Chad

On 2 May 2013, the Republic of Chad joined the SUN Movement with a letter of commitment from HE Ahmed Djidda Mahamat, the Minister of Public Health. At the time, the country had established specialised agencies for nutrition. These were attached to key ministries including the National Centre for Nutrition and Food Technology (CNNTA) of the Ministry of Public Health and the Committee for food security related crises management (CASAGC) within the Ministry of Agriculture. Chad had also joined the UN REACH Partnership Initiative.

Progress

Bringing people together
82% 2017

Bringing people together

Coherent policy and legal framework
69% 2017

Coherent policy and legal framework

Aligning programs around a Common Results Framework
52% 2017

Aligning programs around a Common Results Framework

Financial tracking and resource mobilization
23% 2017

Financial tracking and resource mobilization

TOTAL
57% 2017

TOTAL

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Nutrition situation

39.9%

Under Five Stunting

19.9%

Low Birth Weight

0.3%

0-5 Months Exclusive Breastfeeding

13%

Under Five Wasting

2.5%

Under Five Overweight

46.6%

Woman Anaemia 15-49 years

9.9%

Adult Blood Glucose (Diabetes)

25.8%

Adult Overweight

8.1%

Adult Obesity

Strategic objectives

The National Food and Nutrition Council (CNNA), an inter-ministerial platform created in 2014, is not yet functioning but is expected to hold its first meeting in 2017. The CNNA’s (multi-stakeholder) technical committee holds monthly meetings convened by the Ministry of Health’s Nutrition Director. Five regional food and nutrition committees have been created as part of a pilot scheme in 2016-2017. This year, a new private sector network has been created in addition to the seven existing networks (including journalists, champions and academics), and there are plans for a dedicated network on fortification. A joint action plan for these networks has been developed in 2017, based on their respective workplans. The Members of Parliament network benefited from a peer awareness-raising day in December 2016, and network members spoke to the public during a tour in January 2017. The champions’ network has ensured training for journalists on nutrition.

Last updated: November 2017

2016
The National nutrition and food council (CNNA), an interministerial platform founded in 2014 by order of the Prime Minister, is not yet operational. On the other hand, its permanent Technical committee (CTPNA), a multi-player committee, is convened regularly by the director of nutrition of the Ministry of Health, SUN focal point. Seven networks have been established: for journalists, ambassadors of nutrition and academics.
The operational state of these networks varies. In 2016, Chad will install multisectoral nutrition committees in five regions and inaugurate the CNNA.

Last updated: December 2016

2015
The National Nutrition and Food Council, an interministerial platform at the level of the Office of the President was established by decree in August 2014. It is supported by the Nutrition and Food Technical Standing Committee (CTPNA) which brings together key government sectors, civil society and academia. This technical standing committee is part of the Directorate of Nutrition and Food Technology of the Ministry of Public Health (a high-level version of the former National Nutrition and Food Technology Centre).

The CTPNA is supported by the United Nations and donors. The effective involvement of the members and the existence of an annual action plan ensure that coordination with the other institutions, particularly those connected with food security, is effective within and outside the structure. Admittedly, efforts also need to be made to focus on the commitment of the private sector and the decentralisation of existing structures.

Last updated: October 2015

A number of laws have been drafted, technically approved and/or adopted, but some problems with the application and operationalisation of these laws are found. Technical reviews are currently under way to determine how nutrition is incorporated into sectoral strategies. The Infant and Young Child Feeding Strategy has been finalised, and ap-proved in 2017. Members of Parliament are actively lobbying for the adoption of the Code of Marketing of Breast-milk Substitutes. The minimum package of activities offered at health centres is currently being revised to include nutrition indicators. Finally, the National Food and Nutrition Crisis Response Plan has been approved, and the Disas-ter Risk Reduction Plan (including nutrition) is currently going through the approval process.

Last updated: November 2017

2016
Adopted in May 2015, the National nutrition and food policy (PNNA) includes a communication strategy and an integrated implementation plan (PAINA), which is in the process of being created and will be finalized by September 2016. The national policies on food security, health, education and rural development now integrate nutrition. On the other hand, parliamentarians are currently working on adoption of the Breast milk substitute marketing Code and on strengthening the legislation on iodized salt. However, it remains difficult to apply and operationalize pro-nutrition legislation.

Last updated: December 2016

2015
The donors are organised into a dedicated group and the European Union, as the leading donor, brings together the active partners in emergency, health and agriculture, whereas REACH allows the United Nations to coordinate itself. In March 2014, a network of members of parliament with awareness of nutrition issues was launched to complement the network of scientists launched in May 2015. The civil society network is being established under the leadership of Action Against Hunger.

The inaugural National Forum on Nutrition and Food was organised in April 2015 to advocate and disseminate key nutritional policies. The Prime Minister, who was in attendance, declared “2015 as the year of nutrition”, and several ‘nutrition champions’ were identified.

Last updated: October 2015

The Inter-Sectoral Food and Nutrition Action Plan (PAINA) has been finalised, costed and approved since 2016. The CNNA is expected to adopt a plan, and to develop a common results framework (CRF) with targets. However, the United Nations, technical and financial partners and NGOs all align with the government’s objectives. Several mapping exercises (nutrition cluster, civil society) have been launched to provide a comprehensive overview of interventions across all stakeholders. There is a harmonised annual framework, which indicates those areas that are vulnerable to food and nutrition security risks. Finally, two major fortification projects have been launched.

Last updated: November 2017

2016
An operational plan will be created for PAINA, in order to serve as a common results framework: it will feed the action plans of the various networks. To this end, the efforts of all stakeholders are centred on the creation of a comprehensive map of actions, with emphasis on those of the United Nations and members of the nutrition cluster. In addition, an evaluation of training capacities and needs in nutrition is also envisaged for 2017.

Last updated: December 2016

2015
The national legislation on nutrition includes food fortification and could be enhanced through greater emphasis on maternity leave, the responsibility of women and existing provisions on breast-milk substitutes which have not been endorsed yet. Chad also wishes to develop a communication strategy in 2015. In 2014, an exploratory study on the framework documents of the nutrition policy demonstrated how nutrition was integrated in the National Health Development Plan, the National Development Plan, the food security policy and education. The study also contained recommendations aimed at other sectoral policies. A National Nutrition and Food Policy (PNNA) and Nutrition and Food Intersectoral Action Plan (PAINA) were prepared and technically validated in 2013. PNNA was adopted in July 2015.

Last updated: October 2015

A funding gap analysis was performed prior to production of the PAINA budget. However, nutrition funding data is not managed centrally and the estimates have not been updated. Donors have been unable to disburse their pledged funding because the PAINA has yet to be adopted. The champions’, civil society and REACH networks have joined forces to advocate for more nutrition funding from Members of Parliament and the Ministry of Finance. The results of the Cost of Hunger study were published in late 2016 and widely disseminated. Thanks to the platform’s work, nutrition was included in the emergency response and health themes at the Chad donor roundtable event, held in Paris in September 2017.

Last updated: November 2017

2016
The costs of PAINA will be estimated once the plan has been finalized. In addition to the 2015-2016 budget allocation monitoring process, the Ministry of Health is collaborating with the external partners to define a costed plan for their contribution. The partners respect their commitments and the 11th European development fund will be aligned with the PNNA. However, the disbursement of funds is sometimes problematic, which is also the case for the State, but parliamentarians are seized of the issue.

Last updated: December 2016

2015
The cost estimate of the Nutrition and Food Intersectoral Action Plan, which sets out the distribution of tasks and resources, has been finalised and it is planned to add a follow-up and evaluation system to it. However, the delay in adopting the National Nutrition and Food Policy prevented it from being implemented, which has made it necessary to revise and reconsider it. It should also be noted that an information system on tools for collecting information on food security has been set up and the Ministry of Health has proposed regular mapping to avoid crises.

The government has had a dedicated budget line since 2012, the funds for which have not always been released, and so it is considered necessary to add budget lines for each sector concerned. Although the resources mobilised by the nutrition partners are primarily in the emergency field, the 11th European Development Fund has included long-term nutritional objectives and is aligned with National Food and Nutrition Policy.

Last updated: October 2015

SUN Government Focal Point

"Our priorities are now the implementation of the Inter-sectoral Nutrition and Food Action Plan (PAINA) the dissemination of the National Nutrition and Food Policy (PNNA) and the implementation of Nutrition and Food Regional Committees (CRNA). This momentum is offering us significant opportunities for scaling up nutrition. The PNNA 2015 vision seems realistic and achievable to me."

Himeda Makhlouf
PH.D Deputy Head of the National Centre for Nutrition and Food Technology (CNNTA)

Donor Convenor

  • European Union