NUTRITIONAL FACTS

250 million children in the first 5 years of life not meeting their developmental potential (Lancet, 2017) Tanzania among the countries with the highest burden of early childhood development Leads to poor academic outcomes, later life physical and mental health problems, lower economic opportunities

Providing multiple protective inputs is potentially an effective and efficient use of resources to achieve multiple outcomes of interest Nutrition is a significant risk that threatens healthy growth and ECD. Nutrition intervention supports improved nutritional wellbeing and growth. Nutrition intervention alone is not enough to support ECD. Provision of parenting interventions and support for early learning achieve higher impacts on ECD. Combined packages of care may benefit multiple outcomes. Addressing common pathways of care Supporting caregivers (knowledge, skills, emotional wellbeing and resources) Efficient use of resources. Practical for families to have one service with ‘whole child’ care. Coordination of messages, and consistent messages.

Sensitive Periods and the Developing Brain: Begin Early and Boost Interventions Important time period for nutrition (complimentary feeding- poor on track growth)

Intervene Early to Reduce Inequalities in the Life Course -Without intervention, early risks shape life long inequalities

The Causes of Malnutrition are Interconnected Lack of good CARE for mothers & children & support for parents on appropriate child feeding practices Inadequate Access to HEALTH Sanitation & Clean Water Services Insufficient access to affordable, nutritious FOOD throughout the year Diarrhoea <5 = 9.7% EBF 17.6% H/Washing 40.5% MAD 11.3% ROOTED IN Political & Cultural Environment Disempowerment of women Environmental Degradation Poverty TDHS, 2015/16

Understanding Nutrition Problems & Socio-economic Consequences Brain of iodine secure child Brain of iodine deficiency child PROFILES also estimates economic productivity losses if there is no change in the nutrition situation.

Brain development Stunted brain Well nourished/developed brain

Approach! One Day Sessions very FOCUSED on: Advocacy for Domestic RESOURCE Allocation- 1,000 shs. High impactful interventions= Effective allocation. Interventions/activities at Facilities- that is why DHFF. Inform on PLANREP improvement – Nutrition MATRIX.