Transcript [PPT] - Scaling Up Nutrition

SUN is a unique
Movement
founded on the principle
that all people have a
right to food &
good nutrition.
It unites people
from governments, civil society,
the United Nations, donors,
businesses & researchers –
in a collective effort to
improve nutrition.
together
we can achieve
what no single effort could,
and make the world a
healthier, stronger
place for us all.
Why nutrition? The facts
Over 165 million children under 5
are stunted as a result of malnutrition.
• 52 million children are too thin and require special
treatment.
• At the same time, 43 million children are overweight some as a result of poverty, when families are unable to
afford a balanced, nutritious diet.
• 2 billion people are deficient in key vitamins & minerals
Why nutrition?
Because when..
Girls & women are
well-nourished and
have healthy
newborn babies
Communities &
nations are
productive & stable
Children receive
Children
receive
proper
nutrition
proper nutrition
and develop
and develop strong
strong
bodiesbodies
& minds&
minds
The world is a
safer, more
resilient &
stronger place
Families &
communities
emerge out of
poverty
Adolescents learn
better & achieve
higher grades
in school
Young adults are
better able
to obtain
work & earn more
A smart investment
• Nutrition investments can
help break the cycle of
poverty and increase a
country’s GDP by at least
2 to 3% annually.
• Investing $1 in nutrition
can result in a $30 return
in increased health,
schooling and economic
productivity.
Experts agree
The Copenhagen Consensus
2012 Expert Panel of world
renowned economists
identified the smartest ways to
allocate money to respond to
ten of the world’s biggest
challenges.
They agreed that fighting
malnutrition should be the
top priority for policymakers & philanthropists.
“One of the most compelling
investments is to get nutrients
to the world’s undernourished.
The benefits from doing so – in
terms of increased health,
schooling, and productivity –
are tremendous,”
-Nobel laureate economist
Vernon Smith
The causes of malnutrition are
interconnected
Lack of good
Insufficient access to
affordable, nutritious
CARE
FOOD
for mothers & children
& support for mothers
on appropriate child
feeding practices
throughout the year
Inadequate access to
HEALTH
sanitation & clean
water services
ROOTED IN
Political & Cultural
Environment
Poverty
Disempowerment
of women
The SUN Movement
recognizes that chronic
malnutrition – or stunting - has
multiple causes.
That’s why it requires People and
Programmes to work together
to put nutrition into all development
efforts, and develop sustainable
solutions that work.
Nutrition-sensitive strategies increase the impact of
specific actions for nutrition
Specific Actions for Nutrition
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
Nutrition-Sensitive Strategies
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
Fortification of foods: Enabling access
to nutrients through incorporating
them into foods
Education & Employment: Making sure
children have the nutrition needed to
learn and earn a decent income as adults
Micronutrient supplementation:
Direct provision of extra nutrients
Health Care: Access to services that
enable women & children to be healthy
Treatment of acute malnutrition:
Enabling persons with moderate and
severe malnutrition to access effective
treatment
Support for Resilience: Establishing a
stronger, healthier population and
sustained prosperity to better endure
emergencies and conflicts
Across all approaches –
SUN supports 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.
Countries are at the center of scaling up nutrition
Countries around the
world have committed
to making
nutrition a priority
& global partners
are working together
to support the
efforts of SUN countries.
The SUN approach – starting in 2010
• The Scaling up Nutrition Movement relies on national leaders
taking ownership and responsibility for delivering
sustainable solutions to improve nutrition in their countries.
•
Through country-led efforts that focus on equity and realization of rights,
SUN countries are enabling women, families & communities
to create stronger foundations for their people & transforming the
future of our world.
• SUN enables countries to take a collaborative approach
bringing together the people & resources needed to rapidly
scale up nutrition-specific interventions as well as implement
cross-sector strategies that are nutrition-sensitive.
The SUN approach
Within each
country a
SUN Focal Point
is identified
Country
governments
lead national
efforts to scale
up nutrition.
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.
Health
Women’s
Empowerment
Education
Social
Protection
Agriculture
Development
& Poverty
Reduction
The SUN approach
These efforts are underway
in all SUN countries
Multi-sector, multistakeholder platform
Using a unique approach that
works for each country.
Together the combined efforts of all
countries make up the core of the
Movement - The SUN Country Network
The SUN approach
Global Networks
of stakeholders shift
resources &
align actions to support
country efforts.
With overall support and
coordination provided by the
SUN Secretariat
and
SUN Lead Group
Country
Network
United Nations
Network
Civil Society
Network
Donor
Network
Business
Network
SUN country success in reducing stunting
Top 11 SUN countries with the fastest rates of
reductions in stunting.
Country
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 Latest AARR Data Source
Mauritania
39.5
Ghana
El Salvador
Mali
42.7
Peru
31.3
Nepal
57.1
Burkina Faso
Bangladesh 57.2 55.4 53.5
Uganda
44.8
Ethiopia
57.8
Guatemala
50.0
54.3
35.6
24.6
43.1
49.8
28.9 23.0
18.0
28.1
28.0
19.2
38.5
27.8
29.8
28.0
24.0
19.5
49.3
40.5
44.5
35.1
34.6
51.0 47.8 47.0 43.0
41.3
38.0
33.4
50.7
44.4
43.4
18.0
28.0
19.2
27.8
19.5
40.5
34.6
41.3
33.4
44.4
43.4
7.5%
4.9%
4.8%
4.6%
3.9%
3.4%
3.3%
3.1%
2.9%
2.4%
SMART 2011
DHS 2008
FESAL 2008
DHS 2006
DHS 2011
DHS 2011
DHS 2010
DHS 2011
DHS 2011
DHS 2011
ENSMI
2.2% 2008-09
These countries have had an annual average rates of reduction (AARR) greater
than 2.2% over the last 10 years.
How has stunting been reduced?
How has stunting been reduced?
In Peru
•
•
•
•
Reduction in stunting adopted as national goal
Major social programmes targeted to the poorest
Comprehensive health insurance system implemented
Increased Government budget allocated for nutrition
In Nepal
• Political commitment and engagement by main sectors (Health, Education,
WASH, Agriculture and Local Governance)
• Government budget for nutrition doubled
In Ethiopia
• Large scale program to improve access to health posts in remote and
drought- stricken areas
• Provision of safety nets for vulnerable families
• Treatment of severe acute malnutrition expanded
Making progress
Within each country, SUN Movement stakeholders are brought together around
4 key processes: progress is reviewed every six weeks
1
Creating Political and
Operational Platforms,
Incorporating Best Practices
into National Policies
with strong in-country leadership &
shared multi-stakeholder spaces
where people come together to align
their activities & take joint
responsibility for scaling up nutrition.
for scaling up proven
interventions; including the
adoption of effective laws
& policies
Align Actions Across Sectors
3
around high quality and wellcosted country plans, with an
agreed results framework and
mutual accountability.
Increasing Resources and
Monitoring Implementation
for coherent, aligned, effective
action and maximum impact.
2
4
Making progress – examples
1
Creating Political and
Operational Platforms
GHANA
Political commitment to fight
against hunger and
malnutrition has been
strengthened when the First
Lady of Ghana supported the
SUN Movement launch.
KENYA
Minister for Public Health and
Sanitation, Hon. Beth Mugo
officially launched Kenya’s
Nutrition Action Plan (20122017) at the National SUN
Symposium.
Making progress – examples
2
Incorporating Best Practices
into National Policies
HAITI
The nation-wide flagship
nutrition program was
launched to fight hunger
and malnutrition.
BURKINA FASO
Infant and young child
feeding is being
addressed by the road
map for improved
nutrition that aligns
national programs in
key sectors.
Making progress - examples
3
Aligning Actions Across
Sectors
NEPAL
The Multi-Sectoral Nutrition Plan
was endorsed by the Cabinet
with a common results
framework where all ministries
have agreed on a set of essential
nutrition-specific and nutritionsensitive interventions.
UGANDA
A Nutrition Action Plan is scaling
up multi-sector efforts for a
strong nutrition foundation for
Uganda’s development.
INDONESIA
Cash transfer programmes to
protect poor families are scaling
up and are being linked to the
delivery of nutrition services.
Making progress - examples
4
Increasing Resources and
Monitoring Implementation
MALI
All regions of Mali received
funding for nutrition in 2012.
TANZANIA
The Ministry of Finance now
includes planning and budgeting
for nutrition at level of national
and local authorities.
GUATEMALA
The national Zero Hunger plan was
launched with a specific budget line
for addressing undernutrition during
the 1,000 days between pregnancy
and a child’s second birthday.
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:
40% reduction of the global number of
Target 1: children under 5 who are stunted
Target 2: 50% reduction of anemia in women of
reproductive age
Target 3: 30% reduction of low birth weight
Target 4: Increase exclusive breastfeeding rates in
the first 6 months up to at least 50%
Target 5: No increase in childhood overweight
Target 6: Reducing and maintaining childhood
wasting to less than 5%
SUN principles of engagement
Be transparent all stakeholders to transparently and honestly demonstrate the
about impact: impact of collective action.
Be inclusive: through open multi-stakeholder partnerships that bring proven
solutions and interventions to scale.
act in line with a commitment to uphold the equity and rights of
Be rights-based: all women, men and their children.
Be willing when conflicts arise, as can be expected with diverse partners
to negotiate: working together, hold the intention to resolve conflicts and
reach a way forward.
Be mutually act so all stakeholders feel responsible for and are held collectively
accountable: 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.
to learn and adapt through regular sharing of the relevant
Be continuously
critical lessons, what works and what does not, across sectors,
communicative: countries and stakeholders.
Managing conflicts of interest
Conflicts of Interest within the Movement are primarily
handled at the country level guided by national legal
frameworks.
As needed:
• Guidance is provided by the Secretariats of specialized UN system
agencies and other multi-stakeholder bodies.
• The 2012 World Health Assembly resolution 64-6 on Maternal, Infant
and Young Child Nutrition used as one of the starting points to resolve
conflicts.
The SUN Movement evolves.
SUN builds
momentum and
commitment for
scaling up
nutrition –
19 countries join
SUN Framework for
the Movement.
Action is developed
& endorsed by over
100 global entities –
establishing the
foundation for the
Movement.
The Movement grows
to 33 countries & a
high-level group of 27
international leaders
are appointed to the
SUN Lead Group &
endorse the SUN
Movement Strategy
for 2012-2015
2012
2011
2010
The way forward.
Moving into 2013, SUN
will focus on mobilizing
resources behind
national movements, to
achieve measurable
progress & impact.
The SUN Movement
is growing in numbers & strength
100+ global stakeholders
are providing support to
34 countries
with the opportunity to reach
60 million stunted
children
34 countries: 11 progressing well
ASIA
BANGLADESH
INDONESIA
KYRGYZSTAN
LAO PDR
NEPAL
SRI LANKA
YEMEN
LATIN AMERICA
EL SALVADOR
GUATEMALA
HAITI
PERU
In 11 SUN Countries (indicated in RED)
the rate of chronic malnutrition (or stunting)
in children under 5 years is reducing at
more than 2% per year
AFRICA
BENIN
BURKINA FASO
BURUNDI
CAMEROON
ETHIOPIA
GAMBIA
GHANA
KENYA
MADAGASCAR
MALAWI
MALI
MAURITANIA
MOZAMBIQUE
NAMIBIA
NIGER
NIGERIA
RWANDA
SENEGAL
SIERRA LEONE
TANZANIA
UGANDA
ZAMBIA
ZIMBABWE
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 you