Developing strategies to end hunger
 

150 posts categorized "Foreign Aid Reform"

Children’s Mortality Cut By Half

A new report, issued by UNICEF along with other U.N. agencies and the World Bank, highlights a dramatic decrease in child mortality. Since 1990, the number of children under age 5 who die each year has been cut in half: from 12.7 million then to 6.3 million now. This is a remarkable achievement that amounts to saving 17,000 lives every day.

Looking at it another way, the rate of decline in child mortality is falling three times faster than previously projected. As a result, 100 million children are alive who would have died if the death rate had remained at 1990 levels—including 24 million newborns that would not have made it more than a few weeks.

UNICEF pic 091914

Girls playing in Angola, which still has the world’s highest rate of under-5 mortality. Young children there are 25 times more likely to die than those born in the United States.  © UNICEF/NYHQ2007-1773/Nesbitt

The report, Committing to Child Survival: A Promise Renewed, says that the child deaths over the past 20 years were largely preventable. There were large geographical disparities: where a child was born made a big difference as to whether he or she survived.

Together, sub-Saharan Africa and South Asia were the homes of 80 percent of those who died. In sub-Saharan Africa, one in every 11 children die before their fifth birthday. That is 15 times the death rate in high-income countries, where an average of one in 159 children don’t reach their fifth birthday.

Moving forward, the most important area in which to focus health and nutrition interventions is the first month of a child’s life, which is called the neonatal period. Two million infants die within a week of birth. Some effective and low-cost interventions for both mothers and children are available. These could make a big difference, but sometimes this needs to be communicated to pregnant women, their husbands, their families, and their communities. For example, breastfeeding within an hour of birth reduces the risk of neonatal death by 44 percent—but less than half of newborns around the world have that opportunity.

The “Promise Renewed” of the report title has two goals. The first is to keep the promises of Millennium Development Goal (MDG) 4 — to reduce the under-5 mortality rate by two-thirds between 1990 and 2015, and MDG 5 – to reduce maternal mortality by three-fourths in this time period.  The second goal is to keep moving forward, beyond 2015, until no child or mother dies from preventable causes. In 2012, nearly 180 governments pledged to scale up efforts and speed up the decline in preventable maternal, newborn, and child deaths.

The Institute has written extensively about the MDGs, most recently in a blog about another recent report, the 2014 State of Food Insecurity in the World,  whichconfirms that the goal of halving hunger that is part of MDG 1 is within reach. What’s clear in both reports is that despite recent successes, a concerted effort focused on MDG goals and targets must be sustained. Further country-led development efforts in nutrition, health, and agriculture are key to achieving the goals.

The U.S. contribution to the MDGs is largely made through two USAID programs, the Global Health Initiative (GHI) and Feed the Future (FtF).  Congress has enacted legislation on the President’s Emergency Plan for AIDS Relief, PEPFAR (part of GHI), through which nutrition funding is authorized. FtF currently lacks formal authorization through legislation, but both the House of Representatives and the Senate are considering versions of the Global Food Security Act, which will make FtF part of U.S. law.

U.S. efforts in international agricultural development and nutrition largely focus on the 1,000 Days, the “window of opportunity” between a woman’s pregnancy and her child’s second birthday.  Leading economists agree that development assistance investments here yield a very high rate of return. More importantly, these investments save mothers’ and children’s lives.

Scott Bleggi

 

Fleeing Gender-Based Violence in Central America

Girls and violence

“In Honduras, violence against women is widespread and systematic,” U.N. Special Rapporteur on violence against women, Rashida Manjoo, July 2014

Between October 2013 and July 2014 57,000 unaccompanied child migrants (UAC) arrived at the U.S. southern border. The large majority were from the Northern Triangle nations of El Salvador, Honduras, and Nicaragua. During this time, 22,000 children travelling with at least one parent also arrived from this region. The surge of children – alone and sometimes with a parent – is widely acknowledged as a humanitarian crisis.

Within the broader influx of children and mothers is an even greater increase in UAC girls. Since October 2013 there has been a 77 percent increase in unaccompanied girls going to the United States compared to only an 8 percent increase for boys. Over the same period more than 13,000 UAC Honduran girls under traveled to the United States compared with just over 7,000 for the previous fiscal year. For girls 12 and younger the increase has been even larger – 140 percent.

What would cause parents to go into debt to send their daughters on a dangerous journey more than 1000 miles long – sometimes alone – to the United States? United Nations interviews with child migrants finds that they are typically fleeing a combination of poverty and violence. Among Honduran UACs, the UN found that 44 percent included violence as a reason for migration and 80 percent included work and study opportunities and a chance to help their families.

Some of society’s most vulnerable members – women and girls face additional threats beyond the endemic violence and pervasive poverty in the Northern Triangle. During a recent visit to Honduras, the United Nations Special Rapporteur on violence against women Rashida Manjoo, said, “Violence against women is widespread and systematic. The climate of fear, in both the public and private spheres, and the lack of accountability for violations of human rights of women, is the norm rather than the exception.”

Honduras is the murder capital of the world and presents a dangerous environment for most Hondurans and particularly for the poor. But for women and girls the persistent fear is compounded by gender-driven violence and coercion. Manjoo said the country suffered from “high levels of domestic violence, femicide and sexual violence” with a 263 percent increase in the number of violent deaths of women between 2005 and 2013.

With weak rule-of-law and compromised police and judicial systems there are few options for Honduran women to defend themselves. There’s a laundry list of societal barriers facing women seeking justice: Lack of effective implementation of legislation, gender discrimination in the justice system, and the lack of access to services that prevent future acts of violence are just some of the gaps and barriers Honduran women face. With an estimated 95 per cent impunity rate for sexual violence and femicide crimes in Honduras, it shouldn’t be surprising that Honduran women and girls are compelled to flee the country no matter what the cost

  Andrew Wainer

Data to End Hunger: How to Save 800,000 Infant and Toddler Lives Every Year

As Bread for the World Institute has noted in other posts in our Data to End Hunger series, frequently we are able to identify specific problems related to hunger without necessarily being able to select the solutions that will work best because "we just don't have the data." In fact, just a few weeks ago, our first-ever hackathon helped illustrate the fact that the global community is missing an enormous amount of data that could help drive much more rapid progress on women's empowerment.

In some cases, though, we *do* have the data. It's not new or controversial.

 Breastfeeding week
 Credit: UNICEF.

- See more at: http://news.thousanddays.org/maternal-child-health/breastfeeding-number-one-impact-last-progress/#sthash.3Y1FapP6.dpuf

According to the World Health Organization (WHO), exclusive breastfeeding for six months is the optimal way of feeding infants. The evidence shows that improvements in breastfeeding could prevent the deaths of 800,000 young children every year. It is the most effective strategy we have to protect babies' lives.

Globally, only 39 percent of children under six months of age are exclusively breastfed, and only 20 countries have made any significant progress in the last decade - See more at: http://news.thousanddays.org/maternal-child-health/breastfeeding-number-one-impact-last-progress/#sthash.4s5Sz5nL.dpuf
It is startling then that these facts about breastfeeding are well established, yet it is progressing the least.  Globally, only 39 percent of children under six months of age are exclusively breastfed, and only 20 countries have made any significant progress in the last decade.  In Africa, only 15 percent of countries are currently on track to reach the - See more at: http://news.thousanddays.org/maternal-child-health/breastfeeding-number-one-impact-last-progress/#sthash.4s5Sz5nL.dpuf
It is startling then that these facts about breastfeeding are well established, yet it is progressing the least.  Globally, only 39 percent of children under six months of age are exclusively breastfed, and only 20 countries have made any significant progress in the last decade.  In Africa, only 15 percent of countries are currently on track to reach the - See more at: http://news.thousanddays.org/maternal-child-health/breastfeeding-number-one-impact-last-progress/#sthash.4s5Sz5nL.dpuf

"It is startling then that these facts about breastfeeding are well established, yet it is progressing the least," said Casie Tesfai, technical nutrition policy advisor for the International Rescue Committee. "Globally, only 39 percent of children under six months of age are exclusively breastfed, and only 20 countries have made any significant progress in the last decade. In Africa, only 15 percent of countries are currently on track to reach the Millennium Development Goals targets on breastfeeding."

For more from Tesfai, including her perspective on why efforts to advocate and support breastfeeding must focus not only on pregnant women, but on men, midwives, other healthcare workers, and community leaders, see her piece "Breastfeeding: Number One in Impact, Last in Progress."

In addition to the many events, updates, and reflections related to last week's celebration of World Breastfeeding Week, the attention of the development community was, of course, closely focused on events surrounding the Africa Leaders Summit in Washington, DC. There were reports on the administration's Feed the Future global food security initiative (which has now reached 9.4 million children in 12 African countries with improved nutrition), the New Alliance for Global Food Security, the commitments made at the recent AU summit in Malabo, Equatorial Guinea, and a number of other hunger-related efforts.

Here is just one of the useful summaries of the Africa Leaders Summit as a whole, including a list of the "dizzying but encouraging array of new partnerships" that were announced. 

The buzz from last week's events was significant, and that's heartening: the global momentum on food and nutrition security is still very much in evidence. At the same time, the world also continues to largely miss a "no-brainer" opportunity to save children's lives.

Michele Learner

Too Many SDGs?

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Vuk Jeremić, President of the sixty-seventh session of the General Assembly, opens the first session of the Open Working Group on Sustainable Development Goals (SDGs). Photo source: UN Multimedia.

Late last month, the U.N. General Assembly’s Open Working Group on Sustainable Development Goals (SDGs) submitted its proposal for a set of goals to succeed the Millennium Development Goals (MDGs) when their deadline, December 2015, passes.

The SDGs, to be presented for approval at the U.N. General Assembly meeting in September, are an effort to accelerate and intensify the gains in human development that the MDGs began. The MDGs galvanized remarkable global political commitment from rich and poor countries alike – and this is why they inspired significant progress against poverty and hunger.

The eight MDGs are concise and easy to remember – e.g., cut the rate of extreme poverty in half, reduce maternal mortality by three-fourths. They have proven to be easy to explain to the public and to adapt to the circumstances of individual countries.  At this writing, there are 17 proposed SDGs – which run the risk of losing the simplicity that made their predecessors so popular and effective.  It may sound simplistic, but it is also accurate:  in order to spur lasting improvements, the SDGs must be marketable.

One of the most significant critiques of the MDGs has been the non-inclusive way in which they were formulated. The voices of developing country leaders, civil society, and low-income people themselves were largely absent from the MDG discussion. This is something that the UN has worked very hard to remedy this time around. A list of 17 proposed SDGs is a good sign— many more people have contributed their thoughts, making it more likely that the SDGs will avoid the blind spots of the MDGs.

Stronger global partnerships based on mutual respect are also a major theme of the Africa Leaders Summit, taking place this week in Washington, DC. The emphasis on trade in this first-ever event reflects the evolving view of U.S.-Africa relations – and U.S. relations with all developing regions – as focused on shared goals that are nonetheless country-owned. Thus, each country will pursue goals such as ending hunger by 2030 according to its own national circumstances and priorities. If well-packaged and well-presented, the SDGs will undergird this partnership model.

Keeping the list of SDGs wieldy is essential, however. Early research in the psychology of memory found that generally, human beings do not retain lists of more than seven or eight meaningful concepts at once. The results of a more recent study by psychologists at the University of Missouri, Columbia indicated an even smaller list, placing the optimal number of distinct ideas that a young adult can store in short-term “working memory” at three to five. Conventional wisdom, from speeches and sermons to advertisements, affirms this finding.  Three-point speeches are the norm, and you will never see a commercial that tries to sell you on 17 concepts at once.

Like many other stakeholders, we at Bread for the World Institute have made our case for why the issues most important to us—a goal to end hunger and a nutrition target—should be represented in the SDGs. And there are many other critically important concerns. But there are only so many seats on the plane. What’s most important in the end is that the plane is light enough to take off. If people can’t grasp the goals easily, they will have a much harder time getting behind them.

The General Assembly should explore practical ways to preserve the breadth of the proposed SDGs while making them as accessible as possible. Grouping is one possibility:  the 17 goals could be sorted into four or five descriptive categories that are easier to name and summarize.

Communicating complex ideas without oversimplifying or alienating your audience is about striking a delicate balance. The potential impact of the SDGs hangs in that balance.       Derek Schwabe

A Perfect Opportunity to Make Progress Against Hunger

Photo for African Leaders Summit

 Photo by Laura Elizabeth Pohl

Heads of state and government have converged on Washington, DC,  for President Obama's historic summit with African leaders, taking place today, August 4, through Wednesday, August 6.

In addition to its focus on advancing trade and investment in Africa, the summit will "[highlight] the depth and breadth of the United States’ commitment to the African continent and... enable discussion of concrete ideas to deepen the partnership," according to the White House.

One sign that this deeper partnership is becoming a reality is the U.S. government's four-year-old global food security initiative, Feed the Future. As we've discussed frequently on Institute Notes, Feed the Future focuses on smallholder farmers as the key to the agriculture-led growth necessary to significantly reduce hunger and poverty. In just the past year, Feed the Future has reached nearly 7 million smallholder farmers, and Bread for the World Institute President David Beckmann calls the initiative "a down payment on global food and nutrition security." For more on the future of Feed the Future, listen to a Voice of America interview with Institute senior foreign assistance policy analyst Faustine Wabwire.

The African Union, for its part, committed to ending hunger by 2025 at its 2014 summit, held in late June in Malabo, Equatorial Guinea. This year also marks 10 years since the adoption of the Comprehensive Africa Agriculture Development Program (CAADP), where governments committed to making agriculture a higher priority. As discussed in the Institute's short paper, The Push-Up Decade: CAADP at 10,10 of the 54 African Union member states have reached the target set at the outset of allocating 10 percent of their national budgets to agriculture.

Equipping Africa's next generation with the tools needed to build a more peaceful and prosperous future is a top priority for both African countries and the U.S. government.  The African Leaders Summit is paired with another first-of-its-kind effort, a U.S.-based training program and White House summit for 500 African leaders ages 25 to 35, part of the Young African Leaders Initiative (YALI) launched by the administration in 2010.

Simple numbers tell us why the focus must be on the next generation: as of 2012, the median age in sub-Saharan countries was 19.7 (by comparison, the U.S. median age is about 37). A startling 85 percent of all the people in sub-Saharan Africa are younger than 45.

The potential of such a young continent is enormous. But the data also point to an immense barrier to realizing that potential: hunger and malnutrition. In some countries, stunting -- an indication of chronic malnutrition early in life that affects a person's health and intellectual development for a lifetime -- affects more than 40 percent of all children.

Of the current 53 member countries of the Scaling Up Nutrition (SUN) movement, 34 are sub-Saharan African nations. SUN member countries have identified malnutrition, particularly during the 1,000 Days between a woman's pregnancy and her child's second birthday, as a critical problem in their societies. They are working together to bring proven nutrition interventions  -- many of them straightforward and inexpensive actions such as providing iron supplements to pregnant women -- to many more women, infants, and toddlers at risk. 

The African Leaders Summit, particularly today's discussion of "Resilience and Food Security in a Changing Climate," is a rare chance for leaders to use the growing partnership links between the United States and African countries to solidify global goals and concrete actions on hunger and nutrition. 

Michele Learner

The 10-Year Outlook for International Food Security

Blog 072314The U.S. Department of Agriculture’s Economic Research Service (ERS) recently issued a report that projects the food security of 76 low- and middle-income countries for the years 2014-2024. The assessment was based on two main factors: capacity to produce food, and capacity to import.

The report is a follow-up to ERS’ first report that made 10-year food security projections, which covered 2013-2023 and was based on the same factors.

The ability to produce food domestically is, of course, especially important in the parts of Asia and Africa that rely most heavily on local agriculture. The ability to pay for food imports is a much more significant factor in Latin America, the Caribbean, and North Africa, where countries import a large proportion of the food they need. ERS weighed both factors in order to project the number of people in each country or region who will be food-insecure.

Over the short term, ERS believes that the overall situation in the 76 countries will improve. The share of the population that is food-insecure fell 1.6 percent during the year 2013 to 2014. This is expected to translate into a 9 percent drop in the overall numbers of hungry people, from 539 million in 2013 to 490 million in 2014 (for the 76 countries in the report).

However, over the decade 2014-2024, ERS projects that the number of people who are food-insecure will increase. This is because the share of the population that is food-insecure is expected to grow from 13.9 percent now to 14.6 percent in 2024. As might be expected, the main reason that ERS identified is that the food supply – what can be produced domestically plus what a country can afford to import – is expected to grow slowly, while demand for food is already strong and will grow more quickly.  

What does the report mean for global hunger? The ERS says that short-term improvements in improving food security in these countries, while positive, will not be sustained in the long-term due to population growth, weak country infrastructure and other factors. Improving production capacities of small-holder farmers, most often women, is essential.  Giving women farmers improved access to land, seed, fertilizer and markets in these countries is an important key to this, and will help build the foundation to a future where food insecurity and hunger are a thing of the past.

Scott Bleggi

 

For Families in Central America, Heartbreaking Decisions

Percent Change in Unaccompanied minors
Why are so many more unaccompanied children crossing the U.S. border with Mexico? Most (about 75 percent) of the new wave of minors are not actually from Mexico, but have made the long journey through Mexico from the Central American countries of Honduras, Guatemala, and El Salvador.

If the surge of child migrants were caused by softer U.S. policies -- or rumors of softer U.S. policies -- we would expect many to be from Mexico. After all, Mexico, which shares its long border with the United States, is the home country of the majority of undocumented immigrants here. But as we see in the above graphic, Mexico is not the source of the increase. In fact, the number of unaccompanied Mexican children has changed little, and even declined since 2009.

The primary causes are, instead, deep poverty and extreme levels of violence in Central America. The striking disparities between the haves and have-nots in Honduras, Guatemala, and El Salvador sustain high levels of hunger and malnutrition, particularly among young children, whose rates of stunting are soaring. At the same time, the three are the most violence-plagued nations in the hemisphere. Gangs often choose to recruit elementary school children; those who refuse to join are sometimes killed along with their entire families, and girls are frequently targeted for gang rape. This is why so many of those trying to cross the U.S. border are children and teenagers.

Honduras, El Salvador, Guatemala Lead the World in Murder Rates
As long as poverty, inequality, and weak governance persist – and often worsen – many families in these three countries face a dilemma no parent should have to face: keep their children home even though they can’t protect them, or send them on long, dangerous journeys in hopes that they will reach a safer place.

To resolve the crisis of the unaccompanied child migrants, border control is not enough. The root causes are at home. Thousands of desperate families have determined that fleeing, even with the risk of never reaching their destination, is the best option their children have. The United States can do a great deal to help alleviate poverty and enable Central American governments to protect their citizens. Read more about specific policy recommendations from the Institute’s senior immigration policy analyst, Andrew Wainer. Derek Schwabe

Which Country Is Most Committed to Ending Hunger?

This time last year, I  blogged about the Hunger and Nutrition Commitment Index (HANCI), which combines a number of variables to come up with a ranking of how serious a country’s central government is about fighting hunger and malnutrition. We know that lack of political will is the only reason the world hasn’t ended hunger yet – so efforts like HANCI are important.

Government commitment was measured by indicators such as the creation and implementation of new policies and programs, the strength of existing programs, and whether the efforts are supported with sufficient funding. The first HANCI, last year, ranked Guatemala at the top because of its substantial “improvements in providing clean drinking water, ensuring improved sanitation, promoting complementary feeding practices, and investing in health interventions.” HANCI also noted that the Guatemalan government had launched a national campaign, the Zero Hunger Plan.

The second HANCI report, released this week, once again ranks Guatemala, along with Peru and Malawi, at the top. In these countries, governments, civil society organizations, and international partners are collaborating on programs that are making a difference to people’s health and well-being. It is no surprise that the three are also leaders in the Scaling Up Nutrition (SUN) movement, with active civil society networks that advocate for improved nutrition with their governments. SUN countries emphasize the “1,000 Days” window of opportunity on nutrition, which lasts from a woman’s pregnancy to her child’s second birthday.

HANCI 2

In this chart from the HANCI report, nutrition rankings are the Y axis (vertical) and hunger rankings are the X axis (horizontal). The closer a country is to (1,1), like Guatemala (GTM), the higher its score.

Learn more about Guatemala’s efforts by watching a recent PBS NewsHour segment, “Widespread childhood malnutrition is a paradox in agriculturally rich Guatemala".

 

The PBS broadcast features interviews with government leaders such as Luis Enrique Monterosso, head of the country’s hunger and malnutrition agency; leading private sector businesspeople on why they believe that ending malnutrition in Guatemala is imperative; and Save the Children-Guatemala, which implements programs funded by the U.S. Agency for International Development (USAID).

Early successes in Guatemala stem from the recognition that nutrition is important across development sectors; offices devoted to agriculture, health, education, and water, sanitation, and hygiene (WASH) are all working on nutrition issues. In health, direct nutrition interventions such as feeding malnourished infants are complemented by “nutrition-sensitive” actions in other areas – actions aimed at tackling the underlying causes of malnutrition. These programs together comprise “bundled interventions,” which experts at The Lancet medical journal, the Copenhagen Consensus, and IFPRI consider one of the best uses of development assistance. Bundled interventions fight malnutrition in cost-effective ways; in fact, the benefits they bring are worth many times their cost.

Scott Bleggi

“Nutrition for Growth” At One Year: Tracking Global Pledges

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Nutrition and education link in Guatemala school feeding. (Joe Molieri/Bread for the World)

We recently marked the first anniversary of the historic global nutrition event “Nutrition for Growth: Beating Hunger Through Business and Science” (N4G), held in London in conjunction with the 2013 G-8 Summit. Co-hosted by the governments of the U.K. and Brazil and the Children’s Investment Fund Foundation (CIFF), the event brought together leaders from business, government, science, academia, and civil society. They made ambitious financial and political commitments to provide better nutrition to women and children in the 1,000 Days “window of opportunity” from pregnancy to age 2; reduce the numbers of stunted children; and help put an end to deaths from severe acute malnutrition. More specifically, they agreed to prevent at least 20 million children from being stunted and to save at least 1.7 million lives by 2020.

How pervasive a problem is malnutrition? The number of people suffering from chronic hunger declined from 868 million in 2012 to 842 million in 2013. According to the U.N. Food and Agriculture Organization, the number of undernourished children has been reduced by 17 percent in 20 years. Yet undernutrition is still the cause of nearly half of the deaths of children under age 5.

Globally, nearly one in four children younger than 5 is stunted due to chronic micronutrient deficiencies. Stunting is a condition linked to increased susceptibility to common illnesses, lower levels of academic achievement, and lower lifetime earnings, said UNICEF in its recent report, "Improving Child Nutrition: The Achievable Imperative for Global Progress".

Severe acute malnutrition is a life-threatening condition that requires immediate attention. According to the World Health Organization, there is a 30 percent to 50 percent mortality rate for children younger than 5 who develop severe acute malnutrition.

How ambitious were the N4G commitments? Altogether, leaders pledged an historic $4.15 billion to tackle malnutrition via investments in multiple sectors: agriculture; health; water, sanitation and hygiene (WASH); education; and social protection programs. They did so in the realization that nutrition is intertwined with all these sectors -- and that a person who is malnourished in early childhood can never reach her or his full potential.Commitments were made to new partnerships and scaled-up research. An annual Global Report on Nutrition was announced (the “first annual” report will be released in November 2014 at the Second International Conference on Nutrition). An annual global nutrition meeting alongside the UN General Assembly was initiated.  A Global Nutrition for Growth Compact puts nutrition at the center of the world’s development agenda. A group of businesses has pledged to improve the nutrition (and hence the productivity and health) of 927,000 employees in 80 countries. See a complete list of commitments.

A year after N4G, what progress has the United States made? The U.S. government has made nutrition a higher priority in meeting our global development assistance commitments. In a time of almost universal budget cuts, Congress reached a bipartisan agreement to boost funding for nutrition in the FY 2014 federal budget. USAID recently announced a new global multisectoral nutrition strategy. The agency credits the “strong advocacy and dedication” of civil society organizations such as Bread for the World Institute for the release of the strategy, which will “align our important global nutrition commitments.” The USAID strategy will be used to develop a U.S. Government Global Nutrition Coordination Plan, to include USAID, four cabinet-level departments (Agriculture, Health and Human Services, Treasury, State), the Millennium Challenge Corporation, the Peace Corps, and the White House. The plan is designed to accelerate “progress toward relevant WHA targets and other U.S. government commitments by maximizing the impact of government actions.” 

Civil society organizations, including those in the nutrition stakeholder community such as the Institute, are clearly a driving force in getting this high level of U.S. government commitment to nutrition. Legislative and non-legislative advocates are working seamlessly to increase funding for nutrition activities and to shape an effective policy and program operations agenda. USAID operational partners are designing nutrition projects that encompass several sectors of development assistance.

Of course, commitments and action by the governments of countries with high burdens of malnutrition are essential to success. To date, 51 such countries have come together in the Scaling Up Nutrition (SUN) movement in order to work -- governments and civil societies together – to expand successful nutrition programs. 

Working together, civil society will monitor the pledges made at N4G to ensure that they are honored. We will help ensure that diverse government nutrition policies and programs come together in the most effective way possible. Malnutrition is a major component of global hunger, so tackling it more effectively will bring us much closer to our very feasible goal, ending global hunger by the year 2030.

In a recent blog post, David Beckmann, president of Bread for the World and Rick Leach, CEO of WFP-US said: “From climate change to civil liberties, the world is at a critical point right now with many issues. Global nutrition is no different, and, as such, deserves adequate attention as its reach is vast and implications deep. Future generations depend on decisions we--governments, NGOs, faith leaders, community leaders, investors, scientists, educators, and others--are making and actions we are taking right now to ensure that they can reach their full potential. Not only can we reduce undernutrition--we must if our children's children are to thrive.”

Scott Bleggi

USAID Launches a New Nutrition Strategy

Today at the Chicago Council’s Global Food Security 2014 event in Washington, DC, Senior White House Advisor Ambassador Susan Rice announced the release of the USAID Nutrition Strategy.

This is a landmark step toward ensuring that nutrition concerns remain at the heart of the U.S. development assistance agenda.

Bread for the World Institute has been an active participant in the development of the nutrition strategy, along with other members of the nutrition stakeholder community (both advocacy and operational partners of USAID). The draft strategy was first released for public comment in December 2013.

The nutrition strategy recognizes the essential role of nutrition in human development (especially in the “1,000 Days” period from pregnancy to age 2). Moreover, the strategy acknowledges that high rates of chronic malnutrition can cause significant losses in a nation’s GDP and carries other economic costs. The USAID strategy also lays the foundation for the development of a comprehensive “whole-of-U.S.-government” nutrition strategy later this year.

Improving maternal and child nutrition has been a major part of the Institute’s non-legislative advocacy efforts for the past three years. The USAID nutrition strategy comes after our successful efforts to clarify exactly where nutrition programs are funded within the federal budget, to persuade the administration to identify a high-level spokesperson for nutrition in the U.S. government (Administrator Shah was named), and to help win needed reforms in U.S. food aid policies and programs.  The Agricultural Act of 2014 (the “farm bill”) authorized changes that will increase the efficiency of food aid programs and delivery, allow greater flexibility to purchase food for distribution closer to where it is needed, and provide additional options for using new specialized food products that have been fortified with vitamins and minerals.

The strategy recognizes that nutrition is “multi-sectoral”-- meaning that effective nutrition interventions can be done not only in health programming, but also in agriculture, education, and water, sanitation and health (WASH) projects. Direct nutrition interventions can be complemented by indirect nutrition actions for maximum impact. Key direct actions include 11 “essential nutrition actions” articulated by the World Health Organization and identified as particularly effective in fighting malnutrition in the research published in the Lancet Maternal and Child Nutrition series. Indirect nutrition actions are nutrition-sensitive activities that target the underlying causes of undernutrition. Combining direct and indirect actions by “bundling” projects that include both has been found to be the most effective development investment a country can make.

USAID is committed to the World Health Assembly 2025 Nutrition Targets (see box), and is developing additional nutrition targets it will use to track and evaluate its development assistance. Included in these is a target in Feed the Future programs of reducing stunting in the regions where Feed the Future works by 20 percent in five years.

WHA Targets

The Nutrition Strategy will ensure flexibility (as new evidence of successful interventions becomes available) by including a robust learning agenda that supports research to fill knowledge gaps, a rigorous program of monitoring and evaluation, and a means of quickly disseminating and apply lessons learned to ongoing programs. USAID will immediately begin issuing guidance for its overseas missions on how to implement the strategy. A framework document for the wider whole-of-U.S. government nutrition strategy, called the Global Nutrition Coordination Plan, has been completed, and additional information on this plan and a request for public comment have now been released

Scott Bleggi

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