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FoodSENSE - A decision support framework for nutrition and food security interventions

  1. Jim Hammond, Mark Caulfield, Esther Omosa, Esther Achandi, Paula Dominguez-Salas, Ronnie Ahumuza, Andrea Spray, Emily Ouma, ILRI Stakeholder workshop, Kampala, Uganda, 17 November 2022 FoodSENSE A decision support framework for nutrition and food security interventions
  2. www.cgiar.org The FoodSENSE Framework – What is it? Purpose: A decision support tool to identify Food and Nutrition Challenges and then Identify Appropriate Solutions Concepts: Food Security, Environments, and Nutrition: a Structured Evidence Framework Methods: • Household surveys, anthropometrics, community focus groups, and key informant interviews; • Structured reporting templates to diagnose issues • Stakeholder evaluation to build dialogue and identify solutions
  3. www.cgiar.org The Theory
  4. www.cgiar.org Food Security FAO 2008
  5. www.cgiar.org Nutrition It’s not just how much you eat, but what you eat HLPE 2017
  6. www.cgiar.org Nutrition: Food Groups FAO and FHI 360. 2016
  7. www.cgiar.org The Food System and the Food Environment Turner et al 2018
  8. www.cgiar.org Putting it all together Turner et al 2018
  9. www.cgiar.org A Structured Evidence Framework Food system Food Environment Foods consumed Food and Nutrition Security More Healthy People Each concept has a monitoring procedure and reporting template which feeds into a participatory expert evaluation. We can identify “blockages” and prioritise “solutions”.
  10. www.cgiar.org The FoodSENSE Methodology
  11. www.cgiar.org Site Selection and Stakeholder Analysis Targeting: Who should receive support? Prioritisation: What should be done? Compile data: Surveys; FGDs; KIIs Report on Food Environment & Context Report on Food Consumption Report on Food Security and Nutrition Outcomes Expert Stakeholder Workshop #1 Long list of locally relevant interventions Summary Traffic-light tables for each report Expert Stakeholder Workshop #2 Linking diagnosis to intervention excel tool Levels of equity analysis ~3 months The Process
  12. www.cgiar.org The Process Site Selection and Stakeholder Analysis Targeting: Who should receive support? Prioritisation: What should be done? Compile data: Surveys; FGDs; KIIs Report on Food Environment & Context Report on Food Consumption Report on Food Security and Nutrition Outcomes Expert Stakeholder Workshop #1 Long list of locally relevant interventions Summary Traffic-light tables for each report Expert Stakeholder Workshop #2 Linking diagnosis to intervention excel tool Levels of equity analysis ~3 months
  13. www.cgiar.org Site Selection: Stakeholder Analysis - Site selection - Rationale for selecting interesting locations - Number of sites, size of sites - Representation - Stakeholder analysis - Identify stakeholders to involve in the dialogue - Identify key informants at site level and higher level.
  14. www.cgiar.org The Process Site Selection and Stakeholder Analysis Targeting: Who should receive support? Prioritisation: What should be done? Compile data: Surveys; FGDs; KIIs Report on Food Environment & Context Report on Food Consumption Report on Food Security and Nutrition Outcomes Expert Stakeholder Workshop #1 Long list of locally relevant interventions Summary Traffic-light tables for each report Expert Stakeholder Workshop #2 Linking diagnosis to intervention excel tool Levels of equity analysis ~3 months
  15. www.cgiar.org Compile and Collect data Secondary Survey Data - Compile household surveys, including DHS, RHoMIS, National Surveys - Identify sources for anthropometrics or other data on nutritional outcomes Focus Group Discussions (FGDs) - Sex disaggregated - Protocol developed Key Informant Interviews (KIIs) - Site-level (3 or 4 per site); Higher-level (4-8 in total) - Protocol developed
  16. www.cgiar.org The Process Site Selection and Stakeholder Analysis Targeting: Who should receive support? Prioritisation: What should be done? Compile data: Surveys; FGDs; KIIs Report on Food Environment & Context Report on Food Consumption Report on Food Security and Nutrition Outcomes Expert Stakeholder Workshop #1 Long list of locally relevant interventions Summary Traffic-light tables for each report Expert Stakeholder Workshop #2 Linking diagnosis to intervention excel tool Levels of equity analysis ~3 months
  17. www.cgiar.org Diagnosis Reports A template exists for each diagnosis report. Collected data is used to complete the templates. 1. The Food System and the Food Environment 2. Food Consumption Practices 3. Food and Nutrition Outcome Indicators
  18. www.cgiar.org The Process Site Selection and Stakeholder Analysis Targeting: Who should receive support? Prioritisation: What should be done? Compile data: Surveys; FGDs; KIIs Report on Food Environment & Context Report on Food Consumption Report on Food Security and Nutrition Outcomes Expert Stakeholder Workshop #1 Long list of locally relevant interventions Summary Traffic-light tables for each report Expert Stakeholder Workshop #2 Linking diagnosis to intervention excel tool Levels of equity analysis ~3 months
  19. www.cgiar.org Stakeholder Meeting #1 Expert stakeholders; decision makers or those with influence Review lists of potential interventions, add locally relevant ideas Review the three reports, debate, and summarise with traffic light tables Category Specific Issue Addressed Masaka Market & value chains Market access Prices and market shocks Value chain Market regulation and quality assurance Resource endowment Socio-cultural context Food culture Socio-cultural norms and attitudes Policy and regulatory inequalities Media influence on diets HH demographics & social capital Governance Access to social support services Access to financial services Health and nutrition policies Public infrastructure WASH Agro potential & farm production Natural disasters & conflict Climate and weather related risks Agro-ecological and farm potential FSN - HH and individual outcomes Nutrient deficits Calorie availability
  20. www.cgiar.org The Process Site Selection and Stakeholder Analysis Targeting: Who should receive support? Prioritisation: What should be done? Compile data: Surveys; FGDs; KIIs Report on Food Environment & Context Report on Food Consumption Report on Food Security and Nutrition Outcomes Expert Stakeholder Workshop #1 Long list of locally relevant interventions Summary Traffic-light tables for each report Expert Stakeholder Workshop #2 Linking diagnosis to intervention excel tool Levels of equity analysis ~3 months
  21. www.cgiar.org Shortlisting Interventions and Inequity Assessment Based on the traffic light tables, barriers to food and nutrition security are identified. An excel tool links these to the long-list of interventions, producing a shortlist of interventions matched to the barriers. The difference in nutrition outcomes and barriers are compared between individuals, households, and communities. The degree of inequity at each level is assessed, and particularly vulnerable groups identified.
  22. www.cgiar.org The Process Site Selection and Stakeholder Analysis Targeting: Who should receive support? Prioritisation: What should be done? Compile data: Surveys; FGDs; KIIs Report on Food Environment & Context Report on Food Consumption Report on Food Security and Nutrition Outcomes Expert Stakeholder Workshop #1 Long list of locally relevant interventions Summary Traffic-light tables for each report Expert Stakeholder Workshop #2 Linking diagnosis to intervention excel tool Levels of equity analysis ~3 months
  23. www.cgiar.org Stakeholder Meeting #2 • Based on the traffic light tables and the long list of interventions, key blockages and options to solve (interventions) will be identified. These can be debated and adapted to local context. • The nutrition outcomes and “blockages” are also analysed from a multi-level and equity perspective, identifying specific demographic groups who may need targeted support measures. These can also be debated and adapted to local context, with specific recommendations made.
  24. www.cgiar.org The Process Site Selection and Stakeholder Analysis Targeting: Who should receive support? Prioritisation: What should be done? Compile data: Surveys; FGDs; KIIs Report on Food Environment & Context Report on Food Consumption Report on Food Security and Nutrition Outcomes Expert Stakeholder Workshop #1 Long list of locally relevant interventions Summary Traffic-light tables for each report Expert Stakeholder Workshop #2 Linking diagnosis to intervention excel tool Levels of equity analysis ~3 months
  25. www.cgiar.org Outputs - Diagnosis of challenges to achieving improve food and nutrition security - Prioritised solutions to address these - Identification of vulnerable groups and targeting of intervention measures to level for maximum impact - Transparent evidence base for these recommendations - Dialogue and perhaps consensus built between actors
  26. Thank you!
  27. www.cgiar.org Food System and Food Environment HLPE 2017; Ranganathan et al. 2016
  28. www.cgiar.org Poverty and Food Insecurity are connected FAO 2008
  29. About 620 ILRI staff work in Africa and Asia to enhance incomes and livelihoods, improve food security, and reduce disease and environmental degradation. Australian animal scientist and Nobel Prize laureate Peter Doherty serves as ILRI’s patron. Organizations that fund ILRI through their contributions to CGIAR make ILRI’s work possible. Organizations that partner ILRI in its mission make livestock research for development a reality. www.ilri.org This presentation is licensed for use under the Creative Commons Attribution 4.0 International Licence. THANK YOU
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