Awareness Workshop for FDOV/SDGP advisors Utrecht, 28 October 2019 - - PowerPoint PPT Presentation

Raising Nutrition Awareness

› Workshop for FDOV/SDGP

advisors

› Utrecht, 28 October 2019

The Netherlands Working Group on international Nutrition, represented by Herbert Smorenburg Arine Valstar Marijke de Graaf

› Who is who? › Today’s workshop

– Context of our assignment – Why Nutrition? – Framework for Nutrition Improvement – Application to three types of FDOV/SDGP projects – Coffee break

Introduction

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– Example project – Indicators and M&E tools for nutrition – Next steps – End (13.00)

› Marijke de Graaf, ICCO › Nutritionist, who worked for

UNICEF in Latin America and Asia, and is now responsible for ICCO’s food and nutrition security (FNS) policy

› Provides guidance on design,

planning, implementation and monitoring of FNS programs

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› Herbert Smorenburg,

Partnering with Purpose BV

› Helps partnerships to

become more effective and efficient to contribute to a better world

› Provides advice, in-company

training, lectures, mentoring/coaching of individuals and interim- management of

• rganisations and

collaborations

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Levels of nutrition skill

6 Know Knows how Shows how Does

Knows about Heard of Miller’s pyramid

Levels of nutrition skill

7 Know Knows how Shows how Does

Knows about Heard of Miller’s pyramid

Nutritionists Advisors and project owners

• 1 in 3 people worldwide are

malnourished

• Leading cause of poor health
• Unhealthy diets pose a greater risk to

morbidity and mortality than does unsafe sex, and alcohol, drug, and tobacco use combined.

• 6 of the top 10 risk factors are diet related
• Enormous economic and human

capital costs

Why Nutrition?

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Sources: see Reference slide

Occupational risks High total cholesterol Tobacco Alcohol and drug use High body mass index High fasting plasma glucose Air pollution High systolic blood pressure Dietary risks Child and maternal malnutrition

The Global Burden of Disease: 6 of the top 10 Risk Factors for are Diet Related DALYs

Different forms of malnutrition co-exist

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• Childhood stunting
• height for age < -2 std dev.
• Anaemia and other

micronutrient deficiency related disorders

• Overweight and Obesity

(risk factor for non- communicable diseases)

• Body Mass Index > 25 kg/m2

End hunger, achieve food security and improved nutrition and promote sustainable agriculture

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Targets (Nutrition focused) 2.1 By 2030, end hunger and ensure access by all people, in particular the poor and people in vulnerable situations, including infants, to safe, nutritious and sufficient food all year round 2.2 By 2030, end all forms of malnutrition, including achieving, by 2025, the internationally agreed targets on stunting and wasting in children under 5 years of age, and address the nutritional needs of adolescent girls, pregnant and lactating women and older persons 2.3 … Indicators 2.1.1 Prevalence of undernourishment 2.1.2 Prevalence of moderate or severe food insecurity in the population, based on the Food Insecurity Experience Scale (FIES) 2.2.1 Prevalence of stunting (height for age <-2 standard deviation from the median of the World Health Organization (WHO) Child Growth Standards) among children under 5 years

• f age

2.2.2 Prevalence of malnutrition (weight for height >+2 or <-2 standard deviation from the median of the WHO Child Growth Standards) among children under 5 years of age, by type (wasting and overweight)

Improving nutrition can have a powerful and positive multiplier effect across multiple aspects of development, including poverty, environmental sustainability, and peace and stability. “Nutrition is one of the best drivers of development: it sparks a virtuous cycle of socioeconomic improvements, such as increasing access to education and employment.” Kofi Annan, 2018

Nutrition as driver of development

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Simplified Framework for Nutrition Improvement

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Sources: see References slide

› Reflect on one of the listed

project(s)

› Identify where in this

framework your project may contribute

› Write keyword on a post-it › Present to group

How does your project contribute to nutrition?

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Project name Progr amme Country Outcome 1 Outcome 2 Outcome 3 RiceTechCambodia: Adding value to the organic rice sector in Cambodia leading to inclusive growth SDGP Cambodia increased income South Senegal Rice on the Rise SDGP Senegal increased income increased resilience increased local and national food security Sugar and Steam - Sustainable Intensification

• f Agro-Forestry Production

Systems SDGP Indonesia increased income increased income for women Development of sustainable bean value chains for smallholders to increase food security in Zimbabwe FDOV Zimbabwe increased access to dry beans Inclusive milk supply chain development to increase food security FDOV Bhutan increased availability fortified milk at schools (?) She Sells Shea-35,000 women entrepeneurs making a living FDOV Burkina faso increased women entrepreneu rship increased income increased nutrition

Source: based on aiddata.rvo.nl

Overview SDGP portfolio

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Project name Program me Country Outcome 1 Outcome 2 Outcome 3 Agroforestry interventions for uphill food and income security and downhill tea plantation protection SDGP Rwanda increased income access to nutritious foods Circular Coffee from Peru: creating value across the chain SDGP Peru increased food security East: Africa, Tanzania: a Farmers’ Roadmap of Expanding Successful Horticulture (EAT: FRESH) SDGP Tanzania, united republic of high quality, high value vegetables EcoCajou - Cashew processing in Northern Côte d’Ivoire SDGP Côte d'ivoire fair working conditions Fish Farming Value Chain Development Project in Burundi SDGP Burundi new fishfarmers Going Bananas - Restoring Livelihoods of Conflict Affected Farmers in Cotabato SDGP Philippines (the) increased income increased nutritional value and food security Increased Maize Value Chain Efficiency in Rwanda SDGP Rwanda less aflatoxin increased income Increased potato value chain efficiency in Great Lakes Region SDGP Rwanda increased productivity LEAP2 Bridging the digital Gap SDGP Kenya increased income increased income for women and youth Lions oignons: Improving the onion value chain in Senegal based

• n the Dutch three-pillar approach

SDGP Senegal improved local productivity small holder farmers MasterPeas, Myanmar Pulses for agricultural growth, higher incomes and nutrition SDGP Myanmar increased income improved access to pulses RiceTechCambodia: Adding value to the organic rice sector in Cambodia leading to inclusive growth SDGP Cambodia increased income South Senegal Rice on the Rise SDGP Senegal increased income increased resilience increased local and national food security Sugar and Steam - Sustainable Intensification of Agro-Forestry Production Systems SDGP Indonesia increased income increased income for women SupporTing EnVironmentally sound stevia production for improved Income in Madagascar SDGP Madagascar increased income Sustainable and Accessible Fish for All SDGP Myanmar increased income promotion of fish to consumers Sustainable Food and Nutrition Security and Transforming Smallholders’ Livelihood in Madhya Pradesh, India SDGP India reduce malnutrition in rural groups improved access to healthy and diverse food improved income Transforming Nigeria’s Vegetable Markets SDGP Nigeria increased productivity domestic vegetables improved dietary balance of rural households

Source: based on aiddata.rvo.nl

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Project name Program me Country Outcome 1 Outcome 2 Outcome 3 Dairy Farm Equipment, Ethiopia FDOV Ethiopia increased income increased access to milk & milk products Development of a sustainable dairy sector in Vietnam FDOV Viet nam increased affordability increased quality Development of sustainable bean value chains for smallholders to increase food security in Zimbabwe FDOV Zimbabwe increased access to dry beans Development of sustainable dairy villages in Indonesia FDOV Indonesia increased access / affordability increased quality Fair Planet five year plan for Ethiopia FDOV Ethiopia increased yield high value vegetables Farming crickets for food and business FDOV Kenya, Uganda increased availability increased consumption Food for all Project in Kenya (F4APK) FDOV Kenya increased production of bananas, vegetables and high value products like milk and French beans Food Security through improved resilience of small scale producers FDOV Kenya, Ethiopia improved productivity of crops for local markets improved resilience Food security via vertical integration of a new Kenyan pot chain FDOV Kenya increased productivity of potatoes FoodTechAfrica FDOV Kenya increased production of fish Going Nuts FDOV Malawi less aflatoxin Inclusive milk supply chain development to increase food security FDOV Bhutan increased availability fortified milk at schools (?) Market Access & Food Security for Nicaraguan coffee & cocoa farmers FDOV Nicaragua increased food security nutrition education changing eating habits PPP Macadamia Value Chain Enhancement FDOV Malawi increased income smallholders She Sells Shea-35,000 women entrepeneurs making a living FDOV Burkina faso increased women entrepreneurship increased income increased nutrition Sustainable and affordable poultry for all FDOV Myanmar increased affordability

Overview FDOV portfolio

Source: based on aiddata.rvo.nl

FDOV/SDGP: three clusters of pathways that may lead to nutrition improvement

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Income Improved diet Access

Income

› Impact depends on

– Intra-household dynamics (inclusion of women) – Awareness and attitudes – Food access

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Relevant interventions Indicators and M&E Women Empowerment Gender disaggregated data for reach interventions Women’s Empowerment in Agriculture Index (WEAI) Nutrition education and Social and Behaviour Change Communication Nutrition and food safety-related knowledge and attitudes (KAP) survey Food access interventions Household food insecurity scale (HFIAS) and Months of Adequate Household Food Provisioning (MAHFP)

Access to a specific food crop

› Impact depends on:

– nutritional value – dietary gap – affordability and accessibility to target group throughout the year

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Relevant interventions Indicators and M&E All mentioned for income +

• Nutritional relevance of crop
• Accessibility to vulnerable groups (BoP, children,

women,…)

• Uptake of improved post-harvest and processing practices
• Increased demand for, purchase and/or consumption of

nutritious crop

• Food frequency questionnaire

In case of nutrient dense crops:

• Adequate post-harvest handling and processing
• Promotion of own consumption

In case of staple or non-food crops:

• Alongside homestead food production

Improved diet

› Meaning: a diet that is diverse, healthy and adequate. The diet

should:

– cover all nutritional needs: energy, proteins, micronutrients , essential fats, fibre and water – be suitable for the age of the targeted group

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Relevant interventions Indicators and M&E All mentioned for income and access +

• Minimum Acceptable Diet (MAD) for 6-24 months old

infants and children

• Minimum Dietary Diversity (MDD-W) for women of

reproductive age Participatory appraisal of dietary habits (involve people in assessing their own food and nutrition situation and identifying the causes of food and nutrition problems according to their perceptions) Cooking / food processing demonstrations

An alternative perspective: Workforce nutrition

› Workforce nutrition programmes

– Organised by employer – Part of the solution to malnutrition – Important for business returns and, ultimately, on GDP – Most suitable where employer can organise interventions at the workplace and

make these accessible to the entire workforce › Interventions

– Healthy food at work – Nutrition education – Nutrition-focused health checks – Breastfeeding support

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Source: GAIN, Workforce Nutrition evidence briefs, 2019 https://nutritionconnect.org/resource- center/workforce-nutrition-evidence-briefs

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Example: Vegetables for All (AIM FDOV)

A closer look at Indicators and M&E tools

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›

All information available on NWGN website https://the-nwgn.org/information/tools-methods/

›

Invitation to all project owners by RVO: w/c 28 Oct.

›

We will organise:

–

a 1 hr webinar to explain the essentials (Nov)

–

a 3 hr workshop in NL, similar to today’s workshop (Nov)

–

consultation sessions where we are available to project teams (Nov)

›

We hope that this will result in increased nutrition awareness in FDOV & SDGP projects and lead to tangible and measurable contributions towards improved nutrition.

What’s next?

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› Don’t forget to fill out the evaluation survey › For further information and questions don’t hesitate to contact us:

– Herbert Smorenburg – Email: Herbert.Smorenburg@gmail.com – Tel: +31627011363 – Skype: Herbert_Smorenburg

Questions / recommendations

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References

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›

Why Nutrition?

Sources: Development Initiatives, 2018 Global Nutrition Report: Shining a light to spur action on nutrition. Bristol, UK, 2018. Institute for Health Metrics and Evaluation (IHME), University of Washington. GBD Compare Data Visualization. Seattle, USA, 2018. Available from http://vizhub.healthdata.org/gbd-compare. (Accessed 26 August 2019) Global Panel on Agriculture and Food Systems for Nutrition. Cost of malnutrition, https://glopan.org/cost-of-malnutrition Herforth, A. & Ballard, T. 2016. Nutrition indicators in agriculture projects: current measurements, priorities and gaps. Global Food

• Security. Available at:

https://www.sciencedirect.com/science/article/pii/S2211912415300109 (accessed 26 August 2019) ›

Simplified Framework for Nutrition Improvement

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Photo: GSGarrett Images