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. 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. 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. Enhance
mobilisation
and political
commitment for
nutrition
Scale up actions
at country level
Knowledge for
nutrition
(strengthening
the expertise
and knowledge-
base)
4

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

7. Strong gender dimension
Life cycle
Strategic Priority 2
A dashboard
7

8. 8

9. 9

10. 10

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. Strategic tools: The European Commission Nutrition Country Profiles
12

13. Programme for Improved
Nutrition in Sindh
13

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. 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. 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. 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. 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. 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. 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. 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. In 40 DEVCO priority countries

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. 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. 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. 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
 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. Tangible progress but acceleration needed to reach targets
Monitoring and learning continues
Operationalize data collection in Dashboard and programs
Stunting reduction progress

29. Context
29

30. 30
Results

31. 31
Challenges

32. 32

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. THANK YOU !
34
Check our website ->
https://ec.europa.eu/europeaid/