current accountability mechanism in nutrition: do they work?

8/10/2019 Current Accountability Mechanism in Nutrition: Do They Work?

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Current Accountability MechanismsDo They Work?

Lawrence Haddad

International Food Policy esearch

Institute

www!"lobalnutrtionre#ort!or"


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Accountability

The "lue that bindsthecommitment to the result



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$im#le model o% accountability

track

assess

le&era"e

r

es#ond

identi%y

commitments

results



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Accountability isintrinsically challen"in"

%or nutrition

Many mani%estations o%

malnutrition are in&isibleo'ntil clinical si"ns emer"e

o'ntil later in li%e

Multi#le sectors and actorsoWho owns res#onsibility %or the

commitment?



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Current Accountability Mechanisms()utcome %ocused



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Current Accountability Mechanisms(Action %ocused



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$tren"thenin" Accountability in

*utrition



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Identi%y commitments



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*utrition bud"et commitments(

untracked+ but not untrackable

,uatemalaTan-ania .ambia



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Monitorin" commitments



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Glaring Nutrition Data Gaps

/0 1 o% countries don2t ha&eenou"h data to assess i% on3o4 course

%or / WHA indicators

/51 o% most recentchild "rowth sur&eys are

o&er 6 years old



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Partici#ator

y bud"etin"

Citi-en

re#ort cards

Communityscore card

$ocial Audit

Tools %or social

accountability



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Assessin"Commitments



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A number o% countries

areon course%or the WHA tar"ets

697 one or moretar"ets31 7 none o% the



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)% the 89: *utrition %or ,rowthcommitments+ 1 are!!



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Le&era"in" commitments



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What ha&e the MD,s done %or

nutrition? 'nderwei"ht( one indicator in one

sub7"oal o% one MD,

Allowed de&elo#ment a"encies to;usti%y an increased in&estment innutrition

Location in the MD,8 #robablyhel#%ul in su##ortin" World 586 a"enda?!= Food

Policy/ @>58( /876>! www!"lobalnutrtionre#ort!or"


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Maharashtra

Bconomic,rowth

Po&erty

reduction

NationalNutritionMission

Im#ro&ed Pro"ram

Per%ormance

Frontlinenutrition sta4

recruited

*utrition

s#endin"

tuntin" %ell %rom 1 to >/1 in year



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es#ondin"

toassessments



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556759

5 o% 65 s#eeches

5 o% 80 #ressreleases

$ource( $umner+ Lindstrom and Haddad >55! www!"lobalnutrtionre#ort!or"


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Citi-en e#ort Cards( 'se%ul innutrition?

CT o% community7based monitorin"o% #ublic #rimary health care

#ro&iders in '"anda

lar"e increases in utilisation and

im#ro&ed health outcomes reduced child mortality by #er

cent550 GPower to the Peo#le( B&idence %rom a andomi-edField B#eriment on Community


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Do

accountabilitymechanism

s work?



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Hi"h le&el o% #ost >586 inuencin"acti&ity su""ests we assume they do



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one

un

uno

we need to intensi%ye4orts to embed

nutrition more broadly in the $D,s


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Conclusions

Accountability is the "luethat bindscommitments to results

Identi%y7monitor7assess7le&era"e7res#ond

)utcome K action accountability mechanismseist

Mechanisms need to be stren"thened

We cannot say deniti&ely which work Assume they do+ but in&est in ndin" out

more



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Thank you


current accountability mechanism in nutrition: do they work?

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