Agriculture and Nutrition Global Learning and Evidence ... · This presentation is part of the...
Transcript of Agriculture and Nutrition Global Learning and Evidence ... · This presentation is part of the...
This presentation is part of the
Agriculture and Nutrition Global Learning and Evidence Exchange
(AgN-GLEE) held in Bangkok, Thailand from March 19-21, 2013.
For additional presentations and related event materials, visit: http://spring-nutrition.org/agnglee-asia
AgN-GLEE Case Study: SPRING/Bangladesh
Integrating Nutrition and Agriculture in
Farmer Field Schools, Government
extension, and Partner organizations
Shannon Young USAID/Bangladesh
Elizabeth Williams SPRING/Bangladesh
Nutritional status in Bangladesh
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• 41% stunting among children under 5 (low
height for age)
• 36% underweight among children under 5
(low weight for height)
• 21% of children under 2 fed appropriately
according to international guidelines –
compared with 44% in Nepal (2011) and 24%
in Cambodia (2010)
USAID/Bangladesh’s response
• By 2014, launch of comprehensive, data driven nutrition
intervention programs to cover at least 73 of most
vulnerable sub-districts within FTF zone
• FTF nutrition programs are linked to both agriculture and
health interventions
• WASH program implemented in selected sub-districts
linked to nutrition programs
• GHI funding a food security and nutrition monitoring
system
• Research on innovative, market-based approaches to
improving nutrition 3
USAID/Bangladesh’s geographic coverage
• 73 sub-districts of 99
in Barisal and Khulna Divisions with
comprehensive set
of nutrition
interventions by FY
14
• This number does
not include
SPRING’s FY14
expansion into
additional upazilas
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Coordination and Partnerships
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MISSION – Lessons Learned
• Positive internal relationship between offices influences relationships among implementing
partners
• Nutrition projects should participate in FTF and GHI
partner meetings to promote collaboration
• Include nutrition indicators in mission-level FTF
management system
• Nutrition projects should collaborate with both
Ministry of Health and Ministry of Agriculture for
sustainability of ag-nutrition interventions
• Front Office support
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SPRING/Bangladesh overview
• Pregnant and lactating women
and children under 2 (1000 days approach)
• Improve nutritional status of
women and children
- Improve nutritional practices
- Increase dietary diversity and food
quality
- Decrease burden of disease
How we planned an integrated nutrition, hygiene and agriculture approach
• Pathway to change to
assess determinants of undernutrition
• Mapping of current
health, nutrition and agriculture
• Collaboration and
advocacy with GOB and
NGO partners
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Streamlined ENHA message
Exclusive breastfeeding
Child’s complementary
feeding
Hand washing after defecation
Hand washing before handling
food
Women’s nutrition –
dietary diversity
Selection criteria:
•Based on body of
knowledge on nutrition,
GOB standard
•Practical, easy to
adapt
•Combined key
messages
•Shown to be a
determinant either from
pathway to change or
conceptual framework
on malnutrition
•SPRING could directly
influence
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How we implement integrated nutrition, hygiene and agriculture interventions
• Capacity building
oGOB health and agriculture workers;
oTechnical officers, peer
facilitators with community
groups and INGOs
• Farmer Field Schools to
increase household access
and utilization of diversified
foods
Frontline GOB health, agric
workers
Partner
INGOs
Farmer
Field
Schools
How we implement FFS
• Bimonthly meetings of PLW at a learning plot
• Support with seeds of nutrient-rich vegetables for
two seasons
• Support with poultry sheds for chicken rearing
• Harvest are primarily for consumption
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How ENHA is integrated into FFS • Training SPRING FFS field
facilitators on ENHA
• FFS guide was revised to
incorporate nutrition and hygiene
sessions
• ENHA messages were streamlined
to key “small do-able actions”
e.g. tippy taps
• Key messages and practices are
repeated at each session
• Sessions are practical and attend
to immediate agricultural,
nutrition or hygiene concerns
raised by the mothers
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How ENHA is integrated into activities of agriculture projects
•Key messages on
dietary diversity,
women’s nutrition and
hygiene are integrated into
courtyard sessions
•Co-targeting with
WorldFish, USAID
Horticulture project
•Serve as advocates
to predominantly male
members of the community
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Follow-up to training activities
• Monthly home visits to FFS households
• Quarterly supportive supervision to
trained GOB staff
• Joint home visits with GOB staff and
SPRING field facilitator
• Cross trainings on fish production from
WorldFish
14
Implementation challenges
• Clarity on role of the nutrition project
• Supervision of trained staff with other
projects
• Co-targeting
• Time constraints
• Market linkage
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Opportunities
• Less prescriptive, more flexible proposal
being centrally awarded
• USAID's insistence to partners to collaborate
- firm, repeated, encouraged
• USAID’s comfort with shared attribution
• Supportive nutrition and health partners
within GOB
• GOB’s Department of Agricultural
Extension’s willingness to collaborate
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Lessons learned from implementation
• Seek for mutual benefit, understand
collaborators
• Start small, be practical
• Share the results, coordinate and constantly
engage GOB, partners and collaborators
• Surprising enthusiasm from DAE
• Generate evidence
• Get buy-in to include indicators that allow for
monitoring and longer term evaluation
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Thank you and questions!
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