The UN Network for SUN exp xperience in in the Democratic Republic ic of Congo (DRC) **Achieving increased UN coherence on nutrition
The UN Network for SUN dyn ynamic in in the DRC 2012 2013 A UN group for nutrition was created 2016-2017 After the country joined the SUN Movement, the UN Network was FAO, WHO, WFP, UNFPA, UNICEF, created UN Network for SUN: UNOPS, UNDP, UNHCR FAO, OMS, PAM, UNFPA, UNICEF FAO, OMS, PAM, UNFPA, UNICEF Development of an Inter-agency Provincial conference on South strategy for joint and multi- Kivu and Kwango. Provincial sectoral programming to tackle Road map charters malnutrition in the most vulnerable regions of the DRC UN Nutrition Inventory exercise Joint work – Joint Programme (03 UN Network Strategic Retreat agencies) since 2015 in South Kivu (Swiss financing) Nutrition Common Narrative
UN Network for SUN nutrit ition actio ions in in the DRC (2016-2017) • National Nutrition Policy • Multisectoral Nutrition Strategic Plan • Nutrition in the Country Development Plan Policy review • Nutrition / food in the Social Protection Plan • Lessons learned from the joint programme in nutrition and food security – Phase 1 Pilot – and development of Phase 2 for scale up (Swiss funding) Joint • Sectors: Nutrition, Health, Agriculture and WASH programming • IPC food security with nutrition components • HRP – multisectoral objective • UN Nutrition Inventory Joint analysis • Nutrition stakeholder and action mapping (ongoing)
UN Network for SUN nutrit ition actio ions in in the DRC (2016-2017) • Provincial Nutrition Committees • Provincial Nutrition Plans in 3 provinces Decentralized governance • Common Nutrition Narrative (with the donor group “GIBNUT” and the nutrition cluster) Advocacy • Analysis of the national budget • Mapping of nutrition investments (ongoing) Joint analyses
Functionalit ity of the UN Network for SUN in in the DRC (2016-2017)- outputs / / key processes • An Inventory of nutrition actions performed by UN agencies in the DRC was conducted in 2016 • A UN Network Strategic Retreat was held and allowed for the finalization of: • A Road Map aligned to the UN Network for SUN Strategy • Revised Terms of Reference for a more dynamic functioning of the UN Network • Development of a Common Narrative for Nutrition (joint advocacy)
UN support in 2016 compared to the prevalence of stunting and the number of stunted children Stunting Prevalence (DHS 2013) Number of Stunted Children Are UN efforts taking place in the best geographic areas? Nord- Ubangi Bas-Uele Haut-Uele 22 50 Sud- 15 9 Ubangi Mongala Ituri 15 33 Tshopo 27 Nord- 22 Equateur Tshuapa Kivu 15 37 Maï- 51 Ndombe Sud- Kinshasa Sankuru 23 30 Kivu 17 67 Maniema Kasaï Kwilu Kongo- 16 Kasaï- 38 23 Central 33 Central Lomami 50 Kwango Tanganika 32 49 Haut- Lomami Kasaï- 20 Haut- Lualaba Oriental Katanga 35 23 50 Prevalence of stunting amount children <5 Absolute number of stunted children <5 Number of nutrition actions supported by the UN agencies surveyed Highest > 120 Highest 81-120 41-80 ≤ 40 Lowest Lowest Highest numbers of UN actions 3 highest 3 highest N.B. The actions depicted in this map do not include those being undertaken at national level, only those at regional level. Source: DHS 2013-2014; UNICEF Maps; Inventory tool
Support from the UN agencies surveyed was well distributed across the country, with at least 2 agencies in all regions, though fewer actions are supported in the central provinces Key Questions: Key Questions: Where more than one agency is present Where more than one agency is present • How complementary are the nutrition actions? Is there combined value Nord- 50 Ubangi Bas-Uele Haut-Uele added? 22 15 Sud- 9 Ubangi Mongala Ituri • Is there a critical nutrition action 15 33 Tshopo 22 missing in each region/state, that the Nord- 27 Tshuapa Kivu Equateur 15 UN is well-placed to deliver? 37 Maï- Ndombe Sud- Kinshasa 23 • Are there opportunities for improved Kivu 51 Sankuru Maniema 67 17 30 collaboration on joint planning Kwilu Kasaï Kongo- Kasaï- 38 Lomami Central (targeting & geographic focus), Central 23 50 Tanganika 16 32 Kwango implementation, M&E? 33 49 Haut- Lomami Kasaï- 20 Haut- • How can the use of delivery Lualaba Oriental Katanga 23 35 mechanisms (e.g. schools, community 50 health volunteers, agricultural extension) be optimized? • Alignment of advocacy, Number of UN actions by region: communications, other? > 40 31-40 21-30 ≤ 20 Highest numbers of UN actions N.B. The actions depicted in this map do not include those being undertaken at national level, only those at regional level. Sources: Inventory tool 2016
In South-Kivu, 9 actions were supported by more than one agency surveyed, which may indicate opportunities for collaboration and coordinated targeting a • Vaccinations (ex: polio, etc.) b • Improvement of local recipes • Protection, promotion & support of optimal i b • Improvement of local recipes breastfeeding c • Diversification & locally adapted varieties d • Improvement of complementary feeding • Food processing (excluding fortification) e • Handwashing • Food storage • Household water treatment & storage d • Improvement of complementary feeding • Food hygiene e South-Kivu • Hand washing • Sanitation management f • Health-seeking behaviour • Vitamin A/D/zinc/Ca/iodine supplementation g • Mgt of moderate acute malnutrition • Multiple micronutrient supplementation Strunting h • HIV management and PMTCT • Mgt of severe acute malnutrition (SAM) 53% • Management of tuberculosis • Mgt of moderate acute malnutrition (MAM) g • Food assistance for vulnerable population groups • Anti-malaria • School-based social safety nets • Management of diarrhoea (ex: ORS and =631 580 • Public guidance & consumer awareness/protection children zinc) • Biofortification a • Vaccinations (ex: polio, etc.) i • Protection, promotion & support of optimal h • HIV management and PMTCT breastfeeding • Mgt. of respiratory infections • Improvement of water supply/source quality • Sanitation facilities management • Care to pregnant/lactating women • Childcare support/caregiver workload f b • Health-seeking behaviour • Improvement of local recipes • Ante- & post-natal care • Complementary feeding c • Health professional-assisted delivery • Diversification & locally adapted varieties • Iron & folic acid/Iron supplementation Note: The following agencies also Actions supported by supported actions at national level that more than one agency impact the Province of South Kivu: Sources: UN Nutrition Inventory (2016) ( Exercice Inventaire des actions de nutrition [2016] )
Common Nutrition Tackling malnutrition among women Narrative in the and children under five in DRC - the Democratic Republic of Congo Government and Partners JOINT COMMITMENT
From outputs to results Inventory of UN nutrition actions • Informs planning • Supports the alignment of UN actions with government priorities Road map for the UN Network for SUN Increase coherence • Coherence of actions and support • Joint planning Common narrative on nutrition for ALL PARTNERS Increase scale and • Renewal of commitments investments • Advocacy to increase nutrition investments Mapping of nutrition actions and stakeholders (ongoing)
The process and im impli lication of other actors • The UN Network is present and participates in the nutrition cluster and the food security cluster • The UN is present and participates in sectoral planning (health, agriculture, social protection, water…) • The UN is present and participates in the donor group (health, nutrition, agriculture, water) • Coordination efforts of nutrition interventions, especially regarding ongoing emergencies in the country (HRP- multi-sectoral objective) • Collaboration with other SUN networks in place (donors, civil society, private sector, government…)
My name is Olga, I am 15 years old and I am the president of the Child Reporters group in Oriental Kasaï. My dream is to become a nutritionist dietician to help others. I want to change the lives of malnourished children by treating them but also working on prevention. We need to raise awareness among communities and parents about consuming local foods with a high nutritious value, and to advocate for nutrition with local authorities.
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