Background report: the Learning Route in Leveraging the Scaling up Nutrition Civil Society Network: building regional platforms to promote learning on how to address malnutrition Leveraging the Scaling up Nutrition Civil Society Network: building to regional promote to how Network: learning platforms on addressLeveraging malnutrition Civil Society up Nutrition Scaling the Background inRwanda Route report: the Learning • • • • the fieldvisitswhichwilltake placeduringtheLearningRoute. organisations involved and reflect their experience. They are intended to provide ‘food for thought’ for organisation leading the initiative. of the The case studies weresociety developed withtheparticipation Each case study briefly describes the experience, main outcomes and lessons learned by the civil the bestpracticeexamples learning. thatare mostlikely tostimulatecountry-country thematicareas and AnglophoneAfrica.Thisprocess identifiedthepriority of11 in Rwandaandasurvey organisations mappingprocess involvingcivilsociety wasdevelopedfollowingThe report aparticipatory the following thematicareas: of scaling-upnutrition.Italsofeatures in fivecasestudiesthatexemplify theworkdoneby civilsociety andmalnutritioninRwandatheprocess providesThis background basicinformation report onpoverty toendmalnutritioninRwanda. efforts those interested incivilsociety inthelearningexchange,intended asabriefingforthoughitwillalsobeofvalueto thoseparticipating This background wasproduced report inpreparation for the2016LearningRouteinRwanda.Itisprimarily report this About integrated approaches tofightmalnutrition communication for behaviouralchange multi-stakeholder coordination advocacy, socialcampaigningandmobilisation

!"#$%& '()*%&+","#&)'-&.%$-/&0"1)$0-$-*$#& .+'(')0'12& $,'-/& )$+& +'.%& 1"1*%%3& 1'45& $*')%"+& -'10'+*1-& ,."#$$-& +","#$& %.21.& .,'&6*.%& $#.-& 7",*-(.-& *-&8')'& $1'%& .+& %'1'%& 7$1'.%/& 6*')& 1")-#*+& $9$#0'& -.-'"1& ,"#$%& +","#$& $-&'*)-"&"+'"&+'21')& 6*'&4,.1+'-& (#.$)$1-& *-&8')'&$1'%&.+&%'1'%&7$1'.%/&6*')&$9$#0': 2 List ofacronyms References Conclusions district thecaseof Gisagara Case study5:Decentralisationand operationalization ofnutrition interventions: Nyanza district Case Study 4: “Milk Way” to enhance nutrition, from the producer to the consumer: the experience of O’Lakes andUrunanaexperience Case study3:Communicationstrategiesfor behavioralchangetowardsimproved nutrition:theLand of DUHAMIC-ADRI andSOSOMA Case study2:Strengthening tofightmalnutrition,theexperience Pro- poorPublicPrivatePartnerships Case study1:RwandaStakeholder andActionMappingfor Nutrition Sustainable experiences inscaling-upnutrition:casestudiesfor theLearningRoute profile: Rwanda Country The Globalnutritioncontext andSUNMovement About theLearningRouteinRwanda About theLearningRouteprogramme Table Contents of building to regional promote to how Network: learning platforms on addressLeveraging malnutrition Civil Society up Nutrition Scaling the Background inRwanda Route report: the Learning

!"#$%& '()*%&+","#&)'-&.%$-/&0"1)$0-$-*$#& .+'(')0'12& $,'-/& )$+& +'.%& 1"1*%%3& 1'45& $*')%"+& -'10'+*1-& ,."#$$-& +","#$& %.21.& .,'&6*.%& $#.-& 7",*-(.-& *-&8')'& $1'%& .+& %'1'%& 7$1'.%/& 6*')& 1")-#*+& $9$#0'& -.-'"1& ,"#$%& +","#$& $-&'*)-"&"+'"&+'21')& 6*'&4,.1+'-& (#.$)$1-& *-&8')'&$1'%&.+&%'1'%&7$1'.%/&6*')&$9$#0': 26 23 25 18 16 13 13 21 17 4 4 5 7 3 from other countries. from othercountries. SUN CSAs,aswellgreat enthusiasmtohostdelegations initiatives thatspannedthethematicareas prioritised by exchange: engaged in successful a proactive Civil Society Rwanda offered anappropriate context for thislearning Rwanda in Route Learning the About second halfof2016. was appointedtohosttheLearningRouteduring discussionswithSUNCSAs,Rwanda following further fight malnutrition.Basedontheseoutcomes,and behavioural changeandintegratedapproaches to multi-stakeholder coordination, communication for CSAs: advocacy, socialcampaigningandmobilisation, result, fivethematicareas by were identifiedasapriority repliedfrom 14Africancountries,11 tothesurvey. As their memberorganisations.Shared withSUNCSAs issues foras recognising learningneedsandpriority best practicesinthefightagainstmalnutrition,aswell CSAs’core andtheir areasidentifying ofintervention helped experiences inscaling-upnutrition.Thesurvey in April2016togathertheirknowledgeandsuccessful SUNCSAs from AfricanAnglophone countries surveyed In preparation for the first learning exchange, SUN CSN will involvealearningexchange inAsiaearly2017. these learningexchanges. ThesecondLearningRoute of CSAs.TheLearningRouteinRwandaisthefirst specific the knowledge needs and learning priorities exchanges, called ‘LearningRoutes’,thataimtomeet centre ofthisprogramme peer-to-peerlearning are two across countriesonhowtoaddress malnutrition.Atthe (CSAs) andregional platforms andtopromote learning programme Alliances tostrengthen SUNCivilSociety learningexchange (SUN CSN)launchedatwo-year Network In 2016,theScalingUpNutritionCivilSociety programme Route Learning the About building to regional promote to how Network: learning platforms on addressLeveraging malnutrition Civil Society up Nutrition Scaling the Background inRwanda Route report: the Learning PROCASUR Corporation is an international organisation that specialises in identifying, documenting and PROCASUR Corporation is an international organisation that specialises in identifying, affecting thelivesand livelihoods ofthousandsruralpeopleacross theglobe. inover20countries in Africa,Asia,andLatinAmericatheCaribbean, promoted learningopportunities sharing ofinnovationsbringing globalinstitutionsandlocalpeopletogether. Since2006,PROCASURhas management toolsandmethodologies, tailored todifferent contexts andcostumers, PROCASURfosters the Through learning platformssharing oflocalknowledge tofightruralpoverty. based ondifferent knowledge scaling-up localinnovationsandsuccessfulpractices toimprove rurallivelihoods.Itsmissionistofoster the

!"#$%& '()*%&+","#&)'-&.%$-/&0"1)$0-$-*$#& .+'(')0'12& $,'-/& )$+& +'.%& 1"1*%%3& 1'45& $*')%"+& -'10'+*1-& around food security and nutrition – CSOs have been andnutrition–CSOshavebeen around food security reduction, increased socialmobilisationandfunding factors – a high-level of politicalcommitmentto poverty CSOs. Overtime,andthankstootherkey enabling the direct ofstrong result coordinationamong ofahistory In Rwanda,theestablishmentofSUNAlliancehasbeen of thisprocess isdescribedinthisdocument. as wellchallengesthattheyhadfaced.Theoutcome the conditions which enabled SUN Alliance to flourished Alliances(CSAs).Theyalsoidentified SUN CivilSociety which theyfelt couldprovide usefullessonsfor other key experiencesorganizations cametogethertoidentify Organisations (CSOs)annationalandinternational CSN, PROCASUR,SUNAllianceandotherCivilSociety At aworkshopinJuly2016,representatives of SUN learningexchanges.and experience ofsupporting PROCASUR developedtheLearningRoutemethodology knowledge managementtoolsandmethodologies. specialising inthedesignandimplementationof PROCASUR Corporation,aninternationalorganisation To with organise the Learning Route, SUN CSN partnered found SUN Alliance a useful platform to further theiraims. found SUNAllianceausefulplatform tofurther was builtonstrong, existing foundations, CSOshave processes to reduce malnutrition. Although SUN Alliance of their collective voice and influence decision-making able tostrengthen theircollaboration,increase thepower ,."#$$-& +","#$& %.21.& .,'&6*.%& $#.-& 7",*-(.-& *-&8')'& society. that workfor improved nutrition atalllevelsof are: The LearningRouteprogramme’s mainobjectives and thenappliedintheirowncountry. potentially usefulinnovationsthatcanbeadapted toidentify of theLearningRouteparticipants their hosts.Thefinalaimistodeveloptheability and participants knowledge exchange between and reflection. Itencouragesanactiveandmutual process, whichmakes room for discussion,analysis objectives. Itisanon-goingpeer-to-peertraining up asplannedjourneywithspecificlearning toolbuilt A LearningRouteisacapacity-building $1'%& .+& %'1'%& 7$1'.%/& 6*')& 1")-#*+& $9$#0'& -.-'"1&

,"#$%& +","#$& $-&'*)-"&"+'"&+'21')& 6*'&4,.1+'-& (#.$)$1-&to buildstronger, alliances aligned civilsociety *-&8')'&$1'%&.+&%'1'%&7$1'.%/&6*')&$9$#0': 4 2 1 • are to: The nutrition atcommunity,provincial andnationallevel. to scale up Alliance’s member organisations’ efforts selected Rwandanexperiences promoted by SUN tolearnfrom The LearningRouteisanopportunity building to regional promote to how Network: learning platforms on addressLeveraging malnutrition Civil Society up Nutrition Scaling the Background inRwanda Route report: the Learning • • • Global Nutrition Report (2016),From Promise GlobalNutritionReport toImpact Ibid Understand theprocess andthefactorsthatlead and benefitsfor smallholders. that are pro-poorpartnerships and enable visibility sector, fostering sustainable and appropriate example, engagingwiththepublicandprivate For in bringingtogethermulti-sectoralpartners. role played by thecivilsociety thecatalytic Identify changes; nutrition-sensitive issuesandtopromote behavioral communication strategiestoraiseawareness on effective social mobilisation andIdentify and disadvantagedpopulations; special focus onensuringtheinclusionofvulnerable to effectively address nutritionproblems witha enhances nationalandlocalpoliciesstrategies Recognise modalitiesthrough whichcivilsociety and analysethepotentialfor scalingup/out; to the success of the selected case study examples Learning Route’sspecificobjectivesinRwanda

!"#$%& '()*%&+","#&)'-&.%$-/&0"1)$0-$-*$#& .+'(')0'12& $,'-/& )$+& +'.%& 1"1*%%3& 1'45& $*')%"+& -'10'+*1-& biggest hunger problem in absolute terms, being home biggest hungerproblem inabsoluteterms,beinghome who suffer from hunger. However, EastAfricahasthe of people 1990 and 2015) the proportion (between almost reached the MDG 1c hunger target of halving Goals (MDG)hungertargets.Developingregions have Food Summit(WFS)andtheMillenniumDevelopment marked theendof monitoring period for the World live in developingcountries.2015 ofthehungry majority 50 millionchildren are toolightfor their height million children for under five are the age and too short from micronutrient deficiencies people (outofaglobalpopulation7billion)suffer calories intheirdiettomeetneeds.Two billion (2014-2016 estimates),meaningtheyhadinsufficient 795 millionpeopleintheworldwere undernourished and are notadequatelynourished.Itisestimatedthat hunger; yet,alargenumberofpeoplestilllackfood Progress continues to be made in the fight against MovementSUN and context Global nutrition The MDG target. the few easternAfricancountries thatachievedthe this context, Rwandaisanexception for beingoneof of 124millionundernourishedpeople(FAO, 2015).In ,."#$$-& +","#$& %.21.& .,'&6*.%& $#.-& 7",*-(.-& *-&8')'& $1'%& .+& %'1'%& 7$1'.%/& 6*')& 1")-#*+& $9$#0'& -.-'"1& ,"#$%& +","#$& $-&'*)-"&"+'"&+'21')& 6*'&4,.1+'-& (#.$)$1-& *-&8')'&$1'%&.+&%'1'%&7$1'.%/&6*')&$9$#0': 1 . Additionally, 159 2 . The 5 nutrition, agriculture, drinking water and sanitation, contribute toimproved nutritional status,suchas: encouraged tofocus on severalsectoralareas which resources andmonitor activities.SUNcountriesare attain. Theyshouldalsofocus onmobilisingnational set commontargetsandmeasurableoutcomes to to align actions in the different sectors involved and practice intheirnationalpolicies.Theyare advised policy framework for nutrition and incorporate good SUN Countriesare calledupontoestablishalegaland SDGs indicatorsrelate tonutrition ofthe17 estimatesthat12 The GlobalNutritionreport SDG goal2istoendallforms ofmalnutritionby 2030. demonstrate acommitmenttoending hunger for good. andotherinternationalfora under Nutritionfor Growth goals, worldhealthassemblytargetsandthosecommitted Conference for Nutrition2,thesustainabledevelopment fight malnutritionintheircountries.TheInternational creating multi-sectoral, multi-stakeholder platforms to and 57 governments are committed to 100 partners, Today,conception to age two. SUN has more than concentrating on a child’s ‘first 1,000 days’ of life, from the nutritionalstatusofwomenandchildren, andby to improve nutrition. SUN’skey focus isto improve and international organisations around a common goal: businesses,researchers,countries, civilsociety, donors (SUN) Movementunitesgovernmentsofdeveloping About SUN. Foundedin2010,theScalingUpNutrition Rwanda building to regional promote to how Network: learning platforms on addressLeveraging malnutrition Civil Society up Nutrition Scaling the Background inRwanda Route report: the Learning 3 Global Nutrition Report (2016), From Promise GlobalNutrition Report toImpact,Page3,table 1.1. Nyamasheke Rusizi Rutsiro Rubavu 3 . Karongi Nyamagabe Nyarugur Nyabihu Ngoro Musanze re u ro Huye Ruhango Nyanza Gakenke Bur Gisagar era !"#$%& '()*%&+","#&)'-&.%$-/&0"1)$0-$-*$#& .+'(')0'12& Kamonyi a

$,'-/& )$+& +'.%& 1"1*%%3& 1'45& $*')%"+& -'10'+*1-& Rulindo actively supporting CSAsastheybecomeestablished. actively supporting with communitiesatalocal scale. SUNCSNhasbeen ministries and international institutions as well as working targeting key audiencesanddecisionmakers innational the implementationofnationalnutritionplans,such as of advocacy andcoordinationinitiativesinsupport levelhaveengagedinnumerous CSAs atcountry (CSAs) whichhavebeenestablishedin39SUNCountries. All are Alliances engagedthrough nationalCivilSociety organisations. membership included2000civilsociety aid amongothers.AsofOctober2015,SUNCSN’s rural development, humanitarian- nutrition intervention, fields, includingwomen’s empowerment,healthcare, organisations workinginvariousnutrition-related CSN) iscomposedofnationalandinternational (SUN Network About SUNCSN.CivilSociety results inreducing stuntingamongchildren. including Rwanda,havealready achievedencouraging micronutrient deficiencies.Several SUNcountries, and wastingamongchildren; andtheprevalence of good feeding practices;theprevalence of stunting healthcare andsocialprotection; theadoptionof nutritious food; accesstodrinkingwater, sanitation, by impactindicatorssuchas:access toaffordable, the firstyearsoflife.results are Country measured they playinchildren’s during development,particularly be at the centre of the process because of the role public health, and social protection. Women should

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*-&8')'&$1'%&.+&%'1'%&7$1'.%/&6*')&$9$#0': a Rwamagana Nyagatar Ngom Gatsib e a o Kayonza Kir ehe 6 compared to othersofthesameagegroup -and takes arelatively longtimetodevelop (SavetheChildren UK). their full geneticpotential,bothmentally and physically. inheight Themain symptom of this measured is stunting- shortness 5 4 resulting in the creation of 30 districts. Development With thisaim,adecentralisationprocess began in2000, isreduced. development issustainableandpoverty that affect them most, and thereby helping ensure that meaningfullyinmakingdecisionsonissues participate and empowerment, enabling local communities to this has been done by facilitating citizens’ participation has beencentraltoRwanda’sdevelopmentstrategies; Over the past decade, promoting good governance of Vision2020isgoodgovernanceandacapablestate. status by 2020.to middle-income country The first pillar economy leading knowledge-based, service-oriented from a low-income agriculture-based economy to a Rwanda’s development.Itseekstotransform thecountry Rwanda. Itpresents aframeworkandkey prioritiesfor 2020’ isRwanda’snationaldevelopmentstrategyfor Accountable governanceanddecentralisation.‘Vision 24.5% by theyear2015. at 37.9% (NISR,2016)compared totheMDGtargetof wasting; stunting,however, remains aconcernasitstands and Rwanda has achieved the target for underweight rates andinstunting.Intermsofmalnutrition, mortality is needed,suchasthereduction inunder5andinfant population. However, there are areas where more effort haspositivelybenefitthe which suggeststhatgrowth as wellasincreased genderempowerment, in poverty has been accompanied by areduction economic growth sector. agriculture andtheservice Overthepastdecade, rural to urban areas. Rwanda’s economy is dominated by Rwanda is currently facing, as well as internal migration from are keypopulation density developmentchallenges Agrowing populationandhigh Region (NISR,2012). 416 persquarethehighestinEastAfrican Kmin2012, population density,from 321persquare Kmin2002to The growing populationhasresulted inanincreased approximately 85%liveinruralareas. population is an estimated 11.5 million people, of which of StatisticsRwanda(NISR),thesize oftheresident 2016 population projections of the National Institute EnglishandFrench.are Kinyarwanda, Basedonthe and Burundi to the south. The three official languages to thewest,Tanzania totheeast,Ugandanorth bordered by theDemocraticRepublicofCongo(DRC) inEastAfrica.Itis Rwanda isasmalllandlocked country Rwanda profile: Country building to regional promote to how Network: learning platforms on addressLeveraging malnutrition Civil Society up Nutrition Scaling the Background inRwanda Route report: the Learning Chronic failures. malnutrition,orstunting,isaform ofgrowth Children who suffer from chronic malnutritionfail togrow to TheRwandangenocideoccurred in1994whenover 1 millionTutsi were killedduringa100day-period,from ApriltoJuly.

!"#$%& '()*%&+","#&)'-&.%$-/&0"1)$0-$-*$#& .+'(')0'12& $,'-/& )$+& +'.%& 1"1*%%3& 1'45& $*')%"+& -'10'+*1-& between 2006 and 2011 (EDPRS2, 2013). (EDPRS2,2013). 2006and2011 between whichdeclinedfrom 750to476 per1,000 births mortality, andmaternal to 50infantsdeathsper1,000livebirths, whichdropped from 86 declining ofchildmortality, In thiscontext, significantgainswere alsorecorded in development decision-makingclosertothepeople. decentralisationofgovernmentfunctionstotake further change inthe approach to development, including markeddevelopment (EDPRS1,2008-2012), adistinct reduction andeconomic national frameworkfor poverty relief torehabilitation andreconstruction. Asubsequent onmanagingthetransitionfrom emergency particularly in apost-conflict environment, thisstrategyfocused the Rwandan government prior to Vision 2020. Created by undertaken andgenerateeconomicgrowth poverty systematic assessmentoftheactionsneededtoreduce ReductionStrategy (PRS),2002-2006,wasthefirst Poverty reduction. The National Strategic Plan for poverty transferred tothesedistricts. hasbeen ofawiderangeservices and delivery particularly high in the western and northern provinces highinthewestern andnorthern particularly are future difficulties(WFP,2016).Levels offood insecurity current to cope with food consumption and their ability 80% of allhouseholdsare food secure, basedontheir and Animal Resources of Rwanda (MINAGRI), found that ofAgriculture Food Programme (WFP)andtheMinistry Analysis(CFSVA)’,Vulnerability conductedby theWorld and 2016). The2015‘Comprehensive FoodSecurity remained ataround 4millionsince2002(COMPACT2025, total number of undernourished people in Rwanda has half, from 56%to32%—asign of strong progress. The to 2015, prevalence of undernourishment fell by nearly andreducingimproving food hunger. security From 1990 hasmadegreatFood security. stridesin Thecountry programmes andcampaignsacross thecountry. nutrition will betackledthrough community-based andmalnutrition the broader issuesoffood insecurity malnutrition. Thestrategyoutlinesthatthisalongwith of theEDPRS2isreduction oftherateschronic child strategic andlong-termpriorities.Oneofthemaingoals are highlightedas“long-termfoundational issues”,i.e. and issues for theoveralldevelopmentofcountry andnutritionremain(EDPRS2), foodimportant security ReductionStrategy Economic DevelopmentandPoverty Within the second phase (2013-2018) of the national ,."#$$-& +","#$& %.21.& .,'&6*.%& $#.-& 7",*-(.-& *-&8')'& $1'%& .+& %'1'%& 7$1'.%/& 6*')& 1")-#*+& $9$#0'& -.-'"1& ,"#$%& +","#$& $-&'*)-"&"+'"&+'21')& 6*'&4,.1+'-& (#.$)$1-& *-&8')'&$1'%&.+&%'1'%&7$1'.%/&6*')&$9$#0': 7 prevalence of37.6%. However, 40%ofdistrictsinRwanda age are affected by anemia–wellbelow Africa-wide undernutrition: only17%ofwomenreproductive Rwanda hasalsodonewellinotherindicators of the mostfood insecure livelihoodzones. Furthermore, zones withthehighestrateofstunting overlapwith 6 monthswhoare exclusively breastfed. Thelivelihood respectively, correlating with87%ofchildren lessthan been alsoreduced from 18%and5%to9 %and2% andwastedchildrenprevalence has ofunderweight COMPACT2025 initiativein2016indicatesthatthe In linewiththe2015CSVA, astudyconducted by the Gap Index (COMPACT2025, 2016). countries intheWorld EconomicForumGlobalGender ranked sixth outof145 andin2015thecountry equality, measures, Rwandahas done well in promoting gender has alsobeenshowntoimprove nutrition:by several increased from 25%to34%.Women’s empowerment educationenrollment 2009 to2013,female secondary educationwere stunted(WFP,2016).Fromsecondary 19% ofchildren from familieswhosemothers had atleast formal educationwere stuntedin2015,whereas only 47% ofchildren from familieswhosemothershadno her level of education are key determinants; in Rwanda, (WFP, 2016).Boththenutritionalstatusofmotherand in explainingmothers are stunting inchildren important The results of the 2015 CSVA show that factors related to (NISR in:COMPACT2025, 2016). region is more prevalent in the western region (45%) in ruralareas (41%), than urban areas (24%) and across demography andregion. Stuntingismore prevalent to theNISR,prevalence ofchildstuntingvariesby to37%in2015(WFP,2016).According from 43%in2012 of themain nutritional issue in Rwanda, has decreased Stunting,whichisone wasted, stuntedandunderweight. years hasimproved, withfewer children found tobe CSVA thenutritionalstatusofchildren in2012, underfive Nutrition. Compared by with the data reported the moderately food insecure (WFP,2016). secure province withonly3%ofhouseholdsbeing of thecountry,whileKigali,capital,ismostfood building to regional promote to how Network: learning platforms on addressLeveraging malnutrition Civil Society up Nutrition Scaling the Background inRwanda Route report: the Learning

!"#$%& '()*%&+","#&)'-&.%$-/&0"1)$0-$-*$#& .+'(')0'12& $,'-/& )$+& +'.%& 1"1*%%3& 1'45& $*')%"+& -'10'+*1-& established under the Ministry ofLocalGovernment established undertheMinistry Coordination Secretariat toEradicateMalnutritionwas In June2016,aNationalNutritionandFoodProgramme implemented inalldistricts. the plansfound thatDPEM-related activitieswere being In2014,anassessmentof districts ofRwandain2012. withselecteddistrictsandwasextended2011 toall The first phase of the DPEM programme began in have beenintegratedintoDistrictDevelopmentPlans. level, DistrictPlanstoEliminateMalnutrition(DPEM) efficiently implementthestrategicplanatdistrict in the country.food In orderto and nutrition security is considered vitaltoachievingsustainable,long-term Food and Nutrition Strategic Plan (NFNSP), 2013-2018, Implementation ofthedevelopmentNational political commitmenttowardsendingmalnutrition. Rwanda’s leadershiphasdemonstratedhigh-level (COMPACT2025, 2016). 38% ofRwandanchildren under5are iron deficient childanemia level above40%. Additionally,still report nutrition programmes. andCSOsworkingtogetherinimplementing partners in CentralGovernment,withdistricts,development totheSocialCluster asatechnicalsupport will serve strategies to address malnutrition. The Secretariat sectoral approach, infact,haveproven tobesuccessful nutrition; decentralisationandstrengthening ofamulti- (MINALOC) tocoordinateallactivitiesandactorsin ,."#$$-& +","#$& %.21.& .,'&6*.%& $#.-& 7",*-(.-& *-&8')'& $1'%& .+& %'1'%& 7$1'.%/& 6*')& 1")-#*+& $9$#0'& -.-'"1& ,"#$%& +","#$& $-&'*)-"&"+'"&+'21')& 6*'&4,.1+'-& (#.$)$1-& *-&8')'&$1'%&.+&%'1'%&7$1'.%/&6*')&$9$#0': 8 Source: COMPACT2025 provides technicalassistancefor decentralisedactivities. coordinatingand organising national activities,and also private sector. It provides technical advice andassistsin academiaandthe donors, UNagencies,civilsociety, which includesrepresentation from the SCF&NSC, Group The Nutrition StrategicPlan(NFNSP). Nutrition Policy (NFNP) and the National Food and to coordinateandimplementtheNationalFood Committee (SCF&NSC)–across governmentbody The address hungerandundernutrition. together to government and development partners ofHealth, bringsOffice andleadby theMinistry – thehighestbody, tothePrimeMinister’s reporting The up nutrition: have beenset upat central and local level to scale In recent years,severalmulti-stakeholder platforms platforms Multi-stakeholder building to regional promote to how Network: learning platforms on addressLeveraging malnutrition Civil Society up Nutrition Scaling the Background inRwanda Route report: the Learning Inter-Ministerial Coordination Committee (IMCC) National FoodandNutritionTechnical Working Social ClusterFoodandNutritionSteering – a multi-sectoral nutrition coordination platform, – amulti-sectoralnutrition coordination platform,

!"#$%& '()*%&+","#&)'-&.%$-/&0"1)$0-$-*$#& .+'(')0'12& $,'-/& )$+& +'.%& 1"1*%%3& 1'45& $*')%"+& -'10'+*1-& (SUN Movement, 2015). Furthermore, NFNP broadens(SUN Movement, 2015). Furthermore, development, health,educationandsocialprotection reduction andsustainableas agriculture, poverty that haveanimpactonnutritionaloutcomes,such Nutrition sensitivepoliciesare inplacekey sectors sensitive approaches toaddress under-nutrition. The Policyincludesbothnutritionspecificand with adequatehouseholdfood security. also recognises thecloselinkofadequatenutrition young childrapidlydevelops(NFNSP2013-2018).It bothduringthegestationalperiodandas growth years ofachild’slife inordertobetterassure normal food andnutritionduringpregnancy andthefirsttwo of Thepolicyemphasisestheimportance EDPRS2. closely linked with the MDGs and in line with the Nutrition Policyof2007. ItisalignedwithVision2020, developed in2013,isarevision oftheprevious National The NationalFoodandNutritionPolicy(NFNP), Policy framework Forum DistrictLevels(JADF). Malnutrition (DPEMs)andJointActionDevelopment decentralised through DistrictPlanstoEliminate responsibilities: nutritionprogrammes are infact andemphasis onmulti-sectoralparticipation ,."#$$-& +","#$& %.21.& .,'&6*.%& $#.-& 7",*-(.-& *-&8')'& $1'%& .+& %'1'%& 7$1'.%/& 6*')& 1")-#*+& $9$#0'& -.-'"1& ,"#$%& +","#$& $-&'*)-"&"+'"&+'21')& 6*'&4,.1+'-& (#.$)$1-& *-&8')'&$1'%&.+&%'1'%&7$1'.%/&6*')&$9$#0': 9 in thefightagainstmalnutrition. a formal coordination mechanism for their involvement private sector and donor groups have not established government to eliminate malnutrition. So far, only the theRwandan insupporting meetings tojoinefforts key Ministries.UNagencieslikewise conduct regular from within the Prime Minister’s office, with participation and theInter-ministerialCoordinationCommittee,hosted coordination committees of the Social Cluster Ministries the nationalanddistrictlevels,includeshigh-level of the SUN Movement at which coordinates efforts Currently, themulti-sectoral/stakeholder platform, Action Plantofightmalnutrition. Malnutrition (2010-2013)andacomprehensive Joint of a National Multi-Sectoral Strategy to Eliminate MOH wasassignedtocoordinatetheimplementation established atcentralandlocallevels.Inaddition,the 2009 andmulti-sectoralnutritioncommitteeshadbeen by the first National Nutrition Summit in November launched aninitiativetoaddress malnutrition,followed the MOH. Atthetime,President ofRwandahad the SUNMovementwithaletterofcommitmentfrom the Republic of Rwanda joined On 22 December 2011, MovementSUN in Rwanda and jointimplementationresponsibilities. for NFNPandNFNSPtohavemulti-sectoral ownership of thesefactorsandtheirlinkagesexplains theneed of addressingsocial protection. each The importance link nutrition,infection, householdfood security,and into account the complex causal relationships that prevention of child stunting. The NFNSP also takes onthe over afiveyearperiod,focusing particularly Strategic Plan(NFNSP)orientsPolicy’simplementation In thisframework,theNationalFoodandNutrition and nutritionprogrammes. food security role in implementing community-based (CHWs) aswellfarmerpromoters playanimportant HealthWorkersstructures. Atthelocallevel,Community district levelthrough JointActionDevelopmentForum at the nongovernmental organisations (NGOs) intervene the implementationofDPEMs.Internationalandnational officers (SUN, 2015). The district-level committee oversees social protection, veterinary,andhygiene andsanitation women andyouth’districtrepresentatives, agronomists and composed ofmayors,districtdirectors ofhealth,nutritionists, At thelocallevel,multi-sectoralnutritioncommitteesare building to regional promote to how Network: learning platforms on addressLeveraging malnutrition Civil Society up Nutrition Scaling the Background inRwanda Route report: the Learning

!"#$%& '()*%&+","#&)'-&.%$-/&0"1)$0-$-*$#& .+'(')0'12& $,'-/& )$+& +'.%& 1"1*%%3& 1'45& $*')%"+& -'10'+*1-& on nutrition(knownas‘nutrition-specific’programmes) level, whether through programmes directly focusing all activelyengagedinscalingupnutritionatcountry from bothlocalandinternationalCSOsacademia, members date, SUNAllianceincludes79civilsociety reduction) were elected.Toprotection andPoverty Health, Women empowerment,Education,Social advisors for sixnutrition-sensitivesectors(Agriculture, as an umbrella committee organisation. Furthermore, to developanActionPlanandregister SUNAlliance Assembly elected its Executive Committee. Thisworked thelaunch,SUNAllianceGeneral After participation. Termspresented draft ofReference andrequest their concept ofworkingasacoordinatedAllianceCSOs, tointroduce themtothetogether 150participants on nutritioninthecountry. Alauncheventbrought created, bringingtogethermany oftheCSOsworking TrustMulti-Partner Fund (MPTF), SUN Alliance was In 2014,thankstoastart-up grant from theSUNGlobal Alliance Rwanda in SUN national platform. demandstotherole inbringinglocal community this framework,thedistrict committeesplayakey InExecutive Committee,CSOsandtheirpartners. theto provide consistentcommunicationbetween Alliance. A communication strategy was developed of high-levelissuesconcerningallmembers the meeting alsoprovides aforum for thediscussion the Allianceisfunctioning.TheGeneralAssembly year todiscussoverallprogress andlookathow The assembly meets approximately per twice as theAuditandDisputeResolutionCommittees. members of the Executive Committee, as well adopted organisational statutes and elected the 2015, andithas,through thesemeetings,officially convened inMarch2015,andthenagainOctober involved in the Alliance. The Assembly was first consists ofrepresentatives of allorganisations SUN Alliance’sGeneralAssemblyisabody, which Governance on the need for greater on their behalf. accountability communities affected by malnutritionandtofocus thevoicesof The aimofSUNAllianceistoamplify sensitive’ programmes). that integratenutritionaspects(knownas‘nutrition- or programmes thatrevolve around othersectorsbut ,."#$$-& +","#$& %.21.& .,'&6*.%& $#.-& 7",*-(.-& *-&8')'& $1'%& .+& %'1'%& 7$1'.%/& 6*')& 1")-#*+& $9$#0'& -.-'"1& ,"#$%& +","#$& $-&'*)-"&"+'"&+'21')& 6*'&4,.1+'-& (#.$)$1-& *-&8')'&$1'%&.+&%'1'%&7$1'.%/&6*')&$9$#0': 10 • The specificobjectivesofSUNAllianceare to: • building to regional promote to how Network: learning platforms on addressLeveraging malnutrition Civil Society up Nutrition Scaling the Background inRwanda Route report: the Learning • • • • 1. 2. SUN Alliancestrategicobjectives

Strengthen dialogue and accountability at all levels atalllevels Strengthen dialogueandaccountability information inthenutritionsector. ofimplementation andtoimprove onquality Conduct research toinform policydesignand with similarobjectivesatthegloballevel; SUN Alliance andotherorganisations relations between Defend members’professional interests andstrengthen in thearea ofnutrition; systems that contribute to increased investments Empower its members to put in place effective addressing nutrition; to implementNationalpoliciesandregulations programming, planning,monitoring andperformance; Strengthen CSOs’capacitiesfor improved nutrition and equitablereduction ofmalnutrition; members andotherstakeholders for sustainable andsynergiesamongSUNAlliance partnership Mobilise resources for enhancedcoordination, resources withnationalnutritionpriorities. alignment oftheirstrategies,programmes and international, nationalandlocalCSOsensure actors,includingacademia, all civilsociety Encourage andfacilitatecoordinationamong sub-national levels. plans for scalingupnutritionatnationaland multi-stakeholder /multi-sectoralpoliciesand and monitoringofeffective accountablenational Actively contributetothedesign,implementation

!"#$%& '()*%&+","#&)'-&.%$-/&0"1)$0-$-*$#& .+'(')0'12& $,'-/& )$+& +'.%& 1"1*%%3& 1'45& $*')%"+& -'10'+*1-& ,."#$$-& +","#$& %.21.& .,'&6*.%& $#.-& 7",*-(.-& *-&8')'& • • Main AchievementsofSUNAlliance • • • • • • • • • $1'%& .+& %'1'%& 7$1'.%/& 6*')& 1")-#*+& $9$#0'& -.-'"1& communication strategies(March2016–April Developing work plans and advocacy and 2016todate) (February for increased coordinationandinvestments. district decisionmakers with our committees Nutrition advocacy campaigns at national and Coordination Secretariat (May2015-June 2016) National NutritionandFoodProgramme Advocating for the establishment of the of SUNdistrictcommittees(May2015) Training, awareness raising andestablishment 2015) structures andlegalstatus(March2015-May Organisational establishment and sustainability: 2015–October2015) (January Stakeholder &Actionmappingexercise Information gatheringfor advocacy: 2014 todate) Awareness campaign on nutrition (from mobilisationactivities:Direct community ,"#$%& +","#$& $-&'*)-"&"+'"&+'21')& 6*'&4,.1+'-& (#.$)$1-& in theSUNMovement’sevents(Regularly) innational nutrition eventsand Participation (July 2016) strengthening EvidenceBasedAdvocacy) SNV andSUNAlliance(granton between Financial mobilisation:Securinganagreement (July 2016) New Venture Fundthrough SFHRwanda Financial mobilisation:Securingagrantunder 2017) Learning RouteProgramme (May2016-March 2016) *-&8')'&$1'%&.+&%'1'%&7$1'.%/&6*')&$9$#0': 11 • • • • fall underone,ormore, ofAfricanCSAs.Thethemesare: ofthethematicareas identifiedinthesurvey For thepurposeofLearningRoute,fivesuccessful initiativewere selectedby SUN Alliance. Theseexperiences initiatives, atlocal,nationalandinternationallevel. organisations in the fight against malnutrition. SUN Alliance’s members are engaged in multiple nutrition-oriented member In Rwanda, SUN Alliance has been abletodrawonthelong-termexperience of its Civil Society Route Learning the for case studies nutrition: scaling-up in experiences Sustainable building to regional promote to how Network: learning platforms on addressLeveraging malnutrition Civil Society up Nutrition Scaling the Background inRwanda Route report: the Learning University ofRwanda. University suchastheCatholicacademic research partners, inRwandatojointheAlliance,aswell civil society we havecalledallnutritionactorsbelongingto has changed into ‘SUN Alliance’. In this process was officiallyestablishedin2014.Today, itsname Alliance Rwandan government,SUNCivilSociety ofthe Thanks totheMPTFfundandsupport CSOs whileCRStookonacoordinatingrole. SFH Rwanda had a mandate to socially mobilise each ofthemplayingadistinctrole. Forexample, organisations, established, as joint venue of thetwo Alliancewas RFP; basedonthat,theCivilSociety -CRS)responded tothethe CatholicReliefService for Family(the Society HealthRwanda–SFH-and in Rwanda. This was in late 2013. Two organisations Alliance Chairman withMrButeraJohnR.Mugabe,SUN Interview Integrated approaches to fightmalnutrition Communication for behavioural change Multi-stakeholder coordination Advocacy, socialcampaignandmobilisation Q: Pleaseexplain howSUN SUN Alliance for Civil Society SUN Alliancefor Civil Society Proposals (RFP) toestablish the MPFT’sRequestfor Alliance emanates from The establishment of SUN initiatives sofar? what have been its main Alliance wasestablishedand

!"#$%& '()*%&+","#&)'-&.%$-/&0"1)$0-$-*$#& .+'(')0'12& $,'-/& )$+& +'.%& 1"1*%%3& 1'45& $*')%"+& -'10'+*1-& them isthelackofstaff;indeed,wehavelimited However, there are stillsomechallenges.Oneof common goalswewanttoachieve. the complex nature ofnutritionand to clearly target issue. Thishelpedustounderstandon aparticular area, andwhatinvestmentresources theyhave ‘who’s who’andwhattheyare doinginaparticular keyMapping process thathasbeenvery toknow intheStakeholderwe haveparticipated &Action achievement. We are nowtrackingresources and whichhasbeenagreatfor nutritioninterventions, and politicians in a single room to increase budget on boarddifferent stakeholders, policymakers greatly contributed to that. We managed to bring that wasestablishedinJune2016andwehave establishment of the Government Nutrition Secretariat different stakeholders. We alsoadvocatedfor the number ofMemorandumUnderstandingwith nutrition-oriented actionsandwedevelopeda Alliance itself; we then mobilised resources for Our firstinitiativewas officiallyregistering the Alliance sofar? Q: What have been the main initiatives of SUN our members. tostrengthen thecapacitiesofaffects ourability Limited resources isanotherchallenge,whichalso staff consideringhowbigtheplatform isnow. ,."#$$-& +","#$& %.21.& .,'&6*.%& $#.-& 7",*-(.-& *-&8')'& $1'%& .+& %'1'%& 7$1'.%/& 6*')& 1")-#*+& $9$#0'& -.-'"1& ,"#$%& +","#$& $-&'*)-"&"+'"&+'21')& 6*'&4,.1+'-& (#.$)$1-& *-&8')'&$1'%&.+&%'1'%&7$1'.%/&6*')&$9$#0': 12 Leveraging the Scaling up Nutrition Civil Society Network: building to regional promote to how Network: learning platforms on addressLeveraging malnutrition Civil Society up Nutrition Scaling the Background inRwanda Route report: the Learning to themduringtheLearningRouteinRwanda. Please make anoteofyouranswersandrefer CSOs involved? there any questions youwouldlike toaskthe about the practice that you need to know? Are Q4: Isthere any specificadditionalinformation success factorsinyourownefforts? initiative? Whatcanyoudotopromote these were thatcontributedtotheimpactof Q3: Whatdoyouthinkthekey success factors tosucceed? to beputinplacefor theeffort need totake ortheelementsthatwouldneed thestepsyouwouldcontext? Canyouidentify you haven’t tried andcould be applied in your Q2: Are there any aspectsofthepractice that approach taken by CSOsinRwanda? differences your approach and the between that you have already tried? Were there any key Q1: Are there aspects of the example of practice following: Please read thecasestudiesandreflect onthe toreduceof acceleratingefforts malnutrition. or initiativecarriedoutby CSOswiththeaim Each casestudydescribesasuccessfulstrategy Points to consider for Learning Route participants

!"#$%& '()*%&+","#&)'-&.%$-/&0"1)$0-$-*$#& .+'(')0'12& $,'-/& )$+& +'.%& 1"1*%%3& 1'45& $*')%"+& -'10'+*1-& other development partners. other developmentpartners. as bilateralandmultilateraldonors,privatesector, and CSOs, whichare alsomembersofSUNAlliance,aswell (MINAGRI, MOH, MIGEPROF, MINEDUC and MINALOC), (FAO, WHO, UNICEF, andWFP),governmentinstitutions nutrition sensitiveactions.TheseincludedUNagencies different actors working on both nutrition specific and and ActionMapping process thatbrought together ONE UNREACH, organised a multi-sectoral Stakeholder 2015, theOfficeofPrimeMinister, incollaboration with coordinated strategytoimprove nutritioninthecountry. In their position and priorities is essential to design a working toeradicatemalnutrition;thus,understanding There are a growing number of stakeholders in Rwanda for Nutrition Case study 1: Rwanda Stakeholder and Action Mapping up interventions innutritionthecountry. up interventions the finalobjectiveofimproving planningandscaling- achieving definedCore NutritionActions(CNAs),with in the actions taken and estimating progress toward potentialgaps what andwhere” innutrition,identifying by providing aclearunderstandingof“whoisdoing aimed toimprove coordinationamongstakeholders, basis). The2015mapping onavoluntary out in2012/2013 exercise builtonaprevious whichwascarried effort, from diversegroup mapping ofstakeholders. (The plans and results. The project mobilised representatives and testthem,largergroup tovalidateandshare smallergroups toplantheactions alternating between implemented through varioussubsequentmeetings– The Stakeholder andActionMappingproject was ,."#$$-& +","#$& %.21.& .,'&6*.%& $#.-& 7",*-(.-& *-&8')'&

$1'%& .+& %'1'%& 7$1'.%/& 6*')& 1")-#*+& $9$#0'& -.-'"1& Coordination strengthening toimprove nutrition LEARNING AREAS ,"#$%& +","#$& $-&'*)-"&"+'"&+'21')& 6*'&4,.1+'-& (#.$)$1-& *-&8')'&$1'%&.+&%'1'%&7$1'.%/&6*')&$9$#0': 13 current food security andnutritioninitiativescovercurrent food security The Stakeholder andActionMappingrevealed that on theirmechanismsofdelivery. operations andtheirtargetbeneficiaries,aswell as and programmes, geographicalcoverage oftheir theirkey actionsworking onnutrition,identifying a great role inhighlightingmemberorganisations strong, common voice. SUN Alliance also played them toengagegovernmentanddonorswithone together CSOsworkingonnutrition.Thisenabled SUN Allianceplayedacrucialrole inbringing Source: Stakeholder andActionMapping2015 building to regional promote to how Network: learning platforms on addressLeveraging malnutrition Civil Society up Nutrition Scaling the Background inRwanda Route report: the Learning

!"#$%& '()*%&+","#&)'-&.%$-/&0"1)$0-$-*$#& .+'(')0'12& $,'-/& )$+& +'.%& 1"1*%%3& 1'45& $*')%"+& -'10'+*1-& (REACH 2015). the districtswithhighestratesofchildstunting arefortification) beingimplementedare not always nutrition education,vitaminAsupplementation, bio where (for mostcore example, nutritioninterventions delivery. AsshowninFiguresservice 7aand7b,districts were implementationgapswith regard totargetingand deficiency, andbehaviourchange. However, there feeding, micronutrient school nutrition,supplementary diversity, hygiene promotion,child nutrition,dietary household food security, maternal infantandyoung the mainundernutritioncomponents,suchas: ,."#$$-& +","#$& %.21.& .,'&6*.%& $#.-& 7",*-(.-& *-&8')'& $1'%& .+& %'1'%& 7$1'.%/& 6*')& 1")-#*+& $9$#0'& -.-'"1& ,"#$%& +","#$& $-&'*)-"&"+'"&+'21')& 6*'&4,.1+'-& (#.$)$1-& *-&8')'&$1'%&.+&%'1'%&7$1'.%/&6*')&$9$#0': 14 in their areas of intervention such as maternal, neonatal suchas maternal,neonatal in theirareas ofintervention on definedCNAsandare responsible for specific actions have different responsibilities: ministriestake aleadrole their projects. Intheseframeworks,different stakeholders and to prepareand how to intervene the framework of information asadecision-makingtooltodecidewhere on nutrition in Rwanda are now using the mapping players toscale-upnutrition.Mostoftheactorsworking great need for coordination among different sectors and The mappingexercise demonstratedthatthere isa leaders) toleadnutrition actions intheircommunities. health workers,of local people (community community reducing stuntingwillrequire developingthecapacity are efficientandsustainableovertime. Successin ofcoverage–andthattheinterventions the quality groups. Atthesametime,there isaneedtoensure to reach of target a higher proportion interventions projects. Changing this situation requires more of the geographic coverageandbeneficiariesofexisting set by thegovernment.There are gapsbothinthe are efforts neededtoreach thetargets and thatfurther that stuntingisstilloneofthemajorproblems inRwanda Overall, theStakeholder andActionMappingindicated new programmes andprojects. for nutrition-related issues and for the development of andaspowerfulevidencefor advocating interventions, used asatooltomobiliseresources towardsspecific The Stakeholder and Action Mapping process was Source: Stakeholder andActionMapping2015 building to regional promote to how Network: learning platforms on addressLeveraging malnutrition Civil Society up Nutrition Scaling the Background inRwanda Route report: the Learning

!"#$%& '()*%&+","#&)'-&.%$-/&0"1)$0-$-*$#& .+'(')0'12& $,'-/& )$+& +'.%& 1"1*%%3& 1'45& $*')%"+& -'10'+*1-& Stakeholders andActionMappinginitsdifferent phases, Learning Route?Bylookingatthedevelopment ofthe What canIlearnfrom thiscasestudyduring theRwanda by itsmembers. and activeparticipation CSOs before to get full understanding the mapping starts, country. SUNAlliancewillplayakey role inengaging inthe be effective andtoplannutrition-interventions and ActionMappingshouldbeconstantlyupdated to 2017, coveringthefullyearof2016. Infact,theStakeholder A thirdmappingexercise isexpected totake placein Action Mappingfor Rwanda 2014/2015). organisations, trustsandfoundations (Stakeholder and carried out.Keydonors include multilateralandbilateral toallowCNAsbe donors provide financialsupport health workersfacilities, community and schools. Finally, through publicinfrastructure andresources suchhealth operating national NGOsare fieldimplementers, often specific CNAsatdistrictlevel:severalinternationaland instead, are responsible for thedevelopmentof leads for several other organisations. Field implementers, outtheCNAs.Theycanalsoactastechnical carrying oftheorganisations andhaveanoverview support such as UN agencies and International NGOs, give (MINALOC, MINAGRI andMINEDUC).Catalystplayers, of Infrastructure), and social protectionand Ministry nutrition education(MINEDUC),WASH (MOH,MINEDUC supplementation (MOH),food andagriculture (MINAGRI), and childhealth,diseaseprevention, micronutrient ,."#$$-& +","#$& %.21.& .,'&6*.%& $#.-& 7",*-(.-& *-&8')'& $1'%& .+& %'1'%& 7$1'.%/& 6*')& 1")-#*+& $9$#0'& -.-'"1& ,"#$%& +","#$& $-&'*)-"&"+'"&+'21')& 6*'&4,.1+'-& (#.$)$1-& *-&8')'&$1'%&.+&%'1'%&7$1'.%/&6*')&$9$#0': 15 SOSOMA2, SOSOMA2 Fortified, Corn Soya Blend Fortified, Corn SoyaBlendFortified, SOSOMA2, SOSOMA2 Fortified, rich invitaminsandmicronutrients, include:SOSOMA1, by theDUHAMIC-ADRI unit.These products, extremely the samekindoffloursthat were previously produced company beganindependent operationsproducing content products (Source:SOSOMA Industries).The reducing acutemalnutritionthrough itshighnutrient withtheaimofwith strong corporate responsibility from DUHAMIC-ADRI becomingaprivatecompany sorghum andmaize. In2008,SOSOMAseparated the three mainingredients usedby theunit:soya, unit, named‘SOSOMA’. Thisnameisanacronym for In 1986, DUHAMIC-ADRI a food-processing started local CSOs. from government tointernationalorganisationsand maintains closerelationships withdifferent stakeholders, cooperatives to markets. In its work, DUHAMIC-ADRI with agriculturalinputs andequipment, andlinking cooperatives inagriculturalproduction, providing them also workstostrengthen producers’ associations and radio programmes, amongothers.Theorganisation nutrition etc.),campaigns,cookingcompetitionsand different topics(agro ecologicalpractices,healthand channels toaddress malnutrition,includingtrainingon social protection and rural finance. It uses different rural livelihoods, spanning agriculture, WASH, nutrition, organisation adoptsanintegratedapproach toenhance with aspecificfocus onitssouthernregion. The though inthewholecountry district level,intervening is anactivememberofSUNAllianceatnationaland integrated initiatives.BasedinKigali,DUHAMIC-ADRI rural development throughthat works to support Development’) isaRwandannot-for-profit organisation Amajyambere y’Icyaro or‘Action for IntegratedRural Founded in1979,DUHAMIC-ADRI (acronym ofDuharanira DUHAMIC-ADRI andSOSOMA to fightmalnutrition, the experience of Partnerships Case study 2:Strengthening Pro- poorPublicPrivate towards commongoals. tool toprioritiseactionsandstrengthen coordination practice demonstrateshowmappingcanbeapowerful activities efficiently and effectively. The example of we willlearnhowtoplanandimplementmapping building to regional promote to how Network: learning platforms on addressLeveraging malnutrition Civil Society up Nutrition Scaling the Background inRwanda Route report: the Learning fight malnutrition PPP, socialmarketing, integratedapproaches to Socialmobilisationtowardsnutrition,pro-poor LEARNING AREAS

!"#$%& '()*%&+","#&)'-&.%$-/&0"1)$0-$-*$#& .+'(')0'12& $,'-/& )$+& +'.%& 1"1*%%3& 1'45& $*')%"+& -'10'+*1-& development programmes to support localfarmers development programmes tosupport and themainshareholders are reinvested inrural The dividendsdistributedannuallytoDUHAMIC-ADRI expecting mothersandpeopleaffected by HIV/AIDS. and healthcentres andgiventomalnourishedchildren, prices. Theproducts are thendistributedtohospitals is entitledtobuySOSOMAproducts atsubsidised SUN Alliance. Inthecaseofgovernment,MOH of in HealthandOneVision,allofwhichare alsopart price includesCSOs, such asCaritasRwanda, Partners can afford. Organisations that can buy at subsidised directly tosupermarket atpricesthelocal population humanitarian organisations, while the other 50% is sold are soldatsubsidisedpricestothegovernmentand Some 50%oftheproducts from theprocessing unit byare theRwanda StandardsBoard. certified sorghum, maize and wheat. Today, 73% of products mainly for porridgeandismadefrom grainsofsoya, with micronutrient deficiency. Theflourproduced is flourstocope Sorghum Floursaswellotherfortified and local health centres depend onexternal funds from best oftheirkind,most thedistributingorganisations ofSOSOMA products is widely seenasthe if thequality NGOs isessentialfor those distributingSOSOMA.Even cereals. Therefore, from government subsidiesorsupport of theSOSOMAproducts, whichare mostlybasedon from neighbouringcountriesandthisaffects the price by are Rwanda oneofthemaincommoditiesimported expensive for localhealthcentres andhospitals. Cereals government subsides,SOSOMA’s products are stilltoo some challenges still exist; whennotpurchasedusing demand, sohighthatitissometimesdifficulttosatisfy, Despite thegreat progress madeandthehighmarket (Uganda, Burundi). andare toneighbouring countries exported country SUN Alliance. Theproducts are distributedinthewhole Health, USAID), the Rwanda Bureau of Standards and in (World Partners Vision,CatholicReliefServices, agencies (WFP,UNHCR),internationalorganisations government bodies (MOH, MINEDUC), United Nations’ standards, SOSOMA is working closely with quality toreduceIn itseffort malnutritionandensure high year, from USD1.5 milliontoUSD3.5 million. 2018) forecast anincrease intheturnoverof20%per projections made for the following five years (2014- by in 2009 to USD 429 in 2013; and 104%, from USD 211 as aprivatecompany. Theshare pricehasincreased production). SOSOMAhasbeenextremely successful (that are responsible for the supply of the agricultural Super Maize Meal,RoastedSoyaFlour, RedandWhite ,."#$$-& +","#$& %.21.& .,'&6*.%& $#.-& 7",*-(.-& *-&8')'& $1'%& .+& %'1'%& 7$1'.%/& 6*')& 1")-#*+& $9$#0'& -.-'"1& ,"#$%& +","#$& $-&'*)-"&"+'"&+'21')& 6*'&4,.1+'-& (#.$)$1-& *-&8')'&$1'%&.+&%'1'%&7$1'.%/&6*')&$9$#0': 16 quality products. Inthiscontext, LandO’Lakesquality also uses for safe, high support consumer demandandregulatory smallholder production, whileatthesametimeincreasing sector atboththenational anddistrictlevels,improving strategy). The organisation works to build up the dairy sensitive sectorsidentifiedwithin SUNAllianceintervention Empowerment component(oneofthesixnutrition the designatedfocal organisationfor theWomen’s Board ofDirectors (orSteeringCommittee),andis sector. The organisation is a member of SUN Alliance Rwanda since2007, onthedairy focusing inparticular oftheiryields.LandO’Lakesand quality hasworked in countries toaccessmarkets andimprove thequantity smallholdersfarmingindeveloping It workstosupport cooperative. organisation thatbeganasafarmanddairy O’Lakes International Development is an international First established in the United States in the 80s, Land and Urunanaexperience change towardsimproved nutrition:theLandO’Lakes Case study3:Communicationstrategiesfor behavioral benefits tosmallholdersinthevaluechain. andto reduce malnutrition, while ensuring visibility thepublicandprivatesectors between partnerships topromote appropriate pro-poorby civilsociety provide usefulinsightsintosuccessfulstrategiesused Learning Route?ThecaseofDUHAMIC-SOSOMAwill What canIlearnfrom thiscasestudyduringtheRwanda at thevariousstagesofvaluechain. consumers andsmallholdersare kept inconsideration public andtheprivatesector, ensuringthatthevoiceof the between effective andappropriate partnership government and international organisations towards initiatives tofightmalnutrition,advocateandsensitise SUN Allianceengagesinvarioussocialmarketing over distribution and sale of SOSOMA products. Currently, anditsCSOsmembers private sectorandcivilsociety the by strengthening between pro-poor partnerships In thisframework,SUNAllianceisplayingakey role need themmost. for malnourished people are notreaching those that difficult; therefore, excellent products made especially families, the purchase of these products is even more comes to individuals, such as poor farmers and their donors orinternationalNGOstobuythem.Whenit building to regional promote to how Network: learning platforms on addressLeveraging malnutrition Civil Society up Nutrition Scaling the Background inRwanda Route report: the Learning stakeholder coordination Communication for behavioralchange,multi- LEARNING AREAS

!"#$%& '()*%&+","#&)'-&.%$-/&0"1)$0-$-*$#& .+'(')0'12& $,'-/& )$+& +'.%& 1"1*%%3& 1'45& $*')%"+& -'10'+*1-& supported by theorganisation. Shedirectly workssupported to nutritionare properly channeledinthe projects board. Herworkistoensure thatallmessagesrelated at Land O’Lakes, active member of SUN Alliance is a very Alice Bamusime, the Nutrition and Gender Focal Person behavioural changetowardsimproved diets. works topromote nutrition-orientedcampaignsfor Child programme. Atthesametime,organisation (One CowperPoorFamily) andtheOneCupofMilkper reduce child malnutrition,suchasGirinkaMunyarwanda population, inlinewithgovernmentalprogrammes to well aspromoting milkconsumptionamongtherural products, as milkanddairy production ofhighquality of projects andinitiativesaimedatimproving boththe Within thiswork,LandO’Lakes promotes adifferent range diets. enhance consumptionofhigherquality change communicationapproaches andmessagesthat and developing and implementing social and behaviour reasons why peopledonotconsumeadiversediet, communication for behaviouralchange,analysingthe approach previously used.The newformat featured Rwanda thatbreaks with theclassiclinear, singlestory the firstradiotopromote anewsoapoperaformat in national NGO, in 1998. started Since that time, it has been Urunana DevelopmentCommunication (DC)isaRwandan most popularradiosoapopera. Urunana tochannelnutritionmessagesthrough their radio programming. Land O’Lakes with partnered health centres, schoolsandhouseholds, through illustrations,via for farmers, depicted instoryboard spread nutrition-sensitivemessages:intrainingmodules Land O’Lakes useddifferent communicationchannelsto families nowsellingonlythesurplus. be kept athomebefore beingsoldtotheMCC,with now taking joint decisions on how much milk should gender andnutritioncampaigns,wife andhusbandare MCC before children couldhaveany ofit.Thanksto thefamily’swholeproduction wassoldtothe often of milk to be consumed at home, and on the quantity Initially, itwasthemaninhouseholdwho decided making around milkconsumptionathouseholdlevel. achievement isthechangeofmindsetindecision Bars’. Amongthecommunicationscampaign’s main purchasing by localpeopleintheircanteensorat‘Milk flavoured milk)andtheirpackaging,tofacilitatethedirect products (such asdiversification fermented of dairy or works withMilkCollection Centres (MCC) to promote milk is produced and distributed; the organisation also with farmers andprocessors toensure that high quality ,."#$$-& +","#$& %.21.& .,'&6*.%& $#.-& 7",*-(.-& *-&8')'& $1'%& .+& %'1'%& 7$1'.%/& 6*')& 1")-#*+& $9$#0'& -.-'"1& ,"#$%& +","#$& $-&'*)-"&"+'"&+'21')& 6*'&4,.1+'-& (#.$)$1-& *-&8')'&$1'%&.+&%'1'%&7$1'.%/&6*')&$9$#0': 17 learning of this work. One aspect in particular with Oneaspectinparticular learning ofthiswork. behavioural changeamong thepopulation,iscore on nutrition-sensitiveissues, aimedatpromoting effective communicationstrategies toraiseawareness Rwanda LearningRoute? Thedevelopmentof What canI learn from this case studyduringthe of successstories. consumption anda range evidence ofincreased dairy and in reducing malnutrition, as demonstrated by promoting better nutrition among the rural population communication strategywasextremely successfulin behaviour ofthekindpeopletheywanttoreach. This the soapoperabasedonreal life situationsand opera. Theydevelopedasetofnewcharacters in specifically related tomilkconsumption,inthesoap collaboration topromote positive nutritionmessages, day. In2014,UruranaDCandLandO’Lakes begana success, withthousandsofpeoplelisteningevery The newsoapoperaformat hasbeenatremendous the audience’sperceptiononsensitiveissues. diverseaudienceandtoslowlychange to reach avery planning, HIV/AIDSamongothers.Thisstrategyhelped health, gender, familyconflictandreconciliation, family about sensitive issues, such as reproductive and sexual the contentwasdevelopedtocontainsocialmessages audience, whoare mostly ruralpeople. Atthesametime, common problems experienced by thesoapopera a widerangeoflife stories,reflecting thelivesand building to regional promote to how Network: learning platforms on addressLeveraging malnutrition Civil Society up Nutrition Scaling the Background inRwanda Route report: the Learning

!"#$%& '()*%&+","#&)'-&.%$-/&0"1)$0-$-*$#& .+'(')0'12& $,'-/& )$+& +'.%& 1"1*%%3& 1'45& $*')%"+& -'10'+*1-& and campaigns such as Girinka Munyarwanda (‘One and campaignssuchas Girinka Munyarwanda Rwandan government initiated several programmes With theaimofincreasing milkconsumption,the demand remains high. less thanthesamevolume ofprocessed milk,so price ofmilksoldininformal markets is three times and hygiene ofmilkanditsproducts. However, the brings challengesintermsofguaranteeingthequality markets Development,2009),which (EastAfricaDairy 96% ofmilkproduced inRwandaissoldinformal Itisestimatedthatmilk products andtradeinmilk. resulted inincreased production ofmilk,processed several transformations inrecent yearsthathave sectorthroughThe focus onmilkhasdriventhedairy Milk is akey product for nutrition policy in Rwanda. Nyanza district the producer to the consumer: the experience of Case Study4:“MilkWay”toenhancenutrition,from targeted groups. strategies and positive nutrition messages reaching led to successful implementation of communication CSOsthe strengthening ofcollaborationbetween high potentialtobe scaled-up willbeexplored –how

,."#$$-& +","#$& %.21.& .,'&6*.%& $#.-& 7",*-(.-& *-&8')'& advocacy, multi-stakeholder coordination. Integrated approaches tofightmalnutrition, LEARNING AREAS balanced, diversifieddiets”. and familiesinacceptingintroducing more positive effect onthebehaviorofindividuals know thatourprogramme ishavingapowerful testimonials andconductedmany evaluations,we from our population. We have collected many coming from ourworkaround coming thecountry, change themindset ofpeopleusingtheevidence explain We tootherswhy tochoosemilk. are ableto that itcreates, andweare abletoadvocateand and themagnitudeofproblem andtheeffects the communities.Nowweunderstandcauses andlearnfrom also wenttothefieldobserve it. We hadmany orientationmeetingsandwe farmers were producing milkbutnotconsuming milk consumption could be a problem and that “At the beginning we could not believe that the Sylvia MuteteliistheUrunanaDCCoordinator. $1'%& .+& %'1'%& 7$1'.%/& 6*')& 1")-#*+& $9$#0'& -.-'"1& ,"#$%& +","#$& $-&'*)-"&"+'"&+'21')& 6*'&4,.1+'-& (#.$)$1-& *-&8')'&$1'%&.+&%'1'%&7$1'.%/&6*')&$9$#0': 18 Standards Board to improve milk and dairy products’ Standards Board to improve milk and dairy with MINAGRIwas able to and partner with the Rwanda environment products. topromote ADECOR safe dairy MINAGRI among others, in order to create a conducive including FAO,based advocacymaterialtopartners both membersofSUNAlliance,provided evidence- Consumers’ RightsProtection Organisation (ADECOR), o’ Lake InternationalDevelopmentandthe Rwanda’s products. Inthiscontext, milkanddairy Land quality of consuming to raise awareness of the importance products (higherstandards)and of themilk,tocertify and thepublicsectorworked toimprove thequality low.very To respond to this challenge, civil society ofthemilkstill remainedhad increased, the quality evenifmilkproduction Furthermore, andconsumption the 2020FAO targetof70litres percapita(FAO, 2015). development but still below 2010, an important after 40 litres percapita(before 2009)to59litres percapita some improvements; milkconsumptionpassedfrom programmes weretwo launched there have been becomeapriority. Sincethe andquality of quantity the needtoaddress theissueoffood intake interms Therefore,problems contributingtochildmortality. the sametime,malnutritionwasstilloneofmain resources, poormanagementandcattlediseases.At facing many challenges,includinginsufficient feed farminginRwanda,thesectorwas to improve dairy Rwanda Agriculture Boardin2010. Despite efforts by theCup ofMilkperChild’programme, started Cow perPoorFamily’), launchedin2006,and‘One building to regional promote to how Network: learning platforms on addressLeveraging malnutrition Civil Society up Nutrition Scaling the Background inRwanda Route report: the Learning

!"#$%& '()*%&+","#&)'-&.%$-/&0"1)$0-$-*$#& .+'(')0'12& $,'-/& )$+& +'.%& 1"1*%%3& 1'45& $*')%"+& -'10'+*1-& time, various CSOs jointly supported nationalplansto time, variousCSOsjointlysupported milk consumptionathouseholdlevel.Atthesame milk, as well asincreasedproduction and higher quality and recordkeeping that has resulted in increases in breeding techniques, animal health management other SUNCSOs,theyhavebeentrainingfarmersin sellers andconsumers.Together withADECORand providers, milkfarmers, processors, inputservice private sectoracross thecountry, RNDPrepresents asavoicefor thedairy segments inRwanda.Serving business professionals, operatinginvariousvaluechain industry RNDP isaprivateassociationfor dairy Platform (RNDP). 2015 of the Rwanda National Dairy Another key developmentwastheestablishmentin products. ofsafe milkanddairy availability of afavourableenvironment for thedistributionand also taken tocreate theconditionsfor thedevelopment products. Actions were of their dairy increase the quality milk and farmers were trained to of consuming quality awareness focused ontheimportance raisingefforts Inaddition, sealfor milk. standards, introducing aquality success ofthiskindcoordinatedmulti-stakeholder The districtofNyanzaoffers agoodexample ofthe milkproduction. high quality practice inlivestockmanagementtechniquesand their neighbors,acceleratingthespreading ofgood Farmers were trained to act as ‘model farmers’ to improving livestockmanagementinthecommunities. enhance the‘modelvillage’approach, withtheaimof ,."#$$-& +","#$& %.21.& .,'&6*.%& $#.-& 7",*-(.-& *-&8')'& $1'%& .+& %'1'%& 7$1'.%/& 6*')& 1")-#*+& $9$#0'& -.-'"1& ,"#$%& +","#$& $-&'*)-"&"+'"&+'21')& 6*'&4,.1+'-& (#.$)$1-& *-&8')'&$1'%&.+&%'1'%&7$1'.%/&6*')&$9$#0': 19 practices. modern cowshedsandonappropriate animalfeeding trained other farmers, offering guidance on building produce up to 24 litres per day. Model farmers also Cooperativeare nowabletoGiramata Mworozi Dairy practices. Thankstothetrainingreceived, farmersof sanitation andin-housegroup decision-making on balanced diets (for adults and children), health, milk storage. building TheCSOsalsoprovided capacity and safe milk, hygienicof quality milk handling and organised incooperativesreceived traininginproduction production.selection ofbestbreeds Farmers for dairy breeding managementincludingheatdetection,and animal feeding, animalhealth,cowshedconstruction, were alsotrainedindifferent farmingpracticesincluding organisational managementandmarketing. Farmers years astheysetupcooperatives,trainingthemin farmersfor various this framework,CSOssupported from convenientdistributionofagriculturalinputs.In in order to receive collective training and benefit Laitier’ farmerswere encouragedtoform cooperatives ‘Projet d’AppuiauDéveloppementdel’ElevageBovin ofthegovernmentproject called 2005, withthesupport – couldn’tahousehold’sdailyneeds.In evensatisfy than 3litres perday,that–thefarmerssay aquantity markets; however, less milkproduction wasoften farmers usedtoselltheirmilkindividuallyintoinformal this initiative. Before thecooperativewasestablished, isoneofthecooperativesthatjoined Mworozi Dairy InNyagisoziSector, milk. theGiramata of highquality livestock managementandincrease theproduction Rwanda. InNyanza,farmerswere trainedtoimprove action. ThedistrictisintheSouthernprovince of building to regional promote to how Network: learning platforms on addressLeveraging malnutrition Civil Society up Nutrition Scaling the Background inRwanda Route report: the Learning Théogene Munyensanga isamodelfarmerfrom to improve theirmilkproduction. farmers to follow his path and to encourage others The experience ofThéogenehasmotivatedother for theirchildren and insurancefor theircattle”. others. Today theyare abletopayschoolfees for themtobecomeindependentandabletrain more than2yearstotrainotherfarmersinorder and studytoursover7yearsbut,hesaid,“took received trainingthrough peer-to-peer exchanges and wasalsoacauseofmalnutrition”. Théogene consumption orselling.Thisaffected ourincome producing little milk, which wasnot enough for weusedtofarminatraditionalway,started, of thinking” about farming. “Before the cooperative he received helpedThéogenetochangehis“way Cooperative. Thetraining Giramata Mworozi Dairy

!"#$%& '()*%&+","#&)'-&.%$-/&0"1)$0-$-*$#& .+'(')0'12& $,'-/& )$+& +'.%& 1"1*%%3& 1'45& $*')%"+& -'10'+*1-& set by the Rwanda StandardsBoard. the process ofcomplyingwithstandards andcertification involved in production of milk and milk products are in and cooperatives to flourish. Today, 80% of processors that settheenablingenvironment for thelocalfarmers mainstreamed by many organisations andinstitutions of Nyanzashowshowthisintegratedapproach has been nutritionalproducts. Theexperiencestandards ofdairy SUN Alliancealsoensures andoverseesthequality value of milk and milk products for their children. more involvedinsellingmilkand aware ofthenutritional to break gender barriers; now, women areimportant buildingprovided by theNGOswasalso The capacity other farmersandnewlocalcooperatives. farmers whoreceived thetrainingsare nowtrainersof Dairy, aprivateenterprisethatbuysmilkfrom MCC.The was establishedwiththeZirakamwaMezaNyanza Cooperative,acollaboration Giramata Mworozi Dairy to selltheirproducts toexternal markets. Inthecaseof the privatesector, for them openingupopportunities cooperatives, theMilkCollectionCentres (MCC)andwith SUN Alliancememberswere the akey linkbetween ,."#$$-& +","#$& %.21.& .,'&6*.%& $#.-& 7",*-(.-& *-&8')'& $1'%& .+& %'1'%& 7$1'.%/& 6*')& 1")-#*+& $9$#0'& -.-'"1& ,"#$%& +","#$& $-&'*)-"&"+'"&+'21')& 6*'&4,.1+'-& (#.$)$1-& *-&8')'&$1'%&.+&%'1'%&7$1'.%/&6*')&$9$#0': 20 implementation ofnutritionpoliciesatlocallevel. the how decentralisationofSUNAlliancesupports offers agoodexample ofmulti-sectoralcoordination, to fightagainstchildmalnutrition.Today, Gisagaradistrict to coordinatewith a wide range of stakeholders in order under-5 yearsagedchildren; thisledpublicauthorities highest chronic malnutrition(stunting)ratesamong Among rural areas, had one of the Gisagara is a district in the Southern province of Rwanda. thecaseofGisagaradistrict of nutritioninterventions: Case study5:Decentralisationandoperationalization as welltheotherkey actorsinvolved. Cooperative farmers from theGiramataMworozi Dairy tolearndirectly from the will provide theopportunity as wellenhancingnutrition.ThevisittoNyanzadistrict substantial changesinimproving poorrurallivelihoods of multiple stakeholders,participation can make when managedeffectively andwiththe active example onhowanintegratedapproach tonutrition, Learning Route? What can I learn from this case study during Rwanda building to regional promote to how Network: learning platforms on addressLeveraging malnutrition Civil Society up Nutrition Scaling the Background inRwanda Route report: the Learning behavioral change,multi-stakeholders coordination Social mobilization,advocacy, communicationfor LEARNING AREAS This casestudyprovides apractical

!"#$%& '()*%&+","#&)'-&.%$-/&0"1)$0-$-*$#& .+'(')0'12& $,'-/& )$+& +'.%& 1"1*%%3& 1'45& $*')%"+& -'10'+*1-& • the following measures tofightmalnutrition: malnutrition inthedistrict.Theresearch recommended also identifiedamongthemainfactors affecting child food, gender-basedviolenceandfamilyconflictswere and sanitation,illiteracy, thehighpriceofnutritious Lack of family planning, low income, poor hygiene ‘bad’ habitsorbehavioursofthepopulation. revealed malnutritionand thestrong linkagebetween The research,ofRwanda, ledby theCatholicUniversity by conducting in-depth research level. at community the first action was to ‘understand the causes of malnutrition’, promoted acoordinatedstrategyinvolvingkey stakeholders: malnutrition. Focusingonchildmalnutrition,SUNAlliance andstrategiestoeradicate out nutritioninterventions and theJointActionDevelopmentForum(JADF)tocarry within theDistrictPlantoEliminateMalnutrition(DPEM) In this district, SUN Alliance’s district committee is working • • ,."#$$-& +","#$& %.21.& .,'&6*.%& $#.-& 7",*-(.-& *-&8')'& to avoidfood-based diseaseslike cholerathat clean drinkingwater, proper hygiene andsanitation Raise thepopulation’s of awareness ofimportance $1'%& .+& %'1'%& 7$1'.%/& 6*')& 1")-#*+& $9$#0'& -.-'"1& homes asanalternativesourceofabalanceddiet Mobilise familiestosetupkitchengardensattheir malnutrition; help familiestoimprove theirlivelihoodandreduce health programmes andhealthinsurancethatcan Raise thepopulation’s awareness ofavailablepublic prevent absorptionofnutrientsby thebody; ,"#$%& +","#$& $-&'*)-"&"+'"&+'21')& 6*'&4,.1+'-& (#.$)$1-& *-&8')'&$1'%&.+&%'1'%&7$1'.%/&6*')&$9$#0': 21 kitchen gardens and the competitions. Information nutrition. Theywere alsoresponsible for organising of children underfiveandtrainingmothersongood outactivitiessuchastrackingthegrowth carrying (from conceptiontosecondyearofachild`slife), children, onthefirst1,000days focusing inparticular Alliance). Theymonitored thenutritionalstatusof withlocalCSOs(membersofSUN in partnership HealthWorkersdone through Community (CHW), Awareness raisingamongtheruralpopulationwas initiatives atdistrictlevel. makers andsocialmobilisationtopromote nutrition same time,CSOsusedadvocacy, lobbying ofpolicy were recorded.and high levels ofparticipation Atthe events were carriedoutwithinthesamecommunities songs anddramaswithnutritionmessages.These communities alsocompetedincomposingpoems, nutrition. Cookingcompetitionswere conducted; habits orbehavioursthatcannegativelyaffect child approaches towards nutrition,includingchangein communities were mobilisedtopromote correct oftheDPEM, targeted atthelocalpopulation;aspart a communicationcampaignfor behaviouralchange members worked with Gisagara district officials on Based ontheserecommendations, SUNAlliance • building to regional promote to how Network: learning platforms on addressLeveraging malnutrition Civil Society up Nutrition Scaling the Background inRwanda Route report: the Learning • working onnutrition. malnutrition ratesthrough mobilisationofCSOs coordination andfundingtowardsreduction of outadvocacythrough DPEMtoincrease itsCarry unwanted pregnancies; and alsouseoffamilyplanningmethodstoavoid competitions, talkshowsonlocalradiostations preparation competitions,singinganddancing outsocialmobilisationthrough foodCarry

!"#$%& '()*%&+","#&)'-&.%$-/&0"1)$0-$-*$#& .+'(')0'12& $,'-/& )$+& +'.%& 1"1*%%3& 1'45& $*')%"+& -'10'+*1-& DHS 2015). in 2010(RwandaDHS2010)to37.5% in2015(Rwanda malnutrition (stunting)rateamongunder-5sfrom 48% in thedistrict,contributingtoareduction inchronic increased theefficiencyofnutritioninterventions goals, undertheguidanceofJADF. Thisgreatly CSOs activitiesalsobecamealignedaround common tobeintegratedintotheDistrictplan. activities started DPEM coordinatorwasrecruited, allnutrition-related to operate independently. it was setup, and the After eachCSOused the introduction oftheDPEMin2012, – resulting habits in communities. Before better dietary activities undertheDPEMandimproved implementation activities atdistrictlevel.Thisledtobettercoordinationof coordinator responsible for coordinatingallnutrition Alliance advocacy, wastherecruitment ofaDPEM toSUN One ofthemainachievements,thanksinpart for integrationintotheDPEM. people’s needwaspassedontodistrictauthorities that responded topeople’sneeds.Theevidenceof health centres, whichusedthedatatoplanactions gathered tolocal onamonthlybasiswasreported and the civil society around nutritioninterventions. and thecivilsociety thegovernment through bettercoordinationbetween promoting correct approaches towardsnutrition, strategies for mobilisingruralcommunitiesand the sametime,itwilloffer anexample of effective on vulnerableanddisadvantagedcommunities.At address nutritionproblems, withaspecialfocus national and local policies and strategies to effectively canenhancemodalities through whichcivilsociety to identify the Gisagara district will allow participants Rwanda LearningRoute? What canIlearnfrom thiscasestudyduringthe ,."#$$-& +","#$& %.21.& .,'&6*.%& $#.-& 7",*-(.-& *-&8')'& $1'%& .+& %'1'%& 7$1'.%/& 6*')& 1")-#*+& $9$#0'& -.-'"1& ,"#$%& +","#$& $-&'*)-"&"+'"&+'21')& 6*'&4,.1+'-& (#.$)$1-& *-&8')'&$1'%&.+&%'1'%&7$1'.%/&6*')&$9$#0': The casestudyofworkin 22 up nutritionandenhancinglivelihoods. with amulti-sectorialandinclusiveapproach toscaling to agreeatvariouslevels, andcoordinatetheirefforts ofCSOs vision andstrategicplanshowsthecapacity SUNAlliance’s collaboration amongCSOs.Furthermore, ofSUNAllianceisaresult ofthesuccessfulgrowth livelihood improvements. Theestablishmentandrapid reduction and believed tobecontributingpoverty role inmulti-stakeholder decision-makingplatforms is within SUN Alliance and their active and influential The increasingly effective collaboration among CSOs programmes atnationalanddistrictlevel. and implemented,aswelltheestablishmentof It hasledtonutrition-orientedpoliciesbeingdeveloped andnutritionisoneofthemaindrivingfactors. security of politicalwillandcommitmenttoimproving food are coordinatedandeffectively targeted.Thehighlevel of anenablingenvironment where nutritioninitiatives This progress hasbeenpossiblethankstothecreation encouraging results inthefightagainstmalnutrition. Overall, inrecent yearsRwandahasshownvery Conclusions building to regional promote to how Network: learning platforms on addressLeveraging malnutrition Civil Society up Nutrition Scaling the Background inRwanda Route report: the Learning

!"#$%& '()*%&+","#&)'-&.%$-/&0"1)$0-$-*$#& .+'(')0'12& $,'-/& )$+& +'.%& 1"1*%%3& 1'45& $*')%"+& -'10'+*1-& districts withhigherratesofmalnutrition,attentionfrom to ensure greater geographiccoverage,especiallyfor improvements in coordination across actors can help toeradicate malnutrition.While to coordinateefforts bring togetherallrelevant sectorsandstakeholders to mechanisms canopenwindowsfor opportunities and ActionMappingprocess shows,coordination Rwanda isalsoagreat AstheStakeholder opportunity. sectors workingtoendhungerandmalnutritionin The presence ofmany stakeholders across multiple DUHAMIC-ADRI andSOSOMA. as demonstratedby the caseof private partnerships, investment andfor thebuildingofpro-poor publicand has created anenablingenvironment for businessand being reached. thepoliticalcommitment Furthermore, ground levelandanincreasing numberofhouseholds atthe development plans,hasledtogreater activity oftheactorsresponsible for implementing accountability strong emphasis onto districtlevel,withavery from central Decentralisation of nutrition interventions case ofGisagara district andthecoordination among is alsoawaytoaccelerateprogress; inthiscontext, the and academia global initiatives, development partners, ,."#$$-& +","#$& %.21.& .,'&6*.%& $#.-& 7",*-(.-& *-&8')'& $1'%& .+& %'1'%& 7$1'.%/& 6*')& 1")-#*+& $9$#0'& -.-'"1& ,"#$%& +","#$& $-&'*)-"&"+'"&+'21')& 6*'&4,.1+'-& (#.$)$1-& *-&8')'&$1'%&.+&%'1'%&7$1'.%/&6*')&$9$#0': 23 channeling nutrition-sensitive messages to families, O’Lakes and Urunana-DC – can play a key role in tools for behaviouralchange–asinthecaseofLand communication mechanisms. For instance, communication sensitive actions using new approaches, innovations and There tostrengthen are nutrition- alsoopportunities the ruralpopulationtofightmalnutrition. producers andstimulatingmilkconsumptionamong standards inmilkproduction, ensuringhigherpricesfor and theprivatesectorhasbeencrucialtoraisingquality CSOs, the government shows, tight cooperation between AsthecaseofNyanzadistrict products, suchasmilk. standards in the production of keyhigh quality nutrient multi-stakeholder coordinationisalsocrucialtoensuring malnutrition in rural communities. At the same time, at locallevel,hasproven tobeeffective inaddressing different stakeholders toinform nutritioninterventions building to regional promote to how Network: learning platforms on addressLeveraging malnutrition Civil Society up Nutrition Scaling the Background inRwanda Route report: the Learning

!"#$%& '()*%&+","#&)'-&.%$-/&0"1)$0-$-*$#& .+'(')0'12& $,'-/& )$+& +'.%& 1"1*%%3& 1'45& $*')%"+& -'10'+*1-& reduce malnutrition. among different to playersandacceleratingefforts has acrucialrole toplayinstrengthening collaboration stakeholders.between Inthiscontext, SUNAlliance is room toimprove coordinationacross sectorsand mechanisms for multi-sectoralcollaboration,butthere The Rwandangovernmenthassetupinstitutional needs tobestrengthened, especiallyatthelocallevel. Coordination across different playersandsectorsstill Despite theprogress made,weaknessesstillpersist. andnutritionstrategiesprogrammes. food security other decision-makers’ maintaintheircommitmentto at thesametimeensuringgovernmentbodiesand the Rwandanpopulationonimproved nutritionwhile advocacy will be key instruments to raise awareness in young people. Inthisframework,communicationand providing nutritioneducation andengagingwomen ,."#$$-& +","#$& %.21.& .,'&6*.%& $#.-& 7",*-(.-& *-&8')'& $1'%& .+& %'1'%& 7$1'.%/& 6*')& 1")-#*+& $9$#0'& -.-'"1& ,"#$%& +","#$& $-&'*)-"&"+'"&+'21')& 6*'&4,.1+'-& (#.$)$1-& *-&8')'&$1'%&.+&%'1'%&7$1'.%/&6*')&$9$#0': 24 2015. Rome: WFP. Analysis2015 (datacollectedinApril-May and Vulnerability WFP, 2016,Rwanda:Comprehensive FoodSecurity UNICEF, 2015, UNICEF’sApproach toScaling UpNutrition,for mothersandtheirchildren. NewYork: UNICEF. UNICEF, 1990,Strategyfor improved nutrition ofchildren andwomenindeveloping countries.NewYork: UNICEF. UNDP, 2014,RwandaMillenniumDevelopmentGoals, FinalProgress Report. Stakeholder &ActionMappingfor Rwanda2014/2015,Presentation, REACH 2015 (CSN) Network Scaling UpNutritionMovement(SUN)CivilSociety exercise, 2015,Geneva:SUNMovement Scaling UpNutrition(SUN)Movement,2015,Rwanda: progressself-assessment through reported in-country Scaling UpNutrition(SUN)Movement ofLocalGovernment,2014,,Rwanda. and Ministry ofAgriculture andAnimalResources, Rwanda NationalFoodandNutritionPolicy,ofHealth,Ministry 2014, Ministry ofLocalGovernment.2014.Kigali,Rwanda. and AnimalResources,Ministry ofAgriculture ofHealth,Ministry Rwanda NationalFoodandNutritionStrategicPlan(NFNSP2013–2018),Ministry PROCASUR Corporation. NISR, MOH, and ICF International. 2014–15: Maryland: Demographic and Health Key Indicators. Survey Rockville, ofHealth,andICFInternational,2015,Rwanda National InstituteofStatisticsRwanda(NISR),Rwanda,Ministry of StatisticsRwanda,Kigali. PopulationandHousingCensus.NationalInstitute National InstituteofStatisticsRwanda(NISR),Rwanda,2012, National InstituteofStatisticsRwanda(NISR). Malnutrition by 2030. Washington, DC. International FoodPolicyResearchInstitute,2016.2016:From Promise GlobalNutritionReport toImpact:Ending Targets: Tacking StockofUnevenProgress. Rome:FAO. FAO, IFAD intheWorld. andWFP,2015,TheStateof Food Insecurity Meetingthe2015InternationalHunger Rwanda. ReductionStrategyII,2013-2018. RepublicofRwanda,Kigali, EPDRS2, 2013,EconomicDevelopmentandPoverty Rwanda. RepublicofRwanda,Kigali, ReductionStrategyI,2008-2012. EPDRS1, 2008,EconomicDevelopmentandPoverty EADDP ofOctober2008 by valuechaininRwanda,Areport Techniserve Rwandafor Development,2009,TheDairy East AfricaDairy Kigali, Rwanda. COMPACT2025, for roundtable 2016, Rwanda,endinghungerandundernutrition,scopingreport discussion COMPACT2025, Kigali,Rwanda. 2016,Rwanda,endinghungerandundernutrition,challenges andopportunities, References building to regional promote to how Network: learning platforms on addressLeveraging malnutrition Civil Society up Nutrition Scaling the Background inRwanda Route report: the Learning

!"#$%& '()*%&+","#&)'-&.%$-/&0"1)$0-$-*$#& .+'(')0'12& $,'-/& )$+& +'.%& 1"1*%%3& 1'45& $*')%"+& -'10'+*1-& ,."#$$-& +","#$& %.21.& .,'&6*.%& $#.-& 7",*-(.-& *-&8')'& $1'%& .+& %'1'%& 7$1'.%/& 6*')& 1")-#*+& $9$#0'& -.-'"1& ,"#$%& +","#$& $-&'*)-"&"+'"&+'21')& 6*'&4,.1+'-& (#.$)$1-& *-&8')'&$1'%&.+&%'1'%&7$1'.%/&6*')&$9$#0': 25 WHO WFS WFP WASH UNICEF UNHCR UN SUN United SFH SCF&NSC Nations RNDP PRS NISR NGO NFNSP NFNP MPTF MOH MINEDUC MINECOFIN MINALOC MINAGRI MIGEPROF MIFOTRA MIDIMAR MDG MCC JADF IMCC GoR FAO EDPRS DPEM CSO CSN CSA CRS CNA CHW CFSVA ADECOR acronyms of List building to regional promote to how Network: learning platforms on addressLeveraging malnutrition Civil Society up Nutrition Scaling the Background inRwanda Route report: the Learning World HealthOrganisation World FoodSummit World FoodProgramme Water, SanitationandHygiene United NationsChildren’s Fund United NationsHighCommissionerfor Refugees Scaling UpNutrition for FamilySociety HealthRwanda Social ClusterFoodandNutritionSteeringCommittee Platform Rwanda NationalDairy Reduction Strategy Poverty National InstituteofStatisticsRwanda Non GovernmentalOrganisation National FoodandNutritionStrategicPlan National FoodandNutritionPolicy TrustMulti-Partner Fund ofHealth Ministry ofEducation Ministry Minister ofFinanceandEconomicPlanning ofLocalGovernment Ministry ofAgriculture andAnimalResourcesofRwanda Ministry ofGenderandFamily PromotionMinistry andLabour ofPublicService Ministry ofDisasterManagementandRefugees Ministry Millennium DevelopmentGoals Milk CollectionCentres Joint ActionDevelopmentForumDistrictLevels Inter-Ministerial CoordinationCommittee Government ofRwanda Food andAgriculture Organization ReductionStrategy Economic DevelopmentandPoverty District PlanstoEliminateMalnutrition Organisations Civil Society Network Civil Society Alliance Civil Society Catholic ReliefService Core NutritionActions HealthWorkerCommunity Analysis andVulnerability Comprehensive FoodSecurity Rwanda’s Consumers’RightsProtection Organisation

!"#$%& '()*%&+","#&)'-&.%$-/&0"1)$0-$-*$#& .+'(')0'12& $,'-/& )$+& +'.%& 1"1*%%3& 1'45& $*')%"+& -'10'+*1-& ,."#$$-& +","#$& %.21.& .,'&6*.%& $#.-& 7",*-(.-& *-&8')'& $1'%& .+& %'1'%& 7$1'.%/& 6*')& 1")-#*+& $9$#0'& -.-'"1& ,"#$%& +","#$& $-&'*)-"&"+'"&+'21')& 6*'&4,.1+'-& (#.$)$1-& *-&8')'&$1'%&.+&%'1'%&7$1'.%/&6*')&$9$#0': 26 Background report: the Learning Route in Rwanda Leveraging the Scaling up Nutrition Civil Society Network: building regional platforms to promote learning on how to address malnutrition