1. Multisector Program Integration
Roberta van Haeften
FSN Network Knowledge Sharing Meeting
Washington DC, November 13-15, 2012

2. Multisector Programs: Their Rationale
Strong links between poverty (lack of income), lack of access to food, and undernutrition
Logic
Illustrated in the Food Security Conceptual Framework
Evidence
Economic growth helps increase food demand and improve nutritional outcomes (World Bank)
“Economic growth is good but not sufficient to improve child nutrition” (IFPRI)

3. Food Security Conceptual Framework Developed for Use in the FAFSA-2
Adapted by Roberta van Haeften and Mary Ann Anderson from Riely et al., 1999 and UNICEF, 1990.

4. Multisector Programs in Title II
USAID/FFP Guidance
No preference expressed for multisector programs
Only guidance on how to handle if this option selected
Food Security Programming Frameworks
Several recommended multisector programs and improvements in program integration
Bangladesh, Burkina Faso, Malawi

5. Multisector Programs During The FAFSA-2 Time Period
Popular
Most programs included at least two technical sectors – AG/NRM/LH and MCHN
Not Well Documented
The degree of integration
The impact of integration

6. Multisector Programs in FAFSA-2
Goal: Improve Food Security/
Reduce Food Insecurity
Strategic Objective: MCHN
(82 Programs)
Strategic Objective: AG/LH
(79 Programs)
72 Programs with Both Objectives
FAFSA-2 Universe – 101 Programs in 28 Countries

7. Integration of Multisector Programs
Definition – programs that have activities in two or more technical sectors operating in the same geographic area and/or serving the same target population
Geographic co-location, i.e., delivering services in the same:
Country?
Major region?
Sub-unit (administrative sub-division, agro ecological)?
Community?
Household????

8. Integration of Multisector Programs
Delivering program services to the same target groups?
Food Insecure Communities – Increasing Community Capacity and Reducing Vulnerability
Farm Households (Including the Food Insecure) – Improving Livelihoods and Incomes
Households with Children under Two and Pregnant and Lactating Women – Reducing Chronic Child Undernutrition

9. Multisector Programs: Extent of Integration in FAFSA-2
Few programs reported on the extent of program integration
At the Community Level:
CRS/Ethiopia
CRS/Madagascar
SC/Uganda
At the Household Level:
The four Guatemala programs – CARE, CRS, SC, SHARE
The four Haiti programs – CARE, CRS, SC, WV

10. Multisector Programs: Few Programs Reported on Results of Integration
Bangladesh
SC (FY 2005–2010) found that its program almost achieved its nutritional goals in the unions where it did both food access (LH) and food utilization (HN) interventions while nutritional improvement was minimal in unions where it only did HN.
CARE (FY 2005–2010) documented a positive correlation between the Household Dietary Diversity Score and number of project components in which households participated.
Bolivia
The joint final evaluation of the four programs concluded that the impressive reductions in stunting and underweight were due to doubling or quadrupling incomes plus effective CBGP, SBCC, and health services in the same communities.

11. Multisector Programs: Constraints to Increased Integration
Serious trade-offs may be required due to differences in:
Resource requirements by sector
Program dynamics and time requirements
Coverage and capacities of government service providers
Sustainability strategies

12. This presentation is made possible by the generous support of the American people through the support of the Office of Food for Peace, Bureau for Democracy, Conflict and Humanitarian Assistance, and the Office of Health, Infectious Diseases and Nutrition, Bureau for Global Health, U.S. Agency for International Development (USAID), under terms of Cooperative Agreement No. AID-OAA-A , through FANTA, managed by FHI 360. The contents are the responsibility of FHI 360 and do not necessarily reflect the views of USAID or the United States Government.