1. Technical / Program Consultant Scaling Up Nutrition (SUN) Unit
Dr. Nadir Shah
Technical / Program Consultant
Scaling Up Nutrition (SUN) Unit
Planning & Development Department (P&DD)
Government of Gilgit-Baltistan

2. GB Nutrition Status & SUN Progress
Contents:
Conceptualizing Malnutrition & SUN Role
GB Nutrition Status
SUN GB Progress up date
Challenges of Nutrition in GB
Way forward

3. CAUSAL ANALYSIS OF MAL-NUTRITION

4. GB Malnutrition causal analysis
Sector Wise Causal Mal-nutrition
WASH
Food Insecurity
Child-Care & Self-Care
Education
Poverty

5. SUN GB - Objectives
Strengthening advocacy & coordination among regional stakeholders responsible for nutrition promotion
Provide technical input to relevant sectors (including health, agriculture, food, education, local government, public health engineering, social welfare, industries and environment) on evidence based interventions pertaining to nutrition sensitive and specific strategies.
 Liaise with development partners and other organizations to align nutrition related interventions with multi-sectoral integrated nutrition strategy

6. Country level SUN Approach: Multi-Sectoral Coordination & Intervention
The multi-stakeholder
platform
Works to align and coordinate action across sectors.
Social Protection
Health
Women’s Empowerment
Agriculture
Development , Poverty Reduction & Employment
Education

7. Malnutrition Status of children IN GB (MICS 2016)
Percentage of children
under 5-years
Too less weight
for Age
Too short for
their age
Too thin for
their height
Too heavy weight
for Age

8. Stunting Prevalence-District Wise

9. Children Micronutrient Deficiency Indicators Gilgit Baltistan
NNS 2011

10. Women Micronutrient Deficiency Indicators Gilgit-Baltistan
NNS 2011
NNS 2011

11. Breast & Infant Feeding Gilgit-Baltistan Consolidated ( Ten Districts)

12. Salt-Iodization, Low-Birth Weight, Vitamin-A
Gilgit Baltistan Consolidated Indicators ( Ten Districts)

13. WATER AND SANITATION CONSOLIDATED GILGIT-BALTISTAN
(TEN DISTRICTS)

14. SUN, Multi-Sectoral Nutrition-Progress
Forums for creating enabling environment
Sectoral TWGs
Multi-sectoral coordination committees
Political endorsement
Inter-sectoral-nutrition strategy in place
Sectoral Focal person of nutrition
Provincial focal person
SUN Unit established
Sectoral Ministerial Forum
Steering committee

15. SUN, Multi-Sectoral Nutrition-Progress
B. Advocacy / Coordination
Parliamentarians
Civil society members
Academia
Women organizations
Media
Local Food business community
Line departments

16. SUN Multi-Sectoral Nutrition Progress
C) Sectoral Nutrition Legislation
Policies in place
Inter-sectoral-Nutrition policy & strategy GB
Water & Sanitation policy
Drinking water policy
Behavioral Change Communication policy
Agriculture & Sub-sectoral policy
Iodine Deficiency Disorder Control Act
Pure Food Act
Legislation in Process
Food Fortification Act
Breast Feeding Protection & Child Nutrition Act
GB Food Authority

17. SUN Multi-Sectoral Nutrition Progress
D. Sectoral Projects
Health Sector PC1
Nutrition improvement program
Improve nutrition status of under 5 children /mothers
Promote healthy dietary habits in adolescent girls /adults
Decrease micronutrient deficiency in mothers & children
2. Agriculture & subsectors Projects
3. Education
4. Food
5. WDD
6. LG & RD/ WASH

18. Key Challenges of Nutrition Agenda in GB
Short crops yield period
Regional / Geographic
Nutrition - a Marginalized Sector
Difficult Terrain
Limited Donors involvement
Inaccessibility to health/nutrition care facilities
Disaster risk area
High burden of chronic malnutrition
Scarcity of professional HR
Limited provincial resources
Communication constraints
Poverty
Environmental
Limited job opportunities
Endemic deficiency for some nutrients
Non existence of industries
Business scope
Cultural belief
Community non-awareness about nutrition
Agriculture sector
Small cultivable land holdings
Paucity of viable irrigation channels

19. GB Multi-Sectoral Nutrition-Opportunities
Strong Political endorsement
Facilitative role of P & DD GB
Technical / Financial support of UNICEF
Sectoral coordination mechanism /Forums
Base line updated MICS nutrition data
Approval of Nutrition specific / sensitive PC1s
SUN unit coordination & technical consultation
Upgradation of Food and water testing laboratory
Legislation about food & nutrition

20. Way Forward Community mobilization through mass media
Financial tracking for nutrition investment
Accelerated implementation of Nutrition specific / sensitive PC1s
Establishment of Food Authority >> Flour fortification
Protection of breast feeding and child nutrition act 20018
Consideration for Federal Nutrition Programs in GB
Promote Donor’s engagement in nutrition interventions
Strengthen Political Sensitization
Enhance Multi-sectoral Capacity Building
Adoption of National Level Monitoring Tools & Material

21. Key message for Sustainable Nutrition Improvement
Let us Seek Multi-Sectoral Nutrition Solutions through Gender Sensitive Nutrition lens….!!
THANK YOU ALL !!!