OneHealth is a tool for medium-term strategic health planning at the national level in countries. It incorporates epidemiology impact models to demonstrate achievable health gains from integrated disease program and health systems planning. OneHealth was developed to enable integrated planning across partners, link disease programs to health systems strengthening, and incorporate costing into the planning process from the beginning. It brings together various stakeholders and allows for scenario analysis of alternative intervention packages, targets, and activities.
Essential Package of Health Services Country Snapshot: MalawiHFG Project
This country snapshot is one in a series of 24 snapshots as part of an activity looking at the Governance Dimensions of Essential Packages of Health Services in the Ending Preventable Child and Maternal Death priority countries. The snapshot explores several important dimensions of the EPHS in the country, such as how government policies contribute to the service coverage, population coverage, and financial coverage of the package. Each country snapshot includes annexes that contain further information about the EPHS.
The document outlines work conducted from 2012 to 2018 related to health financing and universal health care in USAID's Smiling Sun clinics. It includes analysis of pricing and costs, demand, feasibility of pre-payment options, improving financial protection through reviewing pre-payment mechanisms and targeting the poor, and assessments of health financing and essential service packages.
Essential Package of Health Services Country Snapshot: EthiopiaHFG Project
Resource Type: Brief
Authors: Jenna Wright
Published: July 2015
Resource Description:
An Essential Package of Health Services (EPHS) can be defined as the package of services that the government is providing or is aspiring to provide to its citizens in an equitable manner. Essential packages are often expected to achieve multiple goals: improved efficiency, equity, political empowerment, accountability, and altogether more effective care. There is no universal essential package of health services that applies to every country in the world.
This country snapshot is one in a series of 24 snapshots as part of an activity looking at the Governance Dimensions of Essential Packages of Health Services in the Ending Preventable Child and Maternal Death priority countries. The snapshot explores several important dimensions of the EPHS in the country, such as how government policies contribute to the service coverage, population coverage, and financial coverage of the package. Each country snapshot includes annexes that contain further information about the EPHS.
The government of Ethiopia published its “Essential Health Services Package for Ethiopia” in 2005 (Federal Ministry of Health 2005). This package was published with the intention to have public sector facilities provide a minimum standard of care that fosters an integrated service delivery approach essential for advancing the health of the population. The major components of the Essential Health Services Package for Ethiopia are classified building on the Health Service Extension Program, which was launched in 2002 as an essential health services package at the community level, in recognition of the failure of essential services to reach remote communities in the country. By 2010 over 33,000 trained health extension workers were serving both rural and urban areas throughout Ethiopia.
The USAID-funded Health Finance and Governance project worked in Namibia from 2013-2018 to help the country strengthen its health system and progress toward universal health coverage. It did this by supporting the institutionalization of Health Accounts to track health spending, conducting studies to estimate costs of health services and assess quality across public and private facilities, and building the government's capacity to mobilize resources and make evidence-based financing decisions. This evidence helped Namibia explore sustainable domestic financing options and identify its total funding needs for achieving universal coverage of priority health services.
Essential Package of Health Services Country Snapshot: RwandaHFG Project
This country snapshot is one in a series of 24 snapshots as part of an activity looking at the Governance Dimensions of Essential Packages of Health Services in the Ending Preventable Child and Maternal Death priority countries. The snapshot explores several important dimensions of the EPHS in the country, such as how government policies contribute to the service coverage, population coverage, and financial coverage of the package. Each country snapshot includes annexes that contain further information about the EPHS.
The USAID Health Finance and Governance project, led by Abt Associates, works with developing countries to expand access to healthcare. It helps countries increase domestic health funding, manage resources effectively, and make wise purchasing decisions. The project provides technical assistance to improve financing, governance, management systems, and universal health coverage monitoring. In Botswana specifically, the project worked with the Ministry of Health and Wellness to develop a new health financing strategy, update the universal health benefits package, create a blueprint for national health insurance, increase hospital outsourcing efficiencies, analyze HIV treatment costs, and design a framework for setting healthcare service prices.
Digital health tools are being used across Tanzania, Malawi, Kenya, and Uganda to support community case management (CCM) programs. While the specific tools and approaches vary by country, there are significant opportunities to share lessons and harmonize tools. All four countries utilize frontline health workers like community health workers (CHWs) to provide CCM services in communities. Key CHW roles include registering clients, checking for danger signs, counseling, and making referrals. The three priority commodities - amoxicillin, oral rehydration salts, and zinc - are distributed at similar levels across health systems, though stockouts vary. Existing digital implementations focus on areas like commodity management, data reporting, behavior change, and decision
OneHealth is a tool for medium-term strategic health planning at the national level in countries. It incorporates epidemiology impact models to demonstrate achievable health gains from integrated disease program and health systems planning. OneHealth was developed to enable integrated planning across partners, link disease programs to health systems strengthening, and incorporate costing into the planning process from the beginning. It brings together various stakeholders and allows for scenario analysis of alternative intervention packages, targets, and activities.
Essential Package of Health Services Country Snapshot: MalawiHFG Project
This country snapshot is one in a series of 24 snapshots as part of an activity looking at the Governance Dimensions of Essential Packages of Health Services in the Ending Preventable Child and Maternal Death priority countries. The snapshot explores several important dimensions of the EPHS in the country, such as how government policies contribute to the service coverage, population coverage, and financial coverage of the package. Each country snapshot includes annexes that contain further information about the EPHS.
The document outlines work conducted from 2012 to 2018 related to health financing and universal health care in USAID's Smiling Sun clinics. It includes analysis of pricing and costs, demand, feasibility of pre-payment options, improving financial protection through reviewing pre-payment mechanisms and targeting the poor, and assessments of health financing and essential service packages.
Essential Package of Health Services Country Snapshot: EthiopiaHFG Project
Resource Type: Brief
Authors: Jenna Wright
Published: July 2015
Resource Description:
An Essential Package of Health Services (EPHS) can be defined as the package of services that the government is providing or is aspiring to provide to its citizens in an equitable manner. Essential packages are often expected to achieve multiple goals: improved efficiency, equity, political empowerment, accountability, and altogether more effective care. There is no universal essential package of health services that applies to every country in the world.
This country snapshot is one in a series of 24 snapshots as part of an activity looking at the Governance Dimensions of Essential Packages of Health Services in the Ending Preventable Child and Maternal Death priority countries. The snapshot explores several important dimensions of the EPHS in the country, such as how government policies contribute to the service coverage, population coverage, and financial coverage of the package. Each country snapshot includes annexes that contain further information about the EPHS.
The government of Ethiopia published its “Essential Health Services Package for Ethiopia” in 2005 (Federal Ministry of Health 2005). This package was published with the intention to have public sector facilities provide a minimum standard of care that fosters an integrated service delivery approach essential for advancing the health of the population. The major components of the Essential Health Services Package for Ethiopia are classified building on the Health Service Extension Program, which was launched in 2002 as an essential health services package at the community level, in recognition of the failure of essential services to reach remote communities in the country. By 2010 over 33,000 trained health extension workers were serving both rural and urban areas throughout Ethiopia.
The USAID-funded Health Finance and Governance project worked in Namibia from 2013-2018 to help the country strengthen its health system and progress toward universal health coverage. It did this by supporting the institutionalization of Health Accounts to track health spending, conducting studies to estimate costs of health services and assess quality across public and private facilities, and building the government's capacity to mobilize resources and make evidence-based financing decisions. This evidence helped Namibia explore sustainable domestic financing options and identify its total funding needs for achieving universal coverage of priority health services.
Essential Package of Health Services Country Snapshot: RwandaHFG Project
This country snapshot is one in a series of 24 snapshots as part of an activity looking at the Governance Dimensions of Essential Packages of Health Services in the Ending Preventable Child and Maternal Death priority countries. The snapshot explores several important dimensions of the EPHS in the country, such as how government policies contribute to the service coverage, population coverage, and financial coverage of the package. Each country snapshot includes annexes that contain further information about the EPHS.
The USAID Health Finance and Governance project, led by Abt Associates, works with developing countries to expand access to healthcare. It helps countries increase domestic health funding, manage resources effectively, and make wise purchasing decisions. The project provides technical assistance to improve financing, governance, management systems, and universal health coverage monitoring. In Botswana specifically, the project worked with the Ministry of Health and Wellness to develop a new health financing strategy, update the universal health benefits package, create a blueprint for national health insurance, increase hospital outsourcing efficiencies, analyze HIV treatment costs, and design a framework for setting healthcare service prices.
Digital health tools are being used across Tanzania, Malawi, Kenya, and Uganda to support community case management (CCM) programs. While the specific tools and approaches vary by country, there are significant opportunities to share lessons and harmonize tools. All four countries utilize frontline health workers like community health workers (CHWs) to provide CCM services in communities. Key CHW roles include registering clients, checking for danger signs, counseling, and making referrals. The three priority commodities - amoxicillin, oral rehydration salts, and zinc - are distributed at similar levels across health systems, though stockouts vary. Existing digital implementations focus on areas like commodity management, data reporting, behavior change, and decision
The document discusses Singapore's healthcare industry and government policies. It notes that the aging population is causing diseases to rise. The top 5 cancers affecting men and women are listed. It also discusses the government's role in healthcare including expenditures, increasing hospital beds, and policies like Medisave and MediShield which are compulsory savings programs. The healthcare future section outlines plans for new hospitals, polyclinics, and devices. It provides information on registering a healthcare business in Singapore.
Capacity Building in Human Resources Management of the Ministry of Health in ...HFG Project
The Ministry of Health in Guinea recognized after the Ebola outbreak that it needed to rebuild and strengthen its health workforce. With support from HFG, the MOH established better governance structures including upgrading its Division of Human Resources to a Department of Human Resources with new services and establishing an inter-ministerial committee to coordinate health workforce issues. HFG also helped improve Guinea's human resources information system and develop a multi-year workforce training plan to improve health services through clinical coaching.
The USAID Health Finance and Governance project works with developing countries to improve access to healthcare. Led by Abt Associates, the project helps countries increase domestic health funding, better manage resources, and make wise purchasing decisions. The project has activities in over 40 countries and collaborates with health stakeholders to expand services like maternal and child care, reduce financial barriers, and promote universal healthcare coverage.
This document discusses the implementation of an innovative "Basket Fund" financing mechanism in Zamfara State, Nigeria to address funding challenges for primary health care (PHC) services including routine immunization.
Routine immunization coverage in Zamfara State had declined to only 11% due to inadequate funding for vaccine distribution, staff supervision, and other essential recurrent costs, despite efforts by international partners. A proposal was developed to create a pooled "PHC service delivery fund", also called the "Basket Fund", to centrally manage and transparently disburse funds for PHC activities across the state. Key stakeholders collaborated on the proposal. The Basket Fund mechanism has helped smooth service delivery by resolving issues around both acquiring and properly using
Budget matters for health: key formulation and classification issuesHFG Project
This policy brief aims to raise awareness on the role of public budgeting – specifically aspects of budget formulation – for non-PFM specialists working in health. As part of an overall WHO programme of work on Budgeting in Health, it will help clarify the characteristics and implications of various budgeting approaches for the health sector.
The PRRINN-MNCH programme operated in four northern Nigerian states from 2006-2013 with the goal of improving maternal, newborn and child health services. It achieved significant impacts including:
1) Reducing maternal and child mortality and morbidity in the target states by strengthening health systems, service delivery, community engagement, and governance.
2) Providing evidence of value for money through improved health indicators and lives saved due to programme interventions.
3) Facing challenges in the unstable security environment, particularly in Yobe State, but continuing operations with government commitment to improving health services.
Essential Package of Health Services Country Snapshot: ZambiaHFG Project
This country snapshot is one in a series of 24 snapshots as part of an activity looking at the Governance Dimensions of Essential Packages of Health Services in the Ending Preventable Child and Maternal Death priority countries. The snapshot explores several important dimensions of the EPHS in the country, such as how government policies contribute to the service coverage, population coverage, and financial coverage of the package. Each country snapshot includes annexes that contain further information about the EPHS.
The USAID Health Finance and Governance project helps improve health in developing countries by expanding access to healthcare. Led by Abt Associates, the project works with partner countries to increase domestic health funding, better manage resources, and make wise purchasing decisions. In Nigeria, the project collaborated with government and partners from 2012-2018 to address challenges like underfunding, donor reliance, and weak governance. Key accomplishments included expanding an innovative mobile technology to improve TB response, increasing domestic funding for HIV and primary healthcare, establishing state health insurance schemes, and enhancing multisectoral collaboration around health financing reform.
Essential Package of Health Services and Health Benefit Plans Mapping BriefHFG Project
Many governments are scaling up health benefit plans, such as social health insurance, to increase population health coverage. This brief presents findings from a mapping between the services covered under the country’s prominent health benefit plan(s) to the country’s Essential Package of Health Services. The mapping analyzes the extent to which the plan(s) cover essential services.
Enhancing the Nutrition Sensitivity of Agriculture and Food Systems: What Has Been Done, and What
Needs to be Done?
Stuart Gillespie, Senior Research Fellow, PHND, IFPRI, United Kingdom
Key gaps identified in veterinary service deliveryILRI
Presented by Fasil Awol at the HEARD project regional public-private partnerships task force workshop, Amhara, 18 November 2019: Somali, 21 November 2019: Oromia, 26 November 2019
The document summarizes AGHA's advocacy campaigns in Uganda to promote access to essential medicines, including their "Stop-Stock-outs" campaign. It found frequent stock-outs of malaria and antibiotic drugs in rural health centers due to underfunding of the health sector. The campaign pressured the government and resulted in reports of shortages, commitments to purchase more drugs, and calls to increase health sector funding to 15% of the national budget.
Essential Package of Health Services Country Snapshot: The Republic of South ...HFG Project
This country snapshot is one in a series of 24 snapshots as part of an activity looking at the Governance Dimensions of Essential Packages of Health Services in the Ending Preventable Child and Maternal Death priority countries. The snapshot explores several important dimensions of the EPHS in the country, such as how government policies contribute to the service coverage, population coverage, and financial coverage of the package. Each country snapshot includes annexes that contain further information about the EPHS.
The document discusses investing in resilience to FAST (foreign animal diseases) in light of the Covid-19 pandemic. It notes that the livestock sector has experienced strong growth driven by low and middle income countries. This growth needs to be shaped to improve sustainability and resilience to external impacts like diseases, the environment, health, and equity. The World Bank provides over $700 million annually to the livestock sector through various programs. COVID-19 has changed the landscape and reinforced the need to forecast socioeconomic impacts of diseases and build capacity. The World Bank uses tools and strategic work to support sustainable livestock production globally.
The Health Finance and Governance project works with countries to improve health systems and expand access to healthcare. In Ghana, the project worked with the National Health Insurance Authority to make the National Health Insurance Scheme more sustainable and effective. This included developing dashboards to monitor enrollment and claims data, conducting research to examine challenges, and laying the groundwork for capitation payments to primary care providers. The project helped institutionalize processes for using evidence to guide decision-making and reform policies to strengthen Ghana's progress toward universal health coverage.
The Health Finance and Governance Project developed a Health Management Toolkit containing 17 tools to support health service delivery in Peru. The toolkit was designed based on tools previously created by USAID projects. It was officially transferred to the San Fernando School of Medicine and the Regional Government of Lima to be hosted and disseminated. The toolkit was also presented at national and international forums to publicize the tools and gauge interest. Surveys found that regional health directors highly valued having access to the tools and were very interested in tools for human resources management, health promotion, and project formulation. Most directors expressed interest in hosting the toolkit on their institutional websites.
Food Security Information System (FSIS) Consultative Workshop Sudan 27-29 Dec...Sudan Agriculture
The document summarizes a consultative workshop on developing a Food Security Information and Knowledge Sharing System (FSIS) in Sudan. The workshop aims to strengthen national cooperation and knowledge exchange on agriculture and food security. Key topics discussed include establishing a national food security information system using a web-based platform and mobile technology to improve information generation, management, dissemination and sharing among policymakers and stakeholders. Standards, tools and international initiatives for content management, as well as benefits of the Sudan FSIS such as better addressing stakeholder needs and knowledge sharing, are also covered.
Essential Package of Health Services Country Snapshot: MozambiqueHFG Project
This country snapshot is one in a series of 24 snapshots as part of an activity looking at the Governance Dimensions of Essential Packages of Health Services in the Ending Preventable Child and Maternal Death priority countries. The snapshot explores several important dimensions of the EPHS in the country, such as how government policies contribute to the service coverage, population coverage, and financial coverage of the package. Each country snapshot includes annexes that contain further information about the EPHS.
Cop1 costing and financing tina llorenSUN_Movement
This document summarizes two costing activities conducted by FANTA: costing of community-based management of acute malnutrition (CMAM) services in Malawi, and field testing of a nutrition assessment, counseling, and support (NACS) costing tool in Zambia. For Malawi, FANTA collected costing data and held workshops to introduce a CMAM costing tool and incorporate costing results into Malawi's CMAM operational plan. For Zambia, FANTA developed an Excel-based NACS costing tool to help countries plan for NACS implementation, and will field test the tool in Kitwe District by mid-2015. The goal is to publish the final N
The document discusses Singapore's healthcare industry and government policies. It notes that the aging population is causing diseases to rise. The top 5 cancers affecting men and women are listed. It also discusses the government's role in healthcare including expenditures, increasing hospital beds, and policies like Medisave and MediShield which are compulsory savings programs. The healthcare future section outlines plans for new hospitals, polyclinics, and devices. It provides information on registering a healthcare business in Singapore.
Capacity Building in Human Resources Management of the Ministry of Health in ...HFG Project
The Ministry of Health in Guinea recognized after the Ebola outbreak that it needed to rebuild and strengthen its health workforce. With support from HFG, the MOH established better governance structures including upgrading its Division of Human Resources to a Department of Human Resources with new services and establishing an inter-ministerial committee to coordinate health workforce issues. HFG also helped improve Guinea's human resources information system and develop a multi-year workforce training plan to improve health services through clinical coaching.
The USAID Health Finance and Governance project works with developing countries to improve access to healthcare. Led by Abt Associates, the project helps countries increase domestic health funding, better manage resources, and make wise purchasing decisions. The project has activities in over 40 countries and collaborates with health stakeholders to expand services like maternal and child care, reduce financial barriers, and promote universal healthcare coverage.
This document discusses the implementation of an innovative "Basket Fund" financing mechanism in Zamfara State, Nigeria to address funding challenges for primary health care (PHC) services including routine immunization.
Routine immunization coverage in Zamfara State had declined to only 11% due to inadequate funding for vaccine distribution, staff supervision, and other essential recurrent costs, despite efforts by international partners. A proposal was developed to create a pooled "PHC service delivery fund", also called the "Basket Fund", to centrally manage and transparently disburse funds for PHC activities across the state. Key stakeholders collaborated on the proposal. The Basket Fund mechanism has helped smooth service delivery by resolving issues around both acquiring and properly using
Budget matters for health: key formulation and classification issuesHFG Project
This policy brief aims to raise awareness on the role of public budgeting – specifically aspects of budget formulation – for non-PFM specialists working in health. As part of an overall WHO programme of work on Budgeting in Health, it will help clarify the characteristics and implications of various budgeting approaches for the health sector.
The PRRINN-MNCH programme operated in four northern Nigerian states from 2006-2013 with the goal of improving maternal, newborn and child health services. It achieved significant impacts including:
1) Reducing maternal and child mortality and morbidity in the target states by strengthening health systems, service delivery, community engagement, and governance.
2) Providing evidence of value for money through improved health indicators and lives saved due to programme interventions.
3) Facing challenges in the unstable security environment, particularly in Yobe State, but continuing operations with government commitment to improving health services.
Essential Package of Health Services Country Snapshot: ZambiaHFG Project
This country snapshot is one in a series of 24 snapshots as part of an activity looking at the Governance Dimensions of Essential Packages of Health Services in the Ending Preventable Child and Maternal Death priority countries. The snapshot explores several important dimensions of the EPHS in the country, such as how government policies contribute to the service coverage, population coverage, and financial coverage of the package. Each country snapshot includes annexes that contain further information about the EPHS.
The USAID Health Finance and Governance project helps improve health in developing countries by expanding access to healthcare. Led by Abt Associates, the project works with partner countries to increase domestic health funding, better manage resources, and make wise purchasing decisions. In Nigeria, the project collaborated with government and partners from 2012-2018 to address challenges like underfunding, donor reliance, and weak governance. Key accomplishments included expanding an innovative mobile technology to improve TB response, increasing domestic funding for HIV and primary healthcare, establishing state health insurance schemes, and enhancing multisectoral collaboration around health financing reform.
Essential Package of Health Services and Health Benefit Plans Mapping BriefHFG Project
Many governments are scaling up health benefit plans, such as social health insurance, to increase population health coverage. This brief presents findings from a mapping between the services covered under the country’s prominent health benefit plan(s) to the country’s Essential Package of Health Services. The mapping analyzes the extent to which the plan(s) cover essential services.
Enhancing the Nutrition Sensitivity of Agriculture and Food Systems: What Has Been Done, and What
Needs to be Done?
Stuart Gillespie, Senior Research Fellow, PHND, IFPRI, United Kingdom
Key gaps identified in veterinary service deliveryILRI
Presented by Fasil Awol at the HEARD project regional public-private partnerships task force workshop, Amhara, 18 November 2019: Somali, 21 November 2019: Oromia, 26 November 2019
The document summarizes AGHA's advocacy campaigns in Uganda to promote access to essential medicines, including their "Stop-Stock-outs" campaign. It found frequent stock-outs of malaria and antibiotic drugs in rural health centers due to underfunding of the health sector. The campaign pressured the government and resulted in reports of shortages, commitments to purchase more drugs, and calls to increase health sector funding to 15% of the national budget.
Essential Package of Health Services Country Snapshot: The Republic of South ...HFG Project
This country snapshot is one in a series of 24 snapshots as part of an activity looking at the Governance Dimensions of Essential Packages of Health Services in the Ending Preventable Child and Maternal Death priority countries. The snapshot explores several important dimensions of the EPHS in the country, such as how government policies contribute to the service coverage, population coverage, and financial coverage of the package. Each country snapshot includes annexes that contain further information about the EPHS.
The document discusses investing in resilience to FAST (foreign animal diseases) in light of the Covid-19 pandemic. It notes that the livestock sector has experienced strong growth driven by low and middle income countries. This growth needs to be shaped to improve sustainability and resilience to external impacts like diseases, the environment, health, and equity. The World Bank provides over $700 million annually to the livestock sector through various programs. COVID-19 has changed the landscape and reinforced the need to forecast socioeconomic impacts of diseases and build capacity. The World Bank uses tools and strategic work to support sustainable livestock production globally.
The Health Finance and Governance project works with countries to improve health systems and expand access to healthcare. In Ghana, the project worked with the National Health Insurance Authority to make the National Health Insurance Scheme more sustainable and effective. This included developing dashboards to monitor enrollment and claims data, conducting research to examine challenges, and laying the groundwork for capitation payments to primary care providers. The project helped institutionalize processes for using evidence to guide decision-making and reform policies to strengthen Ghana's progress toward universal health coverage.
The Health Finance and Governance Project developed a Health Management Toolkit containing 17 tools to support health service delivery in Peru. The toolkit was designed based on tools previously created by USAID projects. It was officially transferred to the San Fernando School of Medicine and the Regional Government of Lima to be hosted and disseminated. The toolkit was also presented at national and international forums to publicize the tools and gauge interest. Surveys found that regional health directors highly valued having access to the tools and were very interested in tools for human resources management, health promotion, and project formulation. Most directors expressed interest in hosting the toolkit on their institutional websites.
Food Security Information System (FSIS) Consultative Workshop Sudan 27-29 Dec...Sudan Agriculture
The document summarizes a consultative workshop on developing a Food Security Information and Knowledge Sharing System (FSIS) in Sudan. The workshop aims to strengthen national cooperation and knowledge exchange on agriculture and food security. Key topics discussed include establishing a national food security information system using a web-based platform and mobile technology to improve information generation, management, dissemination and sharing among policymakers and stakeholders. Standards, tools and international initiatives for content management, as well as benefits of the Sudan FSIS such as better addressing stakeholder needs and knowledge sharing, are also covered.
Essential Package of Health Services Country Snapshot: MozambiqueHFG Project
This country snapshot is one in a series of 24 snapshots as part of an activity looking at the Governance Dimensions of Essential Packages of Health Services in the Ending Preventable Child and Maternal Death priority countries. The snapshot explores several important dimensions of the EPHS in the country, such as how government policies contribute to the service coverage, population coverage, and financial coverage of the package. Each country snapshot includes annexes that contain further information about the EPHS.
Cop1 costing and financing tina llorenSUN_Movement
This document summarizes two costing activities conducted by FANTA: costing of community-based management of acute malnutrition (CMAM) services in Malawi, and field testing of a nutrition assessment, counseling, and support (NACS) costing tool in Zambia. For Malawi, FANTA collected costing data and held workshops to introduce a CMAM costing tool and incorporate costing results into Malawi's CMAM operational plan. For Zambia, FANTA developed an Excel-based NACS costing tool to help countries plan for NACS implementation, and will field test the tool in Kitwe District by mid-2015. The goal is to publish the final N
Effective platforms and coalitions for healthy diets: what concrete results? ...ExternalEvents
"www.fao.org/about/meetings/sustainable-food-systems-nutrition-symposium
The International Symposium on Sustainable Food Systems for Healthy Diets and Improved Nutrition was jointly held by FAO and WHO in December 2016 to explore policies and programme options for shaping the food systems in ways that deliver foods for a healthy diet, focusing on concrete country experiences and challenges. This Symposium waas the first large-scale contribution under the UN Decade of Action for Nutrition 2016-2025. This presentation was part of Parallel session 3.1: Designing, implementing and monitoring evidence-based policies effectively with multiple actors"
3 step approach presentation january 2015SUN_Movement
The document provides a proposed methodology for tracking government spending on nutrition across countries. It summarizes preliminary findings from reviewing the online published national budgets of 28 out of 51 SUN member countries. The document outlines a 3-step approach to identify, categorize and attribute percentages of relevant program budgets to nutrition-specific and nutrition-sensitive categories. Step one involves populating an excel table through basic and advanced keyword searches of budget line items. Relevant sectors are identified as health, agriculture, education and others like social welfare. However, limited nutrition-specific programming and budget detail are typically found.
Cop1 costing and financing sandra mutumaSUN_Movement
1) The document discusses stocktaking and potential priorities for the Scaling Up Nutrition (SUN) Community of Practice (COP1) meeting in 2015, based on publications by Action Contre la Faim (ACF) on aid for nutrition.
2) It notes several issues including a lack of alignment between country costed plans, the OECD DAC nutrition code, and SUN definitions of nutrition-specific interventions. Disaggregated data by intervention is also lacking.
3) ACF advocates for longer funding cycles for nutrition-specific interventions like acute malnutrition management, and increasing domestic investment alongside external funding for comprehensive nutrition packages. ACF staff are actively advocating in relevant subgroups.
This document discusses CTA's SSOANO initiative to strengthen the agriculture-nutrition nexus by building the evidence base. The initiative focuses on (1) increasing access to nutritious food, (2) applying a nutrition lens to agriculture through nutrition-sensitive design, equity, and resilience, (3) strengthening systems through research, policy integration, capacity development, and communication, and (4) piloting interventions to provide evidence on effective options. Case studies and country projects are commissioned to understand local contexts and identify opportunities. The goal is to optimize agriculture and nutrition outcomes by developing a knowledge base and building consensus around integrating nutrition priorities into agriculture policy and programs.
The document discusses scaling up efforts to address undernutrition through coordinated multi-stakeholder action. It outlines the vision and history of the Scaling Up Nutrition (SUN) movement, which aims to support national governments' efforts to improve food and nutrition security through coordinated action. The SUN movement focuses on both nutrition-specific interventions and nutrition-sensitive development programs. National governments lead these efforts, with support from regional and international stakeholders working in a coordinated network to build on existing nutrition actions and fill critical resource gaps.
Joint Nutrition, M&E, and SBC Working Groups Session SALLY ABBOTTCORE Group
This document discusses indicators to monitor progress on USAID's Multi-Sectoral Nutrition Strategy. It outlines new proposed indicators for nutrition-specific, nutrition-sensitive, and capacity building interventions to replace existing PPR indicators. Key proposed indicators include the number of children and pregnant women reached by nutrition programs, the diversity of diets among female agriculture beneficiaries, and the number of individuals receiving nutrition training. The document provides details on how to define and measure these indicators.
The document outlines key steps for implementing the Essential Nutrition Actions (ENA) framework at large scale. It discusses improving advocacy and policies, strengthening health and agriculture systems through training, promoting small actions through various communication channels, and monitoring progress. The steps include assessing needs, enhancing partnerships, building on existing programs, training providers, and strengthening delivery systems. Case studies from Madagascar and Ethiopia show training thousands of community volunteers and health workers in the ENA framework.
Cop1 costing and financing charlotte dufur and benoist veilleretteSUN_Movement
This document discusses making agriculture investments more nutrition sensitive. It provides a 10-point checklist for practitioners to consider nutrition objectives and impacts. The checklist guides assessing local context, targeting vulnerable groups, coordinating across sectors, empowering women, and more. While commitments exist to nutrition-sensitive agriculture, challenges remain around attributing impacts, integrating nutrition into projects, and conducting cost-benefit analyses that capture nutrition benefits. The document calls for further applying the checklist through capacity building and learning activities to strengthen nutrition-sensitive agriculture investments.
Maximizing the Impact Of Global Fund Investments by Improving the Health of W...theglobalfight
Dr. Viviana Mangiaterra, Senior Technical Coordinator for Maternal, Newborn and Child Health and Health Systems Strengthening at the Global Fund to Fight AIDS, Tuberculosis and Malaria, discusses service delivery integration for the three diseases, Global Fund partnerships and strengthened training and representation of women in Country Coordinating Mechanisms.
Maternal Anemia within Child Survival Grants Program: Lessons Learned and a ...jehill3
The document reviews maternal anemia programs within the Child Survival Grants Program (CSGP) to identify effective components and barriers. It finds that while programs integrated recommended anemia interventions like iron supplementation and deworming, implementation challenges remained. Outcomes like anemia reduction were achieved in few projects. It recommends CSGP programs improve monitoring of iron tablet receipt and quality of antenatal care to better address maternal anemia.
The document summarizes a review meeting of the WV partnership with UNICEF in West Virginia. It provides details on the project period, funding, scope of interventions including supporting 5 PHCs and health/nutrition services, campaigns targeting 17,447 children, and capacity building. It outlines maps of operational presence, the project team structure, progress on indicators, activities, finances, supply status, management/coordination, monitoring, challenges, and upcoming plans over the next 3 months.
1) The document discusses mainstreaming nutrition into CAADP (Comprehensive Africa Agriculture Development Programme) by integrating nutrition goals and actions into agricultural strategies and policies.
2) Key outcomes of FAO's CAADP Nutrition Capacity Development Initiative included 16 West African countries, 15 East/Central African countries, and 10 Southern African countries developing nutrition roadmaps.
3) The MALABO Declaration committed to reducing stunting to under 10% and underweight to under 5% by 2025 through increasing agricultural productivity, reducing post-harvest losses, and improving nutrition.
AIDSTAR-One NuLife—Food and Nutrition Interventions for UgandaAIDSTAROne
This technical report examines a nutritional assessment, counseling, and support (NACS) program in Uganda that uses a quality improvement approach to services.
www.aidstar-one.com/focus_areas/care_and_support/resources/report/nulife_food_and_nutrition_interventions_uganda
Data compilation during the intermediate phase in preparation for the next wo...TransformNutritionWe
This presentation is about TNWA Policy and programs component and more specifically on search approaches for current/ongoing policy and programs focusing on nutrition at national level for Nigeria and Burkina Faso
It also presents TNWA's Stories of Change: change over time in policy and programs: Examples of Senegal and Zambia.
Nutrition element portfolio review usaid_ Roshelle Payes & Rebecca Egan_10.14.11CORE Group
The document discusses USAID's nutrition approach, outlining its principles, components, target areas, and role of operating units. It provides context on the global burden of undernutrition and its causes. It then describes the recent shift in global and USAID nutrition strategies from vertical to integrated approaches, from under-fives targeting to the 1000-day window, from nutrient-specific to diet quality measures, from recuperative to preventive focus, and from health platforms to multi-sectoral delivery. It poses questions about reaching the 30% undernutrition reduction goal and delivering comprehensive nutrition interventions at scale through integrated frameworks.
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Tools for planning, costing, implementing and financing scaled-up multisectoral actions that contribute to people's nutrition
1. Planning, costing, implementing and financing
scaled-up multisectoral actions that contribute
to people’s nutrition
Community of Practice
12 February 2015
2. Agenda
Planning, Costing and Financing
Community of Practice
Agenda item Presenter Topic
I. Stocktaking 1. Sandra Mutuma (ACF)
2. Kaia Engesveen (WHO)
3. Tina Lloren (FANTA)
Aid for Nutrition
Health Accounts and OneHealth Tool
Costing in Malawi and Zambia
II. Nutrition-sensitive
“how to”
1. Charlotte Dufur and
Benoist Veillerette
(FAO)
2. Holly Sedutto (REACH)
Nutrition-sensitive investments in
agriculture
Compendium of Actions for Nutrition
III. Financing 1. Meera Shekar (WB
with R4D, 1000 Days,
BMGF, CIFF)
Costing and financing the new WHA
targets for nutrition
IV. Conclusions and way
forward
1. Patrizia Fracassi (SMS)
5. Sun COP1: ACF
• Tracking of nutrition specific
interventions needs to
improve to minimise
overestimation of aid for
nutrition-specific
interventions
• Lack of alignment between
SUN country costed plans for
direct nutrition interventions,
OECD DAC Basic Nutrition
code and the SUN nutrition-
specific interventions
• Disaggregated data per nutrition-specific
intervention is a major data gap and can be a
feature of a minimum standard of reporting, aid
transparency, effective identification of funding
and intervention gaps and assist advocacy and
policy prioritisation
• OECD Basic Nutrition code includes household
food security, school feeding and research/surveys
• Advocating for, and tracking investments to
increase nutrition capacity in addition to tracking
interventions is important
• Need alignment of domestic and external
definitions and reporting procedures for
nutrition- specific interventions
6. SUN COP1: ACF
• Minimal funding was invested in
nutrition programmes that
incorporated interventions from all 3
categories of proven direct
interventions (ACF Aid for Nutrition,
2012 and 2013)
• Short-term funding cycles for
nutrition-specific interventions
particularly acute malnutrition
management
• Coordinated donor funding for a
comprehensive minimum package of
nutrition-specific interventions
• ACF will be advocating for longer
external funding cycles for nutrition-
specific interventions, 5 years+
supported by increasing domestic
investment
• ACF has dedicated 3 staff members to
advocacy in this area active in SUN
COP1, ICAN Accountability and
Financing sub-groups
• ACF will be undertaking detailed
tracking of French aid and potentially
UK, Spain, USA and Canada (TBC)
too.
8. Planning: WHO supports evidence-informed
policy planning in nutrition
Planning and adaptation of global targets, strategies
and guidelines
• Global Nutrition Targets Policy Briefs – new!
• Landscape Analysis country assessment of
commitment and capacity
• Evidence-informed policy planning for nutrition
through EVIPnet research networks in all regions
• e-Library of Evidence for Nutrition Actions (eLENA)
with evidence/guidance on 100+ nutrition actions
• Global Nutrition Targets Tracking Tool for countries
to set nationally realistic goals
• OneHealth Tool for costing
• Health Accounts for expenditure tracking
Analysis
Action
Assessment
Surveillance
• Nutrition Landscape Information System (NLIS)
• WHO Growth Standards
Implementation
• Global database on the Implementation
of Nutrition Action (GINA) with lessons
learnt from countries
9. • Joint UN strategic planning and costing tool
(ongoing work to add functionalities related to cost
effectiveness and economic benefits)
• Capacity building: workshops are organised at country
level by national health planning committees. Regional
workshops in 2015 will include those aiming to inform
strategic planning for NCDs.
• Countries which have used or been trained on OHT:
Angola, Benin, Botswana, Burkina Faso, Cap Vert, China,
Comoros, DRC, Ethiopia, Gambia, Kenya, Lesotho, Liberia,
Malawi, Madagascar, Mauretania, Morocco, Mozambique,
Nigeria, Papua New Guinea, Paraguay, Rwanda, Senegal, Sierra
Leone, South Africa, Sri Lanka, Sudan, Swaziland, Tajikistan,
Tanzania, Turkmenistan, Uganda, Viet Nam, Zambia, Zanzibar
Costing: The OneHealth Tool includes both nutrition-
specific and sensitive interventions in health sector
http://www.who.int/nutrition/publications/onehealth_tool/en/
10. SHA2011 (OECD/WHO) includes
expenditures for nutrition specific and
sensitive conditions
51 countries have/will undertake HA
using SHA2011:
Expenditure tracking: WHO supports countries
developing Health Accounts
Nutrition dashboard screenshot examples:
12. Food and Nutrition Technical Assistance III Project (FANTA)
FHI 360 1825 Connecticut Ave., NW Washington, DC 20009
Tel: 202-884-8000 Fax: 202-884-8432
Email: fantamail@fhi360.org Website: www.fantaproject.org
FANTA UPDATES ON COSTING
ACTIVITIES
Meeting of the Scaling Up Nutrition Community of Practice: Planning, Costing, Implementing,
and Financing Multisectoral Actions for Improved Nutrition
Tina Lloren and Gilles Bergeron
February 12, 2015
13. Two Activities to Share
Community-based management of acute
malnutrition (CMAM) costing in Malawi
Testing of the nutrition assessment, counseling,
and support (NACS) costing tool in Zambia
13
14. Malawi: Costing of CMAM Services
• The original operations plan for CMAM developed by the Malawi
MOH in 2009, expired in 2012 and has not yet been replaced. The
MOH requested FANTA’s support to develop and cost a new CMAM
operational plan (2015–2020)
• Steps:
– Collection of costing data (late 2014–February 2015)
– Workshop with district and zonal health managers to introduce them to
the CMAM costing tool and augment basic costing skills using the tool
– Data entry, analysis, and interpretation
– Workshop with stakeholders to validate the results
– Incorporation of information into the CMAM operational plan
– Preparation of a detailed CMAM costing report
14
15. Malawi: Costing of CMAM Services
• FANTA’s CMAM costing tool is a set of Excel spreadsheets that
allow users to determine the cost of implementing CMAM at
the national or sub-national level. The FANTA CMAM costing
tool was applied for the first time in Ghana in 2013.
• Data are needed on:
– Background/scale
– Demographic, epidemiological, and program data
– Prices
– Salaries
– Supplies
– Frequency of deliveries
– Group-level differentiations
– Other time-dependent variables
15
16.
17. Zambia: Field Testing of the NACS Costing Tool
• NACS is a client-centered programmatic approach for
integrating a set of priority nutrition interventions into
health care services. The core components are:
– Nutrition assessment (anthropometric, biochemical, clinical,
etc.)
– Nutrition counseling based on assessment results
– Nutrition support (specialized food products and referral to
economic strengthening, livelihood, and food security
support)
17
18. Zambia: Field Testing of the NACS Costing Tool
• FANTA developed a NACS costing tool and user’s guide
to help countries and projects plan and budget for
NACS implementation
• The NACS costing tool has similar characteristics to
the CMAM costing tool (Excel-based, similar domains
on information needed)
• Target groups currently include pregnant and lactating
women with HIV, adults with HIV, children under 2,
and orphans and vulnerable children over 2
18
19. Zambia: Field Testing of the NACS Costing Tool
• Tool will be field tested in Kitwe District, Copperbelt
Province, Zambia by middle of 2015
• Final tool expected to be published on the FANTA
website by late 2015
19
20. This presentation is made possible by the generous support of the
American people through the support of the Office of Health,
Infectious Diseases and Nutrition, Bureau for Global Health, U.S.
Agency for International Development (USAID), under terms of
Cooperative Agreement No. AID-OAA-A-12-00005, through the Food
and Nutrition Technical Assistance III Project (FANTA), managed by
FHI 360. The contents are the responsibility of FHI 360 and do not
necessarily reflect the views of USAID or the United States
Government.
20
21. Benoist Veillerette and Charlotte Dufur (FAO)
Nutrition-sensitive “how to”
Planning, Costing and Financing
Community of Practice
Holly Sedutto (REACH)
Questions
22. Making Agriculture Investments
Nutrition Sensitive:
definitions, opportunities and challenges
FAO Contribution to SUN Community of Practice – 12 February 2015
Charlotte Dufour
Benoist Veillerette
23. What are we talking about
Investment = building assets (physical, natural, human) for
a better future;
focus on public investments: public goods i.e. different
from TA, NGO, private investment)
financed from budget and/or loans from IFIs (World Bank,
IFAD, regional banks)
Public investments can have positive – and negative –
impact on nutrition
hence the need for these investments to be nutrition
sensitive, i.e. to consider nutrition
24. We are not (only) talking about
agriculture
• Agricultural services: extension, research, seed sector
development...
• Value Chain Development;
• Rural Infrastructure, e.g. irrigation and drainage, rural roads,
water supply
• Community Driven Development, poverty reduction,
empowerment of rural communities and women
• Post-conflict recovery
• Natural resource management / green investments.
25. The checklist...
Target “practitioners”: national stakeholders (e.g. in
governments) and those providing assistance (UN
agencies, financing institutions, NGOs, CSOs)
Is organized around 10 key principles/
recommendations
Contains:
guiding questions
useful tips
references
26. Ten Key Recommendations
1. Explicit Nutrition Objectives and indicators
2. Assess context at local level
3. Target vulnerable and improve equity
4. Coordinate with other sectors
5. Improve natural resource base
6. Empower women
7. Facilitate diversification
8. Improve processing, storage and preservation
9. Marketing of Nutritious food
10. Incorporate nutrition promotion and education
27. Checklist – Situation Appraisal
Institutional and policy framework
Nutritional Situation
Health and Sanitation environment
Food consumption and dietary needs
Food availability and seasonability
Household access to food
Gender and care practices
Access to assets and marketing opportunities
Policy framework and regulations
28. Applications so far
• CAADP Investment
Plans – Mainstream
nutrition
• FAO/IFAD Training
Workshop in July
2014
• Seven investment
projects supervised
by the World Bank
(largely financed by
GAFSP)
opportunities
Strong commitment: SUN,
ICN2, Governments and
IFIs (e.g. World Bank and
IFAD)
Further apply the checklist,
capacity development
Upcoming PHRD and other
investment projects
E-learning
29. Entry Points… and their challenges
Make Nutrition an Objective… challenging as most projects have
ONE PDO (Development Objective)
Add a separate nutrition component… e.g. nutrition education
Mainstream nutrition in several components: shape investment in
such a way…, e.g. agricultural research and extension
Demonstrate impact in nutrition through
M&E
Cost Benefit Analysis
Document good practices / impact assessments
30. Challenges with M&E
• Identify intermediary indicators between agricultural production and
stunting
• Stunting
– attribution
– long term (for a project)
– need for a large sample
• Dietary Diversity Score – (FAO/FANTA)
– universal food groups vs. local habits / culture and diversity
– how many food groups
– for whom (household, women, children)
– for how long (24 hours / 7 days)
– Minimal quantities (15 grams?)
• Need practical system (project M&E often weak)
• M&E should not be added (by the way...) but result from clear and
customized result chain / impact pathway from the start
31. Challenges with Cost Benefit Analysis
• Economic justification remains in high demand by both
governments and IFIs
• Develop guidelines and case studies in connection to
IFAD for a nutrition investment programmes
• How to integrate nutrition benefits in the analysis; so
far focused on production, revenues in US$
• look into what is being done for climate change
mitigation (Ex-Act)
• CONCLUSION: Not pile up with climate change, gender
analysis… but address together (win win)
32. Benoist Veillerette and Charlotte Dufur (FAO)
Nutrition-sensitive “how to”
Planning, Costing and Financing
Community of Practice
Holly Sedutto (REACH)
Questions
33. Demystifying multi-sectoral nutrition actions:
Progress on Compendium of Actions for Nutrition
SUN CoP1
Costing and Financing, Conference Call
12 February 2015
34. Audience
• Primary audience: REACH facilitators, UN
network
• Secondary audience: SUN focal points & gov’t
ministries have voiced interest in the CAN
Purpose
• To help breakdown what multi-sectoral nutrition
action means into concrete terms
• To highlight the types of nutrition-related
interventions carried out within the respective
sectors and any cross-cutting issues
• To identify the linkages between sector-specific
action and opportunities for integrated action
… in a logical and synthesised manner
Making ‘practical’ nutrition knowledge across the multi-sectoral
landscape more accessible and coherent
35. The process: Development in consultation with CAN focal points in
each agency to leverage comparative advantages
Design
Drafting
Review
Finalisation
Dissemination
Update
Phase Steps
• Establishing classification structure
• Defining the format & graphic design
• Establishing the scope of content
• Technical resources to consult
• Liaizing with technical specialists
• Soliciting original inputs
• Review drafts
• Organize technical consultations
• Collate comments across agency/org
• Revise as per comments
• Finalize revised version
• Editing and page layout
• Electronic & print (live launch?)
• Circulate with facilitators, country FPs
& interested others
• Identify processes for updating
• Identify timeline for reviewing &
updating
Summary Status*
Done
Mostly
completed
In process
Pending
(Feb/Mar)
Pending
(Apr)
TBD
*Note: The ‘summary status’ highlighted above refers to the present version of the Compendium of Actions for Nutrition (CAN).
36. ‘Action Sheets’ on nutrition-related actions for thematic areas,
including nutrition-sensitive, that transcend institutional mandates
ContextassessmentDonoharmEquityWomen’sempowerment
Multi-sectoralcollaborationM&E(explicitnutritionobjectives&indicators)
Potential actions1
Consumption2
• Improvement of local recipes
• Public guidance & consumer
awareness/protection
• Complementary feeding
Horticulture/Crops
• Diversification & locally adapted
varieties
• Biofortification
Livestock & Fisheries
• Animal husbandry, fisheries & insect
farming
• Animal services
Food Processing, Fortification &
Storage
• Food processing (excluding fortification)
• Fortification (including salt iodization &
complementary foods)
• Food storage
Food, agriculture & diets Health-based
Maternal, Neonatal & Child Health Care
• Ante- & post-natal care
• Facility-based delivery
• Basic paediatric health services
Micronutrient Supplementation
• Iron & folic acid/Iron supplementation
• Vitamin A/D/zinc/Ca/iodine supplementation
• Multiple micronutrient supplementation
Management of Acute Malnutrition
• Mgt of severe acute malnutrition (SAM)
• Mgt of moderate acute malnutrition (MAM)
• Food technology support for specialized
nutrition foods
Disease Prevention & Management
• Anti-malaria
• Diarrhoea mgt. (e.g. ORT w/ zinc)
• Vaccinations (measles, polio, etc.)
• HIV mgt. & PMTCT
• Mgt. of tuberculosis
• Mgt. of respiratory infections
Water & Sanitation
• Improvement of water supply/source quality
• Sanitation facilities management
Capacity development Nutrition education & social marketing
• Food assistance for vulnerable population groups
• School-based social safety nets
• Assisted health services
• Poverty reduction &/or emergency risk mitigation
Market Regulation & Insurance
• Minimum maternity protection
• Insurance (health, unemployment, weather, etc.)
• Macroeconomic levers
Social Safety Nets
Social
protection
Infant & Young Child Feeding
• Protection, promotion & support of
optimal breastfeeding
• Improvement of complementary feeding
Hygiene
• Hand-washing
• Household water treatment & storage
• Food hygiene
• Sanitation management
Care for Children/ P&L Women
• Care to pregnant/lactating women
• Childcare support/caregiver workload
Health Behaviours
• Health-seeking behaviour
• Insecticide-treated nets (anti-malaria)
• Family planning behaviour
Maternal & child care3
1. Each country’s NNP is specific to the country’s situation and therefore a selection of tailored actions is pursued
2. Action Sheets being developed for the thematic areas marked in bold, italic text under the four respective categories
3. Cross-cutting areas marked in diamond shapes while actions related to the education sector are mainstreamed into the four respective categories
37. Food, Agriculture and Diets: Actions and sub-actions by Action Sheet
CONSUMPTION ACTION SHEET
• Improvement of local recipes
- Trials of improved practices
- Nutrition training/sensitisation/counselling for mothers &/or other
caregivers
- Nutrition education in schools & in the workplace
• Public guidance & consumer awareness/protection
- Formulation of national, food-based dietary guidelines
- Public information (social marketing) campaigns
- Food labelling & commercial advertising
• Complementary feeding
- Dietary diversification
- Fortified complementary foods
HORTICULTURE/CROPS ACTION SHEET
• Diversification & locally adapted varieties
-Fruit and vegetable gardens
-Intercropping, rotation & sequencing
-Inputs & irrigation
-Market linkages and consumption promotion
•Biofortification
-Introduction of micronutrient-rich plant varieties
-Social marketing campaigns and market linkages
LIVESTOCK & FISHERIES ACTION SHEET
• Animal husbandry, fisheries & insect farming
-Extensive animal rearing (e.g. cattle among (agro)pastoralists)
-Homestead animal rearing (e.g. poultry, sheep, goats)
-Aquaculture & capture fisheries
-Insect-farming
-Processing, handling, market access and consumption
•Animal services
-Vaccinations, parasite control, breeding support & other veterinary services
-Feed & water
-Shelter & settlement
-Basic hygiene education
FOOD PROCESSING, FORTIFICATION & STORAGE
ACTION SHEET
• Food processing (excluding fortification)
-Malting, drying, pickling and curing at household level
-Other nutrition–oriented food processing
-Nutrition education
•Fortification (including salt iodisation)
-Mass and community fortification
-Point-of-use fortification
-Fortified complementary foods
-Nutrition education and social marketing campaigns
•Food storage
-Household food storage/silos
-Large-scale food storage
38. Maternal and Child Care: Actions and sub-actions by Action Sheet
INFANT & YOUNG CHILD FEEDING ACTION SHEET
• Promotion, protection and support of optimal breastfeeding practices
- Health service level actions (professional, lay & peer)
- Community level actions
- Communication (media & social marketing)
• Improvement of complementary feeding
- Availability of appropriate complementary foods
- Access to complementary foods
- Food technology & quality & safety of complementary foods
- Basic instruction/nutrition education on optimal complementary feeding
CARE FOR CHILDREN/PREGNANT & LACTATING WOMEN ACTION
SHEET
•Care to pregnant & lactating women
-Reduced working hours/special leave (e.g. Maternity Protection)
-Provision of essentials (food, water, shelter) and nutrition education to support good
maternal nutrition and recommended child feeding practices
-Income &/or productive assets support
-Psycho-social support to help mothers adopt the recommended breastfeeding
practices
•Childcare support/caregiver workload
-Childcare services & support
-Provision of essentials (food, water, shelter) to support good child feeding practices
HYGIENE ACTION SHEET
•Hand-washing
-Hand-washing education & promotion
-Provision of water, soap and other supplies
-Hand-washing facilities
•Household water treatment & storage
-Water treatment methods for drinking water
-Safe storage of drinking water
•Food hygiene
-Food hygiene education & support
-Infrastructure & technology
•Sanitation Management
-Sanitation management education & sanitation environment support
HEALTH BEHAVIOURS ACTION SHEET
•Health-seeking behaviour
-Instruction on early signs/symptoms of pregnancy as well as illness
and disease
-Promotion of uptake of health services for pregnancy & post-partum
assistance as well as illness/disease prevention & management
•Insecticide-treated bednets (anti-malaria)
-Distribution of insecticide-treated nets
-Social marketing campaigns on bednets
•Family planning behaviour
-Voluntary family planning and reproductive health education &
support
-Social marketing campaigns
39. Health-based: Actions and sub-actions by Action Sheet
MATERNAL, NEONATAL & CHILD HEALTH CARE ACTION SHEET
• Antenatal & postnatal care
- Basic nutrition education & health counselling
- Micronutrient supplementation
- Nutrition & medical screening & referrals
- Supplementary feeding (balanced energy protein &
multiple micronutrient)
- Disease prevention & management (including anti-
malaria interventions)
• Facility-based delivery
- Obstetrics & neonatal care
- Infant & young child feeding counselling & support
• Basic paediatric health services
- Growth monitoring & promotion
- Vaccinations
- Diseases prevention & management (incl anti-malaria)
MICRONUTRIENT SUPPLEMENTATION ACTION SHEET
•Iron or Iron/folic acid supplementation
-Iron/folic acid supplementation for women
-Iron supplementation for children
-Nutrition education & behaviour change communication <also
applicable to below Action 2 >
•Supplementation of vitamins A/D/calcium/zinc/iodine
-Vitamin A supplementation
-Vitamin D supplementation
-Calcium supplementation
-Zinc supplementation
-Iodine supplementation
•Multiple micronutrient supplementation
-Point-of-use fortification
-Multiple micronutrient supplements
-Nutrition education & behaviour change communication
MANAGEMENT OF ACUTE
MALNUTRITION ACTION SHEET
•Management of severe acute
malnutrition
-Outpatient management of severe acute
malnutrition (SAM)
-Inpatient management of SAM
•Management of moderate acute
malnutrition
-Targeted supplementary feeding
-Blanket supplementary feeding
•Food technology support for specialized
nutritious foods
-Local production of specialized nutritious
foods for management of acute
malnutrition
WATER & SANITATION ACTION
SHEET
•Improvement of water supply & source
quality
-Safe water kits
-Water source & distribution systems
-Water treatment for water sources
•Sanitation facilities management
-Community led total sanitation
-Sanitation systems
-Latrine construction &/or rehabilitation &
excreta mgt.
-Water, sanitation (& hygiene) education
& social marketing
PREVENTION & MANAGEMENT OF SOIL, WATERBORNE &
ENDEMIC DISEASES ACTION SHEET
•Anti-malaria
-Deworming for management of intestinal parasites <also applicable to
Diarrhoea management>
-Intermittent preventive treatment of malaria for pregnant women
-Iron supplementation
•Diarrhoea management
-Oral rehydration treatment with zinc
-Management of severe acute malnutrition
-Water, sanitation & hygiene interventions to prevent diarrhoea
•Vaccinations
-Measles vaccination
-Polio vaccination
-Rotavirus & cholera vaccinations
•HIV management & prevention of mother to child transmission
-Antiretroviral therapy or prophylaxis
-Supplementation
-Infant feeding counselling & support
-HIV/AIDS education
•Management of tuberculosis
-Direct Observed Treatment Short-course (DOTS) treatment
-Nutrition Counselling
-Supplementation
-Management of acute malnutrition in individuals with active TB
•Management of respiratory infections
-Antibiotics treatment
-Nutrition counselling
-Supplementation
40. Social Protection: Actions and sub-actions by Action Sheet
SOCIAL SAFETY NETS ACTION SHEET
• Food assistance for vulnerable population groups
- Blanket feeding
• School-based Social Safety Nets
- School feeding for school-age children
• Assisted health services
- Maternal health visits
- Child health visits
• Poverty reduction &/or emergency risk mitigation
- General food distribution
- Public works programmes & asset protection
- Price subsidies
MARKET REGULATION & INSURANCE ACTION SHEET
•Minimum maternity protection
-Maternity protection
-Childcare support
•Insurance
-Health insurance
-Unemployment insurance
-Livelihood-related insurance
•Macroeconomic Levers
-Minimum wage
-Price subsidies
-Tariffs/Taxes
42. What will it cost to meet the six WHA nutrition targets?
How can we leverage financing to meet those needs?
(Building on previous costing and financing estimates)
42
• Stunting
• Breastfeeding*Phase 1
• Wasting
• AnemiaPhase 2
Outputs for:
Addis FfD
July 2015
Rio Nutrition
Summit
June 2016
TBD(Possible)Phase 3
•Low Birth Weight
•Childhood Overweight
Possible
43. Estimating the costs & resource gaps to meet the WHA nutrition
targets, & identifying financing pathways to fill the gaps
Total cost of
nutrition
scale-up to
meet WHA
targets
External
Domestic
Out of pocket
Resource
gap
Possible scenarios to be modeled
2009 2010 2011 2012 2013 Projected
2025
Totalnutritionspendingglobally
(US$billions)
2. Moderate
expansion of
funding
3. Continuation of
recent trends
4. Flat-lining
Available
financing
sources
1. Maximum effort:
resources needed are
fully mobilized