Improved nutrition in Zambia – the role of agricultural research

1. NATIONAL FOOD AND
NUTRITION STRATEGIC PLAN
2011-2015
Presented at Seminar : Agriculture
Research for Improved Nutrition in
Zambia
By Freddie Mubanga – National
Food and Nutrition Commission

2. ZAMBIA: NUTRITION FOOD & NUTRITION
POLICY AND STRATEGY: “REACHING FOR THE
SUN”
2006National Food & Nutrition Policy; Nutrition
Implementation Plan (2006)
2009 National Symposium: food and Nutrition in the 21st
Century (request new strategic plan)
2009 Scale Up Nutrition launched internationally
(March)
The 1000 days to scale up nutrition is incorporated
into the draft National Food and Nutrition Strategic
Plan (NFNSP) 2011-2015. as Strategic Direction
Number 1 - prevention of stunting
G. Gleason, Ph.D gary.gleason@gmail.com

3. ZAMBIA: NUTRITION FOOD & NUTRITION
POLICY AND STRATEGY: “REACHING FOR THE
SUN”
2011 National Consultative Forum: Accelerating
Nutrition Actions in Zambia (Livingstone Meeting;
February)
• New strategic Plan to be collaboratively developed
• Focus on evidence-based cost effective
interventions (“SUN”)
• Multi-stakeholder consensus that strategy would
focus on Preventing Stunting to be redrafted to
focus on stunting prevention through 1,000
Critical Days National Programme (March)
• Bilateral participation in strategy review
(MoE, MACO, MLFD, MLGH, MoH )
G. Gleason, Ph.D gary.gleason@gmail.com

4. ZAMBIA: NUTRITION FOOD & NUTRITION
POLICY AND STRATEGY: “REACHING FOR THE
SUN”
 Provided opportunity to digress the high impact
nutrition interventions being advocated under the
Scaling Up Nutrition.
 Stakeholders and partners made consensus to
prioritize stunting prevention targeting vulnerable
populations such as mothers and children.
June 2012 Revised NFNSP draft completed and
Multisectoral M&E discussions held to agree on outcome
indicators
G. Gleason, Ph.D gary.gleason@gmail.com

5. ZAMBIA: NUTRITION FOOD &
NUTRITION POLICY AND STRATEGY:
“REACHING FOR THE SUN”
2012: Finalized NFNSP and Launching 1000
days programme.
- Mapping and gap analysis exercise for the
SUN has been initiated:
 DFID procured TA and a team of experts
arrived in the country in March 2012 to assist
with development of the programme for
strategic direction 1.
G. Gleason, Ph.D gary.gleason@gmail.com

6. NATIONAL FOOD AND NUTRITION
STRATEGIC PLAN (2011-2015)
Operational Strategic Directions
– 1.Prevention of stunting in children under
two years of age: 1000 Most Important Days.
– 2. Increasing micronutrient and
macronutrient availability, accessibility and
utilization by improving food and nutrition
security
– 3. Early identification, treatment and follow-
up of acute malnutrition
– 4. Nutrition education and nutritious feeding
through schools
G. Gleason, Ph.D gary.gleason@gmail.com

7. NATIONAL FOOD AND NUTRITION
STRATEGIC PLAN (2011-2015)
– 5. Increasing linkages between nutrition and
infection control through hygiene, sanitation and
safe water
– 6. Food and nutrition to mitigate HIV and AIDS
– 7. Improving Food and Nutrition to prevent and
control Non communicable Diseases
– 8. Food and nutrition preparedness and response
to emergencies
G. Gleason, Ph.D gary.gleason@gmail.com

8. NATIONAL FOOD AND NUTRITION
STRATEGIC PLAN (2011-2015)
Supportive Strategic Directions
 9. Strengthening governance, capacity building
and partnerships in support of food and nutrition
interventions at all levels
 10. Monitoring and Evaluating Food and Nutrition
Situation, Interventions and Research to Support
their Improvement and Expansion
 11. Expanding and developing communication and
advocacy support for food and nutrition
interventions at various levels
G. Gleason, Ph.D gary.gleason@gmail.com

9. WHAT HAS BEEN DONE?
- POPULARIZING 1000 DAYS
G. Gleason, Ph.D gary.gleason@gmail.com

10. 9 months Infancy 2nd Year
Pregnanc 12 12
y months months
270 365 365

11. ANTENATAL SAFE BIRTH & DEWORMING
VACCINATIO
CARE NORMAL BIRTH
NS
WEIGHT BABY
VITAMIN A
1,000 C RITICAL D AY S
EXTRA MEAL/ DIVERSE GROWTH MONITORING & PROMOTION
DIET
IRON & FOLIC ACID
EXCLUSIVE CONTINUED
BREASTFEEDING BREASTFEEDING
CORRECT COMPLEMENTARY FEEDING & FOODS
PMTCT (NUTRITION AND BREASTFEEDING
OPTIONS)
FORTIFIED STAPLES
CORRECT FEEDING OF A SICK
CHILD
USE IODIZED SALT
SLEEP UNDER TREATED BED
NETS SAFE WATER & CAREFUL

12. 1,000 C RITICAL D AY S

13. 1,000 CRITICAL DAYS SECTOR
INVOLVEMENT
Government
MoH
MOAL
MLFD
MoE
MLGHEP
MCDMCH
MFP
NFNC
Districts
Communities
NGOs
Religious
leaders
Private Sector
UN and
Bilaterals
G. Gleason, Ph.D gary.gleason@gmail.com

14. 1ST 1,000 MOST CRITICAL DAYS SECTOR
INVOLVEMENT
MoH
MA&L
MoE
MLGE
P
MCDMCH
NFNC
Districts
Communities
NGOs
community leaders
Private
Sector
UN and
Bilaterals
National Food and Nutrition Strategic Plan
G. Gleason, Ph.D gary.gleason@gmail.com

15. NFNSP SECTOR INVOLVEMENT
MoH
MOAL
MLFD
MoE
MLGH
MCDMCH
MFP
National Food and Nutrition Strategic
G. Gleason, Ph.D gary.gleason@gmail.com

16. MULTI SECTOR ACTION ON
THE 1ST 1,000 MOST CRITICAL
DAYS TO PREVENT STUNTING
WILL BRING A “HUMAN FACE”
TO THE NATIONAL FOOD AND
NUTRITION STRATEGIC PLAN

17. 1,000 CRITICAL DAYS: HOW TO
SUCCEED
 Actively involve, and gain the cooperation and ownership of all sectors,
allies and the private sector.
 Understand what each Ministry can “own” and what each
Ministry can support.
 Use “overlay” approach – strengthen & expand intervention
programmes
 Develop a cross sector approach with strong emphasis on
district level management and community participation
• Community Level Pocket Guide to ”1,000 Critical Days” by and for
all sectors
• Sharing across sectors of key information and “how tos” relevant to
preventing stunting.
G. Gleason, Ph.D gary.gleason@gmail.com

18. 1,000 CRITICAL DAYS: HOW TO
SUCCEED
– Develop a 1,000 Critical Days dynamic
monitoring display system
– Involve the private sector as allies
– Remember -- Everyone has a family –
everyone and every organization can
“actively participate and endorse 1st
1000 Most Critical Days.
G. Gleason, Ph.D gary.gleason@gmail.com

19. WHAT NEXT??
WHICH WAY
FORWARD??

20. WAY FORWARD FOR THE NFNSP AND
1ST 1000 MOST CRITICAL DAYS.
Launching by high portfolio office/s -
tentatively by June/July 2012
Printing and dissemination widely
/at all levels.
Develop business plan for other
strategic areas
G. Gleason, Ph.D gary.gleason@gmail.com

21. WAY FORWARD FOR THE NFNSP AND
1ST 1000 MOST CRITICAL DAYS.
What next with 1st 1000 MCDs
Programme
Finalization by May /June 2012
Lobbying more partners to buy in.
Put in place funding mechanism
Launching alongside NFNSP –
June/July 2012
Strengthen multi-stakeholder platform
G. Gleason, Ph.D gary.gleason@gmail.com

22. WAY FORWARD WITH NFNSP AND 1ST
1000 MOST CRITICAL DAYS.
 How will the 1st 1000 MCDs programme be
operationalized?
 Phased approach
 1st year detailed implementation plan &will involve :
 strengthening capacities for coordination
(MSP), implementation (key ministries, NGOs
and CSOs)
 Building systems for scaling up
 Logistical procurements
 2nd and 3rd year scaling up based on lessons from
year 1
G. Gleason, Ph.D gary.gleason@gmail.com

23. For each child’s 1ST 1,000 Most Critical
Days…..
“Let us work together to light a new candle for
every Zambian Child to celebrate proper
growth and development at their second
birthday.”
G. Gleason, Ph.D gary.gleason@gmail.com