Presentation on theme: "Ending child hunger and undernutrition initiative overview of issues and moving forward Copenhagen, 19 June 2006."— Presentation transcript:
1ending child hunger and undernutrition initiative overview of issues and moving forward Copenhagen, 19 June 2006
2Session Overview Overview of Initiative Field Highlights Where did it come from?What are its major elements?What’s new? What’s not?When will the Initiative be initiated?Major challenges moving forwardField HighlightsRegional Level Political Mobilisation and Partnership Development in Latin America and the CaribbeanPartnering with Local Institutions for National Advocacy in IndiaDelivering the ‘essential package’ for child survival in EthiopiaGeneral DiscussionGlobal Campaign Efforts: Update on ‘Walk the World’
3Initiative Reference Points Agreed – MDG Targets and IndicatorsPartnership with UNICEF2005 MOU between WFP and UNICEFShared conceptual framework30 country offices already collaborating on child hunger effortsKey publicationsConcept Note (WFP, UNICEF, World Bank)Repositioning Nutrition as Central to Development, World Bank, 2006Progress for Children: A Report Card on Nutrition, UNICEF 2006Two Strategic Questions
41. why a specific focus on CHILD hunger? major input and outcome synergies with other MDGsless reliant than overall hunger on increased GDP and agricultural production for resultsmore subject to interventions focused on vulnerable children and their familiesUse a ‘success story’ from a country who has been able to ‘map’ the children and achieve some success
52. what is different now that makes this achievable? increasing understanding of hunger, nutrition and growthincreasing national resources and capacitiesfinancialorganizational and technical (e.g. in communications, media, and information networking)civil society (e.g. improving gender equality and development)increasing international assistanceincreasing effectiveness and decreasing costs of information technologyglobal consensus on Millennium Declaration and GoalsNew constellation of stars that allows us to do something like never before…This is a manageable problem. In theory,… (take them through the math)See Jim’s schema: 350 million – 1 million – 100,000 – 10,000Where are these kids (and families) and how do we link them with local community organizations?What are the organizations that have outreach to these local/community orgs and what are their capacities?How do we reach them? And what needs to be done to develop their capacities?
6MDG-1: two targets and five indicators Initiative target* Key Indicator for the InitiativeSources: 1. Progress for Children: A Report Card on Nutrition (UNICEF, 2006); 2. State of Food Insecurity in the World (FAO, 2004); 3. WFP working estimate
7UNICEF and WFP: decades of partnership 1976 MOU on consultation and exchange of information, joint action in assistance programmes, collaboration in development and nutrition policies and more.1985 Additional complementary parameters for cooperation on emergency response.1998 MOU on Emergency and Rehabilitation Interventions1999 Technical Agreement on Field Telecommunications, Global Coordination and Mutual Assistance2001 Technical Agreement for Logistics Co-operation2005 MOU with Technical Matrices on Education, HIV/AIDS and Nutrition
8‘Agreed’ Hunger Definition In the most fundamental sense, hunger exists when a person’s body lacks the required nutrients to grow and develop a productive, active and healthy lifeIt cannot be measured directly but the most appropriate way for monitoring progress on child is underweight.
9Healthy growth for children in society DirectContributorsDisease prevention controlAdequate dietary intakeAccess to adequate foodAccess to essential health services and a healthy environmentCare for mothers and childrenIntermediateContributorsUnderlyingContributorsFormal and non-formal institutionsPotential resourcesPolitical, economic and cultural environmentAppropriate educationAdapted from: “Strategy for Improved Nutrition of Children and Women in Developing Countries.” New York: UNICEF, 1990.
10Major elements of the Initiative mapping children at risk‘delivery system’ and interventionsongoing costing and resource trackingcommunications strategy for advocacyaccountability framework
11mapping children at risk: micro-level targeting and implications for geographic focus
12Distribution of Underweight Children in Latin America (Children per square kilometre) Source: Millennium Project Hunger Task Force: Halving hunger: it can be done, 2005
13Distribution of Underweight Children in Asia (Children per square kilometre) Source: Millennium Project Hunger Task Force: Halving hunger: it can be done, 2005
14Regional distribution of underweight children Central & Eastern Europe and CIS (1%)Latin America & Caribbean (3%)Middle East, North Africa (6%)East Asia/Pacific (15%)Eastern/Southern Africa (11%)West/Central Africa (12%)South Asia (53%)Source: UNICEF, Progress for children. Number 4, May 2006, Page2.
15Distribution of Underweight Children in Africa (Children per square kilometre) Half of the approx. 32 million underweight children in Africa live in 22 percent of its geographic area – corresponding to less than 10 percent of its sub-national administrative unitsSource: Millennium Project Hunger Task Force: Halving hunger: it can be done, 2005
16Distribution in 144 Countries of underweight children Percentageof totalCumulative percentage72 countrieswith sub-national dataTop 24 regions in top 5 countries55Top 2 regions in next 67 countries1065Balance remaining in top 5 countries772Balance remaining in next 67 countries158772 countries without sub-national data13100Source: Calculated from Millennium Project Hunger Task Force: Halving hunger: it can be done, 2005
17Ranking by global share of underweight children CountryPrevalence of underweight children in country (%)share of total underweight children in the world (%)Cumulative percentage of totalIndia4739.0Bangladesh485.744.7Pakistan385.550.2China84.854.9Nigeria294.459.3Ethiopia4.263.5Indonesia2867.7Democratic Republic of Congo312.370.0Philippines1.971.9Viet Nam1.573.4Source: UNICEF, The State of the World’s Children. Compiled from Table 2 and Table 6.
18Ranking by prevalence of underweight children CountryPrevalence of underweight children in country (%)Percentage share of total underweight children in the worldCumulative percentage of totalBangladesh485.7%Nepal1.2%1.2Ethiopia474.2%India39.0%Timor-Leste460.1%1.3Yemen1.1%2.4Burundi450.4%2.8Cambodia0.6%3.3Madagascar420.9%4.2Eritrea400.2%4.4Lao People's Democratic Republic4.7Niger0.8%5.4Afghanistan391.4%6.9Source: UNICEF, The State of the World’s Children. Compiled from Table 2 and Table 6.
20High prevalence countries global distribution-5S-4S
21Implications for Geographic focus of the Initiative Global focus for advocacy, policy development and monitoringefforts in 4-8 ‘large’ countries focused on technical collaboration projects in the States/Provinces with the majority of underweight childrenefforts in ‘high prevalence’ countries focused on national program development and broad-based operationsefforts in ‘moderate prevalence’ countries efforts focused on highly targeted operations
23Connecting children at risk to community support organizations Map areas of high undernutritionIdentify potential outreach partnersIdentify support organizationsStrengthen linkages between outreach partners and support organisations
24A ‘live’ mapping and monitoring system is required to support partners in addressing child hunger …including:Administrative boundaries, village locations, census blocks, population estimatesHealth facility locations, schools, water supplyLinked databases for intervention monitoringPartner intervention areasIn terms of data collection- what data we collect…. Refer to the geopspatial data which is essential the geographic reference data …required across the board by public health programmesThese include… adminstrative structure of a country…Where populations are .and health facilities…Recently new initiatives to map partners – who's working where and on whatAs more health problems move to cities… need same framework urban mapData collection methodologies vary… to date . Opportunistic…existing data sources (ministry , UN etc), piggy backing activities of NGOS and partners on ground… more recently initiated systematic mapping surveys – via SAM …Remaining Challenges:To establish a high performance and scaleable infrastructure to support broader information needsTo support the routine surveillance … and rapid responseTo implement at scale and sustain even in poorest countries
26Implications for levels of programming and targeting MDG deadline:2015globalensure the sustainable supply of affordable health and nutritioncommodities and the delivery of increased financial resourcesmacrointegrate child health and nutrition needs into national policies, plans and budgetsmesostrengthen district and community health and nutrition systems; ensure access to water and sanitationmicro: empower families to improve their health, feeding and childcare practicesImplications for levels of programming and targeting
27Available ‘Anti-Hunger’ Interventions for household and school level A. Supplemental Food InterventionsB. Non-Food InterventionsBase Health & Nutrition Education2. Micronutrient Supplementation3. Household Water Treatment4. Hand-washing Soap5. Deworming
28Implications for programming priority: strengthen community capacity to assist families-in-need
30Major components of Ending Child Hunger and Undernutrition Initiative 100%Hunger Needs-
31Essential Package Initiative interventions Complementary interventions State & National LevelMicronutrient fortificationEnsure adequate dietHIV preventionDisease ControlWater and SanitationHousehold and School LevelHealth and Nutrition Education (inc. breastfeeding and growth promotion)Complementary, supplementary and therapeutic feedingMicronutrient Supplementation (inc. Vit. A, Iron and prenatal vitamins)Hygiene promotionHousehold water treatmentDewormingPrimary and Secondary EducationARI and Diarrhoea TreatmentImmunizationBirth spacing, safe motherhood and other reproductive health interventions
32Summary of operational objectives: map areas of high undernutritionidentify potential outreach partnerssupport linkages between key levels required to strengthen outreach capacity and deliver an essential package of interventionsleverage complementary interventions to the same geographic/demographic focusI would split these two decision points into two slide – too many words on one page.Slide1:ThemeMaking national governments willing, ready and able to deliver (with the help of International partners, NGOs and Communities) the commodities and services for the Families-in-Need in order to reach substantial and sustainable improvements in child nutrition (more specifically in underweight prevalence)Slide 2: (this needs to be much simpler, with less text. The text can be the verbal explanation, but don’t think it should be in the slide)Approachawareness and understanding of needs, opportunities and solutionsnational policies and programmesdirect community action
34annual price tag: ongoing costing and resource tracking
35Estimate 1: the cost of doing nothing economic and social costs and consequences of 50 million child deaths by 2015 due to underlying hunger and undernutritionprospects of achieving other MDGs is significantly jeopardizedhigher costs of meeting other MDGs, to the extent that they can be met at all without addressing child hungerCompound interest metaphor:
36(US$ per household per annum) The Cost of a ‘package’ ofHousehold Level Interventions‘Rough’ Annual Costs(US$ per household per annum)A. Supplemental Food Interventions (average)~ 55B. Non-Food InterventionsBase Household Health & Nutrition Education3.82. Micronutrient Supplementation14.43. Household Water Treatment4.14. Hand-washing Soap~255. Deworming7.5Household Level Total~110
37Estimate 2: the cost of doing something: country-specific cost estimates should form basis of global estimatecosting exercise should be related to model of Initiative inputs and outcomescollaboration underway with academic and technical organisations and the World Bank to develop consensus on costing parametersrequires ongoing engagement of regional and country officesCompound interest metaphor:
38Initial costing parameters base initial costs on Initiative-specific interventions deliverable with existing community infrastructurephase in additional costs of interventions corresponding to anticipated expansion of infrastructureconsider limiting estimates to geographic areas corresponding to approximately 80% of undernourished childrenconsider giving higher priority to interventions for children under fiveinclude estimates to strengthen technical and managerial capacities for:monitoring and evaluationintervention adaptation and implementationcommunity organization developmentCompound interest metaphor:
39communications strategy for advocacy: to mobilise political, financial and other resources
41Less Successful Efforts to Reduce Child Mortality
42Advocacy Objectivesincrease awareness and understanding of needs, opportunities and solutionswith an enhanced evidence base and metricsstrengthen national policies and programmeswith country-to-country exchange of experience and the promotion of the ‘Three Ones’ in countrymobilise adequate resources
43Advocacy partnership approach create shared ‘brand’, campaign entity and strategybuild a broad partnership that will create urgency and maximize outreach – all speaking in a ‘common voice’keep children and their families at the centre of the messagemaximize linkages with other relevant campaigns at global and national level, e.g.:Partnership for Maternal, Newborn and Child HealthInternational Alliance Against HungerUnite for Children Unite Against AIDSEducation for All
44Major audiences (potential partners) policymakers in both developing and industrialized countries including parliamentariansdonors and foundationsfaith-based organizationsother international and national civil society NGOsprivate sector – WEF Regional Processopinion leaders and the mediatechnical and professional organisationsgoodwill ambassadors and ‘champions’UN agencies
45accountability framework: clarifying roles and responsibilities for WFP/UNICEF units and external partners
46Initiative accountability: country level one agreed action framework that provides the basis for coordinating the work of all partners;one national coordinating authority, with a broad based multi-sector mandate; andone agreed country-level monitoring and evaluation system
47Initiative accountability: regional level Country-to-country experience exchange for:Political MobilisationPartner MobilisationTechnical Collaboration Partnershipsmappingsocial marketingmonitoring and evaluationcosting and resource tracking
48Initiative accountability: global level annual global reporting of results through adaptation of Progress for Children: A Report Card on Nutritionregular joint reports to Executive Boards of WFP and UNICEF on Initiative progress against milestonesexplicit integration with WFP and UNICEF Strategic Plansintegrated workplans across WFP and UNICEF units with implementation support responsibilitiesrelated workplans of Partners Group members to be compiled, monitored and updated annually
49‘Light’ Global Level Partnership Process Inclusive Partnership Group with sub-groups for civil society and NGOs, technical collaborators, UN agencies, the private sector, donors, and governmentsSteering Group of limited size co-chaired by UNICEF and WFP Executive DirectorsUNICEF-WFP Initiative Team to serve as secretariat to Steering Group and Partners Group – including for workplan development and monitoring
50Major challenges moving forward commitment to the goalcommon organisational context with respect to mandate:bring hunger issues to the centre of the international agendaadvocate policies, strategies and operations that directly benefit the hungry poorclarity of purpose and role in the Initiativecapacity and confidenceopenness to changeinternal and external collaboration(cash)
52Upcoming milestones 2006 2007 end June WFP Global Staff Meeting consultationGlobal advocacy and communication strategy preparedmid-JulyConsultation with NGO and private sector partnersend JulyReview of draft Plan of Action by multi-agency advisors groupend AugustFinal draft of Plan of Action completedSeptemberInformal consultations of WFP and UNICEF Executive BoardsNovemberReview and guidance from WFP Executive Board2007JanuaryReview and guidance from UNICEF Executive BoardAnticipated publication of the Series on Maternal and Child Undernutrition in The LancetFebruaryConvening of Partners Group and formal adoption of Plan of ActionPublication of UNICEF and WFP programme and policy resources on addressing maternal and child undernourishmentMarchPublic launch of Initiative
55End Child Hunger and Undernutrition Initiative in Latin America and the Caribbean WFP Global MeetingCopenhagenJune 2006
56Possibilities of Achieving the Target Achievement of the Hunger Objective in the Millennium Development GoalsPossibilities of Achieving the TargetWould achieve both IndicatorsAt least one indicatorObjective #1 of Millennium Development - Eradicate extreme poverty and hungerMay not achieve any indicatorsNot analyzed in this studyTarget #2 -Reduce by half the proportion of people who suffer from hungerLAC region is on track to meet the MDG nutrition target, with annual reduction of underweight of 3.8% ( ). But the current prevalence of 7% of underweight still represents nearly 4 million children affected.However, according to an estimate by the Economic Commission for Latin America and the Caribbean (ECLAC), El Salvador, Guatemala, Honduras and Nicaragua are not on track to meet the nutrition targets of the Millennium Development Goals (MDGs) by 2015.General awareness and political and financial commitment to reduce hunger and malnutrition, as well as micronutrient deficiencies, in young children is low compared with resource allocations for other development priorities. About 1 percent of social spending is allocated to food-based programs, among which investment in fortified food for young children is very low.In the LAC context there is a need to “customize” the ECHUI approach:Working in partnership with governments, civil society and the private sector and with proper commitment and support, many countries of the LAC region could exceed the targets set in the MDGs and indeed eradicate child hunger altogether. With proper commitment and support, many countries of the LAC region could exceed the target set in the MDGs, thus the focus on eradicating child malnutritionChronic malnutrition as the most appropriate indicator in LACTo respond to existing gaps in national programme coverage LAC efforts focus on reaching the 0-36 month age group (exclusive breastfeeding for first 6 months and appropriate fortified complementary foods or other nutritional support from 6-36 monthsWHO/PAHO and UNFPA, as well as UNICEF, are critical partners in LAC (as is ECLAC)Indicator 1 – Global Malnutrition in Children under five years (Weight/Age)Indicator 2 – % of Population UndernourishedFuente: CEPAL. Panorama Social de América LatinaLos límites y los nombres y las designaciones que figuran en este mapa no implican su apoyo o aceptación oficial por las Naciones Unidas.
57From the Outset: Regional Political Endorsement Chile, April 2005: Meeting of Health Ministers of South America endorsed WFP as leader in networking and knowledge management initiatives related to hunger reductionPanama, July 2005: Heads of State of the Association of Caribbean States (ACS) requested WFP to take the lead in the fight towards eliminating all forms of hunger and malnutrition in the upcoming decadeBelize, September 2005: RESSCAD XXI - Meeting of Health Ministers of CA and Dom Rep - requested WFP to take the lead in formulating a sub-regional project to eradicate child malnutrition by 2015 in partnership with governments and other cooperation agenciesPanama, March 2006: The Special Summit of Heads of State of the Central American Integration System (SICA) gave its political endorsement to the WFP/Inter-American Development Bank (IDB) project proposal “Towards the Eradication of Child Malnutrition in Central America and the Dominican Republic by 2015”. The programme concept will be submitted for endorsement to the next SICA Presidential Summit in late June in Panama.Since early 2005 various high-level meetings endorsed and requested WFP to take the lead in the fight towards eliminating all forms of hunger and malnutrition in the upcoming decade. This culminated in SICA’s Special Summit of Heads of State of the Central American Integration System giving its political endorsement to the WFP/Inter-American Development Bank (IDB) project proposal “Towards the Eradication of Child Malnutrition in Central America and the Dominican Republic by 2015”. The project will be submitted for endorsement to the next SICA Presidential Summit. This initiative was endorsed by the UNDG LAC Regional Directors Team in May and will be subject to an extensive stakeholder consultation in early June in preparation for the high-level SICA meeting for endorsement. Plans are underway to adopt a similar approach in the Andean Region.
58Strategic Partnerships and Consensus Building Joint IDB-WFP Regional Programme “Towards the Eradication of Child Malnutrition in Central America and the Dominican Republic by 2015”:Endorsed by the UNDG LAC RD group in May and was subject to an extensive stakeholder consultation in early June in which consensus was reached on the key components and requirements of the regional programme. Participants included representatives of national governments, regional experts, the World Bank, members of civil society, UN agencies and NGOs.Plans are underway to adopt a similar approach in the Andean Region through an eventual partnership with the Corporacion Andina de Fomento (CAF)A Regional Technical Consultation was held in Panama to define the basic components to be taken into account for the design of the Regional Programme “Towards the Eradication of Child Malnutrition in Central America and the Dominican Republic” at the national level (in each of the 8 countries) as well as to identify the synergies to be developed in order to establish a regional support component for the Programme.Consensus reached on:Preventive approach focusing on children under 36 months, pregnant women and lactating mothersStrengthen national programmes with high-potential for nutritional impactConceptual framework of 8 national pillars supported by a regional pillar addressing cross-cutting themesEstablishment of a Steering Committee comprised of national authorities from each country, WFP, the IDB, INCAP and SICA to drive the programme preparation process forwardThe Technical Consultation brought together 80 participants, including high level technical government representatives directly related to the coordination of national efforts on nutrition, as well as managers and directors of national mother-child nutrition programmes of the eight countries of the Central American region, within the SICA framework. Other participants included UN agencies (UNICEF, PAHO-WHO, INCAP, and ECLAC) and experts from USAID, the EU, the International Food Policy Research Institute (IFPRI), the World Bank, the National Institute of Public Health of Mexico (INSP), Emory University, the Centre for the Autonomy and Development of Indigenous People, the Institute for Nutrition of Central America and Panama (INCAP) and the University of Chile.Some of the cross-cutting themes that the regional pillar will support include M&E, training, migrations and the cultural dimension (indigenous and afro-descendant groups).As a key result of the meeting, national representatives pledged to move forward without delay in finalizing their respective components of the regional programme.
59Working Together: WFP and UNICEF Regional Strategic Partnership Meeting Executive Directors Jim Morris and Anne Veneman presided over the May meeting in Panama that addressed ECHUI and related themes of HIV/AIDS, emergency response and UN reformThe LAC region has made more progress on the MDGs than most other regions, but the challenge is how to reach those who remain excludedNeed to work with governments, civil society and the private sector to make a systemic differenceTo achieve sustainability it is critical to ensure reporting on and monitoring of results, including impact assessmentMany opportunities exist for cross-fertilization across countries and organizations which can help demonstrate effectiveness (facilitating South-South cooperation)The Panama meeting brought together all WFP and UNICEF Country Representatives and Regional Bureau staff for the first time in the Ciudad del Saber, or “City of Knowledge” in Panama city.The notion of ending child hunger has powerful implications: it is the right thing to do; it addresses the MDGs and, it is achievable (requires a reasonable amount of money).Bringing governments together to look at what has worked and what has not, fostering South-South cooperation as well as showing experiences are all critical.Sustainability/Showing results: Scaling up successful programs to more communities, up to the country level and further to other countries, and also scaling up by integrating complementary initiatives; and measuring results for the long-term Cross fertilization: At country level, training, learning and staff development opportunities could be further explored between the two agencies.
60Working in Partnership to Support to National Hunger Reduction Plans BoliviaWFP, UNICEF and PAHO/WHO will provide integrated support to the recently-launched “National Strategy for Zero Malnutrition”. The two agencies have been working together since 2003 on institutional strengthening, advocacy and micronutrient supplementation and fortificationGuatemalaUNICEF, WFP and PAHO/WHO implementing a joint programme to reduce chronic malnutrition for children under 3 years and pregnant and lactating womenPanamaWFP/UNICEF/UNFPA “Evaluation of Social Programmes with Food and/or Nutrition Components helped support major policy changes regarding the MCH national programmeTo achieve the objective of ending child hunger in LAC, continued UNICEF-WFP partnership is critical in joint advocacy, creating a strong coalition of committed national governments, civil society, regional organizations, UN system, NGOs, international cooperation agencies, academic experts and building on the political momentum among strong players in the region willing to place eradicating child malnutrition on their political agendas and to invest in making it possible.Bolivia:Institutional Strengthening; Since 2003, both agencies have supported institutional strengthening of the Nutritional Unit of the Ministry of Health, coordinated activities in related communication campaigns, and advocated actively for the establishment of the National Commission for Nutrition and Food Security.The two agencies also worked together with others in the formulation of the GAIN Project and complemented each other in the provision of micronutrients either through supplementation (UNICEF) or fortification (WFP). These actions have a national coverage.WFP, UNICEF and PAHO/WHO are committed to provided intergrated support to the recently-launched “National Strategy for Zero Malnutrition”.Guatemala:In support to the National Program, UNICEF, WFP and PAHO/WHO are implementing a joint programme for the reduction of chronic malnutrition for children under 3 years and pregnant and lactating women for the periodThe Programme promotes breast-feeding and facilitates appropriate supplementary feeding with integral health and environment care targeting 83 municipalities out of 332 with the highest rates of infant malnutritionPanana:Upon Government request WFP, UNICEF and UNFPA carried out in October 2005 an “Evaluation of Social Programmes with Food and/or Nutrition Components”, which greatly contributed to the coordination, review, refocus, and follow-up of the national government’s nutrition programmes, particularly those of the Ministries of Education and Health.Findings of the study were presented to the President of the Republic and his Cabinet. As a direct result, the government of Panama instituted major policy changes related to MCH programmes, to improve existing programmes and adopt decisions for the upcoming budget period, placing emphasis on universal coverage of children aged 6-36 months and pregnant and lactating women living in areas of extreme poverty.
61Ending Child Hunger is Possible in LAC Joint advocacy: Cost of Hunger Studies; Investing in early childhood nutrition brings high economic returns – Increased allocation of national resources to MCHN programmesCreating a strong coalition of committed national governments, civil society, regional organizations, UN System, NGOs, international cooperation agencies, academic expertsBuilding on the political momentum among strong players in the region willing to place eradicating child malnutrition on their political agendas and to invest in making it possibleBUILDING ON POLITICAL MOMENTUMLula / Lagos / Chirac / Zapatero initiative Lula’s Fome Zero. Current opportunities.Several other major country initiatives to build on and supportCHILE REGIONAL SUMMIT – MARCH/APRIL 2007In a meeting with President Bachelet of Chile, WFP gained commitment to host a regional summit for an action plan for LAC to eradicate child malnutrition. Building on the WFP-IDB initiative in Central America, similar consultations will be held in the Andean and Caribbean regions to prepare for this important event. ECLAC has agreed to serve as the technical secretariat for the summit and will be preparing the technical document (“Action Plan for LAC).
62United in the Battle to End Child Hunger! Cost of eradicating child malnutrition in LAC is between US 60-US 100 / child / per year. Who can say no????United in the Battle to End Child Hunger!
63Ending Child Hunger in India Partnering with Local Institutions for National Advocacy
64National capacities: a strong basis for leverage India: strong capacities and national resources for advocacy on child hunger and under-nutrition.WFP actively collaborating to intensify, synergize and focus advocacy approaches with various types & levels of partners:National foundationNational & state initiativesPrivate sector
651. National foundation‘Hunger Free India’: a unique platform for collaborationPartnership between MS Swaminathan Research Foundation & WFP since early 2000s, built on shared vision of ‘Hunger Free India’Joint Technical Resource Center set up at MSSRFObjective: to enhance knowledge base and disseminate food and nutritional security analysis on rural and urban IndiaFrom vision to action: Prof. Swaminathan as Chairman of National Commission on Farmers represents all rural farm households in India: 600 million people!
661.1 Ending child hunger and undernutrition: a new partnership Launched April 2006 during “Mission 2007: Hunger Free India” annual dialogueLed by Prof. Swaminathan, UNICEF & WFPFocuses on joint efforts to strengthen GoI programmes in 3 strategic areas:Health and NutritionPrimary EducationHIV-AIDS- Took out ‘new’ as the next slide says the collaboration has built up since early 2000s
672. National and state initiatives Adolescent Girls Initiative for Reproductive Health, Nutritional Education, HIV Awareness10 local NGOs reached 18,000 girls through 842 girl-groupsLocal production of fortified blended food:Over 10,000 Village Mother and Child Centers supportedSalt iodization: 360 small salt producersFood For Human Development Project for strengthening delivery of basic social services7 NGOs reaching 600 SHWGs (8,000 women)Ongoing capacity-building & advocacy with local partners & counterparts: 40 districts in 8 states
68Private sector An opportunity for advocacy The Bhavishya (Future) Alliance: Indian Partnership for Child NutritionConsolidates skills from Government, States, Corporations & NGOs to reduce child malnutritionTechnical assistance from World Bank, UNICEF & WFP
69Providing an ‘essential package’ for child survival: WFP and UNICEF in Ethiopia
70WFP and UNICEF in Ethiopia Deliberate, strategic partnership to address the underlying causes of child undernutrition, and ensure:Access to adequate foodCare for mothers and childrenAccess to essential health servicesReorientation, refocusing of existing resources
71Enhanced Outreach Strategy for Child Survival An ‘essential package’ of nutrition interventions:Vitamin A supplementationMeasles vaccinationDe-wormingHealth, nutrition and HIV/AIDS educationScreening of under five children, pregnant and lactating women for malnutritionReferral of malnourished children and women to Targeted Supplementary Food (TSF) programme
72Building on existing infrastructure WFP and UNICEF are building on - and building - regional government capacity and infrastructure for health services and food assistance deliveryThe additional effort is focused on child hunger and undernutritionProgramme will expand in line with local infrastructure capacityCoverage: 326 of 326 most vulnerable districts for health services; 272 of 326 for TSFDisaster Prevention and Preparedness Agency (DPPA) – for food and non-food assistance, incl transport, logisticsProg is managed by government; WFP, UNICEF are building cap of govt to manage programmeWorking with regional levels/regions, so all WFP-invested funds in TSF are invested at this level; we are assisting DPPA with infrastructure, spec to estabStaffing structure/cell specific for this project, within DPPA, e.g. area coordinator is WFP-funded by is govt staff, ref. directly to govBuild cap for whole proj cycle mgmntUnique thing is this TSF not done via NGOsKey partner is DPPB (reg. level is Bureau)This prog has widest prog of any WFP prog in ETH, at 272 districts (of 326 d considered to be vulnerable in this country; by end 2006 will be in all)UNICEF now covering all 326 with health packageUNICEF working with RHB at regional levels on health sideOn social side, e.g. HIV campaigns and screenings/referrals supported by UNICEF (HIV) and WFP (referrals)Began as a pilot
73Key results of the EOS2005: 80% of children in defined ‘vulnerable’ districts have received part (Vitamin A) of the ‘essential package’2006: Broader coverage: more districts for TSF, and fuller ‘package’5000 Food Distribution Agents (community women) trained in food distribution & management and provision of nutrition education to date.2 women per distrib site trained (when all ds covered will have 3000 sites) – outreach partbeing trained to do nutrition education, with key messages: exclusive b’feeding; ration itself & cooking; complementary feeding for +6 mos children; will keep addingwant all children to get health part and only malnd to get food part6.7 million kids in vul area <55.4 million have recd Vit A (highest coverage, 80% on health part)full pkg not delivered everywherefood part will be 540,000 children in 2006, we expect; and expect to reach all of them, 100%; are now at 50%
74Multi-sectoral coordination not smooth Key challengesMulti-sectoral coordination not smoothScreening coverage, quality too lowIncreasing, ensuring government ownership and budgetingEffective institutionalisation of results-based management system for the EOS/TSFDisaster Prevention and Preparedness Agency (DPPA) – for food and non-food assistance, incl transport, logisticsProg is managed by government; WFP, UNICEF are building cap of govt to manage programmeWorking with regional levels/regions, so all WFP-invested funds in TSF are invested at this level; we are assisting DPPA with infrastructure, spec to estabStaffing structure/cell specific for this project, within DPPA, e.g. area coordinator is WFP-funded by is govt staff, ref. directly to govBuild cap for whole proj cycle mgmntUnique thing is this TSF not done via NGOsKey partner is DPPB (reg. level is Bureau)This prog has widest prog of any WFP prog in ETH, at 272 districts (of 326 d considered to be vulnerable in this country; by end 2006 will be in all)UNICEF now covering all 326 with health packageUNICEF working with RHB at regional levels on health sideOn social side, e.g. HIV campaigns and screenings/referrals supported by UNICEF (HIV) and WFP (referrals)Began as a pilot
75Vision for the Future:EOS integrated into broader, planned government Health Extension outreach programmeEOS fully integrated into government budgetsTSF managed by Regional Disaster Prevention and Preparedness Agency and Food Distribution Agents timely and effectively and with linkages to other food security and nutrition programmesExpand FDA capacity:1000 more women to be trainedQualified to give a broader range of nutrition educationFrom emergency to community-based approach to end child hunger and undernutrition: increase government and community capacity to provide needed food assistanceWill expand FDAs to 6000, and broaden the range of nutrition education that they are qualified to give- link to non-food interventions: our understanding is of food sec and nutrition in a broad sense, i.e. incl non-foodEOS integrated financially, into budgetsGovt has vision of complete health extension pkg, broader health plan, and wd like to see EOS integs into it (broader in sense of incl adults, wider coverage of vaccinations, etc…, broader pkg). Wt to maintain strength of EOS pkg within broader frameworkidea on 3 is on incr. govt and comm capacity to provide own food