SUN Civil Society Coalition Ethiopia - Brief overview of efforts and achievements to Scaling up Nutrition

30 October 2016, Kigali, RwandaCountry Team Members: Metasebia Legesse, Kenaw Gebreselassie, Tsegereda Abreham

Photo: Mark Kaye/Save the Children

Leveraging the Scaling Up Nutrition Civil Society Network: building regional platforms to promote learning on how to address malnutrition

The Learning Route in Rwanda

EXPERIENCE FAIR

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Ethiopia Civil Society Coalition for Scaling up Nutrition (ECSC-SUN) :

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Photo: Caroline Trutmann/Save the Children

• There is a downward trend in the proportion of children stunted and underweight over 5 years

• Demographic Health Surveys done at national level (EDHS) 2011&2014 shows

- Under Five Stunting - 40%. - Low Birth Weight - 10% - Under Five Wasting - 9% - Under five Underweight - 25% - Under Five Overweight – 3% - 0-6 Months Exclusive Breastfeeding - 52% - Anaemia in children 6–59 months of age – 44% - about half of children receive complementary foods during 6-9 months - 4.3% of children above 6 months consumed the recommended 4 food groups daily. - prevalence of anaemia amongst women (15–49 Years old) - 17% - thinness (BMI<18.5) among women of reproductive age 27%

Nutrition Situation in Ethiopia

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• Changing trend (2000 – 2014)

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key National interventions to tackle malnutrition in Ethiopia

Multi-sectoral National Nutrition Program II (2016-2020) with 5 SOs

1. improve the nutritional status of women (15–49 years) and adolescent girls (10–19 years)

2. improve the nutritional status of children from birth up to 10 years

3. improve the delivery of nutrition services for communicable and non- communicable/lifestyle related diseases

4. strengthen the implementation of nutrition-sensitive interventions across sectors

5. improve multisectoral coordination and capacity to implement the national nutrition program



Key national…

The Seqota Declaration – a commitment to end child malnutrition by 2030

Zero stunting in children less than 2 years; 100 percent access to adequate food all year round; Transformed small-holder productivity and income; Zero post-harvest food loss through reduced post-harvest loss; Innovation around promotion of sustainable food systems Continue to improve the accessibility and coverage of adequate and safe drinking water supply, 100 percent open defecation free districts; Increase efforts to educate women and girls, Focus on poverty reduction and resilience building


Main challenges

• Lack of strong multi-sectoral/stakeholder coordination

• Limited mainstreaming nutrition into sector plans

• Budget for National Nutrition Program (NNP) implementation & coordination: not enough for the implementation of NNP II

• Monitoring and Evaluation: Health sector monitoring system-health

management information system (HMIS), includes only few nutrition indicators; changes related to behavioral change are not collected…


Lessons Learnt:

• Learnt from NNP I, Life Cycle Approach (Adolescent girls, pregnant women, infants (0-6m), & infant & young children (6-24m) is expected to be strengthened in the implementation of NNP II

• Multi-stakeholder coordination was vague, now there is a clear guideline for sector’s roles, monitoring

• Gender sensitivity – lessons learnt from previous intervetions• From one or two-man led to participatory taskforces/case teams • Cascading NNP to localities where implementation has to happen

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ECSC-SUN in Brief

• Initiated by SC established in June 2013, with 11 founding members• Led/ chaired by Save the Children since its inception • Membership has been open for CSOs having nutrition focused

interventions and operating in Ethiopia• With a phase by phase expansion, currently-50 international and local

NGOs as members (36% local and 64% international)• Steering committee established comprises 9 members



Funding

• Secured funding for two years (July 2014 – June 2016) from Irish Aid and run a project with key strategic objectives.

• Project period has now extended to December 2016 with re-programmed activities.

Thanks to

• Concept note development underway for future funding request.


Photo: Caroline Trutmann/Save the Children

Key intervention areas:• Advocacy/sensitization • Policy, programs and muti-

sectoral engagement• Capacity Building: CSOs,

media, health/nutrition service providers

• Documentation & knowledge sharing

Key intervention area of the CSA and key achievements

Key achievements:• Setting nutrition as public agenda• Creating awareness through

sensitization and publication of materials: MPs (April 2016), CSOs, media (2015-2016)

• Policy & practice review of sector ministries (2015)

• Support devt of NNP, implementing guidelines, SBCC materials…

• Documentation of success stories and sharing (Nov. 2015)

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• From the 13 NNP implementing sectors Federal Ministry of Health comes first, then FMoA …

• National Nutrition Coordinating Body (NNCB)/National Nutrition Technical Committee (NNTC)

• The First Lady – serving as Nutrition Ambassador• Development partners: Nutrition Development Partners Meeting

(NDPM), • Donors: USAID, World Bank, DFID, Irish Aid, UNICEF, • INGOs: SC, WV, Concern, Care, MI, FHI360- FANTA/A&T• EthiopIa Public health Institute (EPHI) & Universities (Hawassa,

Jimma..)

Most influential nutrition stakeholders



Support ←Low to High

Influence

↓Low to High↑

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ECSC-SUN calls for

• Key politicians, government officials and decision makers at all levels fully sensitised, recognise and demand nutrition as a priority issue.

• Nutrition to be integrated into National Nutrition Program (NNP) implementing sector Ministry policies, plans, practice and financed action plans, and accountability is monitored through regular reporting.

• Government and all Partners (Private sector, Civil Society and Donors) meet Ethiopia’s national commitments, ensuring adequate and sustainable commitment of resources to achieving a reduction in malnutrition in line with the costed National Nutrition Programme.

Thank you!

Photo: Adam Hinton/Save the Children

Government & Nonprofit

SUN Civil Society Coalition Ethiopia - Brief overview of efforts and achievements to Scaling up Nutrition