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Multi-sectoral programming at the sub-national level: A case study in Homa Bay and Makueni counties in Kenya

  |   Engaging Multiple Stakeholders, SUN Country Network, SUN in Practice

For practitioners and policymakers working in nutrition, there is limited documentation available on how nutrition-sensitive and multi-sectoral programmes are being implemented and supported by existing institutional architecture – at a national and sub-national level – in high-burden countries. To fill this gap, ENN has launched a multi-media package to shed the light on how multi-sectoral programmes are being implemented at the sub-national level in Kenya. This period can be seen as an important time of transition for the nutrition agenda in Kenya, making this case study particularly critical.

The report Multi-sector programming at the sub-national level: A case study in Homa Bay and Makueni counties in Kenya – one of three countries featured in a series of ENN case studies on multi-sectoral programming at the decentralised level – looks at how current government-led activities and structures enable and interact with this programme and puts the spotlight on  implementation in Makueni and Homa Bay.

Alongside this case study, a video with ENN’s Lillian Karanja Odhiambo has been created, which focuses on implementation challenges and lessons from the USAID-funded Accelerated Value Chain Development Programme (AVCD) in Homa Bay.

More information:

ENN Media Hub: https://www.ennonline.net/mediahub/video/mspkenyavideo


Documentation has often centred around policies, strategies and frameworks nationally and guidance available is still fairly generic and “top down”. In April 2018, ENN published a series of case studies on multi-sector nutrition programming at the sub-national level as part of its Knowledge Management (KM) work under the DFID funded TAN Programme (supporting learning within the Scaling Up Nutrition Movement). ENN’s primary objective for this work was to construct ‘case studies’ with detailed descriptions at the sub-national and implementation levels.

This work comprises three country case studies from selected “high achieving” SUN countries with a strong track record in championing and improving undernutrition – Kenya, Nepal and Senegal. These country pieces are accompanied by a synthesis document that draws out some of the key lessons from these case studies. The three country pieces are based on fieldwork and interviews conducted by ENN’s Regional KM Specialist team in late 2017.

Download the synthesis document here


The case study focuses on two districts in Nepal: Jumla and Kapilvastu. It examines in detail the implementation of the Multi-Sectoral Nutrition Plan I (MSNP I).

Download the case study here









The case study looks at the PINKK Project in Kolda & Kédougou, and in the Matam region USAID-funded
Yaajeende Project.

Download the case study here





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  • Ashenafi Mamo | May 5, 2018 at 11:30 am

    Its good drilling to good down!