Haiti

On 11 June 2012, the Republic of Haiti joined the SUN Movement with a letter of commitment from Madam Sophia Martelly, the First Lady of the Republic of Haiti. At the time, Haiti had established a national strategic framework to fight hunger and malnutrition, known as ABA GRANGOU. The framework was launched by the President Michel Martelly and involves nine ministries and multiple stakeholder groups. The national-level Commission for the Fight Against Hunger and Malnutrition (COLFAM) is responsible for the strategic direction of the ABA GRANGOU and is chaired by the First Lady. The National Coordination Unit of ABA GRANGOU (UNAG) is responsible for execution and coordination of the activities set out in this national framework. Emergencies are recurrent in Haiti, often jeopardizing potential gains in the fight against malnutrition. Because of this, Haiti is looking for ways to ensure that emergency response and preparedness are fully integrated into their approach to tackling malnutrition.

Progress

Bringing people together
16% 2017

Bringing people together

Coherent policy and legal framework
29% 2017

Coherent policy and legal framework

Aligning programs around a Common Results Framework
39% 2017

Aligning programs around a Common Results Framework

Financial tracking and resource mobilization
35% 2017

Financial tracking and resource mobilization

TOTAL
30% 2017

TOTAL

Nutrition situation

21.9%

Under Five Stunting

23%

Low Birth Weight

39.7%

0-5 Months Exclusive Breastfeeding

5.2%

Under Five Wasting

3.6%

Under Five Overweight

37.1%

Woman Anaemia 15-49 years

7.9%

Adult Blood Glucose (Diabetes)

38.5%

Adult Overweight

11.9%

Adult Obesity

Strategic objectives

In the wake of the abolition of the National Commission for Hunger and Malnutrition in 2014, political instability, and recurring climate hazards, hunger and malnutrition are no longer seen as high on the political agenda. As a result, technical groups in the food and nutrition security sectors have been left to deal with these matters. Nevertheless, the Government is finalising a draft bill and a National Food and Nutrition Sovereignty and Security Policy, which include plans for a multi-sectoral, multi-stakeholder nutrition system at the political and technical levels. Civil society, the private sector and academia are willing to support the Government, with better coordination and adequate structures.

Last updated: November 2017

2015
The mandate of the National Commission to Combat Hunger and Malnutrition (COLFAM), which was previously responsible for the strategic guidance of the national strategic network against hunger and malnutrition (ABA GRANGOU), was not renewed when it expired in 2014. This structure, presided over by the First Lady of Haiti, consisted of representatives of the President’s Cabinet, the Prime Minister, associated ministries and Parliament.
In parallel, there are government-led coordination groups: the Nutrition Technical Committee (CTN) and a Food and Nutritional Security Technical Group (GTSAN) involving representatives of the Government, donors and various key stakeholders. A national research platform has been created with the support of Harvest Plus, bringing together three ministries (agriculture, sustainable development and national education). The Ministry of Public Health and the Population is expected to be associated with it.

Over a dozen meetings have been arranged with members of civil society. The network of health and nutrition journalists of WHO and UNICEF, launched with Brazil’s support, is still active. The REACH mechanism, introduced at the start of 2015, is also currently in the process of defining its scope for intervention.

Last updated: October 2015

Haiti has a number of nutrition-related laws. Recent initiatives include a draft bill and a new National Food and Nutrition Sovereignty and Security Policy, both currently being drafted by the Economic and Social Development Council – an independent body linked to the Office of the Prime Minister. There have been calls to set up a permanent technical body to monitor and evaluate progress towards sector-specific strategic objectives, on the basis that such a move would promote the development and review of an enabling political and legal framework for nutrition, operationalise the framework, and harmonise existing strategies.

Last updated: November 2017

2015
Haiti has an up-to-date national nutritional policy and a Strategic Nutrition Plan (2013-2018), and the new UNICEF nutrition strategy 2014-2017 is aligned to these. A communications plan has been finalised and shared with the SUN Movement Secretariat.
The Economic and Social Development Council (CDES), which is answerable to the President’s Office, is currently writing a document on the National Policy for Food and Nutritional Sovereignty and Security. A law on food fortification was voted on by the Senate in 2014-2015 and is due to be approved by the members of parliament.

Last updated: October 2015

Haiti has a series of sector-specific strategies and programmes, including the Ministry of Health National Nutrition Plan (2013-2018), the Ministry of Education National School Canteens Plan, and the Ministry of Social Affairs’ Korê Lavi programme. The National Food Security Commission is working with various sectors to update its National Food and Nutrition Security Plan (2016-2025). However, the central and decentralised levels are not implementing or monitoring these plans and programmes in a coordinated manner. Haiti needs to develop a strategic plan to operationalise its National Food and Nutrition Sovereignty and Security Policy.

Last updated: November 2017

2015
A new national food and nutritional security plan which will run until 2025 is being drafted under the leadership of the National Coordination for Food Security (CNSA), as part of a participatory approach and drawing upon existing documents and 15 measures proposed by the Price Stabilization Committee.
An agricultural recovery plan drawn up by the Ministry of Agriculture is the Government’s main development focus, but the promotion of local food products and their importance for good nutrition could be reflected better in the programme on purchasing local agricultural products. The concept of “public health agriculture” has been advanced in a number of projects.

In May 2015, the Ministry of Public Health and the Population prioritised iodised salt production, with the support of USAID and via UNICEF, and this is now available in 10 health departments.

A task force involving the Ministry of National Education, Canada and the World Bank is working on a School Canteens Policy, which will incorporate the lessons learned from the evaluation under way, conducted by PAM, on school meals. This assessment concerns school canteens, micronutrient supplements and capacity building. In parallel, a programme, headed up and supported by the office of the First Lady and the Ministry of Public Health and the Population, has been launched to improve sanitation in schools.

Lastly, a new project for social protection aiming to reduce food insecurity and poverty, with a strong emphasis on nutrition, has been promoted by a consortium of CARE, PAM and ACF (funding by USAID).

Last updated: October 2015

Nutrition-related sector-specific plans are not systematically costed, and there is no single institution tasked with monitoring specialist funding. As such, the country has no holistic view of funding needs, or of how funds are allocated and used. Public investment in nutrition varies from one Government to the next – as priorities change – and no funds have been allocated to the Ministry of Health nutrition-specific budget line for the period in question. Cost estimates will be produced for the strategic plan to operationalise the National Food and Nutrition Sovereignty and Security Policy. Government and donor advocacy will need to form part of resource mobilisation, and Haiti’s Cost of Hunger study could be updated to support these efforts.

Last updated: November 2017

2015
The Government’s budget line for nutrition, created in 2013, has not been supplied. no funding was given for nutrition between 2012 and 2014. It is a priority to mobilise external financial resources above and beyond emergency funds; the preparation of the European Development Fund is a window of opportunity.

Last updated: October 2015

SUN Government Focal Point

Joseline Marhone Pierre
Director of Nutrition Ministry of Health and Population

Donor Convenor

  • UNICEF