Nutrition Workshop for FDOV/SDGP projects 26 November 2019 The Netherlands Working Group on international Nutrition, represented by Herbert Smorenburg Arine Valstar Marijke de Graaf
Introduction › Who is who? › Today’s workshop – Context of our assignment – Indicators and M&E tools for – Why Nutrition? nutrition – Framework for Nutrition – Example project Improvement – Next steps – Application to three types of – End (13.00) FDOV/SDGP projects – Coffee break 2
› 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 3
› Arine Valstar, Independent Food and Nutrition Security Expert › Nutritionist and social anthropologist who started her international career in nutrition at FAO. › Promotes nutrition sensitive agriculture, people centered participatory approaches, in which gender, inclusiveness and the sustainable food systems approach are applied to improve nutrition. 4
› 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 organisations and collaborations 5
Levels of nutrition skill Does Shows how Knows how Know Knows about Heard of Miller’s pyramid http://www.gp- training.net/training/educational_theory/adult_ 6 learning/miller.htm
Levels of nutrition skill Does Nutritionists Shows how Knows how Know Knows about Advisors and project owners Heard of Miller’s pyramid http://www.gp- training.net/training/educational_theory/adult_ 7 learning/miller.htm
Why Nutrition? The Global Burden of Disease: 6 of the top 10 Risk Factors for are Diet Related Child and maternal malnutrition 1 in 3 people worldwide are • Dietary risks malnourished High systolic blood pressure Leading cause of poor health • Air pollution Unhealthy diets pose a greater risk to • morbidity and mortality than does unsafe High fasting plasma glucose sex, and alcohol, drug, and tobacco use combined. High body mass index DALYs 6 of the top 10 risk factors are diet related • Alcohol and drug use Enormous economic and human • Tobacco capital costs High total cholesterol Occupational risks Sources: see Reference slide 8
Stunting, Wasting, Overweight 9
Different forms of malnutrition co-exist 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 • 10
End hunger, achieve food security and improved nutrition and promote sustainable agriculture Targets (Nutrition focused) Indicators 2.1 By 2030, end hunger and ensure access by all people, in 2.1.1 Prevalence of undernourishment particular the poor and people in vulnerable situations, including 2.1.2 Prevalence of moderate or severe food insecurity in the infants, to safe, nutritious and sufficient food all year round population, based on the Food Insecurity Experience Scale 2.2 By 2030, end all forms of malnutrition, including achieving, (FIES) by 2025, the internationally agreed targets on stunting and 2.2.1 Prevalence of stunting (height for age <-2 standard wasting in children under 5 years of age, and address the deviation from the median of the World Health Organization nutritional needs of adolescent girls, pregnant and lactating (WHO) Child Growth Standards) among children under 5 years women and older persons of age 2.3 … 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) 11
Nutrition as driver of development 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 12
Nutritional status IMPACTS Diet Health Simplified Framework for Nutrition Health and sanitation Food access Care practices Improvement environment OUTCOMES On-farm Natural Women’s availability, Food Nutrition empowerment resource diversity and environment Income knowledge (time, labour, management safety of in markets assets, income and norms practices control) food Sources: see Reference slide Interventions
How does your project contribute to nutrition? › Reflect on your project Nutritional status › Identify where in this IMPACTS framework your project may Diet Health contribute › Write keyword on a post-it Health and sanitation Food access Care practices environment › Present to group OUTCOMES On-farm Natural availability, Food Women’s Nutrition resource empowerment diversity and environment Income knowledge management (time, labour, assets, safety of in markets and norms income control) practices food Interventions 14 28-10-2019
FDOV/SDGP: three clusters of pathways that may lead to nutrition improvement Diet Access Income 15
Increased Income › Impact depends on – Intra-household dynamics (inclusion of women) – Awareness and attitudes – Local availability of diverse food 16
Increased Income › Impact depends on – Intra-household dynamics (inclusion of women) – Awareness and attitudes – Local availability of diverse food Relevant interventions Indicators and M&E Women decision making at household level Gender disaggregated data for reach interventions Elements of Women’s Empowerment in Agriculture Index (WEAI) Nutrition education and Social and Include nutrition and food safety-related Behaviour Change Communication knowledge questions in survey Project intervention -> increased income Household food insecurity scale (HFIAS) -> increased food security? and Months of Adequate Household Food Provisioning (MAHFP) 17
Example: RiceTechCambodia › Organic rice value chain in Cambodia. › Small-scale rice farmers will be reached – receiving extensive training on organic agriculture and good agricultural practices. – getting access to drying, storage and milling facilities › Increases the quality of the rice products that can be sold and in this way increases the income of farmers. 18
Example: RiceTechCambodia › Who has access to and decides how to spend the increased income? Women? › Are diversified food sources locally available? › Are they aware and willing to eat more diverse? › Measuring HFIAS and MAHFP (base- & endline) provide insight in (perceived) income and food security situations. 19
Increased Access to a specific food crop › Impact depends on: – nutritional value – dietary gap – affordability and accessibility to target group throughout the year 20
Increased Access to a specific food crop › Impact depends on: – nutritional value – dietary gap – affordability and accessibility to target group throughout the year Relevant interventions Indicators and M&E All mentioned for income + All mentioned for income + • Reach to vulnerable groups (BoP, children, women,…) • In case of nutrient dense crops: Uptake of improved post-harvest and processing practices • Adequate post-harvest handling and processing Increased demand for, purchase and/or consumption of • • Promotion of own consumption nutritious crop • Food frequency questionnaire • In case of staple or non-food crops: Alongside homestead food production • 21
22 28-10-2019
Example: Vegetables for All Tanzania Co-funded by:
Veg for All: Objectives Increased availability of nutritious vegetables More sustainable vegetable supply chains Improved access to vegetables for BoP consumers Increased consumption of vegetables by BoP consumers Increased income for farming families
Veg for All: Interventions Post-harvest service Agricultural production agents/processors Media campaign Solar drying Nutrition education Financial literacy
Results - Quantitative data collection Results Indicators Means of Verification 50% BoP consumers in Arusha, a) % BoP consumers in target a) Reach radio stations Kilimanjaro, Tanga and areas reached with radio contracted Manyara reached with messages b) NGOs attendance lists for messages on importance of b) % BoP consumers in target nutrition orientation sessions vegetables for healthy diets areas reached with messages via NGOs 50% BoP consumers in Arusha, Individual level checking Household survey Kilimanjaro, Tanga and nutrition knowledge Manyara aware about (importance of vegetables for importance of vegetables for healthy diets) healthy diets
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