1. Scaling Up Nutrition Together, we can achieve
what no single effort could,
and make the world a healthier,
stronger place for us all.
Strengthening multi-sectoral coordination at country level as a basis to develop a Common Results Framework for Scaling Up Nutrition

2. Why nutrition? Because when..
Children receive proper nutrition and develop strong bodies & minds
Girls & women are well-nourished and have healthy newborn babies
Children receive proper nutrition and develop strong bodies & minds
The world is a safer, more resilient & stronger place
Adolescents learn better & achieve higher grades
in school
Communities & nations are productive & stable
Families & communities emerge out of poverty
Young adults are better able
to obtain
work & earn more

3. A smart investment
Eliminating under-nutrition in young children has multiple benefits. It can:
Boost gross national product by 11% in Africa and Asia.
Improve school attainment by at least one year.
Increase wages by 5-50%.
Reduce poverty as well-nourished children are 33% more likely to escape poverty as adults.
Empower women to be 10% more likely to run their own business

4. Experts agree
The Copenhagen Consensus 2012 Expert Panel of world renowned economists identified the smartest ways to allocate money to respond to ten of the world’s biggest challenges.
They agreed that fighting malnutrition should be the top priority for policy-makers & philanthropists.
They found that every $1 invested in reducing under-nutrition results in a $30 return on investment in terms of increased health, schooling and productivity.
“One of the most compelling investments is to get nutrients to the world’s undernourished. The benefits from doing so – in terms of increased health, schooling, and productivity – are tremendous,”
-Nobel laureate economist Vernon Smith

5. 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

6. 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

7. The SUN approach – starting in 2010
The Scaling up Nutrition Movement relies on national leaders
taking ownership and responsibility for delivering
sustainable solutions to improve nutrition in their countries.
Through country-led efforts that focus on equity and realization of rights,
SUN countries are enabling women, families & communities
to create stronger foundations for their people & transforming the
future of our world.
SUN enables countries to take a collaborative approach bringing together the people & resources needed to rapidly
scale up nutrition-specific interventions as well as implement
cross-sector strategies that are nutrition-sensitive.

8. Countries are at the center of scaling up nutrition
Countries around the world have committed to making
nutrition a priority
& global partners
are working together
to support the
efforts of SUN countries.

9. At the core of all efforts,
Across all approaches –
SUN supports 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.

10. 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

11. Principles of Engagement
Creating Political and Operational MS Platforms
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:

12. National political commitment
Processes that contribute to create an enabling environment for Scaling Up Nutrition
Creating Political and
Operational MS Platforms 1
Developing a coherent nutrition policy framework 2
Aligning Actions Across Sectors (MS Common Results Framework)
Increasing Resources and Monitoring Implementation 3 4
National nutritional outcomes

13. multi-stakeholder platform
At country level: A collaborative approach
The Focal Point brings people together in a
multi-stakeholder platform
Technical Community
Civil Society
United
Nations
Donors
Government Partners
Business

14. Works to align and coordinate action across sectors.
At country level: a multi-sector approach
The multi-stakeholder platform
Works to align and coordinate action across sectors.
Social Protection
Health
Women’s Empowerment
Agriculture
Development, Poverty Reduction & Employment
Education

15. Different ways for creating an enabling environment
Multi-stakeholder platforms
function at their best
when there is agreement on:
Common results and objectives
Membership and Terms of Reference
Organizational framework(s)
Working procedures

16. Different ways for creating an enabling environment
To ensure that multi-stakeholder platforms
work for nutrition, it can be helpful to:
Set a joint agenda to:
Achieve common results and enable decisions to be taken across stakeholders on critical issues
Ensure effectiveness of converged and integrated actions on the ground

17. Examples from countries
Nutrition under supervision of the Head of Government or State (Tanzania, Uganda, Madagascar and Malawi)
Presidential mandate linked to nutrition outcomes (Guatemala and Peru)
Executive leaders acting as nutrition champions (Tanzania and Uganda, Indonesia and Sri Lanka)
Balanced representation of stakeholders including civil society organizations and private sector (Tanzania, Uganda, Ghana and Bangladesh)
Establishment of sub-national and district level multi-stakeholder platforms (Kenya, Rwanda, Uganda, Mozambique)

18. Building an enabling multi-stakeholder environment
Consensus among representatives of different stakeholders by developing a shared understanding around nutrition issues
Buy-in from all represented stakeholders by recognizing their specific contribution and by respecting their decision-making autonomy
Alignment between individual stakeholders’ agendas around common results, including measurement of collective success

19. Establishing a Common Results Framework
Sectoral POLICIES
Sectoral STRATEGIES
Engaging
different parts in Government
other stakeholders
NEGOTIATION around
a single set of results
Several SECTORAL PLANS
an IMPLEMENTATION PLAN which sets:
results-based priorities
responsibilities for implementation across Government sectors and partners
target population + timeframes + baseline + targets
a COSTING of the Plan and the contribution of different stakeholders
a M&E FRAMEWORK
COMMON RESULTS FRAMEWORK includes:

20. 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.

21. 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%

22. How has stunting been reduced? How has stunting been reduced?
In Peru
Reduction in stunting adopted as national goal
Major social programmes targeted to the poorest
Comprehensive health insurance system implemented
Increased Government budget allocated for nutrition
In Nepal
Political commitment and engagement by main sectors (Health, Education, WASH, Agriculture and Local Governance)
Government budget for nutrition doubled
In Ethiopia
Large scale program to improve access to health posts in remote and drought- stricken areas
Provision of safety nets for vulnerable families
Treatment of severe acute malnutrition expanded

23. Challenges Competing parallel systems and structures
Conflicting agendas and interests at different levels
Lack of decision making authority accompanied by limited capacity to position nutrition outcomes at the core of the development discussion
Limited coordination and capacity beyond the national level
Limited engagement of local or community-based civil society organizations and private sector

24. together and make the world a healthier, stronger place for us all.
we can achieve
what no single effort could,
and make the world a
healthier, stronger
place for us all.