Attachment_10__USG_approach_to_SUN_in_Zambia_OnePager.pdf

• Poor diet of pregnant women.

• Low birth weight (9.1%) (DHS 2007).

• Inadequate breastfeeding practices, both in terms of exclusivity up to six months, care, and quality of feeding; only 39% of mothers exclusively breastfeed (DHS 2007).

• Poor infant and young child feeding practices: lack of diet diversity, especially animal-source foods, low nutrient density of feeds, insufficient quantities of food offered per meal, and inadequate frequency of meals.

• Frequent illness, long duration, and multiple illnesses at once.

• Inadequate access to improved sanitation, poor hygiene, and environmental enteropathy.

• Seasonal food insecurity, 25% of rural Zambians experience moderate to severe hunger (RALS 2012).

• Harmful levels of aflatoxin exposure through groundnuts and maize.

ZAMBIA

Pr ob le m

St at em en t Ke y Dr iv er s of

St un tin g in

Z am bi a

Ba rr ie rs to C ha ng e So ur ce

: C

SH

fo rm at iv e re se ar ch

2, M aw a Po sit iv e De vi an ce In qu iry

U

SG

R es po ns e

• Perception that local foods are not high value and that “good” nutrition means buying food.

• Difficulty in managing many recommendations for optimum health during pregnancy, breastfeeding, and different age stages of child.

• Fear of not having sufficient quantity of breast milk to satisfy/nourish baby.

• Women’s sense of insufficient time to breastfeed for sufficient duration each feed.

• Belief that young children should not eat foods like vegetables/meat (even mashed) because they don’t have teeth.

• Belief that watery porridge/soup has sufficient nutrients for a young child.

• Illness, including diarrhea, seen as a normal part of childhood and not necessarily connected to hygiene practices .

• Scant resources (time and money) for treating water.

• Lack of crop diversification and of access to fortified staples; priority placed on sale of crops rather than household consumption.

Resilience Food Availability & Market Engagement Food Fortification Food Utilization &

Hygiene (CORE) Linkages &

Supportive Policy

• Zambia has a national stunting rate of 45% (DHS 2007), a rate that has not significantly changed in the last 20 years.

• Although rates are higher in the lowest wealth quintile (48%) than in the richest quintile (33%), stunting is common across wealth categories; poverty is not the only determinant of growth retardation.

• Stunting is prevalent even in strong food-production areas, e.g. Eastern Province (51%) (DHS 2007).

• New research from Eastern Province indicates that stunting is even more common among boys than girls (51% vs. 41%, FEEDBACK 2013).

Objective:

• Strengthen households’ ability to withstand shocks and stresses through climate-smart agriculture and financial inclusion for the most vulnerable households.

Projects:

• Mawa, Better

Life Alliance

Objective:

• Intensify and diversify agricultural production for cash and food crops.

• Improve supply chains and access to markets.

• Improve the nutrition and agricultural policy environment.

Projects:

• PROFIT+, CASH,

R&D, Mawa, FSRP, Better Life Alliance

Objective:

• Improve nutritional value of crops.

• Improve household access to food- and bio-fortified crops and products.

Projects:

• R&D , Thrive, Better Life Alliance

Objective:

• Improve household care, feeding, and hygiene: quality of breastfeeding, age-appropriate complementary feeding, food diversity, feeding style, hand-washing with soap, and safe play spaces.

Projects:

• Mawa, CSH, R&D, ZISSP, Better Life Alliance

Objective:

• Strengthen two-way referrals between health facilities and communities for nutrition assessment, counseling, support and treatment for acute malnutrition

• Provide training and support to GRZ at national, provincial and district levels

Projects:

• ZISSP, Thrive, Mawa

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