Nutrition Sensitive Fish Agri-Food Systems Workshop, National Food and Nutrition Commission of Zambia

2. Terminologies in this presentation
• Stunting – form of undernutrition
• SUN – Scaling Up Nutrition
• SUN TA – Scaling Up Nutrition Technical Assistance
• 1st MCDP – First 1000 Most Critical Days Programme
• Nutrition Specific Intervention
• Nutrition Sensitive intervention
• DNCC – District Nutrition Coordinating Committee
• WNCC – Ward Nutrition Coordinating Committee
• PNCC – Provincial Nutrition Coordinating Committee
• NFNC – National Food and Nutrition Commission

3. SUN MOVEMENT IN ZAMBIA
• Zambia Joined SUN Movement in 2010 as “Early Riser”
• GRZ positioned the National Food and Nutrition Commission as
Country Focal Point considering its Mandate.
• 1st 1000 MCDP developed from Strategic Objective 1 of the National
Food and Nutrition Sector Strategic Plan 2011-2016 as well as
Operational Strategic Direction 1 of the NFNSP 2017-2021
• Aligned to the Sixth and Seventh National Development Plans and
other key sector polices and strategic plans.

4. Global and In-country Policy and Legal
Environment for Nutrition
National Food and Nutrition Commission Act 41 of 1967
National Food and Nutrition Policy 2006
International
Conference on
Nutrition
2 ( 2014)
Decade Action on
Nutrition 2016-2025
National Food and Nutrition Strategic Plan
2017-2021
Scaling Up Nutrition (SUN)
Movement Since 2010 Scaling Up Nutrition /1st 1000 Most Critical Days
Programme (SUN/MCDP)

5. Key Achievements, Challenges and Gaps from the MCDP I
Achievements
i) Establishment and capacity development of coordination structures at national,
sector, provincial, district and community level;
ii) Systems strengthening and capacity development of core staff in the line
ministries and
iii) More intensified implementation of the high impact intervention package in
14 districts.
iv) Improved nutrition knowledge and pregnant/lactating women and child
caring practices in MCDP I wards in the 14 districts.
v) Reduction in stunting levels in the 14 districts
MCDP II will build on these achievements.

6. Key Achievements, Challenges and Gaps from the MCDP I
(Cont’d)
Challenges
i) Low expansion & coverage of the high impact intervention,
ii) Low profile given to nutrition in the sectors,
iii) Inconsistent policy and strategic direction on nutrition sensitive
programming,
iv) Inadequate technical capacity and institutional systems to
support the MCDP I implementation and
v) Inadequate convergence of interventions and services to the
household due to lack of clear community mobilisation and
empowerment approach and innovation

7. THE FIRST 1000 MCDP II
ACTION FRAMEWORK

8. 1000 Most Critical Days Programme (MCDP) II
Focus - Three key components:
 Scaling up Cost-Effective, High-Impact Nutrition
Interventions that have proven to reduce stunting globally and
in Zambia
 Targeted, Results-Oriented Technical Assistance to the NFNC,
key Line Ministries, SUN Networks and implementing
partners (IPs) to ensure effective coordination, management
and implementation of nutrition-specific and nutrition-
sensitive interventions directed to communities and
households in the targeted districts.
 Evidence-Based Programme Implementation, Continuous
Learning and Operations Research to inform programme
management and implementation

9. 2.1 The Overall Implementation Approach
1) Building on existing momentum, guidance, enabling policy
environment, and past lessons and successes from Zambia and
elsewhere
2) Strengthen synergy and convergence at household level
3) Alignment of interventions to the Conceptual Framework for
Malnutrition and to the Major Causes of Malnutrition in Zambia

10. 2.3 Theory of Change for the MCDP II
Nutritionhighimpactintervention
Reliable increased production
and consumption of diverse
nutritious foods, emergency
preparedness for food support
and livelihoods, affordable
food prices, reliable markets
Increased income, resilience
and women empowerment
Strengthened health care
systems and capacity, and
improved health care
seeking behaviours
Increased
Nutritious food
availability,
access diversity
Improved Infant, child and
woman feeding and care
practices
Improved access to quality
and reliable health care
services; and improved
uptake by target groups
Adequate dietary
intake in quantity,
diversity and quality
Improved health and
Nutrition status
Reduced Child
stunting
Improved
maternal
Nutrition
status
Improved maternal
Education, and Improving
Nutrition knowledge and
skills and Nutritious
Feeding through Schools
Improved knowledge and skills
among learners and teachers,
Improved feeding and care for
young children and Adolescents
girls
WASH and
improved WASH
related behaviours
Improved water, hygiene and
sanitation practices and facilities;
and clean household, community
and institutional environments
ve

11. SCALE-UP APPROACH

12. MCDP 2 Roll Out Plan
• 2018 – 30 districts (These are additional 16 districts to the initial 14)
• 2019 – 50 districts (These are additional 20 districts to the 30 districts
in 2017)
• 2020 – 70 districts (These are 20 additional districts to the 50 districts
in 2018)
• 2021 - 90 district (These are 20 additional districts to the 70 districts
in 2019)
• 2022 – 103 district (These are 13 additional districts to the 90 district
in 2020

13. Selection of districts for roll out - Criteria
• Districts with high level of stunting (population numbers especially
for stunted children less than two years).
• Districts where partners are already implementing MCDP
interventions & reaching substantial target population groups.
• Districts with a good mix of nutrition-specific and nutrition-sensitive
interventions that can be easily coordinated to enhance
convergence.
• Provincial capitals of Kabwe, Solwezi, Choma, Ndola and Lusaka to
enhance provincial oversight.
• Proximity to MCDP 1 districts for easy cross – learning by new
districts - diffusion of 1000 MCDP knowledge and coordination
mechanisms as well as general programme management.

14. Coordination Structure
Academia &
Research Network
National Foodand Nutrition
Commission
*Line Ministries: MCDSS, MCTI,
MOA, MLF, MOGE, MOFNP, MOH,
MODSEP
*
District Nutrition CoordinatingCommittees
Ward Nutrition Coordinating Committees
Provincial Nutrition CoordinatingCommitteesProvincial Level
District Level
Ward Level
Community Care Groups/FarmersGroupsCommunity Level
NationalLevel
Civil Society
Organizations
National Food and Nutrition
Technical WorkingGroup
Donor Network
(Cooperating
Partners Group)
UN Network
ZAMBIA MULT-STAKEHOLDER PLATFORM: COORDINATION STRUCTURES
Special Committee of Permanent Secretaries on Nutrition
SUN Fund Steering
Committee
National Multistakeholder Platform
(MSP)
Civil Society
Network

16. END