Equity & Nutrition Through Agriculture_Jackson_5.10.11


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  • Equity & Nutrition Through Agriculture_Jackson_5.10.11

    1. 1. Gender Informed Nutrition and Agriculture (GINA) Alliance And Nutrition Collaborative Research Support Program Cheryl Jackson Lewis Senior Nutrition and Health Advisor USAID/Bureau for Food Security CORE, Baltimore, MD May 10, 2011 1
    2. 2. GINA Program Description
    3. 3. <ul><li>To use integrated agriculture and health interventions to improve nutritional outcomes of children less than 5 years of age </li></ul>GINA Goal
    4. 4. <ul><ul><li>Mozambique, Uganda and Nigeria </li></ul></ul><ul><ul><ul><li>Implement community-based nutrition activities </li></ul></ul></ul><ul><ul><ul><li>Introduce nutritious crops and animal food sources to complement basic staples </li></ul></ul></ul><ul><ul><ul><li>Provide technical support to farmer groups to increase yields through better planting, harvesting, storage and processing technologies </li></ul></ul></ul><ul><ul><ul><li>Provide BCC to ensure that a diversified food supply translated into adequate diets </li></ul></ul></ul><ul><ul><ul><li>Empower women with knowledge and skills to improve their capacity to care for their children, increase their access to resources, incomes and decision making roles </li></ul></ul></ul><ul><ul><ul><li>Promote the nutrition dimension in development, poverty and food security plans, policies and budgets at multiple levels. </li></ul></ul></ul>Objectives
    5. 5. GINA Country-Led Partnership Mozambique Nigeria Uganda Agriculture IIAM Fed. Min. of Agric & Rural Dev National Agriculture Advisory Services Health MOH MOH MOH Nutrition SETSAN, MOH Dept. of Human Nutrition, Univ of Ibadan MOH NGOs World Vision Food Basket Foundational International Africare Agric. Research Institutions IIAM IITA NARO Other Ministry of Education Fed. Planning Commission Makerere University
    6. 6. Creating the Policy Environment GINA began at the national level to influence agriculture – nutrition policy formation and institutional development Mozambique Nigeria Uganda Agriculture Policies / Institutions PMA, NAADS Nutrition Policies / Institutions SETSAN National Policy on Food and Nutrition Food and Nutrition Investment Plan Food Security / Multi-sectoral Policies/ Institutions PARPA, SETSAN SCFN, LGCFN, NCFN, PEAP, Food & Nutrition Investment Plan
    7. 7. Human Capital Agricultural processing Meal preparation Nutritional status Kept for household Sold at market Non-food cash crops Livestock, fish, non- timber forest products Food crops Income Care Dietary Intake Agriculture and Nutrition Pathways Food Assets & Resources International Center for Research on Women Health
    8. 8. Human Capital International Center for Research on Women Agricultural processing Meal preparation Nutritional status Kept for household Sold at market Non-food cash crops Livestock, fish, non- timber forest products Food crops Income Dietary Intake Male & Female Domains Food Health Care Assets & Resources
    9. 9. Gender Perspective <ul><li>Address male and female domains; agriculture and health domains </li></ul><ul><li>Though focus was on women, participation by men was significant </li></ul><ul><li>Special emphasis on women because of their role as care givers, producers, processors of food </li></ul><ul><li>The implications of the project on household resources </li></ul>
    10. 10. The Health Perspective of GINA: Strengthening Efforts to Reduce Childhood Undernutrition Expanded Program of Immunization (EPI) Micronutrient Supplementation Nutrition Malaria Diarrhea Control Family Planning Mozambique & Uganda <ul><li>Educational messages </li></ul><ul><li>MOH Linkage </li></ul><ul><li>Household surveillance </li></ul><ul><li>Promotion of childhood health </li></ul><ul><li>Promotion of </li></ul><ul><li>Vitamin A, </li></ul><ul><li>iron, iodine </li></ul><ul><li>Promotion of </li></ul><ul><li>maternal health </li></ul><ul><li>MOH Linkage </li></ul><ul><li>Promotional messages </li></ul><ul><li>(breast feeding; complementary feeding) </li></ul><ul><li>Growth Monitoring </li></ul><ul><li>Food demo activities </li></ul><ul><li>Backyard & community garden </li></ul><ul><li>Educational </li></ul><ul><li>messages </li></ul><ul><li>(treated </li></ul><ul><li>nets; </li></ul><ul><li>Insecticide </li></ul><ul><li>use) </li></ul><ul><li>Creation of water supplies </li></ul><ul><li>Development of household latrines </li></ul><ul><li>Sanitation & Safety </li></ul><ul><li>Educational messages </li></ul><ul><li>Preparation & use of ORT </li></ul><ul><li>Sanitation and safety </li></ul><ul><li>MOH Linkage </li></ul><ul><li>Educational messages </li></ul><ul><li>- Birth </li></ul><ul><li>Spacing </li></ul>Nigeria <ul><li>Educational messages </li></ul><ul><li>MOH Linkage </li></ul><ul><li>Household surveillance </li></ul><ul><li>Promotion of childhood health </li></ul><ul><li>Promotion of </li></ul><ul><li>Vitamin A, </li></ul><ul><li>iron, iodine </li></ul><ul><li>Promotion of maternal health </li></ul><ul><li>MOH Linkage </li></ul><ul><li>Household surveillance </li></ul><ul><li>Promotional messages </li></ul><ul><li>(breast feeding; complementary feeding) </li></ul><ul><li>GMP </li></ul><ul><li>Food demos </li></ul><ul><li>Backyard & community garden </li></ul><ul><li>Educational </li></ul><ul><li>messages </li></ul><ul><li>(treated Insecticide nets) </li></ul><ul><li>Creation of H20 supplies </li></ul><ul><li>Development of HH latrines </li></ul><ul><li>Sanitation & Safety </li></ul><ul><li>Educational messages </li></ul><ul><li>Preparation & use of ORT </li></ul><ul><li>Sanitation and safety </li></ul><ul><li>MOH Linkage </li></ul>No GINA -related activities
    11. 11. GINA Outcomes
    12. 12. Policy Outcomes <ul><li>Policies and Strategies to address hunger, food insecurity and under-nutrition </li></ul><ul><li>Nutrition positioned in the national development policy frameworks </li></ul><ul><li>Multi-disciplinary Advisory Committees at National/Local levels </li></ul>National Food and Nutrition Policy National Plan of Action for Food and Nutrition Security
    13. 13. Agricultural Outcomes <ul><li>Improved farm management practices </li></ul><ul><li>Increased availability of nutritious foods in participating households </li></ul><ul><li>23 Technologies Transferred </li></ul><ul><li>Linkages to Markets </li></ul><ul><li>GINA Farmer Groups organized into functioning entities </li></ul><ul><li>GINA groups have included both men and women farmers, which yielded many benefits for participants </li></ul>
    14. 14. Community demonstration gardens Backyard Gardens Small Ruminants
    15. 15. Income Generating Activities <ul><li>Smoked fish for sale </li></ul>Processing cassava into Gari Processing oil from palm kennels
    16. 16. <ul><li>Nutritional Status improved for 3,000 children in targeted areas in Nigeria, Mozambique and Uganda </li></ul><ul><ul><li>GINA II Average (Wt/Age) </li></ul></ul><ul><ul><ul><li>32.% (baseline) </li></ul></ul></ul><ul><ul><ul><li>14.1% (final) </li></ul></ul></ul><ul><ul><li>Growth Monitoring and Promotion </li></ul></ul><ul><ul><ul><li>Monthly GMP sessions plus health activities based on Essential Nutrition Actions for children 0-5 years </li></ul></ul></ul><ul><li>Trained 200 community leaders on essential nutrition actions </li></ul><ul><li>80 growth promoters trained to monitor and weigh children </li></ul><ul><li>Increased knowledge of women about IYCF Practices </li></ul>Nutrition Outcomes
    17. 17. Gender Outcomes <ul><li>Empowerment of women and men with: </li></ul><ul><li>Knowledge and skills to prevent or reverse undernutrition </li></ul><ul><li>Access to technical resources to improve food production and food processing </li></ul><ul><li>Increased participation in decision making </li></ul>
    18. 18. Best Practices
    19. 19. Best Practice 1- Geographical Information System
    20. 20. <ul><li>Strengthen linkages between policies, programs, & actions: </li></ul><ul><ul><ul><ul><ul><li>Two-pronged strategy - Top-down and bottom-up </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Coordination of Multiple Ministries </li></ul></ul></ul></ul></ul>Best Practice 2
    21. 21. Translating Policies and Action Plans to Program Implementation <ul><li>Strong Advocacy - Champions </li></ul><ul><li>Strong Technical Skills </li></ul>Best Practice 3
    22. 22. Capacity Building <ul><li>Project Management Capacity – National, provincial, state and local </li></ul><ul><li>Financial Management Capacity </li></ul><ul><li>Management - Performance and Accountability Standards </li></ul><ul><li>Field Based Implementation Capacity </li></ul><ul><li>Current Technical Issues </li></ul>Best Practice 4
    23. 23. Best Practice 5 <ul><li>Utilize Integrated Community-Based Activities </li></ul><ul><li>Sensitize and raise awareness about nutrition and health with : </li></ul><ul><ul><ul><li>Farmer groups </li></ul></ul></ul><ul><ul><ul><li>Community Based Organizations </li></ul></ul></ul><ul><ul><ul><li>Local Chiefs Councils </li></ul></ul></ul><ul><ul><ul><li>Rural Communities </li></ul></ul></ul><ul><li>Social marketing and behavioral change component </li></ul><ul><li>Farmer exchange visits </li></ul>
    24. 24. Best Practice 6 <ul><li>Select implementing partners with strong and established local networks </li></ul><ul><li>Ensure adequate timeframe for community participatory approach to promote project ownership and participation </li></ul><ul><li>Well trained health workers and social promoters were essential for the dialogue with mothers and caretakers and increased community engagement to promote GMP, IYCF practices and agricultural practices </li></ul>
    25. 25. Nutrition Collaborative Research Support Program
    26. 26. Nutrition Collaborative Research Support Program (NCRSP) <ul><li>Creating the Evidence Base </li></ul><ul><li>Tufts University </li></ul><ul><li>$15 Million USD </li></ul><ul><li>USAID/Uganda </li></ul><ul><li>USAID/Nepal </li></ul><ul><li>Themes: </li></ul><ul><li>Improve the nutritional status of women and children through agriculture and food based programs </li></ul><ul><li>Scientific Research </li></ul><ul><li>Developing Host Country Human and Institutional Capacity </li></ul>
    27. 27. Nutrition Collaborative Research Support Program (NCRSP) <ul><li>Aim: </li></ul><ul><li>To determine which investments in agriculture based strategies, policies, and health can be used to achieve: </li></ul><ul><li>Large scale and sustainable improvements in nutritional outcomes </li></ul><ul><li>Improvements in dietary diversity, dietary quality and improved IYCF </li></ul><ul><li>Improved community capacity to combat under-nutrition </li></ul>
    28. 28. Let us be united, sharing each others experiences Walking across countries, Walking the world Showing what we do, Surpassing the limits WE CAN BE THE BEST NUTRITION, HEALTH AND AGRICULTURE AMBASSADORS WE CAN CHANGE REALITY OF HUNGER IN THE WORLD