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Naser Farid
               Director General, FPMU, MoFDM
Presented 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 accordingly




Source: BBS, HIES 2010
Quintile   H/A % < - 2SD   W/H % < - 2 SD   W/A % < - 2SD
             STUNTING        WASTING        UNDERWEIGHT

Lowest         53.7             17.5            50.3


Second         45.4             16.2            41.6


Middle         40.7             17.7            36.0


Fourth         35.9             13.6            27.5


Highest        25.7             12.1            20.9
0.50
Weight 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        440
HIES 2005    2238
                          70%        68%
                          442        416
HIES 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 Policy

Bangladesh 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 400
projects of which 146 ongoing (for US$ 3.036 billion) and 262 in
pipeline (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
Funds
Component     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      607
Availability 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      309
Utilization 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 and
services
 OP 17 - National Nutrition Services (NNS): 233 M USD

•OP 3 - Community Based Health Care (CIP costing includes 16,5% of its
cost, i.e 52.9 M USD): including services such as de-worming, provision of
vitamin A capsule, iron-folic tablets, …

•OP 7 -Non-Communicable Diseases Control (12.8%, 9.46 M USD) : such as
diabetes, heart diseases … related to food consumption and nutrition.

•OP18 - Maternal, Reproductive and Adolescent health (16.9 %, 21.76 M
USD): essential service packages

•OP23 - Information, Education and Communication – IEC (19.4%, 3.35 M
USD): 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%.

[1]
    Brun et al. 1991 from “From Agriculture to Nutrition”
[2]
    Asian Vegetable Research and Development Centre (AVRDC) program
[3]
    Hop, Le Thi. Programs to Improve Production and Consumption of Animal Source Foods and Malnutrition in Vietnam
Cost and financing requirement




Total ongoing investments:
      US$ 2.8 billions

 GOB contribution:              43%
 DPs’ contribution:             57%



             Total gap:
           US$ 5.0 billions

  Food Availability:   US$ 2.8 billions
  Food Access:         US$ 1.5 billions
  Food Utilization:    US$ 0.7 billion
Prioritization of financing

                          Gap after
Total Gap               Prioritization
Contribution to CIP financing

Total 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

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Naser Farid - Bangladesh Country Investment Plan

  • 1. Naser Farid Director General, FPMU, MoFDM Presented at the Seminar on Agriculture – Nutrition Linkages Hosted by World Fish Centre on behalf of CGIAR 18 April 2012
  • 2. Poverty, Nutrition and Food consumption  Key Considerations - Policy Framework  Prioritizing and Financing
  • 3. 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 accordingly Source: BBS, HIES 2010
  • 4.
  • 5. Quintile H/A % < - 2SD W/H % < - 2 SD W/A % < - 2SD STUNTING WASTING UNDERWEIGHT Lowest 53.7 17.5 50.3 Second 45.4 16.2 41.6 Middle 40.7 17.7 36.0 Fourth 35.9 13.6 27.5 Highest 25.7 12.1 20.9
  • 6. 0.50 Weight 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
  • 7.
  • 8. Source/Ye Energy Cereal (g) Rice (g) ar intake En % En % (kcal) 452 440 HIES 2005 2238 70% 68% 442 416 HIES 2010 2318 66% 64%
  • 9.
  • 10. 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
  • 11. The Policy Framework: the National Food Policy Bangladesh 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
  • 12. 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
  • 13. 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 400 projects of which 146 ongoing (for US$ 3.036 billion) and 262 in pipeline (for US$ 4.945 billion of which US$ 3.299 billion are priority).
  • 14. 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
  • 15. 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
  • 16. Funds Component 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 892 607 Availability 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 347 309 Utilization 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
  • 17. 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
  • 18. Programme 10. Community based nutrition programmes and services  OP 17 - National Nutrition Services (NNS): 233 M USD •OP 3 - Community Based Health Care (CIP costing includes 16,5% of its cost, i.e 52.9 M USD): including services such as de-worming, provision of vitamin A capsule, iron-folic tablets, … •OP 7 -Non-Communicable Diseases Control (12.8%, 9.46 M USD) : such as diabetes, heart diseases … related to food consumption and nutrition. •OP18 - Maternal, Reproductive and Adolescent health (16.9 %, 21.76 M USD): essential service packages •OP23 - Information, Education and Communication – IEC (19.4%, 3.35 M USD): health and nutrition & family planning. Programme 11: Orient food and nutrition actions through data •OP 13 - Planning, Monitoring and Research (DGHS)
  • 19. 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
  • 20. 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)
  • 21. 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%. [1] Brun et al. 1991 from “From Agriculture to Nutrition” [2] Asian Vegetable Research and Development Centre (AVRDC) program [3] Hop, Le Thi. Programs to Improve Production and Consumption of Animal Source Foods and Malnutrition in Vietnam
  • 22.
  • 23. Cost and financing requirement Total ongoing investments: US$ 2.8 billions GOB contribution: 43% DPs’ contribution: 57% Total gap: US$ 5.0 billions Food Availability: US$ 2.8 billions Food Access: US$ 1.5 billions Food Utilization: US$ 0.7 billion
  • 24. Prioritization of financing Gap after Total Gap Prioritization
  • 25. Contribution to CIP financing Total Cost CIP: US 7.8 bn Possible contributions: • budget through increased GOB’s ADP • DPs possible: 0.88 US$ billion and MORE...
  • 26. 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

Editor's Notes

  1. Inter
  2. .
  3. 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.
  4. Gap represents what is required to achieve the goals of CIP However not able to mobilize thiks