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 founded on the principle that all people have a

right to food & good nutrition.

It unites people from multiple sectors of government, civil society, the United Nations, donors, businesses & researchers – in a collective and coordinated effort to improve nutrition.

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

together

ROOTED IN

Poverty Disempowerment of women

Political & Cultural Environment

Insufficient access to affordable, nutritious

FOODthroughout the year

Lack of good

CARE for mothers &

children & support for parents on

appropriate child feeding practices

Inadequate access to

HEALTH sanitation & clean

water services

The causes of malnutrition are interconnected

Environmental Degradation

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

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

Nutrition-Sensitive Strategies Specific Actions for Nutrition

Nutrition-sensitive strategies increase the impact ofspecific actions for nutrition

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.

to learn and adapt through regular sharing of the relevant critical lessons, what works and what does not, across sectors, countries and stakeholders.

SUN principles of engagementBe transparent about impact:

all stakeholders to transparently and honestly demonstrate the impact of collective action.through open multi-stakeholder partnerships that bring proven solutions and interventions to scale.

Be inclusive:

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 mutuallyaccountable:

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.

Be continuouslycommunicative:

Stakeholders make different contributions to the collective effort. Building the trust needed for collaboration requires respect for these differences.

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

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

Country governments lead national efforts to scale up nutrition.

Within each country a SUN Focal Point is identified

The SUN approach

The Focal Point brings people together in a multi-stakeholder platform

Technical Community

United Nations

Government Partners

Civil Society

Donors

Business

The SUN approach

The multi-stakeholder platform

Works to align and coordinate action

across sectors.

Women’s Empowerment

Health

Development & Poverty Reduction

Agriculture

Education

Social Protection

The SUN approachUsing a unique approach that

works for each country.These efforts are underway

in all SUN countries

Multi-sector, multi-stakeholder platform

Together the combined efforts of all countries make up the core of the

Movement - The SUN Country Network

With overall support and coordination provided by the

SUN Secretariat and

SUN Lead Group

Country Network

Donor Network

Civil Society Network

BusinessNetwork

United NationsNetwork

Global Networks of stakeholders shift

resources & align actions to support

country efforts.

The SUN approach

September 2013

Making progress

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 Policiesfor scaling up proven interventions; including the adoption of effective laws & policies

Align Actions Across Sectors around high quality and well-costed country plans, with an agreed results framework and mutual accountability.

Increasing Resources and Monitoring Implementationfor coherent, aligned, effective action and maximum impact.

1 2

3 4

Within each country, SUN Movement stakeholders are brought together around 4 key processes: progress is reviewed every six weeks

 

THE ROLE OF CIVIL SOCIETY

Photos credits © Claire Blanchard

Civil Society at the national levelin 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 agendaSUN 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 toother 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

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

Capacity to Deliver – Communities of Practice

CSOs advocate with government 4 multi-sectoral efforts & sustained nutrition prioritisation

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

CSOs contribute to implementation – presence on the ground, raising awareness , building capacity through training, M&E

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

Zambia

TanzaniaGhanaUganda

Niger

All CSAs

NepalNiger

MalawiGuatemala

Peru

Malwi

Ghana

Kenya

CSOs – social mobilisation GDA for nutrition as priority – buy-in and ownership, nutrition a priority, communities engaged in addressing malnutrition

Madagascar

Madagascar

CROSS-LEARNING – FRANCOPHONE, ANGLOPHONE AND HISPANOPHONE

A few examples in picturesSUN CSA efforts at country level

Sensitizing Market women who become champions for promoting exclusive breastfeeding in Sierra LeonePhoto Credits: © SUN Civil Society Platform in Sierra Leone – World Breastfeeding Week 2013

Traditional leaders engagementPhoto Credits: © Salim Dalwood for Zambia Civil Society Organization Scaling Up Nutrition (CSO-SUN) Alliance Global Day of Action 2014

Sensitizing Chongwe District in ZambiaPhoto Credits: © Salim Dalwood for Zambia Civil Society Organization Scaling Up Nutrition (CSO-SUN) Alliance Global Day of Action 2014

Multi-stakeholder mapping efforts – GACCSSUN leading on CSO mapping as commissioned by the government

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

Advancing the nutrition agendaRole 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• Facilitate access to key forums for discussion, policy and decision making as well as global

forums for defining frameworks

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.

BANGLADESH INDONESIA KYRGYZSTAN LAO PDR MYANMARNEPAL PAKISTANSRI LANKATAJIKISTANVIETNAMYEMEN

ASIA

21 SUN countries rapidly reducing prevalence of stunting

COSTA RICA

EL SALVADOR

GUATEMALA

HAITI

PERU

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

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

LATIN AMERICA

GHANA

GUINEA

GUINEA-BISSAU

KENYA

LIBERIA

MADAGASCAR

MALAWI

MALI

MAURITANIA

MOZAMBIQUE

NAMIBIA

NIGER March 2014

THE WAY AHEAD

Strengthening capacity to Deliver

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

Capacity to Deliver – Communities of Practice

Civil Society

DonorsUN Governments

Other countries

Professionals & Academia Businesses

In-country capacity

Potential resources in country

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 snapshot1. Ensuring sticking to social protection laws within work space

for pregnant and lactating women2. Food fortification efforts3. Social corporate responsibility4. 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.

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:

Reducing and maintaining childhood wasting to less than 5%

Target 1:

Target 2:

Target 3:

Target 4:

Target 5:

Target 6:

40% reduction of the global number of children under 5 who are stunted

50% reduction of anemia in women of reproductive age

30% reduction of low birth weight

No increase in childhood overweight

Increase exclusive breastfeeding rates in the first 6 months up to at least 50%

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 accountCS 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

Together….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

Thank youMerci

GraciasObrigada

Asante Sana