The document outlines USAID's new Multi-Sectoral Nutrition Strategy for 2014-2025. The strategy was developed through an extensive consultation process with technical experts and stakeholders. It aims to guide USAID's nutrition policies and programs to improve nutrition and advance development goals. Key elements include focusing on the first 1,000 days of life, implementing both nutrition-specific and nutrition-sensitive interventions, integrating development and emergency responses, emphasizing national commitment and capacity building, and regularly reviewing progress towards global 2025 nutrition targets. The strategy will be launched in May 2014 along with guidance for operationalizing it in partner countries.

1. Multi-Sectoral Nutrition
Strategy
2014-2025
Mike Manske, USAID/GH
Graceanna Enzinger, Consultant
Mellen Duffy Tanamly, Consultant

2. Outline
• USAID Nutrition Legacy
• Background on the Strategy and its Purpose
• The Strategy:
– Process, TWG, Public Consultations, Etc.
– Results Framework
– Vision and Highlights
• Launch, Roll-out and Future
• Discussion

3. USAID Nutrition Legacy
For over 50 years, USAID has been a leader in international
efforts to improve nutritional status in developing countries:
•Food for Peace (1950s)
•Food Technology for Development Program (1969)
•Multi-sectoral Nutrition Planning and Programming (1970s)
•Consumption Effects of Agricultural and Economic Policies
(1970s)
•Social and Behavior Change Communications (1970s)

4. USAID Nutrition Legacy
• Nutrition Collaborative Research Support Program (1970s)
• Micronutrients Vitamin A and Iron Deficiency Anemia (1970s)
• Global Advocacy
• Breastfeeding Promotion (1970s)
• Essential Nutrition Actions (1997)
• Capacity Building
• Feed the Future (2010)
• Nutrition Assessment and
Counseling (2000s)
• CMAM (2002)

5. USAID Comparative Advantages in Nutrition
• Fifty years of investments, experiences, and
successes in nutrition provide a strong foundation on
which to build upon.
• USAID’s multi-sectoral development programs
enable planning, programming, and learning across
sectors to improve nutritional outcomes.
• The reach and strength of its programs in more than
100 countries provide a large delivery platform for
scaling up nutrition services.
• USAID’s support to programs at all levels - national,
regional, and particularly community

6. USAID Comparative Advantages in Nutrition
• Relationships and collaboration with governments,
international partners, civil society, and the private
sector
• Experience linking research and program
implementation
• USAID is a leader in supporting the development of
cutting edge emergency nutrition interventions.
• Experience integrating nutrition as an explicit
objective in both development and humanitarian
assistance programs

7. Global Nutrition Challenges
• In 2011, under-nutrition contributed to 45 percent of
under-five child deaths
• Malnutrition is comprised of:
under-nutrition- stunting, underweight, acute
malnutrition, and micronutrient deficiencies
over-nutrition- overweight and obesity
• The first 1,000 days is the most vulnerable
period and the window of opportunity to intervene
• Malnutrition is both a cause and consequence of poverty:
it negatively affects all aspects of an individual’s health
and development and limits societies’ economic and
social development.

8. Background for Strategy
• Civil society advocacy for USG leadership and
commitment to nutrition
• World Health Assembly targets 2025 and Nutrition for
Growth Commitments for 2020
• The 1,000 Day Window of Opportunity
• The Lancet Maternal and Child Nutrition Series 2013

9. 2025 Nutrition Targets Adopted at the World Health
Assembly in 2012:
1. 40% reduction of the global number of children
under five who are stunted;
2. 50% reduction of anemia in women of reproductive
age;
3. 30% reduction of low birth weight;
4. No increase in childhood overweight;
5. 50% increase in the rate of exclusive breastfeeding
in the first six months; and
6. Reduce and maintain childhood wasting to less than
5%.

10. Global Nutrition for Growth Compact
• By 2020:
– Ensure that at least 500 million pregnant women and
children under two are reached with effective nutrition
interventions
– Reduce the number of children under five stunted by at least
20 million
– Save the lives of at least 1.7 million children under 5 by
preventing stunting, increasing breastfeeding, and
increasing treatment of severe acute malnutrition

11. Aim of the Strategy
To guide the Agency’s policies and programs for
nutrition in both emergency and development contexts
with the goal of improving nutrition to save lives, build
resilience, increase economic productivity, and advance
development

12. Process of Strategy
Development
Technical Working Group Membership
– Bureau for Africa
– Bureau for Asia
– BFS Office of Country Strategy and Implementation
– BFS Office of Agricultural Research and Policy
– BFS Office of Strategic Planning and Performance
Management
– DCHA Office of Food for Peace
– DCHA Office of US Foreign Disaster and Assistance
– GH Office of Health, Infectious Diseases and
Nutrition: MCH Division
– GH Office of Health, Infectious Diseases and
Nutrition: Nutrition Division
– GH Office of HIV/AIDS
– GH Office of Population and Reproductive Health
– Bureau for Economic Growth, Education and
Environment
– Bureau Latin America and the Caribbean
– Bureau for Policy, Planning and Learning
– Office of Budget and Resource Management
Feedback from over 100 individuals:
– Feedback from 22 Missions
– Extended technical team comprised of
other USG agencies
– Individuals representing 35 INGOs,
CSOs, networks, partners, and other
donors
USAID Steering Committee:
– Chaired by DAA of Bureau for Food
Security
– Senior Official from all Bureaus and
Offices within the Agency

13. Strategy Development
• Looked at other partners’ nutrition strategies (DFID
and EU)
• Took into consideration other USAID Policy and
Strategy documents (e.g. Water and Development
Strategy, Resilience Policy, Gender Equality and
Women’s Empowerment Strategy, etc.)
• Small working groups for each area of the Results
Framework
• Very tight timeline: first TWG August 2013; draft out
to public December 2013; strategy to be launched in
late May.

14. The Vision
• Set and Monitor Nutrition Targets
• Manage Nutrition Funds and Programs in a Rigorous
Manner
• Focus on High Impact Actions

16. Highlights
• 2014-2025
• Multi-sectoral actions:
– Nutrition-specific interventions
• First 1,000 days – mothers and infants up to 2 years
– Nutrition-sensitive interventions
• Nutrition sensitive agriculture
• Emphasis on Water, Sanitation and Hygiene (WASH)
• Integrate humanitarian and developmental programs
• More emphasis on country commitment and capacity

17. Highlights
• Develop evidence base and apply learning
• 3 Reviews of progress, adjustments, additional target
setting
• Partnerships with Scaling up Nutrition (SUN)
• Gender Equality and Female Empowerment
• Accountability and Transparency

18. Launch and Roll Out
• Launch Date: May 22nd
• USAID Mission Directors Meeting
• Feed the Future Global Forum
• Consultative Meetings with Implementing Partners,
CSOs, other Donors, Host Countries
• Webinars
• Technical and Operational Guidance for Field
Missions
• Expanded Technical Support to Countries

19. THANK YOU!

20. Questions and Discussion
• Questions and/or comments?
• Suggestions for Roll out to Core Group members and
partners
• What does the Strategy mean for Core Group
members?