day 1 session 1 (2015) intro
TRANSCRIPT
Transforming Nutrition: Ideas, Policy and Outcomes
Convened by the research consortium Transform Nutrition, which is funded by the UK Department for International Development (DFID).
With special thanks to Children’s Investment Fund Foundation (CIFF) for providing full scholarships for four of our participants.
Facilitated by the Institute of Development Studies (IDS) and the International Food Policy Research Institute (IFPRI)
Summer SchoolJuly 13-18, 2015
Introduction
Transforming Nutrition: Ideas, Policy and Outcomes
Lawrence Haddad, IFPRIPurnima Menon, IFPRINick Nisbett, IDS
“Nearly 4 million people die prematurely in India every year from malnutrition and related problems. That’s more than the number who perished during the entire
Bengal famine.”
Amartya Sen and Jean DrezeHunger and Public Action
1989
Transforming Nutrition: Ideas, Policy and Outcomes
Transforming Nutrition: Ideas, Policy and Outcomes
Purpose of course
• To integrate ideas about nutrition from cause to consequence to intervention to building commitment -- and back again!
• To help you marshal the latest evidence better to accelerate malnutrition reduction
• For all of us to learn from each other, together
• To inspire and energise ourselves in the fight against malnutrition
Introductions of participantswho are we and why are we here?
what do we hope to get out of the course?and what is our biggest worry?
Definitions of Malnutrition
Nutrition has a History of Neglect
Guatemalan children, significantly lower than median height for age of a healthy population
(My underlining)
The more things change the more they stay the same
10
Ten Reasons for Weak Commitment to Nutrition
Heaver, Richard. 2005. Strengthening Country Commitment to Human Development: Lessons from Nutrition. Washington, DC : World Bank. https://openknowledge.worldbank.org/handle/10986/7310
1. Malnutrition is usually invisible to malnourished families and communities.2. Families and governments do not recognise the human and economic costs of
malnutrition.3. Governments may not know there are faster interventions for combating malnutrition
than economic growth and poverty reduction or that nutrition programmes are affordable.
4. Because there are multiple organisational stakeholders in nutrition, it can fall between the cracks.
5. There is not always a consensus about how to intervene against malnutrition.6. Adequate nutrition is seldom treated as a human right.7. Malnourished people have little voice.8. Some politicians and managers do not care whether programmes are well
implemented.9. Governments sometimes claim that they are investing in improving nutrition when
the programmes they are financing have little effect on it10. There is a vicious circle: lack of commitment to nutrition leads to underinvestment in
nutrition, which leads to weak impact, which reinforces lack of commitment since governments believe nutrition programmes do not work.
Big shifts in the Nutrition Landscape: More needed
2008• Stewardship of the nutrition system
dysfunctional and deeply fragmented
• New evidence base introduced in the 2008 Lancet Series, identified critical 1,000 day window
• Pinpointed a package of highly effective interventions for reducing undernutrition
• Proposed a group of “high burden” countries as priorities for increased investment
2015• Nutrition significantly elevated on
the global agenda• Launch & Renewal of the Scaling Up
Nutrition (SUN) Movement in 2010: a major step toward improved stewardship of nutrition architecture
• Nearly every major development agency has published a policy document on undernutrition
• Donors have increased ODA to basic nutrition from $140m in 2005 more to $940m in 2014
• Nutrition For Growth Conference, ICN2, Global Nutrition Report (www.globalnutritionreport.org)
Day Session Topic Day Session TopicMonday 1 Intro + Objectives Thursday 1 Enabling environment 2
2 Definitions and Distribution 2 Group work 3
lunch lunch
3 Causes 3 Evaluating what works and why
4 Consequences 4 Group work 4
dinner Welcome dinner dinner Dinner
Tuesday 1 What works-Nutrition Specific 1 Friday 1 Presentation of group work
2 What works-Nutrition Specific 2 2 Presentation of group work
lunch lunch
3 Group work 1 3 Finding common threads and close
4 What works-Nutrition Sensitive 1 4 Certificates & Awards
dinner Dinner
Course Outline
Weds 1 What works-Nutrition Sensitive 2
2 Group work 2
lunch
3 Enabling environment 1
4 2 country case studies
Anticipated biases in this course
• Tried to cover disciplinary bases (economics, socioeconomics, political sciences, epidemiology, nutrition sciences, public health)
• Emergency nutrition is underrepresented• Strong focus on quantitative data• IFPRI/Lancet/World Bank/LSHTM/IDS centric• We are not practitioners
Ground Rules