World Vision Presentation Early Childhood Malnutrition Vision - - PDF document

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World Vision Presentation Early Childhood Malnutrition Vision - - PDF document

Dec 19, 2023 467 likes •656 views

Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized World Pauline Okumu World Vision Presentation Early Childhood Malnutrition Vision National Director 1 NUTRITION STRATEGY

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Early Childhood Malnutrition World Vision Presentation

Pauline Okumu World Vision National Director

Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized

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NUTRITION STRATEGY

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World Vision envisions a world where every child has the opportunity for life in all its fullness.

  • Good nutrition is an essential foundation for

health & development

  • Malnutrition continues to be the World’s most

serious health problem – #1 contributor to child mortality

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OUR PROMISE 2030

  • Refreshed our health and nutrition focus in 2017

and renewed our dedication to serve the most vulnerable children.

  • Expand our health and nutrition targets firmly into

the adolescent cohort, and grow investment into fragile contexts.

  • It also continues to reaffirm our commitment to

community, our greatest and steadfast strength.

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2017 ACHIEVEMENTS - GLOBALLY

  • High investment in the global fight to end

malnutrition evidenced by compelling innovations.

  • Past 5 years: 89% of >250,000 severely malnourished

children treated with CMAM by WV & partners made full recovery.

  • Emphasis on holistic early childhood development

approaches, our operational research shows significant positive outcomes in the 0-3 cohort.

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LESOTHO NUTRITION DATA

  • Stunting due to chronic malnutrition – 33% for U5

(DHS 2014).(Range:26% Mafeteng; 48% Mokhotlong)

  • LVAC 2016 report – Stunting 42%; Underweight-

12.2%; Wasting – 2.7%

  • Good progress made in exclusive breastfeeding:

from 54% (2009) to 67% (2014).

  • Undernutrition during first 1,000 days results in

impaired cognitive development

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WV LESOTHO COUNTRY PROGRAM

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  • Koeneng AP
  • Mapoteng
  • Sefikaneng AP
  • Sekameng AP
  • Matelile AP
  • Sekameng AP
  • Malumeng AP
  • Matelile AP
  • Mpharane AP
  • Maphutseng (Grants)
  • Mokotjomela AP
  • Pitseng AP
  • Kota AP
  • Matlameng
  • Pitseng AP

Makhunuane (Grants)

  • ECHO DRR (Grants)
  • ECHO DRR (Grants)
  • Rothe AP
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HEALTH HIV/AIDS NUNTRITION PROGRAM

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Improved maternal and child health and nutritional status; reduced new HIV infection and impact

  • f HIV and AIDS

Improved Maternal and New Born and Child Health Improved Maternal, Newborn and Child nutritional status. New infections reduced. Improved Care and Support for OVCs and people living with HIV and AIDS

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SERVICE DELIVERY STRATEGIES

  • Partnerships – Community needs are complex and

multi-faceted and so is Nutrition (WASH, Livelihoods as enablers)

  • Community Participation and Ownership
  • Capacity building
  • Functional community structures and systems
  • Sustainable funding

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PARTNERSHIPS

  • MOH – Signed MOU for project implementation
  • 2 World Vision project Models adopted by MOH

(TTC – Timed Targeted Counselling - Model) & (COMM – Community Committee – Model)

  • Signed MoU with PSI and Jhpiego – HIV prevention

among youth HTS and VMMC

  • On-going PCA with UNICEF for WASH; Nutrition DIB

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OVERVIEW – TTC PROJECT MODELS

  • TTC is a family centred behaviour change communication

(BCC) approach targeting pregnant women and their supporters, and parents of children up to two years of age through appropriately timed household visits.

  • Village Health Workers (VHWs) learn practical skills on

barriers to health and nutrition & deliver comprehensive set of messages and services using an interactive story telling methodology

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OVERVIEW – TTC PROJECT MODELS

  • Translation of story books and other materials used by

VHWs for 7-11 interventions into Sesotho

  • A total of 155 VHWs from 5 districts have been trained on

the 1st module of TTC

  • 60 pregnant women and 12 U5s are now enrolled in TTC
  • 1 Nutrition club established to improve MCHN
  • 49 U5 HH and 5 pregnant women are active members of

the club – monthly meeting: food preparation for U5s

  • Growth monitoring and promotion through education on

IYCF by VHWs during club meetings

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OVERVIEW – COMM MODELS

  • COMM’ is a generic title given to a health-focused

community group empowered to coordinate and manage activities leading to improved overall community health, and strengthened community systems.

  • COMM model builds the capacity of the health centre

committees on Primary Health Care (PHC) issues.

  • Illustrative objectives of a COMM include: Provide a support

system for CHWs; mobilize the community for improved health; assess and track the community health situation; respond to barriers to health-related behavior change at community level

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OVERVIEW – COMM MODELS

  • Progress to date:
  • National level Training of Facilitators (ToF)

conducted

– 35 participants trained as ToF; including Director - Family Health, Heads of Departments MoH, WV staff and District Public Health Nurses from 8 districts

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NUTRITION DIB

  • It is against the backdrop of poor nutrition

indicators that World Vision in partnership with UNICEF and Ministry of Health is exploring Development Impact Bond (DIB) an innovative financing solution to address the high stunting rate in Lesotho.

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WHY DIB?

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Blanket bilateral aid approach is no longer Blanket bilateral aid approach is no longer effective nor resourced, thus the proposed aid and trade bundle. Core business collaboration between public Core business collaboration between public & private partners can deliver end to end sustainable development. DIB is a performance-based investment DIB is a performance-based investment instrument intended to finance such development work in low resource countries. PBF assumes tying development funding to PBF assumes tying development funding to pre-agreed measurable results that is both effective and efficient.

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WHERE are we now?

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Brief HISTORY (since January 2017) State of CURRENT Affairs (May-June 2017)

The idea and interest emerged as a result of UNICEF and WV engagement. Virtual sensitization, orientation and mobilization follow-ups for players. In-country stakeholder scoping for focus, feasibility, design, partners. Government and UN engagement in Lesotho for role and responsibility clarifications, next steps planning. Eligible private sector identification and idea testing for collaboration. Internal WV engagement (SO, TSO, GC) Concept jointly developed by Ministry of Health, UNICEF and WV in place. In-country stakeholders mobilized, role- responsibility finalization pending Private sector partner meeting (DSM in Jo- burg) conducted. Initial ‘new donor’ map in place, donor scoping and pre-positioning planned. Feasibility planning in progress. Next Phase: Design (Proposal development

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WHEN should all this materialize?

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1.a) Scoping 1.a) Orient & capacitate WV staff and leaders 1.b) Orient & mobilize stakeholders in country

  • 1. c) Broker formation of a PPP

involving local, regional, global actors.

2.a) Pre-position with & influence the eligible new donors / investors. 2.b) Conduct Feasibility study and co-design of DIB with all partners. 3.a) Pilot Lesotho DIB 3.b) Role model in WV 3.c) Scale up in Lesotho

Phase1: May - Sept. 2017 Phase 2:

  • Oct. 2017- Sept. 2018

Phase 3:

  • Oct. 2018 - Sept.2020