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The Evolving Role of Food Aid in Reducing Malnutrition

This presentation highlights the magnitude of malnutrition and the global distribution of stunting. It explores Save the Children's approach to addressing malnutrition through proven interventions and priority interventions. The evolving trends in food aid programming, including monetization to distribution, development to emergency, and the use of ready-to-use foods, are also discussed.

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The Evolving Role of Food Aid in Reducing Malnutrition

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  1. Heather Danton Advisor, Livelihoods International Food Aid Conference Kansas City - April 15, 2008 The PepsiCo Foundation Meeting March 31, 2008 The Evolving Role of Food Aid in Reducing Malnutrition – An NGO Perspective

  2. MalnutritionMagnitude of the Problem • 150 million children under 5 undernourished • 35% of child deaths (under 5 yrs) are attributable to undernutrition (3.5 million annually) 1 every 9 seconds • Maternal undernutrition during pregnancy and lactation impacts child’s nutritional status • For those who survive, stunting impacts are irreversible, with permanent reductions on physical growth, intellectual development, and economic productivity

  3. Global Distribution of Stunting 90% of stunted children live in just 36 countries Source: REACH

  4. Save the Children USFood Aid Programming in 2007 Tajikistan Pakistan Mali Haiti Bangladesh Guatemala Nicaragua Indonesia Honduras Ethiopia Sudan Bolivia Uganda Malawi Mozambique

  5. Save the Children USFood Aid Allocations in 2007 Total Program Value: $99 million

  6. Adequate Access to Food Optimal Utilization of Food Save the Children USFood Security Conceptual Model Reduced Hunger & Malnutrition Adequate Availability of Food Resiliency to shocks Source: Webb and Rogers (2003)

  7. Addressing MalnutritionThe Window of Opportunity We target children under the age of two Source: Shrimpton et al., 2001

  8. Addressing MalnutritionProven Interventions We focus on proven interventions

  9. We work to reduce the coverage gap Addressing MalnutritionPoor Coverage of Interventions Source: Lancet Volume 362, PP. 65-71

  10. Reducing MalnutritionThe SC Approach Strategic Objective Increase the Use of Key Nutrition Related Practices and Services Intended Impact: Reduced Malnutrition in Children

  11. Reducing MalnutritionSC Priority Interventions

  12. Reducing MalnutritionThe SC Approach Strategic Objective Increase the Use of Key Nutrition Related Practices and Services Behaviors Intended Impact: Reduced Malnutrition in Children

  13. Intermediate Result 1: Increased Access to, & Availability of, food and health services Intermediate Result 2: Increased Quality Of Services Intermediate Result 3: Improved Knowledge, Attitudes, and Skills Intermediate Result 4: Enabling Social & Policy Environment Reducing MalnutritionThe SC Approach Intended Impact: Reduced Malnutrition in Children Strategic Objective Increased Use of Key Health and Nutrition Practices and Services Behaviors

  14. Reducing MalnutritionSC’s Use of Food Aid • Monetization: Cash for comprehensive nutrition programming • Direct Distribution: • Preventive Rations • Incentive Rations • Recuperative Rations Development Programs 2007

  15. Reducing MalnutritionThe Evolving Role of Food Aid Three Trends in SC Food Aid Programming: • Trend 1: Monetization to Direct Distribution • Trend 2: Development to Emergencies • Trend 3: Dry Rations to Ready to Use Foods

  16. The Evolving Role of Food AidTrend 1: Monetization to Distribution Save the Children Development Food Aid Programs – Monetization 2006 to 2007 • Declining CASH resources for development food aid programming • Cost/benefit ratio of delivering food is on the increase • Decreased ability to affect behavior and create change at scale

  17. The Evolving Role of Food AidTrend 2: Development to Emergency • Clear shift in the relative size of Save the Children’s portfolio and future growth • Emerging questions regarding emergency food aid: • Effectiveness of Supplementary Feeding (SC-UK publication and an upcoming global meeting to explore this subject) • Food aid versus Cash-based programming

  18. The Evolving Role of Food AidTrend 3: Ready to Use Foods (RUF)

  19. The Evolving Role of Food AidTrend 3: SC RUF Portfolio Growth

  20. The Evolving Role of Food AidTrend 3: SC RUF Priorities • Emergency Programs: Community-based Therapeutic Care (CTC) • Development Programs: Community-based Management of Acute Malnutrition (CMAM) • HIV/AIDS: “Food by Prescription” PEPFAR • Potential for Prevention: Lipid-Based Nutrient Supplements

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