The document summarizes the Scaling Up Nutrition (SUN) Movement, which aims to improve nutrition worldwide. It outlines that malnutrition affects over 165 million children and discusses specific interventions like breastfeeding promotion. The SUN Movement takes a multi-sector approach, bringing together stakeholders in countries to implement nutrition policies and scale up proven interventions. It has helped reduce stunting in 16 countries by more than 2% annually since 2000. The Movement aims to achieve global nutrition targets by mobilizing resources behind national efforts.

1. SUN is a unique
Movement
founded on the principle
that all people have a
right to food &
good nutrition.

2. It unites people
from governments, civil society,
the United Nations, donors,
businesses & researchers –
in a collective effort to
improve nutrition.

3. together
we can achieve
what no single effort could,
and make the world a
healthier, stronger
place for us all.

4. Over 165 million children under 5
are stunted as a result of malnutrition.
• 52 million children are too thin and require special
treatment.
• At the same time, 43 million children are overweight -
some as a result of poverty, when families are unable to
afford a balanced, nutritious diet.
• 2 billion people are deficient in key vitamins & minerals
Why nutrition? The facts

5. Adolescents learn
better & achieve
higher grades
in school
Girls & women are
well-nourished and
have healthy
newborn babies
Children receive
proper nutrition
and develop
strong bodies &
minds
Families &
communities
emerge out of
poverty
Communities &
nations are
productive & stable
The world is a
safer, more
resilient &
stronger place
Young adults are
better able
to obtain
work & earn more
Why nutrition?
Because when..
Children receive
proper nutrition
and develop strong
bodies & minds

6. Eliminating under-nutrition in young
children has multiple benefits. It can:
• Boost gross national product by 11%
in Africa and Asia.
• Improve school attainment by at least
one year.
• Increase wages by 5-50%.
• Reduce poverty as well-nourished
children are 33% more likely to escape
poverty as adults.
• Empower women to be 10% more
likely to run their own business
A smart investment

7. “One of the most compelling
investments is to get nutrients
to the world’s undernourished.
The benefits from doing so – in
terms of increased
health, schooling, and
productivity – are
tremendous,”
-Nobel laureate economist
Vernon Smith
Experts agree
• The Copenhagen Consensus 2012
Expert Panel of world renowned
economists identified the smartest
ways to allocate money to respond
to ten of the world’s biggest
challenges.
• They agreed that fighting
malnutrition should be the top
priority for policy-makers &
philanthropists.
They found that every $1 invested in
reducing under-nutrition results in
a $30 return on investment in terms
of increased health, schooling and
productivity.

8. ROOTED IN
Poverty Disempowerment
of women
Political & Cultural
Environment
Insufficient access to
affordable, nutritious
FOOD
throughout the year
Lack of good
CARE
for mothers & children
& support for parents on
appropriate child feeding
practices
Inadequate access to
HEALTH
sanitation & clean
water services
The causes of malnutrition are
interconnected
Environmental
Degradation

9. The SUN Movement
recognizes that chronic
malnutrition – or stunting - has
multiple causes.
That’s why it requires People and
Programmes to work together
to put nutrition into all development
efforts, and develop sustainable
solutions that work.

10. Feeding Practices & Behaviors:
Encouraging exclusive breastfeeding
up to 6 months of age and continued
breastfeeding together with
appropriate and nutritious food up to
2 years of age and beyond
Fortification of foods: Enabling access
to nutrients through incorporating
them into foods
Micronutrient supplementation:
Direct provision of extra nutrients
Treatment of acute malnutrition:
Enabling persons with moderate and
severe malnutrition to access effective
treatment
Agriculture: Making nutritious food more
accessible to everyone, and supporting
small farms as a source of income for
women and families
Clean Water & Sanitation: Improving
access to reduce infection and disease
Education & Employment: Making sure
children have the nutrition needed to
learn and earn a decent income as adults
Health Care: Access to services that
enable women & children to be healthy
Support for Resilience: Establishing a
stronger, healthier population and
sustained prosperity to better endure
emergencies and conflicts
Nutrition-Sensitive StrategiesSpecific Actions for Nutrition
Nutrition-sensitive strategies increase the impact of
specific actions for nutrition

11. Across all approaches –
SUN supports equity for women
At the core of all efforts,
women are empowered
to be leaders in their families and
communities, leading the way to a
healthier and stronger world.

12. Countries around the
world have committed
to making
nutrition a priority
& global partners
are working together
to support the
efforts of SUN countries.
Countries are at the center of scaling up nutrition

13. The SUN approach – starting in 2010
• The Scaling up Nutrition Movement relies on national leaders
taking ownership and responsibility for delivering
sustainable solutions to improve nutrition in their countries.
• Through country-led efforts that focus on equity and realization of rights,
SUN countries are enabling women, families & communities
to create stronger foundations for their people & transforming the
future of our world.
• SUN enables countries to take a collaborative approach
bringing together the people & resources needed to rapidly
scale up nutrition-specific interventions as well as implement
cross-sector strategies that are nutrition-sensitive.

14. The SUN approach
Country
governments
lead national
efforts to scale
up nutrition.
Within each
country a
SUN Focal Point
is identified

15. The SUN approach
The Focal Point brings people together in a
multi-stakeholder platform
Technical
Community
United
Nations
Government
Partners
Civil Society
Donors
Business

16. The SUN approach
The multi-stakeholder
platform
Works to align and
coordinate action
across sectors.
Women’s
Empowerment
Health
Development
& Poverty
Reduction
Agriculture
Education
Social
Protection

17. The SUN approach
Using a unique approach that
works for each country.
These efforts are underway
in all SUN countries
Multi-sector, multi-
stakeholder platform
Together the combined efforts of all
countries make up the core of the
Movement - The SUN Country Network

18. With overall support and
coordination provided by the
SUN Secretariat
and
SUN Lead Group
Country
Network
Donor
Network
Civil Society
Network
Business
Network
United Nations
Network
Global Networks
of stakeholders shift
resources &
align actions to support
country efforts.
The SUN approach

19. Since 2000, these countries have had annual averages rate of reduction (AARR)
in stunting greater than 2.0%.
SUN country success in reducing stunting
Top 16 SUN countries with the fastest rates of
reductions in stunting.
SUN country Estimated Stunting Prevalence 2013 AARR
Bangladesh 40.3% 2.3%
Burkina Faso 34.7% 3.3%
Côte d'Ivoire 40.0% 2.7%
El Salvador 20.1% 3.5%
Ethiopia 43.2% 2.3%
Ghana 28.2% 4.5%
Haiti 21.3% 2.1%
Mali 27.6% 4.6%
Mauritania 22.3% 6.6%
Nepal 39.2% 3.4%
Peru 19.0% 3.8%
Senegal 15.1% 5.1%
Tajikistan 25.25% 3.6%
Uganda 33.2% 2.8%
Zambia 45.8% 2.7%
Zimbabwe 32.5% 2.0%

20. In Peru
• Reduction in stunting adopted as national goal
• Major social programmes targeted to the poorest
• Comprehensive health insurance system implemented
• Increased Government budget allocated for nutrition
In Nepal
• Political commitment and engagement by main sectors (Health, Education,
WASH, Agriculture and Local Governance)
• Government budget for nutrition doubled
In Ethiopia
• Large scale program to improve access to health posts in remote and
drought- stricken areas
• Provision of safety nets for vulnerable families
• Treatment of severe acute malnutrition expanded
How has stunting been reduced?
How has stunting been reduced?

21. Making progress
Creating Political and
Operational Platforms,
with strong in-country leadership &
shared multi-stakeholder spaces
where people come together to align
their activities & take joint
responsibility for scaling up nutrition.
Incorporating Best Practices
into National Policies
for scaling up proven
interventions; including the
adoption of effective laws
& policies
Align Actions Across Sectors
around high quality and well-
costed country plans, with an
agreed results framework and
mutual accountability.
Increasing Resources and
Monitoring Implementation
for coherent, aligned, effective
action and maximum impact.
1 2
3 4
Within each country, SUN Movement stakeholders are brought together around
4 key processes: progress is reviewed every six weeks

22. Making progress – examples
Creating Political and
Operational Platforms1
GHANA
Political commitment to fight
against hunger and
malnutrition has been
strengthened when the First
Lady of Ghana supported the
SUN Movement launch.
KENYA
Minister for Public Health and
Sanitation, Hon. Beth Mugo
officially launched Kenya’s
Nutrition Action Plan (2012-
2017) at the National SUN
Symposium.

23. Making progress – examples
Incorporating Best Practices
into National Policies2
BURKINA FASO
Infant and young child
feeding is being
addressed by the road
map for improved
nutrition that aligns
national programs in
key sectors.
HAITI
The nation-wide flagship
nutrition program was
launched to fight hunger
and malnutrition.

24. Making progress - examples
Aligning Actions Across
Sectors
3
NEPAL
The Multi-Sectoral Nutrition Plan
was endorsed by the Cabinet
with a common results
framework where all ministries
have agreed on a set of essential
nutrition-specific and nutrition-
sensitive interventions.
UGANDA
A Nutrition Action Plan is scaling
up multi-sector efforts for a
strong nutrition foundation for
Uganda’s development.
INDONESIA
Cash transfer programmes to
protect poor families are scaling
up and are being linked to the
delivery of nutrition services.

25. Making progress - examples
Increasing Resources and
Monitoring Implementation4
GUATEMALA
The national Zero Hunger plan was
launched with a specific budget line
for addressing undernutrition during
the 1,000 days between pregnancy
and a child’s second birthday.
MALI
All regions of Mali received
funding for nutrition in 2012.
TANZANIA
The Ministry of Finance now
includes planning and budgeting
for nutrition at level of national
and local authorities.

26. Tracking and reporting impact
Establishing targets to measure impact: Countries are encouraged to
establish their own targets for nutrition goals in the following areas:
• Universal access to affordable nutritious food, clean water, sanitation, healthcare and
social protection
• Increased adoption of practices that contribute to good nutrition (such as exclusive
breastfeeding in the first six months of life)
• Optimal growth of children, demonstrated as reduced levels of stunting (low height for
age) and wasting (low weight for height)
• Improved micronutrient status, especially in women and children, demonstrated as
reduced levels of micronutrient deficiency
Annual SUN Movement Progress Report: Released in September each
year by the SUN Movement Secretariat, the report provides updates on
progress in achieving the Movement’s goals and strategic objectives.

27. Supporting global impact
Together, countries and supporting stakeholders are
collectively working to reach the global targets set out by the
World Health Assembly 2012 Resolution:
Reducing and maintaining childhood
wasting to less than 5%
Target 1:
Target 2:
Target 3:
Target 4:
Target 5:
Target 6:
40% reduction of the global number of
children under 5 who are stunted
50% reduction of anemia in women of
reproductive age
30% reduction of low birth weight
No increase in childhood overweight
Increase exclusive breastfeeding rates in
the first 6 months up to at least 50%

28. to learn and adapt through regular sharing of the relevant
critical lessons, what works and what does not, across
sectors, countries and stakeholders.
SUN principles of engagement
Be transparent
about impact:
all stakeholders to transparently and honestly demonstrate the
impact of collective action.
through open multi-stakeholder partnerships that bring proven
solutions and interventions to scale.
Be inclusive:
act in line with a commitment to uphold the equity and rights of
all women, men and their children.
Be rights-based:
Be willing
to negotiate:
when conflicts arise, as can be expected with diverse partners
working together, hold the intention to resolve conflicts and
reach a way forward.
Be mutually
accountable:
act so all stakeholders feel responsible for and are held collectively
accountable to the joint commitments.
Be cost effective: establish priorities on evidenced-based analysis of what will have
the greatest and most sustainable impact for the least cost.
Be continuously
communicative:

29. The SUN Movement evolves.
2010
2011
2012
The way forward.
SUN Framework for
Action is developed
& endorsed by over
100 global entities –
establishing the
foundation for the
Movement.
SUN builds
momentum and
commitment for
scaling up
nutrition –
19 countries join
the Movement.
The Movement grows
to 33 countries & a
high-level group of 27
international leaders
are appointed to the
SUN Lead Group &
endorse the SUN
Movement Strategy
for 2012-2015
In 2013, SUN will focus
on mobilizing resources
behind
national movements, to
achieve measurable
progress & impact.

30. The SUN Movement
is growing in numbers & strength
100+ global stakeholders
are providing support to
42 countries
with the opportunity to reach
81 million stunted
children

31. BANGLADESH
INDONESIA
KYRGYZSTAN
LAOPDR
MYANMAR
NEPAL
PAKISTAN
SRI LANKA
TAJIKISTAN
YEMEN
ASIA
42 countries: 16 rapidly reducing prevalence of stunting
ELSALVADOR
GUATEMALA
HAITI
PERU
BENIN
BURKINAFASO
BURUNDI
CAMEROON
CHAD
COTED’IVOIRE
DEMOCRATICREPUBLICOF
CONGO
ETHIOPIA
GAMBIA
NIGERIA
RWANDA
SENEGAL
SIERRALEONE
SOUTHSUDAN
TANZANIA
UGANDA
ZAMBIA
ZIMBABWE
AFRICA
Since2000,16SUNCountries(indicatedinRED)
haveacceleratetheiraverageannualrateofreductionofchronic
malnutrition(orstunting)
inchildrenunder5yearsat
morethan2%peryear
LATIN AMERICA
GHANA
GUINEA
KENYA
MADAGASCAR
MALAWI
MALI
MAURITANIA
MOZAMBIQUE
NAMIBIA
NIGER
11 September 2013

32. Together….
We are revealing what
has been hidden to all.
We are making healthier
& stronger societies.
Our goal is a better
world for all
…especially our
children
Thank you

33. • Slide 4 – Why Nutrition The Facts: UNICEF-WHO-The World Bank: Joint child malnutrition estimates -
Levels and trends. Global Database on Child Growth and Malnutrition
• Slide 6 – A Smart Investment: Lawrence Haddad. Child Growth=Sustainable Economic Growth: Why
we should invest in Nutrition. May 2013
• Slide 7- Experts Agree: Copenhagen Consensus: Solving the world’s challenges. May 2012
• Slides 19 and 32- SUN Countries’ success in reducing stunting: Demographic data is based on World
Population Prospects, the 2010 Revision and the stunting prevalence figures are based on most recent
national surveys (i.e. Demographic and Household Surveys, Multiple Indicator Cluster Surveys and
other national surveys). The Average Annual Rate of Reduction (AARR) is the statistical method used to
quantify the rate of change of the stunting prevalence from 2000 to 2012 and is based on UNICEF’s
AARR technical note (http://www.childinfo.ort/files/Technical_Note_AARR.pdf )
The SUN Movement Secretariat is supported by Canada, France, Germany, Ireland, the Netherlands, the
United Kingdom and the European Union, together with the Micronutrient Initiative.
How has stunting been reduced?References and Technical Notes
11 September 2013