MDG Acceleration Framework: Khagrachari MDG-1 (final) No. Bottleneck Solution Activities Overall MDG 1 related service delivery and development programs in CHT 1 National policies and plans Formulation of CHT 1. Formulation of district and CHT do not specific sector strategies strategies under the leadership of recognize/acknowledge and planning, linking HDCs, RC and MoCHTA (agriculture CHT specific needs and with national development strategies in place) decentralized governance strategies/plans 2. Advocacy toward the central in CHT government on acceptance of the CHT strategy, linking with national strategies/policies Time Frame Institutional Involvement Level 2014-2015 MoCHTA, Sector Ministries, RC, HDC National, CHT, District 2 HDCs are not empowered with the necessary institutional arrangements and fiscal framework to manage services and development programs Intervention to develop HDC institutional capacity in managing services and development programs 1. Revision of organograms, ensuring adequate resources 2. HDCs draft regulations 3. Design the fiscal framework 4. HDC investment plans for sustainable agriculture development 5. Advocate at national level and toward development partners for finance and implementation 2014-2016 MoCHTA, Sector Ministries, RC, HDC National, CHT, District 3 Ministries do not consider the CHT context in allocation of budget, resulting in insufficient and inflexible budget allocation Finance study on budget allocation and management in MDG-1 related sectors 1. Finance study on budget allocation and management in MDG1 related sectors 2. Advocate with the government for increased budget allocation and delegation of budget management 2014-2015 MoCHTA, Relevant Sector Ministries, HDC National, District, UzP, UP 1 No. Bottleneck Solution Activities Time Frame Institutional Involvement MoCHTA, Sector Ministries, RC, HDC Level 4 Absenteeism and vacancies of government officers/staff in remote locations due to lack of incentives Review of HR policies for GoB staff stationed in remote areas of CHT 1. Include in the CHT specific sector strategies and plans 2. Priority to local applicants in recruitment processes 3.Include in national HR policies 4. Alternative service provision (volunteers, private sector, etc.) 2014-2016 5 Limited coordination between CHT institutions (MoCHTA, RC, HDC and traditional leaders) and relevant sector ministries/departments at all levels Policies of Financial institutions providing loans are too complex; limits access to these loans Enhance functioning of government coordination committees; Strengthen the linkage between committees at Union, Upazila and district level Review and improve loan/credit policies; increase access and awareness 1. Form/reform committees as per government circulars 2. Ensure broad participation of government and non-government service providers and beneficiaries 2014-2015 MoCHTA, RC, HDC, Line Departments, UzP, UP National, CHT, District, UzP,UP 2014-2016 MoCHTA, Relevant Ministries, RC, HDC CHT, District, UzP, UP Inadequate marketing/transport infrastructure for farmers, fishermen and producers Develop and implement a marketing and transport infrastructure plan 1. Study on loan/credit policies in CHT, formulation of CHT policy, 2. Mobilize and organize relevant government and non-government actors, linking with global initiatives, 3. Increase awareness on finance/credit service providers and conditions. 1.Mobilize and organize relevant government and non-government actors, 2. Plan and establish marketing and storage facilities, 3. construction of infrastructure 2014-2016 MoCHTA, RC, HDC, Ministries, Line Departments, UzP, UP CHT, District, UzP, UP 6 7 2 National, CHT, District, UzP,UP No. Bottleneck Solution Activities Time Frame Institutional Involvement MDG Target 1.A - Halve, between 1990 and 2015, the proportion of people whose income is less than one dollar a day MDG / CHT Indicator: Percentage of population below the national upper poverty line (2122 k.cal.) to 29% Livestock - [Operational Target: CHT target groups have access to livestock services, increasing their income] 1 High price of feed and its Establish mother plots 1. Establishment of pilot/model plot 2014-2017 MoCHTA, MoFL, ingredients; Unavailability with hybrid fodder and 2. Pilot scheme to support farmers in RC, HDC, Line of seeds and cuttings for seeds to increase the growing maize and mustard, 3. Departments, hybrid fodder supply of cuttings and Provision of subsidized ingredients NGO seeds for fodder/concentrate feed 4. Training and awareness program 2 3 Unavailability of quality artificial insemination inputs leads to low production of milk and meat Establishment of the parent stock farm and hatchery to ensure quality inputs 1. Support establishment of pilot/model farms/hatcheries Lack of awareness on potential of pig and goat farming Promotion program including establishment of the pig and goat farms/breeding stations 1. Establish pig and goat farms/breeding stations 2. Use of good indigenous breeds 2. Awareness raising and training on improved breed & feed management District 2014-2017 MoCHTA, MoFL, RC, HDC, Line Departments, NGO District 2014-2017 MoCHTA, MoFL, RC, HDC, Line Departments, NGO District 2. Awareness raising and training on artificial insemination 3 Level No. 4 Bottleneck Union VET health and vaccination service centers are poorly equipped and have inadequate supply of vaccines and medicine, limited data, information and knowledge on livestock diseases in CHT hampers proper disease management Solution Support union VET health and vaccination centers and improve the medicine supply chain in combination with field research program on livestock diseases in CHT and training program Activities 1. Assessment of Union VET health and vaccination center, provide logistic support 2. Set up the medicine supply chain to these pilot centers 3. Train and support community based vaccinators 5. Establish diagnostic facilities at district and Upazila level, link with VET centers Time Frame 2014-2017 Crops - [Operational Target: CHT target groups have access to crops services, increasing production and income] 1 Scarcity of Jhum land Jhum research and 1. Intensify Jhum research (field 2014-2018 causes unsustainable extension services to research and test-plots) Jhum practices, leading to support gradual 2. Training and awareness-raising on loss of land fertility and transition to settled improved Jhum practices and low production farming gradual transition to settled farming 3. Improved technical assistance related to agro-forestry for soil health and conservation 4. Promote conservation practices in Jhum farming 5. Include in the government training and modules for farmer field schools 4 Institutional Involvement MoCHTA, MoFL, RC, HDC, Line Departments MoCHTA, MoA, RC, HDC, DAE, BARI, BRRI, SRDI Level District, UzP, UP Regional, District No. Bottleneck Solution Activities Time Frame Institutional Involvement MoCHTA, RC, HDC National, Cabinet MoCHTA, MoA, RC, HDC, DAE District, UzP, UP Level 2 Limited investment in permanent land use practices due to land disputes and land insecurity Improve land security and land management practices in line with the CHT Accord 1. Advocate for the amendment of the land resolution act 2. Support functioning of the land commission 3. Strengthen the land management capacity of HDCs and traditional leaders 2014-2016 3 Lack of supply of quality inputs (seeds, saplings, fertilizer, etc.) and shortage of agricultural equipment Support establishment of nurseries; Improve the government quality control and monitoring system for seeds and other input supply 1. Provide training and loans for establishment of nurseries 2. DAE to register good functioning nurseries, regular monitoring 3. Facilitate private sector provision of seeds, fertilizers and equipment 2014-2018 4 Lack of facilities for community based agroprocessing hampers profitable cultivation/production of spices and fruits Promotion and support for community based agro-processing of fruits and spices; Develop and support value chains for fruits and spices 1. Assess and develop value chains of 2014-2018 spices and fruits 2. Implement value chain development plans 3. Capacity development and training in agro-processing HDC, Line Departments District, UzP, UP, Para 5 Drying up of natural streams, poor watershed management and lack of soil conservation Preserve natural streams; Integrate watershed management and soil conservation in agricultural planning 1.Pilot the watershed management approach that will coordinate watershed use and conservation of water sources and soils by multistakeholder agreements 2. Support management of Village Common forests (VCF), expand number of VCFs HDC, Line Departments District, UzP, UP 5 2014-2018 No. Bottleneck Solution Activities Time Frame 6 Farmers lack knowledge on advanced agricultural methods Training on advanced agricultural methods including vegetable gardening, pest management and seed treatment 1. Review and improve the existing government training program 2. Expand and mainstream the training model of integrated farmer field schools into the government training program 2014-2018 7 Lack of irrigation facilities and poor management of existing facilities Support the communityled irrigation development program with the aim to maximize the cultivatable land under irrigation 1. Develop participatory area-based irrigation development plans 2. Provide funds and support for implementation, including subsidies, technical advices and advices on O&M 3. Improve access to low lift pumps (LLP) and utilization of surface water 2014-2018 Fisheries - [Operational Target: CHT target groups have access to fishery services, increasing their income] 1 Insufficient suitable water Support construction of 1. Develop participatory area-based 2014-2016 bodies for creek and pond dams and ponds fishery development plans fishery 2. Provide funds/subsidies and technical support for implementation 2 Lack of awareness, knowledge and research on aqua-culture Field research and awareness/training program on pen/cage culture, creek fishery and capture fishery to come to management practices suitable to CHT water systems 1. Conduct the field research program 2. Improve the government training program with field research findings 3. Include findings in the farmer field school training program 6 2014-2018 Institutional Involvement MoCHTA, MoA, RC, HDC, DAE Level District, UzP, UP HDC, Line Departments, UzP,UP District, UzP, UP MoCHTA, MoFL, RC, HDC, DFO, UzP, UP National, District, UzP, UP MoCHTA, MoFL, RC, HDC, Line Departments, UzP, UP National, District, UzP, UP No. Bottleneck Solution 3 Shortage of good quality fingerlings Establish supply system from nearby nurseries 4 Scarcity of inputs (feed, medicine, chemical, etc.) Improve input supplies through entrepreneurship development Activities 1. Mobilize actors involved, 2. Work out supply system with nearby nurseries. 3. Quality monitoring by DFO 1. Train and support entrepreneurs for provision of inputs (combine with other sectors) 2. Quality control and monitoring by DFO Social Safety Nets- [Operational Target: CHT target groups enjoy 100% access to SSNs] 1 Complex policies are Improve the orientation 1. Awareness sessions at community causing low recovery rates for recipients of loans level on loans provided by GoB and provide follow-up 2. Provide follow up support to loan training programs support recipients (MoWA, MoSW) 2 3 Poor selection of beneficiaries due to lack of transparency in selection procedures Limited food and allowances supply/distribution, not matching CHT demands Support implementation of new government policy on beneficiary selection Expand food and allowances supply/distribution programs 1. Mobilize all actors involved, including line departments, elected leaders, NGOs and beneficiaries 2. Orient on new policy, 1. Study/assessment on fooddeficient areas and people 2. Increase number of VGD cards and increased VGD ration from 30kg to 100kg, 3. Increase allowances to CHT context, 4. Expand food distribution/supply programs 5. Expand food distribution centers to union level, 6. Appoint MLSS support staff at Union parishad 7 Time Frame 2014-2018 Institutional Involvement HDC, DFO, UzP, UP Level District, UzP, UP 2014-2018 MoCHTA, MoFL, RC, HDC, DFO, UzP, UP District, UzP 2014-2016 HDC, Line departments District, UzP, UP 2014-2016 Ministries, RC, HDC, Line department National, District, UzP, UP 2014-2018 Ministries, RC, HDC, Line deparments UzP, UP National, Regional, District.UzP No. Bottleneck Solution Activities Time Frame Institutional Involvement , MDG Target 1.B - Achieve full and productive employment and decent work for all, including women and young people MDG / CHT Indicator: Percentage of the employment-to-population ratio to 100% Skill Development for Employment - [Operational Target: CHT target groups enhance skills and find employment] 1 Skill development not Mobilize labor market 1. Assessment and coordination 2014-2016 HDC, Line planned and not linked actors and service meetings with labor market actors Departments, with the labor market providers in skill (CHT & Chittagong Chambers of Private Sector development in CHT and Commerce, GoB, Industries, SMEs surrounding areas, and NGOs) and providers of the skill conduct assessment to development training, 2. Identify and identify “marketable” prioritize skill development skills, and develop skill programs, 3. Improve coordination development training between labor market actors and program accordingly skill development institutions, 4. Provide stipends and other support to the poor/marginalized to join skill development programs 2 Limited employment opportunities in CHT; Environment not conducive to start small/medium enterprises Support improved employment generation and entrepreneurship development in the areas of community based inputs, supplies and services , processing and marketing 1. Identify skill development requirements and design skill, development programs, 2. Organize and support entrepreneurs and service/input suppliers through formation of groups and cooperatives, 3. Strengthen the price monitoring mechanism 8 2014-2018 HDC, Line Departments, Private Sector Level Region, District District, UzP, UP No. Bottleneck Solution Activities Time Frame Institutional Involvement Level MDG Target 1.C - Halve, between 1990 and 2015, the proportion of people who suffer from hunger MDG / CHT Indicator: Percentage of underweight children under five to 33% Nutrition - [Operational Target: Ensure basic calorie needs are met for CHT target groups] Priority Intervention #1: Reduce prevalence of underweight children (6–59 months) by mainstreaming nutrition in the health and family planning system Priority Intervention #2: All pregnant and lactating women, adolescent girls and children under five including those with disabilities in selected Upazilas 1 Inadequate 1. Service/program 1. 3W mapping (who, where and 2014-2017 MoHFW, Village(Para), coverage/access to mapping exercise what) and target setting (PLW, U5, MoCHTA, HDC District, UzP, essential nutrition services involving key adolescent girls, etc.) on nutrition for UP and direct nutrition stakeholders to identify selected Unions and Upazilas interventions (DNI) who is doing what and through Upazila level consultations where and workshops 2. Mainstream and scale 2. Implement DNIs in selected up DNIs through existing Unions/Upazilas through CCs, health & FP services FWCs/UHFWCs and UHCs as well as 3. Early detection, existing community based service referral and delivery points management of SAM at 3. Community based management of facility/community level SAM as per national guidelines and facility based management of complicated cases (UHC/DH/CMCH) 2 Lack of human resources 1. Develop a training 1. Ensure the nutrition training plan 2014-2017 MoHFW, Village(Para), capacity for nutrition plan for key service for health, family planning and other MoCHTA, HDC District, UzP, service delivery providers (health, FP key nutrition service providers is UP andother stakeholders, developed at district level through etc.) the participatory needs assessment 2. Use of standardized 2. Ensure standardized nutrition job nutrition job aids aids are available at different level of (approved by NNS) at service delivery outlets and facilities facility and community (CCs, FWCs, UHFWCs, UHCs, DH, level etc.) 9 No. Bottleneck Solution Activities Institutional Involvement Level 3. Strengthen human resources capacity development through trainings based on standard national training modules 3 Lack of effective coordination among service providers 4 Non-existence of the operational Nutrition Information System (NIS) and monitoring system 3. Trainings on mainstreaming nutrition and DNIs for health (CHCP, HA, HI, MO, UHFPO, etc.) and family planning (FWA, FWV, UFPO, MOMCH, etc.) service providers and other authorities working in the selected districts 1. Strengthen the 1. Ensure effective coordination coordination mechanism mechanisms arein place at district and clarify their roles and Upazila level among GoB and and responsibilities NGO nutrition service providers 2. Include nutrition as 2. Ensure nutrition is included in the regular agenda of agenda of monthly health and family monthly coordination planning coordination meetings at meetings (as per the Upazila and district level NNS/IPHN instruction) 3. Ensure linkage with nutrition 3. Link with nutrition sensitive interventions through the sensitive interventions multi-sectoral approach (hunger, for complementary poverty reduction, safety net, WASH, effects etc.) in DCC meetings with Hill District Councils and other line ministry departments 1. Orient stakeholders on 1. Agree on the standards and standards and targets for targets for nutrition at district and nutrition interventions in Upazila level and orient stakeholders selected Upazilas on them 2. Use the standard 2. Introduce standard monitoring monitoring checklist checklists for nutrition services and (approved by NNS/GoB) ensure they are utilized by health & 3. Integrate nutrition FP authorities for routine supervision indicators (as set by of service delivery outlets and Time Frame 10 2014-2017 MoHFW, MoCHTA, HDC Village(Para), District, UzP, UP 2014-2017 MoHFW, MoCHTA, HDC Village(Para), District, UzP, UP No. 5 Bottleneck Lack of awareness among local population on importance of nutrition for child survival and development (C4D) Solution Activities NNS/GoB) with existing and functional MIS 4. Conduct periodic implementation and progress reviews and act on the gaps identified during routine program monitoring 5. Functional NIS through HMIS and DGFPMIS facilities (CC, FWCs, UHFWCs, UHC, etc.) 3. Ensure standard nutrition indicators are integratedand routinely collected through the existing and functional mechanism and analyzed through HMIS/NIS/ DGFP-MIS 4. Nutrition activities are reviewed on quarterly basis and progress reports are prepared and shared with health & FP authorities and Hill District Councils 5. Capacity building of CHCPs, FWVs and other community based stakeholders on NIS and web based reporting through HMIS and DGFPMIS 1. Form Mother Support Groups (MSG); Organize trainings and conduct courtyard meetings and house hold visits through interpersonal communications (IPC) 2. Develop and distribute IEC materials (an integrated package) for use by mother support groups and community volunteers 3. Advocacy and orientations for opinion leaders, traditional leaders, religious leaders, local elected representatives at Union, Upazila Raise awareness on importance of nutrition for child survival and development among mothers and local leaders 11 Time Frame 2014-2017 Institutional Involvement MoHFW, MoCHTA, HDC Level Village(Para), District, UzP, UP No. Bottleneck Solution Activities and district level on the importance of direct nutrition interventions and the 1000 days approach in child survival and development 12 Time Frame Institutional Involvement Level