1. CARE BANGLADESH SHOUHARDO: October 2004 – May 2010 SHOUHARDO II: June 2010 – May 2015 Presentation in the FSN Network Regional Knowledge Sharing Meeting Venue: The Madison Hotel, Washington DC Date: 13 November 2012 Faheem Khan – Head of Food & Livelihoods Justice, CARE USA (ex-COP, SHOUHARDO) The SHOUHARDO Integrated Approach to Food Security

2. Working Area of SHOUHARDO II RegionDistrictUpazilaUnionPEP HHs Rangpur4862130,415 Sirajganj353468,253 Mymens ingh 31570154,722 Cox’s Bazaar 12616,610 TOTAL1130172370,000

3. Working Area of SHOUHARDO II Chars

4. Working Area of SHOUHARDO II Haor

5. Working Area of SHOUHARDO II Coastal

6. Goal: Transform the lives of 370,000 poor and extreme poor households in 11 of the poorest and most marginalized districts in Bangladesh by reducing their vulnerability to food insecurity

7. Food Security Availability Access Utilization Stability Increased Production MCHN / PM2A Increased Income Markets DRR WATSAN Strategic Objective 1 Strategic Objective 5 Strategic Objective 1 Strategic Objective 2 VEHICLES FOR DEVELOPMENT “Occupational Groups” “Saving’s Groups” “EKATA “ECCD” Groups” CHANGE CATALYSTS “Volunteers” “CARE” “PNGOs” “PDs” “VDCs” “Institutions” N u t r i t i o n S e c u r i t y IMPROVED HEALTH SO 4 SO 3

8. Programs need to fit into higher goals……….. SHOUHARDO II SOs SO1: Entitlement & Economic Growth SO2: Health, Hygiene, Nutrition SO3: Women Empowerment SO5: Disaster Management and Climate Change Economic Growth & Agriculture Development Democracy Education & Training Population & Health USAID MDG 1: Eradicate Poverty & Hunger MDG 2: Universal Primary Education MDG 3: Women Empowerment MDG 7: Environmental Sustainability MDGs Environment Disaster Management SO4: Institutional Strengthening

9. So why are we so confident………..

10. More Nutritious Food Higher Income Better Services Behaviour Change Less Underweight Less Diarrhea Diet Diversification Hand Washing Breast Feeding Less Migration Less Advance Labour Less Non-Formal Loans More Assets Antenatal Care Iron/Folic Acid Vitamin A Immunization Reduce “Stunting”

11. Better Services Antenatal Care Iron/Folic Acid Vitamin A Immunization At least 3 antenatal visits - Baseline: 16.4% - Endline: 58.6% - Difference: + 258% More food intake than usual - Baseline: 6.4% - Endline: 53.7% - Difference: + 744.5% More daytime rest than usual - Baseline: 25.2% - Endline: 45.9% - Difference: + 82% - Baseline: 27.8% - Endline: 80.9% - Difference: + 191.3% - Baseline: 9.7% - Endline: 79% - Difference: + 712.2% - Baseline: 68.9% - Endline: 84% - Difference: + 22%

12. Behaviour Change Diet Diversification Hand Washing Breast Feeding - Baseline: 89.4% - Endline: 92.7% - Difference: + 3.7% - Baseline: 81.1% - Endline: 98.7% - Difference: + 21.7% - Difference: + 14.8%

13. Higher Income Less Migration Less Advance Labour Less Non-Formal Loans More Assets - Baseline: 42.9% - Endline: 19.6% - Difference: - 54.2% - Baseline: 15.4% - Endline: 3.9% - Difference: - 74.6% - Baseline: 48.8% - Endline: 21.4% - Difference: - 56.1% - Baseline: 697 - Endline: 3,356 - Difference: + 381.5% Income in BDT - Baseline: 1,487 - Endline: 3,390 - Difference: + 128% Income Sources - Baseline: 1.32 - Endline: 1.64 - Difference: + 24%

14. More Nutritious Food Less Underweight Less Diarrhea - Baseline: 22.9% - Endline: 9.1% - Difference: - 60.1% - Baseline: 55.9% - Endline: 44.2% - Difference: - 20.9% HHs with 3 square meals/day - Baseline: 32.2% - Endline: 74.1% - Difference: + 130% HHs with continual stored food - Baseline: 10.3% - Endline: 52% - Difference: + 405.1% - Difference + 44.1%

15. “Stunting” significantly reduced StuntingBaselineEndlineDifference N. Char50.9%35.1%- 31.0% M. Char49.4%40.5%- 17.9% Haor59.0%41.7%- 29.4% Coast43.9%26.2%- 40.2% Girls52.3%33.6%- 35.7% Boys51.5%38.8%- 24.6% Urban48.2%39.0%- 18.9% Rural52.0%36.3%- 30.3% Overall51.9%36.4%- 29.9% Severe Stunting - Baseline: 20.7% - Endline: 12.4% - Difference: - 40.1%