Scaling Up Nutrition Civil Society Network (SUN CSN)

Outline The SUN approach The role of Civil Society What has been achieved The Way Ahead

The SUN Approach

SUN is a unique Movement right to food & good nutrition. founded on the principle that all people have a right to food & good nutrition.

It unites people together in a collective and coordinated effort to from multiple sectors of government, civil society, the United Nations, donors, businesses & researchers – in a collective and coordinated effort to improve nutrition. together we can achieve what no single effort could, and make the world a healthier, stronger place for us all.

The causes of malnutrition are interconnected Lack of good CARE for mothers & children & support for parents on appropriate child feeding practices Inadequate access to HEALTH sanitation & clean water services Insufficient access to affordable, nutritious FOOD throughout the year ROOTED IN Political & Cultural Environment Disempowerment of women Environmental Degradation Poverty

Specific Actions for Nutrition Nutrition-Sensitive Strategies Nutrition-sensitive strategies increase the impact of specific actions for nutrition Specific Actions for Nutrition Nutrition-Sensitive Strategies Agriculture: Making nutritious food more accessible to everyone, and supporting small farms as a source of income for women and families Clean Water & Sanitation: Improving access to reduce infection and disease Education & Employment: Making sure children have the nutrition needed to learn and earn a decent income as adults Health Care: Access to services that enable women & children to be healthy Support for Resilience: Establishing a stronger, healthier population and sustained prosperity to better endure emergencies and conflicts Feeding Practices & Behaviors: Encouraging exclusive breastfeeding up to 6 months of age and continued breastfeeding together with appropriate and nutritious food up to 2 years of age and beyond Fortification of foods: Enabling access to nutrients through incorporating them into foods Micronutrient supplementation: Direct provision of extra nutrients Treatment of acute malnutrition: Enabling persons with moderate and severe malnutrition to access effective treatment

At the core of all efforts, Across all approaches – enabling equity for women At the core of all efforts, women are empowered to be leaders in their families and communities, leading the way to a healthier and stronger world.

SUN principles of engagement Be transparent about impact: all stakeholders to transparently and honestly demonstrate the impact of collective action. Be inclusive: through open multi-stakeholder partnerships that bring proven solutions and interventions to scale. act in line with a commitment to uphold the equity and rights of all women, men and their children. Be rights-based: Be willing to negotiate: when conflicts arise, as can be expected with diverse partners working together, hold the intention to resolve conflicts and reach a way forward. Be mutually accountable: act so all stakeholders feel responsible for and are held collectively accountable to the joint commitments. Be cost effective: establish priorities on evidenced-based analysis of what will have the greatest and most sustainable impact for the least cost. to learn and adapt through regular sharing of the relevant critical lessons, what works and what does not, across sectors, countries and stakeholders. Be continuously communicative: Act with integrity & in an Ethical manner Stakeholders should recognize that both personal and institutional conflicts of interest must be managed with the highest degree of integrity. Be Mutually respectful & earn trust Stakeholders make different contributions to the collective effort. Building the trust needed for collaboration requires respect for these differences. Do no Harm All stakeholders are committed to ensuring that all mothers and children everywhere are empowered to realise their right to proper nutrition whilst doing no harm

The SUN approach SUN Focal Point is identified Within each country a SUN Focal Point is identified Country governments lead national efforts to scale up nutrition.

multi-stakeholder platform The SUN approach The Focal Point brings people together in a multi-stakeholder platform Technical Community Civil Society United Nations Donors Government Partners Business

Works to align and coordinate action across sectors. The SUN approach The multi-stakeholder platform Works to align and coordinate action across sectors. Social Protection Health Women’s Empowerment Agriculture Development & Poverty Reduction Education

Using a unique approach that The SUN approach Using a unique approach that works for each country. These efforts are underway in all SUN countries Together the combined efforts of all countries make up the core of the Movement - The SUN Country Network Multi-sector, multi-stakeholder platform

The SUN approach Global Networks of stakeholders shift resources & align actions to support country efforts. With overall support and coordination provided by the SUN Secretariat and SUN Lead Group Country Network Civil Society Network United Nations Network Donor Network Business Network September 2013

4 key processes: progress is reviewed every six weeks Making progress Within each country, SUN Movement stakeholders are brought together around 4 key processes: progress is reviewed every six weeks Creating Political and Operational Platforms, with strong in-country leadership & shared multi-stakeholder spaces where people come together to align their activities & take joint responsibility for scaling up nutrition. Incorporating Best Practices into National Policies for scaling up proven interventions; including the adoption of effective laws & policies 1 2 Align Actions Across Sectors around high quality and well-costed country plans, with an agreed results framework and mutual accountability. Increasing Resources and Monitoring Implementation for coherent, aligned, effective action and maximum impact. 3 4

The role of Civil Society   The role of Civil Society Photos credits © Claire Blanchard

Civil Society at the national level in the SUN movement

SUN Civil Society Network within the SUN movement

Civil Society - an important stakeholder in support of MMM national efforts - Multi-stakeholder landscape mapping - Advocacy, social mobilization and communications Sensitising everyone to national efforts and importance of nutrition Champions Working with government to advocate for cross- ministry participation… - M&E and development of a common results framework - National nutrition information systems - Building sustainability beyond political cycles for prioritization of nutrition through close work with parliamentarians and building cross-party support during national elections - Building community ownership - nutrition an important human rights, social justice and development issue

Advancing the nutrition agenda SUN CSN plays a key role Supporting CSAs in countries in their coordination role: Encouraging the alignment of Civil Society Organisations’ (CSO) strategies, programmes and resources with country plans for scaling up nutrition Fostering cross-learning and exchange of experiences towards a collective of CSAs functioning as a learning network Supporting efforts to build capacity for effective national efforts towards scaling up nutrition Ensuring Nutrition remains high on the global and national agendas Nutrition on the post-2015 development framework and ensuring country perspectives taken on board ICN2 - Harmonising understanding of nutrition-sensitivity essential for cross- learning and generating evidence of effectiveness

National SUN Civil Society Alliances (CSA) Building on pre-existing arrangements (e.g. Maternal and New Born Child Health, AAHM), CSAs: Co-ordinate civil society in country for alignment behind national priorities Advocate for an increased focus on nutritional outcome in national policies and programmes and representing grassroots voices Support capacity strengthening for improved delivery of services (e.g. community health workers for nutrition service delivery or linking to other programmes like social protection programmes). CSA comprise a number of member CSOs who amplify the voices of communities affected by the double burden of under-nutrition and obesity and focus on the need for greater accountability to them: international and in-country CSOs actively engaged in scaling up nutrition at country level. A woman living with her 7 children in a soft built hut no bigger than the back of a small truck – highlighting issues of land rights for women, family planning needs, education, access to services (only through underfunded and under-resourced CSOs,... Photos credits © Claire Blanchard

Capacity to Deliver – Communities of Practice Planning, costing, implementing and financing of scaled-up multi-sectoral actions Effective social mobilization, communications and advocacy Reliable monitoring of progress, evaluation of outcomes and demonstration of results Enhanced ability to manage effective implementation of actions by multiple stakeholders CSOs conduct mapping, off-budget tracking & advocate 4 budget transparency CSOs contribute to policy shaping & bring grassroots perspectives to table, advocate 4 mutual accountability framework Niger CSOs contribute to implementation – presence on the ground, raising awareness , building capacity through training, M&E Uganda Ghana Tanzania Niger Nepal All CSAs CSOs – social mobilisation GDA for nutrition as priority – buy-in and ownership, nutrition a priority, communities engaged in addressing malnutrition Capacity to Deliver – Communities of Practice Madagascar CSOs Social auditing Advocate 4 centralised system & shape design Collect data Contribute to feedback back to the community Budget analysis Contribute to review of M&E systems, indicators, bottlenecks and contribute to key meetings to address this Feedback to community CSOs advocate with government 4 multi-sectoral efforts & sustained nutrition prioritisation Peru Zambia Ghana Malawi Guatemala Malwi Kenya Madagascar Cross-learning – Francophone, Anglophone and Hispanophone

A few examples in pictures SUN CSA efforts at country level Traditional leaders engagement Photo Credits: © Salim Dalwood for Zambia Civil Society Organization Scaling Up Nutrition (CSO-SUN) Alliance Global Day of Action 2014 Sensitizing Market women who become champions for promoting exclusive breastfeeding in Sierra Leone Photo Credits: © SUN Civil Society Platform in Sierra Leone – World Breastfeeding Week 2013 An audience with the prime minister resulting in a commitment to hold a meeting with all ministries and MSP to start discussing increased investment for coordinated national and regional efforts of plan. Photo Credits: © Meja Miangola. National Nutrition Day, 21 June 2014, Morondava, Madagascar Multi-stakeholder mapping efforts – GACCSSUN leading on CSO mapping as commissioned by the government Sensitizing Chongwe District in Zambia Photo Credits: © Salim Dalwood for Zambia Civil Society Organization Scaling Up Nutrition (CSO-SUN) Alliance Global Day of Action 2014

Advancing the nutrition agenda Role of other networks Donors: Align support Ensure key technical expertise supported Work with governments to support implementation of national plans UN system network: Provide technical expertise (mapping, costing, dashboards, etc…) Facilitate access to key forums for discussion, policy and decision making as well as global forums for defining frameworks Business network: Promoting businesses engagement at national level Ensuring businesses efforts aligned to national priorities Country network: Ensuring government leadership and buy-in from line ministries Establishing multi-stakeholder platform Having a costed national nutrition plan in place and integrating nutrition in sectoral plans Having a budget line for nutrition Ensuring all stakeholders play a role in scaling up nutrition efforts in country

What have CSOs learnt from engagement in SUN

Civil Society as a valid, credible and legitimate stakeholder is key Institutional engagement and resource mobilisation in support of SUN efforts is required Capacity on the ground either not sufficient, poorly trained for nutrition interventions or poorly coordinated Rolling out to the districts is challenging and requires ownership, leadership, capacity strengthening and coordination Functionality of MSPs varying SUN approach is a new paradigm – changing the dynamic -a challenging new way of working requiring skills building at all levels

What has been achieved

Annual SUN Movement Progress Report: Released in November 2014 - updates on progress in achieving the Movement’s goals and strategic objectives.

21 SUN countries rapidly reducing prevalence of stunting BANGLADESH INDONESIA KYRGYZSTAN LAO PDR MYANMAR NEPAL PAKISTAN SRI LANKA TAJIKISTAN VIETNAM YEMEN ASIA Since 2000,21 SUN Countries (indicated in RED) have accelerate their average annual rate of reduction of chronic malnutrition (or stunting) in children under 5 years at more than 2% per year BENIN BURKINA FASO BURUNDI CAMEROON CHAD COMOROS COTE D’IVOIRE DEMOCRATIC REPUBLIC OF CONGO REPUBLIC of CONGO ETHIOPIA GAMBIA NIGERIA RWANDA SENEGAL SIERRA LEONE SOUTH SUDAN SWAZILAND TANZANIA TOGO UGANDA ZAMBIA ZIMBABWE AFRICA GHANA GUINEA GUINEA-BISSAU KENYA LIBERIA MADAGASCAR MALAWI MALI MAURITANIA MOZAMBIQUE NAMIBIA NIGER LATIN AMERICA COSTA RICA EL SALVADOR GUATEMALA HAITI PERU March 2014

The way ahead

Strengthening capacity to Deliver

Capacity to Deliver – Communities of Practice Planning, costing, implementing and financing of scaled-up multi-sectoral actions Effective social mobilization, communications and advocacy Reliable monitoring of progress, evaluation of outcomes and demonstration of results Enhanced ability to manage effective implementation of actions by multiple stakeholders In-country capacity Other countries Civil Society UN Governments Donors Professionals & Academia Businesses Potential resources in country Capacity to Deliver – Communities of Practice

Learning routes to inspire innovation & country adapted solutions

Work towards ethical and ‘do no harm’ engagement of private sector

2015 to focus on business engagement Shift in the dialogue Parameters of engagement driven by strong conflicts of interests processes in countries & underpinned by SUN movement principles of engagement A diverse stakeholder group Private sector engagement in SUN countries – a snapshot Ensuring sticking to social protection laws within work space for pregnant and lactating women Food fortification efforts Social corporate responsibility Production / importation of nutritional products for babies Challenges Land allocation & household food security implications Promotion of nutrient-rich high quality locally grown and produced food products over international and imported products when possible.

Delivering on commitments within evolving global context

Tracking and reporting impact Establishing targets to measure impact: Countries are encouraged to establish their own targets for nutrition goals in the following areas: Universal access to affordable nutritious food, clean water, sanitation, healthcare and social protection Increased adoption of practices that contribute to good nutrition (such as exclusive breastfeeding in the first six months of life) Optimal growth of children, demonstrated as reduced levels of stunting (low height for age) and wasting (low weight for height) Improved micronutrient status, especially in women and children, demonstrated as reduced levels of micronutrient deficiency Annual SUN Movement Progress Report: Released in September each year by the SUN Movement Secretariat, the report provides updates on progress in achieving the Movement’s goals and strategic objectives.

World Health Assembly 2012 Resolution: Supporting global impact Together, countries and supporting stakeholders are collectively working to reach the global targets set out by the World Health Assembly 2012 Resolution: 40% reduction of the global number of children under 5 who are stunted Target 1: Target 2: 50% reduction of anemia in women of reproductive age Target 3: 30% reduction of low birth weight Target 4: Increase exclusive breastfeeding rates in the first 6 months up to at least 50% Target 5: No increase in childhood overweight Target 6: Reducing and maintaining childhood wasting to less than 5%

Global nutrition accountability & Nutrition for Growth A Global Nutrition Report Major commitments and process for tracking progress on delivery June 2013 Nutrition for Growth event – USD $4.15 billion committed to tackle undernutrition up to 2020, and USD $19 billion committed for improved nutrition outcomes from nutrition-sensitive investments between 2013 and 2020 (including CSO commitments). ICN 2 & Post-2015 SDGs to pave the way for nutrition and food systems through to 2030 CSOs hold to account CS has a role to play To hold each other to account Ensure commitments are seen through by other stakeholders Continue advocating for more commitments with a focus on governments from global south Advocate for establishment of accountability systems (global & national) based on principles of mutual accountability

Photos credits © Salim Dalwood for Zambia Civil Society Organization Scaling Up Nutrition (CSO-SUN) Alliance Global Day of Action 2014

Photos credits © Claire Blanchard Building the car whilst driving it! On the road to improved nutrition and sustainable food systems

Thank you Merci Gracias Obrigada Asante Sana Together…. Thank you Merci Gracias Obrigada Asante Sana We are revealing what has been hidden to all. We are making healthier & stronger societies. Our goal is a better world for all …especially our children