Nutrition and OPII process (from planning to joint implementation) Dr. Khizar Ashraf, WFP Syed Saeed Qadir, UNICEF

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1 Nutrition and OPII process (from planning to joint implementation) Dr. Khizar Ashraf, WFP Syed Saeed Qadir, UNICEF

2 UN Delivering as One DaO is a collective approach, designed to: Streamline UN interventions Increase national ownership Improve joint programming among UN at country level Reduce transaction costs, and Increase harmonization and accountability

3 DaO Pakistan One Office: Common Business Strategy One Voice: Common Communications Plan One Programme II: 5 years ( ) 19 UN Agencies 9 Administrative Areas of Pakistan US$1.87 billion 6 Strategic Priority Areas (SPAs) 20 Outcome Level Results 54 Joint Output Level Results

4 OPII Six Strategic Priority Areas (SPAs) SPA 1: Vulnerable and marginalized populations have equitable access to and use of quality services. SPA 2: Inclusive economic growth through the development of sustainable livelihoods. SPA 3: Increased national resilience to disasters, crises and external shocks. SPA 4: Strengthened governance and social cohesion. SPA 5: Gender equality and social justice. SPA 6: Food and nutrition security for the most vulnerable groups.

5 OPII Six Strategic Priority Areas Linked to National Priorities Pakistan New Growth Framework (2011) National Industrial Policy (2010) Poverty Reduction Strategy Paper II National Health Policy (2009) 18 th Amendment to the Constitution (2010) Millennium Development Goals Report (2010) National Education Policy (2009) National Trade Policy ( ) Management & Repatriation Strategy for Afghan Refugees in Pakistan (2008) Vision 2030 (2007) National Sustainable Development Strategy (2005:draft) National Disaster Risk Management Framework (2007) Post Crisis Needs Assessment (2010) National Policy for Development and Empowerment of Women (2002) Pakistan Integrated Nutrition Strategy (2011), NNS 2011, FANS 2010, SPA 1: Vulnerable and marginalized populations have equitable access to and use of quality services SPA 2: Inclusive economic growth through the development of sustainable livelihoods SPA 3: Increased national resilience to disasters, crises and external shock. SPA 4: Strengthene d governance and social cohesion SPA 5: Gender equality and social justice SPA 6: Food and nutrition security for the most vulnerable groups

6 Situation Analysis For SPA 6 (part of Common Country Analysis CCA) 50.6% population with inadequate caloric consumption Maternal Anemia: 50.4% Stunting: 43.7% Wasting: 15.1% Anemia in children under five: 61.9% Pakistan

7 Situation Analysis Stunting: 47.8% Wasting: 17.3% Stunting: 31.7% Wasting: 17.6% Gilgit Baltistan Stunting: 50.6% Wasting: 6.8% Stunting: 57.6% Wasting: 10% Khyber Pakhtunkhwa Islamabad AJK FATA Punjab Stunting: 39.2% Wasting: 13.7% Balochistan Sindh Stunting: 52.2 % Wasting: 16.1% Stunting: 49.8% Wasting: 17.5%

8 Malnutrition in Pakistan

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10 Why UN focused on Food and Nutrition Security? Informed by multi-sector planning & govt. consultations at national & provincial levels Results of OP-I JPC 3, Joint nutrition projects which showed successful implementation- multi-agency & multi-sectoral coordination Flood surfaced the nutrition issue FANS- 2010, PINS 2010 and NNS 2011, Stagnation of nutritional indicators (NNS ) D-10 donors, specific interest based on global recommendations and situational analysis. Food Insecurity situation in the country IPC analysis Pakistan MDG progress regression (goal 1) and slow progress (goal 4) Added value of global knowledge & experience

11 One Programme II OP I ( ) OP II ( ) OP II Operational Plan Federal &provincial consultations STRATEGIC PRIORITY AREAS PROGRAMMING PRINCIPLES Basic social services Employment & Livelihoods Resilience against Disasters Gender Equality Environ. Sustainability Governance & Rule of Law & Social Cohesion Gender Equality & Social Cohesion Food Security & Nutrition Capacity Development Human Rights

12 SPA6 - Food and Nutrition Security for the most vulnerable groups OUTCOME 1 Household food security increased OUTCOME 2 Nutrition security increased, especially for vulnerable & excluded groups

13 Outcome 2 & Joint Outputs 6.2 Nutrition security increased, especially for vulnerable & excluded groups Joint Output 6.2.1: Provincial /regional governments have developed & implemented nutrition policies, strategies, & plans to address malnutrition among the most disadvantaged /vulnerable population groups. Joint Output 6.2.2: Vulnerable population groups have improved nutritional practices (infants, young children, PLW, adolescent girls etc.). Joint Output 6.2.3: Effective prevention & treatment of acute malnutrition in targeted communities.

14 OP II Management Arrangement High Level Committee Oversight Committee UN Resident Coordinator UN Country Team Baluchistan Steering Committee ICT Steering Committee Sindh Steering Committee SPA1 FATA Steering Committee Punjab Steering Committee Gilgit-Baltistan Steering Committee Khyber Pakhtunkhwa Steering Committee Federal Level Steering Committee Pakistan Administered Kashmir Steering Committee Operations Management Team SPA2 SPA3 SPA4 SPA5 SPA WORKING GROUPS Programme Management Team UN Communications Group SPA6

15 SPA Working Group Conveners SPA 1 Vulnerable and marginalized populations have equitable access to and use of quality services. UNICEF WHO UNESCO SPA 2 Inclusive economic growth through the development of sustainable livelihoods. UNIDO UNFPA SPA 3 Increased national resilience to disasters, crises and external shocks. UNHABITAT IOM SPA 4 Strengthened governance and social cohesion. UNDP UNODC SPA 5 Gender equality and social justice. ILO UNWOMEN SPA 6 Food and nutrition security for the most vulnerable groups. FAO WFP UNICEF

16 Administrative Area Steering Committees Government Co-chair UN Co-chair Government Co-chair UN Co-chair Federal RC Office Islamabad Capital Territory Balochistan Sindh Punjab Khyber Pakhtunkhwa Federally Administered Tribal Areas Gilgit Baltistan Pakistan Administered Kashmir

17 Where are we so far?

18 SPA 6 OUTCOME 6.1 Household food security increased OUTCOME 6.2 Nutrition security increased, especially for vulnerable & excluded groups 18

19 Partners UN: WFP, FAO, WHO, UNICEF, UN WOMEN, UNESCO CSOs, INGOs, NNGOs, academia, media, communities Nutrition development partners: WB, MI, GAIN, IFAD & others Official Constituent Partners: National Ministry of National Food Security & Research Ministry of Health Planning Commission of Pakistan Ministry of Education & Training Federal Directorate of Education National Disaster Management Authority Ministry of Inter-Provincial Coordination Benazir Income Support Programme Various development partners Provincial Departments Planning and Development Education Health Agriculture, Food, Livestock, Forest & Fisheries Various development partners 19

20 SPA-6 Steering Committee (Heads of Agencies, Government, Development Partners) Quarterly meetings Food security WG WFP/FAO Secretariat Nutrition WG WFP/UNICEF Bi-monthly meetings Monitoring & Reporting WG Agency focal points Bi-monthly meetings Bi-monthly meetings Provincial/Regional Governance Structures 20

21 Food Security working group (FSWG): FAO WFP UNESCO UNICEF CONVENER: WFP CO-CONVENER: FAO SECRETARIAT: WFP Country Office Nutrition working group (NWG): UNICEF WFP FAO WHO UNESCO UNWOMEN CONVENER: WFP CO-CONVENER: UNICEF SECRETARIAT: WFP Country Office 21

22 Contributions to Scaling Up Nutrition. The SPA-6 agencies worked together, despite limitations in establishing clear baselines and absent new resources, in support of the Government s priorities in Nutrition and Food Security. The main achievements in the area of Nutrition are: Enabling Policy-planning Environment: Multi-sectoral, coordinating steering committees established at federal and provincial levels (notified by the respective provincial governments). Multi-sectoral province specific, nutrition strategies fully aligned with the Scaling-Up Nutrition (SUN) approach were prepared for all 4 provinces and 2 regions. Policy guidance notes endorsed for each province. UN influenced endorsement of the National Nutrition Survey (2011), finalized in 2013 by the Planning Commission. National SUN Secretariat established in highest planning institution of the country and working for Multisectoral National Plan of Action on Nutrition National Fortification Alliance established and functional through UN support. 22

23 Contributions, continued. UN and other nutrition development partners provided technical assistance and advocated for the incorporation of Nutrition and Food Security as priority areas in Pakistan Government Vision 2025 and the next five years plan. Pakistan joined the SUN movement in April 2013 and signed the declaration on Scaling Up Nutrition in Pakistan in December Establishment of the SUN UN Network as part of the Pakistan SUN Platform Network along with strengthening the SUN Business and Academia networks. Continuous technical support to the Government on Zero Hunger Initiative Self-assessment workshops held in Pakistan in June 2014 and May 2015, assessed SUN UN network Pakistan leading all networks. - Self-assessment also showed SUN Government Network, UN Network, and SUN Donors Network are well established and active. However SUN CSO, Academia Network and SUN Business Network although established but in initial stages. 23

24 Contributions, continued Support to service delivery and reaching right holders through high impact Nutrition Interventions: Continuation of USI activities in 110 districts of Pakistan, reaching a population of 174 million, focusing on advocacy & awareness, legislation, production and quality assurance. Key issues supported by UN: Provincial legislation in Sindh Revolving funding mechanism and removal of subsidies (adequately iodized salt still remains 70%) and Strengthening of quality control Vitamin A supplementation: with more than 95% children 6-59 months. Initiation of stunting prevention programme in Thatta and Sajawal districts with government ownership. 24

25 Contributions, continued. UN Nutrition Partners saving and Protecting Lives.: Formulation and Endorsement of National CMAM Guidelines Services to reach young children 6 to 59 months for treatment of Acute malnutrition was ensured through Government health Departments, National LHW Programme, CSOI, INGOs and NGOs. Children 6 to 59 months suffering from Moderate and Severe Acute Malnutrition with and without complications and Pregnant and Lactating Mothers were reached in 51 districts across Pakistan. Millions of young Children and Women were reached through active community mobilization, Supplementary feeding, Therapeutic Feeding Programmes and Stabilization Centers in hard to reach and marginalized areas. Millions of Children and Mothers also became benefices of Multi-micronutrient supplementations and Infant and Young Child Feeding efforts. 25

26 Working as One The SPA-6 Flagship Programme Proposals 1. Integrated Programme to Enhance Household Food and Nutrition Security 2. Revitalizing Nutrition within the Lady Health Workers Programme 3. One UN Technical Assistance for Scaling-Up Nutrition (SUN), Pakistan UN Nutrition Network 4. Food Security Monitoring and Information System (FSMIS) 26

27 Looking Forward: Strengthen provincial coordination and inter-agency work at national, provincial and district levels. Focus on resource mobilization and Programme implementation in joint programming fashion. Continue to define [new] common goals as one. Focus on double burden of malnutrition 27

28 Thank you