Nutrition-Sensitive Programming.ppt

Kilifi County Stakeholder Consultative Meeting On

Nutrition-Sensitive Asset Creation Programming Charles Songok, Joyce Owigar & Jackline Gatimu

19th May 2015

1. Overview of Asset Creation (Cash for Assets - CFA) ……. asset creation WFP supported initiatives targeting food insecure HHs in the ASALs to build their capacity to harness rainwater for productive use (and enable HH be food self-sufficient & building resilience to FS shocks) Asset creation implemented using 2 modalities: 1.Cash for Assets - Marginal Agric. Counties 2.Food for Assets (FFA) – Arid Counties Main Activities: •Food production (income) •Pasture and Browse production (livestock) •Access to water •Environmental conservation Target ASAL Counties: Arid: Baringo, Garissa, Isiolo, Mandera, Marsabit [Moyale], Tana River, Turkana; Semi-Arid: Kwale, Taita Taveta, Kilifi, Makueni, Kitui, Tharaka Nithi

1.1. Outcomes of Asset Creation (CFA) 1. Improved pasture and browse production. 2. Improved diversification of food and Income sources (increased crop production, incomes from gums and resins, aloe vera, and other range plants). 3. Improved access to water for both human and livestock consumption. 4. Reduced environmental degradation. 5. Improved access to markets and other sources of food (feeder roads). 6. Improved capacity to Implement resilience building activities

1.2 PRRO Programme Pillars

3 Pillars of PRRO Relief

Recovery

Preparedness

• Unconditional transfers (GFD/UCT)

• Food for Assets (FFA)

• Early warning system (SRA and LRA)

• Nutrition (SF)

• Cash for assets (CFA)

• Contingency planning

Why PRRO (Protracted Relief & Recovery Operations)? Due to persistent shocks in the ASALs, there was a critical need to Assist disaster-hit communities to participate in longer-term recovery interventions, by building the resilience of vulnerable households & communities to shocks. (Rebuilding & protecting livelihoods; Reduce risks to Disasters; Adapt to climate change)

2. Nutrition Interventions 1. Nutrition-Specific Intervention: Mainly address immediate determinants of Malnutrition 2. Nutrition-sensitive Intervention: Focus on underlying and systemic causes of Malnutrition •

Nutrition specific intervention alone will not eliminate under-nutrition; however in combination with Nutrition-Sensitive interventions, there is enormous potential to enhance the effectiveness of nutrition investment.

•

Nutrition sensitive Interventions includes:  Nutrition Sensitive agriculture (crop & livestock) – link to CFA.  Nutrition Education – food consumption habits  Water, Sanitation and hygiene (WASH)  Food safety and processing  Early childhood care giving and development.  Economic strengthening, livelihoods, and social protection.  Family planning: healthy timing and spacing of pregnancy.

2.1 WFP supported Nutrition Interventions & Gaps Nutrition Interventions Existing WFP supported nutrition-specific interventions : •Treatment of moderate acute malnutrition (MAM) in young children and pregnant & lactating women (Key partner - MoH). •Micronutrient and stunting preventive intervention to all children 6-23 months in Arid counties (MNPs). •Technical support ensuring good quality programmes at national, county and health facility level. •Policy and strategy formulation on food and nutrition security.

Gaps:

Need:

• MAM- wide coverage but deals with nutrition in terms of treatment (CURATIVE).

• Surveys & FSOM Findings: High stunting & Low food consumption scores, even in CFA areas

• WFP supported schools lacked consistent and focus nutrition interventions • CFFA - Nutrition not integrated in programme design (production, utilisation, nutrition education, etc). • Asset creation designed without clear nutrition goals/objectives, thus in its current form may not fully contribute towards optimising nutrition outcomes

• Nutrition education – missed opportunity to integrate nutrition goals in C/FFA not harnessed) • Need to address the underlying causes of malnutrition nutrition-sensitive programmes (C/FFA included)

3. Why nutrition-sensitivity in Asset Creation Programming? • Food Security can never be attained without Nutrition goals/outcomes • CFA projects: build the capacity of food insecure households in the ASALs to harness rainwater (use simple technologies) for production  Opportunity to transfer practical skills & knowledge that promote FS & nutrition goals  Opportunity to optimise the impact of CFA projects  Essential entry point to integrate FS and nutrition needs thru’ crop and livestock production, thus (shift from treatment to prevention) and utilisation. • Scale: C/FFA is implemented at large scale (ASALs) and targeted to reach the poor who suffer from food insecurity [CFA has the potential to address underlying determinants of malnutrition & other nutrition needs/gaps • Nutrition education: For greater nutrition outcomes, CFA should incorporate complementing interventions on consumption of food, utilization of transfers and income for food purchase. • CFA offer possibilities to enhance: nutrition awareness, behavior change on food consumption habits, linkages with essential health and nutrition interventions, etc.

3.1 Objectives for Nutrition-Sensitive Asset Creation programming Aim: Integrate nutrition interventions into CFA programming & planning processes with an aim of improving nutritional outcomes alongside meeting food security goals. Objectives: •To optimize the utilization of assets in enhancing and diversifying production in order to contribute towards meeting FS & nutrition goals. •To improve dietary diversity among CFA HHs & communities at large, including schools.

•

Improved dietary households;

•To establish linkages with other relevant complimentary interventions where feasible (e.g. Achieved by: MCHN, WASH, etc) • •Extend nutrition information and life skills to the school environment. •To share best practices / evidence generated to • influence programming and promotion of nutrition in designing food security projects

diversity

of

Integrating nutrition in production, diversification; kitchen gardens & school gardens Integrating nutrition through utilization, food choices, food preparation, preservation and storage at HH/community and school levels

3.2 Conceptual Model for Implementing “Nutrition-Sensitive” Programming Start CFA & Nutrition Situation Analysis

Analysis on readiness to pilot & accelerate action on nutrition-Sensitive C/FFA Programming

NOTE: Successful implementation of nutrition-sensitive interventions needs to take into account other factors, including: local leadership/Governance, Capacities to scale up/out, Existing programmes/systems, Service delivery for nutrition-specific services and Investment to identify & test opportunities for building synergies.

Define objectives, activities and target population/ groups

Target setting

Baseline Conditions

Set baseline indicators

Process Indicators

Outcome Indicators

Impact Indicators

Output Indicators Monitoring and measuring achievements along the pathway; modifying/adjusting targets as necessary

Pathway Process, activities and actions

Integrated C/FFA Interventions

Impact of integrated CFA

End Results • Improved production diversification, and increased utilisation of diverse nutritious foods • Behaviour change decision making

on

nutrition

habits,

• Improved incomes & livelihood diversification Source: Adapted and modified from: Mucha N. Implementing Nutrition-Sensitive Development: Reaching Consensus. Briefing Paper. Washington DC, USA: Bread for the World, 2012

4. C/FFA PROJECTS PLANNING PROCESS Fa cil ita ted

C Dis omm ast uni t er Ris y-Ma k R na g us e ed ing uc d t io n CM

Co (Id nc Pro en DR P r ti f y e j R e p o Ac je FS c t ti o c t ua t Outputs of CMDRR: n P i de & N liz l an nt i f nee 1. Development Plan (CAPs) a s ( ica ds; tio 2. Contingency Plan C A ti o n; Prio P n Pl s)/ Co riti a z

d n a ; E ing r & ito n g n M tin mo sso ) t e c r me n, L tices e o o oj ep Outcluatiot prac ns r P R ts & Eva Bes u tp act ng, u ASSET CREATION (O Imp arni le PROJECT CYCLE Im

De mm at ve un ion lop ity ; me nt

Considerations for Identifying & Developing Community-managed Asset Creation Project Proposals

(C N F ap a I s cit ,e y x t bu en i l d s i o i ng n ,r s e es r v ou ice rc s, e a t r a llo in c a in g, t i on et , c)

pl Pro em je en ct ta tio n

, n ig al) t, s t De ov men ng c e t ( pr elop ardi j o n Ap dev aw r P me d als , and n pos sal p a o al pro prai l e is ide , Ap v a r-w ion e r County/Sub County Proposals: D pp luste iss Aligned to CIDP / Sector Plans A C subm  Technical review by CPSC / SCPSC)

4.1 Sample Project: Lendorok Irrigation Scheme, Mukutani, Marigat, Baringo County

Outcomes: Improved Yields

Watermelons

Outputs (Designs, bush clearing, Irrigation Canals)

Situation: •In 2005, Londorok experienced cattle rustling and became insecure for people to settlement •In 2010 the community started FFA with 700 (400 female & 300 male) beneficiaries •The community prioritized rehabilitation of the irrigation Scheme to promote crop production & avert cattle rustling. •Irrigation key in rebuilding community livelihoods and creating household assets. •117 HHs opened up the initial 23 hectare of irrigation farm & later expanded an additional 6 hectares.

Implementation

Beans

Maize & Vegetables

5. How do we integrate Nutrition in CFA Project Planning Process & Schools? 1. Incorporate nutrition gaps/needs into:   

the design and implementation of CFA guidelines Include specific nutrition objectives in CFA projects and policies. CFA project planning process and CFA investments priorities

2. Target food insecure and nutritionally vulnerable groups - CBT Guidelines 3. Increase access to diverse, nutrient-dense foods - thru’ purchase (CFA) or diversified production (Crop & Livestock)

4. Nutrition Education enabling environment for good nutrition thru’ knowledge: 

Improving storage and preservation of foods to cover ‘lean’ seasons; 4. Post-Harvest Preservation& Food Fortification: - Increase the nutritional content of foods thru’ biofortification [Amaranth flour, Sweet Potato/Banana flour, Moringa powder, Fermenting cereals (Sorghum, millet), Pumpkin flour and seeds, Micronutrient powders]

5. Hygiene & sanitation education

5. Seek opportunities to work across sectors/stakeholders - Working together across different sectors, involving other stakeholders is challenging but necessary in achieving nutrition-sensitive C/FFA outcomes – Complementarity/Synergy IMPORTANT NOTE: • Explore linkages between CFA and other Complimentary interventions e.g Sectors, Stakeholder initiatives in Counties; CIDP priorities that address FS & security & nutrition