Analysis of Food Based Nutrition Programmes to Improve Maternal and Child Nutrition through Sector Specific Approaches James Levinson Training on Comparative Review of the Nutrition Situation and Policies in Selected Countries and with particular reference to Bangladesh 27 March to 6 April 2014

Underlying causes at household / family level Malnutrition, death & disability Inadequate dietary intak e Disease Insufficient access to FOOD Immediate causes Basic causes at societal level Conceptual framework for analysing the causes of malnutrition Outcomes Quantity and quality of actual resources – human, economic & organisational - and the way they are controlled Inadequate maternal & child CARE practices Poor water, sanitation & inadequate HEALTH services Potential resources: environment, technology, people UNICEF

Methodology, application and targeted beneficiaries (1/2) Project name/Country/ Location Targeted beneficiaries Farming/Food systems/Food learning initiative Nutrition Education/Nutrition Information Integrated Horticulture and Nutrition Development Bangladesh Peri urban locations in 15 districts Landless households ( < 0.50 acres land) Integrated horticulture development Growing household and group gardens and planting nutritious vegetables, fruits, mushrooms and herbs Community based nutrition education programmes for school/adolescent children, household women. Nutrition training for peri urban and urban school teachers of govt/public schools, elders, NGO workers and government stakeholders. Integrated horticulture and Nutrition Development Bangladesh Thirty schools in peri urban locations Schools with minimum land area of 3 decimal for the nutrition garden and access to water; adolescent females in 8th and 9th grades School nutrition gardening as part of practical science learning and planting selected nutritious vegetables and fruits Integrating in nutrition curriculum : Nutritious cooking demonstrations Innovative games and nutrition education aids for school children. 3

Study results Bangladesh: Integrated Horticulture and Nutrition Development Project (IHNDP)  Environment of growing horticulture produce - limited land available within immediate courtyard vicinity or on roof tops.  Participants able to grow vegetables, fruits, mushrooms and herbs mainly for consumption.  Equipping women with the knowledge, technology and skills to process foods for value addition, prepare nutritious foods for consumption and thereby improving dietary quality.  Attempt - diversify the food habits of the target groups, promote the consumption of horticulture foods as a sustainable solution to the problem of micronutrient malnutrition. 4

5 Fish, meat, egg and milk consumption by landless households Leafy vegetable consumption by landless households

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Impacts on nutrition 7 Decline in rates of malnutrition under five years demonstrated evidence of project impacts on nutrition

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