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Nutrition-Sensitive Programming.ppt

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Kilifi County Stakeholder Consultative Meeting 19 th May 2015 Charles Songok, Joyce Owigar & Jackline Gatimu Nutrition-Sensitive Asset Creation Programming On
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  • Kilifi County Stakeholder Consultative Meeting19th May 2015Charles Songok, Joyce Owigar & Jackline GatimuNutrition-Sensitive Asset Creation ProgrammingOn

  • . 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) Main Activities: Food production (income)Pasture and Browse production (livestock)Access to waterEnvironmental conservation Target ASAL Counties: Arid: Baringo, Garissa, Isiolo, Mandera, Marsabit [Moyale], Tana River, Turkana; Semi-Arid: Kwale, Taita Taveta, Kilifi, Makueni, Kitui, Tharaka NithiAsset creation implemented using 2 modalities:Cash for Assets - Marginal Agric. CountiesFood for Assets (FFA) Arid Counties1. Overview of Asset Creation (Cash for Assets - CFA)

  • Improved pasture and browse production.

    Improved diversification of food and Income sources (increased crop production, incomes from gums and resins, aloe vera, and other range plants).

    Improved access to water for both human and livestock consumption.

    Reduced environmental degradation.

    Improved access to markets and other sources of food (feeder roads).

    Improved capacity to Implement resilience building activities

    1.1. Outcomes of Asset Creation (CFA)

  • 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)1.2 PRRO Programme Pillars

  • 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 habitsWater, Sanitation and hygiene (WASH)Food safety and processingEarly childhood care giving and development.Economic strengthening, livelihoods, and social protection.Family planning: healthy timing and spacing of pregnancy.

    2. 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.Nutrition InterventionsGaps:

    MAM- wide coverage but deals with nutrition in terms of treatment (CURATIVE).WFP supported schools lacked consistent and focus nutrition interventionsCFFA - 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

    Surveys & FSOM Findings: High stunting & Low food consumption scores, even in CFA areasNutrition 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) 2.1 WFP supported Nutrition Interventions & GapsNeed:

  • 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 projectsEssential 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.

  • Aim: Integrate nutrition interventions into CFA programming & planning processes with an aim of improving nutritional outcomes alongside meeting food security goals. 3.1 Objectives for Nutrition-Sensitive Asset Creation programmingObjectives: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.

    To establish linkages with other relevant complimentary interventions where feasible (e.g. 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 Improved dietary diversity of households;

    Achieved by: 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

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

  • Project Conceptualization ASSET CREATION PROJECT CYCLEConsiderations for Identifying & Developing Community-managed Asset Creation Project ProposalsProject M&E and ReportingProject Development (Design, Appraisal and Approval)Project Implementation(Identify FS&N needs; Prioritization; Project identification; Community Action Plans (CAPs)/ Development PlansCluster-wide proposals development, submission, Appraisal, and awardingFacilitated using CMDRR(Capacity building, resource allocation, NFIs, extension services, training, etc)(Outputs & Outcome monitoring; Impact Evaluation, Lesson learning, Best practices)4. C/FFA PROJECTS PLANNING PROCESSCommunity-Managed Disaster Risk ReductionCounty/Sub County Proposals: Aligned to CIDP / Sector PlansTechnical review by CPSC / SCPSC)Outputs of CMDRR:1. Development Plan (CAPs)2. Contingency Plan

  • Situation:In 2005, Londorok experienced cattle rustling and became insecure for people to settlementIn 2010 the community started FFA with 700 (400 female & 300 male) beneficiariesThe 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.

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

  • Incorporate nutrition gaps/needs into:the design and implementation of CFA guidelinesInclude specific nutrition objectives in CFA projects and policies.CFA project planning process and CFA investments priorities

    Target food insecure and nutritionally vulnerable groups - CBT GuidelinesIncrease access to diverse, nutrient-dense foods - thru purchase (CFA) or diversified production (Crop & Livestock)5. How do we integrate Nutrition in CFA Project Planning Process & Schools?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/SynergyNutrition Education enabling environment for good nutrition thru knowledge: Improving storage and preservation of foods to cover lean seasons; 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] Hygiene & sanitation education IMPORTANT NOTE:Explore linkages between CFA and other Complimentary interventions e.g Sectors, Stakeholder initiatives in Counties; CIDP priorities that address FS & security & nutrition

  • *Module III (TOT-DROM) Session 18: Stage 2 Community Planning (Project Proposal Development)


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