Transcript Slide 1

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Ending child hunger
and undernutrition
initiative
(ECHUI)
Overview (updated)
UN System Standing Committee on Nutrition
Annual Meeting, Rome, 27 February 2007
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Global partnership…
• to end child hunger and undernutrition
within a generation;
• to mobilise attention on the causes and
known solutions of child hunger.
• to focus the world’s attention, will and
resources on what is needed.
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Global problem
852 m
400 m
149 m
5-6 m
undernourished people worldwide
undernourished children < 18
underweight children < 5
preventable U5 deaths per year,
(where undernutrition is a key factor)
85 m families in need
(countries where U5 underweight ≥ 10%)
* Approximations and estimates, sources: FAO, WFP, WHO/UNICEF, WFP/UNICEF
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Global distribution
Latin America & Caribbean
(3%)
Eastern / Southern Africa (6%)
Middle East, North Africa (11%)
South Asia
(53%)
West / Central Africa (12%)
73% of the
world’s
underweight
children
live in just
10 countries
East Asia / Pacific
(15%)
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Dramatic improvements are possible:
• Between 1960 and 2004, Chile cut its
underweight rate from 37% to 2.4%
• Thailand reduced malnutrition rates from
36% to 13% in the 15 years to 1990
• Brazil decreased its child undernutrition
by 67% between 1970 and 2000
• Malnutrition in India has declined by about
30% since 1960
• Between 1980 and 1990, Tanzania reduced
reduce child malnutrition from 50% to 30%
Common factor:
national leadership, focus on nutrition
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MDGs and ECHUI targets
• MDG-1, Target 2, Indicator 4 - halve the 1990 prevalence of underweight children by 2015
Millennium Development Goal 1
TWO
TARGETS
2. Hunger Target:
Halve, by 2015, the
proportion of people who
suffer from hunger
FIVE
INDICATORS
4. Prevalence of underweight
children under 5
1. Poverty Target:
Halve, by 2015, the proportion
of people on income of less
than $US1 a day
1. Proportion
of population
living below
$US1
2. Poverty
gap ratio
3. Share of poorest
quintile in national
consumption
Key impact
indicator of
Initiative
5. Proportion of population below
minimum level of dietary energy
consumption
• Five other MDGs – education, health, child mortality, gender and HIV/AIDS
depend on achievement on the MDG-1 Hunger Target
–
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What will the partnership do?
• Raise awareness of CHU and known solutions
• Support country-level policies and systems to
dramatically reduce CHU
• Mobilise the political, financial, technical resources
required to reduce CHU
• Promote effective packages of interventions
• Promote greater consensus on solutions
• Bring greater cohesion across all initiatives
for child nutrition
• Focus on measurable results and learning.
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Three strategic approaches
1. Partnerships: Create and strengthen
global partnerships on CHU
2. Operations: Support national capacity
to scale-up and deliver evidencebased solutions
3. Advocacy: Promote effective,
integrated policies and programmes.
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Six interventions to address child hunger*
1. Health, nutrition & hygiene
education
(incl. exclusive breastfeeding)
2. Household food security
 Homestead food production
 cash transfers
 Supplementary Feeding
3. Micronutrient supplementation
4. Hand washing with soap
5. Household water treatment
6. Parasite control (esp. deworming)
* evidence-based, cost-effective, suited to ‘bundle’ and scale up
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One voice: one message
Activities of ECHUI partners at all levels
will be aligned to “speak with one voice”
and to deliver “one message”, viz:
ECHUI’s six key evidence-based,
cost-effective and scalable
interventions should be “bundled”
to achieve the maximum impact
in the most-affected areas.
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Global coordination
Steering
Committee
Partners Group*
• global-level partnership forum
for international actors, donors,
civil society, private sector,
technical, scientific and
academic actors
• high level advocacy,
strategic guidance
• monitors results
• oversight and broad direction
• resources Secretariat
• currently, includes WFP,
UNICEF and Chair and Vice
Chairs of Partners Group
Secretariat
• supports Partners Group
• consists of personnel from WFP,
UNICEF and others
*Inaugural Chair: High Commissioner for Refugees.
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Regional Strategy: Sahel Alliance (Feb ‘07)
• Coordinated effort to “scale up” ECHUI
in the Sahel
• Triple threat: “Unacceptably high rates of
malnutrition, mortality and food insecurity”
• UN Country Teams:
 UN Res Coord + WFP CD + UNICEF CR + FAO
+ WHO Regional Officials
• Working through UNDAFs, PRSPs and Govt.
• Regional Response ↔ National Action Plans
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Regional progress: Sahel Alliance (Feb ‘07)
Niger: Prevalence of wasting (children 6-59 mo)
20
15
15.1%
33%
decrease
10.1%
10
p < .05
5
0
2005
2006
Niger: Prevalence of stunting (children 6-59 mo)
70
50.1%
43.8%
35
13%
decrease
p < .05
0
2005
2006
* Both surveys conducted in Sep-Oct
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Country level action plans
Governments, UN, private sector, IFIs, donors,
NGOs and national institutions all partnering to:
 analyse the problem and identify intervention
requirements
 identify gaps, obstacles to progress
 help develop Government plan to fill gaps
 connect global partners with relevant technical
& other resources
 support more effective policy responses
 build partnerships to harmonise and scale-up needed
interventions
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Community level operations
1. Map areas of high
undernutrition
2. Identify potential
outreach partners
3. Strengthen linkages
between outreach
partners and support
organisations
4. Connect and leverage
complementary
interventions to the
same geographic/
demographic focus
areas
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Costing a typical package
$79 per family
• Estimated average annual
costs.
• Global costing model to be
further refined
• Country-specific costing
required
* Note that “one size does not fit all” and
must be adjusted and targeted to
specific country needs.
Intervention
US$
1. Health, nutrition & hygiene
education
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2. Household food security (average)
50
3. Micronutrient supplementation
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4. Household water treatment
4
5. Hand-washing with soap
6
6. Deworming
2
Household Total
$79
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What will it cost if we do nothing?
• Economic and social consequences of approx
45 million preventable child deaths
by 2015 (at today’s rate of attrition)
• approx. 2 to 3 percent of GDP lost annually to
undernutrition in high prevalence countries*
• $500 billion to $1 trillion in lost
productivity and income over the lifetime
of today’s undernourished children*
• Prospect of achieving other MDGs reduced.
•
*Sources: UN Standing Committee on Nutrition, World Bank, FAO
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ECHUI: Interested partners
• Save the Children
(UK and US)
• World Vision International
• World Vision US
• Caritas International
• EuronAid (consortium of 39
European NGOs)
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Action Aid
Oxfam
World Economic Forum
Unilever
TNT
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Boston Consulting Group
Centres for Disease Control
George Washington University
The Lancet
UN System Standing
Committee on Nutrition (SCN)
Archbishop of Canterbury
Gates Foundation
Rockefeller Foundation
UNHCR, FAO, IFAD, WHO,
WFP, UNICEF