There is need to ensure sustained nutrition improvements through nutrition-focused development strategies. There should be a focus on the “window of opportunity” for safeguarding nutrition (the 1000 days between conception and a child’s second birthday) - the period within which the foundation for healthy adolescence and adulthood is laid. It is then that direct nutrition interventions (within a context of food security and nutrition-focused development) can lead to exceptionally high returns. Stakeholders are being encouraged to commit to Scaling Up Nutrition –SUN through offering support for specific follow-up actions within and in support of countries, including advocacy, leadership, coordination and monitoring, as well as inspiring broad-based movements to improve child nutrition.
Gap represents what is required to achieve the goals of CIP However not able to mobilize thiks
Naser Farid - Bangladesh Country Investment Plan
Naser Farid Director General, FPMU, MoFDMPresented at the Seminar on Agriculture – Nutrition Linkages Hosted by World Fish Centre on behalf of CGIAR 18 April 2012
Poverty, Nutrition and Food consumption Key Considerations - Policy Framework Prioritizing and Financing
Where is poverty declining ? Upper and hardcore (lower) poverty declined nation wide Poverty declined more in urban areas than in rural areas Hardcore poverty reduced by almost ½ in urban and ¼ in rural areas Poverty, especially hardcore poverty is concentrating on rural areas: development interventions should be distributed accordinglySource: BBS, HIES 2010
0.50Weight for age Z-score (NCHS) 0.25 Latin America and Caribbean 0.00 Africa -0.25 Asia -0.50 -0.75 -1.00 -1.25 -1.50 -1.75 -2.00 0 3 6 9 12 15 18 21 24 27 30 33 36 39 42 45 48 51 54 57 60 Age (m onths) Repositioning Nutrition, 2006
Source/Ye Energy Cereal (g) Rice (g) ar intake En % En % (kcal) 452 440HIES 2005 2238 70% 68% 442 416HIES 2010 2318 66% 64%
Key considerations – Policy framework Bangladesh is an exemplary case of a consistent and long term effort to put in place a comprehensive framework for food and nutrition security policies and investments in line with the Paris Declaration on aid effectiveness and Rome Principles on sustainable food security • Building on the existing policy framework and institutional setting to guide CIP formulation, implementation and monitoring in a coherent and sustainable manner
The Policy Framework: the National Food PolicyBangladesh has been an early adopter of the comprehensive approach to food security through the formulation of the National Food Policy A comprehensive framework for food security interventions encompassing • Availability: Adequate and stable supply of safe and nutritious food • Access: Increased purchasing power and access to food by the poor through safety nets • Nutrition: for all individuals, especially women and children Approved in August 2006 as result of a policy process started in 1999 at the Development Forum in Paris after the 1998 flood
The Policy Framework: the Policy Plan of Action (2008-2015) Elaborated through a widely consultative process, approved in 2008 and launched in 2009 consists of: 26 areas of intervention and 314 actions providing a comprehensive, long-term (2008-2015) framework for: Coordinating government interventions on food security: policies and investments Aligning development support to national priorities in line with Paris Declaration on Aid Effectiveness Regularly monitoring progress toward food security in line with MDG1 Identifying needs for investments
The Country Investment Plan Responding to L’Aquila Initiative and in line with the 5 Rome Principles, the CIP was Approved on 14 June 2010 following the Bangladesh Food Security Forum; updated 20 March 2011. Translates the policy frameworks in a comprehensive set of 12 priority investment programmes and aims at • convergence and alignment of domestic and external funding • mobilizing additional resources: Bangladesh qualified as first Asian country receiving a grant under the Global FSF for US $ 52.5 million The revised CIP, based on extensive consultation, incorporates over 400projects of which 146 ongoing (for US$ 3.036 billion) and 262 inpipeline (for US$ 4.945 billion of which US$ 3.299 billion are priority).
CIP = Government’s investment plan for Food Security, Agril and Nutition-a living document One umbrella for the key investment requirements to develop agriculture, and improve food and nutrition security Prioritize, harmonize, and build on existing documents: NFP-PoA, sector programmes Sixth 5-Yr plan, ADP, MTBF, PRSP-II
Integrate and coordinate actions for food security and nutrition Harmonize development partner (DP) activities with the CIP Mobilize more financial resources from: ◦ Government budget resources ◦ Private investment ◦ international sources
FundsComponent Programme (financing gaps are in million $) required priorit total y 1. Sustainable and diversified agriculture through integrated research and extension 644 470 1. Improved water management and infrastructure Food for irrigation purposes 892 607Availability 3. Improved quality of input and soil fertility 232 170 4. Fisheries and aquaculture development 356 212 1. Livestock development, with a focus on poultry and dairy production 775 440 1. Improved access to market, value addition in agriculture and non farm incomes 635 368 7. Strengthened capacities for implementation and Food monitoring of NFP and CIP actions 99 69 Access 8. Enhanced public food management system 293 212 1. Institutional Development and Capacity Development for more effective safety nets 472 340 1. Community based nutrition programmes and Food services 347 309Utilization 11. Orient food and nutrition actions through data 21 13 12. Food safety and quality improvement 180 90 4,94 COUNTRY INVESTMENT FINANCING 3,299 6
Diets are often low in quantity, quality and variety (hunger and micro-nutrient deficiencies) Increased production of staple foods is not sufficient Need to ensure local availability and access of the right mix of foods in all seasons The food and agriculture sector is responsible for food and nutrition security GoB considers agriculture, food security and nutrition as major priorities Consumers must be informed through mainstreaming BCC Collaboration must be established with: (a) social protection programmes to support the poorest and (b) with health, agriculture, food & multi sectors/programmes
Programme 10. Community based nutrition programmes andservices OP 17 - National Nutrition Services (NNS): 233 M USD•OP 3 - Community Based Health Care (CIP costing includes 16,5% of itscost, i.e 52.9 M USD): including services such as de-worming, provision ofvitamin A capsule, iron-folic tablets, …•OP 7 -Non-Communicable Diseases Control (12.8%, 9.46 M USD) : such asdiabetes, heart diseases … related to food consumption and nutrition.•OP18 - Maternal, Reproductive and Adolescent health (16.9 %, 21.76 MUSD): essential service packages•OP23 - Information, Education and Communication – IEC (19.4%, 3.35 MUSD): health and nutrition & family planning.Programme 11: Orient food and nutrition actions through data•OP 13 - Planning, Monitoring and Research (DGHS)
Expected outcome : Community nutrition improvement is supported by strengthened National Nutrition Services (NNS) Proposed focus & priority interventions : CBNP linked to NNS that deliver a package of basic health and nutrition services/activities including micronutrient supplementation, BCC, antenatal care Support community based efforts of HG, horticulture, small livestock, fisheries and BCC for improved nutrition Link long-term with immediate treatment of acute malnutrition in particular through therapeutic and supplementary feeding and BCC focus on maternal and young child nutrition Additional considerations: Multi sectoral collaboration, synergies with SUN framework, REACH, Project Laser Beam and MDG –F programme
Expected outcome: Effective information supports planning, monitoring and evaluation of food security policies and interventions Proposed focus and priority interventions Comprehensive national nutrition survey including food consumption and update food composition tables to inform policy and programmes Dietary diversification and supplementation needs and develop advocacy, awareness and educational materials to facilitate BCC Strengthen national capacities in survey techniques and analysis and facilitate evidence based decisions for policy Additional considerations: MoHFW – Lead ministry with strong multi sectoral collaboration and coordination (MoA, MoFDM, MoF&LS, MoSc& CT)
Where Type of Impact on Nutrition? WHY DID IT WORK? activity Nepal, Cambodia, Homestead • Total of 3-4 times greater diversity Bangladesh, Food of food produced in intervention Philippines Production areas • Decrease in Child Anemia from 63.9% to 45.2% in Bangladesh • Decrease in anemia among non- pregnant mothers by 26% in Nepal and 12% in Bangladesh Common Elements: Tanzania, Thailand Home Gardens • Intake of Vitamin A rich foods 50% •Strong nutrition education greater in intervention areas component (Tanzania) •Women Centered Approach • Serum retinol levels increased from school girls in intervention area Other Factors (not across all (Thailand) programs): •Training on agricultural techniques Philippines Home Gardens • Increase by 12% in amount of •Small animal husbandry included Vitamin A rich foods consumed • Stunting decreased from 50% to 40% (with access to veterinary care) •Inclusion of activities focused on food storage and preparation Taiwan School Garden • Garden produced 58% of daily Vitamin A requirement and 285% of Vitamin C requirement for 10 year old child Vietnam Community • Reduced prevalence f children with Garden Vitamin A deficiency from 14% to 10%. Brun et al. 1991 from “From Agriculture to Nutrition” Asian Vegetable Research and Development Centre (AVRDC) program Hop, Le Thi. Programs to Improve Production and Consumption of Animal Source Foods and Malnutrition in Vietnam
Prioritization of financing Gap afterTotal Gap Prioritization
Contribution to CIP financingTotal Cost CIP: US 7.8 bn Possible contributions: • budget through increased GOB’s ADP • DPs possible: 0.88 US$ billion and MORE...
Way Forward Successful implementation of the CIP requires - A concerted effort by GOB and DPs in mainstreaming CIP into their respective • Planning process • Resource allocation - Committment by all partners to reinforce and make operational the existing institutional setting for the CIP implementation and monitoring: active engagement is needed from Government Agencies and Development Partners in close consultation with CSO/NGO and private sector- An additional effort in resource