Integrated approach : MCHN & Nutrition-sensitive Livelihood

results better nutritional outcomes

March 5, 2015

Nobo Jibon is an Integrated Program

Goal: to reduce food insecurity and vulnerability

for 191,000 HHs in 11Upazilas of Barisal Division

over 5 years.

• MCHN: Improved health & nutritional status

of children U5 & PLW

• Market-based Production and Income

Generation: Poor & extremely poor HHs

have increased production and income

• DRR: HHs in targeted communities protect

their lives & assets and quickly resume

livelihood activities following natural disasters

MCHN

225,000

Livelihoods 80,000

SO3 DRR

373,470

Promotion of improved nutrition practices through integrated approach

MCHN

Liveli hood

improved nutrition status & practices

Production support for nutrition-sensitive

livelihood options; mainly for women

Developing Micro-entrepreneurs

Market linkages

MCHN practices promotion & SBCC (ENA)

Strengthening & ensuring MCHN services

thru MOH facility /CC

Supplementary ration

Utilization of Community volunteers’

network

Courtyard Sessions

IYCF Counseling

GMP Sessions

Supplementary Food Ration

Fish Production Women’s group

Market linkage

Vegetable Production

Livestock

Minimum acceptable diet among 6-23 months children

16.9

7.4

12.3

43.0

52.1

47.8

MCHN MCHN +LIVELIHOOD OVERALL

2011 2013

Dietary diversity among 6-23 months children

0.25 0.21 0.23

0.39

0.50 0.45

0.20 0.16 0.18

0.32

0.43 0.37

0.61

0.46

0.53

0.66

0.82

0.74

0.00

0.10

0.20

0.30

0.40

0.50

0.60

0.70

0.80

0.90

MCHN MCHN + livelihood Overall MCHN MCHN + livelihood Overall

2011 2013

DGLV Pulse and beans Animal Source Food

Trend of changes in nutritional status

39.4 39.4 39.4

15.9 15.9 15.9

43.9 43.9 43.9

30 27.3 27.3

11.7 9.9 11

32.2 31.7 35.3

05

101520253035404550

MC

HN

MC

HN

+ L

ivelih

ood

Overa

ll

MC

HN

MC

HN

+ L

ivelih

ood

Overa

ll

MC

HN

MC

HN

+ L

ivelih

ood

Overa

ll

under-wt Wasting Stunting

Baseline Endline

But … Dietary diversity among PLW

4.7

4

5.7

4.1

0

1

2

3

4

5

6

HH Women

2011 2013

Challenges

• Human and natural resources at HH level to obtain nutrition-sensitive

livelihood options

• Lack of space/land

• Lack of water-bodies

• Economic barriers

• Intra-household food distribution patterns

Lessons learnt

• Integrating nutrition-sensitive livelihood options along with

MCHN-SBCC activities have a greater impact on improving

nutritional status of children

• More gender-sensitive MCHN and livelihood SBCC needed to

improve nutritional behavior regarding PLWs

Thank you !