SUN Strategy 3.0 2021-2025 - Scaling Up Nutrition
←
→
Page content transcription
If your browser does not render page correctly, please read the page content below
SUN VISION By 2030, a world free from malnutrition in all its forms. Led by countries and governments, supported by organisations and individuals – collective action ensures every child, adolescent, mother and family can realise their right to food and nutrition, reach their full potential and shape sustainable and prosperous societies.
Table of Contents SUN Strategy 3.0 1 Table of Contents 01 Executive summary 3 02 Introduction: A changing external and internal context 7 Who is SUN? 7 Why a new Strategy? 7 Facing the challenges 9 Emerging threats and opportunities 9 03 SUN 3.0: A Strategy to accelerate nutrition action and systemic change, 2021–2025 11 SUN 3.0 strategic objectives 11 Priorities for each of the SUN 3.0 strategic objectives 16 04 Financing for SUN 3.0 23 Prioritising financing for nutrition 23 Mobilising financing for nutrition 24 Strengthening capacity to improve financing for nutrition 25 Financing the SUN support structures 26 05 SUN 3.0 Governance and operations 30 Implications of the SUN 3.0 Strategy for 2021–2025 30 Membership, roles and capabilities for SUN members and structures 31 SUN Movement Accountability Framework 39 Hosting arrangements for the SUN Movement Secretariat 42 06 Managing conflicts of interest 40 07 What success will look like in 2025 41 Key outcomes for SUN 2021–2025 41 Transitioning to a more sustainable scaling up nutrition approach in SUN countries 42 08 The Strategy development process and implementation 43 Annexes – see separate document
Abbreviations and acronyms SUN Strategy 3.0 2 Abbreviations CC Country coordinator CSA and acronyms Civil Society Alliance ExCom Executive Committee FCAS Fragile and conflict-affected states FCDO Foreign, Commonwealth & Development Office GDP Gross domestic product GSS Global Support System ICE Independent Comprehensive Evaluation IDA International Development Association IBRD International Bank for Reconstruction and Development LG Lead Group MEAL Monitoring, Evaluation, Accountability and Learning MQSUN Maximising the Quality of the Scaling Up Nutrition Programme MSP Multi-stakeholder platform N4G Nutrition for Growth NGO Non-governmental organisation NNFSS National Nutrition and Food Security Secretariat NPC National Planning Commission OCHA United Nations Office for the Coordination of Humanitarian Affairs PF Pooled Fund SBN SUN Business Network SC SUN Movement Coordinator SDGs Sustainable Development Goals SMART Specific, measurable, achievable, relevant and time-bound SMEs Small and medium enterprises SMS SUN Movement Secretariat SO Strategic objectives SUN Scaling Up Nutrition UN United Nations UNN-REACH United Nations Network–Renewed Efforts against Child Hunger and Undernutrition UNOPS United Nations Office for Project Services WASH Water, sanitation and hygiene WHA World Health Assembly GO BACK
01 Executive summary SUN Strategy 3.0 3 01 Executive summary The focus: The Scaling Up Nutrition as well as corresponding mitigation (SUN) Strategy 2021–2025 (SUN 3.0) measures, have shown the need for large- prioritises country leadership and focuses scale coordinated action and institutional on supporting systemic change at the reform. country level. It seeks to capture the Investing in nutrition remains a key ambition of SUN countries and guide the element of building human capital work of all actors at all levels – national and is essential to achieving the SDGs and subnational, regional and global – and fostering resilience against future aligning concerted action behind and pandemics. The challenges are greatest responding to commonly agreed national in conflict-affected and fragile contexts, priorities set out by governments in SUN requiring a stronger link between countries. As part of these efforts, SUN 3.0 humanitarian and development efforts aims to contribute towards achieving the to reduce humanitarian needs through goals of the 2030 Agenda for Sustainable inclusive risk-informed development Development. programming. An urgent, coordinated SUN 3.0 is committed to fundamental, response and scaled up investments non-negotiable aspects of effective from governments, donors, the private nutrition action, including equity and the sector, United Nations agencies and civil principle of leaving no one behind. For its society (international, national and local) third phase, the SUN Movement will drive are now crucial. The pandemic has made forward gender equality and enshrine clear that SUN 3.0 is needed now, more youth leadership across the Movement. than ever, to keep nutrition on the global SUN 3.0 will strengthen partnerships agenda, protect the most vulnerable, to achieve greater impact on nutrition prioritise evidence-informed actions and through food systems, health systems, make the case for investing in nutrition. social protection systems, actions by SUN 3.0 is designed to lead this call to the private sector and humanitarian action across all those working on the and development actors, and through SDGs. This third phase of the Strategy will education, water, sanitation and hygiene be judged a success if actors across the (WASH) and climate change adaptation. Movement can demonstrate that their Even before COVID-19, very few countries individual and collective efforts contribute were on track to meet the World Health clearly to accelerating nutrition results Assembly (WHA) and Sustainable through systemic change at the national Development Goal (SDG) nutrition and subnational levels and to saving lives targets. The pandemic is likely to roll and increasing resilience in countries back many years of progress, particularly affected by fragility and conflict (FCAS). in low- and middle-income countries, as Indicators of success are described further strategies to reduce virus transmission are in Section 8. disrupting food and health systems and Key priorities: SUN 3.0 emphasises impact overloading social protection systems, on nutrition at the country level and with severe socio-economic impacts. country leadership in addressing all forms The combined effects of COVID-19 itself, GO BACK
01 Executive summary SUN Strategy 3.0 4 of malnutrition. This includes supporting and ensure such promotion, alignment nutrition-specific and nutrition-sensitive and mutual accountability is realised. actions through strengthened food, In fragile and conflict-affected states health and social protection systems, and (FCAS), where the government with a focus on gender and economic may be unwilling or unable to lead, equity. SUN partners shall work together in collaboration with humanitarian The SUN Movement urges all stakeholders actors and include them in any multi- to adopt, own and deliver collectively stakeholder platforms. developed strategic objectives as immediate priorities. All parts of the Since the outset, the Movement has Movement – member governments, the aspired to achieve an empowered and four SUN networks, the SUN Movement elevated nutrition coordination position Coordinator, the SUN Movement and structure led by government and Secretariat, the SUN Movement Executive supported by a multi-stakeholder team Committee and the SUN Movement in each country. In this Strategy, the Lead Group – are expected to step up in term ‘country coordinator’ refers to the equal measure and intensify their efforts responsibility for and function of nutrition to accelerate the delivery of nutrition coordination in SUN member countries outcomes at scale, and to work together to and the institutional arrangements align and focus those efforts on priorities to ensure empowered and adequate within countries. Opportunities such as support. Countries may decide to adopt the Nutrition for Growth (N4G) Summit this title or to retain the title of focal point. offer an important chance for countries However, for the purposes of this Strategy, and donors to recommit to scaling up the position is generically referred to as nutrition action and resources. country coordinator. SUN 3.0 encourages flexibility for countries in determining the The SUN 3.0 Strategy sets out four appropriate shape and terminology that strategic objectives as reflected in the these roles and arrangements take in SUN 3.0 strategy framework (theory of different country contexts. change): The Strategy sets out the financing needs 1) Strengthen and sustain strong policy for countries to be able to scale up actions, and advocacy environments at the accompanied by a call for enhancing subnational, national, regional and the efficiency of current spending, global levels to position nutrition and emphasising the need to leverage outcomes as a key maker and marker additional resources from domestic of sustainable development. budgets, donor partners, private investors 2) Develop and align shared country and innovative sources (i.e., ‘more money priorities for action. for nutrition’ and ‘more nutrition for the 3) Build and strengthen country money’). capacity to develop, prioritise, finance, The Strategy also details the proposed implement and track country governance approach and the need for actions through strengthened clear accountability mechanisms. These technical assistance and knowledge will be developed in the operational management. planning phase, together with revised 4) Ensure governance of SUN that terms of reference, to support the shift promotes country leadership and from SUN 2.0 to SUN 3.0 and manage responsibilities of government, potential conflicts of interest across all aligns the resources of all Movement duty bearers and stakeholders, including stakeholders behind country priorities, national and subnational governments, strengthens mutual accountability global partners, networks (Civil Society, between Movement stakeholders and United Nations, Business, Donors and to those most at risk of malnutrition, potentially Academia), the Lead Group, with robust mechanisms to encourage the SUN Coordinator, the Executive Committee and the SUN Secretariat. GO BACK
01 Executive summary SUN Strategy 3.0 5 TABLE 1: Strategic shifts from SUN 2.0 to SUN 3.0 SUN 2.0 SUN 3.0 Commentary Someone else (e.g., the Secretariat) You (and we) are all SUN Stronger ownership: everyone steps up to is SUN meet SUN 3.0 objectives Definition of success: “all Definition of success: “actors across A shift from a focus on advocacy and setting countries will continuously the Movement demonstrate that up multi-stakeholder platforms to a focus on improve country planning their individual and collective efforts nutrition results at national/subnational levels and implementation to end contribute clearly to accelerating malnutrition; mobilise, advocate nutrition results through systemic and communicate for impact; and change at the national and strengthen capacity for multi- subnational levels and to saving lives sectoral and multi-stakeholder and increasing resilience in countries collaboration at all levels” affected by fragility and conflict” Intended to be country-led Country-driven, country-led, country- A stronger focus on country leadership is owned reflected in the proposed new governance arrangements. The composition of the ‘Walking the talk’ on country leadership leadership and governance structures more purposefully reflects the spirit of ‘country- owned, country-led’ Individual focal points nominated An empowered senior country A major departure from SUN 2.0 to empower by national governments were coordinator and multi-stakeholder and support countries to be able to lead, act responsible for country-level platform team with the authority at scale and accelerate progress. Countries coordination; however, they did not to lead coordination, incentivise will determine the institutional system that feel empowered/ supported to play integration and align stakeholders, is right for their contexts, supported at the this role and to facilitate the empowerment of highest levels, and provide political and the powerless (voices of malnourished technical leadership for nutrition women and children, youth, minority groups, humanitarian actors) Focus on undernutrition Scope of focus expanded to all forms An emphasis on all forms of malnutrition (stunting, wasting, micronutrient of malnutrition (stunting, wasting, based on stakeholder consultations and deficiencies) micronutrient deficiencies, and changing epidemiology overweight and obesity) Knowledge and technical More strategic knowledge An explicit focus on technical assistance for assistance provided management and technical mobilising financial resources assistance available to countries on demand Progress made in areas such as Focused and proactive approaches to A significant shift towards proactively financial tracking and budget financing nutrition action leveraging financing for nutrition, with analysis stronger links between advocacy and financing SUN Movement governance Executive Committee steps up to play Based on recommendations from the Mid- led by the Lead Group, which a stronger governance role term Review, Strategic Review and guidance had high turnover and met from Lead Group in September 2019 infrequently SUN Movement Secretariat Global support system capacity and To be finalised in the operationalisation phase capacities tailored to SUN 2.0 skill sets upgraded to reflect SUN 3.0 priorities Strategy process built on the Strategy developed through a highly Building on recommendations from the SUN SUN Independent Comprehensive consultative and inclusive process Independent Comprehensive Evaluation, Evaluation through a highly Mid-term Review and Strategic Review and consultative and inclusive process stakeholder consultations GO BACK
01 Executive summary SUN Strategy 3.0 6 FIGURE 1: Strategic shifts from SUN 2.0 to SUN 3.0 The SUN Definition of Consultative process Movement success: From building on Independent working as a strengthening Comprehensive team rather than processes to results Evaluation, Mid-term a collection of on the ground Review, Strategic Review entities and country stakeholder inputs Re-orient capacities of From weak Country ownership: SUN Movement governance to clearer From intent to country and global and more effective lines of accountability Strategic investible nutrition priorities backed by support structures (including the SUN and stronger shifts committed political Secretariat, global governance by and institutional networks) for Executive Committee systems SUN 3.0 Technical assistance Country leadership: and knowledge From overstretched management: From undernutrition focal points to increasingly organisec to a focus on all forms an engaged around country of malnutrition and capacitated priorities and leadership, country embedding a systems coordinator and approach support team The process: The Strategy development transparent and inclusive as a Movement process has built on SUN 2.0 and with the need for urgency demanded by recommendations from the Mid-term changing events. Operationalisation of Review (2018) and the Strategic Review the Strategy will be set out in separate (2019–2020). It has been informed by plans, including a change management a wide consultation process among process, and will reflect the strategic SUN stakeholders and has combined shifts outlined in Table 1. the importance of being consultative, GO BACK
02 Introduction: A changing external and internal context SUN Strategy 3.0 7 02 Introduction A changing external and internal context Who is SUN? Why a new Strategy? ‘We’ are all SUN. Anyone who cares about The SUN Movement requires a new nutrition and is willing to take effective Strategy to guide and accelerate progress action, while adhering to SUN principles, in its third phase. The Strategy must is SUN. SUN exists for the communities build on the Movement’s progress and and people at risk of malnutrition. While achievements over the last decade, governments are responsible for ensuring respond to the lessons learnt and adequate nutrition for their populations, feedback from the Movement, and all SUN stakeholders have an obligation adapt to new challenges and changing to align behind and support these efforts contexts. By revisioning its future, the and ensure accountability to those at risk SUN Movement can be fit for purpose in a of malnutrition. changing world. SUN includes every government Two independent evaluations, together member of SUN; every individual, with feedback gathered at the 2019 SUN business, organisation, or independent Global Gathering, inform the priorities humanitarian and development actor and thinking for the next phase of SUN that is a member of a SUN network at (2021–2025).1 Annex 1 summarises the the country or global level; every member approaches and issues identified in SUN of the Lead Group and the Executive external assessments. Committee, and the organisations they Much has been achieved under SUN represent; the SUN Coordinator; and the 2.0. The Movement has facilitated the SUN Movement Secretariat. establishment of institutional homes for SUN is a Movement – not an organisation, nutrition within governments through development programme or financing the creation of multi-stakeholder, multi- mechanism. Its members currently sectoral platforms, and through the include 62 countries, four states in India, development of nutrition plans and four networks, at least 14 government and analyses of national nutrition budgets philanthropic donors, two development (see Annex 2). Notable successes in the banks, 16 United Nations agencies, more second phase include: than 3,000 civil society organisations • 42 SUN countries have a national and over 800 small, medium and large nutrition plan, 36 of which have businesses. developed action plans to achieve the goals set out in their national nutrition plans. 1 These include the Mid-term review (2017–2018) of the SUN 2.0 Strategy and the Strategic Review (2019– 2020). GO BACK
02 Introduction: A changing external and internal context SUN Strategy 3.0 8 • 55 SUN countries have an active keynote addresses at high-level events national multi-stakeholder platform,2 (e.g., the SUN Global Gathering and while 42 SUN countries are working the Tokyo International Conference on with key actors across sectors at the African Development). subnational level (local governments Key findings of the 2018 Mid-term and officials, grassroots organisations, Review and the 2020 Strategic Review local businesses and development are highlighted in Box 1. The findings partners). indicate the need for the SUN Movement • 30 SUN countries have a monitoring to re-orientate to be more country-led, and evaluation framework, while country-driven and action-oriented. 50 SUN countries have completed a The SUN Movement must be rooted in national budget tracking exercise. country structures, supported by a global system that is equally country-focused • The Youth Leaders for Nutrition and supporting countries to finance and programme was developed, drive needs-based, context-appropriate empowering 13 young champions to and evidence-based nutrition actions at advocate for nutrition in their countries, scale. including through community and youth training programmes and Box 1: Highlights from the Mid-term Review and Strategic Review “In conclusion, the findings show that the SUN Movement has many strengths, but it has more to do if it is to seriously ‘move the needle’ on the many issues that its members face in improving nutrition. This requires more attention to the following: — Good practice in delivery of known interventions — Experimenting with and evaluating new approaches — Increasing investment both by SUN member countries and by international partners in nutrition- specific and nutrition-sensitive measures — Improving the alignment and harmonisation of financial and technical resources in support of interventions that are likely to be effective. Mutual accountability, stronger governance that pays greater attention to country impact, engagement of both SUN member countries and of international partners at the level of senior decision makers and improved learning and knowledge sharing all have their part to play in this.” (Mid-term Review, 2018) “As SUN’s second phase draws to a close, there is a need to reorient the locus of power and decision-making and the focus of the Movement towards SUN member countries.” “We urge the Movement to respond with the same innovation and boldness that characterised its inception.” “The goal of being country-driven, country-led and country-centred will need to be reflected in how the Movement is structured and operates, not just in what it articulates as its strategic priorities or principles.” (Strategic Review, 2020) Source: MQSUN+ 2018 and MQSUN+ 2020 2 Multi-stakeholder platforms in all countries seek to ensure multi-sectoral government engagement by having representation from a range of ministries. Stakeholder groups outside the government are also represented. GO BACK
02 Introduction: A changing external and internal context SUN Strategy 3.0 9 Facing the challenges gender inequalities and human rights in access to power, food and health care. The SUN Movement has made important Unequal nutrition outcomes within strides in raising the visibility of nutrition nations are rooted in deeper inequities within global and national agendas and arising from unjust systems and enhancing the status of nutrition in structures affecting people’s daily living global health and development priorities, conditions. Significant progress has been such as the WHA targets, the SDGs and made in measuring nutrition inequalities, the United Nations Decade of Action on but efforts to address them remain Nutrition.3 Despite this progress, globally, weak (Development Initiatives, 2020). no country is on track to meet all six of Persistent inequities take considerable the WHA nutrition targets and only eight effort and time to change; therefore, the countries are on track to meet four of the role of independent humanitarian action targets. For stunting, 31 of 76 countries are to address the immediate and mid- on track to meet the target; for wasting, 40 term nutritional consequences of these of 79 countries are on track; for exclusive inequities is vital. The independence, breastfeeding, 33 of 71 countries are on competencies and experience of national track; and no countries are on track to and international humanitarian actors meet the anaemia or overweight targets. must be protected and included in the These challenges are greater in fragile SUN Movement approach to combating contexts, particularly in areas of conflict malnutrition in all its forms. (Development Initiatives, 2020). The triple burden of malnutrition, Emerging threats and characterised by the coexistence opportunities of undernutrition (stunting and wasting), micronutrient deficiencies, Climate change threatens nutrition and overweight and obesity, has risen through the seasonality of infections, dramatically in recent years. Most cropping patterns and the diminishing countries experience at least two forms micronutrient content of foods. Climate of malnutrition (Development Initiatives, change is increasing our vulnerability 2020). More than 70 per cent of people to humanitarian crises, with the world’s with overweight and obesity live in low- eight worst food crises all linked to both or middle-income countries, and as conflict and climate shocks (OCHA, 2020). economies grow, the burden of obesity However, responding to these threats shifts to the poor (Shekar and Popkin, is also an opportunity to form strong 2020)"mendeley":{"formattedCitation":"(M alliances with the climate community and Shekar and B Popkin, 2020. An enabling look for ‘triple-duty actions’ that address environment – to make it easier for the syndemic of undernutrition, obesity people to make healthy food choices – and climate concerns (Swinburn and is essential. Governments can provide others, 2019). Awareness of the importance positive incentives to responsible of food systems is increasing and a United businesses to build affordable and Nations Food Systems Summit planned healthy food markets. They can also pass for 2021 is an opportunity to demonstrate regulations to curb and end irresponsible the value of nutrition to other audiences. business nutrition practices, including the The COVID-19 pandemic has interrupted production, marketing and promotion of the delivery and scale-up of nutrition products containing high levels of added interventions, strained food systems and sugar, salt and saturated and trans fats health care, and devastated livelihoods (AlphaBeta, 2016).4 and economies. There is a serious risk Action to improve nutrition cannot achieve that the pandemic could wipe out years lasting success without addressing of development progress, with profound consequences for nutrition. Moreover, 3 For more information, see the Global Targets 2025
02 Introduction: A changing external and internal context SUN Strategy 3.0 10 malnutrition may exacerbate the impacts make the case for investing in nutrition. of COVID-19: undernutrition compromises More than ever, it is time to work with the body’s immunity, and emerging policymakers and businesses to avert evidence suggests that obesity may the harsh COVID-related consequences predispose individuals to the most serious of rising diet-related non-communicable impacts of COVID-19. diseases and obesity, and to protect the nutrition of mothers, infants and young The pandemic makes it essential for SUN children in the first 1,000 days of life members to keep nutrition high on global (Wellesley and others, 2020). These actions and national agendas to protect the most are critical to prevent the pandemic vulnerable, make health, food and social from cascading across generations by protection systems work for nutrition, compromising human capital. prioritise evidence-informed actions and GO BACK
03 SUN 3.0: A Strategy to accelerate nutrition action and systemic change, 2021–2025 SUN Strategy 3.0 11 03 SUN 3.0: A Strategy to accelerate nutrition action and systemic change, 2021–2025 SUN 3.0 will be country-led and country- SO2: Develop and align shared country driven. SUN has always been country- priorities for action. This will driven in its aspirations and intent, but has help focus, catalyse and align the not yet fully achieved this in execution, resources of the entire Movement as articulated by the Mid-term Review to deliver a manageable set of and the Strategic Review. Becoming actions that advance the nutrition more country-led and country-driven will status of all. Country priorities come accelerate progress towards the nutrition from and build on existing national outcomes desperately needed to meet nutrition plans, where they exist. the WHA and SDG nutrition targets. SUN SO3: Build and strengthen country 3.0 will focus and align the Movement’s capacity to develop, prioritise, energy where it is needed most. finance, implement and track A behavioural shift – from words to country actions through action – will need to take place to make strengthened technical assistance this happen. All parts of the Movement and knowledge management. will share the vision to support and help Knowledge management and realise country leadership and priorities. technical assistance will also All organisations and institutions – at demonstrate the SUN Movement’s the country and global level – will ask value addition, both to nutrition themselves (and be asked): are we outcomes and to the conditions and supporting a given country’s current actions needed to generate those action plan? If not, why? SUN values outcomes. teamwork without egos, accomplishment SO4: Ensure governance of SUN that without logos, and mutual accountability promotes country leadership and mechanisms to build trust (see Section 5: responsibilities of government, ‘Governance and operations’). aligns the resources of all Movement stakeholders behind SUN 3.0 strategic objectives country priorities, strengthens SUN 3.0 will be more country-led and mutual accountability between country-driven by achieving four strategic Movement stakeholders and to objectives (SOs). those most at risk of malnutrition, with robust mechanisms to SO1: Strengthen and sustain strong encourage and ensure such policy and advocacy environments promotion, alignment and mutual at the subnational, national, accountability is realised. In FCAS, regional and global levels to where the government may be position nutrition outcomes as a key unwilling or unable to lead, SUN maker and marker of sustainable Movement members shall work development. This will increase the together in collaboration with likelihood of generating additional humanitarian actors and include resources and political capital to them in any multi-stakeholder accelerate nutrition improvement. platforms. GO BACK
03 SUN 3.0: A Strategy to accelerate nutrition action and systemic change, 2021–2025 SUN Strategy 3.0 12 Figure 2 summarises the SUN 3.0 Key suggestions and ideas for advancing strategic objectives and is based upon the private sector engagement through SUN principle that collective, consistent and 3.0 are as follows and elaborated in Annex evidence-based action by all stakeholders 3: leads to an acceleration in improved • Emphasise the importance of a food nutrition outcomes and systemic systems approach, including food change at national and subnational fortification, to increase access to healthy levels. This approach is more effective diets; and emphasise the underlying than fragmented, individual actions. importance of consumer demand and The summary describes the essential consumer purchasing power to diet requirements for achieving each strategic quality. objective and the roles and responsibilities required of each entity. • Support small and medium enterprises to produce and sell more locally or Figure 3 presents the strategy framework regionally produced nutritious foods for SUN 3.0 (theory of change) and the and secure their access to markets key elements for delivering the SUN 3.0 (Monitor Deloitte, 2019). outcomes and vision. • Diversify the approach to the private Box 2 describes the fundamental, non- sector and unlock the potential of retail, negotiable basis for effective nutrition logistics, marketing, communications action that is vital for success and upon and other non-food sectors (e.g., soap which SUN action is based. Governments and hygiene product manufacturers) of SUN member countries and all actors to mobilise resources and improve who support them at the national and access to healthy diets. global levels must address these systemic drivers of malnutrition. • Integrate these considerations in the commitments of the SUN Business Network. 5 For more information, see GO BACK
03 SUN 3.0: A Strategy to accelerate nutrition action and systemic change, 2021–2025 SUN Strategy 3.0 13 Box 2: Fundamental basis for effective nutrition action SUN works to strengthen partnerships between all stakeholders to achieve greater impacts on nutrition. The key enabling conditions for effective nutrition action are: — Food systems that deliver healthy, accessible, affordable and sustainable foods — Health systems that provide quality nutrition services for all, including in hard-to-reach areas — Social protection systems that integrate nutrition outcomes, particularly those focusing on the first 1,000 days from conception to age 2 years — A private sector – including food and non-food businesses (large, medium, small) – that shifts its resource base/core business towards improved nutrition and aligns with global and national norms — Girls’ education, which is crucial to an improved nutrition legacy — Safe drinking water and sanitation and hygiene services, which support improved nutrition outcomes — An understanding that improved nutrition leads to gender equality and that improved gender equality leads to improved nutrition — Placing nutrition at the forefront of tackling the climate crisis on national and international agendas — Initiatives to end poverty and address structural inequalities that deliver improved nutrition and efforts to address malnutrition that deliver economic and social benefits — Promoting and protecting independent humanitarian spaces and humanitarian actors to provide impartial needs-based assistance and humanitarian assistance leveraged to deliver nutrition in FCAS and other humanitarian contexts — Promoting civil society and community-based organisations to ensure that community voices are heard Key commitments in delivering SUN 3.0 are: — Driving equity in support of ‘leaving no one behind’, including responding to the call for action on gender equality, diversity, and women’s empowerment so that all SUN Movement actors can re-orient their work, translating gender equality and empowerment commitments into action and results at the country level. Gender equality should be reflected in SUN governance structures at all levels.5 — Building on the success of the SUN Civil Society Network Youth Leaders for Nutrition programme by enshrining youth leadership across the Movement and incorporating youth into all SUN governance structures. This will be developed in the operationalisation phase in collaboration with young people, including the Youth Leaders for Nutrition. — Ensuring the inclusion of humanitarian actors, humanitarian donors and civil society that are required to deliver nutrition assistance impartially and independently to those most in need, in conflict situations and other humanitarian settings. GO BACK
FIGURE 2: Summary of SUN 3.0 strategic objectives Shared vision, principles of engagement, and ways of working GO BACK Strategic objective 1: Strengthen and sustain strong policy and advocacy to position nutrition outcomes Country coordinator (CC) positioned Create regional peer learning SUN Movement Secretariat (SMS), global networks, SMS, SC, global networks support country-level advocacy for in strategic and institutionalised platforms for country stakeholders SUN coordinator (SC) support the CC and country nutrition and the country priorities. Lead Group (LG), Executive government structure to allow to promote sharing and dialogue stakeholders to develop and implement priorities. Committee (ExCom), SC, SMS and global networks undertake maximum leveraging of resources via links to existing regional bodies Focus on aligning resources, building country advocacy at all levels to promote nutrition action in line with and influence for nutrition action capacities and mobilising financial resources broad country priorities—in their organisations and ecosystems Strategic objective 2: Develop and align shared country priorities for action Accelerated More countries Accelerated progress in nutrition Country priorities Commitments to country Country priorities Led by CC, country-level progress towards make faster actions: policy, legislation, implemented by country- priorities agreed by developed, with stakeholders (governments, achieving all progress towards finance and coverage, enabled level stakeholders working country-level stakeholders outcomes, targets, donors, United Nations, civil SDGs, especially WHA nutrition by strengthened policy, legislation together, supported (government, donors, UN, outputs, inputs and society, business) join together SDG2 targets and improved resource allocation to proactively by all SUN civil society, business) and costings to develop country priorities nutrition action stakeholders global Strategic objective 3: Build and strengthen country capacity with technical assistance and knowledge management Monitoring of the development and Annual reporting on progress Lessons learnt and new knowledge Mutual accountability: annual 360 Review of country progress implementation of country priorities is against priorities, led by CC, proactively used, exchanged – degree light touch performance towards WHA, SDG and other led and facilitated by the CC, supported by to country stakeholders and and translated into policies assessment of all SUN Movement targets and SUN added value, country stakeholders and SMS, leveraging ExCom, SC, networks and SMS and strategies for advocacy and entities implemented shared with CC, networks, SC, 03 SUN 3.0: A Strategy to accelerate nutrition action and systemic change, 2021–2025 joint annual assessments programming ExCom, LG, and SMS Strategic objective 4: Ensure SUN governance promotes country leadership and government responsibilities, aligns resources and strengthens mutual accountabilities Country coordination team Global networks SMS ExCom SUN Movement Coordinator LG Accountable to government Accountable to their Accountable to Coordinator for: Accountable to the LG and entire Accountable to United Nations Accountable to the and the country coordinator for: members, steering Movement for: Secretary-General, LG chair, entire Movement for: committees, SC and • Articulating and amplifying the working closely with ExCom • Leading inclusive ExCom for: needs of countries to design • Providing strategic direction for: • Overall leadership development and review of and implement priorities and guidance for country priorities • Organising work • Reviewing and supporting • Execution of the SUN all parts of the to support country • Improving coordinated country progress strategy at the global level Movement • Lead oversight of execution prioritisation via advocacy and communications of country priorities at the global and country level • Supporting the performance • Contributing to setting the • Nutrition technical assistance, of the Secretariat and global capacity-building, strategic direction as an ex leadership within • Leveraging financial and • Supporting country processes networks officio member their respective political support and advocacy and to deliver country priorities knowledge mobilisation • Supporting SC, SMS and network organisations and knowledge, as well as • Leveraging assets of the LG at the highest evidence and technical • Facilitating support to meet leadership in fundraising for SUN • Mobilising financial country needs through support system • Leading and supporting political levels assistance to support country resources and capacities to promote priorities resources from Movement fundraising for SMS and (donors responsible for members • Providing fiduciary oversight of networks, with ExCom investment in and • Ensuring the tracking of collectively funding well- SUN infrastructure support action for nutrition SUN Strategy 3.0 progress against priorities defined priorities) • Supporting proactive knowledge management • Managing membership of ExCom and LG 14
FIGURE 3: Strategy framework for the third phase (theory of change) By 2030, a world free from malnutrition in all its forms. Led by countries and governments, supported by organisations and VISION individuals – collective action ensures every child, adolescent, mother and family can realise their right to food and nutrition, reach their full potential and shape sustainable and prosperous societies. GOAL Speeding up progress towards WHA global targets on all forms of malnutrition Outcome 1: Greater priority given to nutrition in national Outcome 2: Country priorities scaled up OUTCOMES development 1: Strengthen and sustain 2: Develop and align shared 3: Build and strengthen 4: Ensure SUN governance strong policy and advocacy country priorities for action country capacity with technical promotes country STRATEGIC environments to position assistance and knowledge leadership and government OBJECTIVES nutrition outcomes management responsibilities, aligns resources and strengthens mutual accountabilities Collective, coherent and evidence-based action leads to accelerated improvement in nutrition outcomes and systemic change at the 03 SUN 3.0: A Strategy to accelerate nutrition action and systemic change, 2021–2025 APPROACH national and subnational levels • Food systems deliver healthy, accessible, affordable and sustainable foods • Health systems provide quality nutrition services for all, including in hard-to-reach areas • Social protection systems integrate nutrition outcomes, particularly those focusing on the first 1,000 days, from conception to two years of age • Private sector (including large, medium and small food and non-food businesses) shifts its resource base/core business towards improved nutrition and aligns with global and national norms • Girls education is crucial to an improved nutrition legacy OVERARCHING GUIDING PRINCIPLES (7) FUNDAMENTAL BASIS • Safe drinking water and sanitation and hygiene services support improved nutrition outcomes • Improved nutrition leads to gender equality and improved gender equality leads to improved nutrition • Nutrition placed at the forefront of tackling the climate crisis on national and international agendas • Independent humanitarian space and humanitarian actors are promoted and protected to provide impartial needs-based assistance and humanitarian assistance leveraged to deliver nutrition in countries affected by fragility and conflict and other humanitarian contexts SUN Strategy 3.0 • Promotion of civil society and community-based organisations to ensure community voices are heard 15 GO BACK
03 SUN 3.0: A Strategy to accelerate nutrition action and systemic change, 2021–2025 SUN Strategy 3.0 16 Priorities for each of the SUN 3.0 development. This will not always be strategic objectives possible, however, and countries will determine the appropriate location based SO1: Strengthen and sustain strong on their specific context. The country policy and advocacy environments coordinator is someone who can mobilise action across government ministries, at An enabling environment for nutrition the national and subnational levels, and places nutrition firmly within global across different stakeholder groups, and and country development initiatives would have the required resources to do and plans (see Box 3, ‘Sierra Leone’ and so. An active web of support would be ‘the Philippines’). This (a) reinforces the built up around the country coordinator’s centrality of nutrition for sustainable office, comprising national, regional development; (b) secures domestic and global stakeholders. Ministerial financing for nutrition; (c) ensures responsibility for the work and support of strong nutrition policies and legislation the country coordinator and any technical are in place on vital issues, such as the staff will be decided within each country International Code of Marketing of Breast- context. Parliaments also have a role in milk Substitutes, maternity protection, helping countries prioritise nutrition in the right to food, and mandatory food their development agenda, including fortification; and (d) promotes links with investments. In 2019, multi-stakeholder broader economic and social policies, nutrition platforms were engaging with such as housing, labour, urban planning, parliaments in 45 countries, while 15 transport, gender, education and social SUN member countries had dedicated protection, in order to achieve more national parliamentary networks. equitable nutrition outcomes for all. There is an urgent need to develop strategies The country coordinator function is for embedding nutrition actions into intended to be a more empowered resource allocation decisions relating to position. The empowerment derives from COVID-19 responses. the support given to the coordinator from their government and all parts of the Country leadership for nutrition is Movement and reflects the convening nurtured and sustained through the power and resources needed to fulfil establishment of a strong institutional the function successfully. SUN partners home for nutrition within the will align behind country priorities, government. In this Strategy, the term including through existing multi- ‘country coordinator’ is used to describe stakeholder platforms, and this will be the responsibility for and function of enforced by the SUN governance and nutrition coordination in countries and accountability mechanisms that support the institutional arrangements for that the country coordinator. In contexts with support. Countries may decide to adopt an active nutrition cluster/coordination this title or to retain the title of focal point. mechanism, the multi-stakeholder At the country level, governments should platform should include the cluster in ensure that the country coordinator the platform in a fully functional manner. position and structure are sufficiently Annex 4 includes the generic terms of elevated and empowered to effectively reference for the country coordinator to position nutrition within national be tailored to each country context. development priorities. The country coordinator, with support The country coordinator and the from country stakeholders across sectors, supporting team have the potential to be will converge and align actions at the key agents of change in SUN 3.0. Ideally, subnational level, mobilise resources and the office of the country coordinator would scale up effective actions. These efforts be located within a high government will draw on evidence and experience, office (e.g., within Planning, Finance, both nationally and from other countries, Coordination, Prime Minister/President’s driven by equity principles. A recent review Office) and would be empowered to of subnational collaboration from 14 case coordinate across line ministries to reflect studies highlights important lessons, such the centrality of nutrition for sustainable GO BACK
03 SUN 3.0: A Strategy to accelerate nutrition action and systemic change, 2021–2025 SUN Strategy 3.0 17 as situating leadership of national and decision-making; and advocacy, subnational multi-stakeholder platforms; community mobilisation, convergence of creating incentives for collaboration services, financing and monitoring and through policy coherence; promoting evaluation.6 decentralisation and autonomy for Box 3: Sierra Leone: Community-level nutrition advocacy to create an enabling environment for nutrition FOCUS 1000, an NGO, has played a critical role in strengthening the policy and advocacy environment for nutrition in Sierra Leone. The organisation is a SUN pooled fund grant recipient, and works with over 6,000 religious leaders, 10,000 traditional healers, 4,000 market women, 70 media practitioners and 180 community-based organisations, specialising in advocacy and awareness-raising, capacity development, community engagement and evidence-based research. FOCUS 1000 increases linkages and synergies between community health workers and nutrition service providers from district to community levels, thereby strengthening community-based services. In partnership with the Government, United Nations agencies and the SUN Movement Secretariat, FOCUS 1000 is championing the legislation of a bill to regulate the marketing of breastmilk substitutes in Sierra Leone. FOCUS 1000 has also convened leaders of different faiths to work respectfully together. Sierra Leone has made improvements in nutrition data quality, with the support of Focus 1000. Between 2017–2018, as part of the CHANGES Consortium (supported by the United Kingdom Foreign, Commonwealth & Development Office (FCDO)) to improve the quality, availability and accessibility of reproductive, maternal, newborn and child health services, FOCUS 1000 supported the Ministry of Health and Sanitation to improve the quality and timeliness of data collection and reporting from health facilities and communities. With this support, the data collection and reporting system transformed from a paper-based to a digital system with significant improvements in both quality and timeliness of submissions. The Philippines: Engaging all levels of government for coordinated nutrition action The Government of the Philippines, supported by FCDO-funded Nutrition International, formulated the Plan of Action for Nutrition 2017–2022 and ensured its alignment with the new Philippine Development Plan. Strong engagement took place at the national and subnational level through consultations and focus group discussions, which provided important information for landscape analyses, mobilised less engaged government units, identified potential nutrition champions and facilitated greater understanding of how nutrition outcomes could be integrated into programmes and platforms. This resulted in a set of priority nutrition actions that were used to develop a Common Results Framework. The Government also carried out an exercise in budget assessments and allocations to compare existing commitments and additional resource requirements. The Plan of Action for Nutrition 2017–2022 has provided a rallying point for nutrition stakeholders at the national level since its launch. Local governments, the Philippine Coalition of Advocates for Nutrition Security, tertiary-level students (through the Philippine Association of Nutrition), and other nutrition actors from the various stakeholder groups have come together to support the Plan’s implementation. The Plan has also led to the development and implementation of a Regional Plan of Action for Nutrition 2019–2022. 6 For more information, see . GO BACK
03 SUN 3.0: A Strategy to accelerate nutrition action and systemic change, 2021–2025 SUN Strategy 3.0 18 At the regional level, the Movement will SO2: Develop and align shared build on existing regional entities to allow country priorities for action governments and networks to coordinate, A successful country prioritisation process learn from and engage with each other will (a) focus action on achieving specific and encourage the regional entities to outcomes; (b) incentivise stakeholder raise nutrition as a priority and speak as alignment within the country and from the one voice (e.g., the African Union, the GSS; (c) increase the chances of attracting Economic Community of West African investments of energy, resources and States, the South Asian Association for finances from governments, donors, Regional Cooperation, the South African businesses and other investors to a Development Community and SUN Civil manageable set of evidence-informed Society regional networks). Alignment at actions that systemically change supply regional level across the entire SUN Global and demand in favour of nutrition; and Support System (GSS) (see Section 5: (d) improve accountability within the ‘Governance and operations’) would also Movement by reducing ambiguity about help to ensure coordination and stronger country priorities. partnerships for improved nutrition outcomes. The majority of SUN countries have a national nutrition plan – a significant At the global level, all components of achievement of SUN 2.0 – and are the GSS will commit to aligning with therefore already building on a strong the government-led country consensus foundation (MQSUN+ 2020). The challenge on priorities. Being driven by country in SUN 3.0 is to identify the priorities priorities also means that global networks for the next 3–5 years that will advance and the SUN Secretariat must work nutrition in all countries. Figure 4 outlines together more effectively and efficiently the relationship between these different to provide that support. An example entities. of one way to improve the collective functioning of the GSS is through a joint There is no one-size-fits-all approach and workplan and budget. no blueprint for specific countries. FIGURE 4: SUN entity relationships Country priorities for action: a magnet, drawing in support, alignment and investment from the rest of the Movement Country coordinator and strong country-level multi-stakeholder web of support with strong alignment of the Global Support System National development plan and national nutrition plan (if available) Multi-stakeholder platform GO BACK
03 SUN 3.0: A Strategy to accelerate nutrition action and systemic change, 2021–2025 SUN Strategy 3.0 19 The common principles for prioritisation Under the leadership of the country are: (a) government is in the lead; (b) each coordinator, each country will be set of country stakeholders will identify supported to convene, guide and its own process for developing feasible align different government entities, priorities for each stakeholder, drawing on civil society organisations (including support from the global networks and the indigenous groups and local community SUN Movement Secretariat as requested; organisations), donors, United Nations (c) a wide range of country stakeholders agencies and businesses at the country and sectors will be brought into the level to facilitate a process that leads to process, in line with SUN principles; (d) a set of prioritised actions.7 Governments actions from a wide range of sectors and that commit to finance an enhanced stakeholders will be considered; (e) a focus proportion of these actions from their on evidence and results on the ground, national budgets will be more likely to with strong emphasis on equity, including leverage financing from partners and gender equity, displaced and migrant will help motivate other governments to populations and refugees, and FCAS emulate them. If feasible, WHA and SDG where relevant (see Box 4, ‘Mali’); and (f) targets should be considered by countries the activities of the rest of the Movement in setting their own targets. outside the country will be closely aligned to support country priorities. Box 4: Mali: Aligning country priorities in fragile and conflict-affected states To overcome challenges and address needs more efficiently and effectively in fragile and conflict-affected countries, humanitarian and development actors need to establish links to deliver shared objectives in fighting malnutrition. During the National Nutrition Forum in June 2019, the Government of Mali committed to increasing its nutrition budget line to fund activities previously covered by humanitarian funding and to ensure coherence between existing nutrition coordination mechanisms. In this spirit, in October 2020, all nutrition stakeholders validated the new Nutrition Multisectoral Action Plan, which includes both humanitarian and development issues. Members of the Nutrition Cluster and the SUN multi-stakeholder platform and SUN networks met to discuss DHIS2 (District Health Information System) data and share experiences on national prevention campaigns, screening for malnutrition and other nutrition interventions. SUN networks also develop specific activities with the Nutrition Cluster. For instance, the SUN Civil Society Alliance and the Nutrition Cluster jointly led and participated in a regional workshop in January 2020, organised by Action Against Hunger, in preparation for the N4G Summit. Collaboration was strengthened through the creation of a country roadmap and the establishment of a committee to implement it ahead of the Summit, bringing together all the SUN networks. A Nutrition Inter-Ministerial Committee meeting brought together all the ministerial departments and allowed humanitarian and development actors to discuss the country’s participation, the level of participation and the type of commitments to be made. The SUN Civil Society Alliance and the Nutrition Cluster are discussing the setup of a small working group with the Protection Cluster to work on protection and nutrition issues in conflict areas. 7 The Multi-Stakeholder Platforms toolkit was created to support this: . GO BACK
You can also read