The UN Network for SUN: Getting traction
Taking stock of membership and
UN nutrition support
October 2015
“To continue the good progress in strengthening the inter-agency coordination and furthering the support to
SUN countries in scaling up nutrition, our agencies will continue to assist nutrition efforts at country level, while simultaneously
enhancing and increasing UN global collaboration and coordination mechanisms. To this end our agencies are
committed to supporting REACH as an effective means of building national nutrition governance and technical capacity
while encouraging other UN agencies to join the global UN Network for SUN.”
- Joint letter, dated 7 June 2013, signed by:
José Graziano da Silva
Director-General
Food and Agriculture
Organization
Margaret ChanDirector-General
World Health
Organization
Kanayo NwanzePresident
International Fund
for Agricultural
Development
Anthony LakeExecutive Director
United Nations
Children’s Fund
Ertharin CousinExecutive Director
World Food
Programme
Source: UN Network for SUN Secretariat
The membership of the UN Network for SUN is evolving as the Network gains traction at the country level
Core members of the UN Network for SUN at the global & country levels
Additional members of the UN Network in selected countries
FAO
IFAD
UNICEF
WFP
WHO
UNFPA • Mozambique
• Myanmar
UNAIDS • Ghana
UNWOMEN • Burundi
UNHCR • Ghana
ILO • Philippines
1
2
3
4
5
6
7
8
9
10
And counting…
1
Water &Sanitation
Management of Acute Malnutrition
Market Regulation & Insurance
Multi-Sectoral Governance Actions
Livestock & Fisheries
Micronutrient Supplementation
Health Behaviors
Consumption
Horticulture/Crops
Food Processing, Fortification &
Storage
Infant & Young Child Feeding
Care for Children/Pregnant
& Lactating Women
HygieneMaternal, Neonatal
& Paediatric Health Care
Social Safety Nets
Prevention & Mgt .of Soil, Waterborne & Endemic Diseases
Source: UN Nutrition Inventory
Sectoral Goverance Actions
A series of new UN Network for SUN tools help unpack complementarities among member agencies and identify opportunities for efficiencies
UN agencies support nutrition actions - implementation and governance related actions – at the country level, in a wide array of thematic areas
2
7 critical steps for completing the UN Nutrition Inventory and developing a high-quality UN Nutrition Strategy/Agenda at the country level
3
Excerpt from the UN Network
Summary Guidance Package
Secure Consensus to complete UN Network
for SUN Deliverables
Conduct & Analyze
UN Nutrition Inventory
Conduct 1 on 1
Interviews & Synthesize
Results
Prepare & Facilitate
Initial Strategic
Workshop
Prepare & Conduct RC/Reps Debrief
Outline Key Elements
of the UN Nutrition
Strategy / Agenda
Finalize UN Nutrition
Strategy / Agenda
1. 2. 3. 4.
5. 6. 7. • Support to UNDAF
Drafting /
Implementation
• Common Narrative /
Messaging
• Joint Programming
The UN Nutrition Inventory takes stock of the nutrition-related actions that the UN is supporting
• Excel-based inventory tool shared with focal points from 5 agencies
• Follow-up by REACH team for introduction to toolDissemination of & introduction to tool
• Where necessary, focal points consulted with other sectors
• Agency focal points entered data into the inventory tool and submitted completed agency-specific inventory sheets to UN Network / REACH Secretariat
Completion of inventory tool
• Email exchanges between focal points and UN Network / REACH Secretariat for clarification about agency data, as needed
• UN Network / REACH Secretariat conducted analysis of agency inventory data sheets and aggregates results across agencies
Analysis of results
Dissemination of results
1
2
3
4• Some draft results shared at UN Network for SUN Asia meeting in
Bangkok in June 2015• Full inventory findings to be shared with the UN country team in October
4
Excerpt from the Myanmar
UN Nutrition Inventory
The process of undertaking the UN Nutrition Inventory The process of undertaking the UN Nutrition Inventory
DRAFT
Absolute number of stunted <5s
The UN Nutrition Inventory compares the stunting burden to existing UN nutrition-related support at the country level
5
Source: INE Population Census (2007). Projections for 2011
DHS 2011 Are UN efforts concentrated in the ‘right’ geographic areas?
Number of UN nutrition actions by
region
> 40%
30-39.9%
20-29.9%
< 20%
0-49,999
50,000-99,999
100,000–499,999
>500,000
Absolute #s of stunted <5s
Gaza
Manica
Tete
Niassa
Nampula
Zambezia
Inhambane
Maputo
Maputo City
Sofala
Cabo
Delgado
Gaza
Manica
Tete
Niassa
Nampula
Zambezia
Inhambane
Maputo
Sofala
Cabo
Delgado
32,100
46,500
84,60059,400
115,000133,200
367,200
433,300
161,780
126,000
181,400
Gaza
(22)
Manica
(50)
Tete
(60)
Niassa
(0)
Nampula
(44)Zambezia
(85)
Inhambane
(29)
Maputo
(16)Maputo City
(15)
Sofala
(50)
Cabo
Delgado
(32)
Maputo City
Excerpt from the Mozambique
UN Nutrition Inventory
Prevalence of stunted <5s
Highest prevalencesHighest absolute #s
xx
Highest numbers of UN actions
Agencies intervening at national level:
Key questions: When more than one agency present
Key questions: When more than one agency present
Chin
Sagaing
Kachin
Shan
(N)
Mandalay Shan
(S)
Rakhine
Magway
Shan
(E)
Kayah
Yangon
Bago
(W)Bago
(E)
Kayin
Tanintharyi
MonAyeyawady
> 40%
30-39.9%
20-29.9%
< 20%
Stunting prevalence
among <5s
Source: MICS (2009); The 2014 Myanmar Population and Housing Census (Department of Population, 2015)
Highest numbers of UN actions
• How complementary are the nutrition
actions? Is there combined value
added?
• Is there a critical nutrition action
missing in each region/state, that the
UN is well-placed to deliver?
• Are there opportunities for improved
collaboration on joint planning
(targeting & geographic focus),
implementation, M&E?
• How can the use of delivery
mechanisms (e.g. schools,
community health volunteers,
agricultural extension) be optimized?
• Alignment of advocacy,
communications, other?
Both convergence and gaps are highlighted: The UN agencies surveyed are primarily concentrated in 5 regions, but none of these agencies are working on nutrition-related actions in Kayah or Tanintharyi
Excerpt from the Myanmar
UN Nutrition Inventory
6
Identifying the thematic areas in which multiple UN agencies are engaged at the country level helps minimize duplication of efforts, ensure complementarity and exploit synergies
7
Multiple agencies are supporting nutrition-related
GOVERNANCE actions in 7 thematic areas
Multiple agencies are supporting nutrition-related
GOVERNANCE actions in 7 thematic areas
Achieving increased efficiency is key for a coherent, well-functioning UN Network, particularly in resource-constrained contexts
2 2
2
2
1
8
8
4
5
9
3
20
4
8
4
4
1
4
2
3
6
2
12
Food processing, fortification &storage
Infant & young child feeding
Hygiene
Health Behaviours
Maternal, Neonatal & PaedriaticHealth Care
Management of Acute Malnutrition
Disease Prevention & Management
FAO IFAD UNFPA UNICEF WFP WHO
# actions
Health-based
actions
Maternal & Child
Care actions
Food, Agriculture &
Diet actions
Excerpt from the Mozambique
UN Nutrition Inventory
Most of the nutrition actions for which the surveyed UN agencies are providing support are aligned to the national nutrition plan
8
92%
100%
91%
100% 100%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Source: National Plan of Action for Food and Nutrition (NPAFN), 2011-2015 (National Nutrition Center, 2013)
Some actions are not included in the national nutrition plan, though it is currently being updated
UN agency alignment to the national nutrition plan
UNICEF WFP FAO WHO
% actions
UNFPA
Average
97%
Excerpt from the Myanmar
UN Nutrition Inventory
The Inventory provides a breakdown of UN nutrition action intensity by the respective strategic objectives of the national nutrition plan and magnitude of investment
9
1SO = Strategic objective2Reported in thousands of US dollars
Source: National Plan of Action for Food and Nutrition, 2011-2015 (National Nutrition Center, 2013)
2
2
4
5
76
41
4
77
69
SO 3.9 Improve quality & quantify ofinformation
SO 3.8 Improve human capacity
SO 3.7 Improve institutional capacity& coordination
SO 2.6 Improve environmental health& food safety
SO 2.5 Improve mother & child care
SO 2.4 Improve access to food
SO 2.3 Increase & diversify domensticfood production
SO 1.2 Prevent & reduce food, water,vector-borne infectious diseases
SO 1.1 Promote consumption ofhealthy foods & improve nutrient intake
Small(<200)2
Medium(200-500)2
Large(>500) 2
Number of actions by magnitude of investment
34 25
53 10
04
16
45
0
0
2
2
5
2
0
0
0
0
10
14
0
20
29
5
4
0
0
# of actions
Of the agencies surveyed, most UN actions supportStrategic Objectives 1.1, 1.2 & 2.5
of the nat’l nutrition plan
Of the agencies surveyed, most UN actions supportStrategic Objectives 1.1, 1.2 & 2.5
of the nat’l nutrition plan
Excerpt from the Myanmar
UN Nutrition Inventory
DRAFT
1
The Inventory discerns UN governance actions from implementation actions for each thematic area in the tool
10
Most of the actions undertaken by the UN Network on IYCF1 are governance actions
related to optimal BF2 practices
Most of the actions undertaken by the UN Network on IYCF1 are governance actions
related to optimal BF2 practices
# actions
Key findings:
• Governance actions are being undertaken to support both broad actions
• Governance actions are conducted primarily in the areas of: (1) policy/ planning; (2) human & institutional CD3/training
• UNICEF and WHO are engaged in governance actions, and WFP is engaged in both governance and implementation actions
1IYCF = Infant & Young Child Feeding / 2BF = breastfeeding / 3CD = capacity development
1 1
98
0
1
2
3
4
5
6
7
8
9
10
11
Implementation Governance
109
Promotion,
protection & support
of optimal BF2
practices
Improvement of
complementary
feeding
Excerpt from the Mozambique
UN Nutrition Inventory
The Inventory includes a distinct section on multi-sectoral nutrition governance support, encompassing both national and sub-national levels
Source: UN Nutrition Inventory exercise (2015) / National Plan of Action for Food and Nutrition,2011-2015 (National Nutrition Center, 2013)
14 multi-sectoral governance actions at national level
14 multi-sectoral governance actions at national level
2 multi-sectoral governance actions conducted in 1 province
2 multi-sectoral governance actions conducted in 1 province
Chin
Sagaing
Kachin
Shan (N)
Mandalay Shan (S)
RakhineKayah
Yangon
Bago
(W) Bago
(E)
Kayin
Tanintharyi
Mon
Magway2
Chin
Sagaing
Kachin
Shan (N)
MandalayShan (S)
RakhineKayah
Yangon
Bago
(W) Bago
(E)
Kayin
Tanintharyi
Mon
Magway
���� Situation Analysis, Advocacy & Communications: 3
���� Policy Formulation/Review & Planning: 7
���� Human & Institutional Capacity Development/Training: 4
���� Effectiveness & Accountability: 0
TOTAL = 14 actions
0
0
0
0
0
0
0
0
0
0
0
0
11
Excerpt from the Myanmar
UN Nutrition Inventory
DRAFT
What is a UN Nutrition Strategy/Agenda?
12
� Sets a vision/aspirations for UN contributions in the future, in alignment with government policy on nutrition
� Tells the story on current UN contributions to nutrition concisely, clearly and holistically
� Clarifies agency responsibilities and identifies gaps in programmes where the UN is uniquely positioned to contribute
� Identifies areas of weakness and opportunities to improve joint programming approaches and alignment between agencies and national nutrition strategies (lessons learned)
� Identifies areas requiring additional funds/fundraising
� Harmonizes nutrition messages for use in joint advocacy
� Contextualizes the recently released UN Global Nutrition Agenda (UNGNA v.1.0) to country realities
� The ‘Strategy’ may be a tool that is used for multiple purposes, such as advocacy, feeding into an upcoming UNDAF process or a document that has stand alone value for UN coordination and reflection on performance over several years
NOTE: The process of drafting a strategy also helps to strengthen stakeholder relationships and foster a collaborative dialogue among nutrition players.
Excerpt from the UN Network
Summary Guidance Package
13
1To the best of the UN Network for SUN Secretariat’s knowledge as at 10 September 2015.2The Bangladesh National Food Policy Plan of Action (2008-2015) & the Bangladesh National Plan of Action for Nutrition (1997) were included in this analysis3Some national plans were not available for analysis, as they were still being drafted/formulated.
28 out of 55 SUN countries are known to have formulated or updated the national nutrition plan in the last 5 years
Graph of countries by status1 of national nutrition plan2
% plans for SUN countries
No plan (2 plans)
Unknown status (5 plans)
Existing plans (49 plans)
87%
2% 13%
Of the countries with existing plans (491)
• 14 are drafts or are being formulated3
• 3 are being reviewed/updated
• 32 have been adopted
One country (Tanzania) uses a national nutrition strategy in lieu of a national nutrition plan
38% (15 plans) reviewed have prioritized actions
The development of the UN Nutrition Inventory tool prompted an analysis of national nutrition plans, which indicated that most SUN countries have a national nutrition plan, though several of them are outdated
DRAFT
National nutrition plans are at varying stages of development in the SUN countries with no apparent geographical trends
14
Drafts/being formulated
Being reviewed/updated
No plan
Adopted
Unknown
Source: UN Network for SUN Secretariat
DRAFT
Most national nutrition plans reviewed mention three or more sectors
15
Health and education sectors were most frequently mentioned in the
national nutrition plans for 38 SUN countries1
97%
87%92%
67%
56%
85%
51%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Health Education Sanitation
% plans
Water
1As previously reported, 49 SUN countries have existing national nutrition plans.2The Food Security and Nutrition Program in the Kyrgyz Republic (2015 – 2017) is centered on the food sector.
All but one plan acknowledged multi-sectorality!2
Social Services IndustryAgriculture
DRAFT
Who?No. of staff dedicated to nutrition*
in-country, by agencyNo. of staff dedicated to nutrition*
in-country, by agency
UNICEF
WFP
1
4
1
1
21
FAO
UNFPA
WHO
IFAD
*Note: LT refers to long-term contracts (e.g. fixed-term, continuing, indefinite appointments) whereas ST refers to short-term contracts of 11 months or less.
# of people
What & How?
Nutrition in joint UN activities/processes
Nutrition in joint UN activities/processes
7585
0
50
100
Gov’t
priorities
UN Nutrition
Strategy/Agenda
Not
satisfied
Somewhat
satisfied
Generally
satisfied
Fully
satisfied
Mostly
satisfied
Perceived satisfaction of intra-agency collaboration on nutrition-related actions
Perceived satisfaction of intra-agency collaboration on nutrition-related actions
100
66
3345
0
50
100
Design Plan Delivery M&E
Collective engagement in nutrition-related programming
Collective engagement in nutrition-related programming
% programming
Inclusion of UN Network coordination duties in staff APAs‡
Inclusion of UN Network coordination duties in staff APAs‡
Alignment of nutrition actions to…
Alignment of nutrition actions to…
(2 L3’s,
L2, G4)
*Note: Level of UN Network focal points marked in italics
(P2)(P3, G3)
(P3)
(P2)
(P3)
UNICEF WFP WHO FAO IFAD UNFPA
Nutrition included in UNDAF/P ����
UN Nutrition Strategy/Agenda ����
UN Inventory of Nutrition Actions ����
UN joint messaging on nutrition ����
UN joint resource mobilization for nutrition X
UN Network for SUN Dashboard ����
Other UN collaboration platforms on nutrition ����
� = yes ���� = partially X = no0
2
4
6
Yes No
% nutrition actions
# of agencies
‡APAs = annual performance appraisals
Participation in UN Network mtgs.
Participation in UN Network mtgs.
Perceived participation
Most agencies
regularly
participate
Among UN Network Monthly
UN Network tables
nutrition to UNCTQuarterly
With SUN Focal Point Bi-weekly
With Other Networks Semi-annually (CSN)
Quarterly (DN)
Annually (BN)
Level of engagement in SUN Movement (mtg. frequency)
Level of engagement in SUN Movement (mtg. frequency)
CSN = Civil Society Network / DN = Donor Network BN = Business network
UN Network established ����
UN Network Chair identified X
Status of UN NetworkStatus of UN Network
Tete22
32
18
19
48
11
54
3
19
Geographic distribution of UN nutrition actions
Geographic distribution of UN nutrition actions
Resources
40%
60%
5%
50%
0%
20%
0%
20%
40%
60%
80%
100%
Funding Shortfalls (planned Vs. actual budget)
for nutrition, by agency
Funding Shortfalls (planned Vs. actual budget)
for nutrition, by agency
Where?
Measuring the performance of the UN Network for SUN:UN Network for SUN Dashboard – illustrative mock-upDRAFT
16