Somalia Multisectoral Nutrition strategy (SMNS) Goal To reduce - - PowerPoint PPT Presentation

Somalia Multisectoral Nutrition strategy (SMNS)

Goal

To reduce malnutrition through direct Maternal and Child Health

Nutrition (MCHN) interventions and indirectly through nutrition-

sensitive interventions that reduce poverty and food insecurity.

Expected Impact

• Contribute to improved nutrition outcomes especially in the first 1,000 days
• f life and in early childhood up to 5 years of age.
• Decrease the proportion of under five children who are stunted from 12

percent to 7 percent.

• Decrease wasting to below 15 % WHO emergency levels;
• More than half of the under-five will be consuming the minimum

acceptable diet.

Objectives: Somalia Multisectoral Nutrition Strategy (SMNS)

SMNS Objectives.

• To create an enabling policy and legal environment necessary for

improvement of nutrition outcomes across all the sectors both at national and sub national level

• To create, strengthen and sustain sectoral and Multi-Sectoral Nutrition

coordination mechanisms at national and sub-national levels.

• To improve and strengthen human resource capacity for providing

appropriate support to maternal and child nutrition at national and sub- national levels.

• To develop and integrate a full package of nutrition-specific interventions

into basic health care services at national and sub-national levels

SMNS Objectives.

• To improve policy and practises that enhance maternal and child nutritional

status through optimal use of nutrition-sensitive services.

• To address gender and social-cultural factors that hinder improvement of

maternal, infant, and young child nutrition at national and sub national level.

• To strengthen organisational, institutional and policy framework for linking

humanitarian relief, to recovery and development towards to nutrition improvement at national and sub national level.

Context and process

What is costing useful for?

• Assessing efficiency in two “equivalent” programs
• Identifying important cost issues for potential savings.
• Strategic planning and budgeting for programmes
• Together, costing and budgeting helps the planning process by ensuring that the

goals are financially affordable.

• Benchmarking and Cost recovery

Why operationalise it?

• SMSN a tool multi-sectoral cooperation and coordination's for

improved nutrition outcomes in Somalia

• Essential to estimate the total resource requirement for

implementation

• Guide contextualized implementation planning
• See whole of nutrition programming at a glance
• Compliment Monitoring & Evaluation and accountability framework
• Facilitate domestic resources mobilisation
• Identify gap and guide future investment

Costing Objectives

1.

Facilitate costing of the intervention areas identified within SMSN

2.

Develop a simple financial tracking and resource mobilization framework for the SMSN-Resource Availability & Gaps

3.

Develop prioritized investment scenarios [simulations] to provide funding

• r priority choices-funding uncertainities:

a)

Funding above the current financing level: High funding performance scenario

b)

Current funding basket; if the status quo remains: Current funding scenario

c)

Funding below current financing level: Least performance scenario

Methodology

• Three approaches
• Analytical approaches: Modelling of

cause-and-effect relations

• Participatory approaches: Involving

stakeholders

• Knowledge management: collection and

processing of data

• 1. Analytical Approach: Input-data

modelling [ABC Approach]

• Use of bottom-up approach ;an input-

based

• Costing of all inputs required to achieve

Strategic plan targets

Methodology Cont…

• 2. Stakeholder Engagement
• Inclusive & participatory approaches
• Government, UN agencies, CSOs
• Desk reviews from published documents
• Methods: KIIs, workshops, resource

tracking & review of secondary data

• 3. Resource Tracking & Input Costing
• Estimating resources available based on

budget and budgets projections

• Source: Government and non-

government actors

• 4. Data Analysis & Modelling
• Budget allocations and projections trends

and patterns/analysis

• 5. Dissemination
• Inclusive review and feedback
• Adoption as an advocacy tool

• Patient perspective
• The patient only or the patient and care-giver
• Also known as patient or consumer costs
• Health system (Provider) perspective
• The health system only
• Easy to get data
• Also known as provider costs or health system costs.
• Societal perspective
• Costs to the society
• The patient, health system and any other relevant individuals/entities
• Broad; puts all costs together from different aspects of society that would benefit

Costing perspective

Cost concepts

• Incremental costs

Additional costs arising from change in decision

• Micro based costing

Bottom up approach based on the theory of change.

ABC Steps in summary

• Identify activities
• Determine inputs for each activity
• Determine cost for each inputs
• Determine cost drivers
• Collect activity data
• Calculate product cost

Challenges

• Resource tracking and Mobilization among

partners, donors and other multi-sectoral actors

• Alignment and identification of proposed

activities under each of the objectives

• Implication???

Questions

Preliminary Costing Results

Cost by Strategic objectives

Strategic objective 2019/20 2020/21 2021/22 2022/23 2023/24 Total SO.1: To create an enabling policy and legal environment necessary for improvement of nutrition outcomes across all sectors at national and sub national level. 0.08 0.76 0.26 0.41 0.32 1.83

• SO. 2: To create, strengthen and sustain sectoral and Multi-Sectoral Nutrition

coordination mechanisms at national and sub-national levels 0.63 0.57 0.59 0.63 0.25 2.67

• SO. 3: To improve and strengthen human resource capacity for providing appropriate

support to maternal and child nutrition at national and sub-national levels. 0.08 1.10 0.74 0.52 0.19 2.64

• SO. 4: To develop and integrate a full package of nutrition-specific interventions into

basic health care services at national and sub-national levels. 0.68 3.32 2.62 2.65 1.50 10.77

• SO. 5: To improve policy and practices that enhance maternal and child nutritional

status through optimal use of nutrition-sensitive services. 28.97 73.02 60.43 30.65 24.67 217.75

• SO. 6: To address gender and social-cultural factors that hinder improvement of

maternal, infant, and young child nutrition at national and sub national level. 3.10 3.52 3.54 3.20 3.10 16.46

• SO. 7 : To strengthen organisational, institutional and policy framework for linking

humanitarian relief, to recovery and development towards to nutrition improvement at national and sub national level. 9.01 11.30 11.29 8.99 9.10 49.70 Total per year 42.55 93.59 79.48 47.05 39.13 301.80

Weight of the cost by SO.

0% 10% 20% 30% 40% 50% 60% 70% 80% Strategic objective 1 Strategic objective 2 Strategic objective 3 Strategic objective 4 Strategic objective 5 Strategic objective 6 Strategic objective 7

0% 1% 1% 4% 73% 5% 17%

Cost by year of implementation

2019/20, 14% 2020/21, 31% 2021/22, 26% 2022/23, 16% 2023/24, 13%

Challenges

• Resource tracking and Mobilization among partners, donors

and other multi-sectoral actors

• Alignment and identification of proposed activities under each
• f the objectives.
• Lack of whole scope of identified nutrition

interventions/activities under humanitarian and development response.

• Implication???

Questions

THANK YOU