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 !