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Nutrition in the European Commission's External Assistance: Third Progress Report on the Nutrition Action Plan

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Session Presentation
IFPRI-FAO conference side event, "Accelerating the End of Hunger and Malnutrition"
November 28–30, 2018
Bangkok, Thailand

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Nutrition in the European Commission's External Assistance: Third Progress Report on the Nutrition Action Plan

  1. 1. Nutrition in the European Commission’s External Assistance Third Progress Report on the Nutrition Action Plan Wednesday, 28th of November 2018 #EU4Nutrition 1
  2. 2. MDGs 2000 2013 2015 2014 2012 Lancet SDGs WHA Targets EU financial Pledge Global strategic vision EU Pledge on stunting & Nutrition policy framework EU Action Plan on Nutrition 2
  3. 3. Reducing Stunting To support partner countries in reducing the number of stunted children by at least 7 million by 2025 Investing in Nutrition To improve nutrition in developing countries and to ensure the allocation of €3.5 billion between 2014 and 2020 3 Our two pledges in nutrition
  4. 4. Enhance mobilisation and political commitment for nutrition Scale up actions at country level Knowledge for nutrition (strengthening the expertise and knowledge- base) 4
  5. 5. Sudan Ethiopia Kenya Somalia Tanzania Uganda Benin Burkina Faso Cote d'Ivoire Gambia Guinea-Bissau Mali Mauritania Niger Senegal Sierra Leone Burundi Cameroon Rwanda Chad Angola Madagascar Malawi Mozambique Zambia Zimbabwe Afghanistan Bangladesh Nepal Myanmar Cambodia Lao Pakistan Sri Lanka Yemen Haiti Guatemala Honduras D.R. Congo Nigeria Timor Leste Djibouti 5
  6. 6. 6
  7. 7. Strong gender dimension Life cycle Strategic Priority 2 A dashboard 7
  8. 8. 8
  9. 9. 9
  10. 10. 10
  11. 11. • Many hands…. • EC Nutrition Advisory Service (NAS): • Every year since 2014 the NAS has provided an average of: 20-25 EU Delegations with technical support of the basis of a formal request initiated by the Delegation itself; 800-900 days of senior experts to advise and ensure expertise on specific programming challenges faced Hundreds of individuals trained through seminars at country, regional and international level 11
  12. 12. Strategic tools: The European Commission Nutrition Country Profiles 12
  13. 13. Programme for Improved Nutrition in Sindh 13
  14. 14. Investing in Nutrition To improve nutrition in developing countries and to ensure the allocation of €3.5 billion between 2014 and 2020 14 Commission's financial pledge on nutrition The financial pledge goes from 2014 to 2020 which corresponds to the current programming period The next programming period -> 2021 to 2027 Programming period National/Multi-annual Indicative Programmes (NIPs/MIPS) Focal sectors Commitments Contracts Disbursements
  15. 15. OECD DAC code 12 240 basic nutrition To track nutrition-specific interventions No OECD DAC code for tracking Nutrition- sensitive interventions (few weeks ago a nutrition marker approved) Nutrition-sensitive -> Need for a common methodology 2013 - the Lancet -> importance of scaling up both direct nutrition interventions and nutrition-sensitive actions Nutrition - sensitive Scaling Up Nutrition methodology • Way to track nutrition-sensitive interventions • A common methodology that can be used by all • More accountability • More transparency 15
  16. 16. Resource tracking findings – importance of terms used Pledge • Political announcement of intent on behalf of a donor to contribute a certain amount to a certain area Commitment • A firm financing decision • Often multi year • But committed in a specific year • Can contain a contract or several • Translated into an action documents that can contains objectives, activities, results and indicators Disbursement • Actual payments • Based on contracts • A contract can be disbursed in several times Example : A commitment (financing decision) of 20M€ was made in 2016 for the programme and an action document containing the objectives, activities, results and indicators was produced. Several contracts were signed under this commitment. And payments will follow. 16
  17. 17. Resource tracking findings – commitments 634M€ 1776M€ Commission's Development aid nutrition commitments in EUR million Figure 1 2010-2013 2014-2017 The humanitarian aid has been constant before and after the pledge The most important change occurred in the development assistance interventions More then 1B€ increase AFTER the pledge Note: preliminary data for 2017 17
  18. 18. Nutrition specific = 12 240 Actions covered by the OECD DAC’s 12240 Basic Nutrition purpose code Nutrition sensitive = applying the SUN methodology Address underlying causes of malnutrition in multiple and cross-cutting sectors such as agriculture, food security, education and WASH 138 496 322 1454 Nutrition-Specific Nutrition-Sensitive CommitmentsinEURmillion COMMISSON'S DEVELOPMENT AID NUTRITION COMMITMENTS 2010-2013 2014-2017 Figure 2 Resource tracking findings – commitments by nutrition category (specific or sensitive) 18
  19. 19. Resource tracking findings – commitments by sector Figure 3 0 100 200 300 400 500 600 Water supply & Sanitation Conflict, Peace & Security Social / welfare services Fishing General budget support-related aid Public sector policy and administrative management Multisector aid Rural development Agriculture Developmental food aid / Food security assistance Health Nutrition commitments through Development aid, by OECD DAC sector code, 2014-2017 19
  20. 20. Progress made to achieve the EUR 3.5 billion TO ACHIEVE THE EU PLEDGE OF EUR 3.5 BILLION ALL COMMISSION COMMITMENTS FOR NUTRITION FROM 2014-2017 1B€ still to commit Are we on track ? Is it realistic ? Effort is maintained and accelerated • New funding possibilities for nutrition • Trust Funds • External Investment Plan (EIP) EUR 2.5 billion committed in 2014-2017 625 million in average per year EUR 1 billion still to commit in 2018-2020 333 mln in average per year 20
  21. 21. Reducing Stunting To support partner countries in reducing the number of stunted children by at least 7 million by 2025 21 The Commission's pledge on reducing stunting Carl Lachat and Patrick Kolsteren Dept Food Technology, Safety and Health Ghent University, Belgium Support DEVCO and NAS to assess progress in stunting reduction
  22. 22. In 40 DEVCO priority countries
  23. 23. • Population estimates of total number of children U5 from UN Populations Division • Stunting prevalence UNICEF / WHO / World Bank Group Joint Child Malnutrition Estimates Estimates 2012-2017, projections for 2025 Demography and population growth What was done ?
  24. 24. 0 500,000 1,000,000 1,500,000 2,000,000 2,500,000 3,000,000 2017 Number of children averted from stunting from 2012 to 2017 for the 40 priority countries v.s. the cumulative required effort from 2012 to 2017 Cumulative number of children averted from stunting Cumulative required annual effort 2.090.70 6 averted 2.692.310 required Stunting prevalence estimate: trend based on data available up to the concerned year and using scenario 1 (long term trend); Population composition estimate: WPP 2017 for all years
  25. 25. Stunting prevalence estimates for 2025 might be overestimated currently as extra efforts are fairly recent (2015-2016) 279.0 448.2 372.2 321.2 441.9 466.2 454.6 546.6 1061.6 0.00 200.00 400.00 600.00 800.00 1000.00 1200.00 2008 2009 2010 2011 2012 2013 2014 2015 2016 EU nutrition commitments in 2008-2016, EUR mln Development aid Humanitarian aid Total
  26. 26. Next To study key program’ activities, outputs and outcomes that drove the change in stunting for selected countries & programs (case studies) Association between EC disbursement and stunting reduction in priority countries To determine key factors to the change in stunting patterns Prevalence of stunting vs population based measures
  27. 27. 27  Dashboard presenting key relevant indicators to stunting reduction  There are input/output/outcome/impact pathway and also relevant context indicators Inputs Process/Activities Outputs Outcomes DEVCO Nutrition Commitments 2014-2016 (EUR millions) DEVCO Nutrition Disbursements 2014-2016 (EUR millions) Number of women and children benefiting from nutrition programmes (2016-2017) Depth of the food deficit (kcal/capita/da y) Exclusive breastfeeding of infants < 6 months (%) Impact Stunting Prevalence in children under 5 years of age (%) Rate of stunting reduction (%) 2017 Estimate Change since 2012 baseline Estimated in 2017) Change since 2012 baseline Stunting Progress: factors influencing stunting trends Context Programme Coverage (mean %) HANCI Score Population Growth (millions) Gender Inequality Index (Range 0 to 1) Global multi- poverty index (Range 0 to 1) Most recent data (2016) Change since 2012 baselin e Most recent data Change since 2012 baselin e Most recent data (2016) Change since 2012 baselin e Most recent data (2015) Change since 2012 baselin e Most recent data Change since 2012 baselin e
  28. 28. Tangible progress but acceleration needed to reach targets Monitoring and learning continues Operationalize data collection in Dashboard and programs Stunting reduction progress
  29. 29. Context 29
  30. 30. 30 Results
  31. 31. 31 Challenges
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  33. 33. Group discussions – 20 minutes Share with us your thoughts ! Please answer the questions in the paper on your table and give it back to us.  What are your main observations and reflections having listened to our story? What do you take away?  What creative ideas and suggestions can you provide us for our next Progress Report and beyond?  Please share any other experience or insights you feel relevant We will join you for group discussions and to answer any question you may have ! Sum up the ideas that came out of the discussions Identify someone from the group to present them briefly to everyone 33
  34. 34. THANK YOU ! 34 Check our website -> https://ec.europa.eu/europeaid/

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