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SUN is a unique Movement founded on the principle that all people have a right to food & good nutrition. . Why n utrition? The facts. Over 165 million children under 5 are stunted as a result of malnutrition.
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SUN is a unique Movement founded on the principle that all people have a right to food & good nutrition.
Why nutrition? The facts • 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
A smart investment • 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
The causes of malnutrition are interconnected • Lack of good • CARE for mothers & children & support for parents on appropriate child feeding practices • Inadequateaccess to HEALTHsanitation & clean water services • Insufficient access to affordable, nutritious FOOD • throughout the year ROOTED IN Disempowerment of women Environmental Degradation Political & Cultural Environment Poverty
Nutrition-sensitive strategies increase the impact of specific actions for nutrition Specific Actions for Nutrition Nutrition-Sensitive Strategies 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 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
Across all approaches – • enabling 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.
The SUN approach Within each country a SUN Focal Point is identified Country governments lead national efforts to scale up nutrition.
The SUN approach The Focal Point brings people together in a multi-stakeholder platform Technical Community Civil Society United Nations Donors Government Partners Business
The SUN approach The multi-stakeholder platform Works to align and coordinate action across sectors. Social Protection Health Agriculture Women’s Empowerment Development & Poverty Reduction Education
The SUN approach Using a unique approach that works for each country. These efforts are underway in all SUN countries Together the combined efforts of all countries make up the core of the Movement - The SUN Country Network Multi-sector, multi-stakeholder platform
The SUN approach Global Networks of stakeholders shift resources & align actions to support country efforts. With overall support and coordination provided by the SUN Secretariat and SUN Lead Group Country Network United Nations Network Civil Society Network Donor Network Business Network September 2013
Making progress Within each country, SUN Movement stakeholders are brought together around 4 key processes: progress is reviewed every six weeks • 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 2 1 Align ActionsAcross Sectorsaround 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. 3 4
Making progress – examples • Creating Political and • Operational Platforms 1 • KENYA • Minister for Public Health and Sanitation, Hon. Beth Mugo officially launched Kenya’s Nutrition Action Plan (2012-2017) at the National SUN Symposium. • GHANA • Political commitment to fight against hunger and malnutrition has been strengthened when the First Lady of Ghana supported the SUN Movement launch.
Making progress – examples • Incorporating Best Practices into National Policies 2 HAITI The nation-wide flagship nutrition program was launched to fight hunger and malnutrition. • BURKINA FASO • Infant and young child feeding is being addressed by the road map for improved nutrition that aligns national programs in key sectors.
Making progress - examples 3 • Aligning ActionsAcross Sectors 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.
Making progress - examples • Increasing Resources and Monitoring Implementation 4 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. • GUATEMALA • The national Zero Hunger plan was launched with a specific budget line for addressing undernutritionduring the 1,000 days between pregnancy and a child’s second birthday.
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.
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: • 40% reduction of the global number of children under 5 who are stunted Target 1: • 50% reduction of anemia in women of reproductive age Target 2: Target 3: • 30% reduction of low birth weight • Increase exclusive breastfeeding rates in the first 6 months up to at least 50% Target 4: Target 5: • No increase in childhood overweight Target 6: • Reducing and maintaining childhood wasting to less than 5%
SUN principlesof engagement Be transparent about impact: all stakeholders to transparently and honestly demonstrate the impact of collective action. Be inclusive: through open multi-stakeholder partnerships that bring proven solutions and interventions to scale. 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. to learn and adapt through regular sharing of the relevant critical lessons, what works and what does not, across sectors, countries and stakeholders. Be continuously communicative:
The SUN Movement evolves. The way forward. 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 SUN builds momentum and commitment for scaling up nutrition – 19 countries join the Movement. SUN Framework for Action is developed & endorsed by over 100 global entities – establishing the foundation for the Movement. 2012 2011 In 2013, SUN will focus on mobilizing resources behind national movements, to achieve measurable progress & impact. 2010
The SUN Movement is growing in numbers & strength 100+ global stakeholders areproviding support to 50 countries with the opportunity to reach over 82.8million stunted children
50 countries: 21 rapidly reducing prevalence of stunting AFRICA ASIA • Since 2000,21 SUN Countries (indicated in RED) • have accelerate their average annual rate of reduction of chronic malnutrition (or stunting) • in children under 5 years at • more than 2% per year BANGLADESH INDONESIA KYRGYZSTAN LAO PDR MYANMAR NEPAL PAKISTAN SRI LANKA TAJIKISTAN VIETNAM YEMEN NIGERIA RWANDA SENEGAL SIERRA LEONE SOUTH SUDAN SWAZILAND TANZANIA TOGO UGANDA ZAMBIA ZIMBABWE BENIN BURKINA FASO BURUNDI CAMEROON CHAD COMOROS COTE D’IVOIRE DEMOCRATIC REPUBLIC OF CONGO REPUBLIC of CONGO ETHIOPIA GAMBIA GHANA GUINEA GUINEA-BISSAU KENYA LIBERIA MADAGASCAR MALAWI MALI MAURITANIA MOZAMBIQUE NAMIBIA NIGER LATIN AMERICA COSTA RICA EL SALVADOR GUATEMALA HAITI PERU March 2014
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
How has stunting been reduced? References and Technical Notes • 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 31- SUN Countries’ success in reducing stunting: The number of countries with AARRs greater than 2% is calculated based on historical data from 2000 to beginning of 2014. This figure is currently under review, and the new number will be reported once the reanalysis of latest available data is finished. The SUN Movement Secretariat is supported by Canada, France, Germany, Ireland, the Netherlands, the United Kingdom and the European Union. April 2014