reach frauke uekerman

OPM (Clara Picanyol)

Tracking of Resources

Planning, Costing and FinancingCommunity of Practice

CIFF

CSN

Donor Network

REACH

Questions

Scaling Up Nutrition Planning and Monitoring tool

Rome, 16 July 2014

Scaling-up to reduce stunting requires a discussion around the following questions

• Key nutrition stakeholders need to know

• What are the core nutrition actions addressing stunting (max. 20 multi-sectoral actions)?

• What is the scale of core nutrition actions today ?

• What actions have to be scaled up to reduce stunting in different regions of the country?

• What actions need to be scaled up to address particular stunting causes in (different regions of) the country?

• Over time, are we making progress with scale-up against the targets defined in the plan?

• What needs to happen to make this happen? What are the bottlenecks, what are ways to overcome them?

Output of Scaling Up Nutrition Planning & Monitoring tool has 3 elements supporting a scale-up discussion

Recap nutrition situation*and nutrition actions

Who does what where?

Recap nutrition situation*and nutrition actions

Who does what where?

Coverage What % of the target

group is covered?

Coverage What % of the target

group is covered?

Guidance for astakeholder dialogue

How & where to scale up nutrition?

Guidance for astakeholder dialogue

How & where to scale up nutrition?

Qualitative view Quantitative view Guidance for scaling up nutrition

What is the nutrition situation of a country/ region?

Who are the key stakeholders? What is their role?

Which stakeholders are doing what where?

1

2

3

What % of the target group is covered nationally; via which delivery mechanisms?

What % of the target group is coveredper region?

For each region, who is reaching what % of the target group?

4

5

6

What are the stunting levels (e.g. prevalence)? What is the action intensity per region?

Which regions are not adequately addressed?

Which key problems are not adequately addressed?

What are the action gaps for regions with high problem levels?

7

8

9

10

*Note: The REACH Stakeholder & Action Mapping tool uses outputs from the Nutrition Analysis.

What is the regional stunting prevalence? What is the action intensity per region?

Stunting strongly prevalent in<Region x> and <Region y>

Stunting strongly prevalent in<Region x> and <Region y>

Only few actions coveredin <Region x> and <Region y>

Only few actions coveredin <Region x> and <Region y>

Tigray

AmharaAfar

Benshangui-Gumaz

Addis Ababa

Oromia

Southern Nations,Nationalitiesand Peoples

Gambela

Somali

Harari

Dire Dawa

0% - 20%

21% - 29%

30% - 100%

Stunting prevalence1

Tigray

AmharaAfar

Benshangui-Gumaz

Addis Ababa

Oromia


Gambela

Somali

Harari

Dire Dawa

0% - 25%

26% - 50%

76% - 100%

51% - 75%

# of actions with at least xx%2 of target population covered

Illustrative

1. Among children 6-59 months old 2. To be determined based on country-specific situation

Guidance for a stakeholder discussion (scale-up conclusions) - Stunting

Anemia among women1: What are the action gaps for regions with high problem levels?

Illustrative

0% - 4% 5% - 39%

Prevalence of anemia among women

1.Women 15-49 years

xx actions mapped addressing anemia among women1 National level at xx%

xx actions mapped addressing anemia among women1 National level at xx%

Target groups for anemia among women with low coverage in <Region x> and <Region y>

Target groups for anemia among women with low coverage in <Region x> and <Region y>

1

Tigray

AmharaAfar

Benshangui-Gumaz

Addis Ababa

Oromia


Gambela

Somali

Harari

Dire Dawa

Related countryrelevant actions

Target groups

Provide iron-folic acid / iron supplements

Provide multiple micro-nutrient supplements

30% - 100%

2

4Pregnant women

15-49 years

Pregnant women15-49 years

2

% of TG covered

Provide insecticide treated bednets


3

Provide insecticide treated bednets

Post-partum women15-49 years

4

Provide deworming tablets


5

Carry out insecticide spraying

Households6

Promote small-scale horticulture / crop div.

Households7

Promote small-scale animal husbandry

Households8

6

3

8

1

8

3

1

8

1

2

4

8

% of target group covered

Guidance for a stakeholder discussion (scale-up conclusions) - Other situation indicators

This overview is provided for each situation indicator

Conscious decision not to include financial information in data collection

• REACH countries that have undergone stakeholder & action mappings in the past faced two key challenges: collecting beneficiary coverage and financial information

• The mapping is regarded a very complex data collection exercise and we were urged to make it as simple as possible

• Coverage information is crucial for a meaningful scale-up discussion; to understand and address bottlenecks in scale-up, funding constraints as well as other resources will naturally be a part of the discussion

• The only REACH country that successfully collected financial information is Ethiopia– The information collected reflected only off-budget funds, not reflecting gov’t contributions– Doubts about the accuracy/completeness of this information persist – Organization (both gov’t & NGOs) are not eager to disclose this type of information

• To get a complete overview of funding of nutrition action in a country (on & off budget), a separate financial management exercise that allows consistent tracking over time would probably be more advisable; e.g. establishment of a common nutrition budget code, governments requesting NGOs to report their funding etc.

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