Cop1 costing and financing holly sedutto

1. Benoist Veillerette and Charlotte Dufur (FAO)
Nutrition-sensitive “how to”
Planning, Costing and Financing
Community of Practice
Holly Sedutto (REACH)
Questions

2. Demystifying multi-sectoral nutrition actions:
Progress on Compendium of Actions for Nutrition
SUN CoP1
Costing and Financing, Conference Call
12 February 2015

3. Audience
• Primary audience: REACH facilitators, UN
network
• Secondary audience: SUN focal points & gov’t
ministries have voiced interest in the CAN
Purpose
• To help breakdown what multi-sectoral nutrition
action means into concrete terms
• To highlight the types of nutrition-related
interventions carried out within the respective
sectors and any cross-cutting issues
• To identify the linkages between sector-specific
action and opportunities for integrated action
… in a logical and synthesised manner
Making ‘practical’ nutrition knowledge across the multi-sectoral
landscape more accessible and coherent

4. The process: Development in consultation with CAN focal points in
each agency to leverage comparative advantages
Design
Drafting
Review
Finalisation
Dissemination
Update
Phase Steps
• Establishing classification structure
• Defining the format & graphic design
• Establishing the scope of content
• Technical resources to consult
• Liaizing with technical specialists
• Soliciting original inputs
• Review drafts
• Organize technical consultations
• Collate comments across agency/org
• Revise as per comments
• Finalize revised version
• Editing and page layout
• Electronic & print (live launch?)
• Circulate with facilitators, country FPs
& interested others
• Identify processes for updating
• Identify timeline for reviewing &
updating
Summary Status*
Done
Mostly
completed
In process
Pending
(Feb/Mar)
Pending
(Apr)
TBD
*Note: The ‘summary status’ highlighted above refers to the present version of the Compendium of Actions for Nutrition (CAN).

5. ‘Action Sheets’ on nutrition-related actions for thematic areas,
including nutrition-sensitive, that transcend institutional mandates
ContextassessmentDonoharmEquityWomen’sempowerment
Multi-sectoralcollaborationM&E(explicitnutritionobjectives&indicators)
Potential actions1
Consumption2
• Improvement of local recipes
• Public guidance & consumer
awareness/protection
• Complementary feeding
Horticulture/Crops
• Diversification & locally adapted
varieties
• Biofortification
Livestock & Fisheries
• Animal husbandry, fisheries & insect
farming
• Animal services
Food Processing, Fortification &
Storage
• Food processing (excluding fortification)
• Fortification (including salt iodization &
complementary foods)
• Food storage
Food, agriculture & diets Health-based
Maternal, Neonatal & Child Health Care
• Ante- & post-natal care
• Facility-based delivery
• Basic paediatric health services
Micronutrient Supplementation
• Iron & folic acid/Iron supplementation
• Vitamin A/D/zinc/Ca/iodine supplementation
• Multiple micronutrient supplementation
Management of Acute Malnutrition
• Mgt of severe acute malnutrition (SAM)
• Mgt of moderate acute malnutrition (MAM)
• Food technology support for specialized
nutrition foods
Disease Prevention & Management
• Anti-malaria
• Diarrhoea mgt. (e.g. ORT w/ zinc)
• Vaccinations (measles, polio, etc.)
• HIV mgt. & PMTCT
• Mgt. of tuberculosis
• Mgt. of respiratory infections
Water & Sanitation
• Improvement of water supply/source quality
• Sanitation facilities management
Capacity development Nutrition education & social marketing
• Food assistance for vulnerable population groups
• School-based social safety nets
• Assisted health services
• Poverty reduction &/or emergency risk mitigation
Market Regulation & Insurance
• Minimum maternity protection
• Insurance (health, unemployment, weather, etc.)
• Macroeconomic levers
Social Safety Nets
Social
protection
Infant & Young Child Feeding
• Protection, promotion & support of
optimal breastfeeding
• Improvement of complementary feeding
Hygiene
• Hand-washing
• Household water treatment & storage
• Food hygiene
• Sanitation management
Care for Children/ P&L Women
• Care to pregnant/lactating women
• Childcare support/caregiver workload
Health Behaviours
• Health-seeking behaviour
• Insecticide-treated nets (anti-malaria)
• Family planning behaviour
Maternal & child care3
1. Each country’s NNP is specific to the country’s situation and therefore a selection of tailored actions is pursued
2. Action Sheets being developed for the thematic areas marked in bold, italic text under the four respective categories
3. Cross-cutting areas marked in diamond shapes while actions related to the education sector are mainstreamed into the four respective categories

6. Food, Agriculture and Diets: Actions and sub-actions by Action Sheet
CONSUMPTION ACTION SHEET
• Improvement of local recipes
- Trials of improved practices
- Nutrition training/sensitisation/counselling for mothers &/or other
caregivers
- Nutrition education in schools & in the workplace
• Public guidance & consumer awareness/protection
- Formulation of national, food-based dietary guidelines
- Public information (social marketing) campaigns
- Food labelling & commercial advertising
• Complementary feeding
- Dietary diversification
- Fortified complementary foods
HORTICULTURE/CROPS ACTION SHEET
• Diversification & locally adapted varieties
-Fruit and vegetable gardens
-Intercropping, rotation & sequencing
-Inputs & irrigation
-Market linkages and consumption promotion
•Biofortification
-Introduction of micronutrient-rich plant varieties
-Social marketing campaigns and market linkages
LIVESTOCK & FISHERIES ACTION SHEET
• Animal husbandry, fisheries & insect farming
-Extensive animal rearing (e.g. cattle among (agro)pastoralists)
-Homestead animal rearing (e.g. poultry, sheep, goats)
-Aquaculture & capture fisheries
-Insect-farming
-Processing, handling, market access and consumption
•Animal services
-Vaccinations, parasite control, breeding support & other veterinary services
-Feed & water
-Shelter & settlement
-Basic hygiene education
FOOD PROCESSING, FORTIFICATION & STORAGE
ACTION SHEET
• Food processing (excluding fortification)
-Malting, drying, pickling and curing at household level
-Other nutrition–oriented food processing
-Nutrition education
•Fortification (including salt iodisation)
-Mass and community fortification
-Point-of-use fortification
-Fortified complementary foods
-Nutrition education and social marketing campaigns
•Food storage
-Household food storage/silos
-Large-scale food storage

7. Maternal and Child Care: Actions and sub-actions by Action Sheet
INFANT & YOUNG CHILD FEEDING ACTION SHEET
• Promotion, protection and support of optimal breastfeeding practices
- Health service level actions (professional, lay & peer)
- Community level actions
- Communication (media & social marketing)
• Improvement of complementary feeding
- Availability of appropriate complementary foods
- Access to complementary foods
- Food technology & quality & safety of complementary foods
- Basic instruction/nutrition education on optimal complementary feeding
CARE FOR CHILDREN/PREGNANT & LACTATING WOMEN ACTION
SHEET
•Care to pregnant & lactating women
-Reduced working hours/special leave (e.g. Maternity Protection)
-Provision of essentials (food, water, shelter) and nutrition education to support good
maternal nutrition and recommended child feeding practices
-Income &/or productive assets support
-Psycho-social support to help mothers adopt the recommended breastfeeding
practices
•Childcare support/caregiver workload
-Childcare services & support
-Provision of essentials (food, water, shelter) to support good child feeding practices
HYGIENE ACTION SHEET
•Hand-washing
-Hand-washing education & promotion
-Provision of water, soap and other supplies
-Hand-washing facilities
•Household water treatment & storage
-Water treatment methods for drinking water
-Safe storage of drinking water
•Food hygiene
-Food hygiene education & support
-Infrastructure & technology
•Sanitation Management
-Sanitation management education & sanitation environment support
HEALTH BEHAVIOURS ACTION SHEET
•Health-seeking behaviour
-Instruction on early signs/symptoms of pregnancy as well as illness
and disease
-Promotion of uptake of health services for pregnancy & post-partum
assistance as well as illness/disease prevention & management
•Insecticide-treated bednets (anti-malaria)
-Distribution of insecticide-treated nets
-Social marketing campaigns on bednets
•Family planning behaviour
-Voluntary family planning and reproductive health education &
support
-Social marketing campaigns

8. Health-based: Actions and sub-actions by Action Sheet
MATERNAL, NEONATAL & CHILD HEALTH CARE ACTION SHEET
• Antenatal & postnatal care
- Basic nutrition education & health counselling
- Micronutrient supplementation
- Nutrition & medical screening & referrals
- Supplementary feeding (balanced energy protein &
multiple micronutrient)
- Disease prevention & management (including anti-
malaria interventions)
• Facility-based delivery
- Obstetrics & neonatal care
- Infant & young child feeding counselling & support
• Basic paediatric health services
- Growth monitoring & promotion
- Vaccinations
- Diseases prevention & management (incl anti-malaria)
MICRONUTRIENT SUPPLEMENTATION ACTION SHEET
•Iron or Iron/folic acid supplementation
-Iron/folic acid supplementation for women
-Iron supplementation for children
-Nutrition education & behaviour change communication <also
applicable to below Action 2 >
•Supplementation of vitamins A/D/calcium/zinc/iodine
-Vitamin A supplementation
-Vitamin D supplementation
-Calcium supplementation
-Zinc supplementation
-Iodine supplementation
•Multiple micronutrient supplementation
-Point-of-use fortification
-Multiple micronutrient supplements
-Nutrition education & behaviour change communication
MANAGEMENT OF ACUTE
MALNUTRITION ACTION SHEET
•Management of severe acute
malnutrition
-Outpatient management of severe acute
malnutrition (SAM)
-Inpatient management of SAM
•Management of moderate acute
malnutrition
-Targeted supplementary feeding
-Blanket supplementary feeding
•Food technology support for specialized
nutritious foods
-Local production of specialized nutritious
foods for management of acute
malnutrition
WATER & SANITATION ACTION
SHEET
•Improvement of water supply & source
quality
-Safe water kits
-Water source & distribution systems
-Water treatment for water sources
•Sanitation facilities management
-Community led total sanitation
-Sanitation systems
-Latrine construction &/or rehabilitation &
excreta mgt.
-Water, sanitation (& hygiene) education
& social marketing
PREVENTION & MANAGEMENT OF SOIL, WATERBORNE &
ENDEMIC DISEASES ACTION SHEET
•Anti-malaria
-Deworming for management of intestinal parasites <also applicable to
Diarrhoea management>
-Intermittent preventive treatment of malaria for pregnant women
-Iron supplementation
•Diarrhoea management
-Oral rehydration treatment with zinc
-Management of severe acute malnutrition
-Water, sanitation & hygiene interventions to prevent diarrhoea
•Vaccinations
-Measles vaccination
-Polio vaccination
-Rotavirus & cholera vaccinations
•HIV management & prevention of mother to child transmission
-Antiretroviral therapy or prophylaxis
-Supplementation
-Infant feeding counselling & support
-HIV/AIDS education
•Management of tuberculosis
-Direct Observed Treatment Short-course (DOTS) treatment
-Nutrition Counselling
-Supplementation
-Management of acute malnutrition in individuals with active TB
•Management of respiratory infections
-Antibiotics treatment
-Nutrition counselling
-Supplementation

9. Social Protection: Actions and sub-actions by Action Sheet
SOCIAL SAFETY NETS ACTION SHEET
• Food assistance for vulnerable population groups
- Blanket feeding
• School-based Social Safety Nets
- School feeding for school-age children
• Assisted health services
- Maternal health visits
- Child health visits
• Poverty reduction &/or emergency risk mitigation
- General food distribution
- Public works programmes & asset protection
- Price subsidies
MARKET REGULATION & INSURANCE ACTION SHEET
•Minimum maternity protection
-Maternity protection
-Childcare support
•Insurance
-Health insurance
-Unemployment insurance
-Livelihood-related insurance
•Macroeconomic Levers
-Minimum wage
-Price subsidies
-Tariffs/Taxes