The Learning Route in Rwanda Photo: Mark Kaye/Save the Children Leveraging the Scaling Up Nutrition Civil Society Network: building regional platforms to promote learning on how to address malnutrition The Learning Route in Rwanda EXPERIENCE FAIR 30 October 2016, Kigali, Rwanda Country Team Members: Metasebia Legesse, Kenaw Gebreselassie, Tsegereda Abreham

Ethiopia Civil Society Coalition for Scaling up Nutrition (ECSC-SUN) : SUN Civil Society Efforts | October 2016

Nutrition Situation in Ethiopia There is a downward trend in the proportion of children stunted and underweight over 5 years Demographic Health Surveys done at national level (EDHS) 2011&2014 shows - Under Five Stunting - 40%. - Low Birth Weight - 10% - Under Five Wasting - 9% - Under five Underweight - 25% - Under Five Overweight – 3% - 0-6 Months Exclusive Breastfeeding - 52% - Anaemia in children 6–59 months of age – 44% - about half of children receive complementary foods during 6-9 months - 4.3% of children above 6 months consumed the recommended 4 food groups daily. - prevalence of anaemia amongst women (15–49 Years old) - 17% - thinness (BMI<18.5) among women of reproductive age 27% Photo: Caroline Trutmann/Save the Children SUN Civil Society Efforts | October 2016

Changing trend (2000 – 2014) SUN Civil Society Efforts | April 2016

key National interventions to tackle malnutrition in Ethiopia Multi-sectoral National Nutrition Program II (2016-2020) with 5 SOs 1. improve the nutritional status of women (15–49 years) and adolescent girls (10–19 years) 2. improve the nutritional status of children from birth up to 10 years 3. improve the delivery of nutrition services for communicable and non- communicable/lifestyle related diseases 4. strengthen the implementation of nutrition-sensitive interventions across sectors 5. improve multisectoral coordination and capacity to implement the national nutrition program SUN Civil Society Efforts | October 2016

Key national… The Seqota Declaration – a commitment to end child malnutrition by 2030  Zero stunting in children less than 2 years;  100 percent access to adequate food all year round;  Transformed small-holder productivity and income;  Zero post-harvest food loss through reduced post-harvest loss;  Innovation around promotion of sustainable food systems  Continue to improve the accessibility and coverage of adequate and safe drinking water supply, 100 percent open defecation free districts;  Increase efforts to educate women and girls,  Focus on poverty reduction and resilience building SUN Civil Society Efforts | April 2016

Main challenges Lack of strong multi-sectoral/stakeholder coordination Limited mainstreaming nutrition into sector plans Budget for National Nutrition Program (NNP) implementation & coordination: not enough for the implementation of NNP II Monitoring and Evaluation: Health sector monitoring system-health management information system (HMIS), includes only few nutrition indicators; changes related to behavioral change are not collected… SUN Civil Society Efforts | April 2016

Lessons Learnt: Learnt from NNP I, Life Cycle Approach (Adolescent girls, pregnant women, infants (0-6m), & infant & young children (6-24m) is expected to be strengthened in the implementation of NNP II Multi-stakeholder coordination was vague, now there is a clear guideline for sector’s roles, monitoring Gender sensitivity – lessons learnt from previous intervetions From one or two-man led to participatory taskforces/case teams Cascading NNP to localities where implementation has to happen SUN Civil Society Efforts | April 2016

ECSC-SUN in Brief Initiated by SC established in June 2013, with 11 founding members Led/ chaired by Save the Children since its inception Membership has been open for CSOs having nutrition focused interventions and operating in Ethiopia With a phase by phase expansion, currently-50 international and local NGOs as members (36% local and 64% international) Steering committee established comprises 9 members SUN Civil Society Efforts | October 2016

Funding Secured funding for two years (July 2014 – June 2016) from Irish Aid and run a project with key strategic objectives. Project period has now extended to December 2016 with re-programmed activities. Thanks to Concept note development underway for future funding request. SUN Civil Society Efforts | April 2016

Key intervention area of the CSA and key achievements Key intervention areas: Advocacy/sensitization Policy, programs and muti-sectoral engagement Capacity Building: CSOs, media, health/nutrition service providers Documentation & knowledge sharing Key achievements: Setting nutrition as public agenda Creating awareness through sensitization and publication of materials: MPs (April 2016), CSOs, media (2015-2016) Policy & practice review of sector ministries (2015) Support devt of NNP, implementing guidelines, SBCC materials… Documentation of success stories and sharing (Nov. 2015) Photo: Caroline Trutmann/Save the Children SUN Civil Society Efforts | April 2016

Most influential nutrition stakeholders From the 13 NNP implementing sectors Federal Ministry of Health comes first, then FMoA … National Nutrition Coordinating Body (NNCB)/National Nutrition Technical Committee (NNTC) The First Lady – serving as Nutrition Ambassador Development partners: Nutrition Development Partners Meeting (NDPM), Donors: USAID, World Bank, DFID, Irish Aid, UNICEF, INGOs: SC, WV, Concern, Care, MI, FHI360- FANTA/A&T EthiopIa Public health Institute (EPHI) & Universities (Hawassa, Jimma..) SUN Civil Society Efforts | October 2016

SUN Civil Society Efforts | April 2016

ECSC-SUN calls for Key politicians, government officials and decision makers at all levels fully sensitised, recognise and demand nutrition as a priority issue. Nutrition to be integrated into National Nutrition Program (NNP) implementing sector Ministry policies, plans, practice and financed action plans, and accountability is monitored through regular reporting. Government and all Partners (Private sector, Civil Society and Donors) meet Ethiopia’s national commitments, ensuring adequate and sustainable commitment of resources to achieving a reduction in malnutrition in line with the costed National Nutrition Programme. SUN Civil Society Efforts | October 2016

Thank you! Photo: Adam Hinton/Save the Children