Transcript Slide 1

May 21, 2012
1
1.
NGOs working on nutrition (Interventions,
Geographic area, Funding)
2.
Evidence-based interventions
3.
Gaps and Challenges
4.
Recommendations
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Total
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With reference to the National Nutrition Program of the
Ministry of Health, the interventions are classified as
follows:
1. Vitamin A
10. Growth Assessment and Promotion
2. IFA
11. MCH food
3. MNPs
12. Food for Chronic Disease and PLHIV
4. WIFs
13. Homestead food Production/ Food Security
5. ORS, Zinc DTK
14. Food Fortification
6. IDD
15. Water and Sanitation and Hygiene
7. IYCF
16. Behavior Change Communication
8. C-IMCI
17. Capacity Building to nutrition service provider
9. Management of Malnutrition 18. Research or assessment
19. Treatment of Vitamine B1 Defficiency
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25
16
14
14
20
12
16
16
10
8
15
6
6
10
6
5
20
6
5
5
2
2
1
5
4
3
72
7
0
12
4
2
1 8
4
2
2
9
1
3
3
1
0
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

Based on this quick survey, 31 out of 36 NGOs
reported their estimated budget per year. Thus,
the total is $ 24,400,200.50 per year .
The duration of support varies from one to five
years, most of them will end in 2013 and some
end in 2015.
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MOH-HKI: VAD survey
MOH-HKI:
Pilot VASthree ODs)
Drafted VA policy
MOH-HKI: NMNS
HKI/MOH: VA
policy Revision
Requested HKI for MNS
HKI/MOH: VAS Mapping
Scaled-up
support
National
MN policy
VA policy
adopted
1993
1994
1994
2000
2001
2002
2007
2008
2010
2011
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Integrated Fish
E
Integration
Animal husbandry
Lesson
learned
E
Homestead
Production
+
I
E
E
I
Integrated
Nutrition
Education
20192012
I
P
Scale up support
I
P
Link Ag and health
P
M & E and added
Impact assess indicator
Pilot Program
1997
P
I
I: Implementation
E: Evaluation
P: Planning
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GAPs/Challenges
Recommendations
Unacceptably high levels of
under nutrition remain the
primary challenge
 Emphasis on the 1000 days of life
(from conception to 2 years of life)
Expand Management of Acute
Malnutrition
 Promote dietary diversity and IFAs
to improve maternal nutrition of
pregnant and lactating women:
 Community-based approach with
clear strategic direction and
coordination from National & Sub
National levels, especially
integrated responses of relevant
Ministries
Target resource poor and most
vulnerable population
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GAPs/Challenges
Recommendations
Gap between knowledge
and practice among the
general population
(including IYCF, Dietary
Diversity, Hygiene, Safe
Water, and Sanitation,
Homestead production, and
more)
Robust BCC strategy including
mass media, campaign and
Interpersonal Communication
with HFs to communities,
especially on appropriate
practice of IYCF (exclusive
breast-feeding,
complementary feeding),
promote micronutrient rich
foods through HFP and link
with hygiene, sanitation
intervention
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GAPs/Challenges
Recommendations
There are many ‘missed
opportunities’ in the existing
health & other development
programs to provide
nutrition support
• Need to identify and include
nutrition into many program
opportunities both inside and
outside the health sector
Poverty: Food price volatility
and food availability
 Cash transfer for nutrition or
food voucher program
 HEF and other social
protection schemes should be
recommended
•Improve the quality of program
delivery
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GAPs/Challenges
Recommendations
Multi sectoral responses for
improving nutrition remains
insufficient and not wellcoordinated: lack of
champions
 High Level platform with
appropriate authority to drive
relevant line ministries’
commitment for nutrition
Efforts are often not
harmonized, particularly at the
community level
Poor understanding the
importance of linkages
between agriculture and
health at all levels
 High level Champion for
nutrition is needed
 Strong coordination needed
both central and field level
 Guidance on how to
integrate interventions
across different sectors
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