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CRP4 Conceptual Framework . H ealth. 1. Enhancing Nutrition along the Value Chain. 3. Prevention & Control of Ag- Associated Diseases . 4. Integrated Programs and Policies. N utrition. 2. Bio-fortification. A griculture. Social Behavior Change and Communications All components.
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CRP4 Conceptual Framework Health 1. Enhancing Nutrition along the Value Chain 3. Prevention & Control of Ag- Associated Diseases • 4. Integrated Programs and Policies Nutrition 2. Bio-fortification Agriculture Social Behavior Change and Communications All components Improved availability, access, intake of nutritious, safe foods Increased labor productivity Increased knowledge of nutrition, food safety Decreased risk of AAD Increased income and gender equity RESULT: Improved nutrition and health, especially among women and young children
Goal of Component 4 • Exploit and enhance synergies between ANH through program and policy research that permits: • More effective community-level programming of multi-sectoral, nutrition sensitive programs • Cultivation and strengthening of an enabling policy and institutional environment to support relevant action
Ot Program Impact Pathways Outputs Research Outcomes Development Outcomes • Biofortified and diverse nutrient-rich foods available and accessible to the poor • Knowledge and technologies to improve quality and safety of foods along value chains developed • Better, more cost-effective integrated ANH program models and capacity strengthened • Strong evidence of role of integrated ANH programs in improving health and nutrition • Good practices in integrated ANH policymaking applied • Cross sectoral work incentivized • Capacity for joint policymaking strengthened • 1. VALUE CHAINS: • Producers • Chain agents • Media and consumer group • Regulators Value chains that provide more nutritious and safer food Impacts Improved nutrition and health, especially among women and young children Implementers • 2. DEVELOPMENT PROGRAMS: • Development program implementers (gov’t , NGOs ) • Public health program implementers Better integrated agriculture, nutrition and health programs • 3. POLICY: • Policymakers and investors • Inter-gov’t agencies Better cross-sectoral policy, regulation and investment Enablers
Agriculture Programs to Improve Nutrition Photo: One Acre Fund
HKI’s Enhanced Homestead Food Production Program • Objective: improve nutritional status of vulnerable members of low income households through home production of micronutrient (MN) rich crops and small animals, poultry … • Nutritional focus includes child growthand micronutrient deficiencies • Emphasis on year round production of local micronutrient-rich crops and animal source foods • Focus on improving local farming practices to extent possible
HKI’s E-HFP Program… • HKI partners with government field agents and local NGOs for 3 year cycle • Establish Village Model Farms (serve ~ 40 households) • Provide seeds, saplings and chicks • Provide agricultural training in optimal techniques for crops and raising small animals and fowl • Make market linkages when needed • Provide links to health services and nutrition behavior change communication
HKI’s Homestead food production in Bangladesh Helen Keller International Integrating agriculture and nutrition at household and community level AIMS: • Increase production and income: focus on • micronutrient-rich vegetables, small livestock • Increase consumption: through education/BCC • Engage and empower women: income, empowerment • Improve nutrition: by improving availability, access to, • intake of nutrient-rich foods • IMPACTS: • Production ↑: Triple vegetable production; increased income • Women participated: 73% of gardens managed by women • Food security ↑: for 5 million people • : Source: Millions Fed , IFPRI, 2009; www.ifpri.org/millionsfed
Evidence of impact on maternal & child nutrition is limited Helen Keller International Areas for improvement: • Stronger, better targeted BCC • Focus on the 1000 days • Stronger links to health systems • More rigorous theory-based impact • evaluation • Systematic documentation of lessons • learned • IFPRI currently working with HKI in Burkina • Faso • : Source: Millions Fed , IFPRI, 2009; www.ifpri.org/millionsfed
- Burkina Faso (HKI)- Zambia (RAIN) (Concern)- Bangladesh (SPRING)- Uganda, Mozambique (OFSP, H+)- Nepal (Save/HKI)- West Africa (HKI/IFPRI proposal) IFPRI’s Research Portfolio on AHN Programs (2012 and beyond) • To be explored in 2012: • Links with World Fish and CRP1.3 (fish systems, livelihoods and nutrition) in Zambia and Bangladesh
Incorporating Nutrition in Multiple Sectors GOVERNANCE GENDER Water & Sanitation Agriculture & Food Security Social Protection Environment & Climate Change Private Sector Poverty Reduction Trade/Fiscal Policies Health
Other IFPRI Research on Nutrition Focused Multi-Sectoral Programs and Policies • Alive & Thrive (largely health) • Preventing Malnutrition in Children under 2 (PM2A) (social protection (food aid) and health) • Transform Nutrition (health, agriculture, social protection, gender) • Leveraging Agriculture for Nutrition in South Asia (LANSA) (agriculture, health, gender) • SPRING – (health, agriculture, social protection) • POSHAN (health) • TANDI (India) – concluded will provide outputs
Impact Pathways Program design/ implementation (Partner implementers) Policy Processes (Policymakers and policy-influencers) Research (CGIAR centers, research partners) Activity Domains Methods & tools to design, implement, evaluate, scale-up AHN programs Better, more cost-effective integrated AHN program models & capacity strengthened at all levels Strong evidence of role of integrated AHN programs in improving health & nutrition Information system & communities of practice formed, data mapped, joint metrics developed Good practices in ANH integration recognized and applied; cross-sector work incentivized Capacity for policy research and influence assessed and strengthened Outputs Methods & tools used, AHN programs implemented at scale; evidence used for decision making by program managers, practitioners, donors Integrated information systems, evidence and good practices used for decision making by policy makers and donors; collaborative ANH policymaking undertaken Outcomes Improved nutrition and health Impact
Links with Other CRP4 Components • Value Chain (target foods produced) • HarvestPlus (commodities themselves) • Agriculture-associated diseases (bring health more solidly into ANH programs)
Partnerships • CG centers: Bioversity, CIP, ICRAF, IFPRI, ILRI, World Fish • Other ag research centers: World Vegetable Center • CRPs – to be explored in short term: 1.3; later on: 3.5, 3.7, 5, 6, 7; Policy component: CRP2 • Program implementers (NGOs, Governments, UN (e.g. WFP) • Academic institutions (U. Pretoria, Cornell U (e.g. Tata Foundation link), LCIRAH and emerging University network of ANH), UCDavis, Tufts/Hopkins (nutrition CRSP) • CAADP pillar 3 • Private sector