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The adaptive social protection in the Sahel and nutrition

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Presentation by Carlo del Ninno, Patrick Premand and Roland Berenger Berehoudougou, The World Bank
32nd RPCA annual meeting/32e réunion annuelle du RPCA
12-14 December 2016, Abuja, Nigeria

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The adaptive social protection in the Sahel and nutrition

  1. 1. The Adaptive Social Protection in the Sahel and Nutrition Carlo del Ninno Patrick Premand Roland Berenger Berehoudougou Abuja 12-14 décembre, 2016
  2. 2. The Adaptive Social Protection Program (ASPP) program in the Sahel  A special Multi Donor Trust Fund (MDTF) has been set up to support adaptive social protection in the Sahel (Burkina Faso, Chad, Mauritania, Mali, Niger, and Senegal).  The ASPP is managed by the WB and is supported by a Multi- Donor Trust fund that for the time being includes DFID which provides GBP 47 (~USD 65 million).  The objective of the ASP Program is to – increase access to effective adaptive social protection systems for poor and vulnerable populations in the Sahel.  The ASPP aims to achieve its objectives through financing activities that will help develop adaptive social protection systems and programs to help individuals, households and societies to build resilience, equity and opportunities. (ASPP complements more than USD 252 million in IDA funding for SP programs in 6 countries)  These systems are also expected to enable households to better withstand future shocks and invest in human capital development 2
  3. 3. What do we mean by Adaptive Social Protection?  Adaptive social protection is an integrated approach that was developed to address the challenges of adaptation to climate risk and improve the management and response to shocks  Adaptive social protection programs are flexible programs – They can protect poor households from climate and other shocks before they occur through predictable transfers, building community assets, and other programs that help them build households’ resilience; and – Can be scaled up to respond to extreme events when they hit. 3
  4. 4. Improving household resilience  The ASPP is expected to improve the resilience of poor and vulnerable households by design programs that increase the adaptive capacity of households and communities. – Providing transfers – helping them to develop their human capital including early childhood development and nutrition (for example using accompanying measures), – diversifying their livelihoods (training and access to capital), and thus decreasing the need for adverse coping mechanisms. 4
  5. 5. The ASP promotes Nutrition-Sensitive Adaptive Social Protection activities Nutrition sensitive ASP programs are key building blocks for developing human capital of children Potential operational linkages between ASP and ECD/Nutrition include:  Cash Transfers + accompanying measures (or home visits) aimed at improving parenting practices – Many programs in Africa have incorporated accompanying measures/ Complementary activities: Niger, Madagascar, Cameroon, Etc. – Often in partnership with UNICEF  Cash transfers with linkages to supply-side interventions – nutrition interventions (growth monitoring, supplements…) – health sector interventions (results-based financing,…) – water and sanitation interventions 5
  6. 6. Behavioral Accompanying Measures to Cash Transfers in Niger  A “behavioral change component” (BCC, Volet Comportemental) seeks to foster behavioral changes among parents and encourage investments in young children’s human capital – Encourage adoption of parenting practices conducive to early childhood development on nutrition, health, sanitation, and psycho-social stimulation – Participation in the Behavioral Component is a "soft condition" to receive cash transfers 6
  7. 7. In Niger, BCC Content builds on ‘Essential Family Practices’, but goes beyond to cover psycho-social stimulation and child protection 7 NUTRITION Exclusive Breastfeeding Complementary feeding Malnutrition HEALTH Protecting children against diseases Utilization of health services at first sign of illness Hygiene and handwashing Family Planning CHILD PROTECTION Discipline Attachment and socio-emotional development PSYCHO-SOCIAL STIMULATION Language stimulation Stimulation through play School readiness Brain development Birth registration, school enrollment and attendance
  8. 8. PSYCHO-SOCIAL STIMULATION Language stimulation ++ Stimulation through play ++ School readiness 0 Brain development 0 Birth registration, school enrollment and attendance 0 The BCC component has a value-added beyond cash transfers NUTRITION Exclusive Breastfeeding ++ Complementary Feeding ++ Malnutrition 0 HEALTH Protecting children against diseases + Utilization of health services at 1st sign of illness + Hygiene and handwashing + Family Planning 0 PROTECTION Discipline ++ Attachment and socio-emotional development +  The behavioral change accompanying measures to the cash transfer program lead to a range of changes in parenting practices among cash transfer beneficiaries – Improve practices in nutrition, health, child protection and psycho-social stimulation – Impacts on cash transfer beneficiaries and non beneficiaries (social dynamics)  Impacts are important in some domains, but a need to strenghten linkages with supply-side interventions across sector remain to strenghten impacts on final outcomes Impact (Value Added) of Behavioral Change Component by Domain
  9. 9. ASPP contribution to making demand-side interventions nutrition-sensitive  expand the evidence-base on determinants of malnutrition in the Sahel to provide additional information on key constraints to improved nutrition that demand-side interventions could address  promote learning and evidence generation on how best to design and implement nutrition- sensitive demand-side interventions, in particular behavioral accompanying measures  encourage stronger coordination between prevention activities as part of safety nets with direct nutrition interventions such as supplementation, as well as by strengthening linkages with water and sanitation interventions 9
  10. 10. Strengthening linkages to supply-side interventions: Integrating SP/WASH community-led interventions  Generate evidence on the complementarity and modalities of WASH interventions in the context of safety nets programs. The proposed activities would allow better understanding the linkages between safety nets programs and WASH and the modalities of interventions yielding best results.  The proposed activities include the piloting of different behavioral oriented WASH interventions in Niger, as well as the evaluation of this innovative integrated approach aimed at improving children nutritional outcomes 10
  11. 11. 11 The ASP Program in the Sahel

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Presentation by Carlo del Ninno, Patrick Premand and Roland Berenger Berehoudougou, The World Bank 32nd RPCA annual meeting/32e réunion annuelle du RPCA 12-14 December 2016, Abuja, Nigeria

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