First Meeting of the UN System Network for Scaling Up Nutrition Sponsored by the Federal Republic of Germany Nairobi, Kenya, 26-28 August 2013 First Meeting of the UN System Network for SUN Contents Executive summary 1. UN agencies roles and responsibilities for optimal operationalization of the UN System Network for SUN 2. Countries needs and expectations and the UN Network response 3. Towards a harmonized approach in nutrition-sensitive development – the case for nutrition-sensitive agriculture 4. Launch of the UN System Network for SUN 5. Better together - Recommendations 6. Meeting Resolutions - Commitments Annex 1. Country case studies on the nutrition-sensitivity of agriculture and food policies 2. Meeting agenda 3. List of participants This summary report endeavors to capture the key issues discussed and the recommendations and resolutions agreed upon during the first meeting of the UN System Network for Scaling Up Nutrition that took place in Nairobi, 26-28August 2013. For a complete account of the meeting’s concept paper, agenda, presentations and photos, please refer to the UN Network for SUN page on the UNSCN website www.unscn.org. 2|Page First Meeting of the UN System Network for SUN Executive Summary Rational and objectives The UN system plays a key role in collectively supporting the process of scaling up nutrition in countries. The UN System Network for Scaling Up Nutrition (SUN) (from here on referred to as the UN Network) is one of the five Networks of the Scaling Up Nutrition (SUN) Movement. The UN Network is an interagency platform that facilitates joint UN action in nutrition at global, regional and country levels. Co-facilitated by the UN System Standing Committee on Nutrition (UNSCN) and the Renewed Efforts Against Child Hunger and Undernutrition (REACH), it ensures harmonized nutrition guidance and approaches for country-led efforts to scaling up nutrition. UNSCN is mandated for global level UN system wide harmonization and REACH is mandated to facilitate joint UN country level support. The UN Network is intended to bolster on-going UN efforts to respond upon request to the needs of countries committed to address nutrition challenges. Efforts to establish the UN Network for SUN started in 2012, including the formulation of a Concept Note that defines roles and responsibilities, membership and modus operandi. The UN agencies with a nutrition mandate have since worked together to define a Work Plan1 that has been approved by the five heads of agencies in June 2013 in London2. In their letter the 5 Principals announce also the formal launch of the UN System Network for Scaling Up Nutrition later in the year. This launch took place in Nairobi (Kenya) on 28th August during the first face-to-face UN Network meeting. The meeting was sponsored by the Federal Ministry of Food, Agriculture and Consumer Protection (BMELV) of the Federal Republic of Germany through the UNSCN secretariat. The meeting provided a unique space to country UN nutrition teams for discussing the roll out and strengthening of joint UN action at country level, discuss and agree on common issues around replying to country needs, learn from each other and strengthen relationships across agencies and with country focal points. Furthermore, the meeting offered the opportunity to engage the UN system beyond FAO, WFP, UNICEF, and WHO to other UN actors including IFAD, Bioversity International, IAEA, UNFPA, UNHCR and IASC Food Security Cluster and IASC Nutrition Cluster. At the last day of this meeting, the UN System Network for Scaling Up Nutrition was officially launched. For this launch, the African region had been chosen as one of the regions most affected by the challenges of malnutrition. The main objectives of the meeting aimed at: 1. An increased collaboration between UN agencies at country level for optimal joint support to policy formulation and scaling-up nutrition, and common understanding of the role and responsibility of the UN and the UN Network for SUN at country level. 1 http://www.unscn.org/files/Newsletters/UNNetwork_letters/Final_endoresed_version_UN_Network_Workplan_7 _June_2013.pdf 2 http://www.unscn.org/en/sun_un_network/ 3|Page First Meeting of the UN System Network for SUN 2. Harmonizing the UN system wide approach to nutrition-sensitive development, by fostering a common understanding of the complementarity of agency responsibilities, taking nutritionagriculture linkages as an example. 3. Consulting with UN agencies, country teams and stakeholders on the UN Network workplan and future strategic directions. Participants The meeting was attended by 140 participants who included UN country teams working in nutrition in 18 countries in Africa, REACH facilitators, representatives from 13 SUN participating countries in Africa, and invited guests from donors. UN agencies global and regional representatives from initiating partners namely FAO, UNICEF, WFP, WHO and beyond including IFAD, UNHCR, UNFPA, IAEA, Bioversity International, IASC Nutrition Cluster and IASC Food Security Cluster were participating. The meeting was co-facilitated by the UN Network facilitators Dr Francesco Branca, the UNSCN Executive Secretary, and Nancy Walters, the Global REACH Coordinator. The Coordinator of the SUN Movement, Dr David Nabarro, joined the group for the Regional Launch of the UN Network on 28th August 2013. Conclusions The meeting concluded that the UN Network for SUN is not new. It has, in fact, been in place for many years supporting government-led nutrition efforts in a large number of countries. What is new is the link to the global Scaling Up Nutrition (SUN) Movement which provides new opportunities to make very significant contributions based on the unique mandates, experience and expertise and the multi-sectoral organization of the UN system. This is well recognized by the UN Secretary General as well as the Heads of FAO, WHO, UNICEF and WHO and the latter have issued letters of instructions to their respective agencies to intensify joint UN agency efforts to support the SUN process in-country with emphasis on effectiveness, coherence and collaboration. It was noted that the UN Network was institutionalized already in 1977 with the establishment of the UN SCN to harmonize UN system-wide nutrition policies and standards. This was followed in 2008 with the REACH initiative to harmonize UN in-country nutrition programming. However, it was recognized that UN SCN and REACH are both supporting mechanisms while the core of the UN Nutrition Network is the UN agencies at country level and – in particular – their team of nutrition experts working in support of the government nutrition focal points and in close collaboration with other partners. It was further noted that the UN ‘joint programming’ modalities and arrangements at country level provide an adequate platform for improved UN nutrition programming as exemplified by several good examples presented to the meeting. This mechanism should be further developed and countries will be supported to share experiences and methodologies to further accelerate the scaling-up process. Government representatives attending the meeting expressed their expectations and their concerns with regard to a strengthened UN Network. Foremost among these were increased UN agency technical and financial support to national nutrition policies and programmes and the need to improve UN agency coherence and collaboration. The UN agencies were encouraged to step up their great advocacy potential in order to strengthen the sense of urgency and high priority of nutrition as a key – and hitherto largely neglected – determinant of human and economic development. 4|Page First Meeting of the UN System Network for SUN The capacity for the UN system to support the necessary but complicated multi-sectoral approach to nutrition improvements was given special attention and it was emphasized that this offers special opportunities for the UN system to support ‘nutrition-sensitive’ developments. Nutrition-sensitive agriculture development was taken as an example and discussed in some detail. Based on selected good country examples, some initial good programming principles are emerging, including the need to improve targeting and participation of nutritionally vulnerable groups and special recognition of the critical role of women as providers and decision-makers but equally important as the ones whose nutritional status has to improve in order to contain the problems of malnutrition. Meeting Resolution - Commitments While endorsing the long series of recommendations formulated by the meeting, Mr. Ramiro Lopez da Silva, speaking on behalf of Ertharin Cousin, the Executive Director of the UN World Food Programme, who represents the UN Network in the SUN Lead Group, made four final and specific promises, taking the following commitments with his colleagues that work with him in the context of UNSCN and REACH, that 1. To present to the principals a clear cut proposal on how to stabilize, deepen and expand REACH. 2. To consolidate and expand the UN Network for SUN by ensuring that agencies have the opportunity to engage with the UN Network and have the opportunity to engage with the Standing Committee on Nutrition. The Standing Committee on Nutrition continues to play a key role as the UN Policy reconciliation, policy formulation forum at global level. And it is important to establish these links as we are establishing the ‘SCN and REACH UN Nutrition Network’. 3. To present to the principals a draft accountability framework addressing how the UN agencies are mutually accountable among themselves. And contribute this to the larger effort to establish an accountability framework for the SUN Movement. 4. To jointly feel out, promote and expand joint UN programming for nutrition and work on the UNDAF. 5|Page First Meeting of the UN System Network for SUN 1. UN agencies responsibilities for optimal operationalization of the UN System Network for SUN A Common Understanding and Initial Assessment The opening speeches of the meeting reflected great expectations for the outcomes while cautiously recognizing that there is a long list of issues that need to be carefully reviewed, discussed and resolved. For some major insights see the quotes below. Quotes from the Opening Session “Nutrition is key – without good nutrition there can be no development!... This meeting is very timely; take up your role and act now!” Custodia Mandlhate, WHO Representative and UNRC a.i.c. for Kenya, in her Welcome Address “The UN is doing amazing work in the area of nutrition but can do much more if we fully use our mandates, capacity and our unique multi-sectoral structure. However, we need to be aware that in the world around us there is still confusion and doubts as to UN system coordination and collaboration and we must respond constructively and demonstrate that we support nutrition efforts in all countries effectively and coherently. The UN Network should become our means to translate these commitments and principles into reality and actions. ” Ramiro Lopes da Silva, Chair of UNSCN and AED WFP, in his Opening Remarks “Levels of undernutrition across the world are coming down but are still too high and this has serious implications for human and national developments. The situation in Africa is most concerning. The good news is that there are now an increasing number of country experiences that demonstrate the improvements are possible with a combination of effective interventions and community nutrition work. The UN system is well-placed to support sharing and implementation of good practices and good programming principles within the SUN Movement.” Steven Allen, UNICEF Regional Director a.i.c, in the Keynote Address “The Government of Kenya is well-prepared for scaling up of nutrition and has taken a series of steps to establish a strong policy framework to this end. The UN system in Kenya has been supporting the government in every step along this way as one of the key priorities in the ‘UN delivering as One’ which provides a very good framework for UN collaboration in the area of nutrition.” Custodia Mandlhate, WHO Representative Kenya, in her statement on the Role of UN Country Team for Optimal Support to National Policy Priorities in Emergency and Development. 6|Page First Meeting of the UN System Network for SUN Mercedes de Onis, Coordinator Growth Assessment and Surveillance, WHO Geneva, provided an update of the burden of malnutrition in Africa based on latest analysis of data on country trends and comparisons. She highlighted that the problem of stunting has received elevated attention during recent years because the problem is huge with 165 million children worldwide being stunted. The effect of stunting on human development and hence national development is serious. Whereas the situation in most parts of the world has improved this is not the case in Africa where 22 out of the 34 countries with the highest burden of stunting can be found. Comparatively new is the realization of the fact that a significant proportion of stunting originates in the period before birth. Therefore, increased emphasis is needed on the prevention of maternal malnutrition during pregnancy and before conception, especially in adolescent girls. In addition, proper breast-feeding and complementary feeding remains major factors in the prevention of stunting and need renewed and stronger efforts. Why do we need a UN Network for Scaling Up Nutrition? Martin Gallagher, Policy Advisor in the Secretariat of the Scaling-up Nutrition (SUN) Movement, reflected on the evolution of the SUN Movement since its launch in 2010 in response to a series of efforts to better organize a coherent response to the pervasive and persistent problems of malnutrition. Over 100 stakeholder groupings from donors, UN agencies, NGOs, academia and private sector were initial signatories. The key principle adopted by the movement is to establish better organized, incountry stakeholder networks under government leadership for the purpose of accelerating nutritionscaled up actions. Since then, four key processes are pursued: 1) mobilization of stakeholder networks and establishment of multi-stakeholder platforms, 2) formulation and update of national nutrition policy and legal frameworks, 3) formulation of agreed common results framework combined with costed national plan of action for nutrition, 4) resource mobilization and accountability. The results after only 3 years are very promising as over 40 countries have officially joined the movement. There is unprecedented attention and momentum for nutrition in global and national forums, and impressive progress in updating of policies and plans. Some initial evidence of actual improvements in stunting is being observed. The heart of the movement is the participating governments supported by strong SUN networks. Ramiro Lopes da Silva, Chair of UNSCN and Assistant Executive Director WFP, addressed the apparently challenging question ‘Why do we need a UN Network for SUN?’ As he points out, the UN Network is not new. …’‘We, the UN, are already supporting nutrition in most countries. The UN has the knowledge and experience, it has the mandate -in fact across all the key sectors-, it has the capacity, it has access to governments and partners. All of these are important conditions for making strong contributions to the improvement of nutrition in countries. What we need to find out is how we can leverage these tremendous resources even better in support of global advocacy and in-country nutrition actions’’. Francesco Branca, UNSCN Executive Secretary, and Nancy Walters, Global REACH Coordinator, lay out the different roles of the UN Network. In fact, the UN Network was an integral part of the SUN Movement right from the beginning and played a key role in the development of the SUN principles and many of its working modalities, including its working groups and task forces and was indeed performing the role of an interim SUN secretariat until the SUN Movement Secretariat, SMS, was formed. At these 7|Page First Meeting of the UN System Network for SUN early stages the UN agencies were primarily represented by the UN Standing Committee for Nutrition, UNSCN, and the partnership for Renewed Efforts Against Child Hunger, REACH. Based on the experiences of working with the SUN Movement during the past three years, it is now becoming increasingly clear that the main roles and functions of the UN Network has to be assumed by the UN teams at country level and particularly the country team of technical nutrition specialists (in most countries organized as the UN nutrition working group). The specific roles and responsibilities of the UNSCN and REACH, consequently, have to become more supportive to these in-country UN Network structures and its activities as depicted in the diagram below: The UNSCN and the REACH secretariats, located in Geneva with WHO and in Rome with WFP, are respectively but functionally becoming one secretariat with regard to their support functions to the UN Network for SUN, with a joint governing structure and with ongoing, almost daily, exchange of information in order to strengthen efforts and to ensure optimal and effective response to country level support needs. Within the broader division of work between the UNSCN and REACH, the following specific responsibilities are assigned to the UNSCN: 1. 2. 3. 4. 5. Provide strategic leadership in nutrition in the UN system, Harmonize policies, concepts and strategies across the UN agencies, Enhance dialogue, linkages and partnerships between constituencies, Support knowledge exchange, including good practices, and networking, Monitor and track progress. 8|Page First Meeting of the UN System Network for SUN The UN REACH partnership, on the other hand, is focusing more directly on support to joint UN nutrition programming at country level, where REACH facilitators are temporarily assuming the role of bringing the in-country UN agency capacities better together and in line with government efforts to scale-up nutrition actions. Hence, REACH is not duplicating the already existing roles of UN agencies at country level but systematically addresses the issues and critical tasks to further enhance effective UN collaboration. In the process, REACH has developed a strong focus on support to nutrition governance as a pre-requisite condition for effective, multi-sectoral management of nutrition actions as schematically outlined below. The partnership seeks to accelerate progress towards MDG 1, target 2, by facilitating improved nutrition governance Roles and responsibilities of UN system agencies, challenges and opportunities to strengthen UN collaboration in nutrition Francesco Branca, UNSCN Executive Secretary and WHO Director for Nutrition, in his introductory remarks emphasizes that he is sure we can easily agree that UN collaboration in nutrition is imperative for all kind of reasons. However, fact is that there is no choice: the UN ECOSOC decided already more than 30 years ago that this must be institutionalized as ECOSOC created the UN Standing Committee on Nutrition, the UNSCN, in 1977. Still we know that there are problems and that UN collaboration both at global and at country levels can be improved. 9|Page First Meeting of the UN System Network for SUN ‘’Our commitment to fully engage in and support the SUN Movement and our decision to establish a UN Network for SUN provides a good opportunity to review, discuss and find the way forward towards a stronger and more effective UN collaboration in response to the needs to address malnutrition. Let us remember that in order to agree on the solution, we first have to agree on what is the problem. Therefore, let us look at what are the key contributions of the individual agencies to nutrition, what are the obstacles and what are critical synergies that our respective agencies identify as we launch and commit ourselves to the new UN Network for Nutrition.’’ UN Food and Agriculture Organization (FAO): Barbara Burlingame, FAO Deputy Director Nutrition, states that for FAO, the main issue in relation to the global SUN Movement relates to the need to find sustainable solutions to the realization of the right to food, and to food security and to nutrition security. FAO promotes: The concept of ‘sustainable diets’ which includes sustainable agriculture but goes far beyond and addresses aspects of the following, Food safety, The right to culturally acceptable diets, The control of food losses and waste, and Food based solutions to malnutrition. UN Children’s Fund (UNICEF): Werner Schultink, UNICEF Chief of Nutrition, lays out that since nutrition is of key importance for the survival, development and protection of children, it has always been a very high priority. There are four major issues and challenges for UNICEF’s work in nutrition at present in order to be fully effective in addressing the problem of stunting, UNICEF needs to: Change from a vertical and mono-focal approach to specific nutrition problems (salt iodization, vitamin A supplementation, CMAM, etc.) to a comprehensive approach with mutually supportive actions which requires increased collaboration and coordination with different sectors and actors; Establish more direct linkages between operational level and policy levels to ensure more rapid responses and learning from experiences; Work towards increased and better coordination to achieve better convergence of critical actions; Put more emphasis on resilience in areas with pervasive and repeated nutrition emergencies like in the Sahel and Horn of Africa. All these issues require improved collaboration with UN agencies and other partners. World Food Programme (WFP): Martin Bloem, WFP Chief of Nutrition, in his intervention states that, as we are forming the UN Network, there is a lot we can learn from UNAIDS and the UN response to the HIV/AIDS pandemic. We recognized the problem – HIV/AIDS – and then defined how our respective agency mandates and capacities could contribute to solutions of this problem. We should follow the same process in defining our agency roles and responsibilities in our response to the urgent problems of malnutrition. 10 | P a g e First Meeting of the UN System Network for SUN WFP with its proven capacity to deliver ‘the right food to the right place at the right time’ is presently: Exploring with partners how to enhance its stunting prevention effectiveness through better food and nutrition supplementation during pregnancy and for adolescent girls, and Redoubling its efforts to support improved complementary feeding during the critical age of 624 months. In these efforts WFP believes it has to find effective ways to collaborate with UN agency partners and also with industry as well as NGOs. World Health Organization (WHO): Francesco Branca, WHO Director for Nutrition, explains that WHO is both elevating and changing its approach to nutrition work in response to the global nutrition situation and on demand from its member countries. The World Health Assembly has adopted 6 global nutrition targets and WHO is developing new and more effective approaches to: Update nutrition guidelines, whereby the updated guidelines are made widely accessible through IT and by translating them into several languages, and Establish monitoring systems to help the achievement of the nutrition targets. The main challenge is on how to help countries operationalize these guidelines within their local contexts and that is where WHO really needs strong collaboration with partners with stronger incountry capacity – in the first instance with the UN agency partners. United Nations Population Fund (UNFPA): Satvita Chalasani, UNFPA Technical Specialist, confirms that UNFPA fully recognizes the importance of nutrition for reproductive health outcomes and vice versa. UNFPA appreciates the opportunity to engage in the UN Network for SUN and with UN and other SUN partners at country level. Presently UNFPA is establishing stronger partnerships with WFP and with UNICEF through a proposed multi-country collaboration. UNFPA sees two particular challenges of nutrition for reproductive health outcomes: The lack of strong global, operational guidelines and ‘best practices’ for maternal nutrition and nutrition in adolescent girls. The challenge of integrating nutrition and reproductive health given health systems/health workforces and community-based platforms that are often under-resourced and operating beyond capacity. International Atomic Energy Agency (IAEA): Cornelia Loechl, IAEA Nutrition Specialist, explains that the IAEA supports the application of nuclear techniques in different areas, including nutrition. The IAEA complements the work of other UN agencies, NGO’s and other major players in nutrition and health. Its role in the UN Network for SUN could be complementary by adding value to nutrition assessments: Supporting the use of stable isotope techniques (non radioactive) in the monitoring and evaluation of nutrition actions and outcomes (body composition, human milk intake, vitamin A status, etc.). IAEA does not have country or regional representation and, hence, will have to depend on partners – especially UN partners – to identify opportunities for IAEA to engage in the SUN process at country level. 11 | P a g e First Meeting of the UN System Network for SUN United Nations High Commissioner for Refugees (UNHCR): Allison Oman, Senior Regional Nutrition and Food Security Officer, UNHCR Regional Support Hub, Kenya, underlines that UNHCR believes that it needs to be part of the SUN Movement and the UN Network for SUN to ensure that: Different groups of refugee populations and people of concern ( including urban refugees, stateless, returnees) are included in the identification of and support to those with high risk of malnutrition since these groups are often among the most vulnerable; Recognize the same issues that apply for the nationals (such as chronic under-nutrition, micronutrient deficiencies, maternal under-nutrition) also apply for refugees, but the program response might be different given the specific status of refugees. UNHCR plays a coordinating role in addressing the specific nutrition needs for refugees and people of concern, ensuring that partnerships are developed that ensure that refugees have access to food and nutrition according to standards. Hence it has close collaborations with many UN agencies with regard to food security and nutrition, primarily with WFP, UNICEF, UNFPA and WHO. UNHCR does not always have specific links in country to the government sectors addressing nutrition (health, agriculture) but rather with the government agency responsible for refugee issues, which can mean that refugees can be neglected in national legislation developed addressing nutrition. At the same time, UNHCR has very strong nutrition assessment tools (SENS) that could serve as a model for collection data on micronutrient deficiencies as well as other key nutrition-specific and nutrition-sensitive sectors. Hence, UNHCR looks forward to engage with the UN Network for SUN both at global, regional and country levels to further help to ensure that the nutrition needs of refugee populations are recognized and responded to. Bioversity International: Gudrun Keding, Nutrition Officer Bioversity International Kenya, explains that Bioversity is an agriculture research organization which is not part of but works very closely with the UN system on issues related to food and nutrition security. Bioversity has a newly developed nutrition strategy and fully realizes the importance to further: Strengthen agriculture-nutrition linkages. It already has many ongoing operational research activities in this area. Defining critical aspects of ‘sustainable diets’, on which they are working with FAO as one of their partners. Currently Bioversity International is enhancing its nutrition technical capacity. Bioversity believes in its very supportive complementarity to the SUN Movement efforts and believes that a close collaboration and engagement with the UN Network for SUN would be extremely helpful in that respect. Bioversity is already an active member of the UNSCN. IASC Food Security Cluster and IASC Nutrition Clusters: George Alien and Josephine Ippe, respectively Global Cluster Coordinators, state that the Interagency Standing Committee (IASC) emergency cluster system is not part of the UN system but UN agencies are providing leadership for the clusters at global, national and sub-national levels. The nutrition cluster is led by UNICEF and the food security cluster is jointly led by FAO and WFP. In recent years, the cluster approach has demonstrated successes in bringing key actors together for better coordinated emergency responses in a large number of countries. 12 | P a g e First Meeting of the UN System Network for SUN As challenges, the cluster coordinators identified the need to: Better link relief and rehabilitation and development (LRRD), as increasingly emphasized in the concept of resilience which is very relevant for food and nutrition security. To build emergency responses upon existing in-country mechanisms that can facilitate the early formation of cluster arrangements at the onset of an emergency as well as be transformed into strengthened development capacities after the emergency. There are positive examples of this from Pakistan, Nepal and Bangladesh. Stronger collaborate with the SUN Movement and the UN Network for SUN could greatly help in these efforts. Since many of the countries with a high burden of malnutrition are either affected by severe complex crises or recovering from such conditions, it was noted that the UN Network for SUN needs to establish stronger linkages to the food security and nutrition clusters in order to use all opportunities to create effective, continuous linkages between emergency response and development programming. Example The nutrition cluster has already embarked on a ‘Transformative Agenda’ to address these issues. Some initial experiences are: - The linking of emergency to nutrition development is easier if the government is already well organized so that cluster coordination can be fully integrated in existing structures and programmes. Good examples: Ethiopia and Kenya. - Many capacities developed in emergency response can be transferred to government development nutrition programming and vice versa, e.g. CMAM, rapid survey and assessment capacities, planning and coordination. - The fact that the UN Humanitarian Coordinator and the UN Resident Coordinator is usually one and the same person (or working closely together) should provide an opportunity for the UN system to take a lead in linking emergency nutrition to development. - It is of advantage if cluster members have direct entry points to the national SUN network structures as this will facilitate the link up of the different coordinating mechanisms without ‘losing out’ key partners. Country level experiences in joint UN programming for nutrition Three UN country teams shared their experiences with concrete examples of UN collaboration and joint programming: Burundi, Cameroon and Ghana. The detailed presentations are available at the SCN website3. All of them showed promising developments in establishing a strong and well-coordinated UN support to government-led scaling-up of nutrition actions. Although challenges exist, the UN agencies have managed, through mutual support, to help the process of joint support forward. The UN Development Assistance Framework (UNDAF) process has been used as the basis for the joint UN 3 http://www.unscn.org/en/sun_un_network/nairobi-un-network-meeting/agenda-part-i.php 13 | P a g e First Meeting of the UN System Network for SUN programming efforts in these countries. It was concluded that the existing UNDAF framework guidelines and provisions may need update and improvements. However, the current UNDAF frameworks should NOT be seen as an obstacle but rather an opportunity for a good facilitating mechanism for UN joint programming in nutrition. 14 | P a g e First Meeting of the UN System Network for SUN 2. Countries’ needs and expectations and the UN Network response Countries needs and expectations In a panel discussion country representatives from Kenya, Senegal, Uganda and Zimbabwe shared their expectations and concerns regarding the support from UN agencies. A series of constructive points were expressed from which the main expectations towards the UN system are summarized as follows: Provide strong support to nutrition advocacy based on the UN as a credible voice on key developmental issues. UN agencies to improve and increase their support to multi-sectoral planning, coordination, monitoring and evaluation. Give strong focus on capacity building to ensure sustained, country-led reduction of malnutrition. Provide strong support to knowledge sharing, documentation and learning. UN to better coordinate internally in order to ‘speak one language’ and move in tandem with government. UN Network’s response The UN agencies subsequently responded to each of these expectations as follows: UN Network support to Advocacy: • The UN agencies will continue to build the evidence base for investing in nutrition development (cost of hunger studies, etc.). • UN agencies use their voice at regional and national levels to encourage governments to increase their own resource allocations and to seek additional external support to nutrition developments. • Based on existing evidence UN agencies advocate for stronger inclusion and articulation of nutrition as a priority objective in national development plans. • The UN agencies directors at country and especially regional level should commit themselves to promote and support nutrition as a key development issue and to provide a harmonized UN agency support upon request of countries, as institutionalized in the UN Network for SUN. UN Network support to Multi-Sectoral Planning and Programming • UN agencies need to adopt a stronger ‘nutrition lens’ in programme planning, meaning promoting a better understanding of how development processes affect the nutritional situation in different population groups at risk. • Whenever possible UN agencies need to adjust UN supported programmes in ways that enhance nutrition outcomes (e.g. nutrition-sensitive development). • The UN agencies to ensure that nutrition is addressed across the emergency-recoverydevelopment continuum in a manner that optimizes effectiveness and sustainability of nutrition actions across this spectrum. 15 | P a g e First Meeting of the UN System Network for SUN • • • • The UN agencies to select development partners (government and non-governmental) that can help to strengthen the nutrition focus and outcomes of UN supported programmes. The UN agencies traditionally focused on nutrition (FAO, WHO, UNICEF and WFP) to reach out and include in the UN Network for SUN those other UN agencies with great potential to enhance nutrition outcomes of UN system in-country support, e.g. IFAD, UNHCR, UNFPA, IAEA, Bioversity International, IASC Nutrition Cluster, IASC Food Security Cluster and others. UN agencies to actively explore complementarity, convergence and linkages between programme areas in order to enhance nutrition outcomes. Examples: food security and nutrition programme linkages to education, water, sanitation and hygiene (WASH), early childhood development, youth and adolescents, social protection and micro-credit, etc. UN agencies to jointly support improvement of nutrition indicators and metrics with special emphasis on the need for harmonized, multi-sectoral nutrition information systems. UN Network support to National Capacity Development in Nutrition • The UN system should always try to support and further improve existing, national nutrition coordination and implementation systems and institutional frameworks rather than creating new and/or parallel systems. • Recognizing that multi-sectoral nutrition management information systems (including M&E systems) are essential for effective and sustained scaling-up of nutrition action, the UN system should consistently endeavor to build and strengthen national capacity in this area. • Nutrition changes at family and community level and, hence, the scaling-up nutrition process needs to focus primarily at community-based approaches and the UN system should consistently adopt a participatory methodology for the purpose of allowing people to realize their right to nutrition security (a ‘Human Rights Based Approach to Programming’). • The UN system should always be prepared to share their vast experiences in areas such as warehousing, food production and processing, marketing and logistics in order to support the governments to adopt more effective, sustainable and safe food systems. UN Network support to Documentation, Sharing of Experiences and Learning • Build upon and learn from the successful experiences from the work of the IASC Food Security Cluster and IASC Nutrition Cluster in connecting to and working with a long range of partners to achieve joint nutrition objectives. • Learn from and apply the successful experiences of UNAIDS in establishing a sensible and effective ‘division of labor’ while providing opportunity to listen to civil society views and advice. • Establish inclusive and easily accessible knowledge sharing platforms to disseminate ‘good practices’ and facilitate ‘community of practice’ networks in nutrition programming. 16 | P a g e First Meeting of the UN System Network for SUN UN Network and the call to better coordinate internally in support of government -“ BETTER TOGETHER” • The Meeting agreed that this is the area where a UN Network for SUN has to become most effective. • There has to be an end to UN agency internal ‘bickering’ on mandates, leadership and competing for resources. The Chair of the UNSCN, Mr. Ramiro Lopes de Silva, called this a ‘cultural revolution’, a change of mindset, in response to the opportunity to use the global SUN Movement for the UN system to make a difference in the historical strive to combat hunger and ensure good nutrition for all. To this end, the Meeting adopted a series of specific recommendations (see 22 ff). Better together through: Speaking the same language and move in tandem Transcend agency mandates (“leave your hats at the door”) Identifying comparative advantages for optimal impact Employing a holistic approach to minimize fragmentation Establishing a culture of collaboration rather than thinking of a division of labour. Country level UN Network for SUN - the Example of Kenya The UN Country Directors or deputies from Kenya country offices of WHO, FAO, UNICEF and WFP, under the moderation of Dr David Nabarro, the SUN Global Coordinator, discussed complementarities and synergies between their UN agencies in supporting the Kenyan Government in scaling up nutrition. The panelists articulated five major issues that emerged from their recent experience in working in nutrition and supporting the government of Kenya to initiate an accelerated scaling-up of nutrition process as the country joined the SUN Movement: It is important to recognize the political reality in your country. All countries are different in this respect and the UN system needs to identify the opportunities and challenges within the system where they are working. Parallel systems will not lead to sustainable solutions. The UN system work in-country should respond to the needs and rights of the people, hence a community and household focus is essential. It is the role of the government to provide and establish a strong umbrella for nutrition actions, like through a comprehensive National Food and Nutrition Policy and the National Nutrition Action Plan in the case of Kenya. Results matter! And results at scale! Successful ‘pilot projects’ are not automatically and easily expanded and accessible to those most in need. Agencies have to consider both vertical consistency (do well what you should and can do) as well as horizontal coherence (meaning linking with other relevant sectors, agencies and actors). 17 | P a g e First Meeting of the UN System Network for SUN The discussion that followed the panel identified the following key issues in UN supporting the country government: How can the UN agencies mobilize sufficient resources to play their role more effectively in the scaling-up process? The effective use of existing resources is important and it was underlined that also agencies with limited financial and human resources have extremely important contributions to make. The important issue in establishing a better UN in-country collaboration is to …‘’put our institutional arrogance behind…’’; no agency is more important than the other. Agencies’ perceived need to assume ‘technical lead’ for nutrition is a sensitive area that often creates tension. This does not have to be so. There are many examples where agencies work complementarily and one of them is the nutrition and food security cluster system. Leadership, however, does require capacity and accountability. The problem of hunger and malnutrition is huge and no sector or agency alone can solve it. Each of the agencies individually is weak but together we can achieve synergies with amazing results. Is there a contradiction between food security and the focus on nutrition? It is important to understand how food security and nutrition security relate to one another in concrete situations. Food security is a necessary condition for nutrition security and needs to be prioritized in individuals, families, communities, different stages in the lifecycle and times of the seasonal cycle where this condition might not be fulfilled. According to FAO, Kenya as a nation will be able to feed itself up to 2015 but will have increasing problems to do so beyond that unless production can be increased and this also in areas that currently do not produce. Nutrition has to be moved to a systems approach, embedding nutrition into ecosystem and landscape debates, moving to a whole diet approach. Should the UN system really collaborate with the business sector? How can we establish mutual accountability requirements? It was discussed that there is no way to avoid engaging seriously with the business sector since most food is produced and marketed by private enterprises. Hence a very open dialogue is needed to establish roles and responsibilities of the business sector and – where necessary – formulate regulatory frameworks. This may not always be easy and will require careful, respectful, transparent and clear negotiations. Kenya’s SUN process is a good example in many aspects, reflecting the official position of the UN system in the country. There was wide agreement that in the past nutrition has NOT received the attention it needs! And this also Not in the UN system. We have to increase our efforts to raise the profile of nutrition and its prioritization in the UN system. These ambitions have already started with continuous new developments, contributions and commitments, but it will take a long time to reach where we need to go, a period of 10-20 years rather than one of 1-2 years only! 18 | P a g e First Meeting of the UN System Network for SUN 3. Towards a harmonized approach in nutrition-sensitive development – the case of nutrition-sensitive agriculture The concept of ‘nutrition-sensitive programming/development’ has been introduced by the SUN Movement in response to the need to expand the global nutrition scaling-up efforts beyond the high impact direct nutrition interventions listed by the 2008 Lancet series often referred to as ‘nutrition specific’ or ‘nutrition direct’. The categorization of nutrition actions as either ‘nutrition specific’ or ‘nutrition-sensitive’ has led to some confusion (mostly semantic) but it is felt that for practical programming purposes the distinction may still be helpful. Nutrition direct interventions do have well proven impact on specific nutrient/dietary deficiencies and nutrition-related disease conditions BUT their impact does not normally extend beyond these specific deficiencies and conditions. For example, Vitamin A supplementation will be effective to ensure Vitamin A intake adequacy but will not help much in a situation where other micronutrient deficiencies or protein-calorie deficiency poses a higher risk for malnutrition. Nutrition-sensitive programming/development on the other hand, refers to programmatic areas which potentially have strong nutritional impacts and these are often broad and rather non-specific. However, such impact is NOT automatic and is not likely to happen UNLESS special efforts are made to ensure that the desired nutritional impact is realized. Agriculture is often referred to as a typical area where positive nutrition outcomes are usually ‘taken for granted’ but where a large body of empirical evidence shows that this may not be the case UNLESS the agriculture development programmes are designed in a way that they will ensure that the benefits of the programme leads to improved diet intakes in those populations that have deficiencies in one or another aspect. Werner Schultink, UNICEF Chief of Nutrition, emphasized in his introduction the need for a careful analysis of the nutrition situation and agreement on both the main causes of the problem as well as priority actions that need to be taken in order to contain the problem. This is particularly important in the case of stunting reduction which requires a much more comprehensive approach compared to our traditional approaches to malnutrition, which are very often vertical and mono-focal. Hence a mix of interventions will be needed and this is the reason why we have to be serious about a multi-sectoral approach combining both nutrition-direct and nutrition-sensitive interventions. In fact, some of the best emerging examples of successful efforts to reduce stunting, like in Ethiopia and the Maharashtra state in India, clearly support this position. It is also increasingly clear that in the context of stunting reduction, the issue of improved complementary feeding stands out as a very critical issue. But the ways to address this problem do, indeed, include many possible entry points from different sectors depending on local conditions. Joyce Njoro, REACH Senior Programme Officer, presented the REACH Nutrition Action Guides (NAGS), which form part of the toolkit for the REACH Facilitators and can also be used by other non-technical practitioners. The NAGS help to breakdown what multi-sectoral nutrition action means into concrete terms and highlight the types of nutrition related interests carried out within the respective sectors and any cross cutting issues. The NAGS also help to identify the linkages between sector-specific action and opportunities for integrated action. She reminded the meeting to always keep in mind and to consult the people that are affected by the problems of malnutrition and the ones we are aiming to support. 19 | P a g e First Meeting of the UN System Network for SUN She recounted the case of a poor mother in a village in Sierra Leone, who had no land, no money and no means to reach a rural health center. How could this mother benefit from all the programmes that were being designed around the planning tables in the capital and district headquarters? Barbara Burlingame, FAO Deputy Director Nutrition: moderated the session on nutrition-sensitive agriculture. Five countries shared their experience with concrete examples of approaches to nutritionsensitive agriculture: Ghana, Malawi, Mozambique, Senegal and Sierra Leone. Furthermore, examples from integrating nutrition in farmer and pastoral field schools were presented by the FAO Subregional Emergency Office for Central and Eastern Africa. The presentations are available at the UNSCN website4. Further details of these and other country case studies are documented in the report on ‘Nutrition sensitivity of agriculture and food policies’ that is published as annex to this meeting report. Mohamed AgBendesh, FAO Senior Nutrition Officer, Regional Office for Africa, summarized some of the measures that have proven effective in enhancing nutrition outcomes across sector programming. Nutrition-sensitive development Sector (examples): • Agriculture • Health • Education • Early childhood development 4 Means to improve nutrition outcomes in different sectors (examples): • Improve targeting • Use conditions to stimulate participation • Strengthen nutrition goals and actions • Optimize women’s time http://www.unscn.org/en/sun_un_network/nairobi-un-network-meeting/agenda-part-ii.php 20 | P a g e First Meeting of the UN System Network for SUN For food and agriculture policies and development programmes in particular, the following measures are emerging as ‘good practices’ to increase impact on nutrition outcomes (adopted from FAO 2013, Key recommendations): 1. Increase incentives (and decrease disincentives) for sustainable production, distribution, and consumption of diverse, nutritious and safe foods. 2. Monitor dietary consumption and access to diverse, nutritious, and safe foods. 3. Build capacity in human resources and institutions to improve nutrition through the food and agriculture sector, supported with adequate financing. 4. Support multi-sectoral strategies to improve nutrition within national, regional, and local government structures. 5. Include measures that protect and empower the poor and women. 21 | P a g e First Meeting of the UN System Network for SUN 4. Launch of the UN System Network for SUN – 28 August 2013 Ramiro Lopes da Silva, Chair of the UNSCN and Assistant Executive Director WFP, addressed the audience: ‘’We are here to launch the UN Network for Nutrition but please take note that this is not a new structure and it is not a new mechanism. The UN Network for Nutrition is already there and busy engaging in supporting nutrition work at country level. The UN Network for Nutrition is a ‘cultural revolution’. It is us committing together and find ways to overcome the weaknesses and challenges we have identified during the last 2 days, sensing and seeking opportunities to work together. The UN Network for Nutrition is a movement. What we need to initiate (and what we are initiating today) this cultural revolution to find ways to address the weaknesses and challenges that we have identified during this meeting and building on the good experiences and exciting progress that is taking place as we have heard. I am also turning to our friends and colleagues in governments: you are the ones who created the United Nations as a tool to support you in your quest for social and economic development. You should also help to make sure that we provide the support you need in the area of nutrition and that we do our job in a way that is effective and appropriate and not creating confusion. My role is also to bring to the attention of the UN heads of agencies what has been discussed in this meeting and to request them to affirm their commitments to the UN System Network for SUN in the ways you have expressed would be helpful in translating our aspirations into actions. I am taking the commitments with my colleagues that work with me in the context of UNSCN and REACH, that we are going to work over the next 8 weeks to present to our principles a clear cut proposal on how we stabilize, deepen and expand REACH. I listened to the feedback we heard, I know we are starting a rich discussion later today. But what we heard in the first day indicated the crucial role REACH facilitators have played in helping national governments mapping out what is happening, who is doing what, how that fits into their strategies and problems and what are the gaps that we need to support governments with. So it is very important to use the perception of no-charity. The perception of cutting across our narrow mandates is very important. So you have our commitment, working with Nancy we will be presenting a proposal to our Principals in the next eight weeks. The second commitment is that we are going to make an effort to ensure that agencies, some of them here in the room, agencies that have programmes on the ground and also agencies that work more on policy and research, have the opportunity to engage with the UN Nutrition Network and have the opportunity to engage with the Standing Committee on Nutrition. The Standing Committee on Nutrition continues to play a key role as our UN Policy reconciliation, policy formulation forum at global level. And it is important that we establish these links as we are establishing the ‘SCN and REACH UN Nutrition Network’. So that we can develop policies that are based on the experience we have and the empirical evidence we are harvesting from countries, but also ensure that those policies are consistent and coherent across the organizations. 22 | P a g e First Meeting of the UN System Network for SUN The third commitment is that, within the next 90 days, we will present to our principals a draft accountability framework for us, addressing how we are mutually accountable among ourselves. And then use this as our contribution to the larger effort to establish an accountability framework for the SUN Movement. So it is important that we clarify this mutual accountability amongst us, the members of the UN Nutrition Network and once we have that we have a positive contribution to make to the larger efforts David is leading. Finally, clearly joint programming was identified on one side as a great opportunity for us towards a coherent and consistent way in supporting national governments; but on the other side was identified as a constraint because we have still not identified the core role nutrition plays in the development programs of the national governments and we are not able yet to translate this into joint programmes. So we are going to jointly engage in feeling out this joint programming and UNDAF. I want to give you an advice. Don’t make this, the UNDAF, an impediment with the opportunities you have doing joint situation analysis, identifying what are the real needs, identifying what the local authorities and the national governments require as a support; and then within our narrow mandates each one of us brings to the table what we can bring as individual agencies to achieve that common goal. It is very important that we are going to work with the colleagues on the UNDAF, but meanwhile seize the opportunities you have. I want to thank you for everything you do in your countries of assignment. I want to congratulate the UN Nutrition Network in the countries that were represented here today. And I want you to leave the room with a clear understanding that these commitments you have are translated at the global level by Commitments of our Principals and you will be having the support from the leadership of our agencies as we move forward. Thank you very much.’’ David Nabarro, the SUN Movement Coordinator, expressed his great admiration and respect to all the government focal points and to all UN country team members present in the meeting. He encouraged all to continue in their quest by saying that ‘’….I know from my own long experience that the job you are doing is tremendously difficult: getting multi-stakeholder platforms to work, implementing multi-sectoral action plans for nutrition, monitoring results, demonstrating results over time, having valid survey measurement techniques, finding ways to bring in financial support - while getting the donors to remain focused on nutrition for ten years or twenty years and not only 2 or 3 years! And to do all this at the back of professional disputes, or disputes between government departments, or disputes between different non-governmental organizations. Anybody thus working on nutrition has to be a superb negotiator and a strategic opportunist. Somebody who has got the kind of inner strength so that when times are bad they hold strong. Still, that is what all of you do and I see so much evidence of achievements in your efforts. You are, indeed, the experts. I know how frustrating it can be to work with hungry and malnourished children and women while feeling that very little attention or support is directed towards these issues by those who have the power to improve the situation. This is what the SUN Movement is aiming to change, by building political momentum for nutrition, and empowering those working on the issue on a daily basis, but it will take time and you are right in the center of this process. Those of us in the periphery, i.e. New York and Rome and Geneva, are there to listen and support and we are accountable to you and, through you, to the government and the people in the countries we support. 23 | P a g e First Meeting of the UN System Network for SUN The UN system is one of the most important sources of support to governments and other actors working in nutrition. Because nutrition is multi-stakeholder and multi-sectoral and always complicated, the UN system has to find ways to veer its support, sliding in behind the government focal points and those who work with them, providing the right cushion around the different sectors so that they work well together, creating zones of comfort around the different groups so that they don’t feel the tension as they are trying to come together, but feel enabled and empowered to be able to do so. Never has there been a more difficult role for international actors as it is now for the UN system working on nutrition’’. Hanns-Christoph Eiden, President BLE Germany, addressed the audience on behalf of the European Union and the Donor Network for SUN, he expressed his gratitude for being invited to this meeting. ‘’The donor network believes that all the key partners in the SUN Movement need to be effectively organized in order for the whole movement to move forward. What I now see happening in the UN Network is very encouraging, indeed, since I believe the role of the UN system within the SUN Movement is indispensable at both global and country levels. I am also happy that the meeting took time to discuss more in detail the issue of establishing stronger linkages between agricultural development and nutrition. I personally believe this is one of the most critical aspects of realizing the right to food security and to nutrition security’’. Keynote Speech, Custodia Mandlhate, WHO Representative and UN Residence Coordinator a.i.c. Kenya: ‘’My role at this junction is very small: I just want to thank you all for coming to Kenya and sharing your experiences with ours. The UN system in Kenya stands totally committed to support the government in their efforts to scaling-up nutrition and we are proud to have hosted the launch of the UN System Network for Scaling Up Nutrition’’. 5. Better Together - Recommendations The following series of recommendations represents a summary of the major conclusions and agreements emerging from the group work, panels and plenary discussions. These were presented and endorsed by the end of the meeting and will serve as a road-map for the further expansion and consolidation of the UN Nutrition Network at country and global levels. Recommendation 1: UN JOINT PLANNING AND PROGRAMMING • The UN system in-country needs to adopt a common approach and joint objectives in terms of their support to national nutrition needs; • The UN Network for SUN at country level should use existing UNDAF/UNDAP5 process for strengthening joint nutrition programming; 5 United Nations Development Assistance Framework/Programme 24 | P a g e First Meeting of the UN System Network for SUN • • • The UN agencies in-country should endeavor to consistently approach and negotiate with the government ‘as ONE’; Within the context of the SUN Movement – both at national and global levels – to communicate ‘as ONE’ UN Network for SUN; As far as possible, the in-country UN Network for SUN should organize joint field visits with all partners. Recommendation 2: UN JOINT ADVOCACY AND RESOURCE MOBILIZATION • The UN Network for SUN should support national advocacy efforts jointly, speaking with one voice; • The UN Network for SUN should approach donors together and jointly seek to mobilize the resources needed to implement the government-led, updated and agreed national nutrition plan of action; • The UN Network for SUN should demonstrate that working together across nutrition-sensitive sectors and actions will create more resources and lead to better results; • The UN Network for SUN should promote ‘pooled’ or ‘basket fund’ approaches to help ensure that all critical aspects and parts of an agreed national nutrition action plan are resourced as needed. Recommendation 3: UN SYSTEM COORDINATION MECHANISM FOR NUTRITION • In order to establish clear responsibilities and accountability, the UN Country Team should appoint one agency to lead the UN Network for SUN in-country at both the level of Country Representative/Director as well as the technical level. This responsibility may be assigned on a rotational basis. • The UN Network for SUN should clarify clear roles and responsibilities among the agencies at both global and national levels. If needed, such agreements may be formalized through Memorandum of Understanding (MoU) or Letters of Agreement (LoA). • The UN Network for SUN and the IASC Food Security and Nutrition Clusters both at global and national levels to carefully review how to link relief and rehabilitation to development (LRRD) in the area of nutrition. Aspects of coordination, implementation and capacity development should be addressed. • The UN Network for SUN should expand and include all relevant UN agencies at both global and national levels. • The UN Network for SUN should strengthen in-country facilitation mechanisms, e.g. REACH6, to enhance collaboration and coordination across sectors and including all key stakeholders 6 REACH – ‘Renewed Efforts Against Child Hunger and undernutrition’ – an in-country facilitation mechanism initiated 2008 by FAO, WHO, UNICEF and WFP, ref. www.reachpartnership... 25 | P a g e First Meeting of the UN System Network for SUN Recommendation 4: CAPACITY DEVELOPMENT • Recognizing that in many countries, for the UN Network for SUN to provide critical technical assistance, recruitment and training of nutrition programming specialists will be required; • The UN Network for SUN in-country needs to ensure a coherent response to technical support needs expressed by governments as part of the SUN process; • The UN Network for SUN both at country and global levels should establish, enhance and strengthen knowledge-sharing platforms and mechanisms to facilitate exchange of ‘good practices’ as well as tools and methodologies needed for scaling-up of nutrition actions; • The UN Network for SUN needs to facilitate documentation as well as monitoring and evaluation of the nutrition scaling-up process. Recommendation 5: ACCOUNTABILITY • The UN Network for SUN to fully adopt and adhere to the agreed SUN ‘Common Results Framework’ at country level; • The UN Network for SUN to establish a joint monitoring and evaluation framework based on their in-country joint nutrition programming under UNDAF/UNDAP; • Performance appraisals to be undertaken to assess UN Network for SUN achievements as well as individual agency roles and responses therein; • The UN Network for SUN in-country to regularly report to the government SUN focal point on their progress and achievements as part of SUN accountability process. Recommendation 6: UN LEADERSHIP IN NUTRITION • The results and recommendations of this Meeting to be shared with all relevant UN Heads of agencies at global, regional and country levels as soon as possible; • Each UN agency to consider formulating a ‘policy brief’ on the UN Network for SUN to be signed by the Head of Agency and communicated and followed up by regional and country agency representatives. 6. Meeting Resolutions - Commitments While endorsing the long series of recommendations formulated by the meeting, Mr. Ramiro Lopez da Silva, speaking on behalf of Ambassador Ertharin Cousin, Executive Director of the UN World Food Programme, who represents the UN Network in the SUN Lead Group, made four final and specific promises, taking the following commitments with his colleagues that work with him in the context of UNSCN and REACH, that: 1. Consolidate and expand REACH for joint country support 2. Consolidate and expand UNSCN for policy harmonization 3. Develop accountability within UN nutrition network 4. Promote and expand joint UN programming 26 | P a g e First Meeting of the UN System Network for SUN Annex Meeting agenda th Monday, 26 August 2013 UN agencies responsibilities for optimal operationalization of UN System Network for SUN Time Session 08.00-09.00 Participants Registration 09.00-09.15 Welcome by Custodia Mandlhate, WHO RC representative Kenya Opening remarks by Ramiro Lopes da Silva, Chair of the UN Standing Committee on Nutrition and Assistant Executive Director WFP 09.15-09.55 Keynote speech, by Steven Allen, UNICEF Regional Director ai, and by Custodia Mandlhate, WHO Representative Kenya. The burden of malnutrition in Africa epidemiological trends in countries, by Mercedes de Onis, Coordinator Growth Assessment and Surveillance WHO: Objectives of the meeting and Introduction of participants by Nancy Walters, Global REACH Coordinator and UN Network co-facilitator. 10.05-10.45 Why do we need a UN Network? The need for coordinated support to countries and collaboration across the UN System. by Ramiro Lopes da Silva, Chair of the UN Standing Committee on Nutrition and Assistant Executive Director WFP, by Martin Gallagher, Policy Adviser, SUN Movement Secretariat. by Francesco Branca, UNSCN Executive Secretary and UN Network co-facilitator. 10.45-11.00 11.00-13.00 Coffee Break Moderated Panel Discussion: ‘Roles and responsibilities of UN system agencies in nutrition, challenges and opportunities to strengthen UN agencies collaboration in nutrition’ 13.00-14.00 14.00-15.30 Lunch Moderated Discussion: Current (programmatic and other) collaboration actions of UN agencies at country level with selected examples, lessons learned and good practices. 15.30-15.45 15.45-17.45 Coffee break Roll out of UN Network at country level Break out groups, brainstorming on Country level UN Network issues, followed by presentation in plenary and round up discussion. Wrap up and Conclusions 17.45-18.00 27 | P a g e First Meeting of the UN System Network for SUN Tuesday 27 August Towards a harmonized approach on Nutrition-sensitive development Time Session 08.00-09.00 Participants Registration 09.00-09.30 Welcome and Introduction By Francesco Branca, UNSCN Executive Secretary and UN Network co-facilitator 9.30-10.15 Nutrition-sensitive development – setting the scene: Presentation by Werner Schultink, UNICEF Chief Nutrition Section.: ‘Lancet Series on ‘nutrition-sensitive interventions, how can they help to accelerate progress in improving maternal and child health?’ Presentation by Joyce Njoro, REACH Senior Programme Officer 10.15-13.00 Moderated Discussion: Nutrition-sensitive agriculture Country focal points present their country case studies on nutrition-sensitive agriculture, share lessons learned and good practices. 13.00-14.00 14.00-15.00 15.00-15.15 15.15-17.50 17.50-18.20 18.20-18.45 by Barbara Burlingame, Deputy Nutrition Director FAO by Mohamed Ag Bendech , Regional Advisor, FAO Africa Region: Presentations of country approaches and results of country case studies Lunch Moderated panel discussion: Needs and expectations from countries towards the UN System Network, and The way forward for optimal country support Coffee break Moderated Panel Discussion: ‘Approaches and actions of UN system agencies in nutritionsensitive development; complementarities and opportunities for collaboration for optimal country support’. Information on the second International Conference on Nutrition (ICN2) Wrap up, and Conclusions by Werner Schultink, Chief Nutrition UNICEF, and Barbara Burlingame, Deputy Nutrition Director FAO 28 | P a g e First Meeting of the UN System Network for SUN Wednesday 28 August 2013 Regional launch of the UN System Network for SUN Time Session 08.00-09.00 9.00-10.00 Participants Registration and welcome coffee Welcome by Ramiro Lopes da Silva, Chair of the UN Standing Committee on Nutrition and Assistant Executive Director WFP Speech from the • SUN Movement Coordinator, David Nabarro • Donor representative, Hanns-Christoph Eiden Keynote speech by Representative UN in Kenya Official launch of the UN Network in the Region, Ramiro Lopes da Silva 10.00-11.00 11.00-11.15 11.15-12.15 12.15-12.30 Moderated Panel Discussion Complementarities and Synergies between UN agencies in supporting countries to scale up nutrition. How UN can jointly support country scaling up on the example of Kenya. Coffee Break Presentation of way forward and key decisions from the meeting Final Discussion Vote of thanks, by Ramiro Lopes da Silva, Chair of the UN Standing Committee on Nutrition and Assistant Executive Director WFP 29 | P a g e First Meeting of the UN System Network for SUN List of participants 1. Pushpa Acharya Head of Nutrition and HIV Unit Regional Bureau for Southern Africa World Food Program (WFP) South Africa Email: [email protected] 2. Paulina Addy Deputy Director Women in Agriculture Department (WIAD) Ministry of Food and Agriculture Ghana Email: [email protected] 3. George Aelion Senior Program Advisor Global Food Security Cluster (gFSC) World Food Program (WFP) Email: [email protected] 4. Mohamed AgBendech Senior Nutrition Officer Regional Office for Africa (RAF) Food and Agriculture Organization (FAO) Email: [email protected] 5. Brenda Akwanyi Nutrition Sector Coordinator IASC Nutrition Cluster Kenya Email: [email protected] 6. Natalie Rae Aldern Programme Officer Nutrition and HIV/AIDS Unit (OSZAN) World Food Programme (WFP) Italy Email: [email protected] 7. Luca Alinovi Sub-Regional Emergency Coordinator (Acting) Sub-Regional Emergency Office for Eastern and Central Africa (REOA) Food and Agriculture Organization (FAO) Kenya Email: [email protected] 8. Steven Allen Regional Director ai United Nations Children’s Fund (UNICEF) Kenya Email: [email protected] 9. Robert Allport Country Representative Food and Agriculture Organization (FAO) Kenya Email: [email protected] 10. Maaike Arts Nutrition Specialist United Nations Children’s Fund (UNICEF) Mozambique Email: [email protected] 11. Madhavi Ashok Deputy Representative United Nations Children’s Fund (UNICEF) Kenya Email: [email protected] 12. Daniel Balaban Representative and Director World Food Program (WFP) Brazil Email: [email protected] 13. Francesco Baldo Somalia Food Security Cluster Co-Coordinator Food and Agriculture Organization (FAO) Kenya Email: [email protected] 14. Alex Bambona Head Nutrition and Home Economics Ministry of Agriculture, Animal Industry and Fisheries Uganda Email: [email protected] 15. Filippo di Bari Nutrition Adviser/Head of CO Nutrition Unit World Food Program (WFP) Mozambique Email: [email protected] 16. Dismas Baza NPO MAL-NTD 30 | P a g e First Meeting of the UN System Network for SUN SUN & Nutrition Focal Point World Health Program (WHO) Burundi Email: [email protected] 17. Syeeda Begum Nutrition Manager United Nations Children’s Fund (UNICEF) South Sudan Email: [email protected] 18. Hana Bekele Technical Officer Accelerating Nutrition Improvements Regional Project for East and Southern Africa World Health Organization (WHO) Zimbabwe Email: [email protected] 19. Barbara Bentein Country Officer United Nations Children’s Fund (UNICEF) Democratic Republic of the Congo Email: [email protected] 20. Nina Berettapiccoli World Food Programme (WFP) Italy Email: [email protected] 21. Monique Beun Regional Nutrition Officer Regional Bureau for Southern Africa World Food Program (WFP) South Africa Email: [email protected] 22. Jhabindra Bhandari National REACH Facilitator REACH Nepal Email: [email protected] 23. Liliane Bigayimpunzi Head of Health Nutrition Education Section World Food Program (WFP) Burundi Email: [email protected] 24. Nelly Birungi Nutrition Specialist United Nations Childrens Fund Uganda Email: [email protected] 25. Sonia Blaney Nutrition Specialist United Nations Children’s Fund (UNICEF) Senegal Email: [email protected] 26. Martin Bloem Senior Nutrition Advisor WFP`s UNAIDS Global Coordinator World Food Programme (WFP) Italy Email: [email protected] 27. Satvika Chalasani Technical Specialist Technical Division United Nations Population Fund (UNFPA) Email: [email protected] 28. Sophie Cowppli-Bony Regional Facilitator for West and Central Africa REACH Email: [email protected] 29. Francesco Branca Executive Secretary United Nations Systems Standing Committee on Nutrition (UNSCN) Email: [email protected] 30. Barbara Burlingame Deputy Director Nutrition Division (ESND) Food and Agriculture Organization (FAO) Email: [email protected] 31. Ruth Butao Chief Technical Advisor Food and Agriculture Organization (FAO) Sierra Leone Email: [email protected] 32. Benoit Cambier Coordination, Monitoring & Assessment Officer Food Security Food and Agriculture Organization (FAO) Tanzania Email: [email protected] 33. Anne Chele Coordinator 31 | P a g e First Meeting of the UN System Network for SUN Kenya Joint Programme on Food and Nutrition Security Food and Agriculture Organization (FAO) Kenya Email: [email protected] 34. Ancikaria Chigumira Deputy Director Ministry of Health Zimbabwe Email: [email protected] 35. Mercy Chikoko Technical Officer Accelerating Nutrition Improvements Regional Project for Africa World Health Organization (WHO) Email: [email protected] 36. Kudakwashe Chimanya Nutrition Specialist United Nations Children’s Fund (UNICEF) Zimbabwe Email: [email protected] 37. Faraja Chiwile Nutrition Manager United Nations Children’s Fund (UNICEF) Sierra Leone Email: [email protected] 38. Marie-Claude Desilets Nutrition Manager United Nations Children’s Fund (UNICEF) Burundi Email: [email protected] 39. Souleymane Diallo International REACH Facilitator REACH Niger Email: [email protected] 40. Ndiobo Diene Technical Counselor Ministry of Agriculture Senegal Email: [email protected] 41. Elisa Dominguez Nutrition Officer Accelerating Nutrition Improvements Regional Project for West Africa World Health Organization (WHO) Email: [email protected] 42. Geoffrey Ebong Policy and Partnership Adviser World Food Program (WFP) Uganda Email: [email protected] 43. Hanns-Christoph Eiden President Federal Office for Agriculture and Food (BLE) Germany Email: [email protected] 44. Sian Evans International REACH Facilitator REACH Mali Email: [email protected] 45. Amadou Fofona National REACH Facilitator REACH Mali Email: [email protected] 46. Yvonne Forsen Head of Unit, Vulnerability, Analysis and Mapping, Nutrition and M^E World Food Program (WFP) Kenya Email: [email protected] 47. Dao Fousseini Nutrition Focal Point World Health Organization (WHO) Burkina Faso Email: [email protected] 48. Juliane Friedrich Sector Expert Nutrition/Gender Focal Point European Commission Directorate-General for Humanitarian Aid and Civil Protection (ECHO) Email: [email protected] 49. Martin Gallagher Policy Advisor SUN Movement Secretariat Office of the Special representative for Food Security and Nutrition Email: [email protected] 32 | P a g e First Meeting of the UN System Network for SUN Email: [email protected] 50. Ramana NV Gandham Lead Health Specialist The World Bank Africa Region Kenya Email: [email protected] 51. Karine Garnier Subregional Emergency Officer Food and Agriculture Organization (FAO REOA) Eastern and Central Africa Email: [email protected] 52. Diawara Aichatou Gbaguidi Technical Officer/Nutrition World Health Program (WHO) Gabon Email: [email protected] 53. Haile Gebru Programme Officer – Nutrition World Food Program (WFP) South Sudan Email: [email protected] 54. Bibi Giyose Advisor, Food and Nutrition Security The New Partnership for Africa’s Development (NEPAD) Email : [email protected] 55. Tania Goosens International REACH Facilitator REACH Mozambique Email: [email protected] 56. Mark Gordon Somalia Food Security Cluster Co-Coordinator World Food Program (WFP) Email: [email protected] 57. Kadidiatou Gouro National REACH Facilitator REACH Niger Email: [email protected] 58. Valerie Guarnieri Regional Director World Food Program (WFP) East and Central Africa Kenya 59. Janet Guta Deputy Director Nutrition Management Department of Nutrition, HIV and AIDS Office of the President and the Cabinet Malawi Email: [email protected] 60. Mutinta Hambayi Project Manager & Nutrition Technical Advisor World Food Program (WFP)/CIFF Partnership Malawi Email: [email protected] 61. Josephine Iziku Ippe IASC Global Nutrition Cluster Coordinator Switzerland Email: [email protected] 62. Isatou Jallow Advisor, Nutrition/HIV World Food Programme (WFP) Kenya Email: [email protected] 63. Benedict Jeje Acting Managing Director Tanzania Food and Nutrition Centre Tanzania Email: [email protected] 64. Abdoulaye Ka National Coordinator Cellule de Lutte contre la Malnutrition Senegal Email: [email protected] 65. Edna Kalaluka Head of Programme World Food Program (WFP) Zambia Email: [email protected] 66. Titus Katembu Project Officer European Union Delegation to Kenya Kenya Email:[email protected] 67. Jeannette Kayirangwa National REACH Facilitator 33 | P a g e First Meeting of the UN System Network for SUN REACH Rwanda Email: [email protected] 68. Gudrun B. Keding PostDoc Research Fellow Nutrition and Marketing Diversity Programme Bioversity International Email: [email protected] 69. George Kembo Director Food and Nutrition Council Zimbabwe Email: [email protected] 70. Etienne Kembou National Professional Officer for HIV/AIDS Focal Point for Nutrition World Health Organization (WHO) Cameroon Email: [email protected] 71. Sean Kennedy Technical Officer International Fund for Agricultural Development (IFAD) Email: [email protected] 72. Angela Kimani Nutritionist FAO Subregional Emergency Office for Eastern and Central Africa Food and Agriculture Organization (FAO) Kenya Email: [email protected] 73. Ferew Lemma International REACH Facilitator REACH Ethiopia Email: [email protected] 74. Mohamed Cheikh Levrak International REACH Facilitator REACH Chad Email: [email protected] 75. Ines Lezama Nutritionist Specialist United Nations Children’s Fund (UNICEF) Cameroon Email: [email protected] 76. Susan Lillicrap Chief of Nutrition United Nations Children’s Fund (UNICEF) Sudan Email: [email protected] 77. Bjorn Ljungqvist Consultant Sweden [email protected] 78. Cornelia Loechl Nutrition Specialist International Atomic Energy Agency (IAEA) Email: [email protected] 79. Ramiro Lopes da Silva Chair United Nations Systems Standing Committee on Nutrition (UNSCN) Email: [email protected] 80. Lina Mahy Technical Officer United Nations Systems Standing Committee on Nutrition (UNSCN) Email: [email protected] 81. Mary Manandhar International REACH Facilitator REACH Bangladesh Email: [email protected] 82. Custodia Mandlhate WHO Representative/Kenya World Health Organization (WHO) Kenya Email: [email protected] 83. Philip Mann International REACH Facilitator REACH Tanzania Email: [email protected] 84. Paula Machungo Martins National REACH Facilitator REACH Mozambique Email: [email protected] 34 | P a g e First Meeting of the UN System Network for SUN 85. Sicily Matu Nutrition Specialist United Nations Children’s Fund (UNICEF) Kenya Email: [email protected] 86. Bakunzi Maureen Assistant Commissioner Office of the Prime Minister Uganda Email: [email protected] 87. Mzondwase Agnes Mgomezulu Deputy Director Department of Agricultural Extension Services Ministry of Agriculture and Food Security Malawi Email: [email protected] 88. Magdalena Owusu Moshi OIC / Deputy Country Director World Food Program (WFP) Ghana Email: [email protected] 89. Katim Mtambo Director of National Food Security Ministry of Agriculture and Food Security Tanzania Email: [email protected] 90. Freddie Mubanga Head Public Health and Community Nutrition National Food and Nutrition Commission Zambia Email: [email protected] 91. Mohammed Hafiz Muntaka National REACH Facilitator REACH Ghana Email: [email protected] 92. Piyali Mustaphi Chief, Nutrition United Nations Children’s Fund (UNICEF) Malawi Email: [email protected] 93. David Nabarro United Nations Secretary-General Special Representative for Food Security & Nutrition, Scaling Up Nutrition Coordinator United Nations High Level Task Force, SUN Email: [email protected] 94. Ancilla Ndahigeze National Consultant on Gender, VIH & Nutrition Food and Agriculture Organization (FAO), Burundi Email: [email protected] 95. Tafar Ndumiya National Programme Officer World Food Program (WFP) Zimbabwe Email: [email protected] 96. Felicia Ndung`u Head Home Economics Sub-Division State Department of Agriculture Ministry of Agriculture, Livestock and Fisheries Kenya Email: [email protected] 97. Ingo Neu International REACH Facilitator REACH Nepal Email: [email protected] 98. Eveline Ngwenyi Nutritionist/Program Assistant World Food Program (WFP) Cameroon Email: [email protected] 99. Joyce Njoro REACH Senior Programme Officer World Food Programme (WFP) Email: [email protected] 100.Gaston Nkeshimana Senior Programme Assistant Health Nutrition Education Section World Food Program (WFP) Burundi Email: [email protected] 35 | P a g e First Meeting of the UN System Network for SUN 101. Stacia Nordin Nutrition Officer (Food Security & Policy) Food and Agriculture Organization (FAO) Malawi Email: [email protected] 102. Hjördis D'Agostino Ogendo Head Social and Environment Section Delegation of the European Union to the Republic of Kenya Email: [email protected] 103. Georges Okala Sous-Directeur Alimentation et Nutrition and SUN Focal Point Ministere de la Sante Publique Cameroon Email: [email protected] 104.Beatrice Okello National Progamme Officer Food and Nutrition Security Right to Food Officer Food and Agriculture Organization (FAO) Uganda Email: [email protected] 105.Wilhelmina Okwabi Deputy Director and Head Nutrition Department, Family Health Division Ghana Health Service Ghana Email: [email protected] 106.Allison Oman Senior Regional Nutrition and Food Security Officer UNHCR Regional Support HUB Kenya Email: [email protected] 107.Mercedes de Onis Coordinator GRS/NHD World Health Organization (WHO) Email: [email protected] 108.Joyce Owigar Programme Officer Nutrition World Food Program (WFP) Kenya Email: [email protected] 109.Felicidade Panguene Programme Officer Education, Nutrition and HIV Food and Agriculture Organization (FAO) Mozambique Email: [email protected] 110. Marc Andre Prost Head of Nutrition World Food Program (WFP) Sudan Email: [email protected] 111.Mohammad Iftekhar Rashid National REACH Facilitator REACH Bangladesh Email: [email protected] 112.Barbara Reed Food for Peace M&E Specialist United States Agency for International Development (USAID) United States of America Email: [email protected] 113.Deo Guide Rurema Chef de Cabinet Adjoint du Deuxième Vice-Président et Point Focal SUN du Gouvernement Burundi [email protected] 114. Deborah Saidy Regional Deputy Director World Food Program (WFP) East and Central Africa Kenya Email: [email protected] 115. Holly Dente Sedutto REACH Consultant World Food Programme (WFP) Email: [email protected] 116. Lilian Selenje Nutrition Specialist United Nations Children’s Fund (UNICEF) Ghana Email: [email protected] 36 | P a g e First Meeting of the UN System Network for SUN 117.Werner Schultink Chief, Nutrition Associate Director, Program Division United Nations Children’s Fund (UNICEF) Email: [email protected] 118.Mohamed Ajuba Sheriff Deputy Director Planning, Evaluation, Monitoring & Statistics Division Sierra Leone Email: [email protected] 119.Ronald Sibanda Country Representative World Food Programme (WFP) Kenya Email: [email protected] 120.Isabelle Nicole Da Silva-Djossa REACH Facilitator Burundi Email: [email protected] 121. Salwa Abdelraheim Sorkati National Nutrition Director Federal Ministry of Health Sudan Email: [email protected] 122.James Francis Swokiri Extension Specialist Food and Agriculture Organization (FAO) South Sudan Email: [email protected] 123. Sophie Tadria Food Security and Nutrition Consultant Food and Agriculture Organization (FAO) Ghana Email: [email protected] 124.Delilah Takawira Nutrition Officer Food and Agriculture Organization (FAO) Zimbabwe Email: [email protected] 125.Almeida Tembe Technical Officer SETSAN Mozambique Email: [email protected] 126.Fatim Tall Thiam National Professional Officer Maternal Child and Reproductive Health / Nutrition World Health Organization (WHO) Senegal Email: [email protected] 127. Abdulai Tinorgah Head, Child Survival & Development United Nations Children’s Fund (UNICEF) Kenya Email: [email protected] 128. Florence Tonnoir Food Security, Nutrition and Livelihoods Officer Food and Agriculture Organization (FAO) Email: [email protected] 129. Nancy Walters Global Coordinator REACH Italy Email: [email protected] 130.Terry Wefwafwa Head Division of Nutrition Ministry of Public Health and Sanitation Kenya Email:[email protected] 131.Victoria Wise International REACH Facilitator REACH Ghana Email: [email protected] 132. Marzella Wüstefeld Technical Officer United Nations Systems Standing Committee on Nutrition (UNSCN) Switzerland Email: [email protected] 133.Naoe Yakiya Deputy Country Director World Food Program (WFP) Sierra Leone Email: [email protected] 37 | P a g e First Meeting of the UN System Network for SUN 134.Hannah Yankson National Professional Officer World Health Organization (WHO) Sierra Leone Email: [email protected] 135.Noel Marie Zagre Regional Nutrition Adviser Eastern and Southern Africa Regional United Nations Children’s Fund (UNICEF ESARO) Kenya Email: [email protected] 136. Ferima Coulibaly - Zerbo Regional Nutrition Advisor World Health Organization (WHO) Burkina Faso Email: [email protected] 137.Aaron Ananiah Zimwanza Food and Nutrition Officer Ministry of Agriculture and Livestock Zambia Email: [email protected] 38 | P a g e First Meeting of the UN System Network for Scaling Up Nutrition This summary report endeavors to capture the key issues discussed and the recommendations and resolutions agreed upon during the first meeting of the UN System Network for Scaling Up Nutrition that took place in Nairobi, 26-28August 2013. For a complete account of the meeting’s concept paper, agenda, presentations and photos, please refer to the UN Network for SUN page on the UNSCN website www.unscn.org. UNSCN Secretariat - c/o WHO - 20, Avenue Appia – CH 1211 Geneva 27 – Switzerland – www.unscn.org
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