RATIONEL and PORPOSE of the MID TERM REVIEW

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RATIONEL and PORPOSE of the MID TERM REVIEW

• WAHO Nutrition Focal Points Meeting
• Bobo August 21-23-07

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OUTLINE

• Background on the Mid term Review I (In the light
  of the Evaluation of the forum, Strategic Plan,
  and MTR I)
• Recommendations of the Mid Term Review I
• Present The ME Tools 2005-2007
• Challenges of the MTR meetings
• Recommendations of the 10th Forum

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Background (1) The objectives of the MTR

• Share lessons learned at country level in the
  implementation of nutrition programmes
• Identify achievements and constrains in the
  implementation of the forums recommendations.
• Develop a one-year action plan for the
  implementation of the Sao Vicente
  recommendations.
• Agree on an action plan for the implementation of
  the ECOWAS Nutrition SP (Assess Progress)
• Share WAHO, and partners programs.
• (Based on The Evaluation of the ENF and the
  Developemnt of the Strategic Plan)

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Background (2) Terms of Reference of the MTR

• Review the implementation of the forums
  recommendations according to the actions plans
  developed by countries
• Deal with communication aspects between WAHO and
  the nutrition FP on the one hand and the WAHO
  liaison officers on the other hand
• Identify through the NFP and others stakeholders
  in order to recognize their efforts and
  commitment in the implementation of the Forum
  recommendations and the reporting
• Discuss key urgent and burning food and
  nutrition-related issues
• Share the new nutrition and food tools developed
  at the national, regional, and international
  levels.
• Duration for the mid term review is three days.

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Background (3) MTR I

• Achievements
• The twelve countries present reviewed the
  implementation of the Cotonou Forum
  recommendations. The review came to the following
  conclusions
• No country has developed an action plan for the
  of the implementation of the recommendations
• National nutrition networks Access to the NICTs
  remains a problem for most countries. Indeed,
  except the Gambia and Nigeria, the other
  countries face problems connecting to the
  internet from their offices, either for want of a
  computer or inadequate or outdated computers, or
  for lack of a telephone line.
• Niger Emergency Situation shared

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Background (4) MTR I

• Obstacles to the implementation of the forum
  recommendations
• The inexistence of action plans in the forum
  member countries
• The lack of financial resources
• The lack of continuity due to administrative
  instability in countries.
• Communication difficulties between WAHO and some
  of the liaison officers.
• The lack of synergy between partners and
  multisectoral programmes.

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Recommendations MTR I

• Recommendations of the MTR I
• The ECOWAS nutrition forum, under the
  chairmanship of WAHO, should plan to integrate
  the concept of food security.
• States must put in place Early Warning Systems
  (EWS) with revised indicators which take into
  account the evolution of the food security
  concept.
• They must guarantee quality in the collection of
  these indicators.
• States must ensure an objective dissemination of
  the information from MTRs and early enough to
  allow preventive measures and other important
  decisions to be taken. (Ex Niger food and
  nutrition crisis)

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Recommendations MTR I

• Notion of accountability The notion of
  accountability in the ECOWAS Nutrition Forum
  would be applicable at various levels
• (i) the members of the national nutrition
  networks,
• (ii) the technical and financial partners
  supporting the implementation of the action plans
  for the implementation of the forums
  recommendations,
• (iii) WAHO. What the nutrition focal points are
  accountable for in these cases is the action plan
  for the implementation of the forums
  recommendations, National Nutrition Program

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CHALLENGES of the MTR/ENF

• MTR should contribute to increase leadership of
  the Network the Forum an Opportunity
• recognized by SCN Planning to organize the next
  session with WAHO
• New partners
• MTR can provide significant comparative
• Effective progress in nutrition Program
  implementation with strong commitment of
  Countries
• Effective communication among NNW, NFP, partners,
  WAHO
• Sustainability Res., partners objectives vs
  countries needs
• Increase WAHO support with ECOWAS budget
  Implementation of NNP

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• BACKGROUND ON THE 10TH FORUM
• THE RECOMENDATIONS

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Recommendations of the 10th Forum (1)

• To WAHO
• Support regional nutrition advocacy activities
  that include obesity and diet related chronic
  diseases.
• Support behavior change and communication
  strategies that promote appropriate diets and
  adequate physical activity.
• Establish partnership with the ECOWAS department
  of Agriculture for increasing linkages between
  health and agricultural policies.
• Strengthen linkages with the UN system through
  the Standing Committee on Nutrition (SCN).

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Recommendations of the 10th Forum (2)

• To Countries
• Create awareness and strengthen institutional
  capacity and inter sectoral collaboration and
  leadership at national, and community levels to
  address the double burden of malnutrition.
• Include data on obesity, diabetes and other diet
  related non communicable diseases in DHS.
• Give priority to interventions which target the
  window of opportunity (Pre-conception to 24mo) .
• Develop and implement institutional cross-cutting
  policies and actions which address the double
  burden of malnutrition.
• To urge communities and schools, including
  pre-schools, to be nutrition and physical
  activity-friendly, in order to promote health and
  well being throughout life.
• Promote Production, Processing, preservation and
  consumption of local foods, for safe and balanced
  diets at all season and promote food
  fortification and micronutrient supplementation
  when and where needed.
• To adapt and integrate the new WHO Child Growth
  Charts into maternal and child health services.

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Recommendations of the 10th Forum (3)

• To Partners
• Identify areas of future support and
  collaboration that are particularly important
• Development of school-based initiatives that
  promote sustainable use of locally available
  foods.
• Develop urban nutrition strategies to deal with
  the growing concerns of the urban poor in ECOWAS
  countries.
• Support the inclusion of food and nutrition
  indicators into early warning systems and
  surveillance systems and the adoption of the new
  WHO child growth charts.
• Link the IT efforts of ECOWAS/WAHO with the
  relevant initiatives of other partners.
• UN agencies to take advantage of Nutrition Forum
  to revive regional inter-agency coordination

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• WAHO INITIATIVES AT REGIONAL AND NATIONAL LEVEL
• Nutrition Child Survival

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WAHO Operational Principles

• Advocacy
• Brokerage
• Communication
• Dissemination
• No Country Office Adequate support
• Not a implementer Institution Partners through
  the Mission of
• Policy harmonization in ECOWAS
• Comparative advantage/WAHO bodies Relevancy of
  MOUs

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National Level (Nutrition)

• Documentation of BP on Anemia
• Data base on VAS
• Integration Agriculture and health/Nutrition
• National Nutrition Day Implementation of the ENF
  Strategic Plan

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Regional level (Nutrition)

• Coordination of Partners Alliance on Food
  Fortification (2 Bamako)
• Support Integration of Nutrition indicators in
  EWS (Dev.Protocole)
• Develop a Nutrition Information System (NIS) with
  country support (data bases VAS, anemia and IDD)
• Advocacy strategy for the traditional food
  Systems to improve nutrition

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Regional level (Child Survival)

• Develop an Advocacy Strategy for Immunization
  (res. Mob Coverage)
• Documentation and Dissemination of Best Practices
  on CCM (Sen. Exp)
• Dissemination support for the use of ICP for
  C-IMCI (Lancet Series)
• Encourage Integrated approaches ENA

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2008

• Support Countries to implement Forum Rec.
• Secure funds for WAHO to implement Rec of forum
• Strengthen Integration of Food Security and
  Nutrition
• Stakeholders meeting
• Develop protocol for Data collection

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2008

• Follow Up advocay for Traditional Food Systems
• ENA will Continue
• In Child. Survival
• Follow up Immunization
• Support countries to scale Up CCM

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CONSTRAINS

• Many Projects without HR implications for support
  
• Communication
• Resources Issues
• Partners Interests vs WAHO Mission
• Coordination

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PARTNERSHIP

• Maintain and strengthen current collaboration
• Bring others Partners for the Forum
• Bioversity
• CILSS
• Africa 2010
• OCHA
• Red Cross
• A2Z