08Noda

taDH

S20

08

Gua

tem

ala

Noda

taNoda

taNoda

taNoda

taNoda

ta-

36.0%

SWOC20

1076

.0%

SOWC20

07

Hai

tiNoda

taNoda

taNoda

taNoda

taNoda

ta-

21.0%

SWOC20

103.0%

SOWC20

06

Indo

nesi

a76

.3%

41.2%

Noda

ta81

.5%

Noda

taDH

S20

0768

.5%

DHS20

07Noda

taDH

S20

07

Kyrg

yz

Repu

blic

Noda

taNoda

taNoda

taNoda

taNoda

ta-

97.0%

SWOC20

1076

.0%

SOWC20

06

LAO

PD

RNoda

taNoda

taNoda

taNoda

taNoda

ta-

83.0%

SWOC20

1084

.0%

SOWC20

06

Mad

agas

car

62.8%

2.7%

1.4%

49.3%

69.1%

DHS20

08-09

72.2%

DHS20

08-09

52.6%

DHS20

08-09

Mal

awi

29.4%

18.5%

0.2%

45.5%

68.7%

DHS20

1085

.6%

DHS20

1097

.2%

DHS20

10

Mal

iNoda

taNoda

taNoda

taNoda

taNoda

ta-

99.0%

SWOC20

1079

.0%

SOWC20

06

Mau

rita

nia

Noda

taNoda

taNoda

taNoda

taNoda

taMICS20

0755

.5%

MICS20

071.6%

MICS20

07

Moz

ambi

que

Noda

taNoda

taNoda

taNoda

taNoda

taNoda

ta10

0.0%

SWOC20

1025

.0%

SOWC20

08

Nam

ibia

61.0%

25.8%

Noda

ta70

.4%

9.1%

DHS20

06-07

51.5%

DHS20

06-07

Noda

ta-

Nep

al28

.5%

24.4%

11.4%

50.1%

83.7%

DHS20

1190

.4%

DHS20

1180

.0%

DHS20

11

Nig

erNoda

taNoda

taNoda

taNoda

taNoda

ta-

98.0%

SWOC20

1032

.0%

SWOC20

10

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act

12

Co

un

try

4+ f

oo

d

gro

up

s (6

-2

3)

Ch

ildre

n

3 IY

CF

(6

-23)

Zin

c tr

eat

me

nt

4+ A

NC

fo

r p

reg

nan

t w

om

en

De

-wo

rmin

g

(12

-59

)D

ata

So

urc

eV

itam

in

A (

6-5

9)

Dat

a S

ou

rce

Pre

sen

ce o

f io

diz

ed

sal

t in

ho

use

ho

ld

Dat

a

Nig

eria

54.9%

30.2%

0.7%

44.8%

21.3%

DHS20

0825

.8%

DHS20

0851

.5%

DHS20

08

Peru

Noda

taNoda

taNoda

ta94

.2%

28.7%

DHS20

113.9%

DHS20

11Noda

ta-

Rwan

da25

.8%

16.8%

Noda

ta35

.4%

86.1%

DHS20

1092

.9%

DHS20

1099

.3%

DHS20

10

Sene

gal

Noda

ta9.2%

0.2%

50.0%

18.7%

DHS20

10-11

78.4%

DHS20

10-11

41.5%

DHS20

10-11

Sier

ra L

eone

27.4%

22.7%

6.1%

74.7%

37.0%

MICS20

1090

.6%

MICS20

1091

.7%

MICS20

10

Tanz

ania

56.4%

21.3%

4.7%

42.7%

49.6%

DHS20

1060

.8%

DHS20

1058

.5%

DHS20

10

The

Gam

bia

Noda

taNoda

taNoda

taNoda

taNoda

ta-

100.0%

SWOC20

1021

.0%

SWOC20

10

Uga

nda

12.8%

5.8%

1.9%

47.6%

50.2%

DHS20

1156

.8%

DHS20

1199

.0%

DHS20

11

Zam

bia

65.7%

37.3%

Noda

ta60

.3%

70.0%

DHS20

0792

.0%

SWOC20

10Noda

taSW

OC20

10

Zim

babw

e23

.5%

11.0%

0.1%

64.8%

2.6%

DHS20

10-11

65.6%

DHS20

10-11

94.0%

DHS20

10-11

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act

13Tab

le 3

. Co

mp

arat

ive

imp

act

dat

a ac

ross

SU

N c

ou

ntr

ies

on

th

e n

utr

itio

n-s

en

siti

ve in

dic

ato

rs

Co

un

try

Acc

ess

imp

rove

d

wat

er (%

p

op

)

Acc

ess

imp

rove

d

san

itat

ion

(%

po

p)

Dat

a S

ou

rce

Acc

ess

to

p

rim

ary

sch

oo

l e

nro

lme

nt

Dat

a S

ou

rce

Un

me

t n

ee

d

for

fam

ily

pla

nn

ing

Dat

a S

ou

rce

% B

irth

s at

ten

ded

b

y sk

illed

p

erso

nn

el

Dat

a S

ou

rce

Bang

lade

sh98

.5%

36.6%

DHS20

1174

.8%

DHS20

1113

.5%

DHS20

1131

.7%

DHS20

11

Beni

n75

.0%

13.0%

JMPDa

taba

se,2

010

89.0%

UNESCO

20

0829

.9%

DHS20

0674

.0%

SOWMR20

11

Burk

ina

Faso

77.0%

29.5%

DHS20

1044

.4%

DHS20

1023

.8%

DHS20

1067

.1%

DHS20

10

Buru

ndi

75.5%

31.4%

DHS20

1073

.3%

DHS20

1031

.0%

DHS20

1060

.3%

DHS20

10

Ethi

opia

50.8%

8.8%

DHS20

1164

.5%

DHS20

1125

.3%

DHS20

1110

.0%

DHS20

11

Gha

na83

.8%

12.4%

DHS20

0873

.8%

DHS20

0835

.3%

DHS20

0858

.7%

DHS20

08

Gua

tem

ala

92.0%

78.0%

JMPDa

taba

se,2

010

96.0%

UNESCO

20

1020

.8%

ENSM

I20

08/9

Noda

ta-

Hai

ti69

.0%

17.0%

JMPDa

taba

se,2

010

Noda

ta-

38.0%

DHS20

0626

.0%

SOWMR20

11

Indo

nesi

a82

.0%

54.0%

JMPDa

taba

se,2

010

96.0%

UNESCO

20

109.1%

DHS20

0779

.0%

SOWMR20

11

Kyrg

yz R

epub

lic90

.0%

93.0%

JMPDa

taba

se,2

010

88.0%

UNESCO

20

111.1%

MICS

2005

-200

6Noda

ta-

Lao

PDR

67.0%

63.0%

JMPDa

taba

se,2

010

97.0%

UNESCO

20

11Noda

ta-

20.0%

SOWMR20

11

Mad

agas

car

39.9%

2.8%

DHS20

08-09

81.2%

DHS20

08-

0918

.9%

DHS20

08-

0943

.9%

DHS20

08-09

Mal

awi

79.3%

8.8%

DHS20

1090

.7%

DHS20

1026

.1%

DHS20

1071

.4%

DHS20

10

Mal

i64

.0%

22.0%

JMPDa

taba

se,2

010

63.0%

UNESCO

20

1131

.2%

DHS20

0649

.0%

SOWMR20

11

Mau

rita

nia

50.0%

26.0%

JMPDa

taba

se,2

010

74.0%

UNESCO

20

1024

.6%

MICS20

0761

.0%

SOWMR20

11

Moz

ambi

que

47.0%

18.0%

JMPDa

taba

se,2

010

90.0%

UNESCO

20

1118

.0%

DHS20

0355

.0%

SOWMR20

11

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Co

un

try

Acc

ess

imp

rove

d

wat

er (%

p

op

)

Acc

ess

imp

rove

d

san

itat

ion

(%

po

p)

Dat

a S

ou

rce

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ess

to

p

rim

ary

sch

oo

l e

nro

lme

nt

Dat

a S

ou

rce

Un

me

t n

ee

d

for

fam

ily

pla

nn

ing

Dat

a S

ou

rce

% B

irth

s at

ten

ded

b

y sk

illed

p

erso

nn

el

Dat

a S

ou

rce

Nam

ibia

93.0%

32.0%

JMPDa

taba

se,2

010

85.0%

UNESCO

20

106.7%

DHS20

06-

07Noda

ta-

Nep

al88

.6%

39.5%

DHS20

1191

.9%

DHS20

1127

.0%

DHS20

1136

.0%

DHS20

11

Nig

er49

.0%

9.0%

JMPDa

taba

se,2

010

62.0%

UNESCO

20

1115

.8%

DHS20

0633

.0%

SOWMR20

11

Nig

eria

55.8%

31.2%

DHS20

0862

.1%

DHS20

0820

.2%

DHS20

0838

.9%

DHS20

08

Peru

77.1%

58.4%

DHS20

1194

.7%

DHS20

116.1%

DHS20

1185

.0%

DHS20

11

Rwan

da73

.6%

61.8%

DHS20

1087

.3%

DHS20

1018

.9%

DHS20

1069

.0%

DHS20

10

Sene

gal

78.3%

46.2%

DHS20

10-11

54.2%

DHS20

10-

1129

.4%

DHS20

10-

1165

.1%

DHS20

10-11

Sier

ra L

eone

57.1%

40.5%

MICS20

1045

.0%

MICS20

1027

.4%

MICS20

1062

.0%

MICS20

10

Tanz

ania

54.5%

13.3%

DHS20

1079

.7%

DHS20

1025

.3%

DHS20

1047

.6%

DHS20

10

The

Gam

bia

89.0%

68.0%

JMPDa

taba

se,2

010

68.0%

UNESCO

20

11Noda

ta-

57.0%

SOWMR20

11

Uga

nda

70.0%

18.7%

DHS20

1181

.0%

DHS20

1134

.4%

DHS20

1158

.0%

DHS20

11

Zam

bia

61.0%

48.0%

JMPDa

taba

se,2

010

91.0%

UNESCO

20

1026

.5%

DHS20

0747

.0%

SOWMR20

11

Zim

babw

e76

.7%

37.3%

DHS20

10-11

88.1%

DHS20

10-

1112

.8%

DHS20

10-

1166

.2%

DHS20

10-11

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CHAPTER 3

SUN Outcomes

3.1 Introduction: rationale and methodology

TheSUNMovementrepresentsanewtypeofmulti-stakeholdercollaborationinanefforttocreateamorecoherentandeffectiveresponsetounder-nutrition.Itbringstogether40countriescommittedtotacklingunder-nutritionandimprovingthelivesandfuturesofmothersandchildren.ItisrecognisedthattheMovementcanonlybeeffective

iftheconstituentpartsmakinguptheMovementdemonstrateanevolvingcontributiontowardsthiscollaboration.Inotherwords,theSUNMovementcanonlyprogressifthebehaviourandcontributionofitsmembersprogresses.Tomeasurethisprogressinmemberbehaviour,anOutcomeMappingmethodologyhasbeenused.MoredetailsabouttheuseofthismethodologycanbefoundintheM&Eframeworkdocument.

Thischapterpresentsthebaselineinformationintermsofbehaviouralcharacteristicsofthestakeholdersatcountrylevel:governmentsoftheSUNcountries,UNSystemDonorsandBusinessNetworks.

ThebehaviouralcharacteristicsoftheseactorsaredeterminedwiththeuseofProgressMarkers(PM)andorganisedaroundthefourSUNprocesses.ThePMsindicate

We define outcome in terms of changes in behaviour, relationships, activities, actions, policies and/or practices of key stakeholders that result from their association with the SUN Movement and that are needed to contribute to the defined SUN Movement impact.

Picture 1. Legend for visualising progress markers for SUN country

COU

NTR

Y N

AM

E

process 1

proce

ss 2

proce

ss 3

process 4

Coordinate

inte

rnally

and broaden m

embersh

ip

Engage with

in / contri

bute to

MSP

Track and re

port on own contri

bution to

MSP

Sustain Im

pact of t

he MSP

Select/develop coord

inating m

echanisms

Mainstream nutrition in own policies & strategies

Coordinate mem

ber inputs in (new) policy development

Develop/update (new) policy/legal framework

Disseminate policy & operationalize legal fram

ework

Track and report / Sustain policy impact

Analyse existing policies&programm

es

Align own pro

gram

s to nutri

tion re

levant polic

ies

Evaluate pro

gram

s to su

stain im

pact

Manage implem

entatio

n of CRF

Organise

implem

entatio

n of CRF

Transla

te polic

y into

CRF

Assess �nancial feasibility

Track and accounting of spending

Ensure predictability/multi-year funding

Honour comm

itments

Scale up and align resources

not

appl

icab

le o

r

no

info

rmat

ion

0

star

ting

1

ongo

ing

2

near

com

plet

ed

3

com

plet

ed

4

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progressivelevelsofbehaviourthatcanbeexpectedastheSUNMovementevolves,whilstrecognisingthatinrealityprogresswillneitherbesteadynorlinear.EachPMisfurtherdetailedwithexamples(“signs”)ofbehaviourthathelprecognisetheleveloforganisationbehaviourthatisbeingdisplayed.

InthepagesinChapter3.3The“levelofbehaviour”displayedineachSUNcountryinSeptember2012isvisuallyillustratebya“flower”,madeupoffourtosixpetals(i.e.accordingtothenumberofProgressMarkersintherespectiveprocesses).Thebiggerthesizeofthepetal,themoreadvancedthelevelofbehaviour.SomeofthepetalsareunderstandablysmallsincetheProgressMarkersshowanevolvingchangeandtheSUNMovementisonlyatthebeginningofitsjourney(seepicture1ontheleft).

Thisvisualisationislinkedtothestagesofpreparedness,asillustratedintheSUNcountrysummariesdatedSeptember201231.Inthecountrysummarieseachofthefourprocessesisassessedbythepresenceandfunctioningofasetofessentialelementsthatarecriticaliftheprocessistoworkeffectively.Theoverallstatusofallfourprocessesindicatesthestageofacountry’spreparednessandisvisuallypresentedbyatablewithabarundereachProcessIndicator.Eachbarismadeupoffourboxes:ifallboxesarefilledallthenecessaryelementsoftheprocessareinplaceand(providedthepatternisconsistentacrossallfourprocesses)scalingupisunderway(seepicture2below).

Indicator 1:BringingPeopleintoaSharedSpaceforAction

Indicator 1:Ensuringacoherentpolicyandlegalframework

Indicator 1:AligningaroundaCommonResultsFramework

Indicator 1:FinancialTrackingandResourceMobilisation

Countryname

Picture 2. A sample bar visualising four processes

Tokeepthelinkbetweenthisvalidatedinformationaboutthecountrypreparednessinallfourprocesses,thebaselinepresentsthesetablestogetherwiththenewvisuals.ThesenewvisualshaveadditionalstepsthatenablecapturingthefutureambitionsoftheSUNMovementmembers,inparticularconcerningthequalityofcollaboration,asenvisagedintheSUNProgressReportsof2012.

13 http://scalingupnutrition.org/resources-archive/country-resources/progress-in-the-sun-movement

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3.2 SUN Movement Outcomes: Progress markers in four processes

TheSUNMovementoutcomesatcountrylevelarerepresentedbythebehaviouralchangesofstakeholdersatcountrylevelaroundthefourSUNprocessesasdefinedintheSUNStrategy,being;

Process One: Bringing people into a shared space for action

ThisprocessdescribestheprogressivechangesneededtobringstakeholdersintoaMulti-StakeholderPlatform(MSP)inorderforthemtoalignactivitiesbehindcountry-ledpoliciesandplansandtotakejointdecisionsforaction.TheMSPisconvenedbyagovernmentbodywithamulti-sectoralmandateabletoengagerelevantlineMinistriesandkeypartnersfromcivilsociety,donors,business,UNsystemorganisationsanduniversities.

ProcessOneconsistsofthefollowingProgressMarkersillustratedbelow:

Process Two: Ensuring a coherent policy and legal framework

Thisprocessdescribestheprogressivechangesneededtocreatealegalandpolicyenvironmentwherenutritionactionisprioritisedandenabled.SuchalegalenvironmentiscreatedbytheexistenceoflegislationrelatedtonutritionsuchastheInternationalCodeofMarketingofBreast-milkSubstitutes,MaternityLeaveLawsandFoodFortificationLegislation,amongothers.Inaddition,anenablingenvironmentfornutritioniscreatedthroughtheexistenceofnutrition-specificpolicies,strategiesandplans,aswellasupdatednutrition-sensitivepoliciesinareassuchasagriculture,education,socialprotectionandothers.

Select/developcoordinatingmechanismsatcountrylevel

Coordinateinternallyandbroadenmembership/engagewithotheractorsforbroaderinfluence

Engagewithin/contributetoMulti-StakeholderPlatform

TrackandreportonowncontributiontoMulti-StakehodlerPlatform

SustainImpactoftheMulti-StakehodlerPlatform

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Process Two consists of the following Progress Markers illustrated below:

Process Three: Aligning around a Common Results Framework

ThisprocesscontainsadescriptionoftheprogressivechangesneededtoshowthealignmentofprogrammesaroundsharedgoalscapturedinaCommonResultsFramework(CRF),forbothnutrition-specificinterventionsandfornutrition-sensitiveprogrammesinothersectors.TheCRFisbasedonconsensusacrosstheGovernment(e.g.keylineMinistriesandGovernmentDepartments)andkeynon-Governmentpartners(e.g.bilateralDonors,UNsystemorganisations,civilsocietyorganisations,etc.)onthecontributionthateachstakeholdercanbringtoimprovednutritionoutcomes.TheformulationoftheCRFhelpstoalignexistingnutrition-specificandnutrition-sensitivestrategiesandprogrammesanddrawsasmuchaspossibleonavailablerelevanttargets,indicators,programmesandmeansofverification.

TheprocessconsistsofthefollowingProgressMarkersillustratedbelow:

Analyseexistingnutrition-relevantpoliciesandprogrammes

Mainstreamnutritioninownpoliciesandstrategies

Coordinate/harmonisememberinputsinthe(new)policy/legalframeworkdevelopment

Influence(new)policy/legalframeworkdevelopmentthroughadvocacy/contribution

Disseminatepolicyandoperationalize/enforcelegalframework

Trackandreportresultsforsteeringandlearning/Sustainpolicyimpact

Alignownprogrammestonationalnutrition-relevantpolicies

Translatepolicy/legalframeworkinCommonResultsFramework(CRF)forSUN

OrganiseimplementationofCRF

ManageimplementationofCRF

Trackandreportimplementationresultsforsteeringandlearning/Evaluatetosustainimpact

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Process Four: Financial Tracking and Resource Mobilisation

Thisprocessfocusesontheprogressivechangesneededtoensureprogrammesareclearlycosted,gapsareidentifiedanddomesticandexternalresourcesaremobilisedandtracked.

TheprocessconsistsofthefollowingProgressMarkersillustratedbelow:

ThebaselineofbehaviouralcharacteristicsoftheSUNactorsatcountrylevelinSeptember2012isdeterminedthroughacombinationofdesk-studyandself-assessment,whilefuturemeasurementsareenvisagedtocompletelyrelyonself-assessments.ThebaselinestudyoftheSUNoutcomesdrawsontheinformationprovidedbycountryGovernmentFocalPoints(GFP)anddisseminatedviatheSUNwebsiteinSeptember2012aswellastheonlinesurveyofself-assessmentdonebytheSUNNetworks.Therefore,thisbaselineisatranslationofexistinginformationtothenewformat,enrichedwithdataprovidedbytheNetworksthroughthesurveys.ThenewformatfollowstheSUNMovementM&EFrameworkandwillenableSUNcountries,inacomparativeandcomprehensiveway,toshareinformationabouttheirpreparednessforscalingup.Thisinturnwillhelpdeterminefutureactionspercountrytoaccelerateprogresstowardsafull,coherentandeffectiveresponsetounder-nutrition.

ThefollowingsectionofthereportprovidesthebaselinefortheoutcomesdescribedaslevelsofbehaviouratcountrylevelaroundthefourSUNprocessesforthe29countriesthatweremembersoftheSUNMovementinSeptember2012.

3.3 Baseline for outcomes at country level (country pages)

Assessfinancialfeasibility

Scaleupandalignresources(incl.fillingthegaps)

Honourcommitments(turnpledgesintodisbursements)

Trackand(transparently)accountingofspending

Ensurepredictability/sustainimpact/multi-yearfunding

20

www.ScalingUpNutrition.org

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process 1

proce

ss 2

proce

ss 3

process 4

e

es ess2 3

4Indicator 1: Indicator 2: Indicator 3: Indicator 4:

Bangladesh

process 1

proce

ss 2

p proce

ss 3

process 4

e

es ess

2 3

4

The Steering Committee for Nutrition ImplementationwithintheMinistryofHealthandFamilyWelfare(MoHFW)chaired by the Senior Secretary convenes 28representativesfrom10ministries,10departments,developmentdartners,UN,academiaandtheNutritionWorkingGroup.TheSUN Focal PointistheAdditional SecretaryintheMoHFW.UN network: REACHistheUNfacilitationmechanism.UNICEF,FAO,WFP,USAID,WBworkwithSUNFocalPointandtechnicalexpertstoprovideassistancefornutrition-specificand/ornutritionsensitivenationalplans.Donor network:Thereisaseparate platformforthedonorcommunityanddevelopmentpartnersintheformoftheNutritionWorkingGroup.TheWorldBankandUSAID,the Donor Convenersengagewiththemulti-stakeholderplatformthroughLocalConsultativeGroups.CS alliance/network:TheCivilSocietyAllianceforSUNisaseparate platform with participation of 30 plus organisations.TheAllianceworksonTermsofReferencesandagreedonnumberofresultareaswithSUNGovernmentFocalPointandexperts.Business involvement:Thereareanumberofprivate public partnerships includingtheNationalFoodFortificationAllianceandVegetableOilRefineriesAssociation.Theprivatesectorhasitsown separatebusinessplatform-FederationofChambersofCommerce.

process 1 p proce

ss 2

proce

ss 3

process 4

e

es ess

2 3

4

TheNationalFoodandNutritionPolicyandActionPlanare15yearsold.Thereareanumberofspecificpoliciesrelatingtoinfantandyoungchildfeeding,micronutrientprovisionsandtherapeutictreatmentforseverelymalnourishedchildren.Policies in key nutrition-related sectors are current.Theseincludepovertyreductionanddevelopment,publichealth,educationandsocialprotection.There is some national legislation in place on food fortificationandfoodsafety.ManyprovisionsfortheInternationalCodeofMarketingofBreast-milkSubstituteshavebeenenshrinedinlawcoveringtheagerange0-24months.Thematernityprotectionlawensuresmaternityleaveof24weeks,whichexceedstheminimumrecommendedlengthofleaveof14weekssetbytheILO.

process 1pro

cess

2

p proce

ss 3

process 4

ees es

s

2 3

4

There is no agreed common results frameworkfornutritionthoughcoverageofrelevantprogrammesarescalingupandreceivingincreasedfinancing.The National Nutrition Services deliver direct interventionsandhasanoperationalplanthatcoversfoodbasedprogrammesandgrowthmonitoringofchildren;nutritioneducationondietarydiversification;foodsupplementationandfortification,andwomenandchildren’shealth;andprotectionandpromotionofbreastfeedingandappropriatecomplementaryfeeding.Keyprogrammese.g.preventionandtreatmentofsevereacutemalnutrition,havelowcoveragedespitehighlevels(around17%)ofwasting.

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process 4

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The government budget line for nutrition specific interventionsischannelledthroughtheMoHFWandNationalNutritionServices.Externalpartnerscontributeaswell,butresourcemappingisrequired.TheCountryInvestmentPlan(2011)isa5-yearplanformobilizingaligningfunds.AlthoughtheGovernmentandexternalpartnerscontributetoagricultureandsocialprotectionprogrammes,thereareconsiderablefundinggapsinthesesectors.

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proce

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process 4

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4 Indicator 1: Indicator 2: Indicator 3: Indicator 4:

Benin

process 1

proces

s 2

p proces

s 3

process 4

e

es ess

2 3

4

TocoordinatetheSUNatcountrylevel,theNational Council on Food and Nutrition(CAN)wassetin2009underthePresident’sOffice.TheGovernment Focal pointisappointedandcallmeetingsoftheSUNMulti-StakeholderPlatform.UN network:Aninclusive MSPwithparticipationofUNICEF,FAO,theWFP,FNUAPandUNDP,led by UNICEFuntiltheendof2012.TheaimistoregroupthefinancialandtechnicalpartnersinthefieldofnutritionandsupporttheCAN.Donor network:Aninclusive platformoftechnicalandfinancialpartnersunderthejointinitiativeoftheWorldBankandUNICEF.TheDonor ConveneristherepresentativeofUNICEF;theWorldBankisthemaindonorinthecountry.CS alliance/network: Academiaisrepresented in the CANbyoneperson;NGOsandotherCSOs-bytheconsumersassociation.Business involvement: Private sector companiescooperateoninitiativestoincludenutrientsintheirproducts.Theyparticipate in the CANthroughtherepresentativeoftheChamberofCommerceandIndustry.

process 1 p proce

ss 2

proce

ss 3

process 4

e

es ess

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4

TheStrategicPlanfortheDevelopmentofFoodandNutrition(PSDAN,2009)ofBeninissupportedbyawiderangeofnutrition-specificpoliciesandprovisions.ThePSDANincludes:Nutrition direct interventions(“Shortroad”)withafocusonthe1000 days“windowofopportunity”,withinfantandyoungchildfeedinginterventions,thecontrolofmicronutrientsdeficienciesandthemanagementofacutemalnutrition,hygieneandmaternalnutrition;andNutrition-sensitive policies(“Longroad”)and strategies(updatedafter2005),thatcoverallkeysectors.Thenationallegislationonnutritioniswideandalsoincludesfoodfortificationlaws(salt,oil,wheatflour).Noteworthy,maternalbreastfeedingispromoted,encouragedandprotectedthroughanationalpolicy(2009).Inaddition,theInternationalCodeofMarketingofBreast-milkSubstitutesisfullyintolawwithanagingscopeof0-12monthsandthematernityprotectionlawensuresmaternityleaveof14weeksthereforematchingtheminimumrecommendedlength(ILO).

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process 4

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Governmenthasnutritionspecificplansandstrategies(2009–2015)thattargetvulnerablegroupsandaresectorspecific.The establishment of a unified and multi-sectoral information system (at the decentralised level) is one of the first priorities set by the CAN in 2012.

process 1

proce

ss 2

p proce

ss 3

process 4

e

es ess

2 3

4

The current government and the external partner’s allocated budgets have been evaluated,andthegovernmentsearchedforadditionalfunding.Althoughthereisnospecificbudgetlinefornutrition,aspecialbudgetof100,000USDwasallocatedfornutritionbythegovernmentin2012.

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INA F

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proce

ss 2

proce

ss 3

process 4

e

es ess

2 3

4

Indicator 1: Indicator 2: Indicator 3: Indicator 4:

Burkina Faso

process 1

proce

ss 2

p proce

ss 3

process 4

e

es ess

2 3

4

ConveningoftheSUNatcountrylevelwasassignedin2008totheConseil National de Concertation en NutritionlocatedwithintheMinistryofHealthandassistedbyseveralotherMinistriesandUNICEF.Theprimeministerandelevenministriesofficiallyandregularlyconvene.TheSUNCountry Focal Point istheDirectorofNutrition.UN and Donor network: UN System Organizationscontributetotheorganizationandtheanimationofplatformmeetings.TheDonor ConvenerisaUNICEFrepresentative,anddonorsprovidingassistancefornationalplansincludeUNICEF,WHO,WFP,FAO,EU,ECHO,OFDA,USAID,WorldBankandseveralNGOs.Allthedevelopmentpartnershavetheirown separate platform calledtheGroupofTechnicalandFinancialPartnersforNutritionSecurity.Thisisdividedintofoursub-groups:AcuteMalnutritionManagement,InfantandYoungChildFeeding,FoodSecurity,andAdvocacyandPoliticalDialogue.CS alliance/network:TheCivil Society Organizationsimplementcommunityprojectsthathelptoscale-upnutrition.TheAcademic Sectorimprovesstrategiesforresolvingmalnutritionthroughresearch.Business involvement:ThePrivate SectorimplementsnationalguidelinesinlinewithGovernmentalstrategiesespeciallyonfoodfortification.

process 1 p proce

ss 2

proce

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process 4

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BurkinaFasohasanupdatedStrategicPlanforNutrition(2010)inlinewithitsNationalPolicyforNutrition(2007).Nutrition-sensitive policies and strategies are updated, are long-term and cover most of the key sectorsincludingagricultureandfoodsecurity(StrategyforRuralDevelopment2004-2015),povertyreductionanddevelopment(StrategyforAcceleratedGrowthandSustainableDevelopment2011-2015),publichealth(NationalHealthPolicy2011andNationalPlanforSanitaireDevelopment2011-2020),education(StrategicDevelopmentPlanforPrimaryEducation2011-2020).TheInternationalCodeofMarketingofBreast-milkSubstitutesisfullytranslatedintolaw.ThematernityprotectionlawmatchestheILOrecommendation.

process 1pro

cess

2p pro

cess

3

process 4

ees ess

2 3

4

Policiesaretranslatedintomanynutrition-specificprogrammes.A Roadmap is developed and the work on a Common Results Framework is on-going.

BurkinaFasoisreadytomoveinthedirectionofdecentralisingresponsibilityfornutrition-sensitivestrategiesandspecificnutritioninterventionstodistrictlevel.

Burkina FasoM&E Framework – Baseline

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ThereisnospecificbudgetlinefornutritionundertheGovernmentfundingin2012.Noinformationoncostingandfinancingofspecificnutritioninterventionsandotheridentifiedsectoralprogrammes.

Burkina FasoM&E Framework – Baseline

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BURU

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Burundi

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TheMultisectoral Platform of Food Security and Nutrition, chaired by the President/the Second Vice President is the convening body in Burundi.Inparallel,theMinistryofAgriculturefacilitatesaninter-ministryconsultationframework-SectoralGroupofAgricultureandRuralDevelopment.BurundiisintheprocessofappointingaSUNCountryGovernmentFocalPoint.CurrentlyactingFocalPointsparticipateintheplatform.UN network:FourUNAgencies-FAO,WFP,WHOandUNICEF–usingREACH,providetechnicalassistanceandsupporttheprocessofthecountry’sadherencetotheSUNmovement.Donor network:TheDonor Convener(s) have not been identified yet.Technicalandfinancialpartners’foodsecurity,healthandnutritionsectorssupportthenationalplatformthroughtwogroups:FoodSecurity(chairedbytheNetherlands)andHealth(chairedbyBelgium).CS alliance/network: Own platform-theForumfortheStrengtheningofCivilSociety,howeverwithnospecificfocusonnutrition.Researchunitsareyettobeincluded.Business involvement: The private sector is not yet included.TheplatformoftheFederalChamberofCommerce,Industry,AgricultureandCraftsofBurundiislikelytojointheMulti-StakeholderPlatform.

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Burundi’snational strategic plan for nutrition is about to be finalised.Itcomprisesninestrategicaxes,includingreinforcementofpoliticalcommitment,breastfeedingpromotion,micronutrientsupplementationandfoodfortificationandtheincreasedintegrationofnutritioninterventionsinprimaryhealthcare.Theplanhasagoodnumberofnutritionspecificstrategies,guidelinesandplans.Nutrition-sensitivemulti-annualpoliciesandstrategiescoverkeysectors.Burundihasnutrition-relevant laws and decreesfocusingon,amongothers,theInternationalCodeofMarketingofBreast-milkSubstitutes,fortificationoffoods,labourregulations,theimportandmarketingofsaltforhumanconsumption,andfreehealthcareforchildrenunder5andwomen(forchildbirth).

BurundiM&E Framework – Baseline

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Burundi’s national strategic plan for nutrition is about to be finalised. TheProjecttoAcceleratetheAchievementoftheMDGs(2012)isbeingimplementedin8provincesbytheMinistryofHealthandtheFightAgainstAIDSaswellasbytheMinistryofAgriculture,WFP,UNICEFandFAO.Theotherprogrammes,whichareeithercommunity-based(byusingthepositivedevianceapproachfornutritionalrehabilitation)orfoodsecurity-based,areimplementedbytheMinistryofHealthindependentlyorinacollaborationofwiththeMinistryofAgriculture.TheMinistryofHealthandthefightagainstAIDSimplementstheProjectTubaramure(2009)aimingatpreventionofinfantmalnutrition.CommonResultsFrameworkisnotyetused.The Roadmap in agreed in January 2012.Theimplementationplan,budgetandM&Eframeworkarebeingfinalised.

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Thefinancial overviewistheresult of teamworkbyrepresentativesfromGovernmentsandpartners.The results clearly reflected in the table of expenditures in the Country Template.

The UNDAF is instrumentalinassessingmultilateralandmulti-stakeholdercontributions,aswellastheextentoftheexisting gaps.

BurundiM&E Framework – Baseline

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ETHI

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Ethiopia

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TheNational Nutrition Coordination Body convenessevenMinistersfromrelevantsectorsquarterly.ItincludescountryrepresentativesfromUNagencies,bilateraldonorsandacademia.TheSUN Focal PointistheState Minister for Health.TheEmergencyNutritionCoordinationUnit(theMinistryofAgriculture)convenespartnersdeliveringemergencynutritioninterventions.UN network:TheUNNutritionLead–UNICEF-facilitatestheUNagencies.REACHhasbeenactivesince2011andisinstrumentalinrevitalisingandstrengtheningtheNational Nutrition Development Partner GroupaswellasprovidingtechnicalinputsfortherevisionoftheNationalNutritionProgram.CS alliance/network: CSOs participateintheNutritionDevelopmentPartnerGrouptogetherwithUNagenciesandotherrelevant sector-specific platforms. ThereareplanstoaddCSOrepresentativestotheMulti-StakeholderPlatforminthenearfuture.Donor network:TheDonor Convener is to be confirmed.Activedonorsare:EU,GovernmentsofUS,UK,Ireland,Japan,Canada,GermanyandtheNetherlands,theGatesFoundation,WorldBankandtheUNagencies.Business involvement:ThePrivate Sectorhasitsown platform through the Ethiopian Chamber of Commerce.ThereisafunctioningMulti-stakeholderFoodFortificationWorkingGroupthathasbeeninstrumentalinsettingqualitystandardsforthesaltiodizationandtheflourandoilfortification.

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EthiopiahasaNationalNutritionStrategy(2008)andisin the process of updating its National Nutrition Program(endorsedin2008).Anumberofspecificpoliciesrelatingtopromotionofgoodnutritionalpractices;micronutrientsupplementation;nutritionsupportforPeopleLivingwithHIV/AIDS;andtreatmentofsevereandmoderateacutemalnutritionareinplace.Importantprogressinthenationallegislationwithabearingonnutritionwasmadewiththeendorsementofthesaltiodizationregulationin2011andwiththeInternationalCodeofMarketingofBreast-milkSubstitutesbeinginthefinalstageofbeingtranslatedintoLaw.Thematernityprotectionlawforesees90daysofmaternityleave(closetotheILOrecommendation).Thelegislationonflourandoilfortificationisinprogress.

EthiopiaM&E Framework – Baseline

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The revised National Nutrition Program (NNP)thatprovides the framework for strategic objectives and interventions across relevant sectorsisintheprocessofbeingagreedamongrelevantlineMinistriesbutanumberofprogrammesarealreadyimplementedatscale.Theworkonseekingeffectivemeanstoensurethatsectoralprogrammesarenutrition-sensitiveandalignedison-going.Thesectorsresponsibleforagriculture,education,water,sanitationandsocialprotectionareengaged,butthereisaneedtostrengthenlinksatcommunitylevel.AsapartoftherevisionoftheNNP,M&Eframeworkisbeingdeveloped,whichwillincludekeyindicatorsfromrelevantsectors.TheFoodFortificationprogramisstillatanearlystageofprogramformulationwhileUniversalSaltIodizationisscalingupaftertheendorsementoftheregulationin2011.

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The2008NNPprovidedacostedplanforeachcomponentincludingthemulti-sectorallinkages.TheestimationofthecontributionsofmaindonorsagainstkeyinterventionsoftheNNPwasalsopossible.AsimilarleveloffinancialinformationisavailableforothersectoralprogrammesbutisnotaccountedforagainsttheNNP.Thechallengeistoensuretrackingoffinancialexpendituresacrosssectors.An assessment of the costing and mapping of key nutrition interventions by partner (and by sector) is expected to be complete in November 2012.

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GHAN

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Ghana

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Ghanahastwoplatforms:oneisCross Sectoral Planning Group(CSPG)thatincludesvariousgovernmententities,NGOs,businesses,researchinstitutionsandtechnicalspecialists,convenedbytheNationalDevelopmentPlanningCommissionandanother-aninter-ministerialplatformfornutritionpartnersconvenedbytheNutritionDepartmentoftheGhanaHealthService.TheSUNGovernmentFocal Point-theViceChairpersonoftheNationalDevelopmentPlanningCommission-chairs the CSPG.

UN network:TheUN agencies are all membersofthemulti-stakeholder,multi-sectoralplatform-CSPG.Inaddition,REACHisfullyalignedwiththeUNDAF2012-2016inparticularwithThematicAreaonFoodSecurityandNutrition.Donor network:TheDonor Convener is USAID.Donorsharmonizetheirsupportto(draft)nationalplansusingcountrysystemsandaremembers of the CSPG. Thereisnoseparatedonorplatform.CS alliance/network:CSOsparticipate in the CSPG andhavetheirownseparate platformcoordinatedbytheHungerAllianceofGhanathatincludesgrassrootsfarmerandcommunity-basedorganizations.Business involvement:ThePrivate Sector has had limited involvement with SUNandisnotyetrepresentedontheCSPG.ThebusinesscommunitywasinvolvedintheFoodFortificationAlliance.

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The Ghana National Nutrition Policyisindraftform,to be finalised byworkinggroupswithinCSPG.Thereareanumberofcurrentstrategiesconcerningnutrition-specificinterventionsincludinginfantandchildfeeding,saltiodisationandnutritionguidelinesforpeoplelivingwithHIV/AIDs.Policies in key nutrition-related sectorscoveragriculture,development,anumberofhealthpoliciesandsocialprotection.National legislation is in placeregulatingtheuseofbreastmilksubstitutesthroughtheInternationalCodeofMarketingofBreast-milkSubstitutes.TheMaternityProtectionLawpassedin2003allowsfor12weeksmaternityleave,whichis2weekslessthanrecommendedtimebytheILO.Thefoodfortificationlawsonlyrelatetotheiodisationofsalt.

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HealthsectorworkinggroupunderGhana’sMulti-Donor budget system operatesaroundaresults frameworkonhealthincluding nutrition indicators. DevelopmentPartnersaligntheirworktowardsnationalprioritiesthroughthisframework.Adraft SUN Country frameworkhasbeendeveloped as a first steptowardsthedevelopmentofaresults framework around which sector and donor alignment willbesecured.

GhanaM&E Framework – Baseline

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Therearedifficulties in ascertaining exact resource allocation and expenditures around nutrition. TheCSPGworkinggrouponResourceallocationistaskedtoestablishabaselineandtrendsinnutritionfinancinggoingforward.

GhanaM&E Framework – Baseline

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GUAT

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Guatemala

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GuatemalahasselectedtheNational Council for Food Security and Nutrition as the implementing bodyandSecretariat for Food Security and Nutrition as the coordinating body,theSecretaryofthelatteristhe SUN Focal Point. UN network:TheUN systemestablishedatechnicalworkinggrouponfoodsecurityandnutritionwiththeparticipationofUNICEF,OPS/WHO,FAO,WFP,OHCHRandUNFPA.Inaddition,socalled‘G13’(the13majordonorsanddevelopmentpartners)haveaworkinggrouponfoodsecurity.Donor network:TheWorldBankistheDonor ConvenerwithsupportfromtheInter-AmericanDevelopmentBankandWFP.DonorNetworkmembershavealltheirownagendaandworkindependently.CS network:TheInstanceforConsultationandSocialParticipationisaCivil Society platformconsistingof20membersfromdifferentsectors:NGOs,indigenouspeoples,churches,academia,privatesector,tradeunionsandwomen’sgroups.Business involvement: Private sectorsignedNationalZeroHungerPacttogetherwiththegovernmentinstitutions,nationalandinternationalNGOs.Privatesectorsharesexperiencesincommunicationstrategiestopromotebetterhealthpracticesandmalnutritionawareness.

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GuatemalahasaStrategic Plan for Food Security and Nutrition (PESAN) runningfortheperiod2012-2016aswellasaNational Strategy for the Reduction of Chronic Malnutrition(ENRDC)runningfortheperiod2006-2016.In2012,underanewgovernment,themaincomponentsofthisplanwereintegratedintotheZero Hunger Plan.GovernmentplansarebasedonWFPandUNICEFliteratureandsupportfromthenutritionistsfrombothorganizations.Policiesandlegislationinkeysectorshavebeeninplaceforsomeyearswithonlyafewofthembeingrecentlyupdated.ThereisNationallegislationonfoodfortification(approvedin1992)andaLawfortheCommercializationofBreast-MilkSubstitutes(approvedin1983),howevertheyarelackingresourcesformonitoringoftheirapplication.Someprivate companieshaveincludedspecificprogrammestosupportnutritionactivitiesintheirdomains.

GuatemalaM&E Framework – Baseline

M&E Framework – Baseline

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Guatemalahasdeveloped Common Results Framework for SUN – Zero Hunger Planaspartofthe“NationalAgendaforChange”ofthePresident,OttoPerezMolina.OperationalizedintoaZeroHungerPlanfortheperiod2012-2016,itisacomprehensiveGovernmentalstrategyforchronicchildmalnutrition,foracutemalnutrition,formicronutrientdeficiencyandfoodinsecurityforchildrenunderageof5inthecountry.Someindustriesengageincurrentresearchonalternativefortifiablefooditems.Specialiseddonor agencies,suchasWFP,havefullymainstreamednutritionintheirownpoliciesandstrategies,whileothersareconsideringtodothesameintheirfuturebilateralprogrammes.

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In2012a“1000days”budgetlinewascreated.Guatemalahasreportedoneffortstoestimateoverallfinancialinvestmentsfornutritionandonaspecial budget for interventionstosupportfightagainstchronicchildmalnutritionandinfant-maternalmortality.ThereisnoreferencetofundingcontributionsfromdonorsanddevelopmentpartnersunlesssubsumedintooverallStatebudgetforFoodandNutritionSecurity.

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HAITIprocess 1

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Haiti

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HaitijoinedtheSUNmovementinJune2012.TheFocal PointistheDirector of the Unit of the National Program of Nutritionandtechnical adviser of the Committee of Fight against Hunger and Malnutrition.

UN network:TheUNagenciesareinvolvedthroughTechnical Committee on Nutritionatthenationalanddepartmentallevels,aswellasthroughSectoral Round Tablesandalimitedgrouponnutrition.Donor network:ADonor convener has not yet been identified.TheMinistryofHealthcoordinatestheactivitiesofdonorstoensurebettersustainabilityandcontinuationofworkunderway.CS alliance/network:CivilSocietyhasownforumcalledthePrivateHealthWorkers’Associationthatiscommittedtothedeliveryofservices,communicationandeducationfornutrition.Thisisnot a part of Multi-Stakeholder Platform yet.

Business involvement:Thegovernmentdealswithsectorsandcompaniesseparately.InitialcontactsaboutparticipationwiththeChamberofCommerceofHaitiandnationalfoodproducersandimportershavetakenplace.

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InJanuary2012HaitipublishedanupdatedandcompleteNational Nutrition Policythattargetschildrenupto59months,pregnantandlactatingwomen,theoldmenandthepersonsinfectedbytheHIV/AIDSandTuberculosis.Numerousotherpolicies and strategiescontributetothenutritionthroughdifferentsectorsincludingastrategyofpovertyreduction(NationalStrategyfortheGrowthandthePovertyReduction2008-2010)andanInvestmentNationalPlanforAgriculture,informaleducationandsocialprotection(May2010).TherighttofoodissetintheConstitution.Thematernityleaveisof12weekswith100%ofthesalarypaidonlyduring6weeks.Haitihas special legislation onthefortificationofthesalt,theflourandtheoilwithiodine,ironandVitaminAandmaternityleave.

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ABA GRANGOUisthenational flagship program to fight hunger and malnutrition.Itincludes21programmesfromdifferentsectors,coveringdifferentsectorsandistheframeworkforagreementonMinisterialresponsibilities.TheUNAG(NationalUnitofManagementABAGRANGOU)isresponsibleforthecoordinationandfortheexecutionoftheactivities.Concerningspecificinterventionsonnutrition,afirstdraftofthestrategicplanfor2012-2016waselaborated,toimplementtheNutritionNationalPolicy.AnationalworkshoponnutritiontoguaranteethatthecivilsocietyandtheparticipantsagreewiththeprioritiesdefinedintheactionplanwasledinMay2012.Thisplanistobefinalizedthroughaconsultativeprocessthatwillinvolvethemaintechnicalagenciesandthedonorssupportingnutrition.ThereisnoindicationthataCommonResultsFrameworkisbeingcreatedorusedbyotherstakeholdersyet.

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Anewnationalbudgetline(15milliongourdesor353,000USD)hasbeencreatedforthenutrition.In2011,thefinancingtofightagainstmalnutritionandhungerrepresented750millionUSDandcompletelyfinancedbytheexternalcooperation.In2012,15 million dollars were assigned to ABA GRANGOUtostrengthentheactionsofthepriorityprogrammes.Theemphasisisonsocialsafetynets(Foodvouchers,FFW,distributionoffoodkits),theagriculture(fertilizerandinfrastructuresforthestorageoffood)andprojectsofcommunitydevelopment.Thelowcapacityofthegovernmentalinstitutionsandthecomplexityoftheproceduresforthelayingoutoffundsslowdowntheprocessofimplementation.

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INDO

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Indonesia

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The Ministry for People’s Welfare is proposed as the convening body(awaitsapprovalbyPresidentialDecree)withparticipationfrom13ministriesandtwoagencies.SUNForumconvenesundertheleadershipoftheDeputyMinisterforHumanResourcesandCultureoftheMinistryofNationalDevelopmentPlanning.UN network:UNagenciesestablishedseveral mechanismstocoordinatetheiractivitiesaroundnutrition.UNICEF,WFPandWHOparticipateintheSUNPlatformforDevelopmentPartnersundertheoverarchingSUNForum.Donor network:TheSUNPlatformofDevelopmentPartnersregroupsAusAid,USAID,WorldBank,UNICEF,WFP,WHOandMCC.Adonor convener has not yet been assigned.

CS alliance/network:CivilsocietyorganisationsmeetthroughtheNutrition Forumtoshareexperienceamong16NGOsandprofessionalorganisations.MostofthemparticipateinRegionalAllianceAgainstHungerandMalnutritioninAsia,some-inmulti-stakeholderplatformconvenedbythegovernment.Business involvement:Thereareseveralassociationsgroupingprivatesector(IndonesiaAssociationofFlourProducers;AssociationofFoodandBeverageIndustries).IntheSUN platformprivatesectorisrepresentedbyactors:IndoFoods,Pertamina,CharoenPokhandIndonesia,PTAstraIndonesia,APPNIA,KaltimPrimaCoalPTPLN.

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Indonesia has updated nutrition-specific policies and strategiessince2005andcover key sectors.Legislativeapprovaltoawiderangeofpoliciesandstrategiesinrelevantsectorsprovidesacoherentframeworkformulti-sectoralaction.Thenationallegislationwithabearingonnutritioncoversarangeofhealthandfoodlaws(foodsafety,foodquality,foodlabellingandadvertisement).Thematernityprotectionlawlegislatesfor12weeksofmaternityleavethatis2weekslessthantheminimumrecommendedlengthoftimebytheILO.ManyprovisionsfortheimplementationoftheInternationalCodeofMarketingofBreast-milkSubstituteshavebeenendorsedinlawin2012.Legislationonflourfortificationandsaltiodizationisalsoinplace.OilfortificationwithvitaminAwillbemandatoryfrom2013.Ricefortificationisunderconsideration.CSnetworkparticipatesintheevaluationoffoodandnutritionsituationinthecountry.MoreNGOssuchasKRKP,BinaDesa,SPIparticipateinimplementingnutritionsensitiveprogrammes.

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Common Results Framework was put in placeforthe2011-2015-NationalFoodandNutritionActionPlan.Large-scaleprogrammesareimplementedbydifferentMinistriese.g.community-basednutritionprogramme(2010-2014)andfortificationprogrammessuchassaltiodizationandflourfortification.Noinformationyetonhowfartheseprogrammesconvergeorhavesharedresults.TheLaunchofSUNIndonesiawasmarkedbythelaunchingoftheFirst 1,000 Days of Life MovementinSeptember2012.Decentralization at sub-national level is a priority.Mechanismsforcoordinationneedtobestrengthenedespeciallyatsub-nationallevel.

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Finance information is tracked for nutrition specific programmes.TotalfundsallocatedatcentralleveltoMinistryofHealth,DepartmentofNutritionisUS$70millionperyear.Eachoftheprovinces(33)andeachdistrict(497)managetheirownresources,whichaddtothecentrallevelcontribution.Gaps are not yet identifiedandthe contribution of external donors is not yet explicit,awaitthefinalisationofthemapping.

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KYRG

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Kyrgyz Republic

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TheFood Security Council is proposed as the convening body for nutrition, established under the Prime Minister’s Officeandcurrentlycombiningfocusonfoodsafetyandfoodsecurity(butnotnutrition).TheCouncilincludesarangeofministries.Therepresentationfromtheprivatesectoranddonorsisplanned.TheSUN Focal PointistheDeputy Minister of Health. UN and Donor networks:ToincreasecapacitytheCouncil,FAOandWFPprovidetechnicalandfinancialsupportonimprovementoffoodsecuritymonitoringsystem.UNICEF and the World BankareDonor Conveners.DonorsusetheNutritionClusterandNutritionGroupwithintheHealthSectorWideApproach(SWAP)isaspecific platform.Inaddition,thesupportisprovidedbyWHO,GIZ,JICA,UNICEF,UNIDO,MercyCo,PeaceCorps,Kyrgyz-Swiss-SwedenHealthProjectonCommunityHealthActions,ADB,WorldFoodProgram,FAO,USAID,andDFID.CS alliance/network: CSOs work with government through Association of Village Committees of Healthwhichfunctionsthroughmorethan14,000volunteersatcommunityleveltopromotegoodhealthandnutrition.Business involvement:Saltandvitaminproducersarethemainprivate sector actors involved in SUN platform.Privatemillsworkonnutritionbyproducingenrichedflour;saltproducingplantsiodizethesalt.TheseprivateenterprisesaredirectlyconnectedwiththeMinistryofAgriculture,whichcoordinatestheactivitiesoftheprocessingindustry.

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A National Public Nutrition Improvement Strategy2013-2017hasbeendevelopedbutisnotyetendorsed.There are a number of updated policies and strategies that cover key sectorslikeagriculture,povertyreductionanddevelopmentandsocialprotection.Nationallegislationwithabearingonnutritioncoverssupporttofarmersandpastures,foodsecurityandagriculture.ManyprovisionsfortheimplementationoftheInternationalCodeofMarketingofBreast-milkSubstituteshavebeenendorsedbylaw.TheLabourLawdefinestherecommendedlengthformaternityleaveas126days.Flourfortificationwasapprovedin2009.Currentlytheamendmentsrelatedtofortificationofflouraredeveloped.Business network:Saltproducersworktogetherwithgovernmenttoidentifybarriersinnutritionpolicyforsuccessproducing.

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The Multi-Sectoral Nutrition Strategy with Common Results Framework outliningtheresponsibilitiesofallpartiesinvolvedhas been developed, but not approved yet.Large-scalenutrition-specificinterventionsareimplementedthroughtheMinistryofHealth;theextentandtypeofnutrition-sensitiveprogrammes(especiallyinrelationtowaterandsanitationwhichisassociatedwithpoornutrition)needfurtherclarification.TheBabyFriendlyHospitalsInitiativehasbeenintroduced.

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Nationalnutritionprogrammesaredevelopedandimplementedwithbothstate budget and donor support.Thestatebudgetfinancingisprovidedforschoolfeedingfor1-4gradechildrenannually;fundsfordifferentnutrition-relatedlinesareallocatedwithintheSWAP.Substantialgapsareidentifiedinnutrition-specificinterventions.Workison-gongtoobtaininformationfromothersectors.

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Lao PDR

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Consultation for establishing a convening body for nutrition in Lao PDR has started.Therelevantexistingsectorwideworkinggroupsandtheroundtablemeetingcanbeusedtopromoteinter-ministerialcooperationonnutritionandfoodsecurityactivities.UN network:UNCountryTeamundertheleadershipoftheUNResidentCoordinatorhasinitiatedREACH pilot with the endorsement of the Government inJune2008.Donor network: The European Union has been identified as the Donor Convener, thathelpstoensurethatkeystakeholdersareinformedoftheSUNMovementdevelopmentsbothnationallyandgloballyandadvocatesfornutritionandfoodsecurityissuestobeaddressedinacross-sectoralmanneracrosslineministries’sectors.CS alliance/network:Civilsocietyhasown network for sharing information and learningaswellasan informal coordination mechanism,coordinatedbytheINGONetwork.Civilsocietyisalsoinvolvedinthegovernmentofroundtableprocess.Business involvement:TherearecurrentlynoprivatecompaniesinLAOPDRworkingspecificallytoscaleupNutrition

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The National Nutrition Strategy and Plan of Action 2010-2015isastrategicguidelineforallstakeholders,includingministries,developmentpartnersandtheprivatesectoronwhatshouldbeundertakeninordertoaddressmalnutritionanditsdeterminants.Updatednutrition-sensitivepoliciesandstrategiescovermostofkeysectorsincludingagricultureandfoodsecurity,development,publichealthandeducationwithmulti-sectorframeworkplans.ANationalGrowthandPovertyEradicationStrategywasadoptedin2006.LaoPDR’snutrition-relevant legislationcoversmaternityleaveandprovisionsfortheimplementationoftheInternationalCodeofMarketingofBreastMilkSubstitutesarebeingprocessedintolaw.Thematernityprotectionlawisfor90daysofmaternityleavewhichisjustundertheminimumrecommendedlengthof14weeksbytheILO.Legislation on Food Fortification and International Code not yet endorsed.

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Directnutrition interventions are delivered as part of a package of maternal, neonatal and child health services.ThereisnoCommonResultsFrameworkagreedyet.Donor network:Donoralignmentandcoordinationbehindnationalplansarenotyetformalhoweverthedonorcommunitysupportsthecreationofthemulti-sectoral,multi-stakeholderplatform.CS network:Civilsocietyorganizations’activitiesareintegratedintothedevelopmentplanningprocessoftheMinistryofAgricultureandForestry.Theycontinuetoplayakeyroleinachievingthe2020AgricultureStrategy,whichalsoaddressestheissueoffoodsecurityandnutrition.

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Noinformationwasprovidedonfinancialtrackingandresourcemobilization.

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Madagascar

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TheConseil National de NutritionunderthesupervisionofthePrimeMinisterconvenesrepresentativesofthePresident,Senate,NationalAssembly,eightgovernmentalministries,communityandreligiousleaders,NGOs,civilsociety,UNorganizations,andotherpartners.The SUN Focal PointistheNationalCoordinatoroftheNationalNutritionOffice.UN network: UNICEF represents the UN systemorganizationsintheNationalNutritionCouncil;FAO,WFP,UNFPAandUNDParemembersoftheplatform.Donor network:ThenominatedDonor Conveners UNICEF;otherdonorsincludeWorldBank,JICAandUSAID.CS alliance/network:Therearetwo platforms that bring together all CSOs fromwhichoneVIFAssociationunitesallnationalNGOsworkinginnutrition,foodsecurity,support,agriculture,waterandsanitationandsocialprotection.Business involvement:Theprivate sectorhasitsownplatformwithinMadagascar’s National Alliance for Food Fortification andworksalongsidepublicorganizationsfortheimplementationofnationalplans,e.g.onsaltiodizationandorbreadfortification.

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Madagascar’snutrition-specificpoliciesdatefrom2004whiletheNationalPlanofActionforNutritionwasupdatedin2012.The approved national policies and strategies reflect a multi-sectoral approach for improved nutrition. Madagascarhasspecificgenderpoliciesthatwillcontributetonutritionaloutcomes.Policyforthepromotionofgoodnutritionalpracticeisinplaceaswell.Undernutrition-sensitivepoliciesandstrategies,Madagascarcoversallkeysectorsincludingagricultureandfoodsecurity,development,publichealth,educationandsocialprotectionwithaPlanofActionforGenderandDevelopment.Thenationallegislationcoversfoodfortificationandsaltiodization.Thematernityprotectionlawallowsfor14weeksofmaternityleave,matchingtheminimumtherecommendationoftheILO.TheprovisionsfortheimplementationoftheInternationalCodeofMarketingofBreast-milkSubstitutesarefullintolawwithascopingageperiodof0-6months.

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The National Plan of Action for Nutrition (PNAN II)isrecentlyupdatedandistheCommonResultsFramework.MonitoringandEvaluationplanhasbeendevelopedtotrackachievementofresultsandcontributestothefollowupoftheimplementationofallNationalPlanactivities.Somenutritionspecificinterventionsnotyetatscale.Nutritionisnotyetfullyintegratedinrelevantsectors–agriculture,socialprotection,WASH.DonorprogrammesarenotyetalignedtoPNANII.CSNetwork:CivilSocietyOrganisationsaredirectly involved in the implementation of the National Action PlanforNutritionatcommunitylevel;journalistsandmediarepresentativesareactiveinthenutritionsector;severalresearchinstitutionsinvestinnutrition.

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TheestimatedbudgetthePNANII(2012-2015)amountsto137951692USD.Theallocatedbudgetforeachprogramiscurrentlybeingevaluatedwithdevelopmentpartners.Thesearchforfundingisongoing.PNAN II has been costedbutmostrecentdataoncontributionarefrom2005-2009.

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Malawi

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TheNational Nutrition Committeeisthemulti-stakeholderplatformandconveningbodyforcoordinationactiononscalingupnutrition.TheSUN Focal PointisthePrincipalSecretaryonNutrition,HIVandAIDS,supportedbytheDeputyDirectorforNutritionasSUN National Coordinator.ThecoordinatorchairstheSUNTaskForceCommitteeandcoordinatestheTechnicalWorkingGroups(TWGs)forSUNinalldistricts.UN network:UNagencies,includingUNICEF,WFP,WHOandFAOarepartoftheSUNTaskForce.UNICEFsupervisesfiveTWGsandcoordinateswiththeNutritionDevelopmentPartnersGroupandtheDonorsPartnersNutrition.CS alliance/network:CONCERNWorldwidehasbeennominatedastheConvenerforgreatnumberofCSOsactiveinMalawi.CSOsparticipateintheSUNTaskForce.Donor network:Donors,includingIrishAid,USAID,CIDA,WorldBank,DFIDandtheEUparticipateintheSUNTaskForceaswell,convenedbyIrish AidandUSAID.TheDevelopmentPartnersforNutritionchairedbyIrishAidandco-chairedbyUNICEFmeettoshareinformation,advocateandreviewtheprogressoftheNationalNutritionPolicyandStrategicPlan.Business involvement:Theprivate sectorparticipatesinMulti-StakeholderPlatform.IthasitsownseparatebusinessplatformthroughtheMalawiChamberofCommerceandisamemberoftheNationalFortificationAlliance.VALIDINTERNATIONAListheConvenerfortheprivatesector.

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MalawihasaFoodandNutritionSecurityPolicy(2005)andaNationalNutritionPolicyandStrategicPlanfortheperiod2007-2012.Nutrition-sensitive policies and strategies are updated and cover all key sectors:agricultureandfoodsecurity,publichealthsectorwithacross-sectoralpolicyandstrategyforHIV/AIDSandAgriculture,educationandthesocialprotection.Thenationallegislationwithabearingonnutritioncoverssaltiodization,sugarfortificationandconsumerprotection.TheNewLabourActinMalawihasincreasedmaternityleaveinthepublicandprivatesectors,butyetdoesnotmatchtheminimumrecommendedlengthof14weeks(ILO).ManyprovisionsfortheimplementationoftheInternationalCodeofMarketingofBreast-MilkSubstitutes(BMS)areintolaw.A Nutrition Act is being developed.

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TheDepartmentofNutrition,HIVandAIDSundertheOfficeofthePresidentandCabinetwiththesupportfromUNICEF,theWorldBank,IrishAidandUSAIDdevelopedandoperationalizedSUN Rollout Framework.Thenationalmulti-sectorinstitutionalsettingiselaborateduptothedistrictandcommunitylevelwithatargetofestablishing50%districtsfor2012and2013.Inaddition,the1000 Special Days National Nutrition EducationandCommunicationStrategyisbeingprioritizedfrom2012to2017toreducechildstunting.Alignmentofallsectorsatdistrictlevelneedsfurtherclarification.

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TheDevelopmentPartnersforNutritionareresponsibleforresourcemobilizationandfortheresolutionofdisagreementsbetweenpartnersandstakeholders.There are still multiple funding sources and accounting mechanisms and no agreement on financial gap.TheWorldBank,UNICEFandtheGovernmentsofCanada,IrelandandUSAhavejointlymobilizedtheirresourcesforensuringcommunity-basedscaling-upofnutrition.

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Mali

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Comité Technique Intersectoriel de Nutrition chairedbytheMinistry of Health convenesregularlyandofficiallyfourministriesandtheFoodSecurityCommission.Themulti-sector, multi-stakeholder platform is underwayasanall-compassingpolicyonnutritionwasbeingfinalized,foreseeingthecreationofNationalNutritionDevelopmentCouncil.TheSUN National Focal PointisatechnicalconsultantfromtheMinistryofHealth.UN network: REACH coordinator startsinSeptember2012,otherengagedUNSystemOrganizationsincludetheWFPandUNICEF.Donor network:CanadahasbeenconveningsinceJanuary2012.DonorsprovidingassistancefornationalnutritionplansincludeUNICEF,WFP,WHO,FAO,USAID,EU,CanadaandBelgium.Donorscoordinatetheirsupportthroughmultiplefora.CS alliance/network: Civil society is establishing their own platformtocoordinatetheirsupportforscalingupnutrition.TheNutritionClusterincludesnationalandinternationalNGOsandcoordinatesthehumanitarianresponseinnutrition.Business involvement:Theprivate sectorismostlyinvolvedinagriculturalinvestments.

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Maliisintheprocessofendorsingthemulti-sectorialnutritionpolicyLa Politique Nationale de Development de la NutritionthatwillalsotriggerthestartofaMulti-StakeholderPlatform.Asnutrition-specificpoliciesandstrategiesthereisaNationalStrategicPlanforFoodandNutrition(2006),aNationalStrategyforNutritionalCareofPLWHA(2006)andotherprovisionsfornutritionofyoungchildren.Thenationallegislationwithabearingonnutritioniswideandcoversagricultureandfoodlawsincludingamandatorylegislationforwheatflourfortification.Thematernityprotectionlawforesees14weeksofmaternityleave,matchingtheminimumrecommendedlengthbytheILO.ManyprovisionsfortheimplementationoftheCodeforMarketingofBMSarecurrentlyinforce.Donor Network:Majordonorsinvolvedinnutritioncontributetothedevelopment(andadoption)ofthenational-multi-sectoralnutritionpolicy.Howevertheplatformhasnotyetbeencreated.Untilthen,donorsmeetonanad-hocbasistodiscussnutritionfromamulti-sectoralperspective.

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TheMinistry of Health is in charge of six programmes that have a specific bearing on improved nutrition,includingtheAcuteMalnutritionManagement,theFoodStandardsandProceduresPolicy,thePeopleLivingwithHIV/AIDSNutritionManagement,theNationalGuidelinesforVitaminASupplementation,theInfantandYoungChildFeedingandtheEssentialNutritionActionsProgrammes.ProgrammesrunbytheMinistryofHealthandMinistryofAgriculturerespondtosectoralplanningandstrategies.Reportedcurrentfocusonemergencynutritionresponse.Thedonor-fundedactivitiesaremonitoredaspartoftheannualhealthprogramme.The multi-sectoral plan is not finalized yet.

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Thereisnospecificfornutritionbudgetlineinthegovernmentalbudgetyet,howeverthereareinsectoralbudgets.Allstakeholdershavejudged overall funding for nutrition as insufficient.Lackoffundingreportedasamainchallenge,atthesametime,notenoughdataonavailableandrequiredfinancialresourcesfromexternalpartners.

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Mauritania

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NationalNutritionDevelopmentCouncil,createdin2010,convenes multi-stakeholder, multi-sectoral platformwithaPermanentTechnicalCommittee.TheDirectorGeneralofEconomicPoliciesandDevelopmentalStrategiesintheMinistryofEconomicAffairsandDevelopment,assistedbytheDirectorofBasicHealthandNutritionintheMinistryofHealtharetheSUN Country Focal Points. UN network:UNSystemOrganizationssuchasUNICEF,WHO,FAOandWFPsupportnationalplansandparticipateintheplatform.REACHispresentsince2008.Donor network:Thereiscurrentlyno identified Donor Convener.Donorsareincreasinglyinvolvedinemergencynutritioninterventions.CS alliance/network: International NGOsareactivemembersoftheplatformhowevernational CSOsspecializedinnutritionarenotsufficientlydeveloped.Business involvement:Theprivate sectorisamemberoftheplatformbutitsinvolvementinimplementationiscurrentlyverylimited.

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MauritaniahasaNationalPolicyfortheDevelopmentofNutritionwithnutrition-specificprovisionssuchasaNationalStrategyforYoungChildren(2007)andaNationalProtocoltotackleChronicMalnutrition(2007).Mauritaniaisfinalizingamulti-sectoralactionplanfornutritionthatwillcovertheperiod2011-2015.Nutrition-sensitivepoliciesandstrategiescovermostofthekeysectorslikeagricultureandfoodsecurity,povertyreductionanddevelopment,publichealthandsocialprotection.Theyareupdatedandwithalong-termvisionuntil2020.Thelegislativeapprovaltoawiderangeofpoliciesandstrategiesinrelevantsectorsprovidesacoherent framework for multi-sectoral action. Thenationallegislationwithabearingonnutritioncoversagricultureandfoodlaws(flourandoilfortification).Thematernityprotectionlawforesees14weeksofmaternityleave,matchingtheminimumrecommendedlengthbytheILO.TheimplementationoftheInternationalCodeofMarketingofBreast-milkSubstitutesiscurrentlybeingstudied.

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AfullcomponentoftheStrategicFrameworkfortheFightagainstPovertyisdedicatedtothemulti-sectoral approach for improved nutrition.However,noinformationonalignmenttoitandlimitedinformationonactualscaleofidentifiedprogrammes.MauritaniaalsomaintainsaSocialProtectionProgrammeaimedatpregnantandlactatingwomenandchildrenunder5years,theEMELProgrammecoveringtheallcountryunderthePrimeMinister’sOfficewhichprovidesassistancetoallvulnerablepopulations,theFightAgainstMalnutritionProgramme,andtheWASHCommunitySanitationProgramme.The Common Results Framework is being finalized.

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Eachsectorconsiders certain nutrition activitiesandactionsinitsbudget,butthereisnot yet a specific budget line for nutrition.ExistingeffortssupportadvocatingforthecreationofaGovernmentalbudgetlinefornutrition.Donorsareinvolvedinemergencynutritioninterventionsandcontributetodevelopment.Costandbreakdownprovidedforonlytwoprogrammesrevealconsiderablegaps:theprogrammefortheAccelerationoftheFightAgainstHungerandMalnutritioninChildreninSoutheastMauritaniahasanagreedfinancialgapof14milliondollars,theEMELProgrammehasabudgetof150milliondollars,80millionallocatedfromtheoverallgovernmentbudgetandafinancialgapof70milliondollars.

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Mozambique

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TheTechnicalSecretariatforFoodandNutritionSecurity(SETSAN) convenes themulti-sector, multi-stakeholder platform–GTPAMRDC(TechnicalGroupforMulti-sectoralActionPlantoreduceChronicMalnutrition).Platformcoordinateslineministriesimplementingnutrition-specificandnutrition-sensitiveprogrammes,UNagencies,donorsandCSOs.Theselectionofseniorgovernmentinstitutionthatwillcoordinatenutritionatthepolicy-makinglevelremainsundecided.Donor and UN networks: Donors and UN agencieshaveformedtheNutritionPartnerForumasacoordinationmechanismfordonorsandpartnersprovidingsupporttotheimplementationoftheMulti-sectoralActionPlan.TheForumishostedbySUN donor convenersUNICEFandDANIDAandhasbeenmeetingonamonthlybasissinceitscreationin2011.REACHhasbeensupportingSETSANwiththecoordinationoftheGT-PAMRDCsinceJuly2012.CS alliance/network: No platform yet.TheNutritionandFoodSecurityAssociationandHelenKellerInternationalrepresentcivilsocietyontheNutritionPartnerForum,acoordinationplatformsetupbydonorsandUnitedNationsagencies.Business involvement:Theprivate sectorisengagedindifferent programmes: saltproducersmeetunderNationalProgramforSaltIodization(PRONIS),whilemillersandoilproducersmeetonaregularbasisintheNationalCommitteeforFoodFortificationinMozambique(CONFAM).ThelatteralsoincludesCSOs,UNagencies,donorsandconsumerassociations.BothPRONISandCONFAMarechairedbytheMinistryofIndustryandCommercewiththeMinistryofHealthasvice-chair.

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Nutrition-sensitive policies and strategies covertheagricultureandfoodsecuritysector,health,development,educationandsocialprotection.Thenationallegislationwithabearingonnutritionincludesaministerialdecreeonsaltiodization. Legislation on the right to food is in the process of being finalized.Thematernityprotectionlawprovides60daysofmaternityleavewhichisshorterthanthe14weeksrecommendedbytheILO.TheimplementationoftheInternationalCodeofMarketingofBreast-milkSubstitutesisfullyendorsedbylaw.Standardsarebeingdevelopedforthefortificationofwheatflourandedibleoilandlegislationonmandatoryfoodfortificationisbeingdrafted.

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The PAMRDC is the Common Results Framework that is in the process of decentralization at provincial level.InlinewiththepriorityinterventionsidentifiedinthePAMRDC,theNutritionDepartmentintheMinistryofHealthisimplementinglarge-scalesupplementationprogrammes.TheMinistryofHealthoverseestheNutritionRehabilitationProgramme.Increasingthealignmentacrosssectorsisalsoinprogress.Mozambiqueismovingforwardwiththelarge-scalefortificationofwheatflourandedibleoils.Somenutrition-specificinterventionsneedtoscaleup.

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ThesevenPAMRDCstrategicobjectivesfortheperiod2011-2015werecostedfortheyear2012,totallinganapproximatecostofUS$60millionayearincludingsupplementaryfeedingforaroundUS$26.4million(WorldBankcostingmethodology).Mozambiquehasreportedonefforts to estimate overall financial investments for nutrition.HoweverestimatedcostsbyGovernmentaredifficulttoreconcilewithinformationprovidedbydonors.No funding mechanism are yet available to facilitate alignmentandtrackingofresourcesbeingmobilizedagainstestimatedcosts.

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Namibia

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TheOfficeofthePrimeMinister convenestheNationalAllianceforImprovedNutrition(NAFIN),themulti-sector, multi-stakeholder platformchairedbytheRt.HonourablePrimeMinister(alsoamemberoftheSUNLeadGroup).SeveralspecializedTaskForcesandworkinggroup,accountabletoNAFINarecreatedwiththeirownToRs.TheSUN Government Focal Point is yet to be appointed.

Donor network:Thereisno UNagencyfacilitation mechanismalthoughengagementwithREACHhasbeenongoingfortechnicalassistanceontheCountryImplementationPlanandResultMatrix.UNICEF,WHO,WFP,UNESCO,FAOandUNDPareactiveinNAFIN.UN networks:TheDonor ConvenerUNICEFisonaspecificSUNTaskForcetogetherwiththeMinistryofHealthandSocialServices,SynergosNamibiaandtheGAIN.TheUSAIDsupporttheCentersforDiseaseControlandPrevention,theFoodandNutritionTechnicalAssistanceIIIProjectandtheInternationalTrainingandEducationCenterforHealth.USAIDandtheCDCparticipateintheNAFIN.CS alliance/network: CSOsaremembers of NAFIN.TheNamibiaNon-GovernmentOrganizationsForumTrustistheumbrellabody.CSOscontributetoscalingupnutritiontothecommunitiesthroughdirectactivitiesathouseholdlevel.Business involvement:ThePrivate SectorengagementhasprovidedfinancialsupportthroughthePupkewitzFoundationandtheMillersAssociation.AnumberofindustrieslikeNamibMills,NamibiaDairiesandPraktikaAfrikaarefullyengagedintheFoodFortificationTechnicalWorkingGroup.

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NamibiahasaNationalFoodandNutritionPolicy(1995)andaNationalStrategicPlanforNutrition(2010).Inaddition,thereareavarietyofnutrition-specificstrategiesandguidelinescoveringallaspectsfrominfantandyoungchildfeeding,tomicronutrientdeficiencycontrol,toacutemalnutritionmanagementtonutritionmanagementforpeoplelivingwithHIV/AIDS.Nutrition-sensitive policies and strategies in Namibia cover all key sectors. Thenationallegislationwithabearingonnutritioncoverssaltiodization,watermanagementandsocialprotectionwiththeSocialSecurityActbeingamendedin2004.Thematernityprotectionlawprovides12weeksofmaternityleave.MeasuresfortheimplementationoftheInternationalCodeofMarketingofBreast-milkSubstitutesarecurrentlyawaitingfinalapproval.ACivicOrganizationPartnershipPolicyisalsoinplace

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CountryImplementationPlanisjust being developedandwillbeusedastheCommon Results Framework.Aspartofnutrition-specificprogrammes,theMinistryofHealthisimplementingnationalscalesupplementationanddewormingprogrammes.Activitiesbeingcarriedoutbytheprivate sector suchasNamibMillsarereflected in the National Nutrition Plan.Differentsectoralprogrammesareneededforalignment.

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NAFINhasalineitemwithintheMinistryofFinancewithallocatedresourcesforN$200000peryear(aboutUS$24000)foraperiodof4years(2011-2014).No financial system available yet to trackfinancialcontributionbyGovernmentsectorsandexternalpartners.ThereisagreementaboutlimitationsinthefinancialresourcesavailableandallocatedtonutritionbetweenGovernmentandpartners,buttheamounthasnotbeenagreedupon.

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Nepal

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The high Level Nutrition and Food Security Steering CommitteechairedbyunderViceMinisterofNationalPlanningCommissionisthehighest-levelbodyfornutrition,MSPrepresentingthreeareas:socialsector;agricultureanddevelopment;andcommerceandsupplies.Inaddition,thereisalsoaNutritionandFoodSecurityCoordinationCommitteethatincludeshigh-levelgovernmentofficersinfivekeyministries.UN network:UNagenciesworkingonnutritionincludeUNICEF,WHO,WPFandFAO,theyaremembersofNationalNutritionandFoodSecurityCoordinationCommittee.ThroughREACHtheysupportstheNationalPlanningCommissionandrelevantministriestoreviewannualplansandbudgetregardingnutrition-sensitiveactivities.Donor network:TheWorldBankisthedonor convener.Therearetwo separate platformsforthedonorcommunityanddevelopmentpartners:NationalNutritionGroupandNationalFoodSecurityWorkingGroup.CS alliance/network:CSOsandacademiaarerepresentedonthemulti-stakeholder nutrition platform.Around10INGOsworkthroughtheAssociationforInternationalNGOsandarethoroughlyinvolvedinthepreparationoftheMulti-SectoralNutritionPlan.Business involvement:Theprivatesectorisnotyetinvolved.

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InJune2012,theCabinet(CouncilofMinisters)approvedNepal’sMulti-sectoral Nutrition Plan that covers nutrition-sensitive policies and strategies for key sectors.Nutrition-specificstrategiesandplansincludemicronutrientprovision,promotionofgoodnutritionalpracticeandamulti-sectoralstrategyforschoolhealthandnutrition.AnationalEmergencyNutritionPolicywasadoptedin2008.Nutritionrelevantlegislationcoversfoodfortification(flour)andsaltiodization.ProvisionsfortheimplementationoftheInternationalCodeofMarketingofBreast-milkSubstitutesarefullyendorsedbylaw.Thematernityprotectionlawcoverspaternityleaveandprovides52daysofmaternityleavewhichislessthantheminimumrecommendedbytheILOlengthof14weeks.NepalwillupdateitsNationalNutritionPolicyandStrategyattheendof2012.

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TheMultisectoral Nutrition Plan (MSNP) provides for a Common Results Frameworkwhereallministriesagreeonasetofessentialnutrition-specificandnutrition-sensitiveinterventions.ResponsibleMinistriesareinchargeoftheidentifiedprogrammes,undertheleadoftheNationalPlanningCommission.The MSNP is at early stage of implementation.Nepalisreadytomovetodecentralizationofresponsibilityfornutrition-sensitivestrategiesandspecificnutritioninterventionstodistrictlevel.

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There is a government budget line for nutrition specific interventionsthatischannelledthroughtheMinistryofHealthandPopulation.Theamountfor2011/2012islikelytobedoubledfor2012/2013,90%isbeingsecured.ExternalassistanceincreasedfromUS$0.2milliontoUS$5million.Abasket fundfortheMultisectoralNutritionPlanwillreceivefundingfromthegovernmentanddevelopmentpartners.

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Niger

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TheInterdepartmental Orientation Committee of the 3N(NigeriensFeedNigeriens)StrategypresidedbythePrime Minister convenesallministersconcernedwithfoodandnutritionsecurity.MultisectoralMulti-stakeholderSteeringCommitteeoftheStrategicNutritionProgrammefocusesexclusivelyonnutritionissuesandinvolvesrelevantministries,technicalandfinancialpartners,representativesfromcivilsociety,theprivatesectorandresearchandtraininginstitutions.The3NHighCommissionermightbecomeSUNCountryFocalPoint.UN network REACHwithfinancialback-upoftheEUactively supports the governmentineffortstoimplementthe“3N”Strategy,byhelpingtostrengthenthecoordinationofallactorsDonor networkThedonor conveneristheHeadofDelegationoftheEU. DonorsthatprovideassistancefornationalnutritionplansincludetheEU,IslamicDevelopmentBank,WAHO,UNagenciesandNGOs.CS alliance/network:Eighteencivil society organizationshavegiventheirprincipleagreementforcreatingaplatformundertheSUNframework.Publicandprivateacademic institutionsworktoelaboratepoliticalandstrategicdocumentsforthe3Ninitiative.Business involvement:Theprivate sectorisengagedintheFoodFortificationAlliancebutnotyetfullyinvolvedinscalingupnutrition.

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Nutrition-specific policies in Niger are extensive, updated and provide a coherent framework for multi-sectoral action.The3NStrategyfocusesonfoodsecurity,malnutritionprevalenceandchronicmalnutritionandmainlytargetspregnantandlactatingwomen,infantsandyoungchildren,andpeopleleavingwithHIV.AGenderDiagnosticDocumentisinplacesince2009.TheDecreeontheRegulationofCommercializationofBreast-milkSubstitutes,aswellastheDecreeontheImportation,CommercializationandConsumptionofIodizedSaltwerebothrevisedin2011andarebeingadoptedbythegovernment.Othernutritionrelevantlawscoverfoodhygiene(1998),waterpotability(2004)andoilfortificationwithvitaminA(2012).Donor network:Supportsthedesignandimplementationofamulti-sectoralapproachtonutritioninthe3NStrategy.

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Niger’sMinistryofHealthmaintainsmanyon-goingprogrammesthathaveanexplicitbearingonimprovednutrition.The“3N”multi-sectoralprogram (2012-2015),whichaimstoensureasufficientandqualitysupplyoffoodforallNigeriens,iscomprisedof5axesandlinkstogetherdifferentnutrition-relatedinitiatives.The“3N”iscurrentlybeingoperationalized.ManyprogrammesarenotassessedusingaCommonResultsFramework,buttheintroductionof“3N”willimprovethealignmentofprogrammes,especiallysincearoadmapforalignmentofsectorsandpartnershasbeenfinalized.Donor network:WithasupportofEU,anorganizationalassessmentoftheNationalDirectionofNutritionwasdoneintheperspectiveofscalingupnutritioninterventions.

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Abudgetlinefornutritionis500000000FCFAexistssince2012.All stakeholders,includingexternalpartners(EUandothercountryagencies)agree on the existence of financial gaps but sharp estimations are difficult.Someprogrammesarefullysupportedbyexternalpartners.AdonornetworkwithapoolfundingisestablishedinthehealthsectorwhichincludeSUNMovementactivities.SeveralcoordinationmechanismschairedbytheGovernmentareestablishedtoaddressthecrisismitigation(DispositifnationalandGroupetechniqueNutrition).

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Nigeria

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TheNationalNutritionPartnersForumconvened by development partners appearstobethe only multi-sectoral, multi-stakeholder functional platform. AllMinistriesareengagedthroughtheForum,whichmeetsatleastfourtimesannuallywithexternalpartners.Privatesector,nationalandinternationalNGOs,UNAgencies,donorsandthemediaparticipateinthisForum.TheNutrition Division,locatedintheDepartmentofFamilyHealthintheFederalMinistryofHealth,isthecurrent convening Government bodyresponsibleforScaling-UpNutrition.TheSUN Focal pointistheHeadoftheNutritionDivision.Donor network:TheDonor ConvenerisDFIDthatengagesintheNutritionPartnersForum.UN networks:TheUN AgenciesactiveinScaling-UpNutritionareUNICEF,FAOandWHO.CS alliance/network:TheCSO Convener is Save the ChildrenthatworkswithawiderangeofinternationalNGOs.Business involvement:ThePrivate Sectorhasitsownbusinessplatform-theChamberofCommerceandengagesinSUNthroughtheNationalFortificationAlliance.

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NigeriahasNational Plan of Action on Food and Nutrition (2004)andnutrition-specificpolicyoninfantandyoungchildfeeding(2005)thatisupdated. Nutrition-sensitive policies and strategies in Nigeria cover main key sectors. TherearesignificantprovisionsfortheimplementationoftheInternationalCodeofMarketingofBreastmilkSubstitutes.Thematernityprotectionlawprovidesfor16weeksofmaternityleave.ThemandatoryLawforthefortificationofwheatflourandmaizeflourandVegetableOilisinplace.NigeriawascertifiedUSICOMPLIANTin2005.Civil Society Alliance/Network:CivilSocietyplatformworkstowardsadvocatingaddressingcorenutritionissues,includingwomen’sempowermentandrighttofood.

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Noinformationprovided.

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TheSUNFocalPointreportedthelackofabudgetlinespecificallyfornutritioninlineMinistriesatnationalandstatelevels.Inaddition,thereisnofinancialtrackingsystemthatallowstracingthecontributionfromexternalpartners.

NigeriaM&E Framework – Baseline

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Peru

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TheMinistry of Development and Social Inclusionensuresinter-governmentalandinter-sectorialcoordinationfortheimplementationoftheNationalDevelopmentandSocialInclusionSystem.GovernmentengageswithcivilsocietyandprivatesectorthroughtheRound Table for the Fight against Poverty (MCLCP).TheFirstLadyisamemberoftheSUNLeadGroup.Vice-Minister of Policy and Social EvaluationisSUNFocal Point. UN network: No UN facilitation mechanism such as REACH exists in the country.TheMIDISisnegotiatingtechnicalsupportwithUNagenciesinsupportofspecificcomponentsofitssocialprogrammes.Donor network:17institutionsusetheInitiative against children´s chronic malnutritionaspacefordialogue.CS network:CSOsaremembersofthe Economic and Social Research Consortium,aPeruvianumbrellaorganizationthatworksonnutrition-relatedsubjectswith48institutionalmembers,includingthinktanks,researchcentres,NGOs,privatefirmsandpublicagenciescontributestorecommendations.DifferentorganisationsfromcivilsocietyandchurchareinvolvedinMCLCP.Business involvement:Privatesectorinvolvedinthefightagainstchildchronicmalnutritioncreatedaplatformtocoordinatetheiractions.

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EarlierstrategiesonFoodSecuritypacedthewayforthe2012oftheMIDISGuidelinesforIntersectoralandIntergovernmentalmanagementtoReduceChildMalnutrition.The Grow National Strategy(CRECER)asapprovedin2007hasbeenaguidinginstrumentinthefightagainstchildchronicmalnutrition;furtherintegrationofstrategies(CRECERPARAINCLUIR)iscurrentlyunderway.Thenationallegislationwithabearingonnutritioncoversagricultureandfood(flourfortificationandsaltiodization).Thematernityprotectionlawforesees90days(almost13weeks)andiscoveredthroughsocialsecurity.MeasuresfortheimplementationoftheInternationalCodeofMarketingofBreast-milkSubstitutesarefullintolaw.

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The MIDIS is currently working onarevisionoftheGrowStrategyinto‘Inclusive Growth’ National Social Inclusion Strategy(CRECERPARAINCLUIR).Itistobeissuedbeforeendofthe2012,furtheremphasizetheinclusioncomponentoftheoriginalstrategyandserveasthe Common Results Frameworkfornutritioninthecountry.TheComprehensiveHealthInsuranceSystemtogetherwiththefiveprogrammescurrentlyunderdirectmanagementofMIDIS(ofwhichsomeunderrevision)arethepreferredprogrammaticinstrumentsindicatedbytheGovernmentinthefightagainstchildmalnutrition.Businessnetworkcoordinatesactionswiththeprivateactorstodisseminateguidelinestoimprovenutrition.

PeruM&E Framework – Baseline

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ThePeruviangovernment allocates a yearly 1.1 billion USDtofightagainstchildmalnutrition.Thereisamulti-annualbudgetarycommitmenttoincreaseoratleastmaintainthefinancialresourcesassociatedtoreduceandpreventchildren´schronicmalnutrition.TheGovernment,thePrivateSectorConfederation(CONFIEP)andtheInter-AmericanDevelopmentBankarepreparingaSocialInnovationFundtofindandfinancecreativewaystosolvesocialproblems(includingstunting).Theleveloffinancialalignmentofdonorsistobeclarified.

PeruM&E Framework – Baseline

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Rwanda

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Thereareseveralmulti-stakeholderplatform:Inter-Ministerial Coordination Committeeisthehighest-levelgovernment conveningbodyundertheleadershipoftheMinisterofHealth;AGovernment and Development Partner’s Groupconsistsofalldonorsanddevelopmentpartnersfromvarioussectorsandco-ChairedbytheMinistryofFinanceandtheUNResidentCoordinator;thesamestakeholdersspecificallyworkinginhealthsectormeetasHealth Sector Cluster’s Group,co-ChairedbyMinistryofHealthandtheWHO.A SUN Focal Point is the Minister of Health.

Donor network:TheEU,UK,Belgium,NetherlandsandtheWorldBankareconvenedbytheUSAIDthroughtheHealthDevelopmentPartnersGrouptocollaborateonnutritionandthebroaderhealthsector.UN network: REACHservesasthecoordinatingmechanismWHO,WFP,UNICEFandFAO.TheUNsystemhasbeeninstrumentalinpromotingtheSUNMovementthroughtheHealthandAgricultureSectoralWorkingGroups,theNutritionSummitsandthebehaviouralchange.CS alliance/network: CSOs and academia engagesthroughtheNTWG.Business involvement:Theprivatesectorhasanestablished platform–NationalFoodFortificationAlliance–undertheauspicesoftheNTWGwithintheMinistryofHealth.Theallianceincludesindustries,consumerassociations,academiaandgovernmentministriesandconsultmainlyonfoodfortification.

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The National Strategy to Eliminate Malnutrition 2010-2013thatincludesbothnutrition-specificandnutrition-sensitiveapproachestoaddressingunder-nutritionwasdevelopedin2010.Therearecurrentpoliciesinkeysectorsthathaveanimpactonnutritionaloutcomesincludingagriculture,povertyreductionanddevelopment,health,educationandsocialprotection.Thematernityprotectionlawprovidingfor12weeksofmaternityhasnotyetbeenofficiallyapproved.MeasuresfortheimplementationoftheInternationalCodeofMarketingofBreast-milkSubstitutesawaitfinalapproval.Foodfortificationlegislationisdraftedandawaitingapproval.Business network:NationalFoodFortificationAlliancehasbeenengagedinthedevelopmentoftheNationalStandardorProtocolonFoodFortificationandtheRwandaCodeofMarketingofBreast-milkSubstitutes.

RwandaM&E Framework – Baseline

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TooperationalizetheNationalStrategytoEliminateMalnutrition,RwandahasdevelopedacomprehensiveJointActionPlantoFightMalnutritionthatprovidesacommon results framework for nutrition.Theplanisbeingimplementedthroughoutthecountryandhasamonitoringandevaluationelement.CommonResultsFrameworkisimplementedatdistrictlevelthroughtheDistrictPlansfortheEliminationofMalnutrition.The NTWG coordinates interventions of all partners-UNagencies,national/internationalNGOs,theacademicinstitutions,donorsandprivatesector/corporation.Programmesstillscalingupwithprogressivelyincreasingcoverage.Monitoringsystemneedstrengthening.

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TheGovernmenthassignedaMOUwiththeEUtoprovideUSD10millionforNutritionoverthenext3years.Variouspartnersarealsoleveragingfundsfromdonorsbothincountryandoutside.ItisestimatedthatRwandamayreceiveuptoUS$12millionperyearfornutritionoverthenext3years.

RwandaM&E Framework – Baseline

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Senegal

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TheCellule de Lutte contre la Malnutrition(CLM),locatedatthelevelofthePrimeMinisterisSenegal’snutritionconveningbodyandoverseesdifferentministryrepresentatives.TheSUN Focal PointistheNationalCoordinatoroftheCLMandactsasadirectlinkwiththeDirectorofthePrimeMinister’sOffice.UN network:UNICEF,WFP,WHO,FAOandUNESCOprovidetechnicalandfinancialsupportfortheCLM.Donor network:Thedesignationofthedonor conveners not finalised yet. Thedonors meet quarterlyandconductbi-annualjointreviewsoftheCLM’sportfolioofprojectsandprogrammes.DonorcommitmentsfromtheWorldBank,UNICEF,theWFPandMIarethemostsignificant.CS alliance/network: CSOsareengaged with the CLMbyensuringthemanagementofprojectimplementation;theConsumersAssociationensuresthesocialmarketingoffoodfortificationprogrammes;academicsectorhelpstoscale-upnutritionthroughoperationalresearchandtheprovisionofresultsindicatingtheimpactofinterventions.Business involvement:Theprivate sectorisinvolvedwiththeimplementationoffoodfortificationprogrammesandconvenesandhasitsown separate business platformconvenedbythepublic-privatealliance,theSenegaleseCommitteeforMicronutrientFortification.

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TheLettredePolitiquedeNutrition(Nutrition Policy Letter)currently under updating, based on WHO recommendationsandlinkedtopoliciesforpovertyreductionandsocialprotection.Therearenutrition-sensitivepolicies,strategiesandplanssuchasNationalAgriculturalInvestmentplan(2011-2015),theNationalStrategyofChildSurvival(2007-2015)andtheNationalSocialProtectionPolicy(2011-2015).Senegalmaintainsanumberofnutritionrelevantlaws,suchasthecodeofbreastmilksubstitutes(2002),saltiodization(2000),fortificationofoilwithvitaminA(2009),andfortificationofflourwithfolicacidandiron(2009).Thematernityprotectionlawforesees14weeksofmaternityleave,matchingtheminimumrecommendedlengthbyILO.

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ThereisaCommon Results Framework an agreed Roadmapthathaspotentialtoleadtogreatersynergyofeffortsacrossdifferentsectors.TheCLMisinchargeoffivecountry-ownedprogrammesthathaveanexplicitbearingonimprovednutrition.Theseare:1)CommunityNutritionProgram,2)NutritionProgramfocusedonChildrenandSocialTransfers,3)ChildNutritionandFoodSecurityProgram,FortificationReinforcementProgram,financedbytheGAIN,3)AccelerationofUniversalSaltIodizationand6)HealthProgram/CommunityHealth,managedbyChildFUNDandUSAID.SenegalalsobenefitsfromaNational Agricultural Investment Program(2011-2015)thataddresseshungerandunder-nutrition.

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Senegalbenefitsfromthegovernment’sbudgetlinefromnutrition,buttheyarecontinuingthesearchforfundingfromotherpartners.There is adequate funding to sustain all programmes in 2013;fundstofillthegapspost2013arebeingmobilized.Senegalisworkingonabreak down of costs and commitments for the next yearandreportedthatresourcemobilizationisunderwayfor2014.

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Sierra Leone

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Vice President convenesandchairsamulti-stakeholder platform-FoodandNutritionSecuritySteeringCommittee.Donors,UNagenciesandCSOsalsoparticipateinHealthDevelopmentPartnersGroup(chairedbytheMinisterofHealth),PresidentialTaskForceinAgriculture(ChairedbythePresident)andAgricultureAdvisoryGroup(chairedbytheMinisterofAgriculture).Donor network:AlthoughDonor Convener is not yet appointedUSAID,IrishAid,theWorldBank,EU,ADBandGovernmentsoftheUK,USA,GermanyandJapan,conveneinmulti-sectoralNutritionWorkingGroupchairedbyIrishAidandUSAIDtoshareupdatesinfoodandnutritionsecuritywithGovernmentandCSOs.UN network:UNFPA,UNICEF,WFP,FAO,WHO,UNAIDSuseREACHtoworkwiththeGovernmenttoconductasituationanalysis,advocatefortheinclusionofnutritionanddevelopofacostedFoodandNutritionPolicyImplementationPlan.CS alliance/network:CSOsparticipateinanumber of existing platforms includingtheMinistryofAgriculture,ForestryandFoodSecurityNGOCoordination;theHealthNGOForumandtheINGOForum;theFoodSecurityTechnicalMeeting(chairedbyFAO);andtheREACHTechnicalCommittee.Business involvement:ThePrivate Sectorhasitsown platformssuchastheChamberofCommerceandafunctioningMulti-stakeholderFoodFortificationAlliance.ThelatterhasbeeninstrumentalinengagingthePrivateSectorinthedevelopmentofnutritionrelatedbillsandtheNationalPlan,aswellassettingmandatoryqualitystandardsforthefortificationofflour,saltandoil.

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SierraLeonehasrecently developed a National Food and Nutrition Policy andothernutrition-specificpoliciesandstrategiesoninfantandyoungchildmalnutrition,managingacutemalnutritionandonmicronutrientsupplementation.Nutrition-sensitivepoliciesandplanscoverkeysectorslikeagricultureandfoodsecurity,povertyreductionanddevelopmentandpublichealth.ThemandatoryfoodfortificationstandardsandmeasuresfortheimplementationoftheInternationalCodeofMarketingofBreast-milkSubstitutesarefinalized and await approval.Thematernityleaveisinplacecovering12weeks,whichdoesnotmatchtheminimumrecommendedtheILOlengthof14weeks.

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TheNationalFoodandNutritionImplementationPlanis the Common Results Framework.Itsdevelopment,followingtheendorsementofthePolicy,wastheresultoftheconcertedeffortsledbytheMinistryofHealthandSanitationandtheMinistryofAgriculture,togetherwithotherlineministriesandstakeholders.ProgrammeshavebeenalignedaroundsevenprioritieswithinvolvementofrelevantlineMinistries,LocalGovernmentandmultiplestakeholders.However,therearereportedconstraintsinthemulti-sectoralintegrationandcoordinationtoensureactualimplementationofrelevantinterventionsandservicesatscale.CS network:ThroughtheNationalandRegionalFoodandNutritionForum,CSOshaveengagedinadvocacytofurtherimprovecoordinationatdistrictlevelforSUN.

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Anoverviewofthecontributionforeachofthesevenprioritiesisprovided.Theimplementationbudgetisbeingfinalizedandwillprovidethebasistoreconcileestimateswithinvestmentstoagreeonfinancialgaps

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Tanzania

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TheHigh Level Steering Committee on Nutrition(HLSCN)convenedbythePrime Minister’s Office,regularlygathersPermanentSecretariesfromninerelevantsectors,developmentpartners,UNagencies,CSOs,universityandbusiness.TheSUN Focal PointisthePermanent Secretary.Amulti-sectorNutritionTechnicalWorkingGroup(NTWG)chairedbytheDirectoroftheTanzanianFoodandNutritionCentresupportstheHLSCN.Donor network: ConvenedbyUSAIDandIrishAid,awiderangeofbi-lateraldonors,UNagenciesandCSOsmeetregularlyunderDevelopment Partner Group for NutritionanduseexistingdialoguemechanismstofacilitatedonoralignmentforalldevelopmentinitiativesincludingthepromotionoftheSUNmovement.UN network:UNagenciesuseREACHtocoordinateefforts;alsotheyareinvolvedintheNTWG,theDevelopmentPartnersGrouponNutritionandothernutritionfora.UNICEFisrepresentedontheHLSCN.CS alliance/network:238CSOmembersworkingonnutrition-specificandnutrition-sensitivedevelopmentareunitedaspartnership for NutritioncalledPANITA.ItcurrentlyoperatesundertheSave the Children FundandhasaseatintheHLSCNalongwithCOUNSENUTH,thebiggestTanzanianCSOworkingonnutrition.Business involvement:Theprivate sector engages in the SUNthroughtheNationalFoodFortificationAlliancewhilegeneralbusinessplatformistheTanzaniaChamberofCommerce,IndustryandAgriculture.TheG8NewAllianceprovidestheopportunityforprivatesectortoincreasinglyengageinagricultureandnutrition.SUNBusinessNetworkfocalpointreachesouttoGovernmentFocalPointandothercountrynetwork.

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Tanzaniaisreviewingitsnutrition-specificNational Food and Nutrition Policy andhasaNational Nutrition Strategy–NNS(2009-2015).Theapprovednationalpoliciesandstrategiesbaseonamulti-sectoralapproachandcovermostofkeysectors.NationalmeasuresfortheimplementationoftheInternationalCodeofMarketingofBreast-milkSubstitutesareunder review. ThematernityleavedoesnotyetmatchtheILOrecommendations.Business network:BusinessnetworkproducedGuidelinesonFoodFortificationforapprovalbytheCabinetofMinisters.

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TanzaniajuststartedoperationalizationofitsCommonResultFramework-National Nutrition Implementation Plan.Inaddition,aCouncil Steering CommitteeonNutritionhasbeenestablishedatDistrict levelchairedbytheExecutiveDirectorandwithfullinclusionrepresentativesofrelevantdepartments,UNagencies,CSOsandprivatesector.TheUNDAPandtheREACHCountryImplementationPlanarebothalignedwiththeNNS.Info from other networks will (if available) be added later

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Thefindingsfromthereview of expenditure on nutritionconductedthroughoutthecountryarefinalized.Thefigures are not yet availablefordissemination.CSOshaveidentifiedfundinggapsandraisedfundsfromUNICEFandIrishAidforcreationoftheCSOalliance.WorldBank,DFIDandCIDAprovidefinancialandtechnicalsupportwhileDANIDAsupportssmall-scalefoodfortificationefforts.

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The Gambia

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TheNational Nutrition Agency (NaNA)undertheOfficeoftheVicePresident,fundedbytheGovernmentofTheGambiaandUNICEFandreportingdirectlytotheNationalAssemblyMembers,isresponsibleforoverseeingandcoordinatingtheimplementationoftheNationalNutritionPolicy(2010-2020).The SUN Focal Point is the Executive Director of NaNA.ThecapacityofNaNAissupportedbytheWorldBankandincludesthestrengtheningofitsM&Efunctiontoinformdecision-making,communication,informationsharingandadvocacy.Atnationallevel,theNaNAconvenesallrelevantGovernmentsectorsthroughtheNationalNutritionCouncilthatischairedbytheVice-President.Donor and UN networks:AsperJuly2012,no donor convenerhasbeenidentified.ExceptforUNagenciesandtheWorldBank,therearenootheridentifieddonors.CS alliance/network: NGOs have formed an association(TANGO)witharound80nationalandinternationalmemberstobetterinfluencegovernmentdecisionsandpoliciesandtoeffectivelyliaiseandcoordinatewiththeGovernmentprogrammes.

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Since2010,TheGambiahasupdateditsnutrition-specificpolicyandvalidatedaCostedStrategicNutritionPlanandaBusinessPlanforBetterNutrition.Updated policiesarepresentinallkeysectors–agriculture,povertyreduction,healthandeducation-andnutrition-relevantlegislations.TheGambiahasaNational Gender and Women Empowerment Policy (2010-2020)andaWomen’s Act 2010thatprovidesfortheminimumrecommendedmaternityleaveofsixmonths.TheWomen’sAct2010alsoprovides10workingdaysofPaternityleaveforeachchildborn.Withagrowinginvolvementoftheprivatesector,standardsandcapacitiesforfoodsafetyandqualityhavebeenupdatedwithattentiontofoodprocessing,packagingandlabelling.In2011therehasbeenanenactmentoftheFoodSafetyandQualityActandoftheFishandFishProductRegulation.TheCodeofMarketingofBreast-milkSubstitutesisfullytranslatedintolaw(WHO2012).NaNAismandatedtocoordinateTheInternationalBabyFoodActionNetworkactivitiesinthecountryfortheprotection,promotionandsupportofInfantandYoungChildrenFeedingpractices.

The GambiaM&E Framework – Baseline

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TheBabyFriendlyCommunityInitiativewhichstartedin1995undertheVicePresident’sOfficeandMinistryofWomen’sAffairsisrapidlyscalingupreachingnearlyhalfofthecommunities.ThemainsupportersareUNICEFandtheWorldBank;NGOsarecontributingtoitsimplementationaswell.Large-scale programmes and systems are in place but not yet at full scale.ANationalNutritionCommunicationStrategyisbeingfinalized.Alignmentofsectoralprogrammesaroundthecommonresultsframeworkneedsfurtherclarification.Thereisno Common Results Frameworkreportedyet.

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NaNA tracks required and available resources.Financeinformationavailablefornutrition-specificprogrammesindicatesasubstantialgapforsomeprogrammes.Partners’contributionsareonlyindicatedfortheBabyFriendlyCommunityInitiative(29%funded)andtheMicro-NutrientDeficiencyControlProgram(56%funded).UNICEFandtheWorldBankarethemaininvestorsinnutrition-specificprogrammes.Thegovernmentalsoprovidesfundsinsupportofthenutritionprogrammes.Challenge to obtain financial information across sectors remains.

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Uganda

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TheOfficeofthePrimeMinisteristheconvening body responsibleforthecoordinationoftheUgandaNutritionActionPlan(UNAP)withdifferentplatforms,oneofthemistheMulti-SectoralTechnicalCoordinationCommittee(MSTCC)comprisedofeightimplementinglineministries,theNationalPlanningAuthority,developmentpartners,CSOs,academiaandtheprivatesector.TheSUN Focal PointisthePermanentSecretaryandAccountingOfficeroftheOfficeofthePrimeMinister.Donor network:DFID,IrishAid,UNICEF,WFP,WHO,FAOandtheWorldBankareconvenedbyUSAIDusingseparate platforms:theHealthDevelopmentPartnersGroup,theSocialProtectionDonorGroup,REACHworkinggroupandtheDevelopmentPartnersSectoralCommittees.UN network:IFAD,UNDP,UNAIDS,UNHCRandUNWomenuseREACHandestablishedanInter-agencyNutritionTechnicalWorkingGrouptoensurealignmentbetweenUNDAFandUNAP.CS alliance/network:International,nationalandlocalCSOsformedaUganda Civil Society Coalition on Scaling Up Nutrition(UCCO-SUN)thatalreadyhasinplaceaninterimgovernancestructurewithadraftconstitutioninplaceandusesownplatformtocommunicateacrossCSOs.Business involvement:Theprivatesectorengages in SUNthroughthePrivateSectorFoundationUganda(PSFU),mostlyinfoodfortificationandagapassessmentforcapacitytoenrolnewindustriestoreceivesupportforit.ThePSFUsensitizesbusinessesontheirsocialcorporateresponsibilityandisrepresentedinMSTCC.

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Since2011UgandahasaNutrition Action Plan(2011-2016)for scaling-up multi-sector effortsforestablishingastrongnutritionfoundation.TheFoodandNutritionPolicyandStrategyarebeingrevisedinlinewiththisplan.Thenutrition-sensitivepoliciesareextensive,updatedandcoverallkeysectors.Existingnationallegislationwithabearingonnutritionincludemandatoryfoodfortification(whichcoverswheat,maizeflourandoil).Thematernityprotectionlawprovides60days(approximately9weeks)ofmaternityleave,whichdoesnotmatchtheILOrecommendation.TheInternationalCodeofMarketingofBreast-milkSubstituteshasjustbeenupdatedtotakecareofnewnorms.TheFoodandNutritionSecurityBillnotyetapproved.CS network:UCCO-SUNhassuccessfullylobbiedtheimprovedlegislaturetoprioritizeMaternal,InfantandYoungChildrenNutrition,theincorporationofnutritionintoagricultureprogrammingandcontributedtotheformulationoftheUNAP.

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UNAP is a Common Results Framework.Ugandaisready to decentralize responsibilitiesforspecificnutritioninterventionstodistrictlevel;thereisstrongcommitmentforaquickrollout.MSTCCensuresalignmenttotheUNAP.CS network:MembersofUCCO-SUNactivelyparticipateinthedevelopmentandrollingouttheUNAPatdistrictlevels:orientlocaldistrictleadersontheUNAPandfeeddataintothedistrictsurveillancesystemstofacilitateplanning.

process 1

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UNAP has been costedwithinvolvementofCSOsbutthereisno system yet in place to track financial commitments and expendituresacrosssectorsandwithexternalpartners.Noinformationisprovidedondomesticandexternalfinancialcontribution.

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The National Food and Nutrition Commission(NFNC),thatfunctionswithappointedbyMinistryofHealthrotatingChairandfiveBoardMembersfrom1967coordinateskeyandrelevantacross-sectorministriesinvolvedinfoodandnutritioninterventions.StakeholdersinvolvedinnutritionsuchasCSOsFocalPoint,UNICEFandWFP,academia,ManufacturersAssociationofZambiamettostart establishment of Multi-Stakeholderplatform.Thehigh-levelSUNGovernmentFocal PointistheExecutiveDirectoroftheNationalFoodandNutritionCommission.UN and Donor:Thereisno UN facilitation mechanismyet.AsperitsglobalmandateUNICEFistheleadagencyfornutritionwithintheUNsysteminZambia.TheotherUNagenciesactiveintheSUNareWHOandWFP.WorldBank,WFP,USAIDandIrishAidthatareconvenedbyDFIDandUNICEFareapartofaNutritionCooperatingPartners’Group(NCPG).Togetherwithconvenerstheyattend multi-sectoral platformsthatarecoordinatedbykeylineministries.CS alliance/network:CSOshaveformedtheirown platform-ZambiaCivilSocietyOrganizationsonScalingUpNutritionAlliance,haveappointedthecoordinatorandthe convener-SavetheChildrenasresponsiblefortheinitialphaseoftheSUNcampaignprocess.Business involvement: Private Sector participatesinSUNthroughManufacturersAssociationofZambiaSecretariat,althoughtheirmainarenaforengagementisthroughtheNationalFortificationAlliance.

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ZambiahasaNationalFoodandNutritionPolicy(2006)withothernutrition-specificprovisionsforinfantandyoungchildfeedingandmicronutrients.Theapprovednational policies and strategies reflect a multi-sectoral approach for improved nutrition.Nutrition-sensitivepoliciesandstrategiesarepresentinkeysectorslikeagricultureandfoodsecurity,povertyreductionanddevelopmentandpublichealth.Thenationallegislationwithabearingonnutritioncoversparticularlyfoodanddrugs,thereisaspecificprovisionforthemandatoryfortificationoffood.ThereisaspecificprovisionforthemandatoryfortificationofsugarwithVitaminAandofmargarine.Thematernityprotectionlawhasprovisionfor12weeksofmaternityleave.ManyprovisionsfortheimplementationoftheInternationalCodeofMarketingofBreast-MilkSubstitutesareendorsedbylaw.A Social Protection Strategy is being finalized.

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TheNational Food and Nutrition Strategic Planfor2011-2015(NFNSP),wastheresultofbroaderconsultationsandparticipationofstakeholdersincludingseniorgovernmentofficersinkeyacross-sectorministriesanddepartments,internationalpartners,representativesofnon-governmentorganizations,civilsociety,academicians,andtheprivatesector.ThisprocesswascoordinatedandledbytheconcertedeffortsoftheNFNCwithfinancialandtechnicalsupportprovidedbytheNCPG.TheNFNSPisendorsedbygovernmentandservesastheCommon Results Framework.Still,somenutrition-specificinterventionsneedscalingupandalignmentbysectoralprogrammesneedsfurtherclarification.

process 1

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No overall financial systeminplacetoreconcileestimates of costswithnationalinvestmentsacrosssectorsandexternalcontributionstowardstheimplementationoftheNFNSP.FundingforgovernmentprogrammesisprioritizedthroughsectorMediumTermExpenditureFrameworks,butaspecificbudgetlinefortheNFNCisextremelysmalltoshowsubstantialimpactandtheactualdisbursementoftenfallsshortby50%.Informationavailableonexternalfinancialcontributionsforspecificprogrammesonly.

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TheVice-PresidentchairsanInter-MinisterialTaskforceforFoodandNutritionSecuritythatengagessixteenlineministriesandreportstotheCabinet.TheFood and Nutrition Council(FNC)convenesandmanagesamulti-stakeholder platform - ZimVACwithparticipationofUNagencies,NGOsandtheFoodandNutritionSecurityAdvisoryGroup,jointlyledbythreeMinistries.ZimVACischairedbytheDeputyChiefSecretaryandco-chairedbythe SUN Focal Point-theDirectoroftheFNC.Donor network:Thedonorshavetheirown platforms:the“Fishmongers”forhumanitarianissues,anotherforhealthandnutrition,education,socialprotectionandWASHsectorsand“transitionfunds”fornetworking,coordinationandpullingresources.DonorsareconvenedbytheSDC.UN network:FAO,UNICEF,WFP,WHO,UNDP,UNAIDS,UNFPA,UNEPandUNFEMprovidefinancialandtechnicalassistancefornutritionspecificand/ornutritionrelevantnationalplans.TheyaremembersoftheZimVAC but their engagement is minimal.OnlyfourUNAgencies-FAO,WFP,WHOandUNICEFcoordinatetheirassistance.CS alliance/network:Thenational CSOsparticipateintheSUNthroughseveral platforms:aNationalAssociationofNGOs,ZimbabweAssociationofChurchRelatedHospital,ConsumerCouncilandFarmersUnions.Business involvement:ThePrivateSectorisorganizedthroughseveralassociations,participatesintheFoodSafetyandStandardscoordination platformsandisinvolvedintheFNSpolicydevelopment.

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TheZimbabweancabinethasrecently endorsed a Food and Nutrition Security Policy.ThereisalsoaNutritionandHIV/AIDSpolicy(2010).Nutrition-sensitivepoliciesandstrategiesarepresentinallkeysectors.APolicyfortheEducationofGirls,OrphansandVulnerableChildrenexists(2005).Thenationallegislationwithabearingonnutritioncoversparticularlypublichealth.Thematernityprotectionlawprovidesfor16weeksofmaternityleave,exceedingtheminimumrecommendedbytheILOlengthof14weeks.ProvisionsfortheimplementationoftheInternationalCodeofMarketingofBreast-milkSubstitutesarefullyendorsedbylawcoveringtheagerangeof0-60months.

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3.4 Baseline for outcomes at global level

ThemainpurposeoftheSUNNetworksatgloballevel(CSOs,Donors,UNandBusiness)istoenableandsupporttheMovement’seffortsintheSUNcountries.TheGlobalNetworksformanintegralpartoftheSUNMovement,butforthepurposeofoutcomemonitoringareconsideredasseparateactors.

TheprogressivebehaviourthatisassociatedwiththecontributionoftheglobalCSO,Donor,BusinessandUNNetworkstotheMovementisultimatelymeanttosupportandenablethefourprocessesatcountrylevel.Thisprogressivebehaviourisreflectedineightprogressmarkers,illustratedbelow(seepicture3).

Picture 3. Progress markers for Global Networks around four country processes

ThebaselinedescribingthebehaviouralleveloftheSUNNetworksatgloballevelhasbeendeterminedthroughaself-assessmentbymeansofanonlinesurveyofNetworkFacilitatorswithrespondentsindicatingtheextenttowhichactualnetworkbehaviourillustratesaparticularprogressmarker.TheresultingbaselineperNetworkisvisuallyillustratedbyafilledradarchart,madeupofeightspokeswitheachspokerepresentingoneoftheProgressMarkers.Thehigherthevalueonaparticularspoke,themoreadvancedtheleveloftherespectivebehaviour,asself-assessedbythenetworks.Thelegendforexplainingthescaleofthespokes’axisis:0-1as“startingtoshowsigns”,1.1to2.5as“somesignsareinplace”,2.6to5as“manysignsareinplace”,5.1to7.5as“mostofthesingsareinplace”and7.6to10as“allsignsareinplace”.SomeofthefilledareasareunderstandablysmallsincetheProgressMarkersshowanevolvingchangeandsomenetworksonlystartedtheirworkinSeptember2012.Thebaselinepernetworkispresentedbelow.

TheDonor Networktakesresponsibilityforaligningitsmembers’OfficialDevelopmentAssistanceandmobilisingadditionalexternalresourceswheresuchinvestmentsarerequested.• BySeptember2012,thisnetworkincluded

asmallgroupofcoreplayersconsistingofUK,Ireland,Canada,USA,theWorldBank,GatesFoundation,andEUwithotherpartnersbecomingmoreinvolvedsuchas:Germany,France,Switzerland,andJapan.

• BySeptember2012,theDonorNetworkhadbeenestablishedwithanagreedTermsof

Establish and coordinate within the network

Engage with one voice within SUN movement

Adocate to sustain SUN on global agenda

Create critical mass for broader influence

Align policies, programmes and resources to SUN

Create interaction with countries and networks at country level

Respond to country level demands for support (transformation)

Reflect for learning and improvement

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References,governancestructureandprinciplesforengagement.ThenetworkheldregularcallstoexchangeinformationamongmembersandtheSUNMovementSecretariat.

• TheDonorNetworkcoordinateditsactionsinternallyandalreadyinSeptember2012spokewithonevoicewithintheSUNMovement.

TheCivil Society Networkrepresentsabroadconstituency,includingsocialmovementsoffishers,farmersandpastoralists,humanrightsadvocates,nationalandinternationalNGOs,women’sgroups,youthassociations,researchentities,consumergroupsandtradeunions.

• InSeptember2012,atransitionfromSUNTaskforceCtotheSUNCivilSocietyNetworkwassetinmotion.

• Althoughminimalcommunicationoccurredacrossthenetwork,activemembersoftheNetworkwereinregularcontactwiththeSUNMovementSecretariat.

• Advocacyatthenationallevelwasstronginsomeareasbutlinkstotheglobalagendawerelimitedanddependedonrelationshipsbetweenkeyindividuals.

• DuringthetransitionfromTaskforceCtotheNetwork,countrylevelmulti-stakeholderplatformswereconsultedyetlimitedrequestsforsupportwerereceived.

TheUN System NetworkharmonizesandcoordinatesUNagenciesinvolvementintheSUNMovementtoimproveefficiencyandmaximizeopportunitiesforimpact.• InSeptember2012,theUNNetworkhadstartedaninternaldialoguewiththeaimofimprovedinternal

coordination.Inaddition,theNetworkhadinitiatedthedevelopmentofadraftconceptnotetoarticulateitsownstrategy/approachincontributingtotheSUNMovement.

• ContributionofknowledgeandinternationalstandardsfornutritionoutcomesandthedeliveryofnutritioninterventionsareconsideredimportantcontributionsfromtheUNNetworkthatwillfeatureinthisconceptnote.Atthesametime,internalharmonisationisanon-goingtaskandeffortsaremadetowardsengagingwithonevoicewithintheSUNMovement.

• Toadvocateforsustainingnutritionontheglobalagenda,theUNNetworkregularlyupdatedknowledgesharingplatformsthroughtheUN-SCNandREACHwebsites.

• TheUN-SCNfacilitatedjointUNinputsintotheworkoftheCFS(e.g.terminology,socialprotection,GlobalStrategicFramework;jointsideeventonmainstreamingnutritionandstrengtheningconnectionswithagricultureandfoodsecurity;SUNroundtableattheRioWorldNutritionConferenceinApril2012).Inaddition,theUN-SCNorganizedameetingwithSUNCountryFocalPointsandstakeholdersonnutrition-sensitiveagricultureinNewYorkinSeptember2012.

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• TheUNNetworkhadfurthermorestartedinteractionwiththeSUNMovementstakeholdersatcountrylevelbyco-facilitatingandprovidingjointtechnicalinputstoSUNCountryNetworks.

InSeptember2012theBusiness Networkhadonlyjuststartedgettingorganised.ThenetworkhadstartedinternaldiscussionstoidentifywaysinwhichitcouldliveuptoitspotentialtocontributetotheSUNMovementambitionsandsetthefirststepstowardsprovidingaplatformforbusinesstoalignbehindGovernmentplansandsupporttheglobalandcountry-leveleffortstoscalingupnutrition.

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CHAPTER 4

SUN Outputs

4.1 Introduction to SUN Movement outputs

TheSUNMovementisstewardedbyahigh-level,multi-stakeholderLeadGroup,thatisexpectedtoexerciseaccountablestewardshipoverthemovement.TheLeadGroup’sresponsibilitiesaretoprovidestrategicoversighttotheMovement,promotecoherentandcoordinatedsupport,mobilizeresources,sustainpoliticalwillatnational,regionalandgloballevelsandensureaccountabilitythroughouttheMovement.TheLeadGroupmembershavebeenappointedbytheUNSecretary-GeneralinApril2012,basedontheirdemonstratedcommitmenttoequitablehumandevelopment.

Theservices/contributionsoftheLeadGroupmembersinexercisingtheirleadershiproleintheMovement,bothasacollectiveandasindividuals,areconsideredasoutputlevelresults.ThebaselinesituationofLeadGroupcontributionsinSeptember2012isreflectedinchapter3.2basedontheminutesofthe6-monthlyLGmeetingsandreportsdescribingthecontributionof11LeadGroupmembers.

TheLeadGroupandtheNetworksrepresentingtheconstituentpartsoftheMovementarecoordinatedandsupportedbytheSUNMovementSecretariatheadedbytheSUNMovementCoordinator.TheSecretariatisexpectedtoensurethatSUNGovernmentFocalPointsareenabledtoplaytheirroleandthatimplementationofeffectiveevidence-basedactionsisencouraged.TheSMSfurthermoreisexpectedtocollect,collateandanalyseinformationabouttheresultsoftheMovementatcountryandgloballevelsandtoassisttheNetworkstorespondadequatelytorequestsforassistancefromSUNcountries.InadditiontheSecretariatisexpectedtofacilitatecross-countryandcross-networklearningandtopromotethePrinciplesofEngagementtoensurethatallmembersoftheMovementworktowardscountry-drivenandresults-focusedobjectives.

TheactualservicedeliveryoftheSMSisthesecondpartoftheoutputlevelresultsoftheMovementandthebaselineintermsofservicedeliveryinSeptember2012isreflectedinchapter3.3.

We define outputs as products and services delivered directly as a result of the activities carried out by the Secretariat and Lead Group of the SUN Movement and needed to support the desired SUN Movement outcomes.

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4.2 Baseline for Outputs of the Lead Group

InSeptember2012,theLeadGroupformallyendorsedtheSUNMovementStrategy2012–2015byprovidinginitialstrategicdirectiontotheMovement.Duringthesix-monthlyLGmeetingssomefurthersuggestionsaremadetoreinforcetherelevanceofitsstrategicfocus,e.g.byrequestingincreasedfocusonforwomenempowermentandclimatechange.TheLGgroupasawholesupportsoperationalizationofthestrategyatgloballevelwhilesomeindividualLGmembersalsociteexamplesofsupportingcountry-leveland/orthematicoperationalization.VariousmembersoftheLeadGroupreporthavingrepresentedtheMovementininternationalforalike:AfricanUnionHeadsofStatesummits,theUNGeneralAssembly,G8andG20meetingsandsoon.TheyhaveusedtheseopportunitiestoadvocateforthegoalsandmissionoftheMovementinanefforttomaintaintheissueofnutritionhighontheinternationalagenda.InadditionalmostallreportingLGmembersrelateoccasionswheretheyhaveusedtheirindividualsphereofinfluenceamongtheirownconstituency,beitintheirrespectivecountriesororganisations,tofurthertheambitionsoftheMovement.NoneoftheresponsesofLGcontributionsexplicitlyrefertoeffortsinpursuitofgreatermutualaccountability,butalmostallillustratemodestyetinitialoccasionswherebyLGmembershavebeeninstrumentalinbringingdifferentconstituentgroupstogether.

4.3 Baseline for Outputs of the Secretariat.

TheservicesoroutputsprovidedbytheSecretariataregroupedinfourclusters:

1. Outputs related to the SUN Movement Lead Group

2. Outputs related to the SUN Movement Countries

3. Outputs related to the SUN Movement Networks

TheoutputsoftheSecretariatarepresentedintheLogicalFrameworkbelow,whichatthesametimeservesastheagreedbasisforreportingoncontractualmonitoringobligationstotheSecretariat’sdonors.

ThenextsectionofthereportprovidesabaselineintheshapeofadetailedaccountofservicesdeliveredbytheSecretariatbySeptember2012.ItshouldbenotedthattheLogicalFrameworkfortheSecretariatwasdevelopedafterSeptember2012andbuiltuponthestatusofexistingactivities.ThisbaselineaimstoreflecttheoutputsoftheSecretariatbeforethedevelopmentofthelogicalframework.ThisisthereasonwhyseverallogframeindicatorsaremarkedasnotapplicableastherelatedprocesseswereduetostartafterSeptember2012.

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Documents

Baseline Report - SUNscalingupnutrition.org/.../SUN_Baseline_Report_ENG... · 1.1. the purpose of the baseline study 5 1.2. the methodologies used in the baseline study 5 chapter