Feedback on the First Draft Work Programme of the UN Decade of Action on Nutrition, 2016-2025 from the Scaling Up Nutrition (SUN) Movement Coordinator & Secretariat
We applaud the work of colleagues at WHO and FAO to bring together the latest draft of the Work Programme of the UN Decade of Action. We would like to share some general comments on the overall direction of the documents. We then include in annex some more specific comments related to various elements.
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After years of neglect, nutrition has received unprecedented attention over the past several years. This has resulted in some hugely promising commitments including but not limited to: the six global nutrition goals adopted by the WHA in 2012 and the nutrition and the NCD framework adopted at the 66th session of the WHA in 2013; the Global Compact of the Nutrition for Growth meeting in 2013; the second International Conference on Nutrition (ICN2) in 2014, the adoption of the 2030 Agenda of sustainable development and in particular SDG 2 in 2015 as well as the World Bank-hosted Human Capital Summit in 2016 where ministers from nine countries pledged to improve nutrition, health and education programs for young children to dramatically reduce childhood stunting. In the SUN Movement, the leadership of the 59 countries and the Indian States of Maharashtra, Uttar Pradesh and Jharkhand as well as the large number of in-country stakeholders supporting the SUN Movement’s efforts to fight all forms of malnutrition are particularly promising,
A myriad of processes, projects and working groups have been launched to support these commitments - government ministries, development partners, businesses and academia have begun to reorient their focus and realign their approaches to ensure that nutrition is at the heart of their work.
Now is the time to secure the leadership and shine a light on the pathways to coherent ACTIONs leading to results and impact, which is at the heart of this Decade.
We see the Decade of Action as the opportunity to consolidate the gains made in recent years and ensure that the final collective results are greater than the sum of smaller, disconnected or isolated efforts. Most importantly, we see it as a platform on which country-ownership and leadership can be displayed, celebrated, better understood and further replicated. It is also the opportunity to explain how UN agencies involved will work together to bring coherence, encourage and guide collaboration, support capacity, build trust and make smart use of what is going on, using the naming and faming method to encourage the smart and opportunistic combination of supports from various initiatives for better impact.
These elements are not easy to find in the document as it currently reads and we have some suggestions to help improve this.
1. This document could open by clearly demonstrating the urgency of securing lasting leadership for nutrition. This could be done by concisely summarising the powerful evidence of the impact that good nutrition has on people’s well-being as well as the business case of investing in nutrition. (This could be easily backed up by the various studies and reports that has been pulled together in recent years.)
2. In order to ignite support behind a coordinated Decade of Action for nutrition, it would be helpful to:
a. Remind the reader how harmful inaction can be. In this sense, it would be useful to acknowledge how decades of underinvestment in nutrition further jeopardized the lives and potential of millions. While at the same time highlighting that improved nutrition can contribute to GDP growth
b. Celebrate what has already been achieved: Acknowledge the huge gains made in recent years. Illustrating this momentum with clear examples will help to set up this work plan up in a positive and inspiring way that compels the reader to participate in the Decade of Action.
c. Draw on what exists to sketch out a clear roadmap – highlighting existing processes and initiatives that bring results and impact at country level and can be shared at regional events and global fora.
3. The ‘aims and added value’ needs to feature much earlier
a. Country-ownership and leadership on ALL forms of malnutrition
b. Human rights based approach – with women and girls at the center
c. Focus on evidence and results
4. The 2030 Agenda and the SDGs have ignited a new approach that should define the spirit of the decade. In particular, there are elements of the 2030 Agenda that are particularly relevant:
a. Universality – the 2030 Agenda belongs to everyone; there is no country that is without the challenge of malnutrition and every country should be able to find a role of some size and shape in this Decade of Action. The Decade is not only meant for developing countries but also crucial for countries that face a growing challenge of over-nutrition, obesity and related NCD’s. They can be partners in sharing expertise in preventing and fighting this.
b. Transformative- people-centered, putting human rights and social justice at its core
c. Partnerships – at the heart of the SUN Movement’s approach is the belief that every actor has a role to play – from governments, business, civil society, development partners and academia. While the UN Member States are the primary audience for this work programme, it would be a missed opportunity if all of the existing partnerships were not encouraged to take part in this Decade of Action for nutrition.
The Partnerships Playbook, which was developed in partnership with Every Woman, Every Child, the Global Partnership for Education, Sanitation and Water for All, the Zero Hunger Challenge and the SUN Movement, was recently endorsed at the Second High-Level Meeting (HLM2) of the Global Partnership for Effective Development Cooperation as an official Global Partnership Initiative. This could provide some inspiration for further developing this section of the work programme of the Decade of Action.
5. The Rome Declaration and Framework for Action should be clearly referenced and concisely summarized but reopening or reinterpreting the substance in this document in the detail as currently expressed in six ‘areas’ doesn’t seem to advance collaborative action. As suggested above, it may be more helpful to highlight the initiatives, mechanisms or opportunities that have been established or are underway in each of these areas and then spend more time articulating the entry points for UN Member States to engage and align with these and how WHO and FAO in collaboration with WFP, IFAD and UNICEF will support Member States to do this.
a. Several examples include: highlight the objectives and process underway within the High Level Panel of Experts of the Committee on World Food Security to draft a paper on Nutrition and Food Systems;
b. Be clear on the role that WHO, FAO and others can and will play in raising awareness and connecting Member States with these opportunities to contribute and build upon.
6. Nutrition champions – There is much work underway that can be capitalized upon: The African Leaders for Nutrition; the SUN Movement Lead Group, the ambassador programmes of the UN agencies – particularly the celebrity chefs who have an enormous following across the globe.
7. Accountability and lesson sharing – There are several bodies to which UN Members States are already committed to reporting their progress and sharing lessons. The challenge for this work programme is to show how these link together and suggest inclusive ways for Member States to engage in coherence with 2030 Agenda and the SDGs without imposing more arduous burdens
a. The Voluntary National Review process of the High Level Political Forum for Sustainable Development
b. Reporting to the WHA on the six global nutrition goals and the NCD framework
c. Annual plenaries of the Committee on World Food Security (and in particular the work planned by its Open Ended Working Group on Nutrition)
8. It would be very useful to include a calendar that maps out key dates and milestones for the Decade.
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More specific comments:
Point 2: Include a reference (footnote) to the Rome Declaration and the Framework for Action. It would be good to use ICN2 Framework for Action throughout the document.
Point 5: Is the Framework of the Decade of Action on Nutrition (2016-2025) different from the Framework for Action (point 2 and 4)?
Point 9:
· How is the “operational” framework different from the voluntary Framework for Action (point 2 and 4) and from the Framework of the Decade of Action on Nutrition (point 5)?
· The third bullet point assumes that global commitments translate into national policies and programmes. This is not aligned with the country-led and country-driven bottom up process that is then described in other parts of the document.
· On the NCD targets: please confirm that salt/sodium intake and obesity are the only two diet-related NCD targets considered by the Decade of Action and that diabetes and raised blood pressure will not be considered by the Decade of Action.
Point 11: Describes very well the added value of the Decade of Action. You may wish to review Point 9 in light of what is expressed under Point 11. It seems that some of the concepts are repeated or even reversed between Point 9 and Point 11.
Guiding principles: As mentioned above, WHO and FAO may wish to consider aligning with the 10 principles endorsed by the other partnerships including Every Woman, Every Child, the Global Partnership for Education, Sanitation and Water for All, the Zero Hunger Challenge, the SUN Movement as part of the Partnership Playbook.
Action Areas:
As expressed above, this section is unclear. Are the points a reminder on the types of actions that are already included in the ICN2 Framework for Action?
It might be more useful to simply clarify how the countries and partners can access and use the ICN2 Framework for Action document. It would even help to have an Annex with the summary list of the 60 actions included in the ICN2 Framework for Action for easy access and reference.
Nutrition education: Why is it linked only to social protection if this is clearly a cross-cutting theme?
Means of implementation:
It would make sense for this section to be the main focus of the Work Programme. It should provide much more clarity on how the Decade of Action will work with what is already existing.
Point 44: How will the UN Agencies solicit the engagement and support of other stakeholders? Is a call for commitments from “other stakeholders” the only option? How will this be carried out, recorded and monitored?
Point 45: It is difficult to understand what the high-commitments on ICN recommendations are.
Point 46: Nutrition Decade Secretariat is mentioned for the first and only time. It would be great to have more details on objectives and modalities of functioning. If a Nutrition Decade Secretariat is to be set up, it will be crucial to avoid duplication and mandate confusion with the existing UN coordination initiatives.
Action Networks
The first point should explain how the Decade of Action will effectively partner with the existing alliances, networks and initiatives to ensure increased focus and action.
The Action Networks could be a mechanism to ensure that the partnerships are accelerating and aligning efforts around certain topics.
Funding, TA and Advocacy: all three sections are very vague. We suggest the topic of funding is more precise. The topics of technical assistance and advocacy could be well covered when highlighting the related existing initiatives in the ‘means of implementation’ section.
Potential Topics in Table 1: How do these topics link with the ICN2 Framework for Action? Should the ICN2 Framework for Action not be the reference point for the establishment of the Action Networks?
Mme Maria Pizzini