Country level options to improve country Nutrition commodities pipeline

Country level options to improve country Nutrition commodities pipeline

Group 4

Options Advocacy with all partners but mainly government for improved allocation of funds to nutrition - Using the commitment for nutrition for growth (3%)- by SUN movement - Evidence based advocacy (timely information) on caseload, coverage, and benefit - Building investment cases for nutrition - Gradual transition of responsibilities to government Changing the model of programing into multi sectoral approach so that nutrition is embedded in health programing

Rationale The pattern of funding is short term, unpredictable and not sustainable Improve ownership of the government and their accountability Improve cost-effectiveness and efficiency Improve coordination

Group 5

Country specific -Priority #1 Challenge Rationale Solution Responsible Lack of proper quantification and poor forecasting Not Included in the national essential medicine list and not quantified in the main MOH process Distribution cost is not considered during forecasting Advocacy in the inclusion of nutrition commodities in the EML Invite supply chain managers on the quantification table Partners' Government and partners' Reliable source of data for forecasting Explore accurate forecasting /quantification methods including surveillance system

Country specific -Priority #2 Challenge Rationale Solution Responsible Financing availability of fund and funding flow Competing priorities by government and little fund for nutrition commodities Intelligent and innovate advocacy to get nutrition commodities funded Partners and MOH Partners' funds earmarked are not flexible/ allocated per region Advocate for pooled funding for nutrition commodities as per the need

Group 6

Priorities 1) Clear coordination committee under Gov leadership (senior level) with all stakeholders: common and clear agreement on the needs based on a robust up to date reliable information system with agreement on incidence and coverage. common analysis of the different pipelines and how they cover the needs and where the gaps are. Analysis of the key enablers & barriers to an efficient supply chain with clear action plan

Priorities Contd 2) Capacity development of all stakeholders involved in the supply chain on the application use and storage of the different nutrition commodities to generate a pull and not push system and effective monitoring system 3) Predictable financing models at country level for routine caseloads Advocate for a predicable, sustainable and efficient financing system for all nutrition commodities for the routine caseload led by MoH budgetary allocation and supported by development partners and a different funding mechanism for times of crisis for elevated needs Ensure when planning needs and ordering commodities that consideration for full warehousing, distribution & storage costs are covered to the last mile

Stakeholders Role Government (national & sub national) UN agencies UNICEF & WFP Donors CSO Central Medical Stores Leadership, coordination, policy setting, budgetary allocation / resource mobilizing, monitoring Technical financial and commodity assistance, resource mobilization, advocacy Financial and technical support, advocate, piloting innovation Advocacy, technical support on service delivery, monitoring Operational supply to quantification, monitoring, and evaluation, warehousing and distribution and optimization with other commodities, technical support End Users/ Consumers Demand and utilize services, feedback on quality - appropriate use of commodities being used for intended purpose whistleblowers if needed on inappropriate use