Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized Introduction to IFNA High-Level Forum on Early Childhood Nutrition in Southern Africa October 2-3, 2018 Maseru, Lesotho Public Disclosure Authorized Kenjiro Ban Chief Official, IFNA Secretariat
High-Level Forum on Early Childhood Nutrition in Southern Africa, October 2-3, Maseru, Lesotho “Initiative for Food and Nutrition Security In 2015-17 In 2000-2002 22.2% in Africa” 33% Decreased 33% � 22% in 15 yrs Prevalence rate of (Still too high though…) undernourishment in Sub-sahara Africa WHY BUT… In 2015-17 NEEDED? Increased 230.7 mil by 26 mil In 2000-2002 204 mil # of people food insecurity In Sub-Sahara Africa
High-Level Forum on Early Childhood Nutrition in Southern Africa, October 2-3, Maseru, Lesotho � IFNA Launch: TICAD VI side event “ Action on Nutrition; Launching of IFNA ” � “ IFNA Declaration ” adopted in the presence of leaders from African countries and international partners including NEPAD, FAO, WFP, UNICEF, WHO, IFAD, World Bunk, BMGF etc. 【 Participants 】 • Mayaki Ibrahim, CEO, NEPAD • Arap Ruto, William Samoei, Deputy President, Kenya • Representatives from 12 African countries • Da Silva, José Graziano, Director General, FAO • Rasmusson, Elisabeth, Assistant Executive Director, WFP • Abdi Omar, Deputy Executive Director, UNICEF • Meera Shekar, Lead Health and Nutrition Specialist, WB • Representatives From IFAD, WHO, BMGF etc. IFNA launch event at TICAD VI
High-Level Forum on Early Childhood Nutrition in Southern Africa, October 2-3, Maseru, Lesotho [Objective] To establish a framework of collaboration to accelerate the implementation of food/nutrition security policies for accelerating and up-scaling actions on nutrition in all African countries in line with SDG and Malabo Declaration [Target period] 2016-2025 (10 years) [Participating Countries] Burkina Faso, Ethiopia, Ghana, Kenya, Madagascar, Malawi, Mozambique, Nigeria, Senegal, Sudan (as of June 2018)
High-Level Forum on Early Childhood Nutrition in Southern Africa, October 2-3, Maseru, Lesotho 1. Actions on the ground: •Extend the ongoing efforts on nutrition improvement into concrete actions on the ground and capacity development of the actors 2. Agriculture integration into the multi-sectoral nutrition approach: •Promote a multi-sectoral approach putting emphasis on integration of agriculture , which tends to be isolated in the past WHAT 3. Mutual learning: IFNA’S •Maximize the efficiency of intervention by sharing the lessons and experiences through peer-learning among countries to deliver successful cases to the entire continent FOCUS 4. Generation of more evidence: •Generate evidence on effective nutrition interventions, focusing especially on “ multisector coordination mechanism ” and “ food based approach ” 5. Advocacy for nutrition mainstreaming: •Contribute to mainstreaming nutrition to create an enabling environment through advocacy activities.
High-Level Forum on Early Childhood Nutrition in Southern Africa, October 2-3, Maseru, Lesotho The determinants of malnutrition are multisectoral Conceptual framework of malnutrition by UNICEF WHY MULTI- SECT . COLLABO RATION The immediate causes : related to dietary intake and to health. � Health sector interventions are needed (Nutrition-specific) The underlying causes : embedded in the household and community level context in which undernutrition occurs � Agriculture, WASH, Education, Social Protection interventions are needed (Nutrition-sensitive)
High-Level Forum on Early Childhood Nutrition in Southern Africa, October 2-3, Maseru, Lesotho IFNA’s modality of implementation – Multi-stakeholder and Multi-sector Build capacity at sub-national level Translate national policy into Gov’t actions based on the needs on Commu the ground considering NSA NGOs nities Private Academia Sector IFNA IFNA Steering Participating Committee Countries Social WASH Security Align needs and resources Health Edu By providing methodology and Agric “co-planning” Concepts that attract resources Note: IFNA is NOT a funding body BUT a catalyst to create synergy among stakeholders
High-Level Forum on Early Childhood Nutrition in Southern Africa, October 2-3, Maseru, Lesotho IFNA’s modality of implementation – Country context – Realization of policy (e.g. Kenya) Build Capacity at county level Translate national policy into Malabo Declaration action based on the needs on the ground considering NSA Kenya Vision 2030 County Central Big 4 – 1. Food Security Gov’t Gov’t The National Food and Nutrition Security Policy Dev. Partners The NFNSP Implementation Assist mobilize resources Framework By providing methodology and “co-planning” Concepts that attract resources Promote actions to be taken in the same area, same time and to the same target population
High-Level Forum on Early Childhood Nutrition in Southern Africa, October 2-3, Maseru, Lesotho ICSA Process as the center of IFNA implementation Development IFNA Country Strategy for Actions (ICSA) • ICSA is a strategic guidance to support country’s own initiative to improve nutrition on the ground through multisectoral approach • ICSA supports aligning process between the needs on the ground and different resources each gov’t and development partners may have in a participatory manner Important to note: � ICSA development is a process of prioritization in terms of identifying the focus area (both geographical and nutrition issue) and a set pf potential intervention highlighting specific nutrient(s). � Thus it does not mean to hinder nor discourage gov’t /stakeholders to take multisectoral nutrition actions in other areas, rather encourage to replicate analysis in the same/similar context and/or to adopt ICSA process in other areas. Development concept & needs/resource alignment • Based on ICSA the gov’t is expected to develop a project concept realizing policy framework into action. The alignment of needs and resources will be done while concept development is done. Action design and implementation, M&E • Once concept is accepted and the alignment b/w the needs and resources are made sure, the gov’t is expected to design the project to implement it on the ground.
High-Level Forum on Early Childhood Nutrition in Southern Africa, October 2-3, Maseru, Lesotho ICSA’s analytical framework appropriate care and support for Gender women in accessing/utilizing nutrient-dense foods + necessary year-round services Stability production/access to nutrient-dense foods Self-Consumption Pathway (Production) Natural Skills resources developmentDecision to Commodit consume y selection Nutrition Digestion & Absorption Production Consumption Outcomes Health Service of nutrient-dense foods Disease Prevention of nutrient-dense foods Stunting (Quantity + Diversity) optimal dietary practices (Quantity + Diversity) Individual Household Anemia WASH / Food Safety Purchase level level minimum nutrient loss Adolescent etc. Income Spending on ag. Income Market nutrient- non-Ag - to sell dense foods income - to buy Market/Income Pathway (Purchase) Mainly Agric. sector Agric., Health, Education Health, Water, Education
High-Level Forum on Early Childhood Nutrition in Southern Africa, October 2-3, Maseru, Lesotho ICSA’s analytical framework (cont’d) Actions Potential Check points Specific nutrition bottleneck Natural resource issue Farm Inputs Production (e.g. anemia, stunting) Technical skill Farm planning Intra-household distribution Target Group Consumption Knowledge in food & nutrition Concrete interventions ? (Specify both gender and Food preparation & feeding practice age group that want to Utilization of local nutritious food focus to fight against the specific nutrition target) Child and family care Digestion & hygiene practice access to safe water Absorption access to health service Commodity status of supplementation / fortification (Identify commodity with specific nutrient, e.g. Seasonal food insecurity protein, starch, iron) Food process / Storage Stability Preventive measure for disaster Recovery measure for disaster Work load Access to the production assets Gender Involvement to family decision Early marriage, adolescent undernurition
High-Level Forum on Early Childhood Nutrition in Southern Africa, October 2-3, Maseru, Lesotho Country example: Madagascar Current issues : Stunting of 47.3% of children under 5 in 2012 because of food quantity and feeding quality 31% of the population being in food insecurity condition in 2012 Priority setting through ICSA process 1. Nutrition issues : Identified Stunting, anemia and complementary feeding 2. Geographycal areas : Identified 3 locations (Itasy, Amoron'i Mania and Vakinankaratra) Multi-stakeholder/sectors actions in coordinated manner World Bank (Health) as base project - JICA (Nutrition) - FAO and IFAD (Agric)
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