On 19 November 2010, the Republic of Peru joined the SUN Movement with a letter of commitment from HE Carolina Trivelli, the Minister of Social Development and Inclusion (MIDIS). At the time, Peru had doubled resources devoted to the Articulated Nutrition Program (PAN) which is part of a results based initiative of the Ministry of Finance. MIDIS was established to lead the effective coordinate social policy in line with existing initiatives and maintained the fight against malnutrition as one of its crucial priorities.
Strategic Processes for Scaling Up Nutrition
- Bringing people together
- Coherent policy and legal framework
- Aligning programs around a Common Results Framework
- Financial tracking and resource mobilization
The Ministry of Social Development and Inclusion (MIDIS) is responsible for the interdepartmental and intersectoral coordination of the National Strategy for Social Development and Inclusion “Inclusion for Growth” (ENDIS). Strong leadership and high-level political commitment are on hand in the fight against undernutrition. However, although the Interdepartmental Commission for Social Issues provides a multisectoral governmental platform for coordinating national social policy, there is no high-level political platform operating above sector level to specifically coordinate national efforts to counter undernutrition.
The Government promotes coordinated action to fight child undernutrition through regional and local levels of government. The government involves both civil society and the private sector through the Round Table Against Poverty (MCLCP). In addition, the Initiative against Child Undernutrition (IDI) is a collective effort of NGOs, UN organizations, donors and the MCLCP to monitor government action. Measures are being put into practice to achieve better participation from the private sector in the national efforts to fight undernutrition. In September 2014, Peru will organize a “pathway to learning” in which several SUN countries will share their experiences of coordination between different sectors and between the various levels of local and central government.
The “Inclusion for Growth” Strategy, adopted in 2013, entails a series of sectoral, intersectoral and interdepartmental policies that contribute to reducing malnutrition. In the same year, MIDIS initiated the preparation of the Guidelines for Coordinated Management to Promote Early Childhood Development, taking into account diverse sectoral and interdepartmental strategies. Peru has a National Action Plan for Infancy and Adolescence (PNAIA). National legislation with an impact on nutrition covers water and sanitation, agriculture, education and diet. The law provides for 90 days of maternity leave and includes measures to apply the International Code of Marketing of Breast-milk Substitutes.
The “Inclusion for Growth” Strategy is centred on equality and social inclusion. The Coordinated Nutrition Programme (PAN) uses a results-linked budget assignation system to align programmes from the various ministries to an agreed set of results, and includes programmes relating specifically to nutrition. The budget programmes and integral health insurance, alongside social programmes currently under the direct administration of MIDIS, and the programmes for water and sanitation and food security are the government’s main programmatic tools to combat child undernutrition.
The central government coordinates its actions with 25 regional governments to define specific development objectives. Decentralized processes are already under way. Capacity building for technical teams within the regional governments has been identified as a priority. The scope and quality of implementation will increase in tandem with the improvement of the capacity to provide services to remote areas of the country improves. A deceleration has been detected in the reduction of chronic child undernutrition in the country; studies must be carried out to analyse the causes thereof. The IDI monitors the implementation of nutrition policies. The existing national system to monitor and assess programmes could be strengthened at a regional level.
There is a long-term budgetary commitment to maintain and increase financial resources allocated to reducing and preventing chronic child undernutrition. Central government budgets are predictable. The budget allocated to specific actions needs to be quantified according to the public objective and coverage. At a decentralized level, budgets are drawn up based on results which boost the efficiency of implementation. Monitoring is carried out on the quality of spending on social programmes, including nutrition-related programmes and interventions.
Last updated: September 2014