1. 1st Round Sector Defense
Sudan CHF 2012
1st Round Sector Defense
Sector: Nutrition
Jan 18th , 2012

2. CHF Sector priorities
Out-patient Therapeutic Programmes (OTP), integrated and with prevention activities for Pregnant and Lactating Women
Most cost effective way to treat children with severe acute malnutrition
Integrated programmes within health facilities, as more sustainable and cost effective
Core pipeline for therapeutic feeding
Difficult to fund OTP nutrition programmes
Darfur and the East, transitional areas more likely to get bi-lateral donor funding

3. CHF Geographical priorities
Areas with prevalence of Global Acute Malnutrition (GAM) over emergency thresholds (15%).
Populations in current crisis which could trigger a nutrition crisis.
No access = no data but areas without access are probably the most at risk.

4. Acute malnutrition by state (SHHS 2010)

5. Sector strategy for addressing priorities
Core pipeline for therapeutic food
UNICEF managed
Cost effective in-terms of economies of scale
Total cost for core pipeline in million USD for treating 150,000
Drugs added to core pipeline
Out-patient therapeutic programs
NGO/Government managed
Integrated into health services (cost saving and sustainable)
Need to expand coverage
Need further partners

6. Evidence to support identified priority needs
Estimated number of children with SAM in Sudan 500,000 per year (16.4% GAM above emergency thresholds)(SHHS 2010)
Localized surveys confirm similar results (32 of total 48 localized surveys conducted in 2011 GAM was above 15%).
Increased coverage
2008: 17,000
2010: 60,000
2011: estimated to be over 70,000
Increased conflict and lack of access will affect markets and now three localities are predicted to be at emergency levels (IPC Level 4; FEWS NET Dec 2011).

7. FMoA/FEWS NET

8. WHY CHF Funding is critical now
Therapeutic pipeline needs to be secured to ensure that there is no rupture in stock
Hunger season is predicted to start earlier and be deeper than last year so more children at risk (conflict, drought)
Urgent need to ensure as much capacity on the ground as possible to meet these increasing needs

9. Value for money & low indirect costs
The most cost effective intervention chosen as priority intervention
Out patient Versus Inpatient
Comparisons of programs and costs
Number of children treated/cost
High cost programs were either not supported or asked to reduce budget

10. Summary of TRG- endorsed proposals 1
Total Recommended Sector Envelope: 5,933,918 USD
Total requested amount / Total TRG-recommended amount:
requested: 14,668,151
recommended: 5,933,918
Total projects: 21 projects submitted, 14 projects to receive funding
Recommended percentage:
25% UN,
69% INNGO,
6% NNGO (all that applied)

11. Summary of TRG- endorsed proposals 2
Total Recommended Sector Envelope versus historical trend or basis for envelope:
2011: 5,960,960,
2010: 3,950,000
2009: 4,345,167
2008: 5,233,812
Approach to determining project allocation amounts
Top programs funded, programs that were seen to be of high cost cut, and higher costed programs were reduced.