Comprehensive Multi-Dimensional Programming for Nutrition SALLY ABBOTT
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The document outlines a multi-sectoral nutrition strategy for 2014-2025 with the goals of improving nutrition to save lives, build resilience, and advance development. It discusses the high global burden of malnutrition and the rationale for a multi-sectoral approach to address its underlying causes. The strategy focuses on evidenced-based, high impact interventions across several sectors, as well as creating an enabling environment and rigorous program management to achieve nutrition targets and realize the vision of reducing stunting by 20 percent.
Comprehensive Multi-Dimensional Programming for Nutrition SALLY ABBOTT
- 1. Multi-Sectoral Nutrition Strategy 2014-2025 Core Group Spring Meeting Portland, Oregon May 20th, 2016
- 2. Purpose of the Strategy To guide the Agency’s policies and programs for nutrition in both emergency and development contexts with the goal of improving nutrition to save lives, build resilience, increase economic productivity and advance development. Multi-Sectoral Nutrition Strategy Global Learning and Evidence Exchange East and Southern Africa Regional Meeting
- 3. Rationale for the Strategy • New evidence (Lancet 2013) shows that nutrition impacts on every aspect of human development. • Investing in nutrition is fundamental to achieving USAID’s development goals. • USG is committed to supporting the World Health Assembly 2025 Nutrition targets, including 40 percent reduction in stunting. Multi-Sectoral Nutrition Strategy Global Learning and Evidence Exchange East and Southern Africa Regional Meeting
- 4. Global Burden of Malnutrition is High • Malnutrition is comprised of: •Under-nutrition: stunting, underweight, acute malnutrition and micronutrient deficiencies •Over-nutrition: overweight and obesity • Under-nutrition contributes to 45 percent of under- five child deaths (Black 2013). • In 2014 approximately 159 million children under five were stunted (measured by height for age) -- about one in four children (UNICEF, WHO, World Bank, 2015). Multi-Sectoral Nutrition Strategy Global Learning and Evidence Exchange East and Southern Africa Regional Meeting
- 5. Global Burden of Malnutrition is Costly Multi-Sectoral Nutrition Strategy Global Learning and Evidence Exchange East and Southern Africa Regional Meeting FAO estimates that the social and economic cost of malnutrition is US $3.5 trillion (using 2013 data).
- 6. Countries with the Highest Burden of Stunting The Lancet, Maternal and Child Nutrition, June 2013 Multi-Sectoral Nutrition Strategy Global Learning and Evidence Exchange East and Southern Africa Regional Meeting
- 7. The Vision Multi-Sectoral Nutrition Strategy Global Learning and Evidence Exchange East and Southern Africa Regional Meeting Through the USG Feed the Future and Global Health efforts, the Office of Food for Peace programs, resilience efforts and other nutrition investments, USAID will aim to reduce chronic malnutrition measured by stunting by 20 percent.
- 8. To Realize the Vision… Multi-Sectoral Nutrition Strategy Global Learning and Evidence Exchange East and Southern Africa Regional Meeting USAID will: • Set and monitor nutrition targets • Focus on evidenced- based high impact actions • Manage funds and programs in a rigorous manner to achieve results
- 9. Nutrition Targets Multi-Sectoral Nutrition Strategy Global Learning and Evidence Exchange East and Southern Africa Regional Meeting • Contribute to the reduction of child stunting by 20 percent wherever we work • In GH, FTF, and Food for Peace intervention areas, reduce the number of stunted children by 2 million over five years • In humanitarian crises, maintain Global Acute Malnutrition below 15 percent
- 10. 1000 Day Window of Opportunity Multi-Sectoral Nutrition Strategy Global Learning and Evidence Exchange East and Southern Africa Regional Meeting • Most critical time for positive impact on a child’s cognitive, intellectual and physical development • Lays the foundation for health, development and even prosperity for the next generation • After this time, the negative impacts of poor nutrition may be irreversible
- 11. Multi-Sectoral Nutrition Strategy Global Learning and Evidence Exchange East and Southern Africa Regional Meeting
- 12. Multi-Sectoral Nutrition Strategy Global Learning and Evidence Exchange East and Southern Africa Regional Meeting
- 13. Broad Consensus: Multi-Sectoral Approach Multi-Sectoral Nutrition Strategy Global Learning and Evidence Exchange East and Southern Africa Regional Meeting The determinants of malnutrition are multifaceted, ranging from: - an individual’s health status - access to safe, nutritious and diverse foods - water, sanitation and hygiene - feeding and caring practices And therefore require a multi-sectoral approach that includes multiple sectors and programs: - agriculture - health - economic growth and livelihoods - education - humanitarian assistance
- 14. High Impact Interventions Multi-Sectoral Nutrition Strategy Global Learning and Evidence Exchange East and Southern Africa Regional Meeting Nutrition Specific Interventions that impact on the immediate determinants of malnutrition: • Improve infant and young child feeding • Exclusive breastfeeding • Appropriate complementary feeding • Improve women’s nutrition services during reproductive, antenatal and postpartum care • Scale up micronutrient supplementation, including iodine, vitamin A, iron and folic acid • Community management of acute malnutrition • Prevention and management of infectious disease
- 15. Nutrition-Sensitive Interventions Multi-Sectoral Nutrition Strategy Global Learning and Evidence Exchange East and Southern Africa Regional Meeting Nutrition-sensitive interventions address the underlying and systems causes of malnutrition: • Water, sanitation and hygiene (WASH) • Nutrition-sensitive agriculture • Family planning, and healthy timing and spacing of pregnancies • Food safety and food processing • Early childhood care and development • Girls’ and women’s education • Economic strengthening, livelihoods and social protection
- 16. Enabling Environment Multi-Sectoral Nutrition Strategy Global Learning and Evidence Exchange East and Southern Africa Regional Meeting • Gender equality: women as mothers, income earners and decision makers • Country commitment and capacity, leadership, and financial resources • Socio-cultural, economic, environmental and political context
- 17. Rigorous Program Management Multi-Sectoral Nutrition Strategy Global Learning and Evidence Exchange East and Southern Africa Regional Meeting • Concentrate resources in target countries • Set clear objectives • Regularly monitor outcomes and impact • Directly support the country’s own nutrition plan • Increase impact and improve cost-effectiveness by better integrating our nutrition efforts across multiple sectors (health, agriculture, water, humanitarian)
- 18. Common Factors for Success Multi-Sectoral Nutrition Strategy Global Learning and Evidence Exchange East and Southern Africa Regional Meeting • Explicit nutrition objectives and common indicators in USAID strategies, projects and activities across sectors • Geographical targeting of multi-sectoral activities for convergence, overlay and complementarity • Clear mandates, roles and responsibilities of activities and partners for optimum coordination • Real time learning • Rigorous research to quantify results
- 19. Implementing the Nutrition Strategy Multi-Sectoral Nutrition Strategy Global Learning and Evidence Exchange East and Southern Africa Regional Meeting • 27 briefs total (8 finished; 20 in process) • Nutrition-sensitive Agriculture • Intensive Nutrition Programming • Role of Nutrition in Ending Preventable Child and Maternal Death (EPCMD) • The 1000 day window of opportunity • WASH and Nutrition • Nutrition, Food Security, and HIV • Maternal Nutrition for Girls and Women • Community-based Management of Acute Malnutrition • As they are completed they will be posted: • https://www.usaid.gov/what-we-do/global- health/nutrition/technical-areas
- 20. Key Messages Multi-Sectoral Nutrition Strategy Global Learning and Evidence Exchange East and Southern Africa Regional Meeting • The Strategy’s multi-sectoral approach addresses both direct and underlying causes of malnutrition. • Its focus on linking humanitarian assistance with development programming helps build resilience to shocks in vulnerable communities. • Multiple determinants of malnutrition require a multi- sectoral response. • Improves the cost-effectiveness of USAID’s nutrition funding by • better coordinating nutrition efforts across health, agriculture and humanitarian and resilience programs • making agriculture, WASH and gender programs more nutrition sensitive