nutrition: evaluation and ways forward · 2017-12-06 · nutrition: evaluation and ways forward...

Nutrition: Evaluation and Ways Forward

Lauren LandisRoundtable – October 2015

1Nutrition Division (OSN) 1

Where We Stand: Global Picture

•3.1 million children under 5 die every year frommalnutrition-related causes

•50 million children under 5 are wasted (thin;low weight for height)

•159 million stunted children under 5 (small; lowheight for age), primarily in Africa and Asia

•Moderate Acute Malnutrition (MAM) rates canat least double, if not more, during the leanseason, with even greater risk in sudden onsetemergencies

Source: 1. Lancet, 20132. UNICEF-WHO- World Bank

Joint Child Malnutrition Estimates, 2015


Where We Stand: How to solve it

The LancetThe Lancet Copenhagen ConsensusCopenhagen Consensus

If we had an extra $75 billion to put to gooduse, which problems would we solve first?

A group of leading international economists,including Nobel Laureates, found that five of thetop ten most cost-effective solutions fordevelopment are interventions to improve nutrition

• The Consensus found micronutrient (vitaminand mineral) fortification and supplementationto be the #1 priority investment fordevelopment.

• For every $1 invested in reducing childhoodmalnutrition, we have a $45 return.

Source: Lancet (2008 and 2013)Copenhagen Consensus (2012)

Landmark series on ‘Maternal and ChildUndernutrition’ (2008) which found that inadequatenutrition during the first two years of life during acritical window of opportunity –1,000 days fromconception to age two -- leads to irreversibledamage and impairments in physical growth andcognitive development.

• Maternal and child undernutrition is theunderlying cause of more than 45% of deaths ofchildren under five.

• Findings reaffirmed in 2013 series, which alsohighlighted the need to extend the 1,000 focus toinclude adolescent girls.


Where We Stand: WFP

Global EngagementGlobal Engagement

• Strong platform for WFP Nutrition has been builtover the last 10 years.

• WFP has contributed greatly to the globalevidence base around programmes andnutrients.

• Built an international reputation as a thoughtleader in nutrition.

• Contributed to the development of newspecialized foods.

ImplementationImplementation

• Reaching 10-15 million people directly innutrition programmes which use improvedfoods.

• Direct programmes in 59 countries, with manyadditional countries providing policy supportand technical assistance to governments.

• Deep field presence enables programmingwhere other partners cannot deliver.


Recommendations 1 & 2: Revision and Development

RecommendationRecommendation

• Do not revise at this time

• Align with the new Strategic Plan

• Provide regular updates to theExecutive Board

• Collaborate with partners under theUnited Nations Global NutritionAgenda

• Develop subject papers to provideguidance on emerging issues

Ways ForwardWays Forward

• Continue to communicate openly regardingthe roll out of the policy and evaluate theevolving global evidence base and dialogue

• Continue and strengthen work with UNpartners

• Complete a series of subject papers on globalnutrition issues

• Accelerate work on nutrition-sensitivestrategies across WFP


NUTRITIONSENSITIVE

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Nutrition Specific Programmes (treatment of MAM, prevention of acute,prevention of stunting, specialized foods)= 20% Reduction

Nutrition Specific Programmes (treatment of MAM, prevention of acute,prevention of stunting, specialized foods)= 20% Reduction

Education: incorporating nutrition in school feeding programmesEducation: incorporating nutrition in school feeding programmes

Social Protection: innovating modalities, explicit nutrition goals, fullpackagesSocial Protection: innovating modalities, explicit nutrition goals, fullpackages

WASH: improving water, sanitation and hygieneWASH: improving water, sanitation and hygiene

Agriculture: increasing and diversifying productionAgriculture: increasing and diversifying production

Livelihoods, economic empowerment, asset creationLivelihoods, economic empowerment, asset creation

Market/ National Capacity StrengtheningMarket/ National Capacity Strengthening

Behavior change communicationBehavior change communication

Processing: fortification, food safetyProcessing: fortification, food safety

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PREVIEWGetting to Zero Hunger: Nutrition Sensitive


Recommendation 3: Guidance for Implementation


• Strengthen guidance for WFP staffand management

• Improve gender analysis andmonitoring in line with new GenderPolicy

• Ensure guidance is readily available


• Improve tools and update guidance

• Continue collaboration with the Gender officeand VAM to strengthen gender considerationsin nutrition programming and analysis, e.g.adolescent girls and nutrition.

• Update webpages and communications toolsfor the field


PREVIEWImprove targeting: Adolescent girls

IssueIssue

• Each year 16 million girls below theage of 19 give birth

• Complications related to pregnancyand childbirth are the leading causeof death among adolescent girlsaged between 15 and 19

• Often these complications areassociated with poor nutritionincluding anaemia, micronutrientdeficiencies, and low stature (stuntedadolescent)

• Pregnancies before the age of 20, areclosely associated to low birthweight and stunting


• A renewed focus on this particular targetgroup:

• Identify the best channels to reach them• Building on existing strategic

partnerships• Ultimately: adjusting and prioritizing

programming to show impact


Recommendation 4: Monitoring & Evaluation


• Provide guidance on methodology

• Provide guidance on supportingnational M&E systems

• Ensure consistent prioritization ofM&E and utilization of results


• Updated guidance on methodologies forreporting against the SRF has beencompleted and disseminated to regionaladvisors in order to support country offices.

• Work with other United Nations agencies andpartners to define a framework for nationalnutrition M&E systems and provide support asappropriate.

• Maintaining and strengthening a focus onM&E remains a cross cutting priority


Recommendation 5:Operational Research and Knowledge Management


• Develop, disseminate and implementa comprehensive operationalresearch strategy


• Finalize operational research strategy whichmeets needs of regions and countries

• Strengthen tools and data analysis

• Link improved nutrition situation analysis todecision making on nutrition


LINEAROPTIMIZATION

(PRICE MINIMIZATION)

Locally availablefood items

Possible nutritious dietsmeeting all nutrient

requirements of a modelledhousehold, including a child

under two years beingbreastfed

Least expensivenutritious diet

PREVIEWThe Cost of Diet and Filling the Nutrient Gap


Recommendation 6: Capacity Development within WFP


• Ensure appropriate balance ofcompetencies

• Ensure skills for implementation

• Enable effective advocacy,particularly with nationalgovernments


• Core competencies for nutrition staff havebeen updated and include a focus onpartnership, advocacy and strategy

• To balance the various needs of differentaudiences, OSN will work with HR to update anutrition capacity development strategy


NUTRITIONCAPACITY

NUTRITIONSPECIFIC

NUTRITIONSPECIFIC

NUTRITIONSENSITIVENUTRITIONSENSITIVE

POLICY ANDPROGRAMS INEMERGENCY &DEVELOPMENT

POLICY ANDPROGRAMS INEMERGENCY &DEVELOPMENT

MULTISECTORALENGAGEMENT

WITHGOVERNMENTS

MULTISECTORALENGAGEMENT

WITHGOVERNMENTS

PREVIEWCapacity Building: Building Skills


NUTRITIONCAPACITY

BUILDING NEW SKILLS

Training for:•Refining emergencyresponse•Close work withgovernments•Nutrition sensitive

BUILDING NEW SKILLS

Training for:•Refining emergencyresponse•Close work withgovernments•Nutrition sensitive

SECONDING THE RIGHTSUPPORT

Seconding the right staffwith the right skills and

working with partners onsurge capacity and

targeted technical support

SECONDING THE RIGHTSUPPORT

Seconding the right staffwith the right skills and

working with partners onsurge capacity and

targeted technical support

RECRUITING

When we can’t build orborrow, finding new staff

with the rightcompetencies to grow

with WFP

RECRUITING

When we can’t build orborrow, finding new staff

with the rightcompetencies to grow

with WFP

CREATING A NEWSTRATEGY

Building, borrowing andrecruiting the right talent

across staffing levelsrequires a new strategyand way of working with

HR

CREATING A NEWSTRATEGY

Building, borrowing andrecruiting the right talent

across staffing levelsrequires a new strategyand way of working with

HR

PREVIEWCapacity Building: Skills, Secondment and Recruitment


Recommendation 7: Collaboration and Multi-sectoral Partnerships


• Continue to work in partnershipacross emergency, transition anddevelopment contexts

• Support cohesive UN Nutritionstrategies

• Strengthen external communicationson WFP Nutrition


• Continue to support global nutritionmechanisms which support nationalgovernments to deliver improved nutrition

• Strengthen collaboration with key nutritionpartners and ensure coordinated action viathe Cluster

• Update external materials to openlycommunicate WFP’s role in nutrition andserve as an ongoing update to externalstakeholders


PARTNERSHIP ACROSSDELIVERYMODELS

Emergencies Traditional Partners Governments

Workingclosely withUNICEF

Nutritionclustercoordination

Assessment tools,data analysis, and

M&E

The right assistance,via diverse platforms

including socialprotection

Community level

Specialized food Referral tohealth care

BCC

Fortification

De-worming Treatment andprevention

Training community workers

Value added to governments todeliver improved nutrition

PREVIEWStrong Partnerships in all Contexts

Strong logistics/ supply chain

Direct deliveryof specializednutritiousfoods,including fortreatment ofMAM

Project deliveredwith governmentand NGO partner


Recommendation 8: Resourcing Implementation of the Policy


• Continue to implement the FinancialFramework Review

• Improve financial monitoring andcost-effectiveness analysis

• Continue to advocate with donors forlonger term financing for preventionactivities


• Continue work on Financial FrameworkReview and ensure nutrition considerations

• Explore cost-effectiveness under the value formoney framework

• Update Nutrition Fundraising Strategy, with afocus on the need for funding to betterimplement preventative activities

nutrition: evaluation and ways forward · 2017-12-06 · nutrition: evaluation and ways forward...

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