Multi-Sectoral Nutrition Strategy

2014-2025

Mike Manske, USAID/GH

Graceanna Enzinger, Consultant

Mellen Duffy Tanamly, Consultant

Outline

• USAID Nutrition Legacy• Background on the Strategy and its Purpose• The Strategy:

– Process, TWG, Public Consultations, Etc.– Results Framework– Vision and Highlights

• Launch, Roll-out and Future• Discussion

USAID Nutrition Legacy

For over 50 years, USAID has been a leader in international efforts to improve nutritional status in developing countries:

•Food for Peace (1950s)•Food Technology for Development Program (1969)•Multi-sectoral Nutrition Planning and Programming (1970s)•Consumption Effects of Agricultural and Economic Policies (1970s)•Social and Behavior Change Communications (1970s)

USAID Nutrition Legacy

• Nutrition Collaborative Research Support Program (1970s)• Micronutrients Vitamin A and Iron Deficiency Anemia (1970s)• Global Advocacy• Breastfeeding Promotion (1970s)• Essential Nutrition Actions (1997)• Capacity Building• Feed the Future (2010)• Nutrition Assessment and

Counseling (2000s)• CMAM (2002)

USAID Comparative Advantages in Nutrition

• Fifty years of investments, experiences, and successes in nutrition provide a strong foundation on which to build upon.

• USAID’s multi-sectoral development programs enable planning, programming, and learning across sectors to improve nutritional outcomes.

• The reach and strength of its programs in more than 100 countries provide a large delivery platform for scaling up nutrition services.

• USAID’s support to programs at all levels - national, regional, and particularly community

USAID Comparative Advantages in Nutrition

• Relationships and collaboration with governments, international partners, civil society, and the private sector

• Experience linking research and program implementation

• USAID is a leader in supporting the development of cutting edge emergency nutrition interventions.

• Experience integrating nutrition as an explicit objective in both development and humanitarian assistance programs

Global Nutrition Challenges

• In 2011, under-nutrition contributed to 45 percent of under-five child deaths

• Malnutrition is comprised of:under-nutrition- stunting, underweight, acute malnutrition, and micronutrient deficienciesover-nutrition- overweight and obesity

• The first 1,000 days is the most vulnerable period and the window of opportunity to intervene • Malnutrition is both a cause and consequence of poverty: it

negatively affects all aspects of an individual’s health and development and limits societies’ economic and social development.

Background for Strategy

• Civil society advocacy for USG leadership and commitment to nutrition

• World Health Assembly targets 2025 and Nutrition for Growth Commitments for 2020

• The 1,000 Day Window of Opportunity

• The Lancet Maternal and Child Nutrition Series 2013

2025 Nutrition Targets Adopted at the World Health Assembly in 2012:

1. 40% reduction of the global number of children under five who are stunted;

2. 50% reduction of anemia in women of reproductive age;

3. 30% reduction of low birth weight; 4. No increase in childhood overweight; 5. 50% increase in the rate of exclusive breastfeeding in

the first six months; and6. Reduce and maintain childhood wasting to less than

5%.

Global Nutrition for Growth Compact

• By 2020:– Ensure that at least 500 million pregnant women and

children under two are reached with effective nutrition interventions

– Reduce the number of children under five stunted by at least 20 million

– Save the lives of at least 1.7 million children under 5 by preventing stunting, increasing breastfeeding, and increasing treatment of severe acute malnutrition

Aim of the Strategy

To guide the Agency’s policies and programs for nutrition in both emergency and development contexts with the goal of improving nutrition to save lives, build resilience, increase economic productivity, and advance development

Process of Strategy Development

Technical Working Group Membership

– Bureau for Africa – Bureau for Asia – BFS Office of Country Strategy and Implementation– BFS Office of Agricultural Research and Policy– BFS Office of Strategic Planning and Performance

Management – DCHA Office of Food for Peace– DCHA Office of US Foreign Disaster and Assistance – GH Office of Health, Infectious Diseases and

Nutrition: MCH Division– GH Office of Health, Infectious Diseases and

Nutrition: Nutrition Division– GH Office of HIV/AIDS– GH Office of Population and Reproductive Health– Bureau for Economic Growth, Education and

Environment– Bureau Latin America and the Caribbean – Bureau for Policy, Planning and Learning– Office of Budget and Resource Management

Feedback from over 100 individuals:– Feedback from 22 Missions

– Extended technical team comprised of other USG agencies

– Individuals representing 35 INGOs, CSOs, networks, partners, and other donors

USAID Steering Committee:– Chaired by DAA of Bureau for Food

Security

– Senior Official from all Bureaus and Offices within the Agency

Strategy Development

• Looked at other partners’ nutrition strategies (DFID and EU)

• Took into consideration other USAID Policy and Strategy documents (e.g. Water and Development Strategy, Resilience Policy, Gender Equality and Women’s Empowerment Strategy, etc.)

• Small working groups for each area of the Results Framework

• Very tight timeline: first TWG August 2013; draft out to public December 2013; strategy to be launched in late May.

The Vision

• Set and Monitor Nutrition Targets

• Manage Nutrition Funds and Programs in a Rigorous Manner

• Focus on High Impact Actions

Highlights

• 2014-2025• Multi-sectoral actions:

– Nutrition-specific interventions• First 1,000 days – mothers and infants up to 2 years

– Nutrition-sensitive interventions• Nutrition sensitive agriculture

• Emphasis on Water, Sanitation and Hygiene (WASH)

• Integrate humanitarian and developmental programs  

• More emphasis on country commitment and capacity 

Highlights

• Develop evidence base and apply learning • 3 Reviews of progress, adjustments, additional target

setting • Partnerships with Scaling up Nutrition (SUN)• Gender Equality and Female Empowerment • Accountability and Transparency

Launch and Roll Out

• Launch Date: May 22nd • USAID Mission Directors Meeting• Feed the Future Global Forum• Consultative Meetings with Implementing Partners,

CSOs, other Donors, Host Countries• Webinars• Technical and Operational Guidance for Field

Missions• Expanded Technical Support to Countries

THANK YOU!

Questions and Discussion

• Questions and/or comments?• Suggestions for Roll out to Core Group members and

partners• What does the Strategy mean for Core Group

members?