We've been on a high this week with the publication of the Viewpoint from the ENN coordinated Wasting-Stunting Technical Interest Group (WaSt TIG). 'Beyond wasted and stunted - a paradigm shift is needed to fight child undernutrition' in the Lancet journal of Child and Adolescent Health. The Viewpoint reflects the combination of work we have been coordinating over the last 5 years with a dedicated and inspiring group of experts. For further information about this work, see the WaSt TIG project page
We have just visited Ethiopia to understand how the country is succeeding in strengthening the ‘nexus’ between humanitarian and development actions. Both of us have a long history with Ethiopia, starting our careers working at the time of the 1984 famine in Ethiopia and with refugees in Sudan. Since then, we have been privileged to have worked in Ethiopia on numerous occasions, witnessing substantial change and progress. A memorable event was when we co-hosted a 3-day conference in 2011 with the Government of Ethiopia to share learning across many countries on how to scale up CMAM.
Malnutrition is recognised the world over as a problem requiring multisectoral intervention and to this end many countries have developed Multisectoral Policies and Plans to combat both malnutrition and stunting in particular. Many of these countries are part of the Scaling Up Nutrition (SUN) Movement. However, evidence of implementation of Multisectoral programmes sub-nationally is limited.
In 2019 ENN, continuing its case studies series on Multisectoral programming at the Subnational level, plans to study two more countries -Philippines and Zimbabwe, within the final year of the TAN project. With this in mind, in July, accompanied by the Global Knowledge Management Coordinator, Natalie Sessions, I visited the Philippines’ capital Manila for a scoping visit. In this week we intended to understand the history of nutrition plans and programmes in the country, the burden of malnutrition and district level variance, the structure of implementation hierarchy for nutrition programming and how this fits in with the existing governance structure in the country, the different multisectoral nutrition programmes in place and the factors that have supported nutrition improvement in the country.
ENN attended the Global Nutrition Cluster (GNC) annual gathering in Brussels in early July (Tanya Khara as Technical Director, Isabelle Modigell and Linda Shaker-Berberias as ENN consultants and myself as staff nutritionist). This is a key event in the calendar for nutrition actors in the humanitarian sector – a chance to take stock of progress in countries of operation and steer the course of future action at country, regional and global levels.
Nutrition is increasingly a top priority issue for developing countries around the globe, with many countries working hard to reduce high rates of undernutrition, child stunting and wasting.
Nutrition is however a complex, multifaceted issue, that interacts with many sectors.
In order to understand more about how multisectoral programming works on the ground we carried out a research project focussing on 3 regional case studies in Matam, Senegal, Homa Bay, Kenya and Kapilvastu, Nepal.
ENN’s Charulatha Banerjee talks to Uma Mahadevan, the previous Principal Secretary, Women & Child Development in the Government of Karnataka, about the Mathrupoorna programme. The intervention combines a mid-day meal, health services and peer support to strengthen maternal nutrition.
In this episode Natale Sessions, Global Knowledge Coordinator is joined by Nazneen Rahman, who currently serves as a Team Leader for the Health unit of CARE Bangladesh and is overseeing the Collective Impact for Nutrition initiative.
They discuss the FEX article A multi-sector approach to improve nutrition: Experiences of the Nutrition at the Center project, Bangladesh and expand on what works and what doesn't work with multisectoral programming.
In this episode ENN Technical Directors Tanya Khara and Carmel Dolan are joined by Martha Mwangome from the Kemri / Wellcome Trust research programme in Kenya and Dr Sophie Moore from King's College London to talk about the Wasting and Stunting Technical Interest Group (WaSt TIG).
The key question they interrogate is whether the distinction between wasting and stunting is justified or helpful. They use several analyses conducted by the WaSt TIG as a basis for answering this question.
Every year SUN Movement member countries are encouraged to engage in a Joint Assessment (JA) exercise to assess their country’s progress against four processes in pursuit of the strategic objectives specified in the SUN Movement Strategy and Roadmap (2016-2020).
Having joined the SUN Movement in 2011, Burkina Faso was one of the early risers of the movement and held it's first Joint Assessment in 2015. Our Regional Knowledge Manager for the West Africa region, Ambarka Youssoufane, joined Burkina Faso in June 2017 for their 3rd joint assessment to speak with some of the participants. This three part video includes some of the highlights from those conversations.
ENN’s Technical Directors, Tanya Khara conducted a lecture at the London School of Hygiene and Tropical Medicine where she explained the linkages between wasting and stunting, outlining the latest evidence of the overlap between the two types of malnutrition and how children may progress from one manifestation of undernutrition to the other. This video captures the lecture with relevant slides.
In this podcast ENN’s Technical Director Jeremy Shoham talks to Natalie Sessions, the Global KM coordinator for the SUN KM Project within ENN, about the SUN Movement Networks in Africa and Asia. They explain why they chose to focus on networks in fragile and conflict-affected states, and unpack the methodology used to gather the information, as well as sharing some of the key findings.
In this podcast, Holly Sedutto from the UN Network Secretariat, unpacks what it takes to be a nutrition champion in Sierra Leone. Holly speaks with Philip Kanu about his experiences as a UNN-REACH facilitator, the process of raising awareness around nutrition and engaging parliamentarians to make a change. His interview is accompanied by an interview with Dr. El-Bashir from UNICEF and Laureant from Irish Aid who speak of some of Philips successes.
Today, over 50 million children are wasted, which comes with an elevated risk of death. Even more, wasting prevalence hasn’t declined in recent years. The United Kingdom’s Department for International Development (DFID) are calling for a focus on how to prevent wasting to complement existing evidence-based treatment of children who are already affected.
Since early 2018, the Emergency Nutrition Network (ENN) has been working—through the MQSUN+ project—to improve the understanding of what is needed to prevent children from becoming wasted. ENN carried out two reviews as part of this project. We started with a rapid review of the state of knowledge about ‘The Aetiology of Wasting’ and then moved into a more detailed review of what the literature tells us about the ‘Current State of Evidence and Thinking on Wasting Prevention.’
ENN’s Technical Directors Carmel Dolan and Jeremy Shoham, speak with Dr Farah, Special Adviser on Health and Nutrition to the national Government of Somalia and Focal Point for the Scaling Up Nutrition Movement in Somalia. They discuss the Common Results Framework in Somalia - the process of setting it up, costing and prioritisation, as well as where the country is in terms of its SUN membership.
My winter began in Kathmandu last week where I attended the 6th Annual Scientific Symposium on Agriculture- Nutrition Pathways organised by Feed the Future Innovation Lab for Nutrition. I have attended the Annual event 3 years in a row and this year was extra special as the event also was celebrating 25 years of Nepal’s Progress in Nutrition. What makes this event unique is that it attracts students and young researchers in equal numbers as persons from academia, policy makers and programme implementors in the field of agriculture- nutrition research relevant to Nepal.
Le 15 novembre dernier, le gouvernement nigérien a fait un grand pas en avant dans la lutte contre la malnutrition en adoptant sa toute première politique nationale de nutrition dite « politique nationale multisectorielle de sécurité nutritionnelle ». Cette politique a pour objectif d’éliminer toutes les formes de malnutrition pour atteindre la vision où chaque nigérien jouit d’un statut nutritionnel adéquat pour assurer le développement, la résilience et la prospérité du Niger. Cette vision pose la nutrition comme un outil de développement et de résilience et pas seulement comme une stratégie d’urgence. Elle définit les rôles et les responsabilités de toutes les parties prenantes (tels que les donateurs, les partenaires techniques, les organisations non gouvernementales, la société civile et le secteur privé, etc.) dans l'amélioration de la sécurité nutritionnelle du pays, soulignant ainsi l'importance de la participation de tous les acteurs dans la réduction de la malnutrition.
On the 15 November this year, the Niger government took a big step forward in tackling malnutrition by adopting its first ever nutrition policy known as the “national multisectoral nutrition security policy”. The policy aims to achieve the vision of the citizens having adequate nutritional security, in order to ensure the development, resilience and prosperity of the country as a whole. Notably, the policy aims to make nutrition programmes part of development and resilience work in the country, rather than simply being seen as emergency focused interventions. Furthermore, the policy sets out roles and responsibilities of all stakeholders (such as donors, technical assistance providers, non- governmental institutions, civil society and the private sector) in relation to improving nutrition security in the country, thus emphasizing the importance of everyone playing a role in reducing malnutrition.
ENN has returned from the Global Nutrition Cluster (GNC) annual meeting in Amman, Jordan, where it seemed that everyone was talking about the humanitarian development nexus as a means to ensure a continuum of care.
ENN provided its usual brand of knowledge management (KM) support to Nutrition Cluster Coordinator (NCC) presenters and, for the first time, the GNC, with ENN support started the annual event with a one-day meeting devoted to Yemen and Sudan. UNICEF had requested this smaller side-meeting to shine a light on the particular challenges faced and to move forward on a call to action to end malnutrition in Yemen and a nutrition investment case for Sudan. Both countries have been in protracted crises for several years, have very high rates of wasting, stunting, micronutrient deficiency, low birth weight and maternal malnutrition, and rely on annual humanitarian response plans (HRPs) to implement nutrition activities.
I attended Kenya’s 2nd Agri-nutrition conference held in Nairobi from 11th – 13th of September 2018. The 3-day forum was co-hosted by the Ministry of Agriculture, Livestock, Fisheries and Irrigation and the Ministry of Health, with support from USAID-Accelerated Value Chain Development Program and partners.1
The Conference’s objective was to provide a learning platform on the role of agriculture in improving nutritional outcomes, summarised in the conference theme: “Accelerating Nutritional Gains Through Agriculture”. ENN attended the conference to share learnings and disseminate the findings of an in-depth documentation exercise on multi-sector programming for nutrition - a sub-national study done in Kenya, Nepal and Senegal in 2017. Kenya’s case example had a strong agrinutrition bias and the agrinutrition forum was therefore a relevant forum to share the findings.
ENN’s Regional Knowledge Management Specialist for Asia, Dr. Charulatha Banerjee, speaks to Grana Pu Selvi, World Vision India and author of the article in Field Exchange Issue 58 titled Treatment of severe acute malnutrition through the Integrated Child Development Scheme in Jharkand State, India.
Grana shares the difficulties faced in setting up the project and what has been learnt from the experience for implementation ahead. We also briefly speak with Mahesh Nathan from the WASH team of World Vision. Mahesh outlined the organisation’s approaches to including WASH interventions in projects to improve nutrition outcomes.
Two out of every five children in India under the age of 5 are stunted and half of the women are reported to be anaemic. Furthermore, the World Bank data indicates that India has one of the world’s highest demographics of children suffering from malnutrition, reportedly double that of Sub-Saharan Africa. These figures highlight the worrying nutrition situation in the country and the urgent need for action.
Over two decades of civil conflict in Somalia interspersed with periodic droughts and floods have profoundly changed what used to be one of the most beautiful countries in east Africa to a nation which regularly receives huge amounts of humanitarian aid. The latest humanitarian response plan (HRP)(2018) comes in at around one billion dollars. 90% of all aid to Somalia is humanitarian and the small amounts of development aid it receives means that the country is stuck in a cycle of humanitarian crisis and response. The country has regularly teetered on the edge of, or experienced, full blown famine in 2017 and 2011 respectively. Rates of acute malnutrition (mainly wasting) have consistently been over the international emergency threshold and in 2018, a relatively good year, prevalence is estimated at 18%. These depressing facts are one reason why ENN determined to carry out a country study in Somalia as part of its ongoing work to identify ways to increase the nutrition resilience of vulnerable populations in fragile and conflict contexts through strengthening the humanitarian development nexus (HDN). Somalia is ENN’s second country case study, (after Kenya), with a further three or four country studies planned until the end of 2019.
Join ENN's Ambarka Youssoufane to find out how one multi-sector programme is being implemented at the sub-national level in Senegal.
This video looks at the Matam region with the USAID-funded Yaajeende Project, and accompanies a full report on Multi-sector programmes at the sub-national level.
ENN’s Charulatha Banerjee talks to NEX10 authors, Dr Md. M. Islam Bulbul and Dr Iftekhar Rashid, on the challenges and lessons learned in bringing multiple sectors together in Bangladesh to develop the country’s second National Plan of Action for Nutrition (NPAN 2) – a costed plan that has brought together 17 'nutrition sensitive' ministries coordinated by the Bangladesh National Nutrition Council.
In this podcast, the editors of Nutrition Exchange (NEX) Carmel Dolan and Judith Hodge celebrate the 10th anniversary of the publication, discussing how it began and how it has evolved to become a key publication in the nutrition sector for those working at national and sub-national level.
They describe what readers can expect from this 10th issue including progress made to tackle malnutrition at sub-national level in Rajasthan and Balochistan, as well as the use of stakeholder mapping tools. This issue features 10 original articles and updates of news across the sector.
Watch and listen to an ENN videocast on ‘How to Write for NEX’, a short presentation on writing articles and making podcasts for Nutrition Exchange. Hear from authors and podcasters about how they found the process – and the opportunity it gave to collaborate with colleagues and share their experiences with others working in nutrition.
The private sector in nutrition - a player by default or choice? Reflections from a multi-stakeholder meeting
I participated in a Round Table organised by South Asia Food and Nutrition Security Initiative SAFANSI In Colombo in June which was titled “Putting the Lens on the Consumer in Nutrition-Sensitive Agriculture and Food Systems in South Asia”.
Before I share highlights from the 2-day event, here is some background on SAFANSI -
Marie has worked on infant and young child feeding in emergencies since 2001. She coordinates the IFE Core Group, an international interagency collaboration on infant and young child feeding in emergencies.
In the Irish language, there’s a phrase “rírá agus ruaille buaille” (trans: uproar, hubbub, tumult, commotion, ruction, rough & tumble)” which captures the essence of the escapades of the recent World Health Assembly (WHA) around the Infant and Young Child Feeding (IYCF) Resolution in which ENN has been closely involved. Here’s our version of events.
The Compendium of Actions for Nutrition (CAN) is a facilitation resource to help foster multi-sectoral action at the country level, particularly on nutrition-related policy formulation and planning. It includes matrices of multi-sectoral nutrition actions (nutrition-specific and nutrition-sensitive), which are classified by the type of evidence available for them. Developed by the UN Network Secretariat, in consultation, with both external experts and those in UN agencies, the CAN was published in late 2016 and has since been used by a range of actors at the country level. This podcast delves into the Haiti experience.
Plus tôt ce mois-ci, j'ai assisté à une conférence organisée conjointement par l'Association sud-asiatique de coopération régionale (SAARC), le Bureau régional de l'UNICEF pour l'Asie du Sud (ROSA) ainsi que Nutrition International afin de débattre et d’identifier quelles actions pourraient permettre d’accélérer les soins nutritionnels des femmes durant leur grossesse et après l’accouchement en Asie du Sud. Des représentants des huit pays de la SAACR ont participé à la conférence, chacun ayant envoyé des hauts fonctionnaires représentant leurs gouvernements respectifs, ce qui est peut-être un gage de l’importance donnée à ce problème dans la région.
ENN's Regional Knowledge Management Specialist for Asia, Dr Charulatha Banerjee, visited two districts in Nepal: Jumla and Kapilvastu, to see and hear how the country’s flagship Multi Sector Nutrition Plan (MSNP) is being implemented at the sub-national level.
Earlier this month, I attended a meeting organised jointly by the South Asian Association for Regional Cooperation (SAARC) and the UNICEF Regional Office for South Asia (ROSA) together with Nutrition International to discuss and identify actions to accelerate the nutritional care of women during pregnancy and postpartum in South Asia. The meeting was attended by representatives from all 8 SAARC countries with all countries sending high level officials from Governments perhaps indicative of the importance of the issue in the region.
Dan is the Henry J. Leir Professor in Food Security and Research Director at the Feinstein International Center and the Friedman School of Nutrition Science and Policy at Tufts University. He is the author, with Nisar Majid, of Famine in Somalia: Competing Imperatives, Collective Failures published by Oxford University Press in 2016 (and reviewed in Field Exchange 57). For the past four years, he has served on the Famine Review Committee for Integrated Phase Classification (IPC) analysis—a committee that is mobilised whenever a possible famine declaration is a possible result of an analysis.
Join ENN's Lillian Karanja Odhiambo to see and hear how one multi-sector programmes is being implemented at the sub-national level in Kenya. This video focuses on implementation challenges and lessons from the USAID-funded Accelerated Value Chain Development Programme (AVCD) in Homa Bay and how current government led activities and structures enable and interact with this multi-sectoral programme.
Nutrition Exchange editors, Judith Hodge and Carmel Dolan, talk about the wide range of original articles and themes to be found in Issue 9 – everything from community programming in war-torn Yemen to husband schools in Niger, and SUN-focused articles on technical assistance for nutrition in Tajikistan and the Philippines.
ENN’s Azaria Morgan joins Dr. Fatima AK Sallam, a Project Manager at Soul for Development and Charity Zvandaziva, a Nutrition Specialist working for UNICEF Yemen to discuss community engagement and leadership in enabling increased access to nutrition and health services. The podcast highlights the work of the Community Health Volunteers (CHVs) in pioneering the project and supporting the Village Development Committees in achieving self-sufficiency.
In this podcast (Part II of this two-part series) we continue the conversation about Technical Assistance (TA) provided to SUN countries under the DFID funded TAN Programme. In the previous podcast we spoke to the global coordinators in the two providers of TA under TAN – Nutrition International and the MQSUN+ consortium (lead by PATH).
In this podcast (Part I of two podcasts in this series) we talk to providers of Technical Assistance (TA) under the DFID funded TAN Programme. The TAN Programme provides TA to support to countries in the SUN Movement and to the global SUN Movement Secretariat in Geneva. In this podcast ENN’s Global Knowledge Management Coordinator, Tui Swinnen talks to the global TA coordinators from the two TA providers working under TAN: Loretta MacKinnon, Programme Director of the Nutrition International TAN team and Monica Kothari, Deputy MQSUN+/Monitoring & Evaluation Lead from PATH, the lead agency in the MQSUN+ consortium.
In this podcast, we speak with Dr. May Win Shwe, the Deputy Director of the Livestock Breeding and Irrigation Department in the Ministry of Agriculture in Myanmar. Dr. May discusses the use and influence of the Compendium of Actions for Nutrition (CAN) developed by the UN Network for SUN Secretariat in consultation with the UN partner agencies. The compendium is a facilitation resource intended to foster multi-sectoral dialogue at the country level. It includes matrices of potential multi-sectoral nutrition actions as well as accompanying narratives and bibliographies.
In this video, we hear from Belal Uddin a member of the SUN Civil Society Alliance (CSA) in Bangladesh.
Belal discusses the importance of civil society working in partnerships with other stakeholder groups such as the media and parliamentarians. In particular, he talks about the CSAs work to support capacity building for journalists in reporting on nutrition issues. He also reflects on the challenges the CSA has faced due to changes in internal governmental structures.
In this video, Dr. Uma Koirala describes the role of the SUN Civil Society Alliance in Nepal. She emphasises the need for civil society to advocate for nutrition at all levels; from the national, policy making level through to the district levels.
Uma talks about the importance of regional coordination and how it is enabling CSAs in Asia to share learning, experiences, challenges and best practices amongst regional counterparts. She also highlights the contribution that the CSA in Nepal is making to this group, drawing on their success in building the alliance in Nepal.
May Thukha Soe is a Nutrition Specialist for Plan International and a member of the SUN CSA Myanmar.
In this video she talks about the role of the CSA in bringing together not only international NGOs but also an increasing number of local NGOs. The aim of the CSA is to provide a collective voice to all for all these organisations. She reflects on how the CSA is building sub-national CSAs in order to engage and support local CSOs.
Hou Kroeun is the Deputy Country Director at Helen Keller International in Cambodia. He is also the coordinator of the SUN Civil Society Alliance in Cambodia.
In this interview, he highlights the crucial role that civil society plays in the SUN Movement. He also discusses how the CSA in Cambodia was formed, and reflects on some of the challenges faced and how these have been overcome. Kroeun discusses the impact that the CSA has had by providing advisory services, technical assistance and guidance to the government on their Mid-Term review of food security and nutrition.
Dr Naseer Muhammad Nizamani is the Country Director for Nutrition International in Pakistan and is also a member of the Pakistan SUN Civil Society Alliance.
In this interview, Dr Nizamani talks about the formation of the CSA in Pakistan and their strong focus on building the capacity of local and national organisations. Dr Nizamani highlights some of the challenges the alliance has faced and how they have overcome them.
Mr Ismael Barmou, PDG de la Société de Transformation Alimentaire (STA) et coordonateur du réseau du secteur privé pour la nutrition du Niger et de l’Afrique de l’ouest, parle du rôle et de la mise en place du secteur privé dans les pays ouest africains.
Selon lui, il y’a une vraie dynamique et un fort intérêt pour les entreprises ouest africaines de participer à la mise en place de réseau du secteur privé pour le mouvement SUN. La mise en place de ces réseaux au niveau des pays est tout d’abord une nécessité pour répondre l’approche multi-sectorielle de la nutrition, c’est également une opportunité pour les entreprises de prendre une part de marché dans ce secteur ou tout simplement investirent dans le cadre de la responsabilité sociale des entreprises (RSE)
In this video, Uduak Igbeka the SUN Business Network (SBN) coordinator of Nigeria speaks about her experience with the network. Uduak has an academic background in agricultural economics and has been with the Global Alliance for Improved Nutrition (GAIN) for four years, she has played a coordinating role with the SBN Nigeria for approximately 1.5 years.
In this video interview we speak to Ralf Siwiti, the SBN Programme Manager for Zambia based at the World Food Programme (WFP) in Lusaka. Ralf has a background in marketing and many years of experience in the food and nutrition sector. In this interview, Ralf discusses how Zambia set up one of the first SUN Business Networks (SBN) in Africa and what progress has been made since.
This is an interview with Katia Santos Dias, the Country Director for GAIN in Mozambique and co-convenor of the Mozambique SUN Business Network (SBN). In this interview, Katia discusses the role of the private sector in nutrition and what priorities the SUN Business Network in Mozambique have had since it was founded in early 2016. Katia shares that the private sector can play a number of different roles in tackling all forms of malnutrition at global and national level along with other stakeholders. This includes producing nutritious food, participating in awareness and nutrition education, and supporting national nutrition policy such as school feeding.
Alem Abey is the SUN Business Network Advisor in Ethiopia. Alem discusses the process undertaken in the establishment of the soon to be launched SBN in the country and the role the Network hopes to play in strengthening nutrition in Ethiopia. The SBN has a strategic plan which outlines the priority areas of work including providing technical assistance to private companies to add value to their products, and supporting food fortification in the country.
We recently attended the Global Nutrition Cluster Annual meeting in Geneva. ENN, as part of the process of pulling together a special issue of Field Exchange on Nutrition Cluster Coordination (which will be out in November), worked behind the scenes with cluster coordinators from 6 countries to help them to set out and synthesise what is going well in their focal countries, what challenges they face, what steps they can take to overcome these challenges and, what ‘asks’ they have of the global level. They presented on Day 1 to around 90 participants from UN agencies, NGOs, donors, academia and from other clusters. It was a day of very rich learning.
Recherche sur la programmation multisectorielle de nutrition : réflexions sur une approche intégrée nutrition et cash et eau, hygiène assainissement
Il y a quelque temps j'ai eu l'opportunité de participer à un événement régional à Dakar en Sénégal sur les approches nutritionnelles multisectorielles, organisé par ACF et ses partenaires. Cette rencontre rentrait dans le cadre de la restitution de l’étude "Research on Food Assistance for Nutrition Impact" (REFANI) réalisée au Niger en 2015. En plus de l'étude du Niger, le projet REFANI a également été mené au Pakistan et en Somalie par un consortium de partenaires dont ENN. Le projet de recherche REFANI avait pour objectif global d’évaluer l'impact des transferts monétaires (cash) sur la prévention de l’émaciation (malnutrition aigüe) dans les pays ciblés. ENN était responsable (avec ACF, partenaire de mise en œuvre) de l'étude au Pakistan où nous avons mis en place un essai contrôlé randomisé dont les résultats ont été publié dans l’article Impact evaluation of different cash-based intervention modalities on child and maternal nutritional status in Sindh Province, Pakistan, at 6 mo and at 1 y: A cluster randomised controlled trial. at 6 mo and at 1 y: A cluster randomised controlled trial. L’étude REFANI Pakistan a été une des toutes premières études à démontrer un impact du cash sur la malnutrition aigüe. ENN a également constaté des réductions importantes du retard de croissance lors de cette étude. A la rencontre de Dakar, à laquelle ont pris part plusieurs institutions, notamment les institutions gouvernementales et non gouvernementales, les organismes des Nations Unies, les instituts de recherche et les entreprises privées, les présentations ont été axées sur l'impact du cash et du WASH sur la malnutrition à travers 3 panels successifs :
Research on multi-sectoral programming: reflections on a cash and WASH, nutrition integrated approach
Some time ago I had the opportunity to attend a regional event for sharing multi-sectoral nutrition approaches, organized by ACF and its partners in Dakar, Senegal. This meeting was organised to share results of the "Research on Food Assistance for Nutrition Impact" (REFANI) study conducted in Niger in 2015. Apart from the Niger’s study, the REFANI Project was also conducted in Pakistan and Somalia by a consortium of partners who aimed to evaluate the impact of cash transfers and its impact pathway on the prevention of wasting in these countries. ENN was responsible (with the implementing partner ACF) for the study in Pakistan where we implemented a four-arm randomised control trial published here. The REFANI Pakistan study was amongst the first showing a reduced risk of wasting from a cash transfer programme in an area with very high levels of wasting. Interestingly, ENN also found significant reductions in stunting. At the Dakar meeting, attended by governmental and non-governmental institutions, United Nations agencies, research institutions and private companies, presentations focussed on cash and WASH impacts on nutrition as follows:
FEX 55: Part 2 - Scaling up CMAM in protracted emergencies and low resource settings, experiences from Sudan (UNICEF)
Lillian Karanja-Odhiambo, ENN’s Knowledge Management specialist for East Africa speaks to Mueni Mutunga the Chief of Nutrition from UNICEF’s Sudan country office about the experience of scaling up CMAM in Sudan. The podcast captures UNICEF’s perspective on the evolution in CMAM programming; successes in garnering government ownership; the role of information systems in informing programming and how scale up was achieved in a low resource setting. The interview provides useful insight into the interplay of humanitarian and development programming in approaching the Management of Acute Malnutrition.
In this podcast join Ali Dino Kunbher from Welthungerhilfe is in conversation with ENNs Dr Charulatha Banerjee (Asia Regional KM Specialist) discussing his article in Field Exchange 55 titled 'Multi-sector, nutrition-sensitive response to drought emergency in Pakistan'. The article and podcast capture experiences of an ECHO funded multisectoral nutrition project implemented in drought affected Sindh Province of Pakistan, the successes of this complex project and the numerous challenges faced in doing nutrition sensitive programming in an emergency setting.
Dans cette interview Dr Kanta Malam Issa, coordinateur général de l’ONG ALIMA au Mali, discute avec Ambarka Youssoufane sur l’initiative URENI école pour la formation des agents de santé sur la prise en charge de la Malnutrition Aigue Sévère au Mali. Cette interview complète l’article « Projet URENI Ecole de Dioïla » Formation des personnels de santé à la prise en charge de la Malnutrition Aigüe Sévère (MAS) en milieu hospitalier, paru dans Field Exchange 55.
FEX 55: Part 1 - Scaling up CMAM in protracted emergencies and low resource settings, experiences from Sudan (Federal Ministry of Health)
In this podcast, Tarig Mekkawi, Nutrition specialist with UNICEF Sudan, speaks to Salwa Sorkti, the Director of the National Nutrition Program in the Federal Ministry of Health of Sudan about the experience of CMAM scale up in the country. The podcast captures the perspective of the Ministry of Health’s on the evolution in CMAM programming; successes in garnering government ownership; the role of information systems in informing programming and how scale up was achieved in a low resource setting. The interview provides useful insight into the interplay of humanitarian and development programming in approaching the Management of Acute Malnutrition.
The SUN Civil Society Network (SUNCSN) has as we speak 2500 member organisations organised as National Civil Society Alliances (CSA) spread across 39 countries globally.
In mid-July, I attended the SUN Civil Society Regional Learning Exchange – Asia co-organised by Global SUN CSN Secretariat and the Civil Society Alliance for Nutrition, Nepal (CSANN) in Kathmandu.
I watched fellow Kenyans go through party primary elections this past April in preparation for the August General elections. This is when political parties nominate one candidate to represent them prior to the actual elections. This occurs for the lowest administrative office right up to the presidential seat. I had never really paid attention to party primaries before, but I noticed them this time due to huge voter turn-out - one would think it was the general election. In Kenya’s history, this year’s elections will be the second ever under devolution, and perhaps the first where citizens actually understand what devolution really means. The huge party primary turn-out was probably because Kenyans are serious about whom they want (or don’t want) to represent them at county level. I believe this level of interest in politics front has implications for public service delivery, and specifically, health and nutrition services.
In this podcast the editors of Nutrition Exchange (NEX) Carmel Dolan and Judith Hodge speak to Tui Swinnen (Global Knowledge Management Coordinator) about what readers can expect from this edition of NEX - issue 8. They discuss some of the highlights of the issue including some of the new geographic and thematic areas covered, and explain how people can contribute to future editions of the publication.
Joyce Barakat and Linda Shaker-Berbari from the International Orthodox Christian Charities (IOCC) in Lebanon join us in a conversation about the community kitchens in Lebanon, featured in an article in NEX 8. The community kitchens were established in order to improve the nutrition status for the vulnerable Lebanese citizens and Syrian refugees living in the Bekka valley, north Lebanon.
In this interview Dr Charulatha Banerjee (Asia Regional Knowledge Management Specialist) speaks to Cecilia Garzon (Head of Nutrition) and Dr Aliahmad Khan (Nutritionist) in the WFP Pakistan Country Office in Islamabad. They discuss details of the Food & Nutrition Gap (FNG) Analysis and Cost of Diet Tool which were recently used to assess the nutitional situation in Pakistan.
Additionally, James Kingori, Regional Nutrition Officer in the WFP Regional Bureau (Bangkok) speaks in detail about the methodology and presents key lessons from Laos and Indonesia which also have done the FNG analysis. These conversations supplement an article which features in NEX 8 titled 'Filling the Nutrient Gap in Pakistan: Insights to address malnutrition'.
The Integrating Gender and Nutrition within Agricultural Extension Services (INGENAES) is a USAID funded project that promotes dietary diversity through harmonising nutrition messages in agriculture. In this interview, Lillian Karanja, ENN’s East Africa’s Regional KM specialist speaks with Edye Kuyper who provides nutrition leadership within the INGENAES project, and Bertha Munthali, Nutrition Advisor for the Food, Agriculture and Natural Resources Policy Analysis Network.
Dr Charulatha Banerjee, ENN’s Asia Regional Knowledge Management Specialist caught up with Sonali Patnaik, Director of Arupa Mission Research Foundation, to learn more about the Corporate Social Responsibility (CSR) law in India including how this has the potential to impact on nutrition programming and spending in the country.
Au fil des années, la portée du travail d'ENN s'est étendue au-delà de l'accent mis initialement sur les contextes humanitaires pour englober un ensemble plus large de problèmes liés à l’émaciation et au retard de croissance dans des contextes d'urgence et/ou des contextes où la prévalence est élevée. Nous sommes de plus en plus intéressés par l'évolution de la politique et de l'environnement de programmation autour du traitement et de la prévention de la malnutrition. ENN est actuellement engagé dans l'exploration de la relation entre l’émaciation et le retard de croissance (voir le récent billet de Carmel Dolan sur le blog ici), le retard de croissance dans les situations d'urgence, et la façon dont les initiatives ciblées sur le retard de croissance et l’émaciation interagissent dans la pratique.
Over the years the scope of ENN’s work has expanded beyond a focus on humanitarian contexts to encompass a broader set of issues around drivers of wasting and stunting in both high burden and emergency contexts. We are also increasingly interested in the evolving policy and programming environment around malnutrition treatment and prevention. ENN is currently engaged in exploring the relationship between wasting and stunting (see the recent blog piece by Carmel Dolan here), stunting in emergencies, and on how stunting or wasting focused initiatives interact in practice.
At the beginning of this year, I attended a Nutrition International (NI) mission in the village of Amadou Bellinaoude-Santhiago, in the Kolda region to visit the Integrated Nutrition Project at Kédougou and Kolda (PINKK) implemented by NI.
Join Gladys Mugambi the head of Kenya’s Nutrition and Dietetics Unit in the Ministry of Health (and National SUN Focal Point) as she dicusses the nutrition sector’s past successes, current challenges and future perspectives in the country.
Gladys talks of the evolution of nutrition policy and programming in Kenya including what opportunities the SUN Movement has brought through work with in-country networks and sharing learning with other SUN countries in the region. She decribes the work currently going on in Kenya around financial tracking and the nutrition budget line, school feeding and working with devolved counties on nutrition.
En début de cette année, j’ai accompagné une mission de Nutrition International (NI) dans le village de Amadou Bellinaoude-Santhiago, région de Kolda pour visiter le Projet Intégré de Nutrition à Kolda et Kédougou (PINKK) mis en œuvre par Nutrition International.
Dr Charulatha Banerjee, ENN’s Asia Regional Knowledge Management Specialist caught up with Pawan Agarwal, CEO of the Food Safety and Standards Authority of India (FSSAI).
Mr Agarwal spoke to us about the progress in food fortification including the newly approved comprehensive food safety standards in India. He discusses the role of the Food Fortification Resource Centre and some of the challenges and opportunities of working in this area.
Dr Charulatha Banerjee, ENN’s Asia Regional Knowledge Management Specialist caught up with Dr Rajan Sankar, Director of Nutrition at Tata Trusts to understand more about philanthropic business networks in India, and how nutrition fits in with the corporate social responsibility (CSR) agenda.
Dr Sankar discusses Tata Trusts philanthropic work and shared some opinions on how nutrition NGOs and private sector can work together. He also shared some of the opportunities and challenges that have arisen from the new CSR law introduced in India requiring all corporates to contribute 2% of profits to CSR.
J'ai débuté en avril avec une visite d'une semaine au Myanmar; il s’agissait de ma première visite en tant que spécialiste régionale de la gestion des connaissances pour ENN. Myanmar et sa « première citoyenne », la prix Nobel de la paix, Aung San Suu Kyi, faisaient cette semaine-là l’objet d’une couverture médiatique importante pour des affaires litigieuses. Je suis cependant repartie, encouragée par le fait que ce pays, et son jeune gouvernement, avance dans la bonne direction pour améliorer l'état nutritionnel de sa population. Pour cette visite, j'ai accompagné Manpreet Kaur Chadha, qui est la responsable régionale pour l’Asie du programme TAN (Assistance Technique pour la Nutrition) de Nutrition International [NI] (anciennement Micronutrient Initiative) dont la mission est d’identifier les besoins d'assistance technique en matière de nutrition dans le pays. Financé par le ministère britannique du développement international (DFID), c’est ce même programme TAN qui comprend à la fois la gestion des connaissances par l’ENN et l’assistance technique par NI pour tous les pays membres du mouvement SUN.
I began April with a weeklong visit to Myanmar, not my first visit but the first in my role as KM Specialist with ENN. Myanmar and its “first citizen” of sorts, Nobel Peace Prize Winner Aung San Syu Kyi were in the news in the same week on contentious issues. However, I returned home encouraged that this country, with its year-old government, is taking all the right first steps to improving the nutrition status of its population. For this visit I accompanied Manpreet Kaur Chadha the Nutrition International (formerly the Micronutrient Initiative) Asia Regional Manager for the TAN programme on her mission to identify nutrition technical assistance needs in the country. The TAN programme is the DFID funded package of support under which ENN provides knowledge management and NI technical assistance support to SUN countries.
I hope some of you have heard of No Wasted Lives. For those who haven’t, now is the time to join forces with this coalition of partners working to address the biggest challenges we face today in the prevention and treatment acute malnutrition.Our ambitions are large and we need your help to accelerate global action to double the number of children receiving treatment to 6 million a year by 2020.
Dr Charulatha Banerjee, ENN’s Asia Regional Knowledge Management Specialist caught up with Mr Stanley Chitekwe Chief of Nutrition UNICEF Nepal and discussed the details of Multi-Sector Nutrition Programming (MSNP) in Nepal. This conversation supplements an article which features in FEX 54 titled 'A journey to multi-sector nutrition programing in Nepal: evolution, processes and way forward.'
Join Marie McGrath and Jeremy Shoham, editors of Field Exchange in conversation with Tui Swinnen as they explore some of the key themes and content of this issue.
This FEX 54 podcast includes discussions of articles related to the links between humanitarian and development programming and the evolution of nutrition-sensitive multi-sector programming in the sector. There is also a special feature from the ACF conference the took place in Paris November 2016, that explored operational challenges and uptake of research on prevention and treatment of SAM.
Dr Nassirou Ousmane is the Director of Nutrition at the Ministry of Health and the SUN Focal Point for Niger. In this video, Dr Ousmane discusses the progress made towards elaborating and costing the Nigerien national plan for nutrition.
This video features as the first instalment in a three-part podcast and video series exploring the different stages of the Common Results Framework. Dr. Ousmane discusses the planning and development stage of a CRF.
Maria Rosa Boggio is a consultant in child nutrition based in Peru. Maria Rosa worked closely with the Roundtable on Poverty Reduction in country. In this video, Maria Rosa discusses the significant progress that has been made towards reducing malnutrition in Peru.
This video features as the final instalment in a three-part podcast and video series exploring the different stages of the Common Results Framework. Maria Rosa discusses the evaluation and strengthening of a CRF.
Savita Malla is an Advocacy and Communication Specialist based within the National Nutrition and Food Security Secretariat (NNFSS) in Kathmandu, Nepal. In this video Savita discusses the national nutrition plan implementation and roll out in Nepal.
This video features as the second instalment in a three-part podcast and video series exploring the different stages of the Common Results Framework.
Join Tui Swinnen and Tamsin Walters for the final installment of this three-part podcast series on the Common Results Framework (CRF). In this podcast they discuss the importance of monitoring and evaluation progress towards shared goals.
We also speak to Maria Rosa Boggio, who has worked closely with the Roundtable on Poverty Reduction in Peru, about the significant progress that has been made towards reducing malnutrition in this country. We discussed how this approach evolved and the importance of a robust monitoring for tracking results.
In this podcast, join Tui Swinnen and Tamsin Walters again as they discuss the implementation of national nutrition plans or Common Results Framework (CRF), moving on from the development and planning stages dicussed in the previous episode.
We also speak with Savita Malla, Advocacy and Communication Specialist based in the National Nutrition and Food Security Secretariat (NNFSS) in Kathmandu about national nutrition plan implementation and roll out in Nepal following up from our conversation with her in 2015.
In this podcast, Tui Swinnen, ENN's Global KM Coordinator hosts Tamsin Walters for a discussion about the planning and development stages of a Common Results Framework (CRF) looking at the evolution of the concept, how countries have worked through this early stage, and what guidance is now available. We also talk to SUN Focal Point for Niger about progress made towards elaborating and costing their national plan for nutrition following up from a discussion with in 2015.
Hello, I am Bridget Fenn, ENN’s long standing lead research investigator. I recently I gave a virtual presentation about the REFANI to participants at a research conference in Islamabad organised by Action Against Hunger. Despite the early start (5.30 a.m.), presenting remotely and missing the all-important human interaction afforded by face-to-face meetings, the presentation was very well received and there were plenty of questions and comments from the attendees…more about these below.
Some of you will know that ENN has been coordinating a project with the expert steer of around 30 child growth and nutrition specialists from academia, donor and operational agencies. Collectively, we are known as the Wasting-Stunting Technical Interest Group (WAST-TIG) and we have been interacting across various work streams for a few years thanks to generous funding from Irish Aid and USAID OFDA.
How relevant are Africa’s political blocs in advancing the Scaling Up Nutrition (SUN) Movement agenda? Can the movement tap into the initiatives by the region’s political blocs to achieve its goals?
In my experience with the Scaling Up Nutrition (SUN) Movement activities, I have noted the quest to establish multi-sectoral platforms to tackle malnutrition worldwide. Thus, nutrition experts and nutrition advocates have embraced the multi-stakeholder approach to drive forward their agenda – bringing together governments, donors, UN agencies, civil societies, business/private sector, research and academic, to play their roles in this noble goal.
Coordination multisectorielle pour la nutrition Tchad : une plateforme multi-acteurs complète et dynamique
Je suis Ambarka Youssoufane, en tant que Spécialiste Régional Gestion de connaissance pour l’Afrique de l’ouest et du Centre de ENN, il m’arrive souvent de visiter les pays de la sous-région et discuter avec différents acteurs de la nutrition et du Mouvement SUN. C’est dans ce cadre que j’ai visité le Tchad du 23 au 28 janvier dernier, où j’ai pu constater une forte dynamique autour du point focal SUN pays dans le cadre de la plateforme multi-acteurs pour une coordination multisectorielle des actions de nutrition dans ce pays. C’est de cette plateforme que je voudrais vous entretenir aujourd’hui.
We’ve recently been to meet with two Rome based UN agencies – World Food Programme (WFP) and Food and Agriculture Organisation (FAO), as well as the UN Network for SUN (UNN). Our trip had a number of objectives; to discuss ENN’S SUN KM Project, highlight a forthcoming ENN hosted meeting to explore the need for a systematic review of nutrition sensitive interventions, share the latest issue of Nutrition Exchange, promote the new ENN Media Hub and to pick up on conversations held in late 2016.
Dr Charulatha Banerjee, ENN’s Asia Regional Knowledge Management Specialist caught up with Ms Mridula Sinha Director General of the Jharkhand State Nutrition Mission earlier this month to understand the evolution of the Nutrition Mission in the state, work done so far and plans for the future.
Ms Sinha has been working in child health and nutrition in Jharkhand for many years. In this interview she talks about the formation of the State Nutrition Mission, the complexities of nutrition governance in India and the architecture of the Mission as an independent body with the power to convene related departments. She presents the challenges faced by Jharkhand State, which is less than 2 decades old, and also the huge potential given the strong political will to render the State malnutrition free by 2030. She mentions the role of the private sector in nutrition in the State as well as the work of UNICEF and other partners to support the State Nutrition Mission’s work.
Greetings! I am Dr Charulatha Banerjee, one of ENN’s Regional KM specialists working in Asia.
On the 9th of January I visited the Indian state of Jharkhand to meet stakeholders working in nutrition. Jharkhand is a very recent “member state” of the Scaling Up Nutrition (SUN) Movement, joining in September 2016, it is the 3rd Indian state to sign on to this global initiative. Jharkhand joins the states of Uttar Pradesh and Maharashtra, and 58 national governments in Asia, Africa and Latin America that have committed to working towards reducing their high burden of malnutrition.
ENN's regional Knowledge Management specialist Titus Mung'ou is in conversation with Tumaini Mikindo the Executive Director of the Parternship for Nutrition in Tanzania (PANITA). They discuss a recent article written by Tumaini for Nutrition Exchange 7 on the work PANITA has done on engaging with parliamentarians.
Firstly, a very warm welcome to ENN’s blog! We are very excited to launch this today as part of our new Media Hub.
For those of you who know ENNs work well, this new platform and digital work may seem like an exciting (even radical!) departure from what we currently do. In this post I will make the case that despite the appearance of being new-fangled, it is consistent with ENN's existing approach and way of working. The Media Hub was set up to support sharing and learning in the nutrition sector giving priority to the experiences and voices of those at the “sharp end” of programming and policy making. It is ENN embracing a new set of tools to achieve some rather old (but still very relevant) goals. So let’s look at how we got here.
This podcast is a conversation between ENN's regional West Africa Knowledge Management specialist Ambarka Youssoufane and Abdoulaye Ka, National Director of Senegal's Cellule de Lutte Contre la Malnutrition (CLM) (Unit for the Fight Against Malnutition) and Senegal SUN Focal Point. They discuss an article in the current issue of Nutrition Exchange 7 on the role of advocacy in increasing the budget line for nutriiton in Senegal based on an interview with Abdoulaye Ka.
Join the editors of Nutrition Exchange (NEX) Judith Hodge and Carmel Dolan as they give an overview of the latest edition, Issue 7. This is the first NEX edition that focuses on learning and experiences around nutrition scale up and specifically learning from the SUN Movement. This work is part of ENNs 5-year Knowledge Management project to support SUN.
Ambarka is the Emergency Nutrition Network (ENN) knowledge management specialist in West and Central Africa. He is based in Dakar, Senegal. He has years of experience with roles in governmental and civil society authorities in Niger.
According to International Land Coalition, advocacy is “the strategic use of information to influence a policy, which affects the life of the weakest populations”.