UNITLIFE Sascha Graumann, UNICEF Representative to Georgia 1 Investing in nutrition is a smart investment Current nutrition situation and landscape: • As of 2014, 36 per cent of children in subSaharan Africa were stunted • Absolute number of stunted children in the region is increasing over time • Costs – not only to the physical and mental well-being of young Africans – but to their societies too 2 UNITLIFE – an innovative funding mechanism Fight against stunting and other forms of malnutrition in sub-Saharan Africa: • Tax on extractive industry revenues such as oil, gold, uranium • Launched at UNGA in September 2015; founding members: Congo, Guinea, Mali, Niger • “Made-in-Africa” solution — a bold demonstration of African leadership to tackle a challenge that affects so many … and to promote sustainable growth and wellbeing across the continent 3 African extractive industry as revenue source 4 UNITLIFE Programmatic Framework Fight against stunting and other forms of malnutrition in sub-Saharan Africa: • Programme framework to build on the awareness and political commitment generated by SUN • Organizations already active in nutrition programming, linked to SUN, should be able to submit proposals • UNITLIFE aims to support the implementation for nutrition-specific interventions which were described in The Lancet (proven effectiveness). 5 Proven high impact nutrition-specific interventions Intervention Preconception Folic acid supplementation Pregnancy Multiple micronutrient supplementation for pregnant women / IFA Calcium supplementation Balanced energy-protein supplementation Breastfeeding Promotion of breastfeeding Preventative Complementary feeding for food secure and insecure populations Vitamin A supplementation (6-59 months) Preventative zinc supplementation* Curative Zinc for treatment of diarrhoea Feeding for children with MAM Therapeutic feeding for severe wasting All Universal salt iodisation* Source: Bhutta et al., 2013; Adapted from Table 5.1 Global Nutrition report, 2014. [* includes universal salt iodisation and zinc treatment for diarrhoea] 6 UNITLIFE Governance Structure UNICEF as host of the Trust Fund: • Governed by Steering Committee, comprising contributing governments, nutrition partners foundations, CSOs, private sector, UN • Technical Secretariat to be located in Geneva • UNICEF as host is firewalled with independent Technical Advisory Group (the “TAG”) and an independent Fiduciary Management Advisor (the “FMA”) 7 UNITLIFE Challenges and Risks • Public Policy Implications and Reputational Risks – Additionality: There is a risk that the proposed mechanism would divert local resources away from addressing malnutrition in contributing countries – The fund is intended to mitigate such risks • Risk of duplication or diversion of nutrition funds – Complementarity – The funds will generate new funding in addition to ODA 8 UNITLIFE Challenges and Risks Working with Extractive Industries • Reputational risks associated with poor governance records of participating countries • Risks associated with poor regulatory oversight and governance in the extractive industries sector of participating countries • Consultations with civil society and other agencies 9 Malnutrition in Georgia • Over 1/3rd of pregnant women and children in Georgia suffer from micronutrient deficiencies – Anemia: 25.6% of pregnant women and among the causes for high maternal mortality (36 per 100,000) – Folic acid deficiency: 36.6% of reproductive age women – Anemia below 5 years of age: 22.8% – Stunting: 11.3% • National burden of malnutrition over 10 years – USD 1.3 billion – Approximately 3400 premature deaths 10 For more information, please contact Sascha Graumann UNICEF Representative to Georgia United Nations Children’s Fund 9 Eristavi str. UN House Tbilisi, 0179, Georgia Tel: 032 2 23 23 88 www.unicef.ge © United Nations Children’s Fund October 2015 Cover photo © UNICEF/NYHQ20091183/Randriambola (Girl jumping rope)