Nutrition and OPII process (from planning to jointimplementation)

Dr. Khizar Ashraf , WFPSyed Saeed Qadir, UNICEF

DaO is a collective approach, designed to:

� Streamline UN interventions � Increase national ownership � Improve joint programming among UN at country level � Reduce transaction costs, and � Increase harmonization and accountability

UN Delivering as One

DaO Pakistan

� One Office: Common Business Strategy

� One Voice: Common Communications Plan

� One Programme II:� 5 years (2013-2017)� 19 UN Agencies� 9 Administrative Areas of Pakistan� US$1.87 billion� 6 Strategic Priority Areas (SPAs)� 20 Outcome Level Results� 54 Joint Output Level Results

OPII Six Strategic Priority Areas (SPAs)

SPA 1:Vulnerable and marginalized

populations have equitable access to and use of quality

services.

SPA 2: Inclusive economic growth through the

development of sustainable livelihoods.

SPA 3: Increased national

resilience to disasters, crises and

external shocks.

SPA 4:Strengthened

governance and social cohesion.

SPA 5:Gender equality and

social justice.

SPA 6:Food and nutrition

security for the most vulnerable groups.

OPII Six Strategic Priority Areas Linked to National Priorities

SPA 1:

Vulnerable

and

marginalized

populations

have equitable

access to and

use of quality

services

SPA 2:

Inclusive

economic

growth

through the

development

of sustainable

livelihoods

SPA 3:

Increased

national

resilience to

disasters,

crises and

external

shock.

SPA 4:

Strengthene

d

governance

and social

cohesion

SPA 5:

Gender

equality and

social justice

SPA 6:

Food and

nutrition

security for

the most

vulnerable

groups

Pakistan New

Growth

Framework (2011)

Millennium

Development

Goals Report

(2010)

Poverty Reduction

Strategy Paper II

Management &

Repatriation

Strategy for

Afghan Refugees

in Pakistan (2008)

National Health

Policy (2009)

National Education

Policy (2009)

National

Sustainable

Development

Strategy

(2005:draft)

National Trade

Policy (2009-12)

National Industrial

Policy (2010)

Vision 2030 (2007)

18th Amendment

to the Constitution

(2010)

National Disaster

Risk Management

Framework (2007)

Post Crisis Needs

Assessment (2010)

Pakistan Integrated

Nutrition Strategy

(2011), NNS 2011,

FANS 2010,

National Policy for

Development and

Empowerment of

Women (2002)

Situation Analysis For SPA 6

(part of Common Country Analysis –CCA)

Stunting: 43.7%

Wasting: 15.1%

Anemia in children under five: 61.9%

Pakistan

Maternal Anemia: 50.4%

50.6% population with inadequate caloric consumption

FATA

AJK

Punjab

Balochistan

Sindh

Islamabad

Khyber Pakhtunkhwa

Stunting: 52.2 %

Wasting: 16.1%

Stunting: 39.2%

Wasting: 13.7%

Stunting: 47.8%

Wasting: 17.3%

Stunting: 49.8%

Wasting: 17.5%

Stunting: 50.6%

Wasting: 6.8%

Stunting: 57.6%

Wasting: 10%

Stunting: 31.7%

Wasting: 17.6%

Gilgit Baltistan

Situation Analysis

Malnutrition in Pakistan

Why UN focused on Food and Nutrition Security?

• Informed by multi-sector planning & govt. consultations at national & provincial levels

• Results of OP-I JPC 3, Joint nutrition projects which showed successful implementation- multi-agency & multi-sectoral coordination

• Flood 2010-11 surfaced the nutrition issue• FANS- 2010, PINS 2010 and NNS 2011, Stagnation of

nutritional indicators (NNS 2002-2011)• D-10 donors, specific interest based on global

recommendations and situational analysis.• Food Insecurity situation in the country –IPC analysis• Pakistan MDG progress – regression (goal 1) and slow

progress (goal 4)• Added value of global knowledge & experience

OP II (2013-2017)

OP II Operational Plan

Federal & provincial consultations

Basic social

services

Employment &

Livelihoods

Resilience against Disasters

Governance & Rule of Law &

Social Cohesion

Gender Equality & Social Cohesion

Food Security & Nutrition

Gender

Equality

Environ.

Sustainability

Capacity

DevelopmentHuman Rights

STRATEGIC PRIORITY AREAS PROGRAMMING PRINCIPLES

OP I (2009-2012)

One Programme II

OUTCOME 1

Household food

security increased

SPA6 - Food and Nutrition Security for the most

vulnerable groups

OUTCOME 2 Nutrition security

increased, especially for vulnerable & excluded groups

Joint Output 6.2.3:Effective prevention & treatment of acute malnutrition in targeted communities.

Outcome 2 & Joint Outputs

6.2 Nutrition security

increased, especially for vulnerable &

excluded groups

Joint Output 6.2.1: Provincial /regional governments have developed &implemented nutrition policies, strategies, & plans to address malnutrition among the most disadvantaged /vulnerable population groups.

Joint Output 6.2.2: Vulnerable population groups have improved nutritional practices (infants, young children, PLW, adolescent girls etc.).

SPA2

SPA3

SPA4

SPA1

SPA6

SP

A W

OR

KIN

G G

RO

UP

S

SPA5

High Level Committee

UN Country TeamUN Resident

Coordinator

Pro

gra

mm

eM

an

ag

em

en

t

Tea

m

Op

era

tio

ns

Ma

na

ge

me

nt

Tea

m

UN

Co

mm

un

ica

tio

ns

Gro

up

OP II Management Arrangement

Khyber

Pakhtunkhwa

Steering

Committee

Baluchistan

Steering

Committee

Sindh Steering

Committee

Punjab Steering

Committee

Pakistan

Administered

Kashmir Steering

Committee

FATA Steering

Committee

Gilgit-Baltistan

Steering

Committee

ICT Steering

Committee

Oversight Committee

Federal Level

Steering

Committee

SPA Working Group ConvenersVulnerable and marginalized

populations have equitable access

to and use of quality services.

Inclusive economic growth

through the development of

sustainable livelihoods.

Increased national resilience to

disasters, crises and external

shocks.

Strengthened governance and social cohesion.

Gender equality and social justice.

Food and nutrition security for the most vulnerable

groups.

SPA 2

SPA 3

SPA 4

SPA 6

SPA 5

SPA 1 UNICEF WHO UNESCO

UNIDO UNFPA

UNHABITAT IOM

UNDP UNODC

ILO UNWOMEN

FAO WFP UNICEF

Government Co-chair UN Co-chair Government Co-chair UN Co-chair

Federal RC Office Islamabad Capital Territory

Balochistan Sindh

Punjab Khyber

Pakhtunkhwa

Federally

Administered

Tribal Areas

Gilgit

Baltistan

Pakistan Administered Kashmir

Administrative Area

Steering Committees

Where are we so far?

OUTCOME

6.1

Household

food security

increased

OUTCOME

6.2 Nutrition

security increased,

especially for

vulnerable & excluded

groups

SPA 6

18

Partners

UN: WFP, FAO, WHO,

UNICEF, UN WOMEN,

UNESCO

Official Constituent Partners:

National

• Ministry of National Food Security & Research• Ministry of Health• Planning Commission of Pakistan • Ministry of Education & Training• Federal Directorate of Education• National Disaster Management Authority• Ministry of Inter-Provincial Coordination• Benazir Income Support Programme• Various development partners

Provincial Departments

• Planning and Development • Education• Health • Agriculture, Food, Livestock, Forest &

Fisheries• Various development partners

CSOs, INGOs, NNGOs,

academia, media,

communities

Nutrition development

partners: WB, MI, GAIN,

IFAD & others

19

SPA-6 Steering Committee

(Heads of Agencies, Government, Development Partners)

Food security WG

WFP/FAONutrition WG

WFP/UNICEF

Monitoring & Reporting WGAgency focal points

Quarterly meetings

Bi-monthly meetings

Bi-monthly meetings

Bi-monthly meetings

Secretariat

Provincial/Regional Governance Structures20

Food Security working group (FSWG):

• UNICEF

• WFP

• FAO

• WHO

• UNESCO

• UNWOMEN

CONVENER: WFP

CO-CONVENER: UNICEF

SECRETARIAT: WFP Country Office

Nutrition working group (NWG):

• FAO

• WFP

• UNESCO

• UNICEF

CONVENER: WFP

CO-CONVENER: FAO

SECRETARIAT: WFP Country Office

21

Contributions to Scaling Up Nutrition .

The SPA-6 agencies worked together, despite limitations in establishing clear baselines and absent new resources, in support of the Government’s priorities in Nutrition and Food Security.

The main achievements in the area of Nutrition are:

• Enabling Policy-planning Environment:

– Multi-sectoral, coordinating steering committees established at federal and provincial levels (notified by the respective provincial governments).

– Multi-sectoral province specific, nutrition strategies fully aligned with the Scaling-Up Nutrition (SUN) approach were prepared for all 4 provinces and 2 regions.

– Policy guidance notes endorsed for each province.

– UN influenced endorsement of the National Nutrition Survey (2011), finalized in 2013 by the Planning Commission.

– National SUN Secretariat established in highest planning institution of the country and working for Multisectoral National Plan of Action on Nutrition

– National Fortification Alliance established and functional through UN support.22

• UN and other nutrition development partners provided technical assistanceand advocated for the incorporation of Nutrition and Food Security aspriority areas in Pakistan Government Vision 2025 and the next five yearsplan.

• Pakistan joined the SUN movement in April 2013 and signed the declarationon Scaling Up Nutrition in Pakistan in December 2013.

• Establishment of the SUN UN Network as part of the Pakistan SUN PlatformNetwork along with strengthening the SUN Business and Academianetworks.

• Continuous technical support to the Government on Zero Hunger Initiative

• Self-assessment workshops held in Pakistan in June 2014 and May 2015,assessed SUN –UN network Pakistan leading all networks.

- Self-assessment also showed SUN Government Network, UN Network,and SUN Donors Network are well established and active . HoweverSUN CSO, Academia Network and SUN Business Network althoughestablished but in initial stages.

Contributions, continued.

23

Contributions, continued

Support to service delivery and reaching right holders through high impact

Nutrition Interventions:

• Continuation of USI activities in 110 districts of Pakistan, reaching a population

of 174 million, focusing on advocacy & awareness, legislation, production and

quality assurance. Key issues supported by UN:

– Provincial legislation in Sindh

– Revolving funding mechanism and removal of subsidies (adequately

iodized salt still remains 70%) and Strengthening of quality control

• Vitamin A supplementation: with more than 95% children 6-59 months.

• Initiation of stunting prevention programme in Thatta and Sajawal districts with

government ownership.

24

Contributions, continued.

UN –Nutrition Partners saving and Protecting Lives.:

• Formulation and Endorsement of National CMAM Guidelines 2015.

• Services to reach young children 6 to 59 months for treatment of Acute malnutrition was ensured through Government health Departments, National LHW Programme , CSOI, INGOs and NGOs.

• Children 6 to 59 months suffering from Moderate and Severe Acute Malnutrition with and without complications and Pregnant and Lactating Mothers were reached in 51 districts across Pakistan. Millions of young Children and Women were reached through active community mobilization, Supplementary feeding , Therapeutic Feeding Programmes and Stabilization Centers in hard to reach and marginalized areas.

• Millions of Children and Mothers also became benefices of Multi-micronutrient supplementations and Infant and Young Child Feeding efforts.

25

Working as One

The SPA-6 Flagship Programme Proposals

1. Integrated Programme to Enhance Household Food and Nutrition Security

2. Revitalizing Nutrition within the Lady Health Workers Programme

3. One UN Technical Assistance for Scaling-Up Nutrition (SUN), Pakistan UN Nutrition Network

4. Food Security Monitoring and Information System (FSMIS)

26

Looking Forward: 2015-2016

• Strengthen provincial coordination and inter-agency work at

national, provincial and district levels.

• Focus on resource mobilization and Programme implementation in

joint programming fashion.

• Continue to define [new] common goals as one.

• Focus on double burden of malnutrition

27

Thank you