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Standard operating procedures for countries adopting the 'Delivering as One' approach

Following the implementation of the ‘Delivering as One’ approach in 8 pilot countries, a second generation of “Delivering as One” was called for in 2012 and more than forty countries have formally adopted it. Efforts under 'Delivering as one' have now matured to the point where this set of Standard Operating Procedures is developed. They will enable the United Nations to function more effectively and foster greater collaboration and teamwork. The document is structured according to the core elements of the ‘Delivering As One’ approach: One Programme, Common Budgetary Framework (and One Fund), One Leader, Operating as One and Communicating as One.

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Eight case studies on integrating the United Nations’ normative and operational work

The United Nations System has shown the importance and use of international norms and standards for the UN Country Teams (UNCTs) in identifying and designing intervention strategies in various contexts. While the particular instruments and mechanisms vary from country to country, the common thread is the use of the human rights-based approach (HRBA) in every case study. This report shows how different UN agencies, in widely different situations, have developed and carried out joint programming for the implementation of United Nations norms and standards. Findings, lessons and recommendations drawn from the case studies are presented in this report.

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The Sustainable Development Goals are coming to life: stories of country implementation and UN support

This publication provides a glimpse into the early efforts of 16 countries across regions to bring the global SDGs to life, and the role United Nations Country Teams (UNCTs) play in the process. It illustrates how these countries are beginning to integrate the 2030 Agenda into visions, strategies and plans at the national, sub-national and local levels. The country efforts include raising public awareness, seeking engagement of different stakeholders, adapting the SDGs to national and local contexts, increasing coherence across policy areas and between levels of government, assessing risk and strengthening monitoring and accountability mechanisms.

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The Sustainable Development Goals are coming to life: stories of country implementation and UN support

This publication provides a glimpse into the early efforts of 16 countries across regions to bring the global SDGs to life, and the role United Nations Country Teams (UNCTs) play in the process. It illustrates how these countries are beginning to integrate the 2030 Agenda into visions, strategies and plans at the national, sub-national and local levels. The country efforts include raising public awareness, seeking engagement of different stakeholders, adapting the SDGs to national and local contexts, increasing coherence across policy areas and between levels of government, assessing risk and strengthening monitoring and accountability mechanisms.

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Operational manual for child grain bank for the production of complementary food in Ethiopia

Although poverty is the main cause of child malnutrition, inadequate food supply and inappropriate use of the available food compounded with limited access to clean water and poor infant caring practices also contribute to child malnutrition. This document proposes a model for piloting complementary food preparation and distribution, since child care takers must have adequate knowledge on the type and preparation of food to feed infants at the age of six months in addition to breast milk. The main objective of this project is to establish and administer a child grain bank to store complementary food production and organize its distribution to mothers and child care takers.

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Design and testing of health promotion model to promote use of appropriate health services by migrant youth

This survey is part of a programme to protect the rights of vulnerable young migrants through improved access to social and labour protection. This baseline survey will help shed light on the access to health information and services for migrants in the pilot areas. Methods used were interviews, questionnaires, and focus group discussions. The policy and operational recommendations provided are intended for national and state officials inside China as well as development practitioners working on migrant rights’ programmes.

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Complementary feeding of children of 6 to 24 months old: training manual for health extension workers and community volunteers to train mothers and care givers

This document contains a training manual that provides information and guidance on the selection and preparation of locally available, nutritious and safe complementary foods that are easy to prepare for feeding children of 6 to 24 months old. This guide is made for those who will train mothers and caregivers in the preparation of complementary food mix and in implementing this at their community level. The aim is to help to improve the skills of health extension workers, community volunteers and care givers that are working with such children in many parts of Ethiopia.

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Community based nutrition: training guide of health workers and health extension workers

This training guide is used by Master Trainers (MT) when they train Health Workers (HW) & Health Extension Workers (HEW) in the region before the introduction of Community Based Nutrition (CBN) activities in Ethiopia. This training guide is to be used only after the Master Trainers have received their training to be trainers of HWs/ HEWs. There are a total of seven training hours per day throughout the 10 day module.

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Strengthening the Philippines institutional capacity to adapt to climate change: Health sector, Book IV

In the Philippines, improving maternal health has been identified as the most likely MDG not to be achieved by the target date as the decrease of maternal deaths has been decreasing too slowly to meet targets. Due to poor health, child health is also in jeopardy. Since climate change has been identified to exacerbate the effects of poor health, ineffective mitigation and adaptation are expected to make maternal and child health more fragile. Moreover, climate change is also expected to exacerbate vector borne diseases such as malaria, dengue and leptospirosis. This is the last book of a four book final report. This manual is a supplement to the Philippine Integrated Disease Surveillance and Response System (PIDSR) Manual of Operations in order to provide guidance to health sector practitioners in making health decisions that take into account the influence of climate change and will serve as a quick reference on surveillance, a resource manual for training health personnel on climate change, and a guide for improving anticipation of health problems. This manual is designed for disease surveillance coordinators and provides guidance to users on how the PIDSR can be expanded to increase the capacity in the health sector to make decision that take into account climate change. Specifically, the manual will describe the procedure for collecting climate parameters and their integration with disease surveillance data, the analysis of their relationships which can be used for the design of public health response systems appropriate under changing climate scenarios.

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An evidence-based review of MDG-F experiences: a contribution to the QCPR process

This document was prepared by the MDG-F in 2012 to systemize its experience to date in joint programming and implementation through its 130 joint programmes in 50 countries across five regions in eight thematic areas. The document includes evidence based lessons and good practices on issues closely related to those that were discussed during the Quadrennial Comprehensive Policy Review (QCPR), with the goal of contributing to this QCPR process. These issues include: 1. The coherence, effectiveness, relevance, and efficiency of development programmes; 2. National ownership of development processes and results; 3. Capacity development and sustainability of development results; and 4. Mutual accountability.

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My child no longer eats sand: Aid and global battle against child malnutrition in Mauritania

This publication outlines some of the success that several joint initiatives have had in fighting malnutrition in Mauritania that should be replicated elsewhere in the region and demonstrates the impact of quality aid, coordinated between the national government, humanitarian organizations and donor countries. This study provides an overview of the four main crises facing Mauritania, examines the threats and opportunities posed to the current efforts to address these crises and concludes with four key recommendations moving forward. It also lends further credence to the effectiveness of breastfeeding as a strategy to reduce child mortality and notes that the strategy of deploying numerous hygiene, deworming, vitamin distribution and salt iodization programs had demonstrable success in not letting malnutrition manifest or aggravate diseases.

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Environment and health management for climate change in China, Vol II

This report observes the change in the climate and estimates the trend of climate change in the future in China. It also analyses its associated health impacts and provides an overview of an adaptation strategy and addresses research priority areas based on a gap analysis. In regards to the response to climate change, China's public health emergency response system is introduced and the development of emergency response system has been proposed.

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A snapshot of views and experiences piloting new development approaches through the MDG Achievement Fund in Ethiopia

With support from the MDG Achievement Fund, the government of Ethiopia and the United Nations (UN) tested new approaches for involving some of the most vulnerable people more actively in the country’s development process. Through five programmes, new development approaches were piloted with impressive results. In addition to adopting a holistic, cross-sectorial approach, each programme focused on investing in individuals’ capabilities and social opportunities. They also strengthened entire communities through economic and self-help groups. This snapshot covers programme highlights, strategies implemented, and lessons learned from the field.

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Strengthening the Philippines institutional capacity to adapt to climate change: Health sector, Book III

In the Philippines, improving maternal health has been identified as the most likely MDG not to be achieved by the target date as the decrease of maternal deaths has been decreasing too slowly to meet targets. Due to poor health, child health is also in jeopardy. Since climate change has been identified to exacerbate the effects of poor health, ineffective mitigation and adaptation are expected to make maternal and child health more fragile. Moreover, climate change is also expected to exacerbate vector borne diseases such as malaria, dengue and leptospirosis. This is the third book of a four book final report. It is a compendium of good and innovative climate change adaptation options for the health sector and has been taken from extensive reviews of literature and actual site visits. These practices have been identified as being applicable in the Philippine setting.

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Integrated data monitoring and referral systems for community-based management of acute malnutrition (CMAM) in Mozambique

In many countries, the treatment of Severe Acute Malnutrition (SAM) takes place in dedicated feeding centres and during emergency situations. In Mozambique, however, the treatment of SAM has always been integrated within the regular health system, making it a unique example. The aim of this case study is to follow-up on the implementation of the monitoring system for the Nutrition rehabilitation program (PRN) by describing how the nutrition information system has been designed and implemented in Mozambique, examine how these tools assist in monitoring the flow of information between different parts of the healthy system, and to evaluate how nutrition information tools have impacted the program’s efficiency in managing PRN and how it has improved the integration of PRN into the health system

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Improved capabilities and resources to build women’s economic and social security

This document presents lessons and results of specific relevance to shaping the post-2015 development framework in regards to improved capabilities and resources including improved knowledge and health and access to resources and opportunities to build women’s economic and social security. It presents case studies of 10 different programmes implemented by the MDG Achievement Fund (MDG-F) in Bangladesh, Bolivia, Democratic Republic of the Congo, Ecuador, Egypt, Ethiopia, Honduras, Namibia, Timor-Leste, Viet Nam. Each case identifies the the key actors, objectives, strategy, results, sustainability analysis and lessons learned.

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Baseline nutrition and food security survey for Albania

Over the past decade, the nutrition situation has improved greatly for many Albanians. Despite this progress, however, the nutritional status of the population, especially in certain areas of the country, remains a public health concern.The purpose of the survey was to 1) assess food and nutrition security, dietary diversity and food management practices in resource-poor households in order to plan and implement activities aimed at improving household food security and diets, 2) identify the main determinants of anemia in high prevalence areas in order to plan and implement targeted interventions to reduce and prevent anemia; and 3) create a baseline of knowledge, attitudes and practices on infant and young child feeding and care practices in order to help families and communities improve their nutrition practices.

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The economic consequences of malnutrition in Albania

Poverty, malnutrition, and poor child development are locked in a vicious cycle of poor health, lower learning capacity, diminished physical activity and lower work performance or productivity. As this cycle threatens health and survival, it simultaneously erodes the foundation of economic growth - people’s strength and energy, creative and analytical capacity, initiative and entrepreneurial drive. This document analyses risk such as mortality, morbidity, mental development and physical performance deficits in order to develop a scenario that describes the magnitude of national economic consequences from the malnutrition status quo in Albania.

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Assessment of the milling industry for the purpose of wheat flour fortification

Children in Albania face many challenges that affect their chances for a better start in life and reduce their potential to lead productive lives as adults. In spite of relatively low U5 mortality rates (22 per 1,000) and good exclusive breastfeeding rates in the first months of life, Albanian children face multiple nutrition problems including high rates of stunting and overweight, disparities in health and nutrition status and micronutrient deficiencies (IDD and IDA). It is considered that iron deficiency anemia counts for most of anemia cases. Increasing of the consumption of iron and other micronutrients through sustainable flour fortification of widely consumed foods has great potential for improving health and nutrition status of children and women. This assessment was done to help place nutrition and food security higher on the government agenda and design interventions focusing directly to the most vulnerable population groups.

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Case Study on Ying Yang Bao: Improving complementary feeding for China’s children

This case study discusses the effects of the micronutrient sachets ”Ying Yang Bao (YYB)” intervention under the MDG Achievement Fund's (MDG-F) Joint Programme's thematic area, "Children, Food Security and Nutrition". YYB developed by the Chinese scientists are an in-home complementary food supplement fortified with iron, zinc, calcium, VA, VD and other nutrients in soy bean powder base. Results of intervention trials with YYB and the project evaluation continued to indicate that YYBs can significantly reduce the anaemia incidence, and improve stunting and intellectual development.

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Point of use complementary food fortification with multiple micronutrient powders in the Philippines

In support of the achievement of the objectives of the MDG Achievement Fund (MDG-F) Joint Programme on Ensuring Food Security and Nutrition for Children 0-23 months, this case study on the Point of Use Complementary Food Fortification with multiple micronutrient powders (MNPs) captures best practices as well as document lessons learned for purposes of generating knowledge and policy implications. As such, the case study addresses concerns in inter-agency and intersectoral coordination, national ownership and policy reform of the Complementary Food Fortification with Multiple Micronutrient Powders. To meaningfully assess Joint Programming as an approach, this study looked into the utilization concerns in complementary food fortification with multiple micronutrient powder at the household level.

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Case Study on Integrated data monitoring and referral systems for community-based management of acute malnutrition (CMAM) in Mozambique

This case study documents the learnings on integrated data monitoring and referral systems for community-based management of acute malnutrition (CMAM) as implemented in the MDG Achievement Fund ( MDG-F) Joint Programme known as the Nutrition Rehabilitation Programme in Mozambique.

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Joint programmes for food and nutrition security

This document presents a qualitative review of agricultural programming for nutrition among the Millennium Development Goals Achievement Fund (MDG-F) Joint Programmes.focuses on nutrition-sensitive agricultural activities among the MDG-F joint programmes. The specific objectives of this paper are to 1) provide policymakers and practitioners with an overview of the MDG-F joint programmes and how they integrated agricultural and nutrition-specific interventions, 2) determine the extent to which joint programmes’ designs incorporated the principles embodied in the ‘Synthesis of Guiding Principles on Agriculture Programming for Nutrition’, 3) discuss the challenges and lessons learned from the MDG-F’s experience in incorporating agricultural programming in joint programmes, and 4) make recommendations for the design for future joint programmes that integrate food security and nutrition in order to better synergize agriculture and nutrition activities. The review is the product of the joint efforts of the MDG-F and UNICEF to generate knowledge and provide evidence-based solutions for how to take a comprehensive look at the problem of malnutrition and food insecurity.

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Addressing malnutrition multisectorially

This document is the product of the joint efforts of the MDG-F and UNICEF to generate knowledge and provide evidence-based solutions for how to take a comprehensive look at the problem of malnutrition and food insecurity.The findings from the case studies and a historical review of working multisectorally in nutrition in varied country contexts can be used to inform this new era of multisectoral nutrition programming. The lessons learned relate to the institutions and politics of working multisectorally; systems to promote vertical and horizontal coordination; and multisectoral programme design and monitoring and evaluation. This study confirms the principle of “Plan multisectorally, implement sectorally, review multisectorially”. The three cases presented –Peru, Brazil and Bangladesh–, while contrasting in many ways, offer lessons that, in the end, are not dissimilar.

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Joint programme on children, food security and nutrition in Afghanistan: best practices and lessons learned

Afghanistan is one of the most dangerous places for a child to be born. Its mortality rate for children younger than 5 years is ranked second in the world. Twenty five percent of children die before reaching their fifth birthday and more than half of all children are stunted. The Joint Programme on Nutrition and Food Security was designed to address the symptoms and underlying causes of under nutrition by supporting several government initiatives for addressing malnutrition. This report has identified and captured best practices and lessons learned in implementing a joint program that evolved from a consultation process with governmental counterparts, IPs, community structures and beneficiaries. It addresses challenges faced and can be used by practitioners that embrace a multisectoral approach to addressing nutrition and food security issues.

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