NUTRITION STRATEGY REFRESH - Overview for External Partners
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NUTRITION STRATEGY REFRESH
Overview for External Partners
January 2021
© 2020 Bill & Melinda Gates Foundation 0
Presenter Name 1
Presenter Name 2
Presenter Name 3
Month DD, YYYY
THE SCOPE OF OUR WORK
We work with partner organizations around the world to reduce inequity
For the Year ended December 31, 2019. Amounts in thousands of U.S. dollars. Value of Grants total represents grants only.
© Bill & Melinda Gates Foundation | 2
WHAT WE DO
The foundation has four missions that help us achieve our vision of a world where every person
has the opportunity to live a healthy, productive life:
Ensure more children Empower the poorest, Combat infectious Inspire people to take
and young people especially women and girls, diseases that particularly action to change the world
survive and thrive to transform their lives affect the poorest
© Bill & Melinda Gates Foundation | 3
Our vision: All women and children have the nutrition they need to live healthy and productive lives.
WE ARE INCREASING OUR FOCUS ON LARGE-SCALE FOOD
FORTIFICATION TO DRIVE SUSTAINABLE, EQUITABLE IMPACT
…building a deep, targeted focus on large-scale food fortification
Our updated …concentrating on country-impact and downstream delivery innovations
Nutrition strategy
seeks to reduce
micronutrient
…creating focused alliances integrating the private sector into the solution
deficiencies and
improve nutrition-
related health …establishing sustainable mechanisms for gathering real-time market data with better
outcomes by… accessibility and insights
…preserving the “One Foundation” advocacy approach that has previously been
successful in leveraging the Foundation’s voice for the Nutrition sector as a whole
© 2020 Bill & Melinda Gates Foundation | 6
NUTRITION STRATEGY SEEKS TO ADDRESS FIVE KEY CHALLENGES
IN FORTIFICATION; EACH CHALLENGE IS PAIRED TO A BIG BET
Current Situation Examples
Widespread MN Deficiencies Weak or No Fortification Standards2 Gaps in Compliance & Coverage Data2
Number of MNs w/ standards set1
Salt
(Iodine)
Edible Oil
(Vit A, Vit
D)
Wheat Flour
(Iron, Folic
Acid, Zinc)
Estimated prevalence of Vit A Mandatory None/unknown Voluntary Beyond iodized salt, FF standards are Widespread non-availability/existence of data on fortified
deficiency in U5 children, 20131 weak or non-existent in many LMICs2 wheat flour coverage (light/dark gray indicates no data)2
The five top-priority challenges we identified and the corresponding big bets in our strategy
Persistent data gaps on Low market incentives for Low technical fortification Many countries have weak Where standards exist,
MN deficiencies and FF R&D, resulting in lack of capacity for mills in LMICs or no food fortification evidence indicates low
coverage / compliance innovation (knowledge / training) standards compliance rates
Big Bet #1: Fortification Big Bet #2: R&D and Big Bet #5: Digital QA
Big Bet #3: B2B TA Hub Big Bet #4: LSFF SSA
Data Innovation System
Sources: 1. World Health Organization (WHO) URL, 2. Global Fortification Data Exchange (GFDx), 3. Accenture led SME interview (2020) 4.Mkambula et al 2020, "The Unfinished Agenda for Food Fortification in Low- and Middle-Income Countries:
Quantifying Progress, Gaps and Potential Opportunities 5.Technoserve SAPFF – Effectiveness of Technical Assistance in Food Fortification Programs 6. Building alliances for better nutrition The SAFO approach to fortifying edible oils with vitamin
A in Bolivia, Indonesia and Tanzania, GIZ 7. Luthringer et Al “Regulatory Monitoring of Fortified Foods: Identifying Barriers and Good Practices” 8. Selamat R et al (2010) Iodine deficiency status and iodized salt consumption in Malaysia: findings © 2020 Bill & Melinda Gates Foundation 7
from a national iodine deficiency disorders survey.
OVERVIEW OF OUR FIVE BIG BETS
Clock model for LSFF
70-90% Starting point Big Bet #1: Break down data silos, employ innovative big data approaches to
coverage
Fortification model dynamic maps, and provide an actionable, collaborative
Data data landscape for the LSFF & nutrition community
Mandated, Multi-
20-50% Monitored Stakeholder
Fortification Engagement
Big Bet #2: Invest in critical near- and mid-term innovations in micronutrients,
coverage
R&D and vehicles, and devices, while identifying and supporting longer-term
Innovation “blue sky” innovations with transformative potential
Technical
Market-Driven
Capacity
Fortification
Building Big Bet #3: Develop a catalytic PPP model to pair mills with premix/tech
B2B Technical suppliers and NGO partners for TA support, accelerating
5-20%
coverage Assistance Hub adherence to standards and leading to scaled & sustainable impact
Big Bet #4:
Facilitate adoption of “more and better” LSFF standards in the
LSFF Standard ~35 countries with the highest burden of MN deficiencies to increase
Setting rollout and improve coverage
Accelerator
Big Bet #5: Work to increase effective coverage of fortified foods through cost-
Digital QA effective industry self-monitoring & increased transparency
System from trustworthy, independent, verifiable digital data
© 2020 Bill & Melinda Gates Foundation 8
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