Special focus on nutrition-sensitive programming

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Contents............................................................... 1 Editorial Field Articles 9 Role of communication and advocacy in scaling up nutrition: lessons and plans from the Zambian experience 13 SUN experiences: lessons from Pakistan 17 Nutrition-sensitive research in Ghana 20 SUN Movement experiences in Indonesia 56 The potential of nutrition-sensitive Conservation Agriculture: lessons from Zambia 59 Use of a two-stage approach to identify intervention priorities for reduction of acute undernutrition in Abaya district of Ethiopia 62 Increasing nutrition-sensitivity of value chains: a review of two Feed the Future Projects in Guatemala 65 Integrating MIYCN initiatives across sectors in Dadaab refugee camps in Kenya 68 Impact of food aid on two communities in Niger 72 Impact of community-based advocacy in Kenya 75 Implementation challenges and successes of an AG4Nut project in the eastern region of Burkina Faso 78 Nutrition-sensitive agriculture in Zambia: work in progress 97 The nutrition-sensitive potential of agricultural programmes in the context of school feeding: lessons from Haiti 100 The REFANI Project in Pakistan: adapting research to a multi-sectoral programme for impact measurement 104 Child Development Grant Programme (CDGP) in northern Nigeria: influencing nutrition-sensitive social policy programming in Jigawa State 108 Integrated food security programming and acute malnutrition prevention in the Central African Republic 111 Improving food and nutrition security for households with underweight children in Taita Taveta County, Kenya 114 Evaluation of an integrated healthnutrition-WASH project to reduce malnutrition prevalence in children under two in Bangladesh 118 IYCF-Friendly Framework pilot in Jordan, Bangladesh and Kenya 122 Building the ‘enabling environment’ via a multi-sector nutrition platform to scale up micronutrient supplementation 132 Impact of agronomy and livestock interventions on women’s and children’s dietary diversity in Mali 134 WASHplus in Mali: integrating WASH and nutrition for healthy communities 138 Nutrition Impact and Positive Practice: nutrition-specific intervention with nutrition-sensitive activities 142 Integrating nutrition products into health system supply chains: making the case 145 Child Survival Week as a platform for promoting vitamin A supplementation in Niger 149 Nutrition-sensitive multi-sectoral planning: experiences on Link Nutrition Causal Analysis (NCA) in Kenya Research 23 Briefing on the Bihar Child Support Programme, India 26 Nutrition incentives in dairy contract farming in northern Senegal 29 The cost of a knowledge silo: A systematic re-review of water, sanitation and hygiene interventions 31 Water for food security and nutrition 33 Cash, food or vouchers? Evidence from a randomised experiment in northern Ecuador 35 Review of programmes integrating family planning with food security and nutrition 37 Review of the micronutrient impact of multi-sectoral programmes <strong>focus</strong>ing on nutrition 39 Inter-sectoral coordination for nutrition in Zambia 40 Complementary food hygiene: An overlooked opportunity in the WASH, nutrition and health sectors 42 Impact of an integrated agriculture and nutrition and health behaviour change communication programme for women in Burkina Faso 44 Doing cash differently: how cash transfers can transform humanitarian aid 46 Cash transfers and child nutrition 48 Links between household agricultural production and nutrition 50 WASH interventions and their effects on the nutritional status of children 51 Is reliable water access the solution to undernutrition? 53 Impact of a homestead food production programme on household and child nutrition in Cambodia 54 Large-scale intervention to introduce orange sweet potato in Mozambique increases vitamin A intake News 82 Mainstreaming human nutrition in livestock interventions: lessons learnt from a capacity-building workshop for the Sahel region 85 Global Forum on Nutrition-Sensitive Social Protection Programmes 87 Guidelines and free on-line modules to support multi-sectoral programming for nutrition and resilience 88 Understanding the SUN Movement Common Results Framework: lessons learned from five countries 90 Nutrition and social protection 91 Regional conference on responding to challenges of undernutrition in West Africa 92 Agri-health research: what have we learned and where to next? 93 Baby WASH coalition planned to overcome development silos 94 Programming implications of stunting in protracted emergency contexts 94 Making agriculture work for food and nutrition security 95 SUN in practice: Contribution of agriculture and social protection to improving nutrition 95 SuSanA Thematic Online Discussion: Linking WASH and Nutrition 96 Process learning: field testing a social and behaviour change guide for nutrition-sensitive agriculture Views 125 Action Against Hunger/Action Contre la Faim: Promoting a comprehensive nutrition-security approach and organisational culture to enhance nutrition-sensitive programming 128 Developing guidance and capacities for nutrition-sensitive agriculture and food systems: lessons learnt, challenges and opportunities 131 Reflections on 30 years of nutritionsensitive agriculture ENN updates 153 ENN’s new strategy 2016-2020 154 En-net update 154 Nutrition Exchange
Editorial ................................................................. Dedication: Dr Jeroen Ensink This special edition of Field Exchange is dedicated to the memory of Dr Jeroen Ensink, Senior Lecturer in Public Health Engineering at the London School of Hygiene and Tropical Medicine (LSHTM), who died on Tuesday 29 December 2015. Dr Jeroen Ensink was coauthor on research summarised in this issue (Loevinsohn M et al, 2015) and ENN extend sincere condolences to his family, friends and colleagues for their tragic loss. Jeroen was an internationally renowned water engineer and dedicated humanitarian. He was passionately committed to a simple cause: improving access to water and sanitation in countries where children continue to die needlessly due to the lack of these basic services. As a researcher and educator, Jeroen’s career crossed many continents. He lived and worked in countries including Pakistan, India, Vietnam, Tanzania and Malawi, and collaborated with numerous universities and international agencies. He devoted particular effort to building local research capacity in developing countries. His own research was rigorous but always practical. He published over 50 scientific papers and, at the time of his death, was leading a large study in the Democratic Republic of Congo to understand how improvements in water supply and other measures could control and prevent cholera outbreaks. Jeroen was a natural teacher, and immensely popular with students in whom he invested much time and energy. He was Course Director on the School’s Master’s degree in Public Health in Developing Countries. He provided support and inspiration in equal measure and many of his students are now successful researchers and public health professionals in their own right. In addition to a flood of tributes from his many collaborators, Water- Lines, a major journal in his field, will publish a collection of dedicated papers in April and announce an annual prize in his memory. At the request of Jeroen’s family and colleagues, the LSHTM has established the Jeroen Ensink Memorial Fund to support MSc Scholarships for students from sub-Saharan Africa and South Asia to become future leaders in public health. ose who would like to make a gi to the fund should contact Bill Friar, Head of Development, email: william.friar@lshtm.ac.uk Loevinsohn, M; Mehta, L; Cuming, K; Nicol, A; Cumming, O; Ensink, JH (2015). e cost of a knowledge silo: a systematic re-review of water, sanitation and hygiene interventions. Health policy and planning. Health Policy and Planning 30:660–674, first published online May 29, 2014 doi:10.1093/heapol/czu039 Dear readers Introduction to the special issue e most recent Lancet series on maternal and child undernutrition (Bhutta et al, 2013) calculated that even with 90% coverage of specific nutrition interventions (addressing maternal nutrition, infant and young child feeding (IYCF), micronutrient deficiencies and management of acute malnutrition), only 20% of global stunting cases and 60% of wasting cases could be averted. is reflects a widespread understanding that attention is also needed to the broader determinants of malnutrition if reductions are to be achieved at scale. tions. While the broad underlying and basic determinants of malnutrition are identified in the conceptual framework, the framework does not assign weighting or metrics to these domains in terms of their likely impact on malnutrition. ere is currently a push to better understand what these other sectors can do and how they can contribute to improving nutrition at scale. e advent and rise of the Scaling Up Nutrition (SUN) Movement and the World Health Assembly (WHA) targets among other initiatives has further increased <strong>focus</strong> on multi-sector programming to address the underlying determinants of malnutrition, with particular attention on stunting. of current programming, research, policy guidance and meetings that relate to a spectrum of nutrition activities are included, identified through a call from ENN for content in July 2015. While this compilation is not representative of all that is happening in various countries or across the range of sectors, it provides a useful a snapshot of activities undertaken in the name of addressing the underlying determinants of malnutrition. Here we surmise what is being undertaken to help understand how the concept is understood and applied, to capture good practice and learning and to help strengthen current approaches and inform future work. Operationalising definitions It is clear from the diversity of articles submitted to this special issue that many agencies and governments are engaged in work addressing the underlying determinants of nutrition (and in some instances the basic causes (Leroy et al, e conceptual framework for malnutrition is special issue of Field Exchange presents from the Lancet series identifies the underlying a snapshot of field experiences and relevant determinants of nutritional status as, broadly, peer-reviewed research to provide insights into food, health and care (see Figure 1), encompassing the current state of knowledge and action for sectoral activities beyond nutrition and health nutrition-sensitive programming. Many examples and referred to as nutrition-sensitive interven- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
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