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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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Measuring political commitment for food and nutrition security

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 MDG-F promoted integrated solutions to food insecurity and malnutrition. By bringing together the expertise of various UN agencies, the MDG-F programmes have put in place multisectoral approaches that include important issues such as nutritional education, equality and empowerment of women, agricultural production and health issues, among others.

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Review of MDG-F joint programmes: key findings and achievements

The review presents the key findings and achievements of the 130 joint programmes across 50 countries supported by the MDG Achievement Fund (MDG-F) covering eight thematic areas: children, food security and nutrition; youth employment and migration; culture and development; gender equity and women’s empowerment; private sector and development; conflict prevention and peace building; environment and climate change; and democratic economic governance.

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Culture and development: review of MDG-F joint programmes key findings and achievements

This thematic study aims to capture the main achievements of the 18 Joint Programmes (JPs) funded under the Thematic Window on Culture and Development of the MDG Achievement Fund (MDG-F).

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General assessment of the water supply sector and its human development function in Bosnia and Herzegovina

This document analyzes the water supply sector in Bosnia and Herzegovina as part of the program “Securing Access to Water through Institutional Development and Infrastructure” led by UNDP. By taking a participative approach, the aim of the document is to asses (i) organizational status of water utility companies, (ii) current municipal, cantonal, entity and state level legislation on the water supply sector and (iii) available structures for social protection welfare and public health, with the goal to ensure equitable and safe water supply and capacities of municipal governance systems. The research focuses in 20 municipalities and analyzes four different levels: water utility companies, municipal level (administrations in charge of utility affairs, costumers, local population, competent administration for refugees and returnees), entity level (water and environmental sector, social welfare sector, associations of water utilities) and the state level (competent authority for water and environment).

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

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 report presents a conceptual framework in the conduct of a vulnerability assessment and impact modeling for the Public Health Sector, a climate change vulnerability assessment framework, a climate change monitoring and evaluation framework, and documents innovative climate change adaptation practices applicable to the Philippine health sector. It also recommends that governments should engage more actively with the scientific community, who in turn must be supported to provide easily accessible climate risk information. It is the first of four books and contains the main project report. Book 2 contains the report annexes. Book 3 contains the compendium of best practices and book 4 presents training manuals on how to utilize the V&A framework and the integrated M&E framework.

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Training manual on peer education for youth migrants

This manual was part of a three year joint initiative of the UN and the Chinese Government called, “Protecting and Promoting the Rights of China’s Vulnerable Migrants. Its objectives were to support the Chinese Government to promote the protection of the rights and interests of internal migrant workers. The manual was developed based on the rich experiences in peer education that UNFPA gained through implementing migrant youth intervention projects in China. Being young and mobile, and exposed to opportunities and challenges in a new environment, migrant youth are easily influenced by their peers. Peer education makes use of this peer influence to promote positive changes on behaviors among them. This manual is a training tool to guide the development and implementation of health promotion programs targeting migrant youth. It is designed in order to conduct systematic training for program staff before launching peer education intervention projects.

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Training manual on social marketing approach

This manual was part of a three year joint initiative of the UN and the Chinese government called, “Protecting and promoting the rights of China’s vulnerable migrants". Its objectives were to support the Chinese government to promote the protection of the rights and interests of internal migrant workers. The manual is part of an effort to use social marketing as a way to increase young migrants’ health knowledge and risks awareness, as well as to improve their access to and utilization of health services. It can be used to organize systematic training for staff of government and NGOs on social marketing interventions. Users will be able to differentiate social marketing from commercial marketing and gain insight into the importance of an audience-centered approach, e.g., the need to help targets analyze the costs and benefits of a behavior as opposed to telling them right from wrong. Project management skills will be developed and the ability to conduct a “Situation Analysis” is an expected outcome as well.

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Role of food security and nutrition interventions in empowering women

In response to the high levels of food insecurity and under nutrition among women and young children in Bangladesh, the World Food Programme (WFP), Food and Agricultural organization (FAO) and United Nations Children’s Fund (UNICEF) initiated a joint programme to improve maternal and child nutrition in one of Bangladesh’s most impoverished regions. The programme, “Promoting and Protecting food Security and Nutrition for Families and children in Bangladesh” was designed to contribute towards the reduction of acute malnutrition and underweight prevalence amongst children 0-59 months and pregnant lactating women, and to reduce the proportion of the population that is food insecure. This study attempted to focus on the role of the joint interventions in enhancing women’s capabilities to increase the families’ food security and nutrition.

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Children, food security and nutrition: review of MDG-F joint programmes key findings and achievements

The Millennium Development Goals (MDGs) using a joint programme (JP) mode of intervention supported through its window on Children, Food Security and Nutrition programmes to halt preventable deaths caused by child hunger and poor nutrition. The window allocated US$134.5 million through 24 JPs in 4 regions - Africa, Asia & Pacific, Europe and Central Asia, and Latin America and Caribbean and represented almost 20% of the Fund’s work. The purpose of the JPs in the 24 countries was to improve the health, nutritional and education status of the poor and vulnerable households keeping in view the United Nations Development Assistance Framework (UNDAF) outcomes. This report consolidates the design and progress to capture the main achievements in the 24 JPs through a literature review.

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