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MULTIPLY MONEY.
MAXIMISE CHILDREN’S LIVES.
THAT’S THE POWER OF NUTRITION.
Good nutrition, once given, can never
be taken away. A child whose mother
takes iron-folic acid during pregnancy,
breastfeeds her for the first six months
and introduces her to nutritious foods
at the appropriate stages leading up
to her 2nd birthday will have a strong
foundation for the rest of her life.
The Power of Nutrition is a new
charitable foundation with a focused
mission: accelerate the fight against
child undernutrition at a pace and scale
that few can achieve alone. Today, child
undernutrition hides in plain sight
around the world, not just in countries
ravaged by war or drought. In some
countries in Sub-Saharan Africa and Asia,
every other child is growing up stunted
– with reduced physical and cognitive
growth – even though nutritious food is
often readily available and proven, cost-
effective, scalable solutions exist.
We are proud to be the first and only
foundation to take on this challenge.
Our strategy combines new financing
and smart investments in child nutrition
in a specific set of hotspot countries.
We launched in April 2015 with $200
million in signed commitments from our
partners – a rate of growth that matches
our ambition and the dramatic results we
are targeting.
This document sets out further details of
how our targeted investment approach
and our unique financing model provide
private investors with an unprecedented
opportunity to advance countries’
economic growth by transforming the lives
and livelihoods of millions of children.
Together, we can take steps to sharply
reduce the future cost of undernutrition on
children and societies. Please, contact me to
discuss how you can join us on our journey.
Martin Short
Chief Executive Officer,
The Power of Nutrition
The power of prevention. That’s The Power of Nutrition.
03
01 WHY NUTRITION 02 WHAT IS THE POWER OF NUTRITION? 03 WHERE THE POWER OF NUTRITION INVESTS 04 HOW THE POWER OF NUTRITION INVESTS 05 APPENDIX
Contents
04
01
WHY NUTRITION
“
Anne M. Mulcahy, CEO, Xerox Corporation (2001-2009)
Investing in early childhood nutrition is a surefire
strategy. The returns are incredibly high.”
05
06
01
WHY NUTRITION
Good nutrition transforms children’s
health, education and livelihoods.
Nutrition is a powerful multiplier in development.
It enables children to grow to their full potential. It also
triggers positive social and economic changes in countries
and across generations.
The earlier the investment, the greater the return.
Good nutrition during the 1,000-day window between
conception and a child’s second birthday prevents
undernutrition and improves lifelong cognitive and
physical development.
Nutrition is more than just about food.
It is about getting children and their mothers the right
nutrition supplements, services and education at the right
time to prevent stunting – the invisible hunger.
GOOD NUTRITION MAKES CHILDREN 9 TIMES
LESS LIKELY TO DIE FROM PNEUMONIA
HEALTH
Black et al. 2008
EDUCATION
WITH GOOD NUTRITION CHILDREN
WILL STAY IN SCHOOL FOR AT LEAST
ONE EXTRA YEAR
Maluccio et al. 2009
WITH GOOD NUTRITION CHILDREN
ARE 33% MORE LIKELY TO ESCAPE
POVERTY AS ADULTS.
LIVELIHOODS
Hoddinott et al. 2011
EVERY DOLLAR INVESTED IN NUTRITION NETS
$16 IN RETURNS OVER A CHILD’S LIFETIME
ROI
Global Nutrition Report 2014
BRAIN DEVELOPMENT
Heckman 2008 (adapted)
Preschool programmes
Prenatal programmes and others targeted towards the earliest years
Schooling
Job training
0
RATEOFRETURNONHUMANINVESTMENT
FIRST 1,000
DAYS 2-5 SCHOOL POST SCHOOL
AGE
Scale of the challenge
01
WHY NUTRITION
07
OFTEN INCURABLE
NOT JUST HUNGER
ALWAYS
PREVENTABLE
UNDERNUTRITION
Affects 1 in 4 children
under 5 globally
Stunting is the most common type of undernutrition
STUNTED CHILDREN
MAY LOSE UP TO
11 IQ POINTS
World Bank
STUNTED MOTHERS ARE 3X
MORE LIKELY TO GIVE BIRTH TO
A STUNTED CHILD
Özaltin et al. 2010
STUNTED CHILDREN MAY BE
4-6 INCHES SHORTER THAN
THEIR PEERS
Adair 1997
UNDERNUTRITION CONTRIBUTES TO HALF
OF ALL CHILD DEATHS EACH YEAR
de Onis et al. 2011
UNDERNUTRITION COSTS HOTSPOT
COUNTRIES UP TO 11% OF GDP
Horton and Steckel 2013
Nature of the opportunity
Investments in child nutrition can be very targeted
to save and improve the greatest number of lives.
With more financing and greater focus on good
nutrition, the end of undernutrition is within reach.
Snapshots of success. The experiences of places as
diverse as Ethiopia, India’s Maharashtra state, Nigeria
and Senegal show that some success in tackling and
reducing undernutrition is possible – providing lessons
for hotspot countries facing the biggest challenges.
Growing momentum. For the first time ever,
world leaders have adopted a target to end all forms of
malnutrition by 2030 under the Sustainable Development
Goals (SDGs). Financing for nutrition is still very
low – against any measure.
Golden moment. Big change requires bold action – to
lead the charge and demonstrate that focused action on
child undernutrition will trigger dramatic progress.
01
WHY NUTRITION
ETHIOPIA
ETHIOPIA
MAHARASHTRA
SENEGAL
NIGERIA
SNAPSHOTS
OF SUCCESS
08
Snapshots of success
01
WHY NUTRITION
Ethiopia / Maharashtra, India / Nigeria / Senegal
09
MAHARASHTRA, INDIA
SNAPSHOTS OF SUCCESS:
Increased government commitment and
financing for nutrition, and a specific focus
on delivering basic nutrition supplements,
education and services for children and
their mothers.
10
KEY STATS
UNDER 2 AND UNDER 5 STUNTING RATES
DROPPED DRAMATICALLY - ONE OF THE FASTEST
STUNTING REDUCTIONS EVER RECORDED
Global Nutrition Report 2014
Under 2’s
Under 5’s
45%
in 2006
30%
in 2012
39%
in 2006
23%
in 2012
ETHIOPIA
SNAPSHOTS OF SUCCESS:
01
WHY NUTRITION
Community-based delivery of basic nutrition
supplements during community health days,
nutrition education about infant and young
child feeding and nutrition services to treat the
most severe form of undernutrition.
UNDER 5 STUNTING RATES DROPPED:
FROM 67% IN 1992
TO 40% IN 2014
KEY STATS
AS DID UNDER 5 MORTALITY RATES:
Global Nutrition Report 2014
DOWN
TO
20%
1990
7%
2014
11
01
WHY NUTRITION
SENEGAL
SNAPSHOTS OF SUCCESS:
Strong government leadership for
delivering basic nutrition supplements
for young children, and nutrition education
and counseling to pregnant women and new
mothers. There was also a broader focus on
improving water sanitation and access to
healthcare, which are closely linked to nutrition.
MOTHER-CHILD PAIRS HAVE
BENEFITED FROM BASIC
NUTRITION INTERVENTIONS
BETWEEN 2002 AND 2011.
KEY STATS
UNDER 5 STUNTING RATES DROPPED BY A THIRD
2000 2014
30% 19%
World Bank 2012
NIGERIA
SNAPSHOTS OF SUCCESS:
Community-based delivery of ready-to-use
therapeutic foods like fortified peanut butter
pastes and other nutrition services that treat
severe acute malnutrition – and cost less than
$160 per child cured.
MORE THAN 1 MILLION
CHILDREN HAVE BEEN TREATED AND OVER
100,000 LIVES SAVED
KEY STATS
Frankel et al. 2015
Good nutrition is an essential part of a healthy
life. Yet every day, millions of children die, are
sick, or are disadvantaged because they are not
receiving the right nutrition and care at the
right time. Investors in The Power of Nutrition
can change that, so good nutrition becomes the
new normal.”
Michael Anderson, CEO, Children’s Investment Fund Foundation
“
02
WHAT IS THE POWER OF NUTRITION?
12
13
02
WHAT IS THE POWER OF NUTRITION?
The Power of Nutrition is a new charitable
foundation — the only one of its kind —
dedicated to ending the cycle of undernutrition
and helping children grow to their full potential.
METHOD
We guarantee that every investment is multiplied 4 times
Our mission is to accelerate the fight
against undernutrition at a pace and
scale that few are able to achieve alone.
Multiply financing for critical, basic
nutrition supplements, services and
education. Invest it in country hotspots
to deliver measurable results at scale.
MISSION
APPROACH
BY 2020
100,000LIVES SAVED
5 HOTSPOTSIDENTIFIED
$1 BILLIONUNLOCKED IN NEW FINANCING
10 MILLIONCHILDREN PROTECTED FROM STUNTING
02
WHAT IS THE POWER OF NUTRITION?
The Power of Nutrition
multiplies contributions from
each new investor by
4x – guaranteed. The full
amount is directed to
nutrition interventions on the
ground, not to the overhead
costs of operating the
charitable foundation.
The Power of Nutrition only
invests in a specific set of
interventions that deliver
high-quality basic nutrition
supplements, services and
education – that have been
tried, tested and proven to
prevent undernutrition at
low cost.
MULTIPLICATION
EVIDENCE
Proposition
The Power of Nutrition is open to all investors
committed to making strategic, transformational
financial contributions to child wellbeing
through nutrition.
This is a unique opportunity to join a like-minded
and highly respected partnership of some of the
world’s leading global investors and implementers
in the nutrition field.
Our investment principles:
The Power of Nutrition
scales up coverage of these
interventions in a targeted set
of hotspots in Sub-Saharan
Africa and Asia.
The Power of Nutrition
brings globally renowned
implementers together with
expert leadership in an agile,
credible and powerful alliance
led by the Executive and
guided by the Board
of Trustees.
The Power of Nutrition
monitors each investment
closely and reports back to
investors on performance and
reports back on performance
and progress twice each year.
EXPERTISE
RESULTS
SCALE
14
03
WHERE THE POWER OF NUTRITION INVESTS
The Power of Nutrition is helping to fuel
the growing global movement to give more
children the healthy start they need.”
Anthony Lake, Executive Director, UNICEF
“
15
03
WHERE THE POWER OF NUTRITION INVESTS
The Power of Nutrition invests in hotspot
countries in Sub-Saharan Africa and Asia where
the evidence shows that our investments will
have the largest sustainable reduction in child
undernutrition. Our objective is to invest in a total
of five hotspots by 2020.
A selection of potential hotspot countries
under consideration
The Breakdown
16
1st hotspot and investment (Tanzania)
Our hotspots  investments
The Power of Nutrition has identified Tanzania as its first hotspot.
We approved our first investment to the country in Summer 2015.
03
WHERE THE POWER OF NUTRITION INVESTS
17
Tanzania
Investment solution
The Power of Nutrition is financing a major new nutrition initiative
in Tanzania. This has triggered up to $44 million to scale up proven
nutrition interventions nationally – with more ambitious targets in
7 out of 30 regions:
•	 Increasing coverage of vitamin A supplementation for children under 5
•	 Increasing iron-folic acid supplementation coverage for pregnant women
•	 Deploying community health workers to promote nutrition education
around breastfeeding and complementary feeding to new mothers
This is a pay for results investment. The release of financing will be
contingent on the achievement of pre-defined targets that demonstrate
that performance is being delivered on the ground, thereby reducing risk.
This investment will support the country’s Big Results Now in Health
initiative, a new and innovative approach to public health service reform
that sets targets, establishes a plan to deliver against targets and tracks
progress regularly. The impact of The Power of Nutrition’s investment
will benefit from over $300 million of investment in this initiative.
03
WHERE THE POWER OF NUTRITION INVESTS
More than one out of every three Tanzanian children under the age of
five is stunted. One of East Africa’s fastest-growing economies, Tanzania
has linked its commitment to ensuring good nutrition for all to its
broader ambitions to become a middle-income country by 2025.
Impact targets
25 MILLION
REACHING
MOTHERS  CHILDREN
166,000
PREVENTING AT LEAST
CASES OF STUNTING
67,000
SAVING AT LEAST
LIVES
Background
PERFORMANCE WILL BE MONITORED
CLOSELY OVER THE NEXT 5 YEARS.
REPORTS ON PROGRESS WILL BE
AVAILABLE TO INVESTORS TWICE YEARLY.
18
Sources: Global Nutrition Report 2014; UNICEF, WHO
and World Bank Joint Child Malnutrition Dataset 2014;
World Bank 2014
Under 5 population: 9.2 MILLION
Stunting rate: 35%
Severe wasting rate: 1%
Region: SUB-SAHARAN AFRICA
Economic status: LOW INCOME
A selection of our countries under consideration
The Power of Nutrition is building a pipeline of new investments in other
potential hotspots. Some of the countries under consideration are profiled
here. Financing is not guaranteed and will be made available for only those
investments that meet our investment criteria and pass our investment
process (see Section 04).
03
WHERE THE POWER OF NUTRITION INVESTS
19
03
WHERE THE POWER OF NUTRITION INVESTS
Background
Under 5 population: 15.4 MILLION
Stunting rate: 36%
Severe wasting rate: 3%
Region: SOUTH ASIA
Economic status: LOWER MIDDLE INCOME
Bangladesh
Challenge Solutions
In Bangladesh, gender and regional
inequality and low dietary diversity are
key factors in the nutrition status of
women and young children. Maternal
anaemia and micronutrient deficiencies
are high, and a third of all children under
the age of five are growing up stunted.
Bangladesh has made significant strides
in development in the past decade
and the Prime Minister has recently
declared nutrition a central component
of the country’s national development
agenda. The country’s national nutrition
programme focuses on scaling up a
comprehensive package of essential
nutrition activities in rural areas and
urban slums. It also focuses on women’s
empowerment, which is critical to
delivering large reductions in child
undernutrition and transforming the
country’s development trajectory.
20
Sources: Global Nutrition Report 2014; UNICEF, WHO and World Bank Joint Child Malnutrition Dataset 2014; World Bank 2014.
03
WHERE THE POWER OF NUTRITION INVESTS
Cameroon
Challenge Solutions
In Cameroon, two in five children
under the age of five are stunted.
Poverty is widespread and
development progress has been slow,
including against the World Health
Assembly targets for nutrition.
Cameroon has growing domestic
support for nutrition. The country
is focusing on the 1,000-day window
as it builds a national nutrition
strategy and begins to tackle child
undernutrition. As Cameroon sets
its long-term nutrition strategy,
there is a key opportunity to support
the country in sustaining a focused
approached to essential nutrition
activities that address micronutrient
deficiencies, maternal nutrition and
the treatment of severe wasting.
Background
Under 5 population: 665,261
Stunting rate: 42%
Severe wasting rate: 2%
Region: SUB-SAHARAN AFRICA
Economic status: LOW INCOME
21
Sources: Global Nutrition Report 2014; UNICEF, WHO and World Bank Joint Child Malnutrition Dataset 2014; World Bank 2014.
03
WHERE THE POWER OF NUTRITION INVESTS
Ethiopia
Challenge Solutions
In Ethiopia, two out of every five
children under the age of five
are growing up stunted today.
Over the past decade, the country
has achieved the Millennium
Development Goals (MDGs) for
child mortality and water and has
dedicated significant attention to
improving social infrastructure.
Sustained attention to nutrition at
the national and community level is
still needed.
Ethiopia committed to ending
undernutrition by 2030 with the
Sequota Declaration. The country has
developed and is extending a sound
national nutrition programme and also
trains community health workers to
deliver a range of nutrition activities that
focus on the critical 1,000-day window
of opportunity. The potential for
delivering dramatic reductions in child
undernutrition is at an all-time high.
Background
Under 5 population: 14 MILLION
Stunting rate: 40%
Severe wasting rate: 2.5%
Region: SUB-SAHARAN AFRICA
Economic status: LOW INCOME
22
Sources: Global Nutrition Report 2014; UNICEF, WHO and World Bank Joint Child Malnutrition Dataset 2014; World Bank 2014.
Background
03
WHERE THE POWER OF NUTRITION INVESTS
India
Challenge Solutions
India is one of the world’s largest
economies and a democracy, yet it’s
also home to a third of all stunted
children under the age of five.
Today, stunting affects nearly half
of all children in the country – with
higher rates for children from poor
backgrounds and states.
Certain states – Mahrashtra being
a notable example (see page 10)
– have begun making progress in
driving down rates of stunting.
Relatively small amounts of
financing and technical support
can have an outsized impact in
the country given the strength of
existing government systems.Under 5 population: 124 MILLION
Stunting rate: 39%
Severe wasting rate: 5%
Region: SOUTH ASIA
Economic status: LOWER MIDDLE INCOME
23
Sources: Global Nutrition Report 2014; UNICEF, WHO and World Bank Joint Child Malnutrition Dataset 2014; World Bank 2014.
03
WHERE THE POWER OF NUTRITION INVESTS
Liberia
Challenge Solutions
In Liberia, a third of children under
the age of five are growing up
stunted. Wasting is also a challenge.
Post-Ebola, the country struggles
with weak infrastructure and
health systems.
Liberia has identified nutrition as
a national priority and established
a national nutrition programme
in 2012. This trains community
health workers to deliver essential
nutrition activities like educating
mothers about breastfeeding and
complementary feeding for infants
aged 6-24 months. The country is
rebuilding and strengthening its
health system post-Ebola. Now is the
time to ensure that nutrition remains
a clear focus in this process.
Background
Under 5 population: 686,000
Stunting rate: 32%
Severe wasting rate: 2%
Region: SUB-SAHARAN AFRICA
Economic status: LOW INCOME
24
Sources: Global Nutrition Report 2014; UNICEF, WHO and World Bank Joint Child Malnutrition Dataset 2014; World Bank 2014.
03
WHERE THE POWER OF NUTRITION INVESTS
Madagascar
Challenge Solutions
Madagascar, an island nation
off the East coast of Africa, is
fighting undernutrition. In some
regions, including the fertile
central highlands, as many as 60%
of children under five are stunted.
High rates are also seen in areas
where sanitation and healthcare
are relatively strong, challenging
conventional approaches to
reducing undernutrition.
A new national nutrition investment
plan has been drawn up for the
period 2015-20 and targets a 34%
reduction in undernutrition. This will
include scaling up 12 evidence-based
interventions like providing iron-folic
acid supplements for pregnant mothers
and education around child feeding.
Background
Under 5 population: 3.3 MILLION
Stunting rate: 50%
Severe wasting rate: NO DATA
Region: SUB-SAHARAN AFRICA
Economic status: LOW INCOME
25
Sources: Global Nutrition Report 2014; UNICEF, WHO and World Bank Joint Child Malnutrition Dataset 2014; World Bank 2014.
Background
03
WHERE THE POWER OF NUTRITION INVESTS
Niger
Challenge Solutions
In Niger, more than two in five children
under the age of five are stunted. Rates
of severe wasting are high.
The Ministry of Health has
successfully scaled up life-saving
treatment of severe wasting
so that as many as 400,000
children can be covered each
year. Comprehensive packages of
essential nutrition activities that
focus on the 1,000-day window
are also being successfully
implemented at the community
level, but coverage is low. As
the country finalises and begins
implementing a national nutrition
policy, more financing can help
ensure that treatment activities
continue and that prevention
activities are taken to scale.
Under 5 population: 3.6 MILLION
Stunting rate: 43%
Severe wasting rate: 7%
Region: SUB-SAHARAN AFRICA
Economic status: LOW INCOME
26
Sources: Global Nutrition Report 2014; UNICEF, WHO and World Bank Joint Child Malnutrition Dataset 2014; World Bank 2014.
04
HOW THE POWER OF NUTRITION INVESTS
The Financial Times, July 2015
The Power of Nutrition is a symbol of a bigger
trend … an example of what many people see
as a future in which private capital has to play a
much greater role in helping the world’s poor.”
27
“
04
HOW THE POWER OF NUTRITION INVESTS
Our investment process
The Executive is involved at every stage
of the investment process so that each
investment is targeted where it will make
the biggest difference. Each investment will
be assessed against a specific set of criteria
before financing is released. No investment
can be made without the approval of both
the Executive and the Board of Trustees.
TURNING INVESTMENT INTO IMPACT
Turning investment into impact
We approve a programme with the
highest potential for impact
2
Each dollar is
multiplied 4 times
4The total is directed to
the approved programme
5
The programme is delivered
by our implementing partners
6 Every investment prevents undernutrition
and enables children to grow to their
full potential
7
SUPPLEMENTS
NUTRITION
SERVICES
The Power of Nutrition seeks out opportunities to
invest in nutrition programmes in our focus countries
1
An investor
contributes
3
X4
EDUCATING
MOTHERS
D
A C
B
28
04
HOW THE POWER OF NUTRITION INVESTS
Presence of significant
new co-financing for
nutrition activities at
country level, including
allocations from
countries themselves in
some cases.
A specific set of
evidence-based
interventions that
deliver high-quality
basic nutrition
supplements, services
and education – and
have been tried, tested
and proven to prevent
undernutrition.
INTERVENTIONS
Hotspot countries in
Sub-Saharan Africa and
Asia with under five
stunting rates above
30% and total under
five stunted populations
greater than 250,000.
LOCATION
 NEED
CO-FINANCING
Our investment criteria
A shared ambition
to deliver dramatic
reductions in child
undernutrition and a
realistic plan and set of
targets for achieving this.
RESULTS
A robust monitoring
and evaluation approach
agreed with each
implementing partner,
including updates every
6 months.Strong government
buy-in within each
hotspot, including
the ability to put new
financing to effective
use at scale.
COMMITMENT
 CAPACITY
29
MONITORING 
EVALUATION
A selection of the nutrition interventions we finance
NUTRITION INTERVENTION WHAT DOES IT INVOLVE? WHY DOES IT MATTER?
SUPPLEMENTS
VITAMIN A SUPPLEMENTATION Provision of supplements
Delivery through existing health care platforms (e.g.,
child health days)
Vitamin A supplementation reduces all-cause and
diarrhoea-related mortality
SALT IODISATION Iodisation of salt at point of processing
Targeted to pregnant women
Salt iodisation increases birth weight and leads to
10-20 percent higher developmental scores
IRON AND FOLIC ACID Provision of supplements to pregnant women
Delivery through existing antenatal care platforms
Iron and folic acid supplementation for pregnant
women leads to higher birth weight
MULTIPLE MICRONUTRIENT POWDERS Provision of micronutrient powders to children
Demand generation including strategic
communications
Significant reductions in anaemia
IRON FORTIFICATION OF STAPLES Product fortification at point of processing
(e.g., flours)
Iron fortification results in 41 percent reduction in
the risks of anaemia
EDUCATION
PROMOTION OF BREASTFEEDING Community-based education and behaviour change Early breast feeding reduces all-cause and
infection-related mortality by 45 percent
COMPLEMENTARY FEEDING Community-based education and behaviour change
Provision of complementary foods
Complementary feeding results in increased height
and weight
HAND WASHING WITH SOAP Community-based education and behaviour change
Communications (e.g., mass media)
Hand washing with soap reduces the risk
of diarrhoea
SERVICES
MANAGEMENT OF SEVERE ACUTE
MALNUTRITION (SAM)
Community-based therapeutic feeding using ready-to-
use foods (RUTF)
Provision of RUTF leads to faster weight gain,
improved recovery, and reduced mortality
THERAPEUTIC ZINC FOR DIARRHOEA Access to zinc supplements and demand creation
Community-level delivery platforms
Zinc treatment for diarrhoea leads to a 46 percent
reduction in all-cause mortality
DEWORMING Delivery of deworming drugs
School-based or through healthcare system
Treating children who are infected with worms
increases weight gain
Sources: World Bank 2010 (adapted), Lancet 2013
30
Phyllis Costanza, CEO, UBS Optimus Foundation
“
05
APPENDIX
The Power of Nutrition is a groundbreaking
new fund that will help many more children
reach their full potential by ensuring they get the
right nutrients early in life. It’s an investment in
children, families and communities that will last.”
31
Who we are
The Power of Nutrition brings globally renowned
implementers together with expert leadership in an agile,
credible and powerful alliance led by the Executive and guided
by the independent Board of Trustees and Board Observers.
All new investments, funders and implementers will be
thoroughly vetted under the dual oversight of the Executive
and the Board. Our first implementing partners are UNICEF
and the World Bank.
05
APPENDIX
Executive
Martin Short – Chief Executive Officer
Michelle Thompson – Partnerships  Brands
Alethea Dopart – Communications
Anna Thornley – Recruitment
Christopher Skeet – Finance
Board of Trustees
Michael Anderson (Chair) – Children’s Investment Fund Foundation
Yoka Brandt – UNICEF
Phyllis Costanza – UBS Optimus Foundation
Augustin Flory – Children’s Investment Fund Foundation
Jonathan Brinsden – Bircham Dyson Bell
Board Observers
Liz Ditchburn – Department for International Development
Tim Evans – World Bank Group
32
The Children’s Investment Fund
Foundation (CIFF) is an independent
philanthropic organisation working
to trans-form the lives of poor and
vulnerable children in developing
countries. CIFF emphasises the use
of quality data and evidence in its
programmes, which cover four key
areas: climate change, education, health
and nutrition.
The UBS Optimus Foundation is
the philanthropic offering for clients
of UBS, the largest global wealth
manage-ment firm. UBS Optimus
Foundation is dedicated to helping
UBS clients fund innovative and
high-impact programmes around the
world that ensure that some of the
most marginalised children around
the world are safe, healthy, educated
and ready for their future.
The Department for
International Development
(DFID) leads the UK’s work
to end extreme poverty by
creating jobs, unlocking the
potential of girls and women,
and helping to save lives when
humanitarian emergencies hit.
05
APPENDIX
UNICEF promotes the rights and
wellbeing of every child, with a special
focus on reaching those in need. It
provides expertise in delivering highly
effective nutrition interventions and
programmes in over 120 countries. It is
also one of the world’s largest mobilisers
of resources for social development
causes benefiting children.
The World Bank Group is working to
end extreme poverty and boost shared
prosperity for the bottom 40% of citizens
in every country by 2030. The Bank’s
International Development Association
(IDA) is one of the largest sources of
assistance for the world’s 77 poorest
countries. IDA provides loans and grants for
programmes that boost economic growth,
reduce inequalities, and improve people’s
living conditions, including those that
address undernutrition.
Implem
enting
Partner
s
Our growing partnership
33
05
APPENDIX
34
-
Legal disclaimer
Contributions to The Power of Nutrition are grants and charitable
donations. Investors will not receive any form of economic return
in respect of the monies they provide to The Power of Nutrition.
Accordingly, not-withstanding the use in this document of terminology
more commonly associated with for-profit investment arrangements,
The Power of Nutrition is not a collective investment scheme or any
form of for-profit arrangement.
Nothing contained herein constitutes advice of any type, such as
investment, legal or tax advice. Decisions based on information
contained in this document are the sole responsibility of the intended
original recipient. Investors are encouraged to obtain independent
advice prior to contributing to The Power of Nutrition.
Photo Credits	
04 – South Sudanese mother and daughter refugees in Uganda / UNICEF/UGDA2015-00378/Nakibuuk. 09 – Screening for severe acute
malnutrition using Middle-Upper Arm Circumference (MUAC) tape / CIFF. 10 – Ethiopia / CIFF. 11 – Nigeria / CIFF and Senegal /
Jonathan Torgovnik/Getty Images Reportage. 17 – CIFF. 18 – Distribution of iron-folic tablets to pregnant women in Laos / UNICEF/
Lao2015-0136/Noorani. 19 – New mother is shown how to breastfeed by a volunteer community health worker in Indonesia / UNICEF/
NYHQ2013-0895/Ferguson. 20 – Scott Wallace/World Bank 2014. 21 – Breastfeeding in Cameroon / UNICEF/NYHQ2012-0260/Asse.
22 – Hand-washing in Ethiopia / UNICEF/HQ12/Olivier Asselin. 23 – CIFF. 24 – UNICEF/UKLA2014-04956/Chandra. 25 – Screening
for severe acute malnutrition using MUAC tape in Madagascar / UNICEF/PFPG2015-3445/Stang. 26 – CIFF. 30 – Top / A child
receives vitamin A drops in Kiribati / UNICEF/HQ06/Pirozzi. Middle / Mixing micronutrient powder into a child’s portion of food in
Laos / UNICEF/Lao2015-0160/Noorani. Bottom / CIFF. 32 – The Power of Nutrition launch event / World Bank 2015. 34 – Mixing
micronutrient powder into a child’s portion of food in Laos / UNICEF/Lao2015-0167/Noorani.
Definitions	
Stunting: A chronic form of undernutrition that inhibits a child’s physical and cognitive development. It is defined by shortness in
height compared to others of the same age group and is almost entirely preventable if caught in time.
Wasting: A less common but much deadlier form of undernutrition. It is defined as low weight or thinness compared to others of the
same age group. If caught in time, life-saving treatments can be provided.
35
MULTIPLY MONEY.
MAXIMISE CHILDREN’S LIVES.
THAT’S THE POWER OF NUTRITION.
00
WWW.POWEROFNUTRITION.ORG INFO@POWEROFNUTRITION.ORG
The Power of Nutrition (UK) is a charitable foundation working to prevent child undernutrition in Sub-Saharan Africa and Asia.
It is registered in England and Wales as a company limited by guarantee with number 09288843 and as a charity with number 1160373.
#powerofnutrition

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The Power of Nutrition - Investor Guide (2015-16) - Final

  • 1. 00
  • 2. MULTIPLY MONEY. MAXIMISE CHILDREN’S LIVES. THAT’S THE POWER OF NUTRITION.
  • 3. Good nutrition, once given, can never be taken away. A child whose mother takes iron-folic acid during pregnancy, breastfeeds her for the first six months and introduces her to nutritious foods at the appropriate stages leading up to her 2nd birthday will have a strong foundation for the rest of her life. The Power of Nutrition is a new charitable foundation with a focused mission: accelerate the fight against child undernutrition at a pace and scale that few can achieve alone. Today, child undernutrition hides in plain sight around the world, not just in countries ravaged by war or drought. In some countries in Sub-Saharan Africa and Asia, every other child is growing up stunted – with reduced physical and cognitive growth – even though nutritious food is often readily available and proven, cost- effective, scalable solutions exist. We are proud to be the first and only foundation to take on this challenge. Our strategy combines new financing and smart investments in child nutrition in a specific set of hotspot countries. We launched in April 2015 with $200 million in signed commitments from our partners – a rate of growth that matches our ambition and the dramatic results we are targeting. This document sets out further details of how our targeted investment approach and our unique financing model provide private investors with an unprecedented opportunity to advance countries’ economic growth by transforming the lives and livelihoods of millions of children. Together, we can take steps to sharply reduce the future cost of undernutrition on children and societies. Please, contact me to discuss how you can join us on our journey. Martin Short Chief Executive Officer, The Power of Nutrition The power of prevention. That’s The Power of Nutrition. 03
  • 4. 01 WHY NUTRITION 02 WHAT IS THE POWER OF NUTRITION? 03 WHERE THE POWER OF NUTRITION INVESTS 04 HOW THE POWER OF NUTRITION INVESTS 05 APPENDIX Contents 04
  • 5. 01 WHY NUTRITION “ Anne M. Mulcahy, CEO, Xerox Corporation (2001-2009) Investing in early childhood nutrition is a surefire strategy. The returns are incredibly high.” 05
  • 6. 06 01 WHY NUTRITION Good nutrition transforms children’s health, education and livelihoods. Nutrition is a powerful multiplier in development. It enables children to grow to their full potential. It also triggers positive social and economic changes in countries and across generations. The earlier the investment, the greater the return. Good nutrition during the 1,000-day window between conception and a child’s second birthday prevents undernutrition and improves lifelong cognitive and physical development. Nutrition is more than just about food. It is about getting children and their mothers the right nutrition supplements, services and education at the right time to prevent stunting – the invisible hunger. GOOD NUTRITION MAKES CHILDREN 9 TIMES LESS LIKELY TO DIE FROM PNEUMONIA HEALTH Black et al. 2008 EDUCATION WITH GOOD NUTRITION CHILDREN WILL STAY IN SCHOOL FOR AT LEAST ONE EXTRA YEAR Maluccio et al. 2009 WITH GOOD NUTRITION CHILDREN ARE 33% MORE LIKELY TO ESCAPE POVERTY AS ADULTS. LIVELIHOODS Hoddinott et al. 2011 EVERY DOLLAR INVESTED IN NUTRITION NETS $16 IN RETURNS OVER A CHILD’S LIFETIME ROI Global Nutrition Report 2014 BRAIN DEVELOPMENT Heckman 2008 (adapted) Preschool programmes Prenatal programmes and others targeted towards the earliest years Schooling Job training 0 RATEOFRETURNONHUMANINVESTMENT FIRST 1,000 DAYS 2-5 SCHOOL POST SCHOOL AGE
  • 7. Scale of the challenge 01 WHY NUTRITION 07 OFTEN INCURABLE NOT JUST HUNGER ALWAYS PREVENTABLE UNDERNUTRITION Affects 1 in 4 children under 5 globally Stunting is the most common type of undernutrition STUNTED CHILDREN MAY LOSE UP TO 11 IQ POINTS World Bank STUNTED MOTHERS ARE 3X MORE LIKELY TO GIVE BIRTH TO A STUNTED CHILD Özaltin et al. 2010 STUNTED CHILDREN MAY BE 4-6 INCHES SHORTER THAN THEIR PEERS Adair 1997 UNDERNUTRITION CONTRIBUTES TO HALF OF ALL CHILD DEATHS EACH YEAR de Onis et al. 2011 UNDERNUTRITION COSTS HOTSPOT COUNTRIES UP TO 11% OF GDP Horton and Steckel 2013
  • 8. Nature of the opportunity Investments in child nutrition can be very targeted to save and improve the greatest number of lives. With more financing and greater focus on good nutrition, the end of undernutrition is within reach. Snapshots of success. The experiences of places as diverse as Ethiopia, India’s Maharashtra state, Nigeria and Senegal show that some success in tackling and reducing undernutrition is possible – providing lessons for hotspot countries facing the biggest challenges. Growing momentum. For the first time ever, world leaders have adopted a target to end all forms of malnutrition by 2030 under the Sustainable Development Goals (SDGs). Financing for nutrition is still very low – against any measure. Golden moment. Big change requires bold action – to lead the charge and demonstrate that focused action on child undernutrition will trigger dramatic progress. 01 WHY NUTRITION ETHIOPIA ETHIOPIA MAHARASHTRA SENEGAL NIGERIA SNAPSHOTS OF SUCCESS 08
  • 9. Snapshots of success 01 WHY NUTRITION Ethiopia / Maharashtra, India / Nigeria / Senegal 09
  • 10. MAHARASHTRA, INDIA SNAPSHOTS OF SUCCESS: Increased government commitment and financing for nutrition, and a specific focus on delivering basic nutrition supplements, education and services for children and their mothers. 10 KEY STATS UNDER 2 AND UNDER 5 STUNTING RATES DROPPED DRAMATICALLY - ONE OF THE FASTEST STUNTING REDUCTIONS EVER RECORDED Global Nutrition Report 2014 Under 2’s Under 5’s 45% in 2006 30% in 2012 39% in 2006 23% in 2012 ETHIOPIA SNAPSHOTS OF SUCCESS: 01 WHY NUTRITION Community-based delivery of basic nutrition supplements during community health days, nutrition education about infant and young child feeding and nutrition services to treat the most severe form of undernutrition. UNDER 5 STUNTING RATES DROPPED: FROM 67% IN 1992 TO 40% IN 2014 KEY STATS AS DID UNDER 5 MORTALITY RATES: Global Nutrition Report 2014 DOWN TO 20% 1990 7% 2014
  • 11. 11 01 WHY NUTRITION SENEGAL SNAPSHOTS OF SUCCESS: Strong government leadership for delivering basic nutrition supplements for young children, and nutrition education and counseling to pregnant women and new mothers. There was also a broader focus on improving water sanitation and access to healthcare, which are closely linked to nutrition. MOTHER-CHILD PAIRS HAVE BENEFITED FROM BASIC NUTRITION INTERVENTIONS BETWEEN 2002 AND 2011. KEY STATS UNDER 5 STUNTING RATES DROPPED BY A THIRD 2000 2014 30% 19% World Bank 2012 NIGERIA SNAPSHOTS OF SUCCESS: Community-based delivery of ready-to-use therapeutic foods like fortified peanut butter pastes and other nutrition services that treat severe acute malnutrition – and cost less than $160 per child cured. MORE THAN 1 MILLION CHILDREN HAVE BEEN TREATED AND OVER 100,000 LIVES SAVED KEY STATS Frankel et al. 2015
  • 12. Good nutrition is an essential part of a healthy life. Yet every day, millions of children die, are sick, or are disadvantaged because they are not receiving the right nutrition and care at the right time. Investors in The Power of Nutrition can change that, so good nutrition becomes the new normal.” Michael Anderson, CEO, Children’s Investment Fund Foundation “ 02 WHAT IS THE POWER OF NUTRITION? 12
  • 13. 13 02 WHAT IS THE POWER OF NUTRITION? The Power of Nutrition is a new charitable foundation — the only one of its kind — dedicated to ending the cycle of undernutrition and helping children grow to their full potential. METHOD We guarantee that every investment is multiplied 4 times Our mission is to accelerate the fight against undernutrition at a pace and scale that few are able to achieve alone. Multiply financing for critical, basic nutrition supplements, services and education. Invest it in country hotspots to deliver measurable results at scale. MISSION APPROACH BY 2020 100,000LIVES SAVED 5 HOTSPOTSIDENTIFIED $1 BILLIONUNLOCKED IN NEW FINANCING 10 MILLIONCHILDREN PROTECTED FROM STUNTING
  • 14. 02 WHAT IS THE POWER OF NUTRITION? The Power of Nutrition multiplies contributions from each new investor by 4x – guaranteed. The full amount is directed to nutrition interventions on the ground, not to the overhead costs of operating the charitable foundation. The Power of Nutrition only invests in a specific set of interventions that deliver high-quality basic nutrition supplements, services and education – that have been tried, tested and proven to prevent undernutrition at low cost. MULTIPLICATION EVIDENCE Proposition The Power of Nutrition is open to all investors committed to making strategic, transformational financial contributions to child wellbeing through nutrition. This is a unique opportunity to join a like-minded and highly respected partnership of some of the world’s leading global investors and implementers in the nutrition field. Our investment principles: The Power of Nutrition scales up coverage of these interventions in a targeted set of hotspots in Sub-Saharan Africa and Asia. The Power of Nutrition brings globally renowned implementers together with expert leadership in an agile, credible and powerful alliance led by the Executive and guided by the Board of Trustees. The Power of Nutrition monitors each investment closely and reports back to investors on performance and reports back on performance and progress twice each year. EXPERTISE RESULTS SCALE 14
  • 15. 03 WHERE THE POWER OF NUTRITION INVESTS The Power of Nutrition is helping to fuel the growing global movement to give more children the healthy start they need.” Anthony Lake, Executive Director, UNICEF “ 15
  • 16. 03 WHERE THE POWER OF NUTRITION INVESTS The Power of Nutrition invests in hotspot countries in Sub-Saharan Africa and Asia where the evidence shows that our investments will have the largest sustainable reduction in child undernutrition. Our objective is to invest in a total of five hotspots by 2020. A selection of potential hotspot countries under consideration The Breakdown 16 1st hotspot and investment (Tanzania)
  • 17. Our hotspots investments The Power of Nutrition has identified Tanzania as its first hotspot. We approved our first investment to the country in Summer 2015. 03 WHERE THE POWER OF NUTRITION INVESTS 17
  • 18. Tanzania Investment solution The Power of Nutrition is financing a major new nutrition initiative in Tanzania. This has triggered up to $44 million to scale up proven nutrition interventions nationally – with more ambitious targets in 7 out of 30 regions: • Increasing coverage of vitamin A supplementation for children under 5 • Increasing iron-folic acid supplementation coverage for pregnant women • Deploying community health workers to promote nutrition education around breastfeeding and complementary feeding to new mothers This is a pay for results investment. The release of financing will be contingent on the achievement of pre-defined targets that demonstrate that performance is being delivered on the ground, thereby reducing risk. This investment will support the country’s Big Results Now in Health initiative, a new and innovative approach to public health service reform that sets targets, establishes a plan to deliver against targets and tracks progress regularly. The impact of The Power of Nutrition’s investment will benefit from over $300 million of investment in this initiative. 03 WHERE THE POWER OF NUTRITION INVESTS More than one out of every three Tanzanian children under the age of five is stunted. One of East Africa’s fastest-growing economies, Tanzania has linked its commitment to ensuring good nutrition for all to its broader ambitions to become a middle-income country by 2025. Impact targets 25 MILLION REACHING MOTHERS CHILDREN 166,000 PREVENTING AT LEAST CASES OF STUNTING 67,000 SAVING AT LEAST LIVES Background PERFORMANCE WILL BE MONITORED CLOSELY OVER THE NEXT 5 YEARS. REPORTS ON PROGRESS WILL BE AVAILABLE TO INVESTORS TWICE YEARLY. 18 Sources: Global Nutrition Report 2014; UNICEF, WHO and World Bank Joint Child Malnutrition Dataset 2014; World Bank 2014 Under 5 population: 9.2 MILLION Stunting rate: 35% Severe wasting rate: 1% Region: SUB-SAHARAN AFRICA Economic status: LOW INCOME
  • 19. A selection of our countries under consideration The Power of Nutrition is building a pipeline of new investments in other potential hotspots. Some of the countries under consideration are profiled here. Financing is not guaranteed and will be made available for only those investments that meet our investment criteria and pass our investment process (see Section 04). 03 WHERE THE POWER OF NUTRITION INVESTS 19
  • 20. 03 WHERE THE POWER OF NUTRITION INVESTS Background Under 5 population: 15.4 MILLION Stunting rate: 36% Severe wasting rate: 3% Region: SOUTH ASIA Economic status: LOWER MIDDLE INCOME Bangladesh Challenge Solutions In Bangladesh, gender and regional inequality and low dietary diversity are key factors in the nutrition status of women and young children. Maternal anaemia and micronutrient deficiencies are high, and a third of all children under the age of five are growing up stunted. Bangladesh has made significant strides in development in the past decade and the Prime Minister has recently declared nutrition a central component of the country’s national development agenda. The country’s national nutrition programme focuses on scaling up a comprehensive package of essential nutrition activities in rural areas and urban slums. It also focuses on women’s empowerment, which is critical to delivering large reductions in child undernutrition and transforming the country’s development trajectory. 20 Sources: Global Nutrition Report 2014; UNICEF, WHO and World Bank Joint Child Malnutrition Dataset 2014; World Bank 2014.
  • 21. 03 WHERE THE POWER OF NUTRITION INVESTS Cameroon Challenge Solutions In Cameroon, two in five children under the age of five are stunted. Poverty is widespread and development progress has been slow, including against the World Health Assembly targets for nutrition. Cameroon has growing domestic support for nutrition. The country is focusing on the 1,000-day window as it builds a national nutrition strategy and begins to tackle child undernutrition. As Cameroon sets its long-term nutrition strategy, there is a key opportunity to support the country in sustaining a focused approached to essential nutrition activities that address micronutrient deficiencies, maternal nutrition and the treatment of severe wasting. Background Under 5 population: 665,261 Stunting rate: 42% Severe wasting rate: 2% Region: SUB-SAHARAN AFRICA Economic status: LOW INCOME 21 Sources: Global Nutrition Report 2014; UNICEF, WHO and World Bank Joint Child Malnutrition Dataset 2014; World Bank 2014.
  • 22. 03 WHERE THE POWER OF NUTRITION INVESTS Ethiopia Challenge Solutions In Ethiopia, two out of every five children under the age of five are growing up stunted today. Over the past decade, the country has achieved the Millennium Development Goals (MDGs) for child mortality and water and has dedicated significant attention to improving social infrastructure. Sustained attention to nutrition at the national and community level is still needed. Ethiopia committed to ending undernutrition by 2030 with the Sequota Declaration. The country has developed and is extending a sound national nutrition programme and also trains community health workers to deliver a range of nutrition activities that focus on the critical 1,000-day window of opportunity. The potential for delivering dramatic reductions in child undernutrition is at an all-time high. Background Under 5 population: 14 MILLION Stunting rate: 40% Severe wasting rate: 2.5% Region: SUB-SAHARAN AFRICA Economic status: LOW INCOME 22 Sources: Global Nutrition Report 2014; UNICEF, WHO and World Bank Joint Child Malnutrition Dataset 2014; World Bank 2014.
  • 23. Background 03 WHERE THE POWER OF NUTRITION INVESTS India Challenge Solutions India is one of the world’s largest economies and a democracy, yet it’s also home to a third of all stunted children under the age of five. Today, stunting affects nearly half of all children in the country – with higher rates for children from poor backgrounds and states. Certain states – Mahrashtra being a notable example (see page 10) – have begun making progress in driving down rates of stunting. Relatively small amounts of financing and technical support can have an outsized impact in the country given the strength of existing government systems.Under 5 population: 124 MILLION Stunting rate: 39% Severe wasting rate: 5% Region: SOUTH ASIA Economic status: LOWER MIDDLE INCOME 23 Sources: Global Nutrition Report 2014; UNICEF, WHO and World Bank Joint Child Malnutrition Dataset 2014; World Bank 2014.
  • 24. 03 WHERE THE POWER OF NUTRITION INVESTS Liberia Challenge Solutions In Liberia, a third of children under the age of five are growing up stunted. Wasting is also a challenge. Post-Ebola, the country struggles with weak infrastructure and health systems. Liberia has identified nutrition as a national priority and established a national nutrition programme in 2012. This trains community health workers to deliver essential nutrition activities like educating mothers about breastfeeding and complementary feeding for infants aged 6-24 months. The country is rebuilding and strengthening its health system post-Ebola. Now is the time to ensure that nutrition remains a clear focus in this process. Background Under 5 population: 686,000 Stunting rate: 32% Severe wasting rate: 2% Region: SUB-SAHARAN AFRICA Economic status: LOW INCOME 24 Sources: Global Nutrition Report 2014; UNICEF, WHO and World Bank Joint Child Malnutrition Dataset 2014; World Bank 2014.
  • 25. 03 WHERE THE POWER OF NUTRITION INVESTS Madagascar Challenge Solutions Madagascar, an island nation off the East coast of Africa, is fighting undernutrition. In some regions, including the fertile central highlands, as many as 60% of children under five are stunted. High rates are also seen in areas where sanitation and healthcare are relatively strong, challenging conventional approaches to reducing undernutrition. A new national nutrition investment plan has been drawn up for the period 2015-20 and targets a 34% reduction in undernutrition. This will include scaling up 12 evidence-based interventions like providing iron-folic acid supplements for pregnant mothers and education around child feeding. Background Under 5 population: 3.3 MILLION Stunting rate: 50% Severe wasting rate: NO DATA Region: SUB-SAHARAN AFRICA Economic status: LOW INCOME 25 Sources: Global Nutrition Report 2014; UNICEF, WHO and World Bank Joint Child Malnutrition Dataset 2014; World Bank 2014.
  • 26. Background 03 WHERE THE POWER OF NUTRITION INVESTS Niger Challenge Solutions In Niger, more than two in five children under the age of five are stunted. Rates of severe wasting are high. The Ministry of Health has successfully scaled up life-saving treatment of severe wasting so that as many as 400,000 children can be covered each year. Comprehensive packages of essential nutrition activities that focus on the 1,000-day window are also being successfully implemented at the community level, but coverage is low. As the country finalises and begins implementing a national nutrition policy, more financing can help ensure that treatment activities continue and that prevention activities are taken to scale. Under 5 population: 3.6 MILLION Stunting rate: 43% Severe wasting rate: 7% Region: SUB-SAHARAN AFRICA Economic status: LOW INCOME 26 Sources: Global Nutrition Report 2014; UNICEF, WHO and World Bank Joint Child Malnutrition Dataset 2014; World Bank 2014.
  • 27. 04 HOW THE POWER OF NUTRITION INVESTS The Financial Times, July 2015 The Power of Nutrition is a symbol of a bigger trend … an example of what many people see as a future in which private capital has to play a much greater role in helping the world’s poor.” 27 “
  • 28. 04 HOW THE POWER OF NUTRITION INVESTS Our investment process The Executive is involved at every stage of the investment process so that each investment is targeted where it will make the biggest difference. Each investment will be assessed against a specific set of criteria before financing is released. No investment can be made without the approval of both the Executive and the Board of Trustees. TURNING INVESTMENT INTO IMPACT Turning investment into impact We approve a programme with the highest potential for impact 2 Each dollar is multiplied 4 times 4The total is directed to the approved programme 5 The programme is delivered by our implementing partners 6 Every investment prevents undernutrition and enables children to grow to their full potential 7 SUPPLEMENTS NUTRITION SERVICES The Power of Nutrition seeks out opportunities to invest in nutrition programmes in our focus countries 1 An investor contributes 3 X4 EDUCATING MOTHERS D A C B 28
  • 29. 04 HOW THE POWER OF NUTRITION INVESTS Presence of significant new co-financing for nutrition activities at country level, including allocations from countries themselves in some cases. A specific set of evidence-based interventions that deliver high-quality basic nutrition supplements, services and education – and have been tried, tested and proven to prevent undernutrition. INTERVENTIONS Hotspot countries in Sub-Saharan Africa and Asia with under five stunting rates above 30% and total under five stunted populations greater than 250,000. LOCATION NEED CO-FINANCING Our investment criteria A shared ambition to deliver dramatic reductions in child undernutrition and a realistic plan and set of targets for achieving this. RESULTS A robust monitoring and evaluation approach agreed with each implementing partner, including updates every 6 months.Strong government buy-in within each hotspot, including the ability to put new financing to effective use at scale. COMMITMENT CAPACITY 29 MONITORING EVALUATION
  • 30. A selection of the nutrition interventions we finance NUTRITION INTERVENTION WHAT DOES IT INVOLVE? WHY DOES IT MATTER? SUPPLEMENTS VITAMIN A SUPPLEMENTATION Provision of supplements Delivery through existing health care platforms (e.g., child health days) Vitamin A supplementation reduces all-cause and diarrhoea-related mortality SALT IODISATION Iodisation of salt at point of processing Targeted to pregnant women Salt iodisation increases birth weight and leads to 10-20 percent higher developmental scores IRON AND FOLIC ACID Provision of supplements to pregnant women Delivery through existing antenatal care platforms Iron and folic acid supplementation for pregnant women leads to higher birth weight MULTIPLE MICRONUTRIENT POWDERS Provision of micronutrient powders to children Demand generation including strategic communications Significant reductions in anaemia IRON FORTIFICATION OF STAPLES Product fortification at point of processing (e.g., flours) Iron fortification results in 41 percent reduction in the risks of anaemia EDUCATION PROMOTION OF BREASTFEEDING Community-based education and behaviour change Early breast feeding reduces all-cause and infection-related mortality by 45 percent COMPLEMENTARY FEEDING Community-based education and behaviour change Provision of complementary foods Complementary feeding results in increased height and weight HAND WASHING WITH SOAP Community-based education and behaviour change Communications (e.g., mass media) Hand washing with soap reduces the risk of diarrhoea SERVICES MANAGEMENT OF SEVERE ACUTE MALNUTRITION (SAM) Community-based therapeutic feeding using ready-to- use foods (RUTF) Provision of RUTF leads to faster weight gain, improved recovery, and reduced mortality THERAPEUTIC ZINC FOR DIARRHOEA Access to zinc supplements and demand creation Community-level delivery platforms Zinc treatment for diarrhoea leads to a 46 percent reduction in all-cause mortality DEWORMING Delivery of deworming drugs School-based or through healthcare system Treating children who are infected with worms increases weight gain Sources: World Bank 2010 (adapted), Lancet 2013 30
  • 31. Phyllis Costanza, CEO, UBS Optimus Foundation “ 05 APPENDIX The Power of Nutrition is a groundbreaking new fund that will help many more children reach their full potential by ensuring they get the right nutrients early in life. It’s an investment in children, families and communities that will last.” 31
  • 32. Who we are The Power of Nutrition brings globally renowned implementers together with expert leadership in an agile, credible and powerful alliance led by the Executive and guided by the independent Board of Trustees and Board Observers. All new investments, funders and implementers will be thoroughly vetted under the dual oversight of the Executive and the Board. Our first implementing partners are UNICEF and the World Bank. 05 APPENDIX Executive Martin Short – Chief Executive Officer Michelle Thompson – Partnerships Brands Alethea Dopart – Communications Anna Thornley – Recruitment Christopher Skeet – Finance Board of Trustees Michael Anderson (Chair) – Children’s Investment Fund Foundation Yoka Brandt – UNICEF Phyllis Costanza – UBS Optimus Foundation Augustin Flory – Children’s Investment Fund Foundation Jonathan Brinsden – Bircham Dyson Bell Board Observers Liz Ditchburn – Department for International Development Tim Evans – World Bank Group 32
  • 33. The Children’s Investment Fund Foundation (CIFF) is an independent philanthropic organisation working to trans-form the lives of poor and vulnerable children in developing countries. CIFF emphasises the use of quality data and evidence in its programmes, which cover four key areas: climate change, education, health and nutrition. The UBS Optimus Foundation is the philanthropic offering for clients of UBS, the largest global wealth manage-ment firm. UBS Optimus Foundation is dedicated to helping UBS clients fund innovative and high-impact programmes around the world that ensure that some of the most marginalised children around the world are safe, healthy, educated and ready for their future. The Department for International Development (DFID) leads the UK’s work to end extreme poverty by creating jobs, unlocking the potential of girls and women, and helping to save lives when humanitarian emergencies hit. 05 APPENDIX UNICEF promotes the rights and wellbeing of every child, with a special focus on reaching those in need. It provides expertise in delivering highly effective nutrition interventions and programmes in over 120 countries. It is also one of the world’s largest mobilisers of resources for social development causes benefiting children. The World Bank Group is working to end extreme poverty and boost shared prosperity for the bottom 40% of citizens in every country by 2030. The Bank’s International Development Association (IDA) is one of the largest sources of assistance for the world’s 77 poorest countries. IDA provides loans and grants for programmes that boost economic growth, reduce inequalities, and improve people’s living conditions, including those that address undernutrition. Implem enting Partner s Our growing partnership 33
  • 35. - Legal disclaimer Contributions to The Power of Nutrition are grants and charitable donations. Investors will not receive any form of economic return in respect of the monies they provide to The Power of Nutrition. Accordingly, not-withstanding the use in this document of terminology more commonly associated with for-profit investment arrangements, The Power of Nutrition is not a collective investment scheme or any form of for-profit arrangement. Nothing contained herein constitutes advice of any type, such as investment, legal or tax advice. Decisions based on information contained in this document are the sole responsibility of the intended original recipient. Investors are encouraged to obtain independent advice prior to contributing to The Power of Nutrition. Photo Credits 04 – South Sudanese mother and daughter refugees in Uganda / UNICEF/UGDA2015-00378/Nakibuuk. 09 – Screening for severe acute malnutrition using Middle-Upper Arm Circumference (MUAC) tape / CIFF. 10 – Ethiopia / CIFF. 11 – Nigeria / CIFF and Senegal / Jonathan Torgovnik/Getty Images Reportage. 17 – CIFF. 18 – Distribution of iron-folic tablets to pregnant women in Laos / UNICEF/ Lao2015-0136/Noorani. 19 – New mother is shown how to breastfeed by a volunteer community health worker in Indonesia / UNICEF/ NYHQ2013-0895/Ferguson. 20 – Scott Wallace/World Bank 2014. 21 – Breastfeeding in Cameroon / UNICEF/NYHQ2012-0260/Asse. 22 – Hand-washing in Ethiopia / UNICEF/HQ12/Olivier Asselin. 23 – CIFF. 24 – UNICEF/UKLA2014-04956/Chandra. 25 – Screening for severe acute malnutrition using MUAC tape in Madagascar / UNICEF/PFPG2015-3445/Stang. 26 – CIFF. 30 – Top / A child receives vitamin A drops in Kiribati / UNICEF/HQ06/Pirozzi. Middle / Mixing micronutrient powder into a child’s portion of food in Laos / UNICEF/Lao2015-0160/Noorani. Bottom / CIFF. 32 – The Power of Nutrition launch event / World Bank 2015. 34 – Mixing micronutrient powder into a child’s portion of food in Laos / UNICEF/Lao2015-0167/Noorani. Definitions Stunting: A chronic form of undernutrition that inhibits a child’s physical and cognitive development. It is defined by shortness in height compared to others of the same age group and is almost entirely preventable if caught in time. Wasting: A less common but much deadlier form of undernutrition. It is defined as low weight or thinness compared to others of the same age group. If caught in time, life-saving treatments can be provided. 35
  • 36. MULTIPLY MONEY. MAXIMISE CHILDREN’S LIVES. THAT’S THE POWER OF NUTRITION.
  • 37. 00 WWW.POWEROFNUTRITION.ORG INFO@POWEROFNUTRITION.ORG The Power of Nutrition (UK) is a charitable foundation working to prevent child undernutrition in Sub-Saharan Africa and Asia. It is registered in England and Wales as a company limited by guarantee with number 09288843 and as a charity with number 1160373. #powerofnutrition