Nepal

On 5 May 2011, The Federal Democratic Republic of Nepal joined the SUN Movement with a letter of committment from the Secretary in the Ministry of Health and Population. At the time, Nepal had established a multi-stakeholder, multi-sectoral platform under the National Planning Commission, the highest planning level authority in the country.

Progress

Bringing people together
64% 2017

Bringing people together

Coherent policy and legal framework
75% 2017

Coherent policy and legal framework

Aligning programs around a Common Results Framework
69% 2017

Aligning programs around a Common Results Framework

Financial tracking and resource mobilization
60% 2017

Financial tracking and resource mobilization

TOTAL
67% 2017

TOTAL

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Nutrition situation

37.1%

Under Five Stunting

17.8%

Low Birth Weight

56.9%

0-5 Months Exclusive Breastfeeding

11.3%

Under Five Wasting

2.1%

Under Five Overweight

36.1%

Woman Anaemia 15-49 years

9.4%

Adult Blood Glucose (Diabetes)

18%

Adult Overweight

3.3%

Adult Obesity

Strategic objectives

In 2012, the Government of Nepal formed the National Nutrition and Food Security Coordination Committee, chaired by Honourable Member of the National Planning Commission (NPC). Key responsibilities of this Committee include the development of national strategy and plan under the policy direction, guidance of the High-Level Nutrition and Food Security Steering Committee (HLNFSSC), and provides guidance to sub-national committees. The involvement of civil society organisations in Nepal has been limited to the national level, particularly focusing on advocacy-related activities. No progress has been made regarding private sector engagement in nutrition.

Last updated: November 2017

2016
The central Multi-Sectoral Steering and Coordination Committees are chaired by the National Planning Commission’s Vice Chair and Social Sector Member, respectively. The decentralised coordination platform of the Steering Committees, at the district and village development levels, have been created and are functional. The National Planning Commission, with support from the National Nutrition and Food Security Secretariat convenes the MSP members regularly, at different levels (policy, coordination and planning and implementation levels). A donor convener is yet to be nominated. Advocacy efforts from the Ward Citizen Forum has led to the development and endorsement of district plans.

Last updated: December 2016

2015
In Nepal, the High Level Nutrition and Food Security Steering Committee (HLNFSSC) provides the strategic guidance to the National Nutrition and Food Security Coordination Committee (NNFSC) which is the multi-stakeholder platform. The National Nutrition and Food Security Secretariat (NNFSS) was established in 2013 to provide technical support to the NNFSC.
The HLNFSSC is chaired by the National Planning Commission (NPC) and includes representatives from relevant line ministries including Health, Agriculture, Education and Women, Children and Social Welfare. The Ministry of Information and Communication is the most recent to join.

The NNFSS is yet to be fully institutionalised, however, meetings among the multi-stakeholder groups are being held regularly and have resulted in substantial achievements. This includes Nepal’s Common Results Framework (CRF) for nutrition, the Multi-Sector Nutrition Plan (2013-2017) (MSNP) and the production of the Joint Multi-sector Advocacy & Communication Strategy. In addition to the coordinating structures, an academic platform and three multi-sectoral working groups (Capacity Development, Advocacy and Communication, Monitoring & Evaluation and Management Information System) have been established, in which United Nations (UN) agencies, donors, civil society groups and government officials are engaged.

A Media Network, which includes trained journalists, has been set up to scale up engagement throughout the country. The Civil Society Alliance for Nutrition Nepal (CSANN) was created in 2014 and a private sector platform is being planned.

The earthquakes in 2015 have caused widespread damage across the country. With the support of the international community, Nepal is recovering although the situation remains fragile. This has also impacted progress towards their scaling up nutrition efforts.

Last updated: October 2015

The issue of malnutrition is clearly reflected in national policy documents including the National Health Policy 2014, the Government’s Periodic Plan (2016-2018), and the National Health Sector Strategy (2015-2020). Existing laws, regulations and policies relevant to nutrition include the 1997 Food Act, the 1970 Food Regulation, the 1998 Iodised Salt Act, the 1992 Mother’s Milk Substitutes Act, the 1994 Mother’s Milk Substitutes Regulation, and the 1963 Breast Feeding Regulation. In 2016, the Government developed a costing framework “Costing of Gender Equality Instruments in Nepal” which is being implemented. The Golden 1,000 Days Public Awareness Campaign continued throughout 2016.

Last updated: November 2017

2016
The Right to Food Act and Food Safety Policy are being drafted and consultations on the Food Security and Sovereignty Policy are in progress. The implementation of the Multi-Sectoral Nutrition Plan is underway. Three stakeholder statements have been issued, and Paras Khadka, captain of Nepal’s cricket team, has been appointed Goodwill Ambassador for nutrition, food security and the `Golden 1,000 Days’ campaign. Post-earthquake, emergency responses have been implemented in 14 affected districts, covering all building blocks of nutrition.

Last updated: December 2016

2015
The MSNP was developed in close collaboration with development partners and defines the roles and responsibilities of various Ministries as well as the National Planning Commission (NPC) for the implementation of nutrition interventions. The MSNP is complemented by plans such as the health sector’s National Nutrition Policy and Strategy (2004/8) and the agriculture sector’s upcoming Food and Nutrition Security Plan (FNSP) as part of the Agriculture Development Strategy (ADS).
Nepal has developed strategies and plans to address the problem of food insecurity, by promoting nutrition. Social protection schemes in the country are contributing to provide sufficient food and nutritious diet to the poor and socially excluded groups.

Last updated: October 2015

The Multi-Sector Nutrition Plan (MNSP) 2013-2017 is the umbrella document which covers most of the nutrition relevant multi-sectoral policies and regulations. The MSNP helps sectors in mainstreaming nutrition issues. Joint monitoring by sectoral line ministries has been conducted at central and district levels, however, it needs to be strengthened. The regular reporting system is in place – using a management information system – and functions at national and sub-national level. As part of decentralisation efforts, nutrition and food security steering committees have been established at the district, village development committee, and municipal levels. The Nepal Nutrition and Food Security Portal was established in 2014 and is functional, although not fully utilised by sectors and in need of regular updating.

Last updated: November 2017

2016
The Multi-Sectoral Nutrition Plan (MSNP) is implemented in the 16 out of the 28 prioritised districts. Within this Plan, different sectors have seen different levels of uptake although most sectors incorporate their parts. The costed district nutrition plan was developed by 16 districts, and funds were allocated and distributed by the Government in 2015. The Civil Society Alliance (CSANN) works in 6 districts and at the national level. A Multiple Indicator Cluster Survey (MICS) survey was completed in 2015 with the demographic and health survey is ongoing.

Last updated: December 2016

2015
The MSNP is the CRF by which stakeholders are aligning their strategic objectives interventions behind.
A Monitoring and Evaluation (M&E) Framework for the MSNP has been completed in consultation with line ministries. The revised M&E Framework has been officially endorsed and guidelines and training materials are in the final stage of development. It is expected that the MSNP M&E process at district and national level will be initiated towards the end of 2015.

The MSNP was launched in 2013 in six selected districts and will be expanded to 15 others in the future. Multi-sectoral plans at district level have been established and district level coordination committees have been set up to monitor the implementation. Training courses have been conducted in the MSNP pilot districts in 2014 and 2015. A WASH Master Plan was developed and completed in 2014.

Last updated: October 2015

A financial tracking system is in place, for which the NPC has been taking a lead role. The NPC also advocates for a nutrition budget coding system, which will facilitate the tracking of budget allocations for nutrition. A costing assessment method is in place in the Ministry of Health, which allows assessment of the financial status of nutrition-specific interventions (TABUCS: Transaction Accounting and Budget Control System). A common tool is used to prepare annual programme and budget (LMBIS: Line Ministry Budget Information System).

Last updated: November 2017

2016
The Multi-Sectoral Nutrition Plan (MSNP) and the district implementation plans under the MSNP have been costed and expenditure reports are available. Governmental and non-governmental stakeholders support the preparation of programmes and budget on a periodic basis. The Government has provided funds to the 16 MSNP districts through its Ministry of Federal Affairs and Local Development. Most of the donor support for nutrition is reflected in the “Red Book”, the Government’s authentic budget book, and disbursed directly.

Last updated: December 2016

2015
The MSNP has been costed and technical experts have been assisting the Ministry of Finance and the NPC with analysis of the costed plan and proposals for financial tracking and joint fund management modalities. The NPC has supported the development of costed multi-sectoral plans in districts. Following district level reviews of the district plans, additional allocation of funds from the government to districts was made and is expected to expand further.

Last updated: October 2015

SUN Government Focal Point

Radha Krishna Pradhan
Joint Secretary, National Planning Commission Secretariat

Donor Convenor

  • World Bank