Help an estimated 713,000 vulnerable Rwandan women, children and family membersmostly smallholder farmersescape hunger and poverty. WebFunding Priority Countries Results Over 28 million children were reached with nutrition-specific interventions in 2018 as a result of USAIDs integrated efforts. Country ownership is the most effective means to coordinate development efforts and achieve sustainable impact in improving nutrition and health and ending extreme poverty. The site is secure. CHF International Is Implementing the New USAID Rwanda Integrated Improved Livelihoods Program (IILP) Funded Under the Feed the Future Initiative. Nutrition, Food Security and Family Planning: Technical - Archive Food and Nutrition Technical Assistance III Project. It is aligned with the 2025 World Health Assembly Nutrition Targets and reaffirms both The .gov means its official. In 2012, the U.S. Government provided support for the implementation of the national nutrition strategy at the district level. Population under 5 years of age (0-59 months, 2012), Prevalence of stunting among children under 5 (0-59 months), Prevalence of underweight among children under 5 (0-59 months), Prevalence of wasting among children under 5 (0-59 months), Prevalence of anemia among children aged 6-59 months, Prevalence of anemia among women of reproductive age (15-49 years), Prevalence of thinness among women of reproductive age (15-49 years), Prevalence of children aged 0-5 months exclusively breastfed, Prevalence of breastfed children aged 6-23 months receiving a minimum acceptable diet, Integrated Improved Livelihood Program (IILP). DHS data analysis from 55 low- and middle-income countries indicate the relative risk of poor child health and nutrition outcomes to be highest for teen mothers, with increased risk of stunting, underweight, and moderate anemia (MacQuarrie 2014). Learn how you can get involved and lend a hand. Using this strategy, USAID aims to contribute to the global goal of a 20 percent reduction in stunting by 2025, one of 6 global nutrition targets for 2025 set by the World Health Assembly (WHA) in 2012. DHS Comparative Reports No. Make a general inquiry or suggest an improvement. You are entering the 2012-2017 Archive for the United States Agency for International Development web site. Enabling individuals to choose the number and spacing of their children and to space pregnancies at healthier intervals will help to mitigate these problems and reduce the gaps projected between demand for food and crops produced. Information released online before January, 2021. As outlined in the agency's Multi-Sectoral Nutrition Strategy 20142025, USAID continues to leverage its role as a key international partner in the fight against malnutrition to address both the direct and underlying causes of malnutrition worldwide. Investments in multisectoral nutrition in these countries, with a focus on learning and increased engagement, allow USAID to work strategically within and across sectors to achieve optimal nutrition outcomes. "The Effects of Fertility Behavior on Child Survival and Child Nutrition Status; Evidence from the Demographic and Health Surveys, 2006 to 2012." USAID expands evidence-based approaches to nutrition and uses proven, cost-effective methods to improve global health and nutrition outcomes for the most vulnerable populations. (last updated April 2016). USAID also coordinates across the Agency to support nutrition-sensitive interventions those that address underlying or systemic causes of malnutrition, including the integration of nutrition components into programs that focus on education, WASH, agriculture, and healthy timing and spacing of pregnancy. Information released online from June 2012 to September 2017. Between 2009 and By improving nutrition, USAID helps national economies grow, enabling them to better participate in global markets and provide for their own citizens. Incorporating referral systems for family planning services into integrated programs and strengthening with improved monitoring. This website is made possible by the generous support of the American people through the United States Agency for International Development (USAID). Integrating reproductive health, including family planning, within broader livelihoods and conservation context can increase engagement and motivation of youth. In addition, more integrated programs are needed that both utilize nutrition and food security platforms for family planning and also utilize voluntary family planning services as an entry point for nutrition assessment, counseling, and support. 2007, Rutstein 2014, Naik 2015). Macro Level The following countries are nutrition priority countries in USAIDs Global Health Bureau and are recipients of nutrition funds. Below are recommendations based on current promising practices that can increase linkages and synergies across programs and ultimately improve the health and nutrition outcomes for countries. External links to other Internet sites should not be construed as an endorsement of the views contained therein. Nutrition Priority Countries & Nutrition Strategic Support Although there is widespread acknowledgement of the relationship between population growth and food security and nutrition, the links between family planning and food security and nutrition have not yet been adequately reflected in policy and programming decisions (Reshma 2015). USAID Gender Equality and Women's Empowerment Policy [PDF, 2.8MB]. The following lessons and recommendations, drawn from this review and other experiences globally, can contribute to improved integration of nutrition, food security, and family planning. They also spend a larger percentage of their income on food yet spend less money on food per capita than higher income families. Download data on rates of children stuntedDownload data on exclusive breastfeeding ratesDownload data on rates of children underweight. USAID Advancing Nutrition works in several of USAIDs nutrition priority countries to advance country-led nutrition programming. By working within and across the agency to coordinate nutrition-specific and nutrition-sensitive interventions, USAID's maternal and child nutrition programs leverage other investments and have a greater impact on improving health. However, even with these improvements, chronic malnutrition is still far too high, with disparities that overwhelmingly affect rural children: 47 percent of rural children are stunted, as compared with 27 percent of urban children. The Lactation Amenorrhea Method is a modern, postpartum, temporary family planning method that supports exclusive breastfeeding, while at the same time providing family planning protection for mothers to extend birth intervals, thus promoting both maternal and child survival. Because family planning has a direct impact on maternal and child health outcomes, the linkages among these multiple sectors are identified throughout the CDCS. The rural poverty rate is three times higher than that in urban populations. ; and Vlassof, M. 2009. 2015. The policy and the strategic plan are aligned to the five-year (2013-2018) Economic Development and Poverty Reduction Strategy (EDPRS II) that aims to propel Rwandas economic growth to a middle-income-status country by 2020. If you are looking for current information, visit www.usaid.gov. To give nutrition a visible platform for advocacy, a nutrition indicator to reduce chronic malnutrition among children under two years of age was introduced in the EDPRS II. Focusing on the 1,000-day period (from a mother's pregnancy until the child's second birthday) through a continuum-of-care model allows programs to reach mothers at a critical period for both nutrition and family planning. Partnership Framework for Cooperation in the Response to the HIV/AIDS Epidemic in Rwanda 2009-2012, June 2010. WebUSAIDS 2014-2025 Multi-Sectoral Nutrition Strategy is the first of its kind at USAID. An official website of the United States government. For each of these WHA nutrition targets, better coordination and Rwanda Demographic and Health Survey 2010, 2011. The poverty rate dropped from 59 percent in 2001 to 45 percent in 2011,2 which is largely attributed to improved agricultural production, slower population growth, and an increase in both farm and nonfarm wages and income transfers.3 However, Rwandaa small, landlocked country with the highest population density in sub-Saharan Africaremains one of the worlds poorest countries, ranking 151 out of 187 countries on the UNDPs Human Development Index of 2014. "Family Planning Improves Nutrition: Evidence from Studies in Low- and Middle-Income Countries. Countries like Ethiopia and Rwanda are already experiencing the effects of rapid population growth with increasing numbers of people cultivating land with poor production potential and dividing already small land holdings among many family members. An official website of the United States government. USAID has taken the lead in a number of countries such as Rwanda and Tanzania to fund assessments and tools like the RAPID Model, which is a computer-based tool that demonstrates the effects of rapid population growth on different sectors including agriculture and economic growth. Unmet Need for Family Planning among Young Women: Levels and Trends. Voluntary family planning is an important nutrition-sensitive intervention that is often overlooked in nutrition and food security programming but has been prioritized in the USAID nutrition strategy. January 2015; Advocacy to Reduce Malnutrition: Using PROFILES and Nutrition Costing, Washington, DC. Learn how you can get involved and lend a hand. Dewey, K.G., and R.J. Cohen 2007. Spacing births too closely can also affect nutrition outcomes of all children in the family when the mother's ability to adequately care for and feed her children is compromised due to too many young children to breastfeed at one time and lack of time and resources to provide adequate nutritious food and care for all children. You are entering the 2012-2017 Archive for the United States Agency for International Development web site. U.S. Funding for International Nutrition Programs | KFF Nutrition Priority Countries | Global Health | U.S. Agency 8th Annual Agriculture, Nutrition and Health (ANH) Academy Week. The contents are the responsibility of JSI Research & Training Institute, Inc. (JSI), and do not necessarily reflect the views of USAID or the United States government. Information released online before January, 2021. Find out about career opportunities at USAID. Search for country or area Office of Health Systems Priority Countries (Text-only) Angola. Information released online before January, 2021. This website is made possible by the generous support of the American people through the United States Agency for International Development (USAID) under the terms of the Cooperative Agreement AID-OAA-A-11-00031 (The SPRING Project), managed by JSI Research & Training Institute, Inc. (JSI). The following countries are additional recipients of nutrition funds to advance the multi-sectoral nutrition strategy. Bangladesh Nutrition Profile Burkina Faso Nutrition 2014. MacQuarrie, Kerry L.D. Find out about career opportunities at USAID. Home visits offer an opportunity for nutrition and family planning counseling to be tailored to individual needs and also to target and involve family members who influence the uptake of nutrition and family planning practices promoted by the program. Webcommitments to the 2025 Global Nutrition Targets adopted at the World Health Assembly (WHA) in 2012. Rhode Island: Coastal Resources Center. In 2014, USAID released a nutrition strategy to guide efforts between 2014 and 2025. Comprehensive Food Security and Vulnerability Analysis and Nutrition Survey, Rwanda, December 2012. WebFootnotes View the PDF [PDF, 308KB]. Today Rwanda is one of the few African countries to meet the CAADP-recommended target of 10 percent of agricultural expenditure in the national budget.3. Learn more about other resources and collaborations that guide maternal and child nutrition programs on the Resources page. Rockville, Maryland, USA: ICF International. The IILP also demonstrated the value of an integrated approach by training 20,063 individuals on improved nutrition and child health practices, surpassing the goal of 18,500.10, Under PEPFAR, the U.S. Government provides support for access to a broad range of care and support services for people living with HIV/AIDS. An existing program infrastructure facilitates expanding services; helps reduce program costs, (transport, training, and personnel); and can achieve more rapid results. Achieve improved income and nutritional status for significant numbers of additional rural populations through strategic policy engagement and institutional investments. As a result of USAID's integrated efforts, more than 27 million children under 5 were reached by nutrition interventions in 2016 alone.4 Through a combined effort of USAID's nutrition-specific programs, nutrition-sensitive interventions, crisis response efforts, and development and humanitarian programs, U.S. assistance is driving nutrition improvements and improving health around the world. Expanding access to and use of voluntary family planning has a positive impact on the nutritional status of both mothers and young children, as well as the overall food security of communities and countries. As many as 460,000 households (21 percent) have unacceptable food consumption and may be considered food insecure.7 The areas of highest food insecurity are the northern and western areas bordering Lake Kivu and along the Congo Nile Crest. In the Balanced Pwani Project in Tanzania, training savings and credit cooperative society members as Population/Health/Environment peer educators and training Ministry of Health community-based distributors (CBDs) in savings and conservation activities, such as beekeeping and other alternative livelihoods activities, facilitated a "more integrated whole-system approach." Integration of Nutrition, Food Security, and Family Planning Programs. WebUSAID Nutrition Profiles SPRING was pleased to contribute to the development of nutrition profiles for USAID priority countries. USAID. This targeted approach to nutrition investments at the country level aligns USAID resources with need, opportunity, and the latest evidence on multisectoral nutrition to deliver the greatest possible impact. New York: Guttmacher Institute and United Nations Population Fund. Integrated programs report that addressing factors related to gender was a critical component to overcoming barriers women face, not only to using family planning, but also to reaching their full potential in the agricultural and economic sectors. The current primary geographical focus for HSS are the 25 Ending Preventable Child and Maternal Deaths (EPCMD) countries, the 32 AIDS-Free Generationpriority countries, and 29 developing countries participating in the Global Health Security Agenda (includes overlap), collectively referred to as Global Health priority countries. Working at both the community and facility levels, including home visits. The World Vision/Haiti Title II development food assistance project, Sak Plen, integrates family planning into a food security and nutrition program using an existing community network. Globally, the world's population is projected to rise from 7.3 billion in 2015 to approximately 9.7 billion in 2050, which will significantly increase the demand for food worldwide (UN 2015). Growing evidence suggests targeting nutrition-specific and nutrition-sensitive interventions, including family planning, to the same populations will improve nutrition results including stunting reduction. As a result of USAID's integrated efforts, more than 27 million children under 5 were reached by nutrition interventions in 2016 alone. Federal government websites often end in .gov or .mil. Bangladesh. CAADP is an African-led program bringing together governments and diverse stakeholders to reduce hunger and poverty and promote economic growth in African countries through agricultural development. Researchers from the FANTA III project recently conducted a review of more than 102 interventions in which family planning activities were integrated with food security and/or nutrition interventions. Establishing or linking to a community-based distribution system was found to be key to increasing family planning access and integration efforts. Information released online from June 2012 to September 2017. Where We Are | SPRING The strategy focuses on enabling improvements for private sector-led growth in the agriculture sector and on building capacity within value chains to improve the competitiveness of farmers and commodities. If you are looking for current information, visit www.usaid.gov. Three types of family planning activities were identified among these integrated models: 1) family planning education; 2) family planning education and counseling; and 3) family planning education, counseling, and commodity provision. Rwandas Feed the Future Multi-Year Strategy identifies market linkages, infrastructure, nutrition, innovation and policy as focal points for support and intervention, and is expected to reach 174,000 children and 713,000 vulnerable persons overall. Information released online from June 2012 to September 2017. Poor households typically face the multiple burdens of unmet need for family planning, larger family size than desired, and inadequate resources to provide sufficient quantity and quality of nutritious foods to meet the needs of their families. The policy calls for Agency officers to mainstream, integrate, and invest in youth to yield success, scale, and sustainability across USAID core initiatives and priorities. Expanded access to and use of family planning can play a major role in reducing population growth, hunger, and malnutrition (Singh 2012). Go to the current USAID.gov website for up-to-date information, Archive - U.S. Agency for International Development, Steps to Improve Synergies: Nutrition, Food Security, and Family Planning Programs, Health Policy Project (HPP) Impacts of Family Planning on Nutrition; and Impacts of Family Planning on Food Security, Food and Nutrition Technical Assistance (FANTA III) Project; Desk Review of Programs Integrating Family Planning with Food Security and Nutrition, Unmet Need for Family Planning among Young Women: Levels and Trends, USAID Gender Equality and Women's Empowerment Policy. Information released online from June 2012 to September 2017. USAID supported nutrition activities at health facilities and in communities, including supporting the scale-up of the GORs Community-Based Nutrition Program.10 Furthermore, a national multisectoral Food and Nutrition Policy and Strategic Plan for 2013-2018 was completed in October 2013 to guide the GOR and development partners in the implementation of nutrition activities with a multisectoral approach to address stunting. The projects goal is to improve the livelihoods and food consumption of 75,000 of Rwandas very poor, particularly women, by building the capacity of low-income households to access the financial services necessary to grow their enterprises, as well as assist financial service providers to develop and deliver effective products to the rural market. Local crops are used to prepare nutritious foods. Use program platforms across sectors to deliver consistent family planning and nutrition education and referral recommendations; Suaahara in Nepal has developed one integrated project mechanism that delivers family planning, nutrition and food security/agriculture services to the same populations. Ethiopia's Health Extension Program provides both voluntary family planning and nutrition interventions to pregnant and lactating women and children under two through pre- and postnatal care and well-child services. Learn how you can get involved and lend a hand. "Does Birthspacing Affect Maternal or Child Nutrition Status? Adding It Up: The Costs and Benefits of Investing in Family Planning and Maternal and Newborn Health. WebUSAID, or were used in five or more countries. Rutstein, S. and Winter, R. 2014. Go to the current USAID.gov website for up-to-date information, Archive - U.S. Agency for International Development, Quadrennial Diplomacy and Development Review, Ending Preventable Maternal and Child Deaths. If you are looking for current information, visit www.usaid.gov. WebExclusive breastfeeding doubled on average across 20 priority nutrition countries between 1990-2014. Robust formative research will provide the information needed to assess how to best incorporate family planning. To achieve these goals, USAID works with 14 Nutrition Priority Countries and 4 Nutrition Strategic Support Countries. WebUSAID Advancing Nutrition works in several of USAIDs nutrition priority countries to advance country-led nutrition programming. FFP targets approximately 89,000 food-insecure Congolese refugees and returnees within Rwanda. If you are looking for current information, visit www.usaid.gov. Staff experience, training, and incentives across sectors. Nutrition Countries - U.S. Agency for International Development Mothers' Clubs and home visits were effective in facilitating understanding of family planning due to the interactive nature of these contacts between the CHPs and the beneficiaries. Staff Experience and Training text box: BALANCED Project. Beyond Social and Behavior Change Communication: Ensuring a regular supply of commodities. Find out about career opportunities at USAID. Benin. This includes 155 million children who are stunted as a result of chronic undernutrition and other limiting factors during the most vulnerable years of a child's life. USAID Multi-Sectoral Nutrition Strategy 2014-2025 The Director of Maternal and Child Health in the MOH is the SUN focal point person, while USAID is the donor convener for SUN in Rwanda, and together with the United Nations coordinates the support of nutrition-specific and nutrition-sensitive programs. Download the nutrition profile [PDF, 354KB], Since the civil war and genocide in the early 1990s, the Government of Rwanda (GOR) has embarked on rebuilding the country and improving the quality of life for its people. By 2100, 10 African countries are projected to have increased their populations by at least a factor of 5: Angola, Burundi, Democratic Republic of Congo, Malawi, Mali, Niger, Somalia, Uganda, United Republic of Tanzania, and Zambia, placing severe pressure on natural resources, including land and water, health and social services, and increasing the gap between food availability and food demand (UN 2015). All clients visiting maternal and child health clinics receive MIYCN-FP integrated messages and services at antenatal, intra-partum, postnatal, family planning, and child health visits. Programs should be determining priority messages and assure reinforcement of key behaviors. You are entering the 2017-2020 Archive for the United States Agency for International Development web site. Review of Package Materials . WebBetween 2009 and 2016, the prevalence of stunting within USAID's 19 nutrition priority countries decreased from 40 percent to 34 percent. WebThe following countries are nutrition priority countries in USAIDs Global Health Bureau and are recipients of nutrition funds. Undernutrition in children is attributed not only to food insecurity and poverty, but also to inadequate feeding, particularly during weaning, and insufficient intake of micronutrientsonly 20 percent of Rwandan children consume food rich in iron, which is critical to growth and cognitive development.8 According to the recent results of a cost of hunger study in Rwanda, 21.9 percent of child mortality is associated with undernutrition, while the social and economic impact of child undernutrition leads to the loss of $820 million, equivalent to 11.5 percent of Rwandas GDP. Reaching youth with reproductive health services is a priority and a challenge in many countries. Learn how you can get involved and lend a hand. PROFILES, a similar type of advocacy tool, consists of a set of computer-based models that calculate consequences if malnutrition does not improve over a defined time period and the benefits of improved nutrition over the same time period, including lives saved, disabilities averted, human capital gains, and economic productivity gains. This Technical Brief will be periodically updated. FAQs | Privacy Policy | Disclaimer | Sitemap | Download Adobe Acrobat. Improving Nutrition for Women and Young Children The Ministry of Health (MOH) implemented the National Multisectoral Strategy to Eliminate Malnutrition (2010-2013) and a comprehensive joint action plan to fight malnutrition under the Office of the Prime Minister, which provides a common results framework for nutrition. This demand-driven approach directly supports Rwandas Vision 2020 strategy, which foresees a transformation from subsistence to market-oriented agriculture. 2 An Investment Framework for Nutrition : Reaching the Global Targets for Stunting, Anemia, Breastfeeding, and Wasting. Given the impact of population growth and fertility rates on a country's capacity to feed itself and the importance of healthy timing and spacing of pregnancies for good health and nutrition for mothers and children, voluntary family planning should be an integral part of policy dialogue in the food security and nutrition arenas. How Do Programs Catalyze Change for Nutrition? Nutrition - U.S. Agency for International Development External links to other Internet sites should not be construed as an endorsement of the views contained therein. Note: Content in this archive site is NOT UPDATED, and external links may not function. U.S. Government Global Nutrition Coordination Plan 2016-2021 Mothers levels of education and wealth quintile have a clear inverse relationship with prevalence of stunting.8. From 2005 to 2010 there were improvements in nutritional status among children under 5 and among women. Connect with SPRING and follow our ongoing and completed work in Bangladesh, Ethiopia, Ghana, Guatemala, Guinea, Haiti, India, the Kyrgyz Republic, Mali, Nepal, Nigeria, Rwanda, the Sahel (Burkina Faso and Niger), Senegal, Sierra Leone, and Uganda.