1. Gender Informed Nutrition and Agriculture (GINA) Alliance And Nutrition Collaborative Research Support Program Cheryl Jackson Lewis Senior Nutrition and Health Advisor USAID/Bureau for Food Security CORE, Baltimore, MD May 10, 2011 1

2. GINA Program Description 2

3. GINA Goal To use integrated agriculture and health interventions to improve nutritional outcomes of children less than 5 years of age 3

4. Mozambique, Uganda and Nigeria Implement community-based nutrition activities Introduce nutritious crops and animal food sources to complement basic staples Provide technical support to farmer groups to increase yields through better planting, harvesting, storage and processing technologies Provide BCC to ensure that a diversified food supply translated into adequate diets Empower women with knowledge and skills to improve their capacity to care for their children, increase their access to resources, incomes and decision making roles Promote the nutrition dimension in development, poverty and food security plans, policies and budgets at multiple levels. 4 Objectives

5. GINA Country-Led Partnership 5

6. Creating the Policy Environment 6

7. AgricultureandNutrition Pathways Sold at market Health Care Non-food cash crops Income Nutritional status Livestock, fish, non- timber forest products Agricultural processing Food Meal preparation Dietary Intake Food crops Human Capital Kept for household Assets &Resources International Center for Research on Women 7

8. Male & Female Domains Sold at market Health Care Non-food cash crops Income Nutritional status Livestock, fish, non- timber forest products Agricultural processing Food Meal preparation Dietary Intake Food crops Human Capital Kept for household Assets & Resources International Center for Research on Women 8

9. Gender Perspective Address male and female domains; agriculture and health domains Though focus was on women, participation by men was significant Special emphasis on women because of their role as care givers, producers, processors of food The implications of the project on household resources 9

10. The Health Perspective of GINA: Strengthening Efforts to Reduce Childhood Undernutrition

11. GINA Outcomes 11

12. Policy Outcomes Policies and Strategies to address hunger, food insecurity and under-nutrition Nutrition positioned in the national development policy frameworks Multi-disciplinary Advisory Committees at National/Local levels National Food and Nutrition Policy National Plan of Action for Food and Nutrition Security 12

13. Agricultural Outcomes Improved farm management practices Increased availability of nutritious foods in participating households 23 Technologies Transferred Linkages to Markets GINA Farmer Groups organized into functioning entities GINA groups have included both men and women farmers, which yielded many benefits for participants 13

14. 14 Backyard Gardens Community demonstration gardens Small Ruminants

15. Income Generating Activities Smoked fish for sale Processing cassava into Gari Processing oil from palm kennels 15

17. GINA II Average (Wt/Age)

18. 32.% (baseline)

19. 14.1% (final)

20. Growth Monitoring and Promotion

21. Monthly GMP sessions plus health activities based on Essential Nutrition Actions for children 0-5 years

22. Trained 200 community leaders on essential nutrition actions

23. 80 growth promoters trained to monitor and weigh children

24. Increased knowledge of women about IYCF Practices16 Nutrition Outcomes

25. Gender Outcomes Empowerment of women and men with: Knowledge and skills to prevent or reverse undernutrition Access to technical resources to improve food production and food processing Increased participation in decision making 17

26. Best Practices 18

27. Best Practice 1- Geographical Information System 19

29. Coordination of Multiple Ministries20

31. Strong Technical Skills21

33. Financial Management Capacity

34. Management - Performance and Accountability Standards

35. Field Based Implementation Capacity

36. Current Technical Issues22

37. Best Practice 5 Utilize Integrated Community-Based Activities Sensitize and raise awareness about nutrition and health with : Farmer groups Community Based Organizations Local Chiefs Councils Rural Communities Social marketing and behavioral change component Farmer exchange visits 23

38. Best Practice 6 Select implementing partners with strong and established local networks Ensure adequate timeframe for community participatory approach to promote project ownership and participation Well trained health workers and social promoters were essential for the dialogue with mothers and caretakers and increased community engagement to promote GMP, IYCF practices and agricultural practices 24

39. Nutrition Collaborative Research Support Program 25

40. Nutrition Collaborative Research Support Program (NCRSP) Creating the Evidence Base Tufts University $15 Million USD USAID/Uganda USAID/Nepal Themes: Improve the nutritional status of women and children through agriculture and food based programs Scientific Research Developing Host Country Human and Institutional Capacity 26

41. Nutrition Collaborative Research Support Program (NCRSP) Aim: To determine which investments in agriculture based strategies, policies, and health can be used to achieve: Large scale and sustainable improvements in nutritional outcomes Improvements in dietary diversity, dietary quality and improved IYCF Improved community capacity to combat under-nutrition 27

42. Let us be united, sharing each othersexperiencesWalking across countries, Walking the worldShowing what we do, Surpassing the limitsWE CAN BE THE BEST NUTRITION, HEALTH AND AGRICULTURE AMBASSADORS WE CAN CHANGE REALITY OF HUNGER IN THE WORLD 28