World Vision Presentation Early Childhood Malnutrition Vision - PDF document

Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized World Pauline Okumu World Vision Presentation Early Childhood Malnutrition Vision National Director

1 NUTRITION STRATEGY World Vision envisions a world where every child has the opportunity for life in all its fullness. • Good nutrition is an essential foundation for health & development • Malnutrition continues to be the World’s most serious health problem – #1 contributor to child mortality

OUR PROMISE 2030 • Refreshed our health and nutrition focus in 2017 and renewed our dedication to serve the most vulnerable children. • Expand our health and nutrition targets firmly into the adolescent cohort, and grow investment into fragile contexts. • It also continues to reaffirm our commitment to community, our greatest and steadfast strength. 2

2017 ACHIEVEMENTS - GLOBALLY • High investment in the global fight to end malnutrition evidenced by compelling innovations. • Past 5 years: 89% of >250,000 severely malnourished children treated with CMAM by WV & partners made full recovery. • Emphasis on holistic early childhood development approaches, our operational research shows significant positive outcomes in the 0-3 cohort. 3

LESOTHO NUTRITION DATA • Stunting due to chronic malnutrition – 33% for U5 (DHS 2014).(Range:26% Mafeteng; 48% Mokhotlong) • LVAC 2016 report – Stunting 42%; Underweight- 12.2%; Wasting – 2.7% • Good progress made in exclusive breastfeeding: from 54% (2009) to 67% (2014). • Undernutrition during first 1,000 days results in impaired cognitive development 4

1 WV LESOTHO COUNTRY PROGRAM Makhunuane (Grants) Koeneng AP • • Kota AP • Mapoteng • • Sefikaneng AP Matlameng • • Pitseng AP Pitseng AP • ECHO DRR (Grants) • Rothe AP • • Sekameng AP Sekameng AP • • ECHO DRR (Grants) Malumeng AP • • Matelile AP Matelile AP • Mokotjomela AP • Mpharane AP • Maphutseng (Grants)

1 HEALTH HIV/AIDS NUNTRITION PROGRAM Improved Maternal, New infections Newborn and Child reduced. nutritional status. Improved Care and Improved Support for OVCs and Maternal and people living with New Born and Improved maternal HIV and AIDS Child Health and child health and nutritional status; reduced new HIV infection and impact of HIV and AIDS

SERVICE DELIVERY STRATEGIES • Partnerships – Community needs are complex and multi-faceted and so is Nutrition (WASH, Livelihoods as enablers) • Community Participation and Ownership • Capacity building • Functional community structures and systems • Sustainable funding 7

PARTNERSHIPS • MOH – Signed MOU for project implementation • 2 World Vision project Models adopted by MOH (TTC – Timed Targeted Counselling - Model) & (COMM – Community Committee – Model) • Signed MoU with PSI and Jhpiego – HIV prevention among youth HTS and VMMC • On-going PCA with UNICEF for WASH; Nutrition DIB 8

OVERVIEW – TTC PROJECT MODELS • TTC is a family centred behaviour change communication (BCC) approach targeting pregnant women and their supporters, and parents of children up to two years of age through appropriately timed household visits. • Village Health Workers (VHWs) learn practical skills on barriers to health and nutrition & deliver comprehensive set of messages and services using an interactive story telling methodology 9

OVERVIEW – TTC PROJECT MODELS • Translation of story books and other materials used by VHWs for 7-11 interventions into Sesotho • A total of 155 VHWs from 5 districts have been trained on the 1st module of TTC • 60 pregnant women and 12 U5s are now enrolled in TTC • 1 Nutrition club established to improve MCHN • 49 U5 HH and 5 pregnant women are active members of the club – monthly meeting: food preparation for U5s • Growth monitoring and promotion through education on IYCF by VHWs during club meetings 10

OVERVIEW – COMM MODELS • COMM’ is a generic title given to a health-focused community group empowered to coordinate and manage activities leading to improved overall community health, and strengthened community systems. • COMM model builds the capacity of the health centre committees on Primary Health Care (PHC) issues. • Illustrative objectives of a COMM include: Provide a support system for CHWs; mobilize the community for improved health; assess and track the community health situation; respond to barriers to health-related behavior change at community level 11

OVERVIEW – COMM MODELS • Progress to date : • National level Training of Facilitators (ToF) conducted – 35 participants trained as ToF; including Director - Family Health, Heads of Departments MoH, WV staff and District Public Health Nurses from 8 districts 12

NUTRITION DIB • It is against the backdrop of poor nutrition indicators that World Vision in partnership with UNICEF and Ministry of Health is exploring Development Impact Bond (DIB) an innovative financing solution to address the high stunting rate in Lesotho. 13

WHY DIB? Blanket bilateral aid approach is no longer Blanket bilateral aid approach is no longer effective nor resourced, thus the proposed aid and trade bundle. Core business collaboration between public Core business collaboration between public & private partners can deliver end to end sustainable development. DIB is a performance-based investment DIB is a performance-based investment instrument intended to finance such development work in low resource countries . PBF assumes tying development funding to PBF assumes tying development funding to pre-agreed measurable results that is both effective and efficient. 14

WHERE are we now? Brief HISTORY (since January 2017) State of CURRENT Affairs (May-June 2017) � Concept jointly developed by Ministry of � The idea and interest emerged as a result of Health, UNICEF and WV in place. UNICEF and WV engagement. � In-country stakeholders mobilized, role- � Virtual sensitization, orientation and responsibility finalization pending mobilization follow-ups for players. � Private sector partner meeting (DSM in Jo- � In-country stakeholder scoping for focus, burg) conducted. feasibility, design, partners. � Government and UN engagement in Lesotho � Initial ‘new donor’ map in place, donor scoping for role and responsibility clarifications, next and pre-positioning planned. steps planning. � Eligible private sector identification and idea � Feasibility planning in progress. testing for collaboration. � Next Phase: Design (Proposal development � Internal WV engagement (SO, TSO, GC) 15

WHEN should all this materialize? Phase 3: Oct. 2018 - Sept.2020 Phase 2: Oct. 2017- Sept. 2018 3.a) Pilot Lesotho DIB Phase1: 3.b) Role model in WV May - Sept. 2017 2.a) Pre-position with 3.c) Scale up in & influence the eligible Lesotho 1.a) Scoping new donors / investors. 1.a) Orient & capacitate WV staff and leaders 2.b) Conduct Feasibility study and co-design of 1.b) Orient & mobilize stakeholders in country DIB with all partners. 1. c) Broker formation of a PPP involving local, regional, global actors. 16