Presented by Muntita Hambayi
Presented at Report Launch "Mapping Linkages Between Agriculture, Food Security and Nutrition in Malawi"
Ufulu Gardens, 28th April, 2015
2. Nutrition sensitive – a definition
• Multi-sectorial interventions that address the
determinants of malnutrition
• Nutrition sensitive: incorporating nutrition into other
sector approaches to achieve improved nutrition
outcomes
4. So what is a nutrition intervention?
• Action deliberately planned and designed to change a
nutrition-related behavior or risk
• Often taken within larger nutrition goals
• Implementation is complex and requires broad
stakeholder involvement in multiple sectors
– Poverty
– Gender inequality
– Lack of access to health services
– Lack of access to water, sanitation, and hygiene
– Food insecurity
5. Why is Nutrition Sensitive Important?
• Malnutrition especially stunting is still a major problem
• Malawi needs to reach the target of 23% in 10 years –
• Nutrition-sensitive can be leveraged to increase scale,
coverage and effectiveness of nutrition specific
• These programmes often reach poor households
6. Unique Nutrition challenges
Multidimensional and overlapping causes
• A large chronically food insecure population (13%), even in
good years
• Consistent poor diets, no change in decades
• High disease burden among children
• Structural and Interlinked inadequate resources
7. Progress Made till 2014
53
47.1
42.4
22.8
0
10
20
30
40
50
60
Percentage
Under Five Nutrition Status: Stunting
DHS (2004) DHS (2010) MICS (2014) 2025
Global target
8. Nutrition Sensitive
Nutrition Specific (Immediate causes)
• Management of Acute malnutrition
• Promotion of breastfeeding practices
• Micronutrient/ Vitamin supplementation
• Complementary feeding
Nutrition Sensitive (underlying and basic causes)
• Homestead food production- diversity
• Safe water sources, sanitation practices
• Livelihoods diversification - resilience,
• Cash transfer/ IGA programs - income,
• Livestock production / aquaculture
• Food fortification/ Biofortification,
• Food price subsidies,
• Gender/Women empower/ Girl education
• Food-for-work programs,
• School feeding programs,
• Nutrition education / BCC
• Family planning
9. Things to define for nutrition-sensitive programming
• What we are aiming for
– Objective/target/goal
• Tools for assessment
– Initial analysis, including impact pathways
• Guidance for programme design
• M and E and documentation
– Indicators
Can reference that there are many definitions, a la Bread for the World summary 2012 http://www.bread.org/institute/papers/nutrition-sensitive-interventions.pdf
Can reference that there are many definitions, a la Bread for the World summary 2012 http://www.bread.org/institute/papers/nutrition-sensitive-interventions.pdf
Can reference that there are many definitions, a la Bread for the World summary 2012 http://www.bread.org/institute/papers/nutrition-sensitive-interventions.pdf
12.5 percent of the world’s population (868 million people) are undernourished in terms of energy intake (SOFI 2013)
undernutrition in the aggregate—including fetal growth restriction, stunting, wasting, and deficiencies of vitamin A and zinc along with suboptimum breastfeeding—is a cause of 3·1 million child deaths annually or 45% of all child deaths in 2011
WFP is uniquely placed to fight undernutrition due to its work in food security, vulnerability analysis and nutrition.
Nutrition-sensitive action can improve the coverage of nutrition-specific programmes as delivery platforms for nutrition-specific interventions, increasing scale, coverage and effectiveness
What we know form the Lancet- ways to enhance nutrition sensitivity of programmes:
Targeting
Using conditions to stimulate participation
Strengthen nutrition goals and actions
Optimize women’s time, nutrition, physical and mental health and empowerment
