UNITED FOR NUTRITION The UN Joint programme to support the national multi-sectoral scale-up of nutrition actions in Rwanda. ICN2 UN Side Event 1

Transcription

1 UNITED FOR NUTRITION The UN Joint programme to support the national multi-sectoral scale-up of nutrition actions in Rwanda ICN2 UN Side Event 1

2 COUNTRY CONTEXT 2

3 COUNTRY CONTEXT Size: 26,338 sq km Population: 10.5 million Life expectancy: 64 years Pop. Growth rate( ): 2.6% GNI per capita: $560 Divisions:30 Administrative Districts Languages: English, French and Kinyarwanda Republic headed by a democratically elected President

4 100.0% 80.0% 60.0% 40.0% 20.0% 0.0% Poverty 2005/6 2010/11 Equity Ginico-efficient 2005/6 2010/11 Source: EICV 3

5 Stunting remains alarmingly high National Target (by 2018): 24.5% * DHS * DHS * DHS DHS MDG target (2015) 14.5% Achieved! Below 5% wasting - WHO standard 5

6 Stunting increases considerably by age and has a significantly high prevalence in rural areas < Stunting prevalence by age group (national) 6

7 Food Security Situation Map (CFSVA 2012) 7

8 Tackling malnutrition requires an integrated approach addressing food, health, and care issues in concert with the basic causes Outcomes Malnutrition, death & disability Immediate causes Inadequate dietary intake Disease Underlying causes at household / family level Insufficient access to FOOD Inadequate maternal & child CARE practices Poor water, sanitation & inadequate HEALTH services Basic causes at societal level Quantity and quality of actual resources human, economic & organisational -and the way they are controlled Potential resources: environment, technology, people Source: Adapted from UNICEF

9 JOINT EFFORTS TO FIGHT MALNUTRITION IN RWANDA 9

10 Government Efforts to Eliminate Malnutrition in Rwanda National Nutrition Policy (2007) President s Initiative to Eliminate Malnutrition (2009) Nutrition summits every 2 years starting in 2009 National Multisectoral Strategy to Eliminate Malnutrition ( ) Multisectoral coordination National Food and Nutrition Policy and Strategy ( ) Thousand Days Campaign 10

11 How the UN in Rwanda came together to jointly support the fight against malnutrition Alignment within the UN system -One UN Country UN delivering as one, UN Development Assistance Plan ( ) Alignment with government priorities and programmes to combat malnutrition Presidential Initiative (2009), Development of EDPRS 2 (malnutrition as a priority challenge) Nutrition policies, strategies and plans (2010, 2013), and 1000 Days campaign (2013) REACH Initiative (2011) -4 UN agencies working together under a common framework, and a coordinating mechanism to align and pool resources and expertise UNICEF -Infant and Young Child Feeding, micronutrient fortification, nutrition security in emergencies, Nutrition and HIV/AIDS, Wash, Early childhood Education, social protection WFP logistics, food distribution, food and nutrition security analysis, and school feeding FAO Food security- increasing agricultural productivity, markets, consumption of nutritious and safe foods WHO-Guidance and advocacy on population dietary goals and evidence informed policies and programmes, monitoring and surveillance 11

12 UN Support to Elimination of Stunting The UN not only provide support at national level, but most importantly at districts with high levels of stunting UN nutrition programmes at decentralized level (Total: 18 districts) Accelerating the Reduction of Stunting among under Two Children in Rwanda One UN Joint Nutrition Project Effectively Fighting Chronic Malnutrition in two Districts of Rwanda Objectives Provide and use evidence in programme design and implementation Targeted to pregnant/lactating women, and children under two years of age from the most vulnerable households Aligned with the Rwanda Government s Thousand Days Campaign 12

13 UN support to Elimination of Stunting Increasing stakeholders awareness and consensus on nutrition situation and priorities Nutrition stakeholder mapping, nutrition summits, food security and nutrition analyses, support to DHS Strengthening National Nutrition Policies and District Plans Review and updating of National Nutrition Policy and Strategy, sector plans and district plans to eliminate malnutrition Strengthening multisectoral coordination for nutrition Technical assistance for planning, monitoring and multisectoral coordination Capacity building for prevention and management of malnutrition 13

14 UN support to Elimination of Stunting Strengthening M&E for tracking implementation of nutrition actions Rapid SMS tracking 1000 days Nutrition Surveillance Integrated Food Security Phase Classification DevInfo for tracking implementation of Districts Plans to Eliminate Malnutrition 14

15 Partnerships and funding Donors play a critical role in national efforts to reduce malnutrition Over US$ 30 million has been mobilized by the UN (REACH agencies) since 2012 from various donors Partnerships with Non Government Organizations (int l and national and Field base) for implementation at decentralized levels 15

16 Game Changers A high level of political commitment Strong resource mobilization Implementation of District Plans to Eliminate Malnutrition Nutrition tracking (real time monitoring / decision making) Multisectoral approach Multisectoral coordination mechanisms Thousand Days Campaign 16

17 Challenges and Lessons learned Working together as One UN improved donors confidence, hence funding for joint nutrition programme Harmonization with the Government planning process (aligning UNDAP to EDPRS II) has improved identification of priority actions amongst UN agencies The current UN multisectoral nutrition actions need to be expanded to include other essential actions such as hygiene and sanitation (e.g. Wash programme), Early Childhood Education, and social protection 17

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