REACH

ENDING CHILD HUNGER AND UNDERNUTRITION

REACH overview for journalists

March 2012

Conceptual framework for analysing the causes of malnutrition

Malnutrition, death & disability

Outcomes

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

Quantity and quality of actual resources human, economic & organisational - and the way they are controlled Basic causes at societal level Potential resources: environment, technology, people

REACH multi-sector nutrition actions

Increase micronutrient intake Micronutrient supplementation and fortification

Improve breastfeeding and complementary feeding Exclusive breastfeeding Complementary feeding

Care

Health
Increase treatment of severe acute malnutrition

Improve maternal nutrition Therapeutic feeding

Improve hygiene and parasite control Household water treatment Hand washing with soap Bed nets and intermittent preventive treatment Deworming

Improve availability and diversity of food and support livelihoods

Food security

Local homestead food production

Transfers and safety nets Strengthening local purchase from smallholder farmers Supplementary feeding

Interventions are proven and known to be effective. The challenge is to scale them up

Building partnership and functional working team Different partners have a role to play

UN Agencies/IFIs

Donors

Private Sector/ Corporations

Government (lead)

Academia

NGOs

Aim is to make partnerships fully operational and output-oriented

Letter by 4 UN Agency HQs committing to REACH initiative

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REACH develops institutional capacity for scaled-up action

Policy and programme planning

Situation analysis

Multi-sector coordination

REACH components

Facilitated institutional capacity development

to strengthen national capacity to scale up evidence-based solutions

Monitoring and evaluation

Knowledgesharing

Financing and resource mobilization

Advocacy and communications

Outcomes

Increased awareness of the problem and of potential solutions

Strengthened national policies and programmes

Increased capacity at all levels for action

Increased efficiency and accountability

Draft for discussion only

REACH approach adds value to existing country processes

Feedback from Mauritania, Lao PDR, Mozambique, Bangladesh and regional hub in Senegal

Expert and neutral facilitation ensures results-focused coordination that produces concrete outputs and actions, and builds consensus across partners Skill set of facilitator complements technical know-how of partners: mediation, conflictresolution, process and change management skills
Institutional capacity development for planning and analysis, program design, coordination, and monitoring through ongoing, in-service engagement with Government Platform for joint advocacy to elevate nutrition on national agenda Identification of clear synergies between operations and delivery mechanisms Proactively identify and overcome barriers to collaboration and scale-up

Development of a sound investment case

Maximizes impact of existing investments, and systematically and proactively mobilizes additional resources for scale-up Country case disseminated as best practice through REACH knowledge sharing service

REACH seeks to transform the way governments and donors approach planning and investing in nutrition

Growing adoption of REACH approach in West Africa

2012-2014 CIDA funding SUN member

Since 2008 ECHO funding SUN member

Mauritanie Mali

2012-2014 EU funding SUN member Niger

Chad 2012? Fund-raising

Burkina Faso
Sierra Leone

Since 2010 BM-Gates funding SUN application on-going

Ghana

2012-2014 CIDA funding SUN member

REACH is also in present in 10 other countries in East Africa and Asia

Significant rapid improvements are possible Malnutrition has been dropping in Mauritania since 2008
Children 6-59 months suffering from Underweight (lean season)
%

50

48

40 32 30 20 31 30 31 28
26.7
MDG Target

24.5

24%

10

0 1990 2001 2006 2007 2008 2009 2010 2011

Source: National Nutrition Action Plan (DHS, MICS, SMART, Rapide)

REACH tools Coverage example from Lao PDR

A typical child in Lao PDR receives only ~4 of the interventions it needs ~80% of districts cover less than 25% of population with package of 6+ interventions

Exclusive breastfeeding Vitamin A Iodized salt Multimicronutrients Iron Handwashing with soap Deworming

Complementary feeding Household water treatment Treated bednets

Therapeutic feeding
Supplementary feeding (<5s) Conditional cash transfers Nutrition education Local homestead food production
% district pop. receiving 6+ interventions Less than 25% 25-50% 50-75% More than 75% No data

47 priority poor districts 25 districts identified as poor Other districts

Note: Map produced by the NSC, July 2003. Coverage map reflects districts proposed for early implementation of MNCH core package as having full coverage Source: Poverty statistics reports, provincial committees/authorities

SUN movement focuses on mobilizing and organizing donors

UN Agencies/IFIs

Donors

Private Sector/ Corporations

Government (lead)

Academia

NGOs