Developing strategies to end hunger
 

97 posts categorized "Hunger Hotspots"

Benefits of Addressing Neglected Tropical Diseases and Malnutrition in Tandem

(Blog was originally submitted to the Sabin Vaccine Institute and the Global Network for Neglected Tropical Diseases in support of their policy brief Toward a Healthy Future: Working Together to End Neglected Tropical Diseases and Malnutrition, endorsed by 22 global health organizations)

Nutrition is a foundational element in human development, and a growing body of evidence shows that it is a vital link across international development sectors. Although nutrition was once solely the domain of public health professionals, development assistance practitioners in agriculture, education, gender, and water/sanitation/hygiene (WASH) are realizing that their successful project outcomes can have a direct and positive effect on nutrition.

Does a value-chain project in horticulture or livestock production improve nutrition? What about efforts to keep girls in school an extra year or two before they assume family and village responsibilities? Does improved hand-washing and food preparation hygiene improve nutrition?  The answer to all these questions is a resounding yes!

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WASH activities are nutrition-sensitive! Photo credit: Sabin Vaccine Institute

The number of people in the world affected by at least one of the 17 NTDs listed by WHO is approaching 1.5 billion, and we know now that NTDs can damage a person’s nutritional status at any point in life. Worse, contracting an NTD can cause infection and other problems that cancel out or even reverse efforts to improve nutrition.

As nutrition started to be at the core of development assistance across sectors, it was clear that a comprehensive strategy to coordinate efforts was necessary. In May 2014, USAID announced its Nutrition Strategy. Bread for the World Institute participated in its development, along with other members of the nutrition stakeholder community (advocacy and operational partners of USAID).

The nutrition strategy recognizes the essential role of nutrition in human development (especially during 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 impose other economic costs. The USAID strategy also lays the foundation for the development of a comprehensive Global Nutrition Coordination Plan among all U.S. government offices.

The strategy treats nutrition as “multi-sectoral”-- meaning that effective nutrition interventions can be made not only in health programming, but also in agriculture, education, and WASH projects. The most important direct nutrition interventions 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, and direct interventions can be complemented by indirect nutrition actions for maximum impact. In fact, 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 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 of reducing stunting  by 20 percent in five years in regions where this initiative has programs.

Companion legislative bills have been introduced in the Senate and the House that would authorize Feed the Future as the government’s primary program for global food and nutrition security. Despite recent improvements reported by FAO, there are still 805 million chronically undernourished people in the world. With legislation, we can solidify U.S. leadership in fighting hunger and malnutrition, build and improve upon vital work that has been done, and leverage a government approach across all sectors and programs to meet specific goals for progress against global hunger and malnutrition.

Scott Bleggi

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.

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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

 

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

 

A Shameful Anniversary: Five Years, No Minimum Wage Increase

The Minimum Wage Leaves Families in Poverty
This Thursday is the five-year anniversary of the last time Congress raised the federal minimum wage. Despite growing worker productivity and ever-rising living costs, the minimum wage has been immobile at $7.25 an hour since July 2009. If the minimum wage had kept up with U.S. productivity growth since 1950, it would be $18.67 today.

Minimum wage workers and their families know that $7.25 an hour means life is little more than a daily struggle just to survive. A full-time, year-round minimum wage worker earns only $15,080 annually. This is well below the poverty line for a family of four ($23,850 in 2014), and only a fraction of what an American family of four actually needs to support even a modest standard of living (see the graphic above). Monthly costs for family of 4 in Topeka, Kansas

It’s simply not possible for one or even two adults working full-time for minimum wage to provide for their families’ basic needs. The graphic to the right provides a breakdown of what the Economic Policy Institute has calculated a worker living in a part of the country with average living costs (Topeka, Kansas in this example) needs to sustain a secure living for a family of four. 

In 2012, 10 million full-time workers in our country were paid poverty-level wages -- 28 percent of all full-time workers. Low-wage workers and their families are, by and large, the face of American poverty. If these 10 million workers had earned enough to put them over the poverty line – that is, the $23,850 figure, not the $63,364 to meet basic needs – there would have been 58 percent fewer families living in poverty.

Every American who works 40 hours each week should earn enough to keep her or his family out of poverty. There have been times in U.S. history when that principle was upheld. This week’s anniversary is nothing to celebrate. Instead, it reminds us once again that the time to resume honoring our country’s values of fairness and the work ethic is long ov
erdue.

Some Americans are raising awareness for the five-year anniversary by taking the Live the Wage Challenge--attempting to live on a minimum wage income for just one week. After housing costs and taxes, that's just $77 per week. You can read stories and find instructions for how to take the challenge at livethewage.com

Read the 2014 Hunger Report to learn more about the key role of the minimum wage in ending hunger in America. Also, check out Todd Post’s reflection on minimum wage myths and realities. Derek Schwabe

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

Hacking For Women's Empowerment: What We Accomplished

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This past Saturday, Bread for the World Institute, in partnership with the website, HelpMeViz, hosted the very first HelpMeViz Hunger Report Hackathon at Bread's Washington, DC office. The event brought together a diverse group of justice-minded statisticians, web developers, coders, designers, and data geeks who volunteered their time, skills, and creative energy to take on two  compelling data questions on global women’s empowerment and nutrition. The goal? To scour massive World Bank and UN datasets to find and visualize answers. We gave them four hours. They gave us a lot to think about. Here’s our storify-style recap of how the day went down:

Two Data Challenges—Two Dynamic Groups

Challenge 1:  There’s a lot of data missing on women’s empowerment. How do we tell that story visually?

Challenge 2: Stunting hurts one in four children around the world. When women are more empowered, do stunting rates drop?

Getting Started: Cleaning Data and Brainstorming Ideas

Both teams were thrown a number of very large datasets. Some were manageable and easy to understand—most were not. So the first step was to get to know the data, share some tips on where to start, and find ways to clean it up and make it easier to analyze. The close second step was to begin brainstorming ideas for how to use that data. 

Team 1: How Do You Visualize Nothing?

Team 1 had an atypical data challenge—not to tell a story about the data that we have, but to focus on what's missing. Thankfully, they were up to it. 

Team 2: Reaching Two Audiences

After cleaning their data, team two quickly began to find correlations between increased empowerment of women and lower stunting rates. But they wondered about the best way to tell the story. For advocates and academics, a data-heavy visualization would work, but probably not for policy makers. So the team decided to craft two ways of telling the same story: an infographic, and an interactive data app. They made good use of the sketch pads. 

Four Hours Later: Data—Visualized!

By the end of the hackathon, both teams, with some help from online participants, produced some impressive visualizations and prototypes that attacked the data challenges from all angles. Heat maps, small multiples, scatter plots, bar charts and some very artful designs all brought fresh insight to the nutrition and women’s empowerment policy discussion, and striking content ideas to the 2015 Hunger Report. Here are some of them:

Number of Missing Data Points, East Asia & Pacific

Missing Women DNA Photo

 Stunting rate vs. Rate of Population with Secondary Education or Higher

We Had a Lot of Thanking to Do

New Friends Made, New Projects Started

Next Steps

It’s clear to see that many stellar ideas were born in the three hours that our two teams had to work at this hackathon. The next step in some cases is simply to refine and polish. But in others it may be to continue building out the concept. We at Bread for the World Institute are eager to create opportunities for the teams to continue their work and to ultimately ready their visualizations for publication in the 2015 Hunger Report. We are now following up to decide on the best way to continue partnering with participants to carry on the work to that point. 

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

UN Report Reveals Gaping Holes in Women’s Empowerment Data

Women's empowerment, Guatemala

Photo Credit: Joe Molieri/Bread for the World

The Millennium Development Goals (MDGs) taught us that clear goals and coordinated, committed leadership can go a long way in driving human progress. They also solidified the notion of interconnectedness—that human issues should not be considered or addressed in isolation from one another. We’ve rediscovered that truth in the cross-cutting benefits of women’s empowerment in the developing world. When women are more empowered, economies improve, education levels rise -- and hunger, undernutrition, and poverty decline.

But women’s empowerment isn’t as easy to capture as specific statistics such as how many children attend primary school or how many households have access to clean water. How will we know which “empowerment” strategies are succeeding so that we can scale them up? In an effort to capture holistically how women fare from one country to another, women’s empowerment indices—composed of dozens of indicators—have been devised by the UN Development Programme and the World Economic Forum. The United Nations Statistical Division recently released a minimum set of indicators needed to get an accurate picture of starting points and progress. This “minimum” list has 52 indicators in five categories.

The U.N. “statistics people” also took the next step: considering how much data is available on a sampling of these indicators. The findings show that we still have a long way to go toward reliable, consistent data on women’s empowerment.  

Missing Data on Women's Empowerment, 500 pix

Take a look at the graphic above, which shows the average number of years for which we have data on some key women’s empowerment indicators. In 1990, these indicators had already been identified – we’ve known for a generation that this information is important. Yet over a period of 22 years, some indicators have an average of only three data points (that’s three single pieces of information) per country.

Policymakers need rock solid, consistently collected data in order to pinpoint problems and envision solutions. Many in the global community, inspired by the growth of new technologies and the emergence of “big data,” are calling for a data revolution, and there’s no doubt that these are important developments. But we do not need a revolution to solve the most glaring problem with data —failure to collect information that we know is important. Simply building nations’ capacity to produce regular, reliable data on women’s empowerment and other indicators would be a great place to start. 

 Derek Schwabe

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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