F O O D I N S E C U R I T Y : D O U B L E B U R D E N O F M A L N U T R I T I O N

E X P E R I E N C E S I N T H E P R E V E N T I O N O F C H R O N I CM A L N U T R I T I O N A N D E F F O R T S T O I N C R E A S E F O C U S O N O V E R N U T R I T I O N

Paige Harrigan Senior Nutrition Advisor Save the Children

SNEB August 2, 2016

2

Purpose of the Session:

IntroductionOverview of experience, tools, evidence generation and impact in the prevention of chronic malnutrition in the countries with the highest malnutrition burdens with an overview of recent experience steps to expand the focus to include more work and greater investment in undernutrition.

Personal observations

3

Slide 2 – Intro SC- slide of SCUK Nutrition portfolio (descriptive)

– chronic and acute malnutrition

4

SCUK PPQ Nutrition Programmes in 22 countries..

5

SCUK Global Footprint countries

High burden country (Lancet

definitiona)

Countries with SCUK nutrition

programmes

Scaling Up Nutrition

(SUN) member

Focus countries of main donorse

Breakdown of SCUK’s 21 focus countriesb

(highlighted in orange)

Priority levelc

If signature programme, type specifiedd

Afghanistan √ √ A EAngola √

Bangladesh √ √ √ DFID, CIFF A H,CPBrazil C -

Burkina Faso √ √ √Cameroon √ √

Chad √ √China C -

Cote d’Ivoire √ √DRC √ √ √ A NCS,CPEgypt √

Ethiopia √ √ √ DFID, CIFF A NCSGhana √ √

Guatemala √ √India √ √ DFID, CIFF C NCS

Indonesia √ √ B CPIraq √

Kenya √ √ √ A NCS,H, CPLaos √ √ √

Liberia √ B NCS,CPMalawi √ √ √

Mali √ √Mozambique √ √ B -

Myanmar √ √ √ B -

6

a The 34 countries with latest national stunting estimate ≥ 20% and population affected covering 90% of total child stunted population (1)b Afghanistan, Bangladesh, Ethiopia, Pakistan, South Sudan, DRC (Democratic Republic of Congo), Kenya, Nigeria, Somalia, Liberia, Mozambique, Myanmar, Sierra Leone, Tanzania, Niger, Indonesia, Zimbabwe, India, South Africa, Brazil, China (highlighted in bold).c A- maximum breakthrough, B- High breakthrough, C- global footprintsd SCUK signature programmes: NCS- Newborn Child Survival, H- Hunger& Livelihoods, E- Education, CP- Child Protection

SCUK Global Footprint countries

High burden country (Lancet

definitiona)

Countries with SCUK

nutrition programmes

Scaling Up Nutrition

(SUN) member

Focus countries of

main donorse

Breakdown of SCUK’s 21 focus countriesb

(highlighted in orange)

Priority levelcIf signature programme, type

specifiedd

Nepal √ √ √ DFIDNiger √ √ √ B -

Nigeria √ √ √ DFID A NCSNorth Korea √ √

Pakistan √ √ √ A NCS,HPhilippines √

Rwanda √ √ √Sierra Leone √ B NCS

Somalia √ A -South Africa √ C -South Sudan √ √ A E

Sudan √Tanzania √ √ √ B NCSUganda √ √Vietnam √ √Yemen √ √ √Zambia √ √

Zimbabwe √ DFID B -Total 34 22 28 21 13

Covered by SCUK nutrition

programmes

19/22 22 16/22 14/21 11/21

7

The Lancet’s package of interventions with the potential to reduce stunting by 20% if scaled up to 90% and save an estimated 900,000 lives

Nutrition intervention/behaviour Present in SCUK programmes

No. of SCUK programmes with

these interventions

peri-conceptual folic acid supplementation √ 5maternal balanced energy protein

supplementationX 0

maternal calcium supplementation √ 1multiple micronutrient supplementation in

pregnancy√ 5

promotion of breastfeeding √ 37appropriate complementary feeding √ 37

vitamin A administration √ 13preventive zinc supplementation in children aged

6–59m√ 3

management of severe acute malnutrition (SAM)

√ 31

management of moderate acute malnutrition (MAM)

√ 24• Strong focus on IYCF and CMAM• Minimal number of pre-conception/ maternal interventions• Minimal number of programmes with preventative zinc

supplementation

8

Slide 3- conceptual frameworks

Unicef, lancet , socio-ecol

Which one?

8

9

Unicef CF, Lancet, Socio ecol

Slide 3 – conceptual frameworks

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Social and Behaviour Change Communication

11

Slide 4 - SCUK MIYCN Nutrition Strategy

Insert diagram

SC (chronic and acute malnutrition) – Full spectrum

Research and evidence

Scale up of Behaviour Centered Programs MIYCN (mat nutrition, breastfeeding, complementary feeding)– (determinants, quality, community)

Advocacy

We are at invest and test and innovations with undernutrition/obesity prevention and control. part of Children 2030 Strategy. Picture SCUK Model

12

Slide 5:Other current and emerging platforms SC

ECDSchool Health and Nutrition*Adolescent nutrition 2016-18 strategy.Maternal Health and NutritionLimited current funding from foundations, individual donors, multilaterals, bilaterals, sponsorship

13

Situational Analysis HEA Cost of the Diet*** (complementary

feeding barriers – food insecurity, cost of the food, cultural) – unpacking this is harder than it looks and there is much more we can do with consultation here.

Formative Research/Barrier Analysis

(determinants, quality, community) ( I have noted my most recent trips in

remote remote settings that young mothers have mentioned concerns about weight gain, too much fat consumption in addition to cost of foods- most interesting – a first for me)

Slide 6- Slide 6. Select Tools and Methods SC NUTRITION

14

av

Slide 7-IYCF and IYCF-E - Slide 7.Full spectrum/Links emergency to Non-emergencyIYCF Handshake

15

Slide 8 - Overnutrition SNAPSHOT

Slide 8. Overnutrition SNAPSHOT

Latin America/US/Asia

Advocacy Focused

Program Support –promotion of physical exercise, reduce screen time

Distinct

16

Slide 9. Big questions/Challenges:

Slide 9. Big questions/Challenges:

Behavioural determinants

Resource constraints driving decisions and actions

Urbanization

Climate Change

17

Slide 10 In closing

Slide END Thank You

18

THANK YOU

Guatemalan Girls

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19

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ADDITIONAL SLIDES (may be used for discussion)

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IYCF is Infant and Young Child Feeding

PRACTICES Behaviour-Centered Programming Successful IYCF interventions at scale rely on

behaviour and social change – which is reached through political commitment, evidence based standards and norms, adequate resource allocation, capacity development and effective multiple level communication strategies

Sources: UNICEF IYCF Programming Guide May 2011, Alive and Thrive technical briefs 2014, and materials from the Manoff Group and SC

21

Selection of Evidence Based Strategies to support IYCF practices (1 of 2)

Maternity care practices

Professional support/Service Delivery Improvement

Lay and peer support

Community-based breastfeeding promotion and support

Summarized Unicef IYCF Programming Guide

22

Selection of Evidence Based Strategies to support IYCF practices (2 of 2)

Media and social marketing

Workplace

Nutrition education improves caregiver CF practices – use of multiple channels

Summarized Unicef IYCF Programming Guide- citations

23

National level processes and actions (legislation, Strategies, Guidelines)

Health services actions(skilled support, training curricula for IYCF counselling at HF, capacity development, supervision, BFHI)

Community level actions –community level counselling and support (IPC, skilled community workers/volunteers, support groups, training)

Communication for social and behaviour change (multiple channels, inc media, print, advocacy)

IYCF in exceptionally difficult circumstances, including HIV/AIDS and emergencies

Situational Analysis, monitoring, information systems, evaluation

Integration with additional cross-sector approaches

Components for Comprehensive IYCF Strategy

A comprehensive IYCF strategy needs to include context-specific package of actions at different levels that need to be implemented together including:

24

DIFFERENT FOCUS but SIMILAR ACTIVITIES

IYCF- Promote, protect and support

optimal IYCF

- Improve IYCF practices

- Improve Nutrition and Health Status

- Situational Analysis, qualitative and quantitative to understand and design around behaviours

- Specialized communication, counselling and support

- Comprehensive and multiple contact points

IYCF-E- Do NO harm- Immediately save lives- Promote, protect and

support optimal IYCF- Improve key IYCF

practices (if possible)- Comprehensive and

Multiple contact points

25

IYCF Components and Actions: (time line

UNICEF IYCF Programming Guide 2011

26

Same objectives, different balance of strategy in IYCF-E IYCF /

BMS counselling

IYCF-E Support

Enabling environment

Communications

IYCF-E

Selection of Key interventions and Actions

Individual caregiver and family level – practice of recommended BF and CF behaviours, care seeking, maintaining supportive environment for mothers and infants, limited IPC/individual counselling and support. Support: Camp level/community level, IYCF support groups, Health services, outreach, food distribution contact points, training and supervision.Enabling Environment: Advocacy, Joint Statements, resource allocations, consistent and updated IYCF -E legislation and policy implementation, preparedness in place, rapid roll out of response, situational analysis, collection, analysis use and reporting of IYCF data.Media multiple, social mobilization, participation in groups promoting IYCF-E

Diagram taken from integration of IYCF into CMAM materials

27

Sit Analysis, Monitoring, Evaluation, research, Information Systems

Communication for Social and Behaviour

change- multiple channel

Community/local Level counselling, support,

CHW/CV training and supervision, peer groups

Skill development, training, IYCF curricula supervision facility level

National Level Policy, processes, legislation, Norms, Standards

IYCF IYCF-E

IYCF – IYCF-E Continuum:

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Reality

IYCF-E often ‘missing’ in emergency response Nutrition cluster not activated. No IYCF-E lead designated. If running IYCF, no need for IYCF-E.

‘Ad hoc’ (promotional) response Joint statement released, ‘Added on to’ other programmes, Stopping ad hoc donations.

29

Reality – How to manage in an emergency?

Focus on need of the majority

Prioritize support

Need to rapidly increase knowledge and capacity of certain groups

29

30

IYCF-E is better with STRONG IYCF base

- E.g. A confident breastfeeding mother will continue to breastfeed during an emergency. Will be more resilient.

Ability to cope…

TIME

IYCF needs

Major emergencies

31

Reality (contd.) Poor IYCF programme

IYCF skills in non-emergency contexts useful but not fully transferable to meet IYCF-E needs

No focus on additional / differing needs of caregivers in emergencies

32

IYCF-IYCF-E Links for Quality Preparedness for a Response

Is your agency ‘IYCF AND IYCF-E Friendly’? What policies/systems need to be put in place? Who needs to be involved in decisions? Think about the differing emergency contexts – need

to address them ALL What tools are available or could be adapted? Who could you work with /collaborate with? What are YOUR next steps?

33

In Conclusion IYCF and IYCF-E

KEY POINTS• There are strong overlaps in the IYCF and IYCF-E

continuum• But the reality of emergencies means that there are also

differences• IYCF has stronger materials, tools, strategies but as the focus

changes in emergencies, different tools and activities need to be appropriated for IYCF-E

• Preparedness is key for quality response – can’t sort this in an emergency

• YOU need to take action NOW before an emergency

34

SCUK PPQ Nutrition Programmes in 22 countries..

35

SCUK Global Footprint countries

High burden country (Lancet

definitiona)

Countries with SCUK nutrition

programmes

Scaling Up Nutrition

(SUN) member

Focus countries of main donorse

Breakdown of SCUK’s 21 focus countriesb

(highlighted in orange)

Priority levelc

If signature programme, type specifiedd

Afghanistan √ √ A EAngola √

Bangladesh √ √ √ DFID, CIFF A H,CPBrazil C -

Burkina Faso √ √ √Cameroon √ √

Chad √ √China C -

Cote d’Ivoire √ √DRC √ √ √ A NCS,CPEgypt √

Ethiopia √ √ √ DFID, CIFF A NCSGhana √ √

Guatemala √ √India √ √ DFID, CIFF C NCS

Indonesia √ √ B CPIraq √

Kenya √ √ √ A NCS,H, CPLaos √ √ √

Liberia √ B NCS,CPMalawi √ √ √

Mali √ √Mozambique √ √ B -

Myanmar √ √ √ B -

36

a The 34 countries with latest national stunting estimate ≥ 20% and population affected covering 90% of total child stunted population (1)b Afghanistan, Bangladesh, Ethiopia, Pakistan, South Sudan, DRC (Democratic Republic of Congo), Kenya, Nigeria, Somalia, Liberia, Mozambique, Myanmar, Sierra Leone, Tanzania, Niger, Indonesia, Zimbabwe, India, South Africa, Brazil, China (highlighted in bold).c A- maximum breakthrough, B- High breakthrough, C- global footprintsd SCUK signature programmes: NCS- Newborn Child Survival, H- Hunger& Livelihoods, E- Education, CP- Child Protection

SCUK Global Footprint countries

High burden country (Lancet

definitiona)

Countries with SCUK

nutrition programmes

Scaling Up Nutrition

(SUN) member

Focus countries of

main donorse

Breakdown of SCUK’s 21 focus countriesb

(highlighted in orange)

Priority levelcIf signature programme, type

specifiedd

Nepal √ √ √ DFIDNiger √ √ √ B -

Nigeria √ √ √ DFID A NCSNorth Korea √ √

Pakistan √ √ √ A NCS,HPhilippines √

Rwanda √ √ √Sierra Leone √ B NCS

Somalia √ A -South Africa √ C -South Sudan √ √ A E

Sudan √Tanzania √ √ √ B NCSUganda √ √Vietnam √ √Yemen √ √ √Zambia √ √

Zimbabwe √ DFID B -Total 34 22 28 21 13

Covered by SCUK nutrition

programmes

19/22 22 16/22 14/21 11/21

37

The Lancet’s package of interventions with the potential to reduce stunting by 20% if scaled up to 90% and save an estimated 900,000 lives

Nutrition intervention/behaviour Present in SCUK programmes

No. of SCUK programmes with

these interventions

peri-conceptual folic acid supplementation √ 5maternal balanced energy protein

supplementationX 0

maternal calcium supplementation √ 1multiple micronutrient supplementation in

pregnancy√ 5

promotion of breastfeeding √ 37appropriate complementary feeding √ 37

vitamin A administration √ 13preventive zinc supplementation in children aged

6–59m√ 3

management of severe acute malnutrition (SAM)

√ 31

management of moderate acute malnutrition (MAM)

√ 24• Strong focus on IYCF and CMAM• Minimal number of pre-conception/ maternal interventions• Minimal number of programmes with preventative zinc

supplementation

38

Who are PPQ targeting?

*

* This category means targets only CU2. CU5 category will also include CU2 for the most part, and PLW will indirectly benefit CU2

Chart1

children under 2children under 2children under 2children under 2children under 2children under 2

children under 5children under 5children under 5children under 5children under 5children under 5

pregnant & lactating womenpregnant & lactating womenpregnant & lactating womenpregnant & lactating womenpregnant & lactating womenpregnant & lactating women

women of child bearing agewomen of child bearing agewomen of child bearing agewomen of child bearing agewomen of child bearing agewomen of child bearing age

communitiescommunitiescommunitiescommunitiescommunitiescommunities

caregivers of childrencaregivers of childrencaregivers of childrencaregivers of childrencaregivers of childrencaregivers of children

South & Central Asia

South East Asia & Pacific

West & Central Africa

East Africa

Southern Africa

LACME

Number of programmes

3

2

2

2

0

0

7

1

8

18

3

1

7

3

5

16

4

1

1

0

0

4

1

0

4

1

2

7

2

2

4

1

2

3

0

0

Focal Points - HQ, Regional

Last Updated

Nutrition Focal Point - HQ Level

MemberNutrition Focal PointPosition/TitleEmergency/DevelopmentLocationEmail AddressPhone NumberSkype

SCI

SCUKAli MaclaineSenior Humanitarian Nutrition Advisor (HTU)EmergencyLondona.maclaine@savethechildren.org.uk0044*(0)*2070126482ali.maclaine

SCUKGeraldine Le CuziatHumanitarian Nutrition Advisor (HTU)EmergencyLondong.lecuziat@savethechildren.org.uk

SCUKAlex ReesHead of Hunger Reduction and Livelihoods (PPQ)DevelopmentLondona.rees@savethechildren.org.uk

SCUKEmily KeaneNutrition Advisor (PPQ)DevelopmentLondone.keane@savethechildren.org.uk

SCUKAndrew HallResearch Nutrition (PPQ)DevelopmentLondona.hall1@savethechildren.org.uk

SCUSSarah ButlerEmergency Nutrition Advisorsbutler@savechildren.org1.202.640.6634

SCUSSuzanne BrinkmannNutrition Advisorsbrinkmann@savechildren.org1.202.640.6801

SCUSKathryn BollesSenior Director Emergency Health & Nutritionkbolles@savechildren.org

SCUSSarita FritzlerProgram Coordinator Emergency Health & Nutritionsfritzler@savechildren.org

SCUSJesse HartnessAssociate Director Emergency Health & Nutritionjhartness@savechildren.org

SCNorwayKristin IngebrigtsenNutrition AdvisorOslokristin.ingebrigsten@reddbarna.no

SCCanadaJanani VijayaraghavanTechnical Advisor, Child Health and NutritionTorontojvijayaraghavan@savethechildren.caTel: (416) 221-5501 x288 | Direct Line: (416) 218-1887

SCSwedenEllen Girerd-Barclayegirerdbarclay@yahoo.com

Nutrition Focal Point - Regional Level

RegionNutrition Focal PointPosition/TitleLocationEmail AddressPhone NumberSkype

East AfricaAssupmta NdumiRegional Nutrition AdvisorDevelopmentNairobia.ndumi@savethechildren.org.uk

East AfricaAlison DonnellyEmergency Regional Nutrition AdvisorEmergencyNairobia.Donnelly@savethechildren.org.uk

West AfricaAurelien BarriquaultRegional Nutrition AdvisorA.Barriquault@savethechildren.org.uk

AsiaLily SchofieldRegional Nutrition Advisor

Nutrition Emergency/Humanitarian Response Personnel

NamePosition/TitleLocationEmail AddressPhone NumberSkype

SCUKJemal Seid MohammedERProvingJ.SeidMohammed@savethechildren.org.uk251911770718 or 251920726433

SCUKZeno MhangaERProvingz.mhanga@savethechildren.org.uk+255 (784) 417 666

SCUKAlfred SambouERProvinga.sambou@savethechildren.org.uk

SCUKPaul WasikeERPSeconded to global nutrition clusterodingowasike@gmail.comHome Phone No.: +254 722 978 520 Mobile Phone No.: +254 733 926 622

SCUKTBCERProving

SCUSTBCHRProving

* The purpose of this table is to map all humanitarian nutrition programmessupported by SCI; to have a better understanding of what we are doing where; to facilitate cross-programme learning; to ease communication; to specify technical assistance needs; and to identiy research opportunities

a.maclaine@savethechildren.org.uk

g.lecuziat@savethechildren.org.uk

sbutler@savechildren.org

sbrinkmann@savechildren.org

a.ndumi@savethechildren.org.uk

a.Donnelly@savethechildren.org.uk

A.Barriquault@savethechildren.org.uk

e.keane@savethechildren.org.uk

kbolles@savechildren.org

jhartness@savechildren.org

a.hall1@savethechildren.org.uk

sfritzler@savechildren.org

a.rees@savethechildren.org.uk

z.mhanga@savethechildren.org.uk

a.sambou@savethechildren.org.uk

kristin.ingebrigsten@reddbarna.no

jvijayaraghavan@savethechildren.ca

Focal Points - Country

Last UpdatedNOTE: red highlighted boxes show main nutrition lead in the country if there is more than one.

Nutrition Focal Points - Country Level

CountryNutrition Focal PointPosition/TitleEmail AddressPhone NumberSkype

AfghanistanDr Akbar SawaboonNutrition AdvisorMohammadAkbar.Sabawoon@savethechildren.org

AfghanistanDr. Mohammed Ismail YousofiManager for CMAM UNICEF Grantmohammedismail.yousofi@savethechildren.org

ArmeniaIren SargsyanHealth Thematic Contactisargsyan@savechildren.org

AzerbaijanLeyla MustafayevaHealth Thematic Contactlmustafayeva@savechildren.org

BangladeshDr Munir AhmedDirector of Hunger & Healthmunir@savethechildren-bd.org

BangladeshKhodada Hossain SarkerEmergency Focal Personkhodada@savethechildren-bd.org

Bhutan

Burkina FasoJean NadebegaProgram Manager-NutritionJean.Nadembega@savethechildren.org+226 70206492jean.nadembega

Burkina FasoVincker Lushombo; GratienMedical & Nutrition Supervisor- Mweso; Medical & Nutrition Supervisor- Masisi DRCdrlushombovincker@yahoo.fr: nendakagratien@yahoo.fr

China

Cote d’IvoireSophie Bruneausophieb@ci.savethechildren.se

Cote D'IvorePatrice AdingraCoordination Officer Health-NutritionPatrice.Adingra@savethechildren.org

DPR Korea

DRCArsene NiangoranHealth and Nutrition CoordinatorArsene.Niangoran@savethechildren.org

Egypt

El SalvadorLuis Penuttlpenutt@savechildren.org

EthiopiaYetayesh MaruNutrition Program ManagerYMaru@savechildren.org

EthiopiaMillion Shibeshi TadesseHead of NutritionMillion.Shibeshi@savethechildren.org

EthiopiaPeter Muhangi

Georgia

Ghana

GuatemalaMaria Ester Bucaro

Guinea

HaitiBeverly Staufferbeverly.stauffer@savethechildren.org

HaitiLisa Laumannllaumann@savechildren.org

IndiaDr Ishaprasad BhagwatNational & Nutrition Programme Manageri.bhagwat@savethechildren.in

IndiaRajiv TandonSenior Health & Nutrition Advisorr.tandon@savethechildren.in

IndonesiaJohn LundineHealth Thematic Contactjlundine@savechildren.org

JordanAbrar Al AreedNutrition CoordinatorAALAreed@SaveTheChildren.Org.Jo

JordanBasma Al HanbaliNutrition Awareness CoordinatorBALHanbali@SaveTheChildren.Org.

JordanRasha Al ZainNutrition Team Logistics CoordinatorRALZain@SaveThechildren.Org.Jo

KenyaWema Aderewema.adere@savethechildren.org

KenyaJuliana Muirurij.muiruri@scuk.or.ke

KenyaCaroline Kimerec.kimere@scuk.or.ke

LebanonRindala BerroAdolescent Sexual Health ManagerRindala.berro@savethechildren.org

Liberia

MalawiEmanuel Bandaebanda@savechildren.org

MaliSeybou DiarraSchool Health and Nutrition Coordinatorsdiarra@savechildren.org

MozambiqueKerry SylvesterTechnical Consultant - Food Security/Nutritionskerry@virconn.com

MozambiqueSamuel MaibasseSamuel.maibasse@savethechildren.org

MyanmarJennie HiltonNutrition AdvisorJennie.Hilton@savethechildren.org / jhilton@savechildren.org.mm

MyanmarAnais LafitteEmergency Nutrition Advisoranais.waroquier@savethechildren.org

NepalNeera Sharma/Honey Mallaneera.sharma@savethechildren.org

NepalKedar ShahProgramme Coodinatorkedar.shah@savethechildren.org

NigerSaidou KaboreNutrition Advisorsaidou.kabore@savethechildren.org

NigerDr Saadou Mustaphanutco@savethechildrenniger.org

NigeriaKarina LopezNutrition AdvisorKarina.Lopez@savethechildren.org

Nigeriaa.oseni@scuknigeria.org

Nigeriai.oloriegbe@scuknigeria.org

NigeriaMaxwell RampsArea Manager Katsinam.ramnaps@scuknigeria.org

PakistanAsif IqbalNutrition Program Manageriqbal.asif@savethechildren.org

PakistanAsfandyar AsfandyarNutrition Coordinatorasfandyar.asfandyar@savethechildren.org

PakistanBushra RashidNutrition ManagerBushra.Rashid@savethechildren.org

PakistanDr. Aftab BhattiSenior Nutrition Coordinatoraftab.bhatti@savethechildren.org

PhilippinesAmado ParawanHealth Advisoramado.parawan@savethechildren.org

RwandaJeanne d'Arc NyirajyambereNutrition Adviser (in SCUK/CHF programme)jnyirajyambere@rw.chfinternational.org OR jeannedarc@savethechildren.org.rw

RwandaGeoffrey KayijukaSenior Health and Nutrition Programme Officergeoffreyhpo@savethechildren.org.rw

Sierra LeoneFahed ZeeshaHealth programme advisor (but working as Nutrition Advisor)f.zeeha@savethechildren.sierraleone.org

SomaliaZinet NezirHead of NutritionZinet.Nezir@savethechildren.org

SomaliaOnesmus MuindeDeputy head of nutritiononesmus.muinde@savethechildren.org;

SomaliaRachel MoseNutrition Advisorrachel.mose@savethechildren.org;

South Africa

South SudanFlorence NjorogeNutrition AdvisorFlorence.Njoroge@savethechildren.org

South SudanMark WamalwaNutrition Program Managerwwamalwa@yahoo.com

Sri LankaVasavan ArumugamHousehold Economic Security Advisorvasavan@savethechildren.lk

SudanDr. Ishtiaq BashirHealth & Nutrition Advisoribashir@savechildren.org

SudanHusna Mansour Kuwa TutuNutrition Officerhusnamansour@yahoo.com

SudanMubarak Musa HarounNutrition Program Coordinatorbarakatmusa@yahoo.com

SyriaSally KaidNutrition Programme Managersally.kaid@savethechildren.org

SwazilandNathi VilakatiProgrammes Coordinatornvilakati@savethechildren.org.sz

TajikistanGulchehra BoboevaHealth Programme Managergulchehra.boboeva@savethechildren.org

TajikistanShahlo Yarbaevashahlo.yarbaeva@savethechildren.org

TanzaniaJoseph MugyabusoProject Manager, Nutrition Partnershipj.Mugyabuso@savethechildren.or.tz

Uganda

VietnamHa Thanh Binhhathanh.binh@savethechildren.org

West Bank/Gaza

YemenDr. Ibraheem ShihabSenior Health & Nutrition Program Managershihab.ibraheem@savethechildren.org

YemenKiross TeferaNutrition AdvisorKiross.Tefera@savethechildren.org

YemenRamla Ali Haj OsmanNutrition Coordinator, Sanaaramla.ali@savethechildren.org

YemenMona Fadhl Ali Al MaghafiNutrition Coordinator, Sanaamona.almaghafi@savethechildren.org

Zambiayetayesh MaruHealth Thematic ContactChilobek@saf.savethechildren.se

ZimbabwePatience ChikwandaNutrition Coordinatorpatiencec@savethechildrenzw.org

ZimbabweAlice Mazaruraalicem@savethechildrenzw.org

MohammadAkbar.Sabawoon@savethechildren.org

neera.sharma@savethechildren.org

beverly.stauffer@savethechildren.org

lpenutt@savechildren.org

lmustafayeva@savechildren.org

isargsyan@savechildren.org

j.Mugyabuso@savethechildren.or.tz

Chilobek@saf.savethechildren.se

gulchehra.boboeva@savethechildren.org

jlundine@savechildren.org

ebanda@savechildren.org

hathanh.binh@savethechildren.org

munir@savethechildren-bd.org

shihab.ibraheem@savethechildren.org

patiencec@savethechildrenzw.org

Million.Shibeshi@savethechildren.org

Florence.Njoroge@savethechildren.org

Karina.Lopez@savethechildren.org

Jennie.Hilton@savethechildren.org / jhilton@savechildren.org.mm

BALHanbali@SaveTheChildren.Org.

a.oseni@scuknigeria.org

i.oloriegbe@scuknigeria.org

amado.parawan@savethechildren.org

wwamalwa@yahoo.com

mohammedismail.yousofi@savethechildren.org

husnamansour@yahoo.com

barakatmusa@yahoo.com

asfandyar.asfandyar@savethechildren.org

aftab.bhatti@savethechildren.org

mona.almaghafi@savethechildren.org

ramla.ali@savethechildren.org

RALZain@SaveThechildren.Org.Jo

i.bhagwat@savethechildren.in

Jean.Nadembega@savethechildren.org

anais.waroquier@savethechildren.org

m.ramnaps@scuknigeria.org

onesmus.muinde@savethechildren.org;

rachel.mose@savethechildren.org;

f.zeeha@savethechildren.sierraleone.org

kedar.shah@savethechildren.org

Bushra.Rashid@savethechildren.org

nutco@savethechildrenniger.org

wema.adere@savethechildren.org

Samuel.maibasse@savethechildren.org

KEY PROGRAMME INFO

SCI (Emergency) Nutrition Programmes (May 2013)

Country OfficeLocation/District of SCUSLocation/District of SCUKSCOTPTSFPMRPIYCF (General)IYCF-E (Emergencies)BSFPMicronutrient SupplementationHIV Nutrition ProgrammingOther Nutrition ProgrammesSMARTSQUEACNutrition Surveillance OngoingOther SurveysComments

YES/NOYES/NOYES/NOYES/NOYES/NOYES/NOYES/NOYES/NOYES/NONAMEDate of most recentDate of most recentYES/NOName and Date

AfghanistanTakhar, Herat (Injel, Ghoryan, Kohsan, Karukh, Kurshk, and center Heart), Badghis Provinces, Uruzgan (Hadaaf)Kunduz province,YESYESYESYESYESYESHOME GARDENS, NUTRITION EDUCATIONYES

BangladeshBarisal, Chittagong and Sylhet DivisionsBarisal, Sylhet and Chittagong, Khulna and BagerhatYESYESHOME GARDENS, NUTRITION EDUCATIONYESEEP NUTRITION SURVEY (march 2011), COD (cost of diet)

Burkina FasoCentre Nord Region, Kaya and Barsalogho Health DistrictsKaya, Barsalogho and BoulsaYESYESYESCOD

DRCNorth Kivu, Masisi Territory, Luilu & kasai OrientalMpokolo , Nzaba and Bipemba, Kasai Oriental,YESYESYESYESADVOCACY, HOME GARDENSYESYESKAP survey

EthiopiaEast Badawacho & Demboya, SNNPR, Konso, Derashe, Alle, Lanfuro SNNPR, Somali Region, Harshin & Meiso, North Wello Zone, Amhara, Oromia, Tigray and SNNPR, Segene Area People Zone, Afar Region, Oromia Region, Shashogo & Sankura, SNNPRMeket and Abergele, Amhara Region, Gubalafto, Shinele, Hadigala & Ayishia woredas of Somali Region, Addis Ababa and the Regions, Bale zone, Oromiya Region, Arero, Dhas, Dillo, Dire, Miyo, & Moyale Woredas ofBorena Zone, Oromiya Region. Gode/Berano, Kalafo, Mustahil, Adadle & Ferfer Woredas, Shebelle Zone,Kebridehar & Shilabo/SheygoshWoredas, Korahe Zone. 3 Woredas of Bale Zone: Berbere, Legehida and SewenaYESYESYESYESYESYESYESADVOCACYYESYESnutrrition survey, KAP, IYCF

IndiaGumla district, Jharkhand State and Varanassi district, Uttar PradeshYESYESYESYESYES (feb 2013, feb 2014)baseline, midpoint, endpoint surveys

KenyaMandera, Wajir, and Turkana counties, North Eastern ProvinceMandera West, Wajir and Mandera, Turkana South, Turkana Central, Loima, Kibish, Turkana North, Mandera, Wajir, and Turkana countiesYESYESYESYESYESSupplementary feeding, counseling, nutrition education,capacity buildingJul-12YESDHS, biannual UNICEF nutrition survey

LaosYEScapacity building research

LiberiaMontserrado CountyYESnutrition education, advocacy

MalawiSouthern RegionMalemia, Mwambo, Chikowi, and Mulumbe in Zomba District and Kanduku and Nthache in Mwanza districtYESYESCommunity Complementary Feeding and Learning Sessionsnutrition assessment (july-aug 2013)

MyanmarRakhine StateSittwe and Pauktaw, RakhineYESYESYESYEScash for work, nutrition educationYES (july-aug 2013)IYCF, COD, monthly screening

MaliKayes ZoneYES

NepalDhanusha and Mahottari districtscash transfers,, nutrition education

NigerMaradi region, Tessaouamunicipalities of Kantché and Yaouri in the department of Zinder Region Matameye, Tahoua, Tillabery, Zinder & Maradi,YESYESYESYESYEScash transfers

NigeriaYobe, Jigawa, Katsina, Zamfara and Kebbi15 local government areas in 5 States in Northern Nigeria,Jigawa and Zamfara, Northern Nigeria, Katsina StateYESYESYESYESYESYES (sept 2013-june 2014)SLEAC

North KoreaHongwon County, South Hamgyong Provincehome gardens, nutrition educationKAP

PakistanSindh Province, Sanghar, Jacobabad,District Shikarpur Sindh Province, 60 number of Union Councils in Badin, Jacobabab, Sanghar, MirpurKhas, Tando Muhammad Khanand Umerkot DistrictsYESYESYESYESYESYEScash transfers, home gardens, nutrition educationNational Nutrition Survey (November 2011), COD, nutrition impact evaluation

PhilippinesAutonomous Region in Muslim Mindanao (ARMM), Davao Oriental and Agusan del SurYESYESYESYES?

RwandaRutsiro, Karongi, Nyamagabe, Nyawuguru, Nyanza, Huye, Gisagara and Ngororerohome gardens, nutrition educationKAP

SomaliaHiran, Mogadishu, Galgadud, Bay, Bakool regionsKarkaar and Bossaso and Garowe IDP settlements. Bay region (Baidoa), Bakool region (Rabdurre and Elbarde districts), Hiran (Beletweyne and Buloburte) and Benadir region (Wadajir, Bondheere, Abdi Aziz, Wardhigley, Dharkanley, Hodan districts). Puntland and Somaliland. Hiran districts: Mataban and Beletweyne, Puntland districts: Garowe and BossasoYESYESYESYESYESYESYESIYCF, KAP, MAP surveys

South SudanSouth SudanJonglei State (Akobo and Nyirol) and Kapoeta North. 1) Jonglei (all counties)2) Upper Nile (Maban, Nasir, Ulang, Baliet) 3) Unity (Panyjar, Koch, Mayom, Abiemnhom, Mayendit) 4) NBeG (all counties) 5) Warrap (all counties) 6) Eastern Equatoria (Kapoeta East, Kapoeta North) 7) WBeG (Raga, Wau, Jur River) 8) Abyei area. Jonglei-Pibor, Akobo, Nyirol, Ayod, Fangak, Pochalla, Urol, Duk. Upper Nile -Maban, Nasir and Ulang. Unity-Panyjar, Koch, Mayom, Abiemnhom, and Mayendit 4. NBeG- Aweil East and North 5. Warrap- Twic and Abyei area 6. WBeG-Raga. in Bor, Nyirol and Akobo Counties of Jonglei State, Wulu County in Lakes State and Kapoeta North and Kapoeta East County, Eastern Equatorial State, Malakal and Maiwut in Upper Nile State.YESYESYESYESYESYESYESgeneral CMAM training, nutrition education, home gardensYES (pre, post harvest)YESKAP, rapid assessment

SudanWest Darfur, South KordofanYESYESYESYES

tanzaniaMagu DC, Nzega, Shinyanga Rural and Shinyanga MC districts and Masasi, Lindi MC, Mtwara MC and Nachingwea districts, Lindi Rural and Ruangwa DistrictsYESYESYESYESYESadvocacy, home gardens

VietnamThuong Xuan District, Thanh Hoa ProvinceYES

YemenNorth, South, and Central YemenAl Meghlaf, Alluheyah, Al-Qanawees, Al-tuhaita Hodedia governance. Lahj and TaizYESYESYESYES?nutrition educationYES (baseline, endpoint)KAP

Key green: SCUS programmes

Grants and Programme Details

Last Update`

SCI Nutrition Programmes - Programme Information

PreventionCMAM / TreatmentOthersTotal Beneficiaries from proposalM&E and surveillanceIntegrationCommentsProject Timelines

Member Overseeing GrantCountry OfficeSCI RegionTotal population of target region(s) /district(s)Indirect Target beneficaries (where specified)Direct Target beneficaries (where specified)Total Reach (CU5)Project TitleProposal SummaryLocation/DistrictGrants NumberNutrition programme codeDonorCash FundingGoods in KindTotal Funding Amount CurrencyTechnical BackstopEmergency or Long Term FundingStart Date dd/mm/yyyyEnd Date dd/mm/yyyyIYCF (general) YES/NOBeneficiary TypePLWs, 6-59M etc.Target # beneficiaries Total CombinedIYCF-E (emergencies) YES/NOBeneficiary TypePLWs, 6-59M etc.Target # beneficiaries Total combinedBSFP YES/NOBeneficiary TypePLWs, 6-59m etcTarget # beneficiaries Total combinedMicronutrient supplementation YES/NOBeneficiary TypePLWs, 6-59m etcTarget # beneficiaries Total combinedNutrition Education / BCCBeneficiary TypePLWs, 6-59m etcTarget # beneficiaries Total combinedprevention total beneficariesScreening (MUAC and oedema)Beneficiary TypePLWs, 6-59m etcTarget # beneficiaries Total combinedSC YES/NOBeneficiary TypePLWs, 6-59m etcTarget # beneficiariesOTP YES/NOBeneficiary TypePLWs, 6-59m etcTarget # beneficiariesTSFP (ALL)Beneficiary TypePLWs, 6-59m etcTSFP CU5 YES/NOTarget # beneficiariestreatment total beneficariesHIV nutrition programming YES/NOBeneficiary TypeTarget # beneficiariesOther Nutrition Programmes (Name)Beneficiary TypeTarget # beneficiaries# health centres targeted# staff trainedother total beneficariesestimate of double countedMRP

SCUK/ALL SC/NOSMART included in proposalYES/NO DateSQUEAC included in proposalYES/NO DateOther Surveys / Assessments / Evaluations in proposal Name/DateLogFrame YES/NOAction / work plan YES/NONutrition under Health or Food SecurityIntegration with other sectorsFSL, Health, WASH etc.Implemention TypeDirect/MoH/ Partners2012201320142015

SCUSAfghanistanMiddle East & EurasiaAFG Capacity Building BPHS Implementers on CMAMTakhar, Herat (Injel, Ghoryan, Kohsan, Karukh, Kurshk, and center Heart), Badghis Provinces82600300 (SCI)UNICEF1,844,680 (AFN)1-Jan-1330-Apr-13YES0YESYES000123456789101112123456789101112123456789101112123456789101112

SCUSAfghanistanMiddle East & EurasiaUruzgan Health and Education ProgramUruzgan (Hadaaf)3600021 (SCI)AusAID14,687,321 AFN (for nutrition)12-Jan-1131-Jul-130YES000123456789101112123456789101112123456789101112123456789101112

SCUSBangladeshAlive & Thrive84044893 (SC US)AED/FHI3601-Oct-1121-Nov-13YES0000123456789101112123456789101112123456789101112123456789101112

SCUSBangladeshUnilever Bangladesh - Tackling Childhood MalnutritionBarisal, Chittagong and Sylhet Divisions82600145 (SCI)SC UK Various Individuals/ Unilever£942,000Long term1-Nov-1231-Oct-15YES0000123456789101112123456789101112123456789101112123456789101112

SCUSBurkina FasoEmergency Nutrition and Livelihoods Assistance for Drought Affected Families in Centre Nord Region, Burkina FasoKaya and Barsalogho health districts12400050 (SCI)CIDA1,000,000 (CAD)Emergency20-Aug-1231-Jul-13YES?0000123456789101112123456789101112123456789101112123456789101112

SCUSBurkina FasoEmergency Relief and Resiliency Building for Children Affected by the Food Crisis in Burkina Faso (ERRBC)Centre Nord Region84010491 (SC US)OFDA$992,867.00 USD05-Jun-1204-Jun-130YESYESYES000123456789101112123456789101112123456789101112123456789101112

SCUSDRCImproved Access to Comprehensive Quality Health Care in Masisi Territory (IMPAQ)North Kivu, Masisi Territory84010500 (SC US)OFDA$1,512,562 (USD)8-Sep-1215-Sep-13YES0YESYESYES000123456789101112123456789101112123456789101112123456789101112

SCUSDRCActions d'urgence de lutte contre la malnutrition aigue dans le territoire Luilu au Kasai OrientalLuilu & Kasai Oriental82600245 (SCI)UNDP$890,579 (USD)1-Sep-1215-Sep-130000123456789101112123456789101112123456789101112123456789101112

SCUSEthiopiaAlive & ThriveEast Badawacho & Demboya, SNNPR84044903 (SC US)AED/FHI360$527,969 (USD)Sarah ButlerLong term14-Jan-13YES0000123456789101112123456789101112123456789101112123456789101112

SCUSEthiopiaEmrg Nutrition Alle, Derashe, Lanfaro & Konso SNNPRKonso, Derashe, Alle, Lanfuro SNNPR84000341 (SCI)/ 84080604 (SC US)UNOCHA$432,579.17 (USD)7-Jun-1228-Feb-130YESYESYES000123456789101112123456789101112123456789101112123456789101112

SCUSEthiopiaEmergency Program Disaster Response Phase 2 Plan SC UKSomali Region82600330 (SCI)DEC (SC UK)£415,751Emergency1-Oct-1230-Jun-13YES0YESYESYES000123456789101112123456789101112123456789101112123456789101112

SCUSEthiopiaEmergency Health and Nutrition Response in Harshin and MeisoHarshin & Meiso82600344 (SCI)UNOCHA$333,270 USDEmergency1-Oct-1228-Feb-13YES0YESYESYES000123456789101112123456789101112123456789101112123456789101112

SCUSEthiopiaEmergency nutrition response in Meket, and Gubalafto Woredas in North Wello Zone, Amhara National Regional State (ANRS)North Wello Zone82600342 (SCI)UNOCHA$307,887 USD1-Oct-1215-Apr-13YES0YESYESYES000123456789101112123456789101112123456789101112123456789101112

SCUSEthiopiaEmpowering New Generations to Improve Nutrition and Economic opportunities (ENGINE) - An Integrated Nutrition ProgramAmhara, Oromia, Tigray and SNNPR84000330 (SCI)/ 84010473 (SC US)USAIDtotal award: $50,891,422 (USD)Long term1-Oct-1228-Sep-16YES0000123456789101112123456789101112123456789101112123456789101112

SCUSEthiopiaImproving access to and utilization of key maternal, newborn and child health and nutrition services in Segene Area People Zone of SNNPRSegene Area People Zone38000096 (SCI)SC Italy2,750,000 (EUR)1-Jan-1331-Dec-15YES0000123456789101112123456789101112123456789101112123456789101112

SCUSEthiopiaIntegrated Emergency Health and Nutrition Response in 6 woredas of Afar RegionAfar Region82600527 (SCI)UNOCHA$814,985 (USD)Emergency1-Feb-1330-Jul-13YES0YESYESYES000123456789101112123456789101112123456789101112123456789101112

SCUSEthiopiaIntegrated Health, Nutrition and Water Hygiene and Sanitation (WASH) InterventionSomali Regional State82600352 (SCI)ECHO800,000 (EUR)1-Oct-1231-May-13YES0YESYESYES000123456789101112123456789101112123456789101112123456789101112

SCUSEthiopiaIntegrated Health, Nutrition and WASH InterventionsOromia Region38000075 (SCI)SC Italy380,351 (EUR)1-Oct-1230-Jun-130YESYES000123456789101112123456789101112123456789101112123456789101112

SCUSEthiopiaEmrg Nutrition Shashogo & Sankura- SNNPRShashogo & Sankura, SNNPR84080606 ?UNOCHA$365,869.88 USD7-Jun-124-Mar-130YESYESYES000123456789101112123456789101112123456789101112123456789101112

SCUSKenyaENSURE: Enhancing Nutrition Preparedness, Surveillance, and Resilience in Kenya’s Arid and Semi-arid LandsMandera, Wajir, and Turkana counties82600513 (SCI)DFID£2,595,18611/1/1230-Oct-15YESYES0YES0Supplementary feeding, counseling00123456789101112123456789101112123456789101112123456789101112

SCUSKenyaIntegrated response and support to the management and treatment of malnutrition in Kenya, while building community resilience and preparednessNorth Eastern Province82600482 (SCI)ECHO1,500,000 (EUR)Long Term1-Nov-1231-Aug-13YESYES0YES000123456789101112123456789101112123456789101112123456789101112

SCUSMalawiEmergency Relief and Resiliency Building for Child Hunger Crisis in MalawiSouthern Region84010510 (SC US: AMS)OFDA$800,000 (USD)28-Jan-1327-Jan-14YESYES00Community Complementary Feeding and Learning Sessions00123456789101112123456789101112123456789101112123456789101112

SCUSMyanmarNutrition Emergency response to conflict affected IDPs, Rakhine StateRakhine State82600356 (SCI)SC Italy75,000 (EUR)1-Oct-1230-Apr-13YES0000123456789101112123456789101112123456789101112123456789101112

SCUSMaliOFDA Kayes Emergency Response ProgramKayes Zone84010486 (SC US)OFDA$999,665 USD24-Apr-1223-Apr-13YES0000123456789101112123456789101112123456789101112123456789101112

SCUSNigerBorn to Shine Appeal 2011: Improving the nutrition of children under five in Maradi region, NigerMaradi region82600731 (SCI)Emergency Appeal Funding (SC UK) & DFID£165,025 (Emergency Appeal); £165,025 (DFID)Emergency1-Mar-1331-Dec-13YES0YESYES000123456789101112123456789101112123456789101112123456789101112

SCUSNigerEmergency Livelihood Protection and Prevention of Malnutrition, NigerTessaoua, Maradi regions84010489 (SC US)OFDA$1,281,027 USD1-May-1230-Apr-13YES0YESYES000123456789101112123456789101112123456789101112123456789101112

SCUSNigeriaSupport for Effective replicable treatment and prevention of Malnutrition on Katsina StateKatsina State82600781 (SCI)ECHO1,650,000 (EUR)1-Nov-1228-Feb-13YES0YES000123456789101112123456789101112123456789101112123456789101112

SCUSNigeriaWorking to Improve Newborn and Child Nutrition in Northern NigeriaYobe, Jigawa, Katsina, Zamfara and Kebbi82600438 (SCI)DFID£17,400,000Long Term1-Sep-1131-Aug-17YESYES0YESYES000123456789101112123456789101112123456789101112123456789101112

SCUSPakistanWFP Community Based Management of Acute Malnutrition (CMAM) and infant and Young Child Feeding (IYCF) in selected districts of Sindh(Sanghar)Sindhone for each district: 84003436, 84003435, 84003437, 84003438, 84003439WFP1-Feb-1331-Jul-13YES0YESYESYES000123456789101112123456789101112123456789101112123456789101112

SCUSPakistanUnicef (SERP) Community Based Management of Acute Malnutrition (CMAM) incorporating “Infant and Young Child Feeding” (IYCF) in District Sanghar SindhSanghar84080613UNICEF$255,675 USD30-Oct-1220-Jan-13YESYES0YESYESYES000123456789101112123456789101112123456789101112123456789101112

SCUSPakistanSCUK PEFSA IV Emergency Food Security and Nutrition Support to disaster affected populations in Upper & Lower SindhUpper & Lower Sindh82615424ECHO$272,812 USD1-Feb-134/30/2013 (extended for 1 month)YES0YESYESYES000123456789101112123456789101112123456789101112123456789101112

SCUSPakistanFood Security Thematic Programme PakistanSindh Province, Shikarpur DistrictTBD but agreement signed in CGRSSC UK$14,812,022.71 USDLong Term1-Jul-121-Jun-16YESYES0YESYESYES000123456789101112123456789101112123456789101112123456789101112

SCUSPakistanCIDA(Floods 2012)Emergency Health and Nutrition Assistance to the flood affected communities of District JacobabadJacobabad12431080SC Canada$778,088.00 USD1-Apr-1330-Nov-13YES0YESYESYES000123456789101112123456789101112123456789101112123456789101112

SCUSPakistanSCUK PEFSA III Emergency Food Security and Nutrition Support to disaster affected populations in Lower SindhLower Sindh82608338SC UK (ECHO)$3,440,44815-Mar-1228-Feb-130000123456789101112123456789101112123456789101112123456789101112

SCUSPakistanSCUK Emergency Health and NFI Assistance for Flood Affected children in District Jacobabad of Sindh Province, PakistanJacobabad82601465SC UK (CEF)$104,142Emergency25-Sep-123/31/2013 (extended from November 2012)YES0000123456789101112123456789101112123456789101112123456789101112

SCUSPhilippinesWFP: MAMM Pilot ProjectAutonomous Region in Muslim Mindanao (ARMM)84003427 (SC US)WFP$385,373.161-Oct-1230-Apr-14YES?0YESYESYES000123456789101112123456789101112123456789101112123456789101112

SCUSPhilippinesManagement of Moderate Acute Malnutrition (MAM) as Emergency Nutrition Response for Typhoon Pablo Affected Areas in Davao Oriental and Agusan del SurDavao Oriental and Agusan del Sur84000534 (SCI)WFP3,133,612 PHPSuzanne Brinkmann1-Jan-1331-May-13YES?0YESYESYES000123456789101112123456789101112123456789101112123456789101112

SCUSSomaliaEmergency Nutrition in Hiran Mogadishu and Galgadud RegionsHiran, Mogadishu, Galgadud82600413 (SCI)UNICEF$382,989 (USD)1-Nov-125-Jul-13YES0YESYES000123456789101112123456789101112123456789101112123456789101112

SCUSSomaliaEmergency Nutrition Interventions for Drought and Conflict Affected Vulnerable Populations in Bay and Bakool regionsBay, Bakool regions82600703 (SCI)UNOCHA$804,151 (USD)20-Feb-1331-Dec-13YESYES0YESYESYES000123456789101112123456789101112123456789101112123456789101112

SCUSSouth SudanEmergency Nutrition and Child Protection Assistance for Children and Women in South SudanSouth Sudan12400051 (SCI)SC Canada- CIDA1,507,676 (CAD)1-Feb-1330-Apr-13YES0YES0general CMAM training00123456789101112123456789101112123456789101112123456789101112

SCUSSudanPromoting Resilience among communities In Darfur Environment (PRIDE)West Darfur84010515 (SC US)OFDA$1,800,214 USDLong term1-Mar-1328-Feb-14YES0YESYESYES000123456789101112123456789101112123456789101112123456789101112

SCUSSudanReinforcing Access to Lifesaving Interventions in South Kordofan ReALISKSouth Kordofan84010499 (SC US)OFDA$2,399,642.00 USD31-Aug-1231-Aug-13YES0YESYESYES000123456789101112123456789101112123456789101112123456789101112

SCUSSudanDarfur Emergency Assistance and Rehabilitation (DEAR) IIWest Darfur84010482 (SC US)OFDA$2,189,000 USDLong term12-Dec-1128-Feb-13YES0YESYESYES000123456789101112123456789101112123456789101112123456789101112

SCUSYemenSouth Yemen Health, Emergency Response and Preparedness, AdenHodeida (Central) & Aden, Lahj (South)84010466 (SC US)OFDA$2,452,428.00 USD1-Jul-1131-Mar-13YES0YESYES000123456789101112123456789101112123456789101112123456789101112

SCUSYemenChild Focused Health and Nutrition Emergency ResponseSa’ada, Hodeidah and Taiz governorates84010513 (SC US)OFDA$3,999,975.00 USD1-Mar-1328-Feb-14YES0YESYES000123456789101112123456789101112123456789101112123456789101112

SCUSYemenEmergency Nutrition Assistance to Vulnerable Population in YemenNorth, South, and Central Yemen84003410 (SC US)WFP$180,531.75 USD10-May-1231-Mar-13YES?0YESYES000123456789101112123456789101112123456789101112123456789101112

SCUSYemenRapid Response to Malnutrition Crisis in HodeidahHodeidah82600195 (SCI)UNICEF$1,996,522 USD1-Oct-1230-Sep-14YES0YESYESYES000123456789101112123456789101112123456789101112123456789101112

SCUSYemenEmergency targeted supplementary feeding program for vulnerable population in Yemen 2013Sa'ada, Hodeidah, and Taiz84000672WFP$45,2501-Feb-1331-Dec-130YES000123456789101112123456789101112123456789101112123456789101112

SCUSYemenBuilding a Health and Nutrition WorkforceAmran, Lahj82600121 (SCI)SC UK, Glaxo Smith Kline£585,872Long Term1-Apr-1230-Sep-14YES0000Program also in Sierra Leone & Niger but only Yemen has IYCF or CMAM components123456789101112123456789101112123456789101112123456789101112

SCUKAD Policy & ResearchGlobal advocacyn/aMobilizing Civil Society in support of the Scaling Up Nutrition MovementSave the Children UK has been chosen to act as Secretariat to the Global Civil Society Network and indicates UNOPS as Participating Organization for this global proposal in recognition of UNOPS capacity to deal with complex issues and support civil society and non-governmental organizations, based on the good working relationships developed along the process leading to the creation and operation of the SUN MPTF, and based on good existing working relationship with UNOPS for grant that was approved in May 2013.Global1081N006UN Office for Project Services (UNOPS)£187,500.000£187,500.00Long term6/1/1412/31/16NONONONO00Advocacy for SUNcountry civil society alliances of the SUN movement00yesHealthnational governments, civil society, partner SUN countriesSUN. This does not specify the beneficaries or programme components. It is focused on advocacy

SCUKAD Policy & ResearchGlobal advocacyn/aMobilizing Civil Society in support of the Scaling Up Nutrition MovementThe Support of the Scaling Up Nutrition (SUN) Movement Project aims to sustain public, political and financial commitments and actions to tackle malnutrition. The specific objective of this project is to ensure that nutrition is recognised as a national priority supported by adequately financed national and sub-national multi-sectorial nutrition plans adopted by national governments.Global8728N006Multi Donor Trust Fund£312,500.000£312,500.00Long term1/1/1412/31/15NONONONO00Advocacy for SUNcountry civil society alliances of the SUN movement00yesHealthnational governments, civil society, partner SUN countriesSUN. This does not specify the beneficaries or programme components. It is focused on advocacy

SCUKAfghanistanSouth & Central Asia1013509n/aSystem Enhancement for Health Action in Transition (SEHAT)This project aims to contribute to the reduction of avoidable morbidity and mortality amongst the target population in Kunduz province with specific emphasis on Maternal, Newborn and Child Health (MNCH) services, by improving the health and nutritional status of the target population of 1,013,509 in Kunduz province (Afghanistan) by reaching the most vulnerable, women, children and under-served areas through sustaining and strengthening of the provision of the Basic Package of Health Services (BPHS) and training of relevant staff.Kunduz province1224N002, N004World Bank£4,722,697.540£4,722,697.54Long term6/1/1412/31/16yesPLW, CU5NOYESPLW, CU5YESVit A, Fe, Iodised salt.YESPLW, 6-59M, community0yes6-59MYES6-59MyesPLWs, 6-59myes0NOn/an/akitchen gardens, cooking demoscommunity154154154nononon/ayes, nutrition programmes within basic health servicesHealth, WASH, educationdirect, MoHSame programme as 1225. Training of staff is key component of this programme. MNs: Vit A, Fe, Iodised salt.

SCUKAfghanistan - DUPLICATESouth & Central Asia1013509n/aSystem Enhancement for Health Action in Transition (SEHAT)This project aims to contribute to the reduction of avoidable morbidity and mortality amongst the target population in Kunduz province with specific emphasis on Maternal, Newborn and Child Health (MNCH) services, by improving the health and nutritional status of the target population of 1,013,509 in Kunduz province (Afghanistan) by reaching the most vulnerable, women, children and under-served areas through sustaining and strengthening of the provision of the Basic Package of Health Services (BPHS) and training of relevant staff.Kunduz province1225N002, N004World Bank£3,447,222.720£3,447,222.72Long term6/1/1412/31/16YESPLW, CU5NOn/an/aYESPLW, CU5YESVit A, Fe, Iodised salt.YESPLW, community0NOn/an/aYES6-59MYES6-59MYESPLWs, 6-59mYES0NOn/an/akitchen gardens, cooking demoscommunity, PLW, CU5154154154nononon/ayes, nutrition programmes within basic health servicesHealth, WASH, educationdirect, MoHSame programme as 1224. Training of staff is key component of this programme. MNs: Vit A, Fe, Iodised salt.

SCUKBurkina FasoWest & Central Africa113482Sahel HIP 2014_malnutrition Burkina FasoThe purpose of this project is to manage severe acute malnutrition with complications and exemption from payment of care for children under 5 years old in targeted areas. This action will provide free quality health care to children under 5 years in 54 health centers in the health district Kaya and support support medical and nutritional access in CRENs (pediatric) medical centers and Boulsa Barsalogho.Kaya, Barsalogho and Boulsa1093N003ECHO (Humanitarian Aid & Civil Protection)£499,122.380£499,122.38Emergency2/1/147/31/14NOn/an/aNOn/an/aNOn/an/aNOn/an/aNOn/an/a0YES, MUAC

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A Main Priority for our technical teams

Background, Recommendations

SBC-CCS WORKSHOP

39

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Pre- Learning Needs Analysis Results: Hunger Reduction team• Design Situational Analysis/Formative Research/qualitative

and quantitative tools, Operations and Implementation• Is a SBC-CCS strategy based on understanding of the main causes of malnutrition? What is the

evidence for underlying nutritional assumptions? How can we ensure equal focus on prevention of disease and diet towards improving nutrition?

• What are minimums for Formative Research

• Capacity Building/Training• How can we train people in effective interpersonal communications?• How do we combine IYCF and IYCF-E?• How long would it take to train FSC staff to deliver messages effectively?

• Measure, Monitoring of Behaviour Change – Evaluation • How can we develop joint guidance on communication strategies and monitoring?• How do we monitor uptake/monitoring of a best practices• How can we monitor the quality/efficacy of counselling or support groups?

• Delivery strategies• What is the role of community volunteers in SBC?

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Knowledge and experience of…

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Areas of most experience and/or capacity? …

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Knowledge and skills in SBC and community mobilization

A range of Knowledge and skills – little to some

Knowledge of community mobilization: definition, approaches and techniques: Some knowledge 33%

A little knowledge 26%

No knowledge 6%

Skills in community mobilization, including its definition, various approaches and techniques: Fair 46%

Poor 20%

Good / Very good 13%

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What specific topics would you most like to learn about or discuss during the SBC/CM training?

45

What would you hope to learn about SBC/Community Mobilization/Community Capacity Strengthening in this Workshop?

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SBC-CSS Workshop: SCUK seeks to concurrently improve:

Internal capacity and skills in management of and direct implementation of behaviour change programming across the sectors of Nutrition and Health; and

Identification, selection and management of qualified strategic partners who are highly skilled and experienced in state of the art, yet practical application of SBC and CCS programming and principles.

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SBC-CSS workshop objectives

Orient advisors to the basic principles and processes of SBC and CCS that are needed for programme design, implementation and management.

Understand and explain key concepts, definitions, some common SBC and CCS models and theories;

Understand, explain and demonstrate the use of a practical process tools that assists in the design, planning, implementation, monitoring and evaluation of SBC and CCS approaches;

Understand and explain how to access further support through strategic partnerships with organisations and companies that offer technical assistance in SBC and CCS;

Contribute to a longer term SBC-CSS strategy development for SCUK and follow up capacity building and knowledge management needs;

Identify point people to contribute to SCI Global Initiative for SBC CCS47

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Expectations raised at SBC-CSS workshop

Clearer understanding of Terminologies. Yes

Knowledge and Tools for practical implementation in the proposal, design and monitoring and evaluation frameworks. Strengthen my knowledge on the different steps for SBCC programming - Yes- via ABCDE framework (iteration and refinement) -more needed

To understand how community capacity strengthening and social behavior change approaches fit together (or not) –Yes and in progress.

Formative research for SBCC. Topic covered, but more depth needed

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Expectations raised at SBC-CSS workshop

Introduction to practical tools –Yes - but more would be nice

Have sufficient understanding of the SBC/CCS to help country office and program teams throughout the process. To be able to train country staff on SBCC approach and strategy development focus on SBCC – getting there. To cover here

Lessons learnt/best practices to identify/share from our various projects that focus on SBCC – Signature programs- but more needed here from SCUK and global experience

Overview of the various approaches/tools/techniques and strengths weaknesses. Not covered in overview

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Close of Workshop/Evaluation 1

How to access tech expertise at country level

Still need more TA on best approaches and tools

Roll out to country offices in a practical and replicable way

Thinking more critically about SBCC and CCS and doing it properly (or more consistently)

We need to think as an agency bigger and beyond H&N. Would be nice to transfer to WASH, Education sectors. How to link with other approaches such as children’s participation?

Need to connect strategy at CO, regional and member level

Need to include people from advocacy and campaigns – across Behavior Centered programming

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Close of Workshop/Evaluation 2

Need Strategy on how SBCC CSS can be implemented/or premature?

SBCC & CCS Should not be thought of as stand alone – working together

Staff should be aware they need to communicate

A final framework for M&E for SBCC/CSS

As long as we have strategic conversations on SBC CSS we are already moving forward --GI can support – and be thought of as a thought leader for other GIs.

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Personal Takeaways Better situational analysis at start

Segment our audiences

Improve that we prioritize and select precise behaviours

Desire and need to strengthen/manage formative research

Ensure correct identification of key determinants

Need to test our assumptions and approaches consistently

Improve how we select delivery channels that meet the audience and correct behaviour determinants across platforms (community etc)

Must consider how we add social change to our BC work

Great desire to learn more about SBC evidence, programs and successes*

Document and share our work

Our 3 day works too heavy for the time- need to modify for field application

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Personal Takeaways

Great desire and need to strengthen formative research

Internally and in managing consultants

Minimums: Situational analysis/lit review (identify key behaviours, audiences)

Use a mix of methods (qualitative and quantiative) in the Formative research

Ensure the correct determinants are identified with the methods (e.g. BA, doer/non-doer/TIPS) most appropriate for the program in consultation with technical assistance

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Burning Questions:

What do we mean by Scale?

Whose Quality?

Time Limitations and Budget

How do we deal with “donor education”

From individual behavior change to social change/Behavior change vs. Social Change and governance, systems changes in order to contribute to SDGs

Are we intentional in our programming?

ABCDE Framework: Some: Let’s not stick with “complicated” Framework like ABCDE. Others: We like it and we’ve adapted the approach to simplify it at this workshop. Strategy meeting we’ll be putting this stuff together.

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Every day. In times of crisis. For our future.

Thank you!

��Food Insecurity: Double Burden of MalnutritioN��Experiences in the Prevention of Chronic�MaLNutrItion and Efforts to increase focus On OVERnutrition���Purpose of the Session:Slide 2 – Intro SC- slide of SCUK Nutrition portfolio (descriptive)� SCUK PPQ Nutrition Programmes in 22 countries..Slide Number 5Slide Number 6The Lancet’s package of interventions �with the potential to reduce stunting by 20% if scaled up to 90% and save an estimated 900,000 livesSlide 3- conceptual frameworksSlide 3 – conceptual frameworksSocial and Behaviour Change Communication Slide 4 - SCUK MIYCN Nutrition StrategySlide 5:Other current and emerging platforms SC�Slide 6- Slide 6. Select Tools and Methods SC NUTRITION�Slide 7-IYCF and IYCF-E - Slide 7.Full spectrum/Links emergency to Non-emergency�IYCF Handshake�Slide 8 - Overnutrition SNAPSHOTSlide 9. Big questions/Challenges:Slide 10 In closingTHANK YOU ADDITIONAL SLIDES (may be used for discussion)IYCF is Infant and Young Child Feeding Selection of Evidence Based Strategies to support IYCF practices (1 of 2)Selection of Evidence Based Strategies to support IYCF practices (2 of 2)Components for Comprehensive �IYCF Strategy DIFFERENT FOCUS but SIMILAR ACTIVITIESIYCF Components and Actions: (time lineSame objectives, different balance of strategy in IYCF-ESlide Number 27RealityReality – How to manage in an emergency? IYCF-E is better with STRONG IYCF baseReality (contd.) Poor IYCF programme IYCF-IYCF-E �Links for Quality Preparedness for a Response In Conclusion IYCF and IYCF-ESCUK PPQ Nutrition Programmes in 22 countries..Slide Number 35Slide Number 36The Lancet’s package of interventions �with the potential to reduce stunting by 20% if scaled up to 90% and save an estimated 900,000 livesWho are PPQ targeting?Background, Recommendations��SBC-CCS WORKSHOPPre- Learning Needs Analysis Results: Hunger Reduction teamKnowledge and experience of… Areas of most experience and/or capacity? … Knowledge and skills in SBC and community mobilizationWhat specific topics would you most like to learn about or discuss during the SBC/CM training?What would you hope to learn about SBC/Community Mobilization/Community Capacity Strengthening in this Workshop?SBC-CSS Workshop: SCUK seeks to concurrently improve:�SBC-CSS workshop objectivesExpectations raised at SBC-CSS workshopExpectations raised at SBC-CSS workshopClose of Workshop/Evaluation 1Close of Workshop/Evaluation 2Personal TakeawaysPersonal TakeawaysBurning Questions:Thank you!