UN Network for SUN

UN Regional Nutrition Meeting Asia Pacific

Bangkok, June 2015

2

UN network: a key contributor to the SUN Movement

Source: Briefing Note - Introduction to The SUN Movement Version-Nov. 2013, REACH Secretariat

SUN Secretariat SUN Lead Group

SUN

Country

Network

SUN Gov’t

Focal Point UN Network

UN Network

Civil Society

Network

Civil Society

Network

Civil Society Civil Society

Network

Donor

Network

Donor

Network

Network

Business

Network

Business

Network

Glo

ba

l le

ve

lC

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ntr

y le

ve

l

• UN Agencies at country level

• UN Nutrition Team and Nutrition focal point (or equivalent)

• REACH facilitator if present as part of the UN Nutrition Team

• UN Network Steering Committee

• FAO, UNICEF, WHO, WFP, IFAD

• UN SCN Secretariat• UN REACH Secretariat

3

Comparative Advantage in Nutrition – UN as a Whole

Multi-SectoralNutrition Expertise

� Specialized expertise in nutrition specific and nutrition sensitive areas that can

respond to country nutrition situation / needs

� UN is by nature multi-sectoral and has working relations with all line ministries

Policy, Strategy and Programme

Design Capacities

� Ability to take emerging evidence from science and apply it to policy and

strategy development and concrete actions on the ground (programme

design)

� Ability to document experiences and share knowledge in a short time frame

Implementation Capacity

� In country field presence and flexibility to adjust response, as country nutrition

situation and priorities change

� UN has a proven track record of taking collective action for impact (HIV/AIDS,

Guinea worm eradication, emergency response, others…)

Advocacy &Fundraising Credibility

� Strong convening power and capacity to advocate for nutrition – UN has the

confidence of governments and credibility with other key stakeholders

� UN can mobilize resources and raise awareness of nutrition programming and

funding gaps – UN has confidence of investors

4

UN network

REACHOther UN agencies Assessment methodologies

• Comprehensive Food Security and Vulnerability Analysis (e.g. Food consumption score)

• Cost of Hunger• Cost of Diet

Knowledge sharing platforms/databases• Country Comprehensive Food Security and Vulnerability

Assessment reports

Seminal publications• State of School Feeding• Road to Good Nutrition

Assessment methodologies• Multiple Indicator Cluster Survey (MICS)• Standardized Monitoring & Assessment of Relief & Transitions

(SMART)

Knowledge sharing platforms/databases• ChildInfo

Seminal publications• State of the World's Children report• Improve Child Nutrition• Programming Guide on Infant and Young Child Feeding

The UN network builds on and multiplies the partner agencies’ strong technical expertise

Assessment methodologies• WHO Landscape Analysis: nutrition situation analysis, focus on

health-related nutrition issues• ONE HEALTH: Costing for Strategic Planning and Costing of

health-based nutrition interventions• Global monitoring of the Comprehensive Implementation Plan on

MIYCF Nutrition (WHA)• Accelerating Nutrition Improvements (ANI)• NCHS to WHO Child growth standards data conversion tool

Knowledge sharing platforms/databases• Electronic Library of Evidence for Nutrition Actions (eLENA)• Global database on the Implementation of Nutrition Action (GINA)• Nutrition Landscape Information System (NLiS)• Vitamin and Mineral Nutrition Information System (VMNIS)

Seminal publications• Essential Nutrition Actions

Assessment methodologies• Dietary diversity assessment• Food Balance Sheets• Food Composition Tables• Joint planning for nutrition methodology• Global P’ship for Integrated Food Security Phase Classification (IPC)• Nutrition Country Profiles

Mapping tools• Mapping Actions for Food Security and Nutrition (MafFsN)• ISFN• CARE climate change toolkit

Knowledge sharing platforms/databases• FAOStat• FAPDASeminal publications• State of Food and Agriculture• State of Food Insecurity

Source: UN Agencies, REACH Secretariat

Knowledge sharing and close alignment on the utilisation of tools is crucial to ensure state-of-the-art field support

Not exhaustive and sometimes

in partnership with others

5

National Governments & Global UN Leadership Hold Common Expectations

ProgrammePlanning &

Delivery

Policy / Technical

Advice

CoordinationMonitoring & Evaluation

Joint Advocacy & Resource

Mobilization

Countries want coordinated UN support on

nutrition, which transcends agency

mandates, and that speaks as one and

moves in tandem with government.

Source: UN Network Face-to-Face Meeting, April 2014

UN needs to works together, at the country

level, if we are to succeed at improving nutrition

outcomes.

� UN Network for SUN should behave as a single reflection of the UN system, bringing together all UN agencies, funds and programmes with an interest in nutrition

� The UN system should have clear agreed objectives on nutrition and a common strategy to achieve them that aligns with national strategies and plans

� UN system coordination mechanisms should function in all countries and aim to deliver efficient, effective and responsive support

� Agencies should adopt joint approaches to nutrition planning, programming and resource mobilization; in support of national priorities

� UN agency staff should reflect the commitments of their Principles and translate this into action

6

Evolution of the UN Network for Scaling Up Nutrition (SUN)

Date Agreements / Actions

June 2013 Letter signed by 5 Principles (UNICEF, WFP, IFAD, FAO, WHO) • Re-iterating commitment to Scale up Nutrition Efforts & endorsing UN Network for SUN & REACH

Aug – Sept 2013

National governments call for UN to be more cohesive and coordinated regarding nutrition efforts • UN commitment to support improved effectiveness of government / multi-sectoral / multi-stakeholder

nutrition platforms (UN Network Meeting in Nairobi & Global SUN Gathering in New York)

January2014

Letter signed by 5 Principles • Addressed to Country / Regional Representatives• Re-iterating commitment to Scale Up Nutrition efforts and endorsing UN Network for SUN & REACH

April – May 2014

Letter, along with FAQ sent to all CDs, RCs, and RDs • Call to set-up UN networks for SUN in all SUN countries

November2014

5 Principles agree on REACH becoming the UN Network for SUN Secretariat• Performance expectations clarified and key deliverables identified for CO level UN Networks for SUN

March 2015 5 Principles agree on REACH extension and confirm REACH Secretariat takes on the UN Network for SUN Secretariat• REACH Memorandum of Understanding re-validated

May 2015 UN Global Nutrition Agenda Approved by Technical Group/Steering Committee• Provides broad framework for aligning the work of UN agencies in support of global and national

nutrition goals

June 2015 UN Network & Secretariat TOR Agreed by Technical Group/Steering Committee• Articulates the forward expectations for the UN Network for SUN and its Secretariat

A series of agreements have been put in place over the last two years, in order to enhance the harmonization

and impact of UN efforts in the area of nutrition.

7

UN Network for SUN at Country Level

Recommended Actions by UN Networks for SUN at Country Level

• Mapping / inventory of existing UN agency country level work in nutrition

• Development of comprehensive UN nutrition strategies

• Harmonization of nutrition messages, joint advocacy and fund raising for nutrition through a common

narrative

• Development of coherent, complementary nutrition programs (e.g. Joint framework and approaches)

• Review of network effectiveness and progress against UN nutrition objectives (e.g. UN Network

Dashboard, Strategy / Agenda implementation)

• Respond to government requests for technical and functional support and/or identify an alternate provider

UN Network for SUN to implement recommended actions expected to help strengthen the

relevance, efficiency and effectiveness of UN contributions to nutrition.

8

Characteristics of the UN Network for SUN at Country Level (1/2)

Details

What is the UN Network

• Is one of the five networks of the SUN Movement

• Builds on what exists at country level

• Comprises UN agency programme staff→ work towards an agreed UN nutrition agenda

to support a national multi-sectoral strategy on nutrition

• To expand beyond current members: WHO, FAO, WFP, UNICEF and IFAD to include

UNFPA etc

Serves to:

1. Strengthen the harmonization, coordination and effectiveness of UN agencies’ activities

in support of country nutrition efforts

2. Align with and articulate UN nutrition efforts to those of national governments, other SUN

Networks and nutrition stakeholders at global and country levels

3. Advance the aims of the SUN Movement

Chair • Senior UN staff (e.g. a UN or Deputy Representatives) in-country → nominated by

UNCT

• Serves as the link with the SUN country focal point

• Represents the UN Network at the SUN multi-stakeholder platform in the country

• Reports to the UNCT on a regular basis

• Is the focal point , links to the UN Network for SUN Secretariat in Rome, as needed

• If REACH is in country, can support

9

Characteristics of the UN Network for SUN at Country Level (2/2)

Details

UN Network (or working group)

• UN agencies decide the members of the group, depending on the country

context → multi-sector, programme staff; chaired by rep or deputy rep of UN

agency active in nutrition

UN ResidentCoordinator

• Periodically tables nutrition at the UNCT meetings

• Monitors the progress of the UN Network vis-à-vis its commitments

Examples of UN Network actions

• Mapping/inventory of existing UN agency country level work in nutrition

• Development of a comprehensive UN nutrition agenda/strategy

• Harmonization of nutrition messages, joint advocacy and resource

mobilisation for nutrition

• Development of coherent, complementary nutrition programmes

• Respond to gov’t requests for support (technical/functional/learning) or

identifying alternative providers

10

What is the Inventory of Nutrition Actions

� Provides a common and comprehensive framework / language for

describing UN current nutrition actions / interventions

� Based on a multi-sectoral list of nutrition actions (defined in NAC)

� Allows UN agencies in the same country to compare the focus /

concentration / magnitude and location of UN nutrition contributions

� Facilitates mapping existing UN nutrition contributions against stated

national government nutrition priorities

� Provides a strong evidence base from which key strategic questions

may arise

� Provides a strong evidence base upon which to develop the UN vision

/ priorities for nutrition

� Provides a common framework / language that could also be useful to

governments, donors, and/or partners in the future; to enable a

common collective conversation

11

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Potential nutrition actions

Consumption

• Improvement of local recipes

• Public guidance & consumer

awareness/protection

• Complementary feeding

Horticulture/Crops

• Diversification & locally adapted

varieties

• Biofortification

Livestock & Fisheries

• Animal husbandry, fisheries & insect

farming

• Animal services

Food Processing, Fortification &

Storage

• Food processing (excluding fortification)

• Fortification (including salt iodization &

complementary foods)

• Food storage

Food, agriculture & diets Health-based

Maternal & Neonatal Health Care• Ante- & post-natal care

• Health professional-assisted delivery

• Basic paediatric health services

Micronutrient Supplementation• Iron & folic acid/Iron supplementation

• Vitamin A/D/zinc/Ca/iodine supplementation

• Multiple micronutrient supplementation

Management of Acute Malnutrition • Mgt of severe acute malnutrition (SAM)

• Mgt of moderate acute malnutrition (MAM)

• Food technology support for specialized

nutrition foods

Disease Prevention & Management• Anti-malaria

• Diarrhoea mgt. (e.g. ORT w/ zinc)

• Vaccinations (measles, polio, etc.)

• HIV mgt. & PMTCT

• Mgt. of tuberculosis

• Mgt. of respiratory infections

Water & Sanitation • Improvement of water supply/source quality

• Sanitation facilities management

Governance (Sectoral & Multi-sectoral) Nutrition education & social marketing• Awareness & consensus of the nutrition situation & response

• National policies, plans & programmes

• Human & institutional capacity development

• Effectiveness & accountability

• Food assistance for vulnerable population groups

• School-based social safety nets

• Assisted health services

• Poverty reduction &/or emergency risk mitigation

Market Regulation & Insurance

• Minimum maternity protection

• Insurance (health, unemployment, weather, etc.)

• Macroeconomic levers

Social Safety Nets

Social protection

Infant & Young Child Feeding

• Protection, promotion & support of

optimal breastfeeding

• Improvement of complementary feeding

Hygiene

• Hand-washing

• Household water treatment & storage

• Food hygiene

• Sanitation management

Care for Children/ P&L Women

• Care to pregnant/lactating women

• Childcare support/caregiver workload

Health Behaviours

• Health-seeking behaviour

• Insecticide-treated nets (anti-malaria)

• Family planning behaviour (incl. adolescent

girls)

Maternal & child care

12

What is a UN Nutrition Strategy/Agenda

� Tells the story on UN contribution to nutrition concisely, clearly and

holistically

� Sets a vision/aspirations for UN contributions in the future, in

alignment with government policy on nutrition

� Clarifies agency responsibilities and identifies gaps in programmes

where UN is uniquely positioned to contribute

� Identifies areas of weakness and opportunities to improve joint

programming approaches and alignment between agencies and

national nutrition strategies (lessons learned)

� Identifies areas requiring additional funds/fundraising

� Harmonizes nutrition messages for use in joint advocacy

� The process of drafting a strategy can help strengthen stakeholder

relationships and foster a collaborative dialogue

� The ‘Strategy’ may be a tool that is used for multiple purposes, such

as advocacy, feeding into an upcoming UNDAF process or a

document that has stand alone value for UN coordination and

reflection over several years

13

What is the UN Network Dashboard

� Illustrates the ‘health’ of the UN Network for SUN at the country level in a standardized manner to enable comparisons across countries

� Visualizes the geographical coverage of the UN in a country

� Identifies the extent of alignment of by the UN agencies to the national multi-sectoral nutrition plan

� Portrays the strength of the UN Network for SUN at the country level in terms of financial and human resources in nutrition

� Helps identify nutrition investment trends and funding gaps

� Ascertains the extent to which the nutrition-engaged UN agencies are

functioning as a collective UN Network for SUN

� Depicts the engagement of the UN Network for SUN with the SUN

government focal point and other SUN Networks at the country level

14

Who? UN Network for SUN Dashboard mock-up

No. of staff dedicated to nutrition* in-country, by agency

No. of staff dedicated to nutrition* in-country, by agency

UNICEF

WFP

1

4

1

1

21

FAO

UNFPA

WHO

IFAD

*Note: LT refers to long-term contracts (e.g. fixed-term, continuing, indefinite appointments) whereas ST refers to short-term contracts of 11 months or less.

# of people

What & How?

Nutrition in joint UN activities/processes

Nutrition in joint UN activities/processes

7585

0

50

100

Gov’t

priorities

UN Network

Strategy/Agenda

Not

satisfied

Somewhat

satisfied

Generally

satisfied

Fully

satisfied

Mostly

satisfied

Perceived satisfaction of intra-agency collaboration on nutrition-related actions

Perceived satisfaction of intra-agency collaboration on nutrition-related actions

100

66

33

0

50

100

Design Plan Delivery

Collective engagement in programming

Collective engagement in programming

% programming

DRAFT - Illustrative

Inclusion of UN Network coordination duties in staff APAs‡

Inclusion of UN Network coordination duties in staff APAs‡

Alignment of nutrition actions to…

Alignment of nutrition actions to…

(2 L3’s, L2, G4)

*Note: Level of UN Network focal points marked in italics

(P2)(P3, G3)

(P3)

(P2)

(P3)

UNICEF WFP WHO FAO IFAD UNFPA

Nutrition included in UNDAF/P ����

UN Nutrition Strategy/Agenda ����

UN Inventory of Nutrition Actions ����

UN joint messaging on nutrition ����

UN joint resource mobilization for nutrition X

UN Network Dashboard ����

� = yes ���� = partially X = no0

2

4

6

Yes No

% nutrition actions

# of agencies

‡APAs = annual performance appraisals

Participation in UN Network mtgs.

Participation in UN Network mtgs.

Perceived participation

Most agencies

regularly

participate

Among UN Network monthly

UN Network tables

nutrition to UNCTquarterly

With SUN Focal Point Bi-weekly

With Other Networks Semi-annually (CSN)

Quarterly (DN)

Annually (BN)

Level of engagement in SUN Movement (mtg. frequency)

Level of engagement in SUN Movement (mtg. frequency)

CSN = Civil Society Network / DN = Donor Network BN = Business network

UN Network established ����

UN Network Chair identified X

Status of UN NetworkStatus of UN Network

Tete22

32

18

19

48

11

54

3

19

Geographic distribution of UN nutrition actions

Geographic distribution of UN nutrition actions

Resources

40%

60%

5%

50%

0%

20%

0%

20%

40%

60%

80%

100%

Funding Shortfalls (planned Vs. actual budget)

for nutrition, by agency

Funding Shortfalls (planned Vs. actual budget)

for nutrition, by agency

Where?

15

Expectations: what would success look like if UN network was doing a good job?

GLOBAL LEVEL

• High level political commitment and

policy coherence

• Multi-sectoral understanding following

successful ICN2

• Agreed understanding on what

constitute nutrition actions (sensitive

and specific-NAC)

• Nutrition prominently reflected in Post

-2015 SDG’s

COUNTRY LEVEL

• Increased evidence of joint

programming or common approaches

• Gap analysis by UN in some countries

and agreement on how to address

• Governments more satisfied with UN

response on nutrition

• Government can articulate what the

UN is doing on nutrition

• Some assistance delivered through

efforts of joint fundraising

• UNCT actively supporting efforts of

UN network

BACKUP SLIDES

17

UN initiatives - linkages between the SUN Movement and the Zero Hunger Challenge

brings people together in a

multi-stakeholder platform

Technical

Community

United

Nations

Govt Sectors

Civil Society

Donors

Business

SUN Focal Point

Supports

18

A breakdown of the main REACH deliverables

Service provider

Facilitation

Connect countries with

specialised service

providers

Support type

Source: REACH Secretariat

Pla

nn

ing

& i

mp

lem

en

tati

on

su

pp

ort

An

aly

tic

al

su

pp

ort

National Nutrition PolicyNational Multi-Sectoral Nutrition Plan,

incl. M&E/results framework

Integration of Nutrition into

Sectoral and/or Sub-National Plans

National Advocacy StrategyCosting of National

Nutrition PlanFinancial Tracking

Investment Case /

Cost-Benefit Analysis

Nutrition Governance Capacity Assessment &

Development Plan

UN Nutrition StrategyUN Joint Programming, UN Joint Program,

UN Network, UNDAF process etc.

Nutrition Analysis,

incl. Situation Analysis Dashboard

Scale Up Conversation

Stakeholder and Nutrition Action MappingPolicy OverviewDelivery Mechanism

Analysis

Identification of

Core Nutrition Actions

Gov’t

UN

Strengthening of Multi-Stakeholder, Multi-Sectoral

Coordination Mechanism

Knowledge Sharing

Events & Exchanges

Knowledge Sharing

Websites etc.Implementation Tracking, incl. Coverage Dashboard

19

REACH deliverables – both analytical and facilitation – can be leveraged to support SUN country processes at the country level

4 Strategic processes of the SUN Movement1

REACH analytical deliverables & resources

Financial tracking & resource mobilization

Common Results Framework

Coherent policy & legal framework

Bringing people together

*Note: Items marked in black italics text are UN-specific.1SUN Movement 2013. Monitoring & Evaluation Framework, Final Draft. Geneva.

MSP = Multi-stakeholder Platform.CAN = Compendium of Actions for Nutrition

• Policy Overview

• CAN – being finalized

• Nutrition Analysis (incl. Sit. Anal. Dashboard)

• Stakeholder & Nutrition Action Mapping

• Delivery Mechanism Analysis

• Implementation Tracking (incl. Coverage

Dashboard)

• Scale-up & Planning Guidance– new• CAN – being finalized

• Nutrition Analysis (incl. Situation Analysis

Dashboard)

• Stakeholder & Nutrition Action Mapping

• Delivery Mechanism Analysis

• Nutrition Governance Cap. Assessment &

Development Plan

• Knowledge Sharing Portal

• UN Inventory*

REACH facilitation support for the …

• National Nutrition Policy

• Identification of Core Nutr. Actions

• Nat’l Multi-Sectoral Nutrition Plan

(incl. M&E/results framework)

• Integration of Nutrition into Sectoral

&/or Sub-National Plans

• Investment Case round tables

• Identification of Core Nutr. Actions

• National Advocacy Strategy

• Strengthening of MSP

• UN Nutrition Strategy*

• UN Network support, UN Joint Program

Programming and UNDAF*

• Nutrition Analysis (incl. Sit. Anal. Dashboard)

• Stakeholder & Nutrition Action Mapping

• Implementation Tracking (incl. Coverage

Dashboard)

• CAN – being finalized

20

REACH is currently actively engaged in 17 countries and expanding to others

Niger

Ghana

Ethiopia

Uganda

Rwanda

Tanzania

Mozambique

Nepal

Bangladesh

Mali

Chad

Sierra Leone

Mauritania

Burundi

Lao PDR

Malawi

Zambia

Comoros

The Gambia

ROC

Guinea

Senegal

Burkina Faso

Haiti

Myanmar

Current REACH Countries

Former REACH Countries

Potential REACH Countries

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Potential actions

Consumption

• Improvement of local recipes

• Public guidance & consumer

awareness/protection

• Complementary feeding

Horticulture/Crops

• Diversification & locally adapted

varieties

• Biofortification

Livestock & Fisheries

• Animal husbandry, fisheries & insect

farming

• Animal services

Food Processing, Fortification &

Storage

• Food processing (excluding fortification)

• Fortification (including salt iodization &

complementary foods)

• Food storage

Food, agriculture & diets Health-based

Maternal, Neonatal & Child Health Care• Ante- & post-natal care

• Health professional-assisted delivery

• Basic paediatric health services

Micronutrient Supplementation• Iron & folic acid/Iron supplementation

• Vitamin A/D/zinc/Ca/iodine supplementation

• Multiple micronutrient supplementation

Management of Acute Malnutrition • Mgt of severe acute malnutrition (SAM)

• Mgt of moderate acute malnutrition (MAM)

• Food technology support for specialized

nutrition foods

Disease Prevention & Management• Anti-malaria

• Diarrhoea mgt. (e.g. ORT w/ zinc)

• Vaccinations (measles, polio, etc.)

• HIV mgt. & PMTCT

• Mgt. of tuberculosis

• Mgt. of respiratory infections

Water & Sanitation • Improvement of water supply/source quality

• Sanitation facilities management

Governance• Situation analysis, advocacy & communications

• Policy formulation/review & planning

• Human & institutional capacity development/training

• Effectiveness & accountability

• Food assistance for vulnerable population groups

• School-based social safety nets

• Assisted health services

• Poverty reduction &/or emergency risk mitigation

Market Regulation & Insurance

• Minimum maternity protection

• Insurance (health, unemployment, weather, etc.)

• Macroeconomic levers

Social Safety Nets

Social protection

Infant & Young Child Feeding

• Protection, promotion & support of

optimal breastfeeding

• Improvement of complementary feeding

Hygiene

• Hand-washing

• Household water treatment & storage

• Food hygiene

• Sanitation management

Care for Children/ P&L Women

• Care to pregnant/lactating women

• Childcare support/caregiver workload

Health Behaviours

• Health-seeking behaviour

• Insecticide-treated nets (anti-malaria)

• Family planning behaviour (incl. adolescent

girls)

Maternal & child care

UN Inventory - Nutrition Action Framework

Food, Agriculture and Diets: Actions and sub-actions by thematic area

CONSUMPTION

• Improvement of local recipes

- Trials of improved practices

- Nutrition training/sensitisation/counselling for mothers &/or other caregivers

- Nutrition education in schools & in the workplace

• Public guidance & consumer awareness/protection

- Formulation of national, food-based dietary guidelines

- Public information (social marketing) campaigns

- Food labelling & commercial advertising

• Complementary feeding

- Dietary diversification

- Fortified complementary foods

HORTICULTURE/CROPS

•Diversification & locally adapted varieties

-Fruit and vegetable gardens

-Intercropping, rotation & sequencing

-Inputs & irrigation

-Market linkages and consumption promotion

•Biofortification

-Introduction of micronutrient-rich plant varieties

-Social marketing campaigns and market linkages

LIVESTOCK & FISHERIES

•Animal husbandry, fisheries & insect farming

-Extensive animal rearing (e.g. cattle among (agro)pastoralists)

-Homestead animal rearing (e.g. poultry, sheep, goats)

-Aquaculture & capture fisheries

-Insect-farming

-Processing, handling, market access and consumption

•Animal services

-Vaccinations, parasite control, breeding support & other vet. services

-Feed & water

-Shelter & settlement

-Basic hygiene education

FOOD PROCESSING, FORTIFICATION & STORAGE

•Food processing (excluding fortification)

-Malting, drying, pickling and curing at household level

-Other nutrition–oriented food processing

-Nutrition education

•Fortification (including salt iodisation)

-Mass and community fortification

-Point-of-use fortification

-Fortified complementary foods

-Nutrition education and social marketing campaigns

•Food storage

-Household food storage/silos

-Large-scale food storage

Maternal and Child Care: Actions and sub-actions by thematic area

INFANT & YOUNG CHILD FEEDING

• Promotion, protection and support of optimal breastfeeding practices

- Health service level actions (professional, lay & peer)

- Community level actions

- Communication (media & social marketing)

• Improvement of complementary feeding

- Availability of appropriate complementary foods

- Access to complementary foods

- Food technology & quality & safety of complementary foods

- Basic instruction/nutrition education on optimal complementary feeding

CARE FOR CHILDREN/PREGNANT & LACTATING WOMEN

•Care to pregnant & lactating women

-Reduced working hours/special leave (e.g. Maternity Protection)

-Provision of essentials (food, water, shelter) and nutrition education to support good

maternal nutrition and recommended child feeding practices

-Income &/or productive assets support

-Psycho-social support to help mothers adopt the recommended breastfeeding

practices

•Childcare support/caregiver workload

-Childcare services & support

-Provision of essentials (food, water, shelter) to support good child feeding practices

HYGIENE

•Hand-washing

-Hand-washing education & promotion

-Provision of water, soap and other supplies

-Hand-washing facilities

•Household water treatment & storage

-Water treatment methods for drinking water

-Safe storage of drinking water

•Food hygiene

-Food hygiene education & support

-Infrastructure & technology

•Sanitation Management

-Sanitation mgt. education & sanitation environment support

HEALTH BEHAVIOURS

•Health-seeking behaviour

-Instruction on early signs/symptoms of pregnancy as well as illness

and disease

-Promotion of uptake of maternal, neonatal & paediatric health

services

•Insecticide-treated bednets (anti-malaria)

-Guidance on use & mgt. of insecticide-treated nets

-Social marketing campaigns on bednets

•Family planning behaviour (including adolescent girls)

-Prevention of adolescent pregnancy (including prevention of early

marriage)

-Voluntary family planning and reproductive health education &

support

-Social marketing campaigns

Health-based: Actions and sub-actions by thematic area

MATERNAL, NEONATAL & PAEDIATRIC HEALTH CARE

• Antenatal & postnatal care

- Basic nutrition education & health counselling

- Micronutrient supplementation

- Nutrition & medical screening & referrals

- Supplementary feeding (balanced energy protein &

multiple micronutrient)

- Disease prevention & management (including anti-malaria interventions)

• Health professional-assisted delivery

- Obstetrics & neonatal care

- Infant & young child feeding counselling & support

• Basic paediatric health services

- Growth monitoring & promotion

- Vaccinations

- Diseases prevention & mgt. (including anti-malaria)

MICRONUTRIENT SUPPLEMENTATION

•Iron or Iron/folic acid supplementation

-Iron/folic acid supplementation for women/adolescent girls

-Iron supplementation for children

-Nutrition education & behaviour change communication <also

applicable to below Action 2 >

•Supplementation of vitamins A/D/calcium/zinc/iodine

-Vitamin A supplementation

-Vitamin D supplementation

-Calcium supplementation

-Zinc supplementation

-Iodine supplementation

•Multiple micronutrient supplementation

-Point-of-use fortification

-Multiple micronutrient supplements

-Nutrition education & behaviour change communication

MANAGEMENT OF ACUTE MALNUTRITION

•Management of severe acute

malnutrition

-Outpatient management of severe acute

malnutrition (SAM)

-Inpatient management of SAM

•Management of moderate acute

malnutrition

-Targeted supplementary feeding

-Blanket supplementary feeding

•Food technology support for specialized

nutritious foods

-Local production of specialized nutritious

foods for management of acute

malnutrition

WATER & SANITATION

•Improvement of water supply & source

quality

-Safe water kits

-Water source & distribution systems

-Water treatment for water sources

•Sanitation facilities management

-Community led total sanitation

-Sanitation systems

-Latrine construction &/or rehabilitation &

excreta mgt.

-Water, sanitation (& hygiene) education

& social marketing

PREVENTION & MANAGEMENT OF SOIL, WATERBORNE & ENDEMIC DISEASES

•Anti-malaria

-Deworming for management of intestinal parasites <also applicable to

Diarrhoea management>

-Intermittent preventive treatment of malaria for pregnant women

-Iron supplementation

•Diarrhoea management

-Oral rehydration treatment with zinc

-Management of severe acute malnutrition

-Water, sanitation & hygiene interventions to prevent diarrhoea

•Vaccinations

-Measles vaccination

-Polio vaccination

-Rotavirus & cholera vaccinations

•HIV management & prevention of mother to child transmission

-Antiretroviral therapy or prophylaxis

-Supplementation

-Infant feeding counselling & support

-HIV/AIDS education

•Management of tuberculosis

-Direct Observed Treatment Short-course (DOTS) treatment

-Nutrition Counselling

-Supplementation

-Management of acute malnutrition in individuals with active TB

•Management of respiratory infections

-Antibiotics treatment

-Nutrition counselling

-Supplementation

Social Protection: Actions and sub-actions by thematic area

SOCIAL SAFETY NETS

• Food assistance for vulnerable population groups

- Blanket feeding

• School-based Social Safety Nets

- School feeding for school-age children

• Assisted health services

- Maternal health visits

- Child health visits

• Poverty reduction &/or emergency risk mitigation

- General food distribution

- Public works programmes & asset protection

- Price subsidies

MARKET REGULATION & INSURANCE

• Minimum maternity protection

- Maternity protection

- Childcare support

• Insurance

- Health insurance

- Unemployment insurance

- Livelihood-related insurance

• Macroeconomic Levers

- Minimum wage

- Price subsidies

- Tariffs/Taxes

Nutrition Governance: Actions and streams

SECTORAL GOVERNANCE ACTIONS

• Situation analysis, advocacy and communications

• Policy formulation/review and planning

• Human and institutional capacity development/training

• Effectiveness & accountability (e.g. information systems)

MULTI-SECTORAL GOVERNANCE ACTIONS

• Situation analysis, advocacy and communications

• Policy formulation/review and planning

• Human and institutional capacity development//training

• Effectiveness and accountability (e.g. information systems)

27

UN nutrition network and REACH at country level operate within the context of the UNDAF

Context UN System Network vs. REACH

UNDAF

UN System Network on Nutrition

Economic Social Dvlpt.

Source: UNDAF, REACH Secretariat

UN System Network• UN nutrition network at country level = all

agencies programmes and efforts on nutrition in support of national nutrition plans

• UN nutrition network is another way to describe the collective efforts of the UN system. The UN nutrition network leverages the existing structures of the UN country team

Nutrition Governance Support (using REACH approach)

• Nutrition governance will remains a work stream within UN network and an inter-agency initiative by FAO, WFP, WHO, UNICEF, IFAD

• Clear country implementation plan with support around the 4 REACH outcomes with a clear deliverable and budget

28

UN Support within a Collective Challenge

Government Multi-Sectoral Nutrition Objectives & Support Requirements

Country

Regional

Global

UN Response

REACH

SCN

UN Agency Actions

Nutrition Specific / Sensitive

Country, Regional, Global

Source: UN Network Face-to-Face Meeting

29

REACH has a dual role: supporting the government & multi-stakeholder platform and the UN Network

1

2

Support to the government and multi-stakeholder platform

Support to the UN System Network

Support to the government and multi-stakeholder platform

• Strengthen national nutrition policies / action plans by providing support to national

governments and technical groups and enabling a multi-sectoral, multi-stakeholder

approach

• Increase advocacy, awareness and consensus of stakeholders on the nutrition

situation and facilitate the development of strategies / priorities for its improvement

• Increase national capacity and expertise on nutrition, including multi-sectoral

coordination capacity

• Strengthen governance by increasing effectiveness and accountability of

stakeholders in implementing and supporting nutrition effort

Facilitation of the UN Network in close consultation with the UNSCN • Objective: Ensure harmonized nutrition guidance and approaches for country-led efforts

to scaling up nutrition

• UNSCN is mandated for global level UN system wide harmonization

• REACH is mandated to facilitate joint UN country level support for SUN countries

REACH provides support to the UN nutrition efforts in country• REACH facilitates the sharing and harmonization of work plans, approaches and

interactions among UN agencies with governments and stakeholders• REACH has proven an effective feedback mechanism to the UN partner agencies at

HQ, which has helped to ensure relevance and effectiveness of agency tools

• REACH supports the resident / humanitarian coordinators in their role as convenor

for the UN Nutrition Network

1. Both at the UN Network Meeting and the REACH WorkshopSource: UN System Network Work plan for 2013, REACH Secretariat

Main focus

In view of the

strong link

between the

REACH

facilitator and

the country UN

Nutrition Team,

the UN’s

efforts will be

better

integrated/

strengthened

This dual role was acknowledged by all stakeholders at the Nairobi Workshop1 in August 2013