Project Factsheet
Tools for » Joint Programme for Children, Food Security and Nutrition
Project ID:00067236Description:MDGF-1992-I-KHM
Fund:
MDG Achievement Fund
Start Date *: 31 Mar 2009
Theme:
MDGF SP-ChildFoodSec&Nutri
End Date*: 30 Jun 2013
Country: Cambodia Project Status: Financially Closed
  Participating Organization:   Multiple
About

Overview

Developed through a consultative process involving government partners, UN agencies and other relevant stakeholders, the JP sought to provide a sustainable contribution to reducing under nutrition and improve food security among pregnant and lactating women, as well as children 0-24 months. As a result of the JP interventions the following was observed in the intervention areas: better breastfeeding practices; increase in food consumed, in the use of complimentary micronutrient powders and in dietary diversity, a significant decrease in cases of severe and moderate anaemia and the number of underweight children, better drinking water treatment as well as better use of health services for pregnancy and child birth.

Additionally, the JP sought to strengthen the implementation of existing nutrition and agricultural policies. The programme is fully aligned with the National Strategic Development Plan (2009-2013) and the UNDAF (2011-2015). As a result of the intervention the existing policy on early childhood care and development was reviewed and an action plan was developed and submitted to the Council of Ministers.

Lastly, the JP sought to help develop an integrated food security and nutrition monitoring system. The JP developed a quarterly bulletin to strengthen information gathering, management, analysis and usage.

 

Outcome 1:

Improvement of the nutritional status of children aged 0-24 months and pregnant and lactating women.

Outcome Achievments:

  • Better breastfeeding practices with nearly all children in the target group having been breastfed and 98% having received colostrum at some point.
  • Increased food consumption with virtually all children having consumed semi-solid foods in the 24 hours prior to the end line survey. More children were also consuming complementary food with the proportion of children consuming thick rice increasing from 21% to 31%.
  • Increased dietary diversity  with the proportion of children 6-23 months of age who received food from 4 or more food groups increasing  from 29% to 48%.
  • Micro nutrient powders widely introduced  for home fortification of complementary foods in the intervention provinces, with more sachets being used  and reaching more children.
  • Considerable decrease in moderate and severe anaemia levels in children under 5 years of age observed, together with a decrease in underweight children and a substantial increase in the proportion of pregnant women with normal hemoglobin.
  • Better use of health services, with the end line survey showing an increase in the number of antenatal visits (+ 5.6%) and births in a health center (+ 25%) from the baseline.
  • Better drinking water with the end line study showing that approximately 85% of the households treated their drinking water, a 7% increase from the baseline.

 

Outcome 2:

Strengthening of the implementation of existing nutrition, food security, and agricultural policies; and development of new policies addressing malnutrition.

Outcome Achievments:

  • The existing policy on early childhood care and development was reviewed and a national action plan was submitted to the Council of Ministers in April 2012.
  • National guidelines for the management of acute malnutrition were developed and used in the target provinces.Outcome 3:Development and management of an integrated food security and nutrition monitoring system.

 

Outcome 3:

Development and management of an integrated food security and nutrition monitoring system.

Outcome Achievments:

A quarterly bulletin developed by the JP added an important aspect to data and information gathering as well as usage, data management, dissemination and data analysis on food security and nutrition.

 

Best practices:

  • The programme design made use of a multi-sectorial approach in which health, food security and nutrition are interrelated to enhance nutritional conditions of children and women.
  • Working through existing systems has resulted in enhanced capacities, especially at sub national level, which in turn enhanced the sustainability of the programme results. The JP’s support to policies and guidelines has resulted in enhancement of the enabling environment.

 

Lessons learned:

  • Although the programme design makes use of a multi-sectorial approach, this is not captured in the monitoring framework, limiting the options for monitoring and evaluation of cross-sectorial results.
  • The programme should have made clear the aspect of piloting and scaling up with a mixture of components at different stages of standardized practice.
  • Regular participation of Line Ministries in the PMC and technical groups would have strengthened ownership and buy-in.
  • Much of the focus at sub-national level was on developing capacities which proved less sustainable due to high turnover.
  • At the local level, the lack of financial incentives for health centers proved to be an important constraint for the on-going implementation of severe and moderate malnutrition management.

 

More Details can be found in the final project report: End of Project Report

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Contacts

If you have questions about this programme you may wish to contact the RC office in Cambodia or the lead agency for the programme. The MPTF Office Portfolio Manager (or Country Director with Delegation of Authority) for this programme:

The persons with GATEWAY access rights to upload and maintain documents for the programme:

  • Ann Lund, Senior Coordination Specialist; Telephone: 85523216167; Email: ann.lund@one.un.org; Skype: annlundwork
  • Mercedes Sanroman, Coordination Officer; Telephone: 855 (0) 12 204518; Email: mercedes.sanroman@one.un.org; Skype: sanromanmercedes
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