Multi-sector programmes at the sub-national level: insights from Ethiopia, Niger and Bangladesh

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ENN is pleased to share a series of case studies produced on multi-sector nutrition programming at the sub-national level as part of our knowledge management work under the DFID funded TAN Programme (supporting learning within the Scaling Up Nutrition Movement).

This series comprises of three country case studies from selected ‘high achieving’ SUN countries with a strong track record in championing and improving undernutrition at a sub-national level in Bangladesh, Ethiopia and Niger. The country case studies are accompanied by a synthesis document that draws out key lessons and builds on a previous three case studies conducted in 2018 in Kenya, Nepal and Senegal. A brief video introduces common emerging themes from the 6 case studies.

As part of ENN’s knowledge management (KM) role to support the Scaling Up Nutrition (SUN) Movement, in-depth documentation on how multi-sector nutrition programmes are being implemented at the sub-national level began in 2017, initially in Kenya, Senegal and Nepal. In 2018, ENN conducted additional case studies in Ethiopia, Niger and Bangladesh. Countries were selected based on either national progress in reducing undernutrition; the presence of multisectoral structures and strategies at a national and sub-national level; or evidence of large-scale, multisector nutrition programme implementation at sub-national level. Although programming looks very different in each of these countries, they each offer examples of how to develop coordination structures to enable MSPs at a sub-national level.

In Ethiopia, ENN, with the support of the Government of Ethiopia (GoE), examined sub-national developments in relation to the Seqota Declaration, a commitment made by the GoE in 2015 to end stunting among children under the age of two by 2030. In Niger, ENN looked at the ‘Commune de Convergence’ (C2C) approach, which offers a promising example of how the Government of Niger and partner agencies can improve multisectoral collaboration including convergence by working through communes (the lowest level of governance in the country) and in Bangladesh, ENN explored the country’s second multisectoral nutrition plan, the National Plan of Action for Nutrition 2 (NPAN2) (2016-2025), which aims to improve the nutritional status of mothers and children in the 1,000-days period, as well as that of adolescents, the elderly, disabled and pre-school and primary schoolchildren.

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Case Studies

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Bangladesh

The case study describes the enabling environment for the implementation of  the Bangladesh second multisectoral nutrition plan, the National Plan of Action for Nutrition 2 (NPAN2) (2016-2025), which aims to improve the nutritional status of mothers and children in the 1,000-days period, as well as that of adolescents, the elderly, disabled and pre-school and primary school children.

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Ethiopia

A case study of the Seqota Declaration in Naedir Adet and Ebinat woredas in Ethiopia. The case study describes sub-national developments in Ethiopia in relation to the Seqota Declaration, a commitment made by the GoE in 2015 to end stunting among children under the age of two by 2030.

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Niger

A case study of the communes de convergence approach in Maradi, Niger. The case study describes the implementation of the ‘Commune de Convergence’ (C2C) approach, which offers a promising example of how the Government of Niger and partner agencies can improve multisectoral collaboration including convergence by working through communes (the lowest level of governance in the country).

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Synthesis document

A synthesis document accompanies the three case studies carried out by ENN to document nutrition-sensitive and multi-sector programme experiences in several countries, with a focus on the sub-national level. It is done as part of ENN’s work under the Technical Assistance for Nutrition (TAN) programme, funded by the UK Department for International Development (DFID) to support the SUN Movement in its second phase (2016-2020).

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