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About MQSUN The Maximising the Quality of Scaling up Nutrition Programmes Framework (MQSUN) is a DFID-funded consortium of partners, led by PATH, collaborating.

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Presentation on theme: "About MQSUN The Maximising the Quality of Scaling up Nutrition Programmes Framework (MQSUN) is a DFID-funded consortium of partners, led by PATH, collaborating."— Presentation transcript:

1 About MQSUN The Maximising the Quality of Scaling up Nutrition Programmes Framework (MQSUN) is a DFID-funded consortium of partners, led by PATH, collaborating to scale up DFID nutrition programs globally. MQSUN is a four year project spanning from February 2011 through February 2015 MQSUN aims to provide DFID with technical services to improve the quality of nutrition-specific and nutrition- sensitive programmes. DFID has 17 priority countries including: *Bangladesh, Myanmar, Ethiopia, India, Kenya, Malawi, Mozambique, Nepal, Nigeria, Pakistan, Somalia, Sudan, Tanzania, Uganda, Yemen, Zambia, Zimbabwe

2 Our Partners Aga Khan University Agribusiness Systems International ICF International Institute for Development Studies International Food Policy Research Institute Health Partners International, Inc. PATH Save the Children UK

3 MQSUN Calldown Activities Nutrition Audits Business Cases Knowledge Management & Dissemination Operations Research Impact Evaluations Governance and Political Economy Analysis Capacity Building Costing and Financial Tracking

4 Supporting SUN Secretariat – History MQSUN core activity Review of National Nutrition Plans of 17 DFID* priority countries  Checklist tool for reviewing the National Nutrition Plans  Summary document of the review for 17 countries  Partners: HPI and PATH Phase I – Supporting Movement of Scaling Up Nutrition  What would it cost to scale up nutrition working with SUN countries and networks  Development of costing tool – for standardizing the costing of national plans for scaling up nutrition  16 costed plans reviewed  Results presented in the Brussels SUN meeting (March 2013)  Partners: ICFI, HPI and PATH  Timeline: 2 months Phase II – Country visits to get a better understanding of the plans and costing  Pilot testing of the costing tool – Kenya  Country visits – 8 countries (Nepal, Bangladesh, Indonesia, Sierra Leone, Burkina Faso, Madagascar, Malawi, Rwanda)  Continued desk reviews – 21 + countries  Results presented at the G8 Nutrition for Growth event in London, June 2013  Partners: ICFI, HPI and PATH  Timeline: 8 months *Bangladesh, Myanmar, Ethiopia, India, Kenya, Malawi, Mozambique, Nepal, Nigeria, Pakistan, Somalia, Sudan, Tanzania, Uganda, Yemen, Zambia, Zimbabwe

5 Phase III – Supporting Movement of Scaling Up Nutrition Technical support and assistance to the SUN countries (via SUN Secretariat) to accelerate action to tackle childhood undernutrition Areas of support to the SUN countries: ▫ Review of policy legislation and to develop plan summaries ▫ Organization and implementation of the Common Results Framework (CRF) based on the country action plans ▫ Financial tracking and resource mobilization ▫ Aggregating and documenting the lessons learned ▫ Disseminating the work at global events and with global networks Timeline: 12 months

6 Washington, DC 30 September 2013 Investigating Country Efforts in Scaling Up Nutrition in 20+ SUN Countries

7 MQSUN Technical Support and Assistance to the SUN Movement Phase I ▫Policy review ▫Analytical framework ▫Methodology for country visits Phase II ▫Remote support to countries and SUN Movement Secretariat (SMS) ▫Country visits ▫Support SMS at International events Phase III ▫Policy, legislation, and plan reviews and summaries ▫Support effective nutrition-sensitive implementation around a Common Results Framework ▫Support financial tracking and resource mobilization

8 Phase I Develop an analytical framework and associated methodology ▫Aggregated Cost Tool (Standardized categorization) ▫Methods for cross-country review

9 Phase I – Analytical Framework Aggregated Cost Tool (ACT) ▫Establishing a common set of measures based on submitted plans  Programme description  Programme classification  Target groups  Lead budget holder  Annual costs  Annual secured funding amounts  Funding source

10 Phase I – Support Methodology Prepare draft methodology for country visits ▫Gain better understanding of existing plan  Which sectors were involved  How costs were calculated  How targets were selected  How donor networks/funds are incorporated into plan activities  Financial mapping and budget allocations

11 Phase II Desk support and analysis Targeted support International event support

12 Phase II – Desk Support Cross-country Review (Desk Support) ▫Enter 21 submitted plans into ACT ▫Review plans in a standardized framework ▫Incorporate feedback and corrections from countries ▫Identify policy shifts to enhance scale up (e.g., inclusion of governance, nutrition-sensitive factors) ▫Review country and external funding, where available ▫Prepare summary documentation for dissemination

13 Phase II – Desk Support Analytical Support ▫Estimating external contributions ▫Defining the financing gap ▫Assist SMS with quantitative analysis and special requests

14 Phase II – Targeted Support Selection of countries ▫Supplied a ratified plan ▫Full engagement of the focal point for the visit ▫Nutrition burden within the country is high ▫Plan is considered to be high quality or country has identified a specific short-term need for June Event Purpose of visit ▫Work with focal points and stakeholders to help them understand and apply the analytical framework and methods ▫Develop an understanding of the elements, inputs, and calculations in the submitted cost plans  Both what is included and what is omitted ▫Identify the financial contributions and pledges of relevant stakeholders ▫Identify activity priorities ▫Identify financial gaps, where possible

15 Phase II – International Events Scaling Up Nutrition Senior-level Meeting, Brussels, March 2013 ▫Analysis of plans from 16 countries ▫Summary of methods and results ▫Reports with national and aggregated statistics “Nutrition for Growth: Beating Hunger through Business and Science”, Pre-G8 Meeting, London, June 2013 ▫Analysis of plans from 20 countries ▫Assist in development of country-specific two-page documents for countries to share policy priorities and advocate for financing requests ▫Provide intensive remote support to countries leading up to and during the event

16 Bangladesh (2011 – 2015) Benin (2012 – 2015) Burkina Faso (2010- 2015) The Gambia (2011 – 2015) Guatemala (2013-2014) Haiti (2013-2017) Indonesia (2011-2017) Kenya (2013- 2017) Madagascar (2012 – 2015) Malawi (2012-2016) Red = countries visited Mozambique (2011 – 2016) Nepal (2013 – 2017) Niger (2012-2015) Peru (2012-2013) Rwanda (2012) Senegal (2013-2017) Sierra Leone (2013 – 2017) Tanzania (2012 – 2016) Uganda (2012 – 2016) Yemen (2013) Phase II Submitted Country Plans

17 Overview of Submitted Plans Key Considerations Analytic Framework Aggregated Results Lessons Learned Next Steps

18 Overview – Key Considerations Plans reflect national commitments ▫inclusive consultation process between the government and in-country partners Plans are used as reference for implementation ▫this implies (need for) more detailed planning and budgeting at sub-national levels

19 Overview – Key Considerations Plan differences (caveats for comparison) ▫Inclusions/exclusions  Existing government inputs (labor, infrastructure)  New versus existing interventions  Stakeholder and sector involvement ▫Assumptions for scale-up  Percentage increase  District rollout  National coverage ▫Cost methodologies  Total intervention costs (ingredients)  Marginal budgeting  Program unit costs ▫Cost estimations  Program planning  Country budgets  External budgets

20 ROOTED IN Poverty Disempowerm ent of women Political & Cultural Environment Insufficient access to affordable, nutritious FOOD throughout the year Lack of good CARE for mothers & children & support for mothers on appropriate child feeding practices Inadequate access to HEALT H sanitation & clean water services Overview – Analytical Framework

21 Applied Classification of Interventions in the Country Plans Nutrition-sensitive Approaches Food Security and Agriculture Care Environment Public Health and Water and Sanitation Specific Nutrition Actions Good Nutrition Practices Vitamin and Mineral Intake Acute Malnutrition Management Enrichment of diet nutrient density for pregnant and lactating women and children 6-23 months Governance Coordination and Information Management Policy and Legislation Development Advocacy and Communication System Capacity Building

22 Overview - Plan Variety

23 TOTAL COST: US$ 4.0 billion (timeframe 2011-2015) US$ 2.4 billion for good nutrition practices (61%) US$ 650 million for acute malnutrition management (21%) US$ 717 million for vitamin and mineral intake (18%) US$ 198 million for nutrient dense diet for PLW and young children (5%).* *Peru, Mozambique and Madagascar Specific Nutrition Actions


25 Composition of Specific Nutrition Actions

26 TOTAL COST: US$ 28.9 billion (timeframe 2011-2015) US$ 19.6 billion for nutrition-sensitive food systems. Note: Bangladesh alone is US$ 8.5 billion US$ 89.5 million for interventions enhancing caring environments US$ 9.2 billion for interventions in public health services, including reproductive health and WASH Nutrition-sensitive Approaches

27 Nutrition-sensitive Food Systems

28 Composition of Nutrition- sensitive Food Systems

29 Diversify and intensify production (Agriculture) Improve use of biodiversity (Agriculture) Improve processing and storage (Agriculture, Industry and SMEs) Ensure food safety (Health) Distribute (Markets and Public Works) Availability Regulate or subsidize prices (Markets) Ensure minimum income (Employment, micro- enterprise and SMEs) Include in school meals (Education) Include in employment schemes (Welfare) Supplement to specific vulnerable groups (Welfare ) Accessibility Promote and educate with a focus on maternal and IYCF (Health) Utilization Place smallholders, especially female farmers, and their needs for assets and services at the core Diversified and Nutrient Dense Diet

30 Import and distribute (Markets) Produce, fortify and distribute (Agriculture & Markets) Regulate (Health) Availability Subsidize prices (Markets) Supplement to specific groups (Welfare ) Supplement under special circumstances (Emergency) Accessibility Promote and educate as part of a diversified diet (Health, Markets) Utilization Fortified Foods

31 Nutrition-sensitive Public Health Household water treatment Water schemes maintenance Community-led total sanitation Sanitation campaigns WASH in schools Management and control of NCD Management of malaria Nutrition counseling of PLWHA

32 Governance TOTAL COST: US$ 2.3 billion (timeframe 2011-2015) US$ 1.5 billion for system-wide capacity building (66%) US$ 629 million for coordination and information management (28%) US$ 143 million for policy development, advocacy and communication (6%)

33 Nutrition Governance Capacity to plan, implement and monitor Capacity for intra-ministerial coordination Capacity for sub- national planning Multi-sectoral coordination at different levels Quarterly monitoring meetings Stakeholder mapping and other planning exercises

34 Specific nutrition actions: US$ 1.1 billion per year US$ 71.6 million per country annually Nutrition sensitive approaches: US$ 6.7 billion per year US$ 370 million per country annually Governance for nutrition: US$ 441 million per year US$ 26 million per country annually Note: 36 high-burden countries received from OECD ODA an annual average of US$ 218 million (2009-2011) 99.9 million U5 Children (2013 proj.): 38 million stunted ▫average prevalence 39% ▫range 19.5-57.7 ▫average annual reduction rate of 1.3% 3.2 million severely wasted ▫average prevalence 2.9% ▫range 0.1-7.9 7.0 million moderately wasted ▫average prevalence 6.2% ▫range 0.3-11.6) 20 Countries At A Glance

35 Elevate nutrition within governmental agendas Centralize national planning and coordination processes Position national task forces above ministerial level Utilize Champions to enable national campaigns to reach wider and more influential audiences Include s takeholders from multiple arenas in planning and coordination Advocate and campaign for more domestic investment Use this to leverage international funding Messages from Country Visits

36 Develop multi-sectoral plans and innovative or pooled funding mechanisms Decentralize the national costing processes to include sub-national managers, decision makers, and practitioners Use the Aggregated Cost Tool to advocate for resources at the national level offer guidance for definitional issues related to classification of activities Messages from Country Visits

37 Technical support Finalise plans, costing, and M&E frameworks Decentralise planning and costing Advocacy Build internal country support Appeal to external donors Financial mapping and funding gaps Support peer learning to share examples, lessons, and successes Support research to extend knowledge of what works Continuing Needs

38 1. Policy, legislation and plan reviews and summaries Assess, evaluate and peer-review national sectoral documents 2. Support effective nutrition-sensitive implementation around a Common Results Framework (CRF) Build and expand on knowledge base of effective interventions 3. Support financial tracking and resource mobilization Establish systems for multi-sectoral planning, costing, financial tracking, assessment of budgetary shortfalls and completion of strategic plans and documentation 4. Aggregate and document the lessons learned from the work with countries Disseminate lessons learned across the SUN global networks (Donor, UN agencies, civil society, and business). Support the SMS in the preparation of briefs, presentations and reports to ensure information exchange and lessons learned Next Steps – Phase III

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