Bangladesh

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In September 2012, the People’s Republic of Bangladesh joined the SUN Movement with high level commitment from HE Sheikh Hasina, the Prime Minister.“Malnutrition is the largest single contributor to physical and mental under-development and disease. The Secretary General’s SUN Movement, which aims to mobilize a global collective action against malnutrition, particularly in children, is therefore a far-sighted one. The ultimate purpose is to produce new generations of healthy people worldwide. Personally I am committed to taking up these challenges at all levels.” Sheikh Hasina, Prime Minister of Bangladesh (September 2012).

Progress

Bringing people together
69% 2017

Bringing people together

Coherent policy and legal framework
74% 2017

Coherent policy and legal framework

Aligning programs around a Common Results Framework
50% 2017

Aligning programs around a Common Results Framework

Financial tracking and resource mobilization
50% 2017

Financial tracking and resource mobilization

TOTAL
61% 2017

TOTAL

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Nutrition situation

36.1%

Under Five Stunting

22%

Low Birth Weight

55.3%

0-5 Months Exclusive Breastfeeding

14.3%

Under Five Wasting

1.4%

Under Five Overweight

43.5%

Woman Anaemia 15-49 years

9.4%

Adult Blood Glucose (Diabetes)

18.1%

Adult Overweight

3.6%

Adult Obesity

Strategic objectives

The revised terms of reference for the Bangladesh National Nutrition Council (BNNC) secretariat have been included as part of the second National Plan of Action on Nutrition (NPAN2) 2016-2025, and is awaiting the Prime Minister’s approval. The REACH partnership support in Bangladesh ended in 2016, with UN agencies (FAO, UNICEF, WHO, WFP, ILO) continuing to facilitate multi-sectoral collaboration. The Civil Society Alliance for Scaling Up Nutrition, Bangladesh (CSA for SUN, BD) is developing an enhanced communication and advocacy workplan. The SUN Business Network (SBN) and SUN Network for Academia are currently being established, and a consultative drafting of terms of reference has thus commenced, with in-country convenors.

Last updated: November 2017

2016
The terms of reference for the Executive Council and the Technical Standing Sub-Committees of the Bangladesh National Nutrition Council (BNNC) have been formulated with detailed roles and responsibilities in 2015. Other relevant line ministries have been brought on board the Multi-Stakeholder Platform to create synergies and ensure the nutrition-sensitive programming work of ministries is captured. Discussions have commenced with the Ministry of Industries along with relevant development partners to launch the National Food Fortification Alliance.

Last updated: December 2016

2015
The Bangladesh National Nutrition Council (BNNC) has been revitalised and is envisaged to be the highest level coordinating mechanism for nutrition chaired by the Prime Minister. The Terms of Reference for the BNNC, Executive Council, Technical Standing SubCommittees and BNNC Secretariat, have been revised, with roles and responsibilities outlined and is in the process of endorsement by the Prime Minister.

The Steering Committee for Nutrition Implementation is headed by the Secretary of the Ministry of Health and Family Welfare (MOHFW). It ensures multi-sectoral and multi-stakeholder collaboration between 13 ministries and 10 departments as well as donors, United Nations (UN) agencies, academia, the Nutrition Working Group and the Civil Society Alliance (CSA for SUN). There is a strong internal coordination between the MoHFW and the Ministry of Food (MoF).

UN REACH facilitates collaboration across UN agencies and promotes multi-sectoral coordination for nutrition. It provides support to strengthen progress against the four SUN processes. The United States Agency for International Development (USAID) and the Department for International Development (DFID) are Co-Convenors of the Donor Network and have committed to increase their frequency of engagement. CSA for SUN has increased its membership from 125 organisations (in 2014) to 187 organisations. The last year has seen increased activity with other stakeholder groups including business and all networks have increased engagement with the media.

Last updated: October 2015

The NPAN2 was developed with the active and full involvement of national, regional, and international stakeholders – during every step of this process. The plan has been endorsed by the Executive Committee of the BNNC. The results framework of the fourth health, population, and nutrition (HPN) sector programme (2017-2022) has been developed, whilst the reporting period has seen the national strategy for adolescent health and a comprehensive social and behaviour change communication (SBCC) strategy for HPN approved. The second Country Investment Plan (CIP2) on nutrition-sensitive food systems is being developed, through a multi-sectoral process, in response to the commitment made in the seventh Five Year Plan and to enhance investments in priority nutrition-sensitive programmes.

Last updated: November 2017

2016
The National Nutrition Policy was endorsed in 2015 and in 2016 the Comprehensive Social Behaviour and Change Communication Strategy was put into place. The 2015-24 National Strategy on Prevention and Control of Micronutrient Deficiency is the region’s first. The 7th Five Year Plan includes nutrition and food safety and has been incorporated in ministerial plans. The Ministry of Primary and Mass Education has started developing a National School Feeding Policy, and the National Social Security Strategy now includes stunting as a key indicator.

Last updated: December 2016

2015
The National Nutrition Policy (NNP) has been drafted with contribution from all the stakeholders and is currently awaiting Cabinet endorsement. A substantial Nutrition Background Paper was prepared to inform the 7th Five Year Plan (FYP) that will be operational from mid-2016. Nutrition is also incorporated in different sectoral policies: Agriculture Extension, Social Protection and Food Security.

The revision of the National Food Policy Plan of Action (NFP-PoA; 2008-2015) and Country Implementation Plan (CIP; 2010-2015) is ongoing. Bangladesh has developed a draft national nutrition communication and advocacy strategy facilitated by UN REACH. Five Development Partners (Canada DFATD, DFID, EU, USAID, World Bank) have jointly developed the Common Narrative on Undernutrition to support advocacy efforts.

Legislation is in place according to the International Breast Milk Substitutes Code, and there is also paid maternity leave for six months. Progress has been made on the enforcement of these legislations. Upon endorsement of the National Nutrition Policy, the National Nutrition Plan of Action will be drafted with multi-sectoral and multi stakeholder involvement.

Last updated: October 2015

The current common results framework (CRF) is a matrix, as annexed in seventh Five Year Plan, and a dedicated framework for monitoring and evaluation (M&E), along with indicators and targets is described in the NPAN2. An inter-agency M&E platform within the BNNC secretariat is envisaged, which will be responsible for tracking actions and results. The NPAN2 aims to create an enabling environment, where periodic reports of M&E activities are institutionalised

Last updated: November 2017

2016
The National Plan of Action on Nutrition is being developed to be in line with the National Nutrition Policy. A Development Results Framework, which looks at the Sustainable Development Goal indicators has been created and incorporated into the 7th Five Year Plan. The Results Framework is costed and monitored by the Executive Committee of the National Economic Council and the Ministries of Planning and Finance. The Government – along with relevant stakeholders – is currently drafting a multi-sectoral Common Results Framework to enhance the implementation of the National Plan of Action on Nutrition.

Last updated: December 2016

2015
The Government, along with other relevant stakeholders, is currently developing a draft multi-sectoral nutrition Common Results Framework (CRF), encompassing nutrition-specific and nutrition-sensitive sectoral indicators. The National Nutrition Services (NNS) Operation Plan facilitates the delivery of a comprehensive multi-sectoral nutrition package to the communities.

Regular annual monitoring of nutrition activities exists under two robust monitoring mechanisms in the MoHFW and the MoF. National monitoring reports are produced involving 17 partner ministries/agencies. A nutrition information planning unit (NIPU) was established and is receiving reports from diverse delivery platforms for nutrition.

Efforts are underway to embed the CRF into the overall Government 7th FYP and ‘Annual Development Plan’ (ADP) reporting processes, guided by the NNP which was pulled together using existing mechanisms and is aligned with ICN2 commitments and the Sustainable Development Goals.

Last updated: October 2015

The NPAN2 has been costed, in light of priority interventions. Multi-year funding is accessible, as per the National Plan of Action for Nutrition. Domestic contributions towards nutrition have been increasing, tracked by the National Food Policy Plan of Action (NFP-PoA), the CIP monitoring report, and the budget analysis exercise with the SUN Movement. The Government has included nutrition in its seventh Five Year Plan which facilitates long term planning. Under the mid-term budgetary framework, the Ministry of Finance provides resources for the forthcoming three years and more insight into the predictability of funding.

Last updated: November 2017

2016
As part of the Government’s monitoring process of the Country Investment Plan (CIP), the availability, accessibility and utilisation of financial resources for nutrition-specific and sensitive interventions are being analysed. Building on the experiences of the previous Sector-Wide Approaches (SWAps), the health, population and nutrition sector Development Programme has adopted a revised performance-based financing modality. Analysis of nutrition-relevant budget allocations is carried out by the thematic teams from the participating ministries for the programmes.

Last updated: December 2016

2015
The National Development Results Framework is regularly reported on under the ADP process of the 6th FYP. This is monitored by the Executive Committee of National Economic Council (ECNEC) headed by the Ministries of Planning and Finance.

The cost of the national FYP has been assessed but a financial feasibility plan is yet to be completed. The ADP monitoring process tracks the spending of all activities under the Government although there is a need to make it more comprehensive. The national monitoring process on food security and nutrition is in line with NFP-PoA and CIP and relevant nutrition-specific and nutrition-sensitive projects and programmes under the ADP. This monitoring process also helps identify resources gaps.

The recent monitoring report shows that domestic contribution for nutrition has been significantly increasing. Discussions are ongoing within the Parliamentary Caucus to disaggregate the nutrition budget from health. A MidTerm Budgetary Framework under the Ministry of Finance provides a resource envelope for the next 3 years enhancing the predictability of funding.

Last updated: October 2015

SUN Government Focal Point

Raising a common voice for nutrition, in partnership with Bangladesh’s many stakeholders is essential for effective mobilization of leaders from all walks of life. With a shared vision, we can make nutrition everyone’s business and strive for a healthy, progressive, sustainable Bangladesh.

Roxana Quader
SUN Government Focal Point and Additional Secretary, Ministry of Health and Family Welfare

Donor Convenor

  • USAID
  • DFID