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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


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


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



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



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%



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



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



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



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

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