Democratic Republic ic of Congo (DRC) **Achieving increased UN - - PowerPoint PPT Presentation

The UN Network for SUN exp xperience in in the Democratic Republic ic of Congo (DRC)

**Achieving increased UN coherence on nutrition

The UN Network for SUN dyn ynamic in in the DRC

2012

A UN group for nutrition was created FAO, WHO, WFP, UNFPA, UNICEF, UNOPS, UNDP, UNHCR Development of an Inter-agency strategy for joint and multi- sectoral programming to tackle malnutrition in the most vulnerable regions of the DRC

2013

After the country joined the SUN Movement, the UN Network was created FAO, OMS, PAM, UNFPA, UNICEF Road map Joint work – Joint Programme (03 agencies) since 2015 in South Kivu (Swiss financing)

2016-2017

UN Network for SUN: FAO, OMS, PAM, UNFPA, UNICEF Provincial conference on South Kivu and Kwango. Provincial charters UN Nutrition Inventory exercise UN Network Strategic Retreat Nutrition Common Narrative

Policy review

• National Nutrition Policy
• Multisectoral Nutrition Strategic Plan
• Nutrition in the Country Development Plan
• Nutrition / food in the Social Protection Plan

Joint programming

• Lessons learned from the joint programme in nutrition and food security – Phase 1 Pilot – and

development of Phase 2 for scale up (Swiss funding)

• Sectors: Nutrition, Health, Agriculture and WASH

Joint analysis

• IPC food security with nutrition components
• HRP – multisectoral objective
• UN Nutrition Inventory
• Nutrition stakeholder and action mapping (ongoing)

UN Network for SUN nutrit ition actio ions in in the DRC (2016-2017)

Decentralized governance

• Provincial Nutrition Committees
• Provincial Nutrition Plans in 3 provinces

Advocacy

• Common Nutrition Narrative (with the donor group “GIBNUT” and the

nutrition cluster)

Joint analyses

• Analysis of the national budget
• Mapping of nutrition investments (ongoing)

UN Network for SUN nutrit ition actio ions in in the DRC (2016-2017)

Functionalit ity of the UN Network for SUN in in the DRC (2016-2017)-

• utputs /

/ key processes

• An Inventory of nutrition actions performed by UN agencies in the

DRC was conducted in 2016

• A UN Network Strategic Retreat was held and allowed for the

finalization of:

• A Road Map aligned to the UN Network for SUN Strategy
• Revised Terms of Reference for a more dynamic functioning of the

UN Network

• Development of a Common Narrative for Nutrition (joint advocacy)

Stunting Prevalence (DHS 2013)

Are UN efforts taking place in the best geographic areas?

Number of nutrition actions supported by the UN agencies surveyed Highest Prevalence of stunting amount children <5 Highest Lowest Absolute number of stunted children <5 Highest numbers of UN actions

UN support in 2016 compared to the prevalence of stunting and the number of stunted children

Source: DHS 2013-2014; UNICEF Maps; Inventory tool N.B. The actions depicted in this map do not include those being undertaken at national level, only those at regional level.

Number of Stunted Children

> 120 81-120 41-80 ≤ 40 Lowest

Kinshasa Kongo- Central Maï- Ndombe Kwango Kwilu Equateur Sud- Ubangi Tshuapa Tshopo Bas-Uele Nord- Ubangi Mongala Sankuru Kasaï Kasaï- Central Nord- Kivu Haut-Uele Ituri Sud- Kivu Maniema Tanganika Haut- Lomami Lualaba Haut- Katanga Lomami Kasaï- Oriental

49 38 27 23 15 15 22 22 15 33 37 67 30 33 20 50 23 35 23 17 32 16 9 50 51 50 3 highest 3 highest

Key Questions: Where more than one agency is present Key Questions: Where more than one agency is present

Highest numbers of UN actions

Sources: Inventory tool 2016

Support from the UN agencies surveyed was well distributed across the country, with at least 2 agencies in all regions, though fewer actions are supported in the central provinces

Number of UN actions by region: N.B. The actions depicted in this map do not include those being undertaken at national level, only those at regional level.

Kinshasa Kongo- Central Maï- Ndombe Kwango Kwilu Equateur Sud- Ubangi Tshuapa Tshopo Bas-Uele Nord- Ubangi Mongala Sankuru Kasaï Kasaï- Central Nord- Kivu Haut-Uele Ituri Sud- Kivu Maniema Tanganika Haut- Lomami Lualaba Haut- Katanga Lomami Kasaï- Oriental

> 40 31-40 21-30 ≤ 20 51 50 49 38 27 23 15 15 22 50 22 15 33 37 67 30 33 20 50 23 35 23 17 32 16 9

• How complementary are the nutrition

actions? Is there combined value added?

• Is there a critical nutrition action

missing in each region/state, that the UN is well-placed to deliver?

• Are there opportunities for improved

collaboration on joint planning (targeting & geographic focus), implementation, M&E?

• How can the use of delivery

mechanisms (e.g. schools, community health volunteers, agricultural extension) be optimized?

• Alignment of advocacy,

communications, other?

• Improvement of local recipes
• Protection, promotion & support of optimal

breastfeeding

• Improvement of complementary feeding
• Handwashing
• Household water treatment & storage
• Food hygiene
• Sanitation management
• Vitamin A/D/zinc/Ca/iodine supplementation
• Multiple micronutrient supplementation
• Mgt of severe acute malnutrition (SAM)
• Mgt of moderate acute malnutrition (MAM)
• Anti-malaria
• Management of diarrhoea (ex: ORS and

zinc)

• Vaccinations (ex: polio, etc.)
• HIV management and PMTCT
• Mgt. of respiratory infections
• Improvement of water supply/source quality
• Sanitation facilities management
• Improvement of local recipes
• Diversification & locally adapted varieties
• Food processing (excluding fortification)
• Food storage
• Improvement of complementary feeding
• Hand washing
• Health-seeking behaviour
• Mgt of moderate acute malnutrition
• HIV management and PMTCT
• Management of tuberculosis
• Food assistance for vulnerable population groups
• School-based social safety nets
• Public guidance & consumer awareness/protection
• Biofortification
• Protection, promotion & support of optimal

breastfeeding

Sources: UN Nutrition Inventory (2016) (Exercice Inventaire des actions de nutrition [2016])

In South-Kivu, 9 actions were supported by more than one agency surveyed, which may indicate

• pportunities for collaboration and coordinated targeting

Note: The following agencies also supported actions at national level that impact the Province of South Kivu:

South-Kivu

Actions supported by more than one agency

• Improvement of local recipes
• Complementary feeding
• Diversification & locally adapted varieties
• Care to pregnant/lactating women
• Childcare support/caregiver workload
• Health-seeking behaviour
• Ante- & post-natal care
• Health professional-assisted delivery
• Iron & folic acid/Iron supplementation
• Vaccinations (ex: polio, etc.)

Strunting 53%

=631 580 children

a a b b b c c d e f g d h e f h g i i

Common Nutrition Narrative in the DRC - Government and Partners

Tackling malnutrition among women and children under five in the Democratic Republic of Congo

JOINT COMMITMENT

From outputs to results

• f UN nutrition actions

Inventory

• Informs planning
• Supports the alignment of UN actions with government priorities

for the UN Network for SUN Road map

• Coherence of actions and support
• Joint planning
• n nutrition for ALL PARTNERS

Common narrative

• Renewal of commitments
• Advocacy to increase nutrition investments

Mapping

• f nutrition actions and stakeholders (ongoing)

Increase coherence Increase scale and investments

The process and im impli lication of other actors

• The UN Network is present and participates in the nutrition cluster and

the food security cluster

• The UN is present and participates in sectoral planning (health,

agriculture, social protection, water…)

• The UN is present and participates in the donor group (health, nutrition,

agriculture, water)

• Coordination efforts of nutrition interventions, especially regarding
• ngoing emergencies in the country (HRP- multi-sectoral objective)
• Collaboration with other SUN networks in place (donors, civil society,

private sector, government…)

My name is Olga, I am 15 years old and I am the president of the Child Reporters group in Oriental Kasaï. My dream is to become a nutritionist dietician to help others. I want to change the lives of malnourished children by treating them but also working on prevention. We need to raise awareness among communities and parents about consuming local foods with a high nutritious value, and to advocate for nutrition with local authorities.