Multisector Program Integration
Roberta van Haeften
FSN Network Knowledge Sharing Meeting
Washington DC, November 13-15, 2012
Food and Nutrition Technical Assistance III Project (FANTA)
FHI 360 1825 Connecticut Ave., NW Washington, DC 20009
Tel: 202-884-8000 Fax: 202-884-8432 Email: fantamail@fhi360.org Website: www.fantaproject.org
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Multisector Programs: Their Rationale
Strong links between poverty (lack of income),
lack of access to food, and undernutrition
• Illustrated in the Food Security Conceptual
Framework
Logic
Evidence
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• Economic growth helps increase food demand and improve
nutritional outcomes (World Bank)
• “Economic growth is good but not sufficient to improve
child nutrition” (IFPRI)
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Food Security Conceptual Framework
Developed for Use in the FAFSA-2
Adapted by Roberta van Haeften and Mary Ann Anderson from Riely et al., 1999 and UNICEF, 1990.
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Multisector Programs in Title II
USAID/FFP
Guidance
• No preference expressed for multisector
programs
• Only guidance on how to handle if this option
selected
• Several recommended multisector programs
and improvements in program integration
Food Security
Programming • Bangladesh, Burkina Faso, Malawi
Frameworks
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Multisector Programs During
The FAFSA-2 Time Period
Popular
Not Well
Documented
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• Most programs included at least
two technical sectors –
AG/NRM/LH and MCHN
• The degree of integration
• The impact of integration
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Multisector Programs in FAFSA-2
Goal: Improve
Food Security/
Reduce Food
Insecurity
Strategic
Objective: MCHN
(82 Programs)
72 Programs
with Both
Objectives
Strategic
Objective: AG/LH
(79 Programs)
FAFSA-2 Universe – 101 Programs in 28 Countries
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Integration of Multisector Programs
• Definition – programs
that have activities in
two or more technical
sectors operating in the
same geographic area
and/or serving the
same target population
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• Geographic co-location,
i.e., delivering services
in the same:
– Country?
– Major region?
– Sub-unit (administrative
sub-division, agro
ecological)?
– Community?
– Household????
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Integration of Multisector Programs
Delivering program services to the same target
groups?
Food Insecure Communities –
Increasing Community Capacity
and Reducing Vulnerability
Farm Households (Including the
Food Insecure) – Improving
Livelihoods and Incomes
Households with Children under
Two and Pregnant and Lactating
Women – Reducing Chronic Child
Undernutrition
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Multisector Programs: Extent of
Integration in FAFSA-2
Few programs reported on the extent of program integration
At the Community Level:
• CRS/Ethiopia
• CRS/Madagascar
• SC/Uganda
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At the Household Level:
• The four Guatemala
programs – CARE, CRS, SC,
SHARE
• The four Haiti programs –
CARE, CRS, SC, WV
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Multisector Programs: Few Programs
Reported on Results of Integration
Bangladesh
SC (FY 2005–2010) found that its program almost achieved its nutritional goals in the
unions where it did both food access (LH) and food utilization (HN) interventions
while nutritional improvement was minimal in unions where it only did HN.
CARE (FY 2005–2010) documented a positive correlation between the Household
Dietary Diversity Score and number of project components in which households
participated.
Bolivia
The joint final evaluation of the four programs concluded that the impressive
reductions in stunting and underweight were due to doubling or quadrupling
incomes plus effective CBGP, SBCC, and health services in the same communities.
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Multisector Programs: Constraints to
Increased Integration
Serious trade-offs may be required due to
differences in:
– Resource requirements by sector
– Program dynamics and time requirements
– Coverage and capacities of government service
providers
– Sustainability strategies
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This presentation is made possible by the generous support of
the American people through the support of the Office of Food
for Peace, Bureau for Democracy, Conflict and Humanitarian
Assistance, and the Office of Health, Infectious Diseases and
Nutrition, Bureau for Global Health, U.S. Agency for
International Development (USAID), under terms of
Cooperative Agreement No. AID-OAA-A-12-00005, through
FANTA, managed by FHI 360. The contents are the
responsibility of FHI 360 and do not necessarily reflect the
views of USAID or the United States Government.
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