Accelerating Implementation of MDGs: The

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Accelerating Implementation of
MDGs: A case of Millennium Village
Program in Uyui-Tabora
‘Good practices’ and ‘lessons learned’ from
a Millennium Village Program to eradicate
abject poverty
Gerson Nyadzi, PhD
Team Leader & Science Coordinator
A presentation made during the Poverty Policy Week (PPW)
25th-27th Nov, 2013 at Mwalimu J.K. Nyerere International Conference,
Dar es Salaam
Presentation Outline

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

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
Background
Millennium Village Concept
Interventions + Key Achievements
Major Challenges
Up-scaling Strategies
Concluding Remarks
Background
 Millennium Declaration was adopted by 189
countries at the Millennium Summit in September
2000;
 Agreement to promote peace, security,
human rights, democracy, governance,
environment, poverty reduction, health and social
services;
 Adoption of 8 goals, 18 targets and 48
indicators with 2015 as timeline;
 UNDP as UN scorekeeper for the MDGs.
Africanized MDGs - due by 2015
The MVP Concept
Genesis
2001/02: UN Secretary General established
the UN Millennium Project (UNMP) to identify
practical ways to achieve the MDGs.
2005: UNMP releases reports and series of
recommendations.
2005/06: Millennium Villages Project
conceived as proof of concept that MDGs
can be achieved in rural Africa, using the
UNMP recommendations.
Concept
cont’d ……….
MVP Principles:
 Science-and evidence-based proven
implementing technologies and practices;
 Community-based, with a participatory approach
to planning, implementation, and monitoring that
contextualizes specific interventions for each
village;
 Enhance local capacity development in technical,
managerial and participatory skills - involving
different agencies and community.
MVP Concept cont’d ……..
Financial model:
based on an average input of USD110
per capita per annum for a 5-year
timeframe
Breakdown:
 Community contribution: ---------- 10
 National + Local Government:---- 20
 Other partners/investors: ---------------- 20
 Project (MVP) donors: ------------ 60
 direct interventions: -- 50
 project management: -- 10
110
Cost for achieving MDGs per capita (cont’d)
Sector
MVP budget framework
Per capita allocation (USD)
Percent allocation (%)
Agriculture + Nutrition (incl. irrigation)
7.50
15%
Education (incl. school meals)
Health (covering MDGs 4,5 & 6)
7.50
17.5
15%
35%
3.75
7.5%
Environment (includes micro-dams)
ICT
Energy
1.25
1.00
5.00
2.5%
2.0%
10%
Transport / rural roads
Community dev, incl. gender
5.00
1.50
10%
3%
Sub-total: Interventions
50.00
100%
Sub-total: Management
Total
10.00
60.00
Water + Sanitation (domestic
water)
MVP Concept cont’d ……..
Integrated targeted investments at the community level in 45 priority sectors (minimum package):
 Agriculture, incl. livestock
(improved seeds/breeds, fertilizers, best agronomic + husbandry
practices, etc.);
Health, including HIV/AIDS, TB, malaria control
(functional clinics, incl. staffing, adequate supply of drugs,
equipment, etc.);
 Education
(functional schools, incl. school meals);
 Water + sanitation
 Infrastructure (covering energy, roads, ICT, etc.).
MVP Pillars based on five initial core objectives and interventions
Safe Water Points
Children in Schools
Basic Clinical Services
Malaria
Bednets
Harvests
Success
Base-lining and surveys
Community Engagement/ Government Support
Cluster Staff and Office Infrastructure in place
11
The Millennium Villages Network
 Total
of 14 MVs in 10 African countries (covering some 0.5
million people): Ethiopia, Ghana, Kenya, Malawi, Mali, Nigeria,
Rwanda, Senegal, Tanzania, and Uganda (see map)
 Now expanding into Benin, Cameroon, Liberia, Zambia,
Mozambique, and Madagascar; as well as: Haiti, Papua New
Guinea, Burkina Faso, DR Congo, Central African Republic,
Comoros, the Gambia, Guinea, Sierra Leone, and Togo;
 Some countries are up-scaling the good lessons from MVP
using own resources: e.g. Mali, Nigeria, Rwanda
 Site selection criteria:
(i) typical hunger spot, (ii) abject poverty (>60% on <
1USD per day), (iii) agro-ecology (farming system used by
>90% of agricultural population).
14
TOTAL POPULATION APPROXIMATELY 455,000
The Mbola Millennium Villages Cluster
 Location: Ilolangulu Division, Uyui District; about 36 km
from Tabora Municipality;
 Area coverage: 133,433 ha (1,334 km2) in four wards:
Mabama, Usagari, Ibiri and Ilolangulu.
 Villages covered: 16 administrative villages (40,000 people),
of which:
(i) research villages (MV1): Mbola, Mpenge & Isila
(ii) up-scaling villages (MV2): Ngokolo, Isenga Ilolangulu and
Ulimakafu; Mabama, Ideka, Mbiti, Msiliembe; Ibiri, Inonelwa;
Msimba and Migungumalo.
 Definition: 1 MV = 1,000 HHs; Mbola has 6 MVs  6,000
HHs (5.6 members/HH).
Location of Mbola Millennium Villages Cluster within Uyui
District, Tabora Tanzania
Mbola
Isikizya
Tabora town
Ilolangulu
Tumbi
Shinyanga
100
200 km
Tanzania
Mbola Millennium Villages Cluster
18
Development Challenges in Mbola

MVP Mbola was launched in mid 2006;
 Baseline surveys conducted in 2006/2007;
 Following development challenges were
identified:
 High poverty levels (over 60 living
under 1USD/capita/day)
 Poor agricultural management
practices
 Unreliable rainfall, leading to declining
crop yields
 Shortage of basic infrastructure
 Poor education facilities and
infrastructure
 Domination of tobacco as cash crop
 High rate of environmental
degradation
 Unsustainable use of the Miombo
woodlands
 Poor access to markets.
 Therefore Mbola is a typical Tanzanian rural
village cluster with all the poverty trap
characteristics.
MVP Management Structure
 National Level:
MoF/PEED; UNDP/MP
 Regional and District level:
RC/RAS Tabora, DC/DED Uyui
 Community + Village Level:
MVP Council/Baraza, Village Sector Committees
 Project Level :
 Country Coordinator/MDG Advisor
 Team Leader & Science Coordinator
 Finance & Administration Manager
 Sector Coordinators
 Community Facilitators (seconded LGA staff)
 Local Level support staff: i.e. field enumerators, data entry clerks,
community health workers, etc
20
MVP Mbola Key Achievements
We know that no single intervention is
enough. In order to effect lasting change in
any one area, we must improve them all.
PROGRESS AGAINST
TARGETS
22
MDG / MVP Indicator Report, Year 5 Preliminary Results of Progress to Date for Tanzania, Mbola ver: JULY 5, 2012
Millennium Development Goals and MVP Indicators
PRELIMINARY RESULTS
PROGRESS AGAINST TARGETS
MDG Indicator
#
Baseline Year 3
2015 Target
(2007) (2009)
Year 5
(2012)
Average in
all MVP in
Africa
MDG Goal 1: Eradicate extreme poverty and hunger
1.8
Underweight among children under 5
years old
Stunting among children under 5 years
old
Wasting among children under 5 years
old
Reduce by half
15.7
19.7
9.3%
15.8%
Reduce by half
46.1
24.5
35.5%
39.4%
Reduce by half
4.0
14.1
5.4%
5.9%
70
47
≥90%
45.8
91.1
50
27
97.1%
92
51
86.6%
≥90%
63.9
76.8
93.9%
85.0%
25% + MVP
Baseline
47.2
25.8
39.7
20.7
345
85.7%
38.3%
230
64.9%
33.0%
≥70%
56.0
51.3
61.9%
56.3%
MDG Goal 4:Reduce child mortality
4.1
4.2
Under-5 mortality rate
Reduce by 2/3
Infant mortality rate
Reduce by 2/3
4.3
Measles immunization rate of 1 yearold children
Vitamin A supplementation rate of
under-5 children
MDG Goal 5:Improve maternal
health
5.1
5.2
Maternal mortality rate
Reduce by 3/4
Skilled birth attendance
≥70%
5.3
Modern contraception use
5.5 (4)
Antenatal care coverage - at least four
(4) visits with any provider
MDG Indicator
#
Baseline Year 3
2015 Target
(2007) (2009)
MDG Goal 6: Combat HIV/AIDS, malaria
and other diseases
Pregnant women tested for
100%
HIV
HIV-infected pregnant women
≥85%
who received ARVs to reduce
the risk of MTCT
Year 5
(2012)
Average in
all MVP in
Africa
NA
NA
92.3%
76.3%
NA
NA
86.0%
59.4%
10.4
80.1
80.9%
57.3%
NA
NA
95.0%
84.5%
Reduce by 1/2
proportion
without access
0.0
27.3
64.2%
78.9%
Reduce by 1/2
7.9Access to Improved sanitation proportion
without access
2.6
2.5
7.2%
43.8%
6.7
6.10(2)
Children under 5 sleeping
under insecticide-bednets
≥80%
Tuberculosis cases cured
under directly observed
≥85%
treatment short course
Proxy: TB Treatment success
rate
MDG Goal 7: Ensure environmental
sustainability
Access to improved drinking
7.8
water
Key Achievements in Community Development
 Community sensitization and training
on participatory approaches in
planning and implementation;
 Village sector committees
strengthened - comprising of 523
members (45% are women);
 35 member MVP Council/Baraza
(including women and youths) was
formed as a project oversight body –
representing each of the 16 villages;
 Community Innovation Centre at
Ilolangulu was built: useful for
capacity building, social events,
income generation, establishment of a
community library, community radio,
etc.
Key Achievements Agriculture and
Business (MDG 1)
Goal: Increase food production and incomes
Activities:
• Supporting farmers with fertilizer from partners Agrium and Mosaic, along with
improved seeds (maize, cassava, orange fleshed sweet potatoes), first as
subsidy and gradually shifting to credit.
• Providing training to farmers in agronomic techniques
• Diversifying production with nutritious, high-value crops (sunflower, groundnuts
and horticultural crops) and livestock to increase in household income.
• Building grain warehouses for better storage.

15 agriculture sector committees ( 92 members : 50% women) were revived and empowered
through training and provided with bicycles and other extension gears;
Results:
 Maize yields have doubled and in some years quadrupled contributing to a one-third reduction in
levels of chronic malnutrition among children under two. Farm productivity has improved
significantly: from 0.97 tons per ha (in 2006/07) to 5.79 tons per ha (in 2007/08) and maintained at
4 tons/ha for three consecutive years;
 Efficiency and sustainability of farming practices have been improved.
 Opportunities for commercial sales have expanded.
 Crop losses have reduced, income improved, and access for buyers facilitated.
 Surplus maize production for sale and contribution to the school meal programme (SMP): 9,554
bags (994 tons) of maize were collected in 2007/98 season as community contribution towards SMP.
AGRICULTURE SECTOR
Increased crop diversity and food production <0.97t/ha in 2006 to 5.76 t/ha
• Farmers were supported with farm inputs (fertilizers & improved seeds)
coupled with extension services on agronomic practices such as ridging, timely
planting, proper spacing, weeding, appropriate fertilizer application, etc.
Introduction of new cash crops like sunflower.
Maize yields (t/ha)
Average maize yields (t/ha) in Mbola
Cluster
6.0
5.0
4.0
3.0
2.0
1.0
0.0
2007
2008
2009
Non-intervention Villages
2010
2011
Millenium Villages
27
BUMPER HARVEST
28
Income and Farming Diversification

Introduction of early maturing cassava
cultivars and resistant to cassava
mosaic, sweet potatoes rich in vitamin
A (orange fleshed sweet potatoes),
and quality protein maize.

Train farmers on good agriculture
practices for groundnuts production

Introduction of improved cockerels
and chicken vaccination against New
Castle disease.

18 diary cows introduced: 12 in the
cluster and 6 outside the cluster.
29
Income and Farming diversification
Agricultural Extension support is
crucial to ensure productivity
Dry season
farming
30
Agriculture Challenges
Erratic rainfall patterns
Early planting, use of early maturing & drought tolerant
varieties (Maize hybrid DKC 8053) as well as small
scale irrigation – dry season farming.
Use of both locally produced Minjingu Rock Phosphate
Poor soil fertility combined and Diammonium Phosphate (DAP), Calcium
Ammoniam Nitrate (CAN) and UREA and organic
with high fertilizer prices
fertilizers such as N-fixing trees/shrubs on-farm,
mulching, etc.
Climate Change
Agriculture is highly vulnerable to impacts of climate
change, manifested through increased drought and
flood severity, more intense storms, shifts in the timing
and distribution of rainfall, warmer temperatures, and
secondary effects such as increased pest and disease
pressure.
Food security is profoundly affected by climate change,
which is occurring on top of rapid population growth,
fast-paced urbanization, land-use change, conflict, and
degradation of critical environmental services that
underpin food and livelihood security.
31
BUSINESS AND COOPERATIVE SECTORS
Financial
Institution
32
Key Achievements in Agriculture and Business ...
Goal: Transition from subsistence farming to commercial agriculture to
ensure sustainability of the project gains.
Activities:
• Forming cooperatives and providing access to financial services
• Identifying new revenue streams, producing business plans, providing
skills and management training, and developing value chains.
• Forging links with regional buyers
 Fostering entrepreneurship and business development addressed to spur
rural economic transformation: 109 groups (96 business + 13 social)
identified; 209 members trained in business management;
 Mbola Millennium SACCOS was established in 2009. By Oct 2013 – it has
862 members: 515 male, 267 female and 80 groups.
 Multi-functional Rural Industry (MFRI) established --- 35 members of
MEMBO (Mbola Sustainable Development Group) trained in agroprocessing and value addition, including indigenous fruits;
 Farm input credit scheme initiated in line with SACCOS.
Key Achievements in Education (MDG 2)
Goal: Increase the quality of education and ensure universal primary education
Activities:
•
Building and renovating classrooms; equipping with desks and text books.
•
Launching the school meals program in partnership with communities, the Table For Two Foundation to boost
student attendance, nutrition, and performance.
•
Providing teacher training, computers, and internet access to schools
•
Equipping schools with water points, improved latrines and electricity.
Results
All 17 primary schools with over 10,200 pupils have been rehabilitated and refurbished
 Infrastructure improvement: newly built 16 classrooms + 540 desks, 6 teachers’ houses, 17 school kitchens +
improved energy stoves, 8 teachers’ offices; renovated 10 classrooms and three schools installed with solar
power and provided with computers; two schools connected to national grid electricity;
 Improvement of learning environment:
148 school committee members trained in management, including SMP; 128 school teachers received refresher
training on participatory teaching methodologies (child-centred approach); adolescent girls (class 4-7) provided
with sanitary towels; 19 gender-based VIP latrines (with 106 drop holes); 34 pairs of game facilities provided for
sports.
 Four community secondary schools built and Scholarships given to 159 secondary students (105 girls and 54
boys) from poor families (2007-2014). For details visit Connect To Learn program (www.connecttolearn.org)
 Computers and laptops have been distributed to schools, including those donated by Lenovo for on- and off-grid
and ICT kiosks.
 School Meal Programme covering over 10,200 pupils in all 17 primary schools – using food
(maize) contributions from the community and from partners e.g. Table For Two Foundation.
 Has established Community Education Workers to influence students enrolment and
attendance to schools.
Key achievements cont’d …..
 Those facts from community members show that community has
started changing their mind sets towards valuing education as the
first and foremost pivot to keep them free from the wretched
poverty.
Achievements in education delivery in the cluster
• Increased attendance rate: 60% (2006) to 82.2% (2012).
• Enrolment rate raised from 70% (2006) to 98% (2012).
• Girls to boys’ enrolment ratio rose from 90% over 100%
in 2012 (1.03:1 ratio).
• Introduction of school meals in all 17 primary schools
covering over 10,000 pupils now (from 7,400 in 2006).
• Improved school infrastructure i.e. classrooms,
teachers houses, kitchens, latrines, etc;
•Improved performance: MVP schools being among the
top ten in academic performance and sends students to
government special schools.
•Girls scholarships (49) through Connect To Learn
Program
Challenges
Insufficient infrastructure to meet the
increased school enrollment and
attendance
Construction of additional classrooms
and teachers houses.
Inadequate teachers (high pupils to
teachers ratio)
Requested Uyui Local Govt Authority
(LGA) to allocate more teachers. 36
School Meal Programme
Cooking using three stones fire
Improved cook stoves
Gender Equality (MDG 3)
Goal: Improve gender equality and empower women.
 Emphasizing to parents the importance of education for girls
 Installing gender-separate latrines in schools
 Facilitating girls clubs and other girl-focused services
 Prioritizing maternal and reproductive health
 Supporting women’s participation in all levels of the project.
Results
 Girls’ enrollment and attendance in primary and secondary and school has
increased.
 The gender parity index for Mbola site increased to 1:03 indicating that
the number of girls enrolled in school exceeds the number of enrolled
boys.
 Number of women-run businesses, women’s cooperatives, and women in
leadership roles has increased through the Millennium villages.
Health and Nutrition (MDGs 4, 5 and 6)
Goal: Decrease rates of HIV/AIDS, TB, and Malaria, and improve maternal
and child health.
Activities:
• Training community health workers, constructing and equipping clinics,
and improving nutritional security with support from partners.
• Distributing free bed nets, immunizations, and supplements
• Prioritizing maternal and newborn health through antenatal care, skilled
birth attendants, and emergency obstetric care.
Results:
Initials interventions: Malaria Control + Treatment:
 WHO recommended anti-malaria drugs (ALU/coartem) used;
 Indoor residual spraying (IRS) conducted;
 Malaria Rapid Diagnostic Testing (mRDT) introduced at both the health facility
and at the household level;
 Bed Nets (LLITNs) to all sleeping sites/universal coverage (total of 33,000 were
distributed in 2007 and new 35,000 LLITNs have been distributed in 2012 to all
sleeping sites in the cluster and all surrounding villages).
39
HEALTH
Improved Delivery of Health Services
A newly constricted
dispensary at Mbola
• Constructed 3 new dispensaries and renovated 3 other existing health facilities.
• Recruited well trained & motivated staff.
• Introduced 60 Community Health Workers (CHWs) equipped with the necessary working
tools.
• Regular provision of additional drugs and equipment.
• HIV/AIDS Control: VCT and PMCT services introduced in all 6 dispensaries. Number of
adults taking an HIV test increased - many people are tested; patients receiving care +
treatment; Five HIV/AIDS clubs formed; MVP/UNAIDS Collaboration with formalized since
2010; antenatal HIV testing rates are at 90%.
• Family planning utilization increased.
40
• Increased delivery in health facilities from 38.5 in 2007 to 99% in 2012.
Health cont’d …….
 Malaria prevalence has dropped by 72%.
 Improved transport and communications: one ambulance
procured.
 Over 160 android phones donated by Ericsson with airtime
topped up by Airtel Company are used by the CHWs and project
health personnel and sector coordinators. Ericsson also built
three mobile phones transmission towers in the cluster and
commissioned to Airtel Company.
 Average out patients attendance per dispensary doubled:
between 2006 and 2009, mostly from neighboring villages and
more people now seek medical advise and check up.
 E-health program (e.g. ChildCount+, CommCare) established.
A newly constricted
dispensary at Ibiri
Improved health services
from additional staff
Health Challenges
Influx of
Use of Community Health Fund (CHF) cards to
patients from cluster households members.
outside the
Outsiders pay Tshs 1,000 per person per visit.
cluster
However despite this user fee, many people are
still coming to get health services in the cluster.
Shortage of
staff houses
Construction of staff houses around health
facilities continues, budget exhausted.
Stock outs
Lack of medicines and drugs has increased in
recent months in clinics handed over to local
government
43
Environment (MDG 7)
Goal: Ensure environmental
sustainability
Activities and Results:
• Planting trees to provide fuel wood
and to reforest depleted areas.
• Training farmers in integrated soil
fertility management practices to
sustainably improve harvests.
• Building erosion control structures
to protect farmland and promote
restoration of degraded lands.
• Most trees planted are N-Fixing
and for firewood – woodlots.
• However, deforestation is still a
main challenge in the area.
44
Environment continue….
 Community and schools tree nurseries. More than 285,000
N-fixing plants distributed to selected farmers, schools
and dispensaries. On average 35,250 seedlings raised in
community nurseries every year.
 Other tree seedlings planted on farms and around schools
and fields.
 Beekeeping: 8,567 bee-keepers identified and 32 were
trained (ToTs) on modern beekeeping and honey
processing; 86 modern beehives + protective gear
provided on credit.
 Number of farmers practicing compositing, inter planting,
and proper fertilizer application has increased, bringing
sustainable support of higher crop yields.
Key Achievements in Water and Sanitation (MDG 7)
BEFORE
AFTER
BEFORE
AFTER
Key Achievements in Water and Sanitation (MDG 7)
Goal: Increase access to safer water and adequate sanitation
Activities:
 Making improved water available closer to homes by drilling
and rehabilitating wells and boreholes, installing improved
new pumps, and protecting watershed areas.
 Installing piped water systems
 Building ventilated improved pit latrines
Results
 Access to improved drinking water has increased from 13%
at baseline (2006) to 66% (2013).
 More than 42km of water pipe have been installed in three
villages of Mbola Millennium Villages cluster donated by
project partner JM Eagle.
 Access to improved sanitation has increased from less than
2% to 40% in research villages and to only.
Key Achievements in Communication and
Information
 Mobile phones (donated by Ericsson and powered by
Airtel) have enhanced communications;
 Donated computers and laptops have improved
computer literacy in the area;
 Media houses have visited the site - BBC, CNN, TBC,
Channel Ten, Star TV, ITV, etc. have covered MVP
activities on regular basis; numerous features articles
in local newspapers and international papers;
 MVIS (Millennium Villages Information System)
inaugurated in early 2010 (for details:
www.millenniumvillages.org).
INFRASTRUCTURE
 Use of improved cooking stoves in 17 primary
schools and individual households.
 Two schools and two dispensaries in two villages
connected to grid electricity.
 Four dispensaries installed with off-grid (solar
power).
 Life Innovation Container donated by Panasonic
Corporation.
 Some classrooms rehabilitated and connected with
solar power.
 Improved communication services by provision of
cell phones and three transmission towers in the
cluster supported by Ericsson and Airtel companies
and ambulance for referral cases.
Challenges:
– Poor roads network: Road works is costly & high
risk leading to slow implementation
49
ICT SECTOR
ICT training at Ibiri SS using CTL laptops
Students are sharing ideas during School to School Connection
50
Late evening training sessions using Life
Innovation Container at Mbola Primary School
51
Global Partnerships
• MVP-ERICSON & Airtel has
improved connectivity
• MVP-Panasonic
Corporation
• MVP-KOICA
• MVP-IITA
• MVP-UNAIDS
• Various international and
local visitors/missions
– Including Vital Signs Group
today
52
Major Challenges
 Inadequate community participation (seasonal), mainly due to
weak commitment by some local leaders;
 Dependency syndrome by local community, which undermines
self help spirit;
 Inadequate professional staff in all sectors at local level (health,
education, agriculture, etc) - leading to slow implementation of
planned activities; remoteness of Uyui/Tabora not attractive to
professionals;
 Influx of outside patients to MVP Mbola health facilities (due to
quality) thereby constraining health delivery;
 Dependency of ground water (boreholes, shallow wells), leading
to piping at high costs; decreasing sharply of ground water levels;
 School meal programme constrained by inadequate community
food contributions during lean years and lack of dining halls.
Major Challenges cont’d…..
 Hand hoe agriculture, erratic rainfall patterns, lack of cash/credit
for farm inputs, outdated agric + animal husbandry practices and
post-harvest loses;
 Local contributions to project activities (USD 10), mainly in kind
(collection of water, stones), is constrained by gender roles, with
women burdened by many HH chores;
 High cost of infrastructure projects (e.g. rural roads, electricity
supply, etc); funding from Government and donors limited;
 High expectation on MVP support (both community and local
leaders);
 Up-scaling of good lessons from MVP - doubts on integrated rural
development approaches;
 Inadequate support from LGA - in terms of adequate provision of
professional staff and other resources to ensure the MVP as proof
of concept succeeds – MVP perceived as another development
project.
The MV Scale up strategy
Package Lessons
from ‘What
works’
Establish a National
Level Collaborative
framework
Knowledge
Development and
sharing
The
Scaling up
Strategy
Continuous Policy
Reforms to Secure
Sustained Government
support and Funding
Programme
Implementation,
M&E.
Develop Ambitious
Government-led
Strategies for Scaling up
MDG Sectors
Resource
Mobilization
Capacity building
based on needs in
the public sector
Sectors with good up-scaling lessons
Community sensitization + engagement Integrated rural
development, involving the communities themselves.
Agriculture: aspects of Green Revolution/Kilimo Kwanza;
smart farm input subsidies, private sector participation,
value addition/processing, market access, etc.
Business development and group formation/SACCOs
Education: Gender parity enforcement, school meal
programme, education committees;
Health: functional basic health system; effective village
health committees; community health workers (combined
with ICT), malaria control (LLITNs, universal coverage,
mRTDs, IRS), etc.;
Environment: environment restoration; energy saving
technologies.
56
Scalability and Integration to National Strategies
Bottom line: rural communities can only achieve MDGs and escape from
extreme (abject) poverty, if and when there functioning clinics, schools,
safe water points and sanitation, agricultural upgrading, and roads and
power - lessons from MVP seem to point out that it is feasible to
eradicate abject poverty.
Some examples:
(1) Expansion of existing MV clusters to larger administrative
scales, such as Millennium Districts - following the
minimum package approach (agriculture, health, education,
water + sanitation, business development).
(2) Expansion to new MV sites: Nigerian strategy to expand
MVs to cover 20 million people across 36 states
using own
resources (HPIC relief).
Scalability cont’d……….
(3) Targeted support to the poorest communities:
 Mali has identified the 166 poorest communes (with a total
population of approx. 2 million people) that require
targeted cross-sectoral support, following on the MV lessons
from MV Tiby;
(4) National expansion of specific successful interventions:
 Malawi advanced the nation-wide agricultural input
support programme based on the MV Mwandama
achievements;
 Kenya and Tanzania used the MV experience in the
distribution of LLITNs;
 Tanzania (through Prime Minister’s Office) documented
MVP Mbola lessons for nationwide dissemination
using the minimum package approach.
Scalability cont’d……….
(5) Rounding out service delivery among existing community
development programs to “MDG-ize” them:
 Most community development programmes (Government or NGO - led)
focus on a limited number of sectors e.g. education projects are located
in different villages than water projects, which are in turn usually
disconnected from income-generation projects or women’s
empowerment projects and therefore the MV concept can be used
(minimum package) and help other organizations identify opportunities
for sectoral expansion in their initiatives, and to partner with
complementary organizations.
 The UN’s “delivering as one,” can use the MV model for coordinating
the substantive support from different development partners around a
cohesive and common set of objectives e.g. UNAIDS and UNFPA are
currently working closely with MVP.
Moving the strategies forward…
1. Stronger country level push; stronger
partnerships between MDG Centre and others
a must.
2. Serious attention to resource mobilization for
district, regional and country level strategies.
3. Stepping up the MDG ‘knowledge hub’
 Linking knowledge to policy dialogue for greater
impact of scaling up strategies.

E.g. Parliamentarian seminar on MVP
60
Going beyond one:
Millennium Villages in Tanzania: now and future
• Mbola MV1 & MV2
• Micheweni, Pemba
(MV2), Zanzibar
• Mserekia (MV3),
Tanganyika Plantation
Company (TPC) Moshi
• Geita Ashanti Gold
Mine (MV3)
Seven agro-ecological zones of Tanzania
 Proposal to Government: one MV per zone (with
minimum package) - strategize with PMO, MoF and
other key Ministerial Departments.
 District Development Plans (DDP) as entry point,
starting with all districts in Tabora Region, where MV
Mbola is being implemented.
• Grumeti Fund (MV3),
Serengeti
• MCI Tabora
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The strategy now and tomorrow
The Process:
1. Community mobilization
2. Heavy investments –
MVP
Project
Management/co
st sharing
3. Empowerment/training
4. Support for business
development
Community and
government
Time
5. Gradual hand over
management to
community
6. Community
groups/cooperatives
take charge
Concluding Remarks
 The results after eight years of MVP implementation in
Mbola (and elsewhere) have clearly demonstrated the
value and feasibility of integrated community-based
investments to eradicate abject poverty, compared
with the conventional one-by-one investment
strategies too often deployed in rural areas.
 Todate, the project has shown that simple interventions
applied through an integrated approach can bring substantial
change. The minimum package approach (agriculture,
health, education, water + sanitation, business
development plus community involvement) is among the
lessons to speed eradication of abject poverty.
END
Thank You for Listening
64
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