guide to business engagement
TRANSCRIPT
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SCHOOL
Guide to Business
Engagement
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What is the purpose of the guide?The Guide to Business Engagement has been requested by SUN countries to help inform the development of local
Drawing on a wide range of insights and experiences, the guide aims to:
Share best practice examples from SUN countries of the wide range of ways that business can contribute to nutrition and examples of multi-stakeholder partnerships
Summarise the opportunities for governments and civil society organisations to work with business to support local nutrition priorities
Provide tools to support and inform the development of local business engagement strategies
Who is the guide for?The intended audience for the guide are SUN Focal Points in countries and
How to use the guide?The guide can be used as a resource to stimulate ideas and dialogue amongst local SUN teams about the potential role of business in local nutrition plans, in addition to supporting the development of local strategies and programmes
We would welcome feedback on the guide and suggestions on how we can continue to develop
from SUN countries in order to produce a revised version at the beginning of 2015, which will also
Introducing the guide
Navigating the guideANYWHERE YOU SEE THESE BOXES YOU CAN CLICK ON THEM TO JUMP TO THE START OF THAT SECTION
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Guide Contents
1. Agriculture and nutrition 10
1. Our approach to private sector engagement 26
13
2. The SUN Business Network's key principles for building trusting relationships with business 27
3. Specially formulated food for targeted groups 16
3. Guidelines for developing a private sector engagement strategy 29
More resources 33
4. Workplace 19
5. Supporting nutrition sensitive interventions 22
32
Why engage with business? 31
How can business contribute to nutrition? 82
Developing a business engagement strategy 253
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Section 1Why engage
with business?
1.1 All sectors must play a role
1.2 Business matters to nutrition
1.3 Nutrition increasingly matters to business
1.4 The comparative advantage of business in nutrition
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All sectors must play a role
SUN Movement Multi-Stakeholder ApproachThe SUN Movement provides the platform to enable stakeholders to work together to define
roles in support of business engagement goals:
Movement recognises that combining
governments have the primary
policies and encouraging trust and mutual accountability of stakeholders in
country-owned approach to scaling
business , development agencies, civil
National Governments
appropriate regulatory frameworks
to the most vulnerable
DonorsProvide risk sharing support and
Businesses
Civil Society
capacity building, networks and
delivery channels, advocacy
LOCAL NUTRITIONAL PRIORITIES
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Business matters to nutrition
We know that the market is where most people access most products and services to meet most of their food and dietary
In its capacity as a supplier, distributor and marketer of
companies or SMEs, can be the source of many of the
This is not to suggest that companies and markets can
services to the poorest of the poor, working with business
The International Finance Corporation estimates that the 4.5 billion people at the base of the economic pyramid spend $2.3 trillion a year on food and beverages.
THE LANCET
"
JUSTINE GREENING SECRETARY OF STATE, DFID
" JUSTIN FORSYTH CEO, SAVE THE CHILDREN
"
SHRI PRITHVIRAJ CHAVAN HONORABLE CHIEF MINISTER OF
MAHARASHTRA, INDIA
"
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Nutrition increasingly matters to business
More and more businesses are
security is intrinsically linked to business growth, performance and
of a wide spectrum of businesses across
can be summarised around four drivers that underpin the business case for
DEVELOPING NEW MARKETS TO INCREASE SALES AND PROFITSAs consumer demand for good nutrition grows, businesses along the food value chain increasingly see opportunities to build new
More and more companies are building dynamic consumer markets through product, service and business model innovations that lower the cost and increase the availability of
ACTING RESPONSIBLY AND MAINTAINING LICENSE TO OPERATE Many businesses, especially those more directly linked to the food sector, recognise that access to food and nutrition security is both a moral
socially responsible helps strengthen corporate
IMPROVING WORKFORCE AND SUPPLY CHAIN PRODUCTIVITY Businesses increasingly appreciate that good nutrition is an essential foundation of a productive
nutrition undermines business productivity amongst the direct workforce and along the supply chain, and impacts occupational health
in workplace nutrition programmes see their investments repaid in a reduction of sick-days and
ENSURING MORE SUSTAINABLE COMMUNITIES AND SUPPLY CHAINS It is estimated that 11% of GDP in Africa and Asia is lost to under nutrition every year, with productivity losses to individuals estimated at
thrive when they operate in healthy communities and see a direct commercial linkage between their contribution to the health and well-being of the communities within which they operate and their
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The comparative advantage of business in nutrition
Scale: The processes and systems underpinning business
Businesses have the
Quality management and food safety systems: Businesses can embed quality management and safety
Along the
With its action and output orientated approaches, the business community has the ability to add value along the entire food chain from farm to fork.
SOURCING
PRODUCT DEVELOPMENT
MANUFACTURING
PACKAGING
DISTRIBUTION
ADVERTISING & PROMOTION
RETAIL SALES
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Section 2How can business contribute to nutrition?
2.3 Specially formulated food for targeted groups
2.1 Agriculture and nutrition
2.4 Workplace
2.2
2.5 Supporting nutrition sensitive interventions
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1. Agriculture and nutrition
At each stage of the food value chain, businesses can provide investment,
3. Specially formulated foods for targeted groups
Market based approaches can increase the availability of specially formulated
2. Large scale food
5. Supporting nutrition sensitive interventions
Businesses can play a key role in strengthening underlying health systems, for example providing health and hygiene products and health services, supporting women economic empowerment and
4. WorkplaceBusinesses across all sectors can educate employees about the importance of
Businesses can also introduce workplace policies that facilitate access to breast feeding
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Along the food value chain and in
and civil society.
How can business contribute to nutrition?2
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Agriculture and nutrition The role of business
countries are strongly linked to local agricultural and food systems. Providing the local
nutrient requirements requires the agricultural
and basic cereals. It also requires a food system
and desirable to local
farming communities where malnutrition
encouraging on-
nutritious foods can have
under-nutrition.
To encourage
reduce food wastage, increase food safety and quality, and
to be linked more directly to predictable market demand for
companies along the food value chain can build this market by
and by helping to create demand for them by improving public
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Agriculture and nutrition Examples of partnerships with business
Sweet Potato in Uganda and Mozambique
Nutrition context / project objective
Project scope and partner roles
Impact The project resulted in 61% of households adopting the vitamin A-rich OSP to grow on their
numbers of children and women over the threshold, ensuring that their daily requirements for
Vitamin A intake increased by two-thirds for older children and nearly doubled for younger
Supporting the dairy sector in Bangladesh
Nutrition context / project objective
Tetra Pak has worked with a range of development partners and businesses to increase milk
Project scope and partner roles
Group to build up the Dairy Hub concept and to educate commercial distributors and consumers
Impact
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Agriculture and nutrition How can governments and civil society work with business?
Governments can draw on a range of policy levers to encourage business investment in and support
development agencies can
and support to businesses,
funding, to help share the risks associated with developing new business
Supportive national polices for nutritionGovernments can include nutrition goals in national agricultural plans
that companies involved in national food and agriculture plans will also be encouraged to deliver improved
Reducing the costs of nutritious inputs (fertiliser, seeds)Governments can provide incentives for businesses to use nutritious inputs by reducing import tariffs and by investing in national research and
Standards for agricultural technologies and food safetyGovernments can establish clear regulatory frameworks around standards for new agricultural technologies, eg:
and work with businesses to build the capacity to facilitate required clearance
Farmer training and aggregation
development agencies can work with
Incentivising markets for nutritious foodsGovernments can provide tax and policy incentives for local retail schemes and market development innovations that make nutritious foods more available and affordable
Strengthening essential infrastructureGovernments can invest alongside businesses to strengthen critical infrastructure to enable farmers to
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The role of business
deliver adequate levels of nutrients in
to reduce ingredient costs through
and civil society in countries to
manufacturing: Large, medium and small-
businesses can re-engineer food processing and manufacturing to integrate vitamin and mineral procurement, storage, mixing, labelling and
Increasing availability: Businesses can ensure
with governments and civil society which are
Businesses can also create
and reinforce messages around the importance
resources to build consumer awareness, and
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Examples of partnerships with business
vegetable oil in Senegal
Nutrition context / project objective The gap in vitamin A and iron intake in Senegal reveals a severe public health burden: 46% of
Project scope and partner roles Several actors have contributed to strengthening the national fortification programme,
also supports the production, monitoring and quality control, and demand creation of Senegals
Both government and industry have demonstrated continued commitment to the fortification
Impact The results indicate that large-scale food fortification is contributing positively to intake and
population, with over 50% of both rural and poor women consuming at least 10% of their daily
Fortifying edible oils in India
Nutrition context / project objective
and fortifying oil with essential vitamins A ,D and E creates the opportunity to reach all income
Project scope and partner roles By voluntarily fortifying its edible oil brands, Cargill saw the opportunity to build competitive advantage and brand loyalty through an enhanced value proposition to increasingly health
Cargill in India re-designed its brands to emphasise fortified oils health benefits, raised consumer awareness of fortified products through marketing and word of mouth campaigns
Impact
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Through National Fortification Alliances, governments and civil society can support businesses as they integrate micronutrient fortification in
standards, monitoring and enforcement
governments can establish clear regulatory frameworks for food processing, including
Governments can play this role and also work with businesses to establish public-
compliance and monitoring processes, including industry quality assurance
Product formulation requirementsBusinesses need to understand recommended daily vitamin allowances and dosages, and secure regulatory clearance and certification for fortified food products from
and civil society organisations can advise businesses on appropriate product formulations and technical
Standards for marketing, including labelling and
Governments can establish regulatory frameworks for marketing practices, including clear and consistent labelling and certification standards that build consumer confidence in
Reducing the cost of
Governments can minimise import
Data collection and analysisGovernments can work with business,
to collect and analyse data on food
Consumer awarenessGovernments can work with businesses to build consumer awareness of the
key to the long-term sustainability of
How can governments and civil society
work with business?
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Specially formulated foods for targeted groups The role of business
In countries with the highest
whole family when mixed in to meals just before serving.
and are easy to consume.
Business can increase access to specially formulated foods for targeted groups:
points including pharmacies, health centres and markets, and maintains availability should subsidised access to specially
is a partnership in Bangladesh between the Global Alliance for
company, and BRAC, the worlds largest NGO in the world has
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Specially formulated foods for targeted groups
Examples of partnerships with business
via multiple retail channels in Ivory Coast
Nutrition context / project objective
Project scope and partner roles
Impact
PKL pricing for individual sachets has led competing brands to lower their prices, making the
Increasing availability of ready-
areas of Madagascar
Nutrition context / project objective
Project scope and partner roles
availability through sales ladies selling the product inside the baby restaurants, to grocery stores
Impact
grant funding and investment, the business aims to be self sustaining in five years through a
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The SUN Business Network adheres to international standards and guidelines, including WHO and UNICEF recommendations on optimal infant-feeding practices, the International Code on Breast Milk substitutes and FAO/WHO Codex
important standards mothers should:
Introduce complementary feeding as of 6 months of age in a timely and
Governments and civil society can help businesses to increase access to specially formulated foods for targeted groups:
Specially formulated foods for targeted groups How can governments and civil society work with business?
Public distribution
through government or donor subsidy, or through corporate
Donors can explore models for subsidising the costs of
Public private partnershipPublic sector actors can explore partnerships with businesses to expand the reach of products with the middle 40 percent of wealth groups, with the emphasis on reducing
Community distribution
informal community networks such as community sales
Regulatory frameworks and capacity buildingGovernments can establish clear regulatory frameworks
especially important for providing clarity around the scope for
Public sector actors can develop targeted mechanisms
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Workplace The role of business
and governments are
a strategic investment with high returns in worker
backgrounds and health
working hours may be the
workers have to eat a
Employers can adopt a range of policies and programmes to
Canteens and kitchens:
Vouchers:
with companies partnering with community health centers and
Community Gardens:
An employer-provided vitamin and mineral
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Workplace Examples of partnerships with business
Alive & Thrive: Supporting breastfeeding in the workplace in Vietnam
Nutrition context / project objective
Project scope and partner roles The programme is comprised of four distinct steps: the development of behaviour change communication materials on labor policy relating to female workers, maternity policy and
provided training on breastfeeding for female workers and a hygienic and private space to
Impact
Unilever Lamplighter Programme
Nutrition context / project objective
Project scope and partner roles
Impact
Global successes include:
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Governments can establish legal and policy frameworks that encourage employers to take more responsibility for supporting nutrition and health in the workplace, which include:
Maternity/breastfeeding protection lawsGovernments can pass laws that
are supported and protected from
Tax incentivesGovernments can incentivise businesses through tax breaks to provide nutritious meal plans, invest in canteen equipment and food, and
Break timesGovernments can put businesses on an
message about the importance of
Nutrition promotion
programmes, which typically target elementary schools, disadvantaged
could be extended to also target the
(Nutritious) meal provisionEmployers should be properly incentivised, or ideally required, to not only provide access to food, but to the proper nutrition for its workforce appropriate to the
Workplace How can governments and civil society
work with business?
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Supporting nutrition sensitive interventions The role of business
SCHOOL
A number of wider systemic issues have a
on these wider health and well-being issues. Businesses can contribute
Businesses can provide hand-washing soaps, purification tablets, water filters, hygienic latrines and behaviour change education on good hygiene
Businesses can provide access to affordable health insurance services, and improve access to health information through
can support data collection and analysis of nutrition and health information, and share
Women, the main caretakers of their children, tend
families, resulting in better education, health
women economic empowerment in their supply chains through access to training, mentoring, financing and markets, and more widely through local community programmes that leverage social
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Strengthening underlying health systems Examples of partnerships with business
The Global Public Private Partnership for Handwashing (PPPHW) - partnerships for improved hygiene habits
Nutrition context / project objective
Project scope and partner roles The PPPHW secretariat leverages public and private skills, reach and resources to deliver
Soap companies Unilever, Procter and Gamble, and Colgate Palmolive, bringing state-of-the-art
Impact PPPHW has increased the number of people washing their hands with soap through research and
MAMA - Using mobile technology to deliver vital health information to new and expectant mothers in Bangladesh
Nutrition context / project objective Of every 100 people living in Bangladesh, just 55 have access to sanitation services, while 64 have
MAMA is a public-private partnership that supports programmes to deliver vital health
Project scope and partner roles The MAMA Bangladesh programme, Aponjon, is a Voice and SMS based mobile Health Service which provides important twice weekly health messages to pregnant women, new mothers and
personalised, reliable and accurate messages keeping in alignment with her week of pregnancy or
social enterprise Dnet, in partnership with the Government of Bangladesh Ministry of Health
because some of the subscribers are the women themselves, some are husbands and mothers in
Impact
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Strengthening underlying health systems How can governments and civil society work with business?
Governments and civil
facilitate business support
Multi-sector strategy Government national nutrition strategies should acknowledge and encourage the key contribution of businesses to improving access to clean water, sanitation and good
Data collection and analysis Governments should recognise the role that ICT can play in data collection and analysis, consumer education and behaviour change, and actively engage with the ICT sector to leverage their capabilities and
Enabling economic opportunity for womenGovernments can create a supportive policy environment to encourage women entrepreneurship, and in partnership with businesses, enable greater access to training, mentoring,
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Section 3Developing a private
sector engagement strategy
3.2 The SUN Business Network's key principles for building trusting relationships with business
3.1 Our approach to private sector engagement
3.3 Guidelines for developing a private sector engagement strategy
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The SUN Business Network's approach to private sector engagement
can best be summarised through the below diagram which explains our theory of SUN Business Network's pathway to engaging business in nutrition:
BY ADDRESSINGTHESE CHALLENGES
WITH THESE SOLUTIONS
WE CAN ACHIEVE
AND DEMONSTRATETHIS IMPACT
Identify potential entry points in national strategies
Develop roadmap for action
Partnerships brokering
Develop detailed investment plan
Harmonised messaging to consumers
Consult with key stakeholdersto build consensus around entry points
Analysis of how to leverage existing programs/commitments, infrastructure, finance
Clear policies and strategies on role of private sector in nutrition
Increased investment from public sector incentivise investment from business
Increased business investment into nutrition solutions
Improved consumer education
Access to nutritious foods
Awareness of/demand for good nutrition
Improved nutrition outcomes
Limited business investment
No consensus amongst stakeholders about value-add of business
Few public sector incentivesfor business
Low consumer education
Unclear role for business in nutrition strategies
Business has little awareness of nutrition issues
Engaging business in national nutrition strategies can lead to improving access and demand for nutritious food, which can help achieve country strategies to improve nutrition.
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with business
A wide range of businesses can play a direct role in supporting the goals of national nutrition strategies, from food companies through to the non food
Engagement with business in the development of national strategies and
an acknowledgement of the role market-based approaches can play in increasing access to nutritious products and services, and acceptance that
Governments should recognise the value of private sector contributions, while understanding motives and ensuring the proper incentives and risk-management strategies are in place to ensure sustainable, effective
page 32
Develop your business engagement strategy with all stakeholders through a transparent and inclusive dialogueIn our experience, all stakeholders should be involved in developing an
civil society, donors, government and academia, with business, will allow all partners in SUN country platforms to play a role in developing a strategy to
stages will ensure that you can map existing partnerships and experience
an open and transparent dialogue with all groups will ensure partners in SUN multi-stakeholder platforms can be included in the development of any
potential for conflict of interest, please see page 32
The SUN Business Network's 4 key principles for building trusting
relationships with business
for building successful engagement strategies at country level.
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Identify how business can contribute to country nutrition prioritiesEffectively engaging businesses will require identifying the sectors and industries most
business engagement strategy can develop in a way that will seek to align business activities in the areas where government requires most support for its national
help outline where government wants support from business and spark an interest from
companies, most businesses are not familiar with public policy debates or government
Many businesses have informed SUN Business Network that would like to have more
Identify business leaders to be champions of SUN Securing senior leadership engagement is key to
reaching out to other business and civil society leaders to
The SUN Business Network's 4 key principles for building trusting relationships with business
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suggested guidelines for
engagement strategy alongside
engagement to achieve local
outreach to discuss and
Guidelines for developing a private sector engagement strategy
Step 1: Review national nutrition prioritiesConduct landscape analysis of key strategy
these documents business investment is
Step 2: Assess private sector investment landscapeAssess key ongoing investments, either from public donors which implicate business or direct commercial investment,
Conduct interviews with key stakeholders from business and stakeholder groups
Step 3: Report on opportunities to engage with business
are relevant for business and highlight key
in partnership with business and which
Step 4: Multi-stakeholder conveningEngage government focal points to validate first opportunity report and topline recommendations, then convene a cross section of government ministries, bilateral and multilateral donors, local and multinational businesses and civil society organisations to build wider consensus and awareness of the priorities agreed with government
Step 5: Detailed Roadmaps
stakeholder convening, appoint lead
to strengthen ongoing investments, key policies, infrastructure, technical and
and gaps if mechanisms do not exist, and
If necessary, develop more detailed investment blueprints which analyse key
Step 6: Partnership brokering, technical
Engage government, key donors and social investors throughout the process to ensure alignment between Roadmap
recommended programs can be aligned
assistance mechanisms conducted during the Roadmap development process, select mechanisms in-country which can provide
partnerships and business investment, or build new mechanisms if appropriate ones
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Step 1: Review national nutrition priorities
Step 2: Assess private sector investment landscape
Step 3: Report on opportunities to engage with business
and implementation plans encompass a range of actions to tackle malnutrition including agriculture-related nutrition interventions and a focus on
Step 4: Multi-stakeholder convening
commitment, both from the President and Prime Minister to the NNS and stated that society and business
Growth in this sector is not having the desired impact
Business to play its part in consumer behaviour
partners from Donor, UN and Civil Society networks included:
The need for donors, CSOs and businesses
The role for mobile technology in consumer behaviour change due to the increasing reach of
and sharing new programme and partnership
can be replicated in other Grow Africa Countries
Point outlined plans for three working groups to take the next steps to integrate business into the NNS:
supplements
Engagement in action: Tanzanias approach to developing a private sector strategy
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http://2fe0ur3bixo1clgx344dzbo3f.wpengine.netdna-cdn.com/wp-content/uploads/sites/2/2014/02/SUN-Business-Network-Tanzania-Report-and-Recommendations-.pdfhttp://2fe0ur3bixo1clgx344dzbo3f.wpengine.netdna-cdn.com/wp-content/uploads/sites/2/2014/02/SUN-Business-Network-Tanzania-Report-and-Recommendations-.pdfhttp://2fe0ur3bixo1clgx344dzbo3f.wpengine.netdna-cdn.com/wp-content/uploads/sites/2/2014/02/SUN-Business-Network-Tanzania-Report-and-Recommendations-.pdfhttp://2fe0ur3bixo1clgx344dzbo3f.wpengine.netdna-cdn.com/wp-content/uploads/sites/2/2014/02/SUN-Business-Network-Tanzania-Report-and-Recommendations-.pdf
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Engagement in action: Tanzanias approach to developing
a private sector strategy
Step 5: Detailed roadmaps
Integrating nutrition in to investments in agriculture through the Southern Agricultural Growth Corridor
The Southern Agricultural Growth Corridor of
development partners has been established to catalyse private investment to deliver rapid and sustainable agricultural growth to improve food
In recognition of the strong linkages between agriculture and nutrition, the High Level Steering Committee on Nutrition and SAGCOT platforms have come together to identify opportunities to incorporate nutrition interventions in to ongoing
Through the SAGCOT initiative, rural farming
of support from government and businesses, including seeds, fertiliser and training, and are also participating in projects which give them
delivery infrastructure already in place significant opportunities have been identified to overlay a
A detailed roadmap produced by local stakeholders
Helping workers in agricultural supply chains to
The SAGCOT partnership is now asking investors
of these investments include improving the
A strong monitoring and evaluation system is also being established, in combination with a comprehensive research agenda, to establish the
It is hoped that the initiative will provide models for investment in agriculture and nutrition which
Step 6: Partnership brokering, technical assistance and
The roadmap will be launched in December 2014 and will be used to guide all partners within the SUN country
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has emphasised that the strength of
stakeholders working through these
impact in the countries that have joined
private sector, a lack of familiarity of
in government and civil society can also
Global Social Observatory on behalf of the SUN Movement has produced a reference guide and toolkit to assist
materials lay out the key elements of
when they do arise, managing them in
policies and procedures for the
are an integral part of good governance
SUN Movement at the country or global
The SUN Movement Strategy 2012
2012 outline a number of Principles of
stakeholders should engage in the
behaviours and mutual accountability
requirement that those who engage in the Movement avoid behaving and
SUN Principles of Engagement
serve as the ten SUN Principles of Engagement for the SUN Movements guidance
1BE TRANSPARENT, ESPECIALLY ABOUT INTENTIONS AND
IMPACT
2BE INCLUSIVE
3BE RIGHTS-BASED
4BE WILLING TO
NEGOTIATE
5BE PREDICTABLE AND MUTUALLY ACCOUNTABLE
6BE COST-
EFFECTIVE
7BE CONTINUOUSLY COMMUNICATIVE
Additional principles:
8ACT WITH
INTEGRITY AND IN AN ETHICAL MANNER THAT ENHANCES THE
REPUTATION AND IMPACT OF THE
SUN MOVEMENT
9BE MUTUALLY
RESPECTFUL AND SEEK TO EARN THE TRUST OF THOSE WITH WHOM YOU
ARE WORKING
10DO NO HARM
The Global Social Observatory has developed a detailed model for the
Further details can be found here:
HTTP://SCALINGUPNUTRITION.ORG/WP-CONTENT/UPLOADS/2013/02/REFERENCE-NOTE-FINAL-0314.PDF
HTTP://SCALINGUPNUTRITION.ORG/WP-CONTENT/UPLOADS/2013/02/TOOLKIT-FINAL-0314.PDF
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3.4
http://scalingupnutrition.org/wp-content/uploads/2013/02/Reference-Note-Final-0314.pdfhttp://scalingupnutrition.org/wp-content/uploads/2013/02/Reference-Note-Final-0314.pdfhttp://scalingupnutrition.org/wp-content/uploads/2013/02/Reference-Note-Final-0314.pdfhttp://scalingupnutrition.org/wp-content/uploads/2013/02/Toolkit-Final-0314.pdfhttp://scalingupnutrition.org/wp-content/uploads/2013/02/Toolkit-Final-0314.pdfhttp://scalingupnutrition.org/wp-content/uploads/2013/02/Toolkit-Final-0314.pdf
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More Resources
SUN Business Network
two goals:
the SUN Business Network will support SUN countries to develop their own
Contact usPlease visit www.sunbusinessnetwork.org
Business Commitments: see the commitments companies have made to scaling up
Case Studies:feeding, emergencies and more
Other Resources
www.hystra.com/marketing-nutrition
JONATHAN TENCH MANAGER
KRISTINA SPIEGELSENIOR ASSOCIATE
PIA JUNEJA JUNIOR ASSOCIATE
VALERIE PILLONELEVENT COORDINATOR
http://www.sunbusinessnetwork.orghttp://www.hystra.com/marketing-nutritionmailto:jtench%40gainhealth.org?subject=mailto:kspiegel%40gainhealth.org?subject=mailto:pjuneja%40gainhealth.org?subject=mailto:vpillonel%40gainhealth.org?subject=