UN Inventory - Nutrition Action Framework Potential actions Food, agriculture & diets Maternal & child care Health-based Maternal, Neonatal & Child Health Care • Horticulture/Crops • Diversification & locally adapted varieties • Biofortification • Livestock & Fisheries • Animal husbandry, fisheries & insect farming • Animal services Hygiene • Hand-washing Household water treatment & storage • Food hygiene • Sanitation management Care for Children/ P&L Women • Care to pregnant/lactating women • Childcare support/caregiver workload Food Processing, Fortification & Storage • Food processing (excluding fortification) • Fortification (including salt iodization & complementary foods) • Food storage Social protection Infant & Young Child Feeding Protection, promotion & support of optimal breastfeeding Improvement of complementary feeding • Health Behaviours • Health-seeking behaviour • Insecticide-treated nets (anti-malaria) • Family planning behaviour (incl. adolescent girls) Social Safety Nets • Food assistance for vulnerable population groups • School-based social safety nets • Assisted health services • Poverty reduction &/or emergency risk mitigation • Ante- & post-natal care Health professional-assisted delivery Basic paediatric health services Micronutrient Supplementation • • • Iron & folic acid/Iron supplementation Vitamin A/D/zinc/Ca/iodine supplementation Multiple micronutrient supplementation Management of Acute Malnutrition • • • Mgt of severe acute malnutrition (SAM) Mgt of moderate acute malnutrition (MAM) Food technology support for specialized nutrition foods Disease Prevention & Management • • • • • • Anti-malaria Diarrhoea mgt. (e.g. ORT w/ zinc) Vaccinations (measles, polio, etc.) HIV mgt. & PMTCT Mgt. of tuberculosis Mgt. of respiratory infections Water & Sanitation • • Improvement of water supply/source quality Sanitation facilities management Market Regulation & Insurance • Minimum maternity protection • Insurance (health, unemployment, weather, etc.) • Macroeconomic levers Governance • • • • Situation analysis, advocacy & communications • Policy formulation/review & planning Human & institutional capacity development/training • Effectiveness & accountability Context assessment Do no harm Equity Women’s empowerment Multi-sectoral collaboration M&E (explicit nutrition objectives & indicators) Consumption • Improvement of local recipes • Public guidance & consumer awareness/protection • Complementary feeding Food, Agriculture and Diets: Actions and sub-actions by thematic area CONSUMPTION HORTICULTURE/CROPS • Improvement of local recipes •Diversification & locally adapted varieties - Trials of improved practices - Nutrition training/sensitisation/counselling for mothers &/or other caregivers - Nutrition education in schools & in the workplace • Public guidance & consumer awareness/protection - Formulation of national, food-based dietary guidelines - Public information (social marketing) campaigns - Food labelling & commercial advertising -Fruit and vegetable gardens -Intercropping, rotation & sequencing -Inputs & irrigation -Market linkages and consumption promotion •Biofortification -Introduction of micronutrient-rich plant varieties -Social marketing campaigns and market linkages • Complementary feeding - Dietary diversification - Fortified complementary foods FOOD PROCESSING, FORTIFICATION & STORAGE •Food processing (excluding fortification) LIVESTOCK & FISHERIES -Malting, drying, pickling and curing at household level •Animal husbandry, fisheries & insect farming -Other nutrition–oriented food processing -Extensive animal rearing (e.g. cattle among (agro)pastoralists) -Nutrition education -Homestead animal rearing (e.g. poultry, sheep, goats) •Fortification (including salt iodisation) -Aquaculture & capture fisheries -Mass and community fortification -Insect-farming -Point-of-use fortification -Processing, handling, market access and consumption -Fortified complementary foods •Animal services -Nutrition education and social marketing campaigns -Vaccinations, parasite control, breeding support & other vet. services •Food storage -Feed & water -Household food storage/silos -Shelter & settlement -Large-scale food storage -Basic hygiene education Maternal and Child Care: Actions and sub-actions by thematic area INFANT & YOUNG CHILD FEEDING HYGIENE • Promotion, protection and support of optimal breastfeeding practices •Hand-washing - Health service level actions (professional, lay & peer) - Community level actions - Communication (media & social marketing) • Improvement of complementary feeding - Availability of appropriate complementary foods - Access to complementary foods - Food technology & quality & safety of complementary foods - Basic instruction/nutrition education on optimal complementary feeding -Hand-washing education & promotion -Provision of water, soap and other supplies -Hand-washing facilities •Household water treatment & storage -Water treatment methods for drinking water -Safe storage of drinking water •Food hygiene -Food hygiene education & support -Infrastructure & technology •Sanitation Management -Sanitation mgt. education & sanitation environment support CARE FOR CHILDREN/PREGNANT & LACTATING WOMEN HEALTH BEHAVIOURS •Care to pregnant & lactating women •Health-seeking behaviour -Reduced working hours/special leave (e.g. Maternity Protection) -Instruction on early signs/symptoms of pregnancy as well as illness and disease -Provision of essentials (food, water, shelter) and nutrition education to support good maternal nutrition and recommended child feeding practices -Income &/or productive assets support -Psycho-social support to help mothers adopt the recommended breastfeeding practices -Promotion of uptake of maternal, neonatal & paediatric health services •Insecticide-treated bednets (anti-malaria) -Guidance on use & mgt. of insecticide-treated nets •Childcare support/caregiver workload -Social marketing campaigns on bednets -Childcare services & support •Family planning behaviour (including adolescent girls) -Provision of essentials (food, water, shelter) to support good child feeding practices -Prevention of adolescent pregnancy (including prevention of early marriage) -Voluntary family planning and reproductive health education & support -Social marketing campaigns Health-based: Actions and sub-actions by thematic area MATERNAL, NEONATAL & PAEDIATRIC HEALTH CARE MANAGEMENT OF ACUTE MALNUTRITION PREVENTION & MANAGEMENT OF SOIL, WATERBORNE & ENDEMIC DISEASES • Antenatal & postnatal care - Basic nutrition education & health counselling - Micronutrient supplementation - Nutrition & medical screening & referrals - Supplementary feeding (balanced energy protein & multiple micronutrient) - Disease prevention & management (including antimalaria interventions) • Health professional-assisted delivery - Obstetrics & neonatal care - Infant & young child feeding counselling & support • Basic paediatric health services - Growth monitoring & promotion - Vaccinations - Diseases prevention & mgt. (including anti-malaria) •Management of severe acute malnutrition •Anti-malaria •Management of moderate acute malnutrition •Diarrhoea management MICRONUTRIENT SUPPLEMENTATION WATER & SANITATION •HIV management & prevention of mother to child transmission •Improvement of water supply & source quality -Antiretroviral therapy or prophylaxis -Safe water kits -Infant feeding counselling & support -Water source & distribution systems -HIV/AIDS education -Water treatment for water sources •Management of tuberculosis •Sanitation facilities management -Direct Observed Treatment Short-course (DOTS) treatment -Community led total sanitation -Nutrition Counselling -Sanitation systems -Supplementation •Iron or Iron/folic acid supplementation -Iron/folic acid supplementation for women/adolescent girls -Iron supplementation for children -Nutrition education & behaviour change communication <also applicable to below Action 2 > •Supplementation of vitamins A/D/calcium/zinc/iodine -Vitamin A supplementation -Vitamin D supplementation -Calcium supplementation -Zinc supplementation -Iodine supplementation •Multiple micronutrient supplementation -Point-of-use fortification -Multiple micronutrient supplements -Nutrition education & behaviour change communication -Deworming for management of intestinal parasites <also applicable to -Outpatient management of severe acute Diarrhoea management> malnutrition (SAM) -Intermittent preventive treatment of malaria for pregnant women -Inpatient management of SAM -Iron supplementation -Targeted supplementary feeding -Oral rehydration treatment with zinc -Management of severe acute malnutrition -Blanket supplementary feeding -Water, sanitation & hygiene interventions to prevent diarrhoea •Food technology support for specialized •Vaccinations nutritious foods -Measles vaccination -Local production of specialized nutritious -Polio vaccination foods for management of acute malnutrition -Rotavirus & cholera vaccinations -Supplementation -Latrine construction &/or rehabilitation & -Management of acute malnutrition in individuals with active TB excreta mgt. •Management of respiratory infections -Water, sanitation (& hygiene) education -Antibiotics treatment & social marketing -Nutrition counselling -Supplementation Social Protection: Actions and sub-actions by thematic area SOCIAL SAFETY NETS MARKET REGULATION & INSURANCE • Food assistance for vulnerable population groups •Minimum maternity protection - Blanket supplementary feeding • School-based Social Safety Nets - School feeding for school-age children • Assisted health services - Maternal health visits - Child health visits • Poverty reduction &/or emergency risk mitigation - General food distribution - Public works programmes & asset protection - Price subsidies -Maternity protection -Childcare support •Insurance -Health insurance -Unemployment insurance -Livelihood-related insurance •Macroeconomic Levers -Minimum wage -Price subsidies -Tariffs/Taxes Nutrition Governance: Actions and streams SECTORAL GOVERNANCE ACTIONS MULTI-SECTORAL GOVERNANCE ACTIONS • Situation analysis, advocacy and communications • Situation analysis, advocacy and communications • Policy formulation/review and planning • Policy formulation/review and planning • Human and institutional capacity development/training • Human and institutional capacity development//training • Effectiveness & accountability (e.g. information systems) • Effectiveness and accountability (e.g. information systems)
