Technical / Program Consultant Scaling Up Nutrition (SUN) Unit Dr. Nadir Shah Technical / Program Consultant Scaling Up Nutrition (SUN) Unit Planning & Development Department (P&DD) Government of Gilgit-Baltistan

GB Nutrition Status & SUN Progress Contents: Conceptualizing Malnutrition & SUN Role GB Nutrition Status SUN GB Progress up date Challenges of Nutrition in GB Way forward

CAUSAL ANALYSIS OF MAL-NUTRITION

GB Malnutrition causal analysis Sector Wise Causal Mal-nutrition WASH Food Insecurity Child-Care & Self-Care Education Poverty

SUN GB - Objectives Strengthening advocacy & coordination among regional stakeholders responsible for nutrition promotion Provide technical input to relevant sectors (including health, agriculture, food, education, local government, public health engineering, social welfare, industries and environment) on evidence based interventions pertaining to nutrition sensitive and specific strategies.  Liaise with development partners and other organizations to align nutrition related interventions with multi-sectoral integrated nutrition strategy

Country level SUN Approach: Multi-Sectoral Coordination & Intervention The multi-stakeholder platform Works to align and coordinate action across sectors. Social Protection Health Women’s Empowerment Agriculture Development , Poverty Reduction & Employment Education

Malnutrition Status of children IN GB (MICS 2016) Percentage of children under 5-years Too less weight for Age Too short for their age Too thin for their height Too heavy weight for Age

Stunting Prevalence-District Wise

Children Micronutrient Deficiency Indicators Gilgit Baltistan NNS 2011

Women Micronutrient Deficiency Indicators Gilgit-Baltistan NNS 2011 NNS 2011

Breast & Infant Feeding Gilgit-Baltistan Consolidated ( Ten Districts)

Salt-Iodization, Low-Birth Weight, Vitamin-A Gilgit Baltistan Consolidated Indicators ( Ten Districts)

WATER AND SANITATION CONSOLIDATED GILGIT-BALTISTAN (TEN DISTRICTS)

SUN, Multi-Sectoral Nutrition-Progress Forums for creating enabling environment Sectoral TWGs Multi-sectoral coordination committees Political endorsement Inter-sectoral-nutrition strategy in place Sectoral Focal person of nutrition Provincial focal person SUN Unit established Sectoral Ministerial Forum Steering committee

SUN, Multi-Sectoral Nutrition-Progress B. Advocacy / Coordination Parliamentarians Civil society members Academia Women organizations Media Local Food business community Line departments

SUN Multi-Sectoral Nutrition Progress C) Sectoral Nutrition Legislation Policies in place Inter-sectoral-Nutrition policy & strategy GB Water & Sanitation policy Drinking water policy Behavioral Change Communication policy Agriculture & Sub-sectoral policy Iodine Deficiency Disorder Control Act Pure Food Act Legislation in Process Food Fortification Act Breast Feeding Protection & Child Nutrition Act GB Food Authority

SUN Multi-Sectoral Nutrition Progress D. Sectoral Projects Health Sector PC1 Nutrition improvement program Improve nutrition status of under 5 children /mothers Promote healthy dietary habits in adolescent girls /adults Decrease micronutrient deficiency in mothers & children 2. Agriculture & subsectors Projects 3. Education 4. Food 5. WDD 6. LG & RD/ WASH

Key Challenges of Nutrition Agenda in GB Short crops yield period Regional / Geographic Nutrition - a Marginalized Sector Difficult Terrain Limited Donors involvement Inaccessibility to health/nutrition care facilities Disaster risk area High burden of chronic malnutrition Scarcity of professional HR Limited provincial resources Communication constraints Poverty Environmental Limited job opportunities Endemic deficiency for some nutrients Non existence of industries Business scope Cultural belief Community non-awareness about nutrition Agriculture sector Small cultivable land holdings Paucity of viable irrigation channels

GB Multi-Sectoral Nutrition-Opportunities Strong Political endorsement Facilitative role of P & DD GB Technical / Financial support of UNICEF Sectoral coordination mechanism /Forums Base line updated MICS nutrition data Approval of Nutrition specific / sensitive PC1s SUN unit coordination & technical consultation Upgradation of Food and water testing laboratory Legislation about food & nutrition

Way Forward Community mobilization through mass media Financial tracking for nutrition investment Accelerated implementation of Nutrition specific / sensitive PC1s Establishment of Food Authority >> Flour fortification Protection of breast feeding and child nutrition act 20018 Consideration for Federal Nutrition Programs in GB Promote Donor’s engagement in nutrition interventions Strengthen Political Sensitization Enhance Multi-sectoral Capacity Building Adoption of National Level Monitoring Tools & Material

Key message for Sustainable Nutrition Improvement Let us Seek Multi-Sectoral Nutrition Solutions through Gender Sensitive Nutrition lens….!! THANK YOU ALL !!!