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Revitalising and sustaining nutrition surveillance in Tanzania. Regional Technical Working Group Meeting NIPHORN Nairobi, 1-3 February 2007. Outline of the presentation. History of NSS in Tanzania Lessons learnt Revitalisation of NSS: Rationale Revitalisation of NSS: Process
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Revitalising and sustaining nutrition surveillance in Tanzania Regional Technical Working Group Meeting NIPHORN Nairobi, 1-3 February 2007 Tanzania Team (NBS-UNICEF-WFP)
Outline of the presentation • History of NSS in Tanzania • Lessons learnt • Revitalisation of NSS: Rationale • Revitalisation of NSS: Process • Opportunities • Challenges • Conclusion Tanzania Team (NBS-UNICEF-WFP)
History of Nutrition Surveillance System (NSS) in Tanzania • Started as earlier as 1980 • The system had three levels: • National Nutrition Surveillance (NNS) • District Nutrition Surveillance (DNS) • Community Nutrition Surveillance (CNS) Tanzania Team (NBS-UNICEF-WFP)
Lessons learnt • Getting information timely was difficult • Exchange of information from one institution to another was not easy • Institutionalisation of the system (too vertical) • Data collected were limited and the filling of village register cumbersome • Utilisation limited • Insufficient capacity at sub-national level Tanzania Team (NBS-UNICEF-WFP)
Revitalisation of NSS: Rationale • Nutrition information is collected through various ways • Second phase of the Poverty Reduction and Economic Recovery Program (Mkukuta) • Decentralisation process • Recurrent natural disasters • Profile of nutrition is being raised Tanzania Team (NBS-UNICEF-WFP)
Revitalisation of NSS: Process • Building on lessons learnt of past experiences • Wide consultation (experts, stakeholders) • Coordinating body (NSS sub-working group0 • NSS framework • National workshop on NSS • Link with national monitoring system (PMS) and database (TSED) • Piloting in few districts (2007) Tanzania Team (NBS-UNICEF-WFP)
Opportunities • Mainstreaming in the Mkukuta monitoring system • Decentralisation • Leveraging resources (PMS, GBS, District Funds) • Integration of nutrition indicators into national surveys (NBS) Tanzania Team (NBS-UNICEF-WFP)
Challenges • Create demand for nutrition information • National leadership • Sustainability • Facility bias • Community capacity to collect, analyse and take action • Quality of surveys Tanzania Team (NBS-UNICEF-WFP)
Conclusion • Unless: • nutrition information is mainstreamed in national data collection and information management system • Nutrition is seen as an important contributor to development • Nutrition information is strongly linked with interventions NSS in Tanzania will not be implemented successfully and in a sustainable manner Tanzania Team (NBS-UNICEF-WFP)
THANK YOU - ASANTE SANA Tanzania Team (NBS-UNICEF-WFP)