1. Approaches for Integrating Nutrition and Food Security, in Value Chain Development CAADP Program Design and Implementation Workshop InterContinental Hotel Nairobi, Kenya, October 20-22, 2010 Robert Mwadime, AED|FANTA II

2. Main Forms of Malnutrition Window of opportunity: -9 to 24 months Underweight (as measure in MDG1) – 11-14% of children are born underweight Micronutrient malnutrition Iron deficiency anaemia – 60-75% among children – 40-60% in women of child bearing age – Main source of death (in women and pre-term mortality) – Huge effec t on physical productivity Window of opportunity: -9 to 24 months Underweight (as measure in MDG1) – 11-14% of children are born underweight Micronutrient malnutrition Iron deficiency anaemia – 60-75% among children – 40-60% in women of child bearing age – Main source of death (in women and pre-term mortality) – Huge effec t on physical productivity

3. What value are we getting? Monetary Welfare Health and nutrition Input suppliers Producers Processers /traders Wholesalers retailers Consumers

4. Balancing the benefits Value chain governance Monetary Nutrition and health Welfare Ability to procure foods to increase diversity Stabilization of consumption Expedited energy ACD and other illnesses Diversified foods produced Food safety Women workload Resource control

5. Input suppliers Producers Processers /traders Wholesalers retailers Consumers Governing the Process What to produce? Nutrient value of produce, diversification Land/labour for diversification) How to add value? Workload, energy expedited, power/empowerment Production to smoothen consumption Improving/preserving nutrition value How to use the value/gains? Power/empowerment Storage and/or to smoothen consumption Preferences  demand

6. Meeting nutrition objectives Context analysis – Who are most vulnerable? When, why? Creating opportunities for potential linkages Creating demand for nutrition behaviours, appropriate feeding practices Defining the process of integration at the different levels (Uganda example) Context analysis – Who are most vulnerable? When, why? Creating opportunities for potential linkages Creating demand for nutrition behaviours, appropriate feeding practices Defining the process of integration at the different levels (Uganda example)

7. This presentation is made possible by the generous support of the American people through the support of the Office of Health, Infectious Disease, and Nutrition, Bureau for Global Health, United States Agency for International Development (USAID), under terms of Cooperative Agreement No. GHN-A- 00-08-00001-00, through the Food and Nutrition Technical Assistance II Project (FANTA-2), managed by AED. The contents are the responsibility of AED and do not necessarily reflect the views of USAID or the United States Government. Food and Nutrition Technical Assistance II Project (FANTA-2) AED E-mail: fanta2@aed.org Website: www.fanta-2.org