Kingdom of Lesotho
Multi-sectoral Mapping of Nutrition Actions Data 2017 Outline of the presentation
1. Overview of the mapping exercise
2. Nutrition Stakeholder & Action Mapping in Lesotho
3. Analysis at national level
4. Review of some actions, with geographic and population coverage repartition at district level
5. Comparison of nutrition problems per district with the nutrition interventions
6. Next steps
2 Nutritional context in Lesotho Context in Lesotho
Nutrition situation • Chronic and acute malnutrition in children under five years have decreased since 2004, however stunting is high (33.2%*) and remains above the WHO public health threshold ; • Across all districts, the prevalence of wasting is low (under 5%*) according to WHO classification ; • The prevalence of anemia in children under five years has remained a critical public health issue in the recent years*.
Political commitment • In 2014, the Kingdom of Lesotho joined the SUN Movement with a letter of commitment from Prime Minister. • The Government of Lesotho established the Food and Nutrition Coordinating Office (FNCO), initially under the Ministry of Agriculture and then later under the Prime Minister office. • Five SUN Networks established : business, research and academia, media, civil society and the UN. However the UN Network is the only one that is fully functional. • Several multisectoral committees under FNCO coordination are operating in addressing nutrition issues in Lesotho. • A High-level nutrition forum held in October 2018 showcased the importance given to nutrition at the highest political level. • The National Nutrition Policy was launched in 2016. • The Lesotho Food And Nutrition Strategy and Costed Action Plan (2019-2023) was launched in March 2019
* source: LDHS 2014 4 Overview of the mapping exercise “Mapping” in the global context
AU / UNICEF ESARO mapping WHO’s tool Global FAO’s database MAFSAN (GINA) OCHA’s 3W / 4W mapping UNSCN REACH mapping of Stakeholder actors at the and Nutrition global level Action UN Nutrition Mapping Inventory (UN Network for SUN)
While this mapping tool was developed by REACH, with support from the Boston Consulting Group, the tool is called…
… the Nutrition Stakeholder & Action Mapping Tool (SUN PMT) as findings help to frame planning and scale-up discussions
Picture sources: UNSCN 2017. Global Governance for Nutrition and the role of UNSCN Discussion paper.; OCHA 2015. Nepal: Who does what where when (4W).; WHO GINA website; REACH Stakeholder & Nutrition Action Mapping in Burkina Faso 2015; The Philippines UN Nutrition Inventory. 6 The mapping process aims to answer key questions
Guidance for scaling Implementation Qualitative view Quantitative view up nutrition monitoring
1. Who are the key 3. What % of 5. Which districts 7. Is the target stakeholders? districts are are not adequately group coverage What are their covered in the covered? improving over roles? country? time?
2. Which 4. What % of the 6. Where are there 8. Are targets stakeholders are target group is action gaps in achieved as doing what covered per addressing key defined in the where? district? nutrition national plan? problems?
Comparing coverage outputs with the nutrition situation helps to identify potential bottlenecks (e.g. HR, funds, reach of delivery mechanism, quality of delivery.) and what further analysis is required to confirm and address them
7 Nutrition Stakeholder and Action Mapping is relevant to a wide variety of stakeholders working on nutrition
Improve coordination among partners, and help inform planning and scale up of nutrition actions
For district administrations For Ministries For UN and NGOs For Donors
See which partners are Get a better overview of Enhance coordination Identify what districts working on nutrition in who the partners are through better info on need further support your district and what they do what organizations are working in the same See what actions need Get info on what actions Identify potential gaps districts and/or on the more funds to scale up are being conducted, in geographic and same actions and where population coverage Help identify which Identify what districts organizations can cover How many people are Help planning & scale- need further support different actions and being reached by up of nutrition actions districts See what actions need different actions, what to be scaled up, and needs to be scaled up where 8 The process The Lesotho team
Oversight of the exercise Director of FNCO, Dr Masekonyela Sebotsa
National technical team ▪ Keketso Lekatsa Monne ▪ Mpho Lifalakane ▪ Mathapelo Sethunya ▪ Tiisetso Elias ▪ Mohapi Letlamoreng Mafifi ▪ Nteboheleng Mothae
Coordinator for the exercise Lucie Jouanneau – Consultant With the support of Lesotho National REACH facilitator, Maseqobela Williams
Technical oversight UN Network-REACH Secretariat
10 Process and timeline of the Nutrition Stakeholder & Action Mapping exercise
Mapping Quality check Analysis and Preparation Customization Data collection Sharing results process and follow-up visualization
Aug-Dec March July 2018 July 2018 Jan 2019 Feb 2019 Time 2018 2019
Key stakeholders in Mapping lead with Small team under Mapping lead with Mapping lead with Mapping lead with the country to small team2 supervision of small team2 to small team to small team to confirm actions, customize tool mapping lead. check data quality analyze data create outputs Responsi- take stock of along the scope All nutrition and contact collected and to highlighting results bilities of existing data (& defined in stakeholders in stakeholders to iterate with in graphs and people in gaps), align on preparation phase Lesotho verify information, country’s UN maps to guide country mapping scope data collected ask questions, Network and scale-up Training of the through triangulate data, nutrition coord. discussion with national team stakeholders and clean database mechanism stakeholders
interviews. Data dissemination Data Provide close Sign off country- Iterate with Support data quality Support data Support facilitator guidance on tailored tool facilitator on an check by examining quality check and with data analysis & selecting actions ongoing basis data and asking analyses visualization Support of and defining during the questions where
UNN/REACH mapping scope interviews to ensure needed nutrition up scaling on dialogue Stakeholder Secretariat data quality
For record: the mapping has been performed based on 2017 data
1CNA = Core Nutrition Actions 2The small team typically refers to the SUN government focal point, focal points from key ministries, UN Nutrition Network in-country (UN nutrition focal points) and REACH facilitator (if present), focal points from CSOs. Small team identifies one person lead responsible to coordinate ideally from government (e.g. nutrition secretariat, office of statistics), 11 consultant (preferably national) or REACH facilitator (if present). Small team may be technically supported by external consultant and/or UN Network/REACH Secretariat. 25 Core Nutrition Actions were agreed upon by government and development partners
Area # Core nutrition actions (CNAs) to be mapped Infant and young child feeding 1 Counselling for IYCF on exclusive breastfeeding and optimal complementary feeding practices 2 Provision of monthly child Growth Monitoring and Promotion (GMP) Micronutrients supplementation 3 Provide Vitamin A supplementation for children (12-59 months) children & fortification 4 Provide Iron / folate supplementation for pregnant women during antenatal care (Iron and Folic acid)
Management of malnutrition 6 Management of moderate acute malnutrition Nutrition Specific Disease prevention & 7 Provide deworming tablets for children (12-59 months) management 8 Provide diarrhea treatment ORS/Zinc for Under 5 children 9 Provide women with Ante Natal Care, at least 4 + visits 10 Provision of nutritious foods to pregnant and lactating women and/or 6 to 23 months 11 Nutrition assessment, Counselling and Support for caregivers of children aged 6-59 months 12 Provide PMTCT&HIV/AIDS package 13 Provide PMTCT&HIV/AIDS prevention package Improved nutrition practices 14 Provision of nutrition messages
WASH 15 Construction and rehabilitation of water sources Sensitive 16 Construction/rehabilitation of sanitation facilities 17 Installation of handwashing stations
Food & agriculture 18 Provide training on biofortified crops Nutrition 19 Distribution of diversified crops and training 20 Distribution of short cycled livestock and training on livestock production 21 Provide training/demonstration on home food preparation and preservation 22 Provide training on income generating activities Social protection 23 Provision of meals in ECCD and primary schools 24 Distribution of unconditional cash transfer for poor and vulnerable households and orphans 25 Distribution of food packages for poor and vulnerable households and orphans
12 How is the geographic coverage defined? What is the population coverage in this mapping exercise?
The geographic coverage is the proportion of district The target group coverage refers to the covered by a core nutrition action (CNA), divided by the proportion of beneficiaries reached by an action, total number of district at national level divided by the total target population
Beneficiaries declared by stakeholder#1 Beneficiaries declared by stakeholder#3 Beneficiaries X district covered declared by stakeholder#2
10 districts in total Identification Total of all beneficiaries for and removal the CNA of duplicates
Total number of potential beneficiaries
13 The geographic level of the mapping in Lesotho
What are the available results?
At national level • What actions have been implemented in 2017? • Population coverage: What % of the target group has been reached at national level?
At district level • Geographic coverage: What districts receive the intervention? • Population coverage: What % of the target group has been reached in a district?
14 Results interpretation Assumptions and limitations of the mapping results
• The mapping coverages are estimated based on information obtained from key stakeholders and projections from different census (2006 and 2016). Because of the use of secondary data and the need to calculate targeted population from estimates, the coverage should not be considered exhaustive or fully accurate.
• This mapping exercise focused on 25 actions strongly impacting nutrition. The stakeholders carry out other activities that can contribute to improve Lesotho’s nutritional status. The actions were selected during a participatory, multi-stakeholder and multisectoral workshop which took place in July 2018 under the leadership of FNCO
• Quality of the results is strongly dependent on the quality of the information and data shared by nutrition stakeholders that have been contacted. Unavailability, incomplete or incorrect data impact on results. This, together with limited data collection time and resources and the fact that participation in this exercise is voluntary, result in analysis that are indicative and limited to the best of our knowledge.
• In addition, some difficulties were encountered during data collection and analysis in Lesotho: – Questionnaires not returned or unavailability of key people; – Calendar and interest conflicts; – Delayed response time / reactions of organizations; – Unavailability of disaggregated data by intervention, target groups or districts; – The multi-sectoral nature of nutrition is not always fully understood.
• Consequently, the results of this exercise should be considered indicative. As this mapping is a first experience, future iterations will help refine the approach and improve the quality of the results.
15 Overview of the data collection (1/2)
Sample value rate (%)
Stakeholder who received the letter for data collection 47 100%
Stakeholders contacted for data collection 37 79%
Stakeholders visited 34 72%
Stakeholders who provided data 19 40%
Stakeholders who didn’t provide data 11 23%
Stakeholders return rate = 40%
Total number of actions 25 --
Actions for which data have been collected 23 92%
Actions for which no data were collected/available 2 8%
Core nutrition action with relevant data available = 23
16 Overview of the data collection (2/2)
# of stakeholders who Categories Thanks to 19 stakeholders who contributed to the data contributed with data collection process, a total of : - 9 ministries Ministries 6 - 32 catalysts - 22 implementing partners, and NGO 9 - 35 donors have been identified as contributing to the core nutrition actions mapped for 2017 UN agencies 4
Bilateral agencies 0
17 Definition of relevant terminology
Responsible Ministry, including their departments and governmental institution contributing to the ministry Monitoring and Evaluation of the nutrition action
Implementing Organization providing the service directly to the beneficiaries partners
Catalyst Involved in coordinating, providing technical support, M&E and/or capacity development for the action
Donor Funds part of all of the activity
Action List of actions mapped in this exercise performed by stakeholders
Implementing A country-specific list of mechanisms that defines how an action has been implemented mechanism
18 No. of Beneficiaries ______Key actions and data availability 1/3 Total target population
Obtained Obtained Sector Core nutrition action Beneficiaries ? Target population ? Counselling for IYCF on exclusive breastfeeding and Pregnant women receiving IYCF Geo. Pregnant & Lactating women optimal complement ✓
IYCF Provision of monthly child Growth Monitoring and 0-59 months benefitting from GMP 0-59 months Promotion (GMP) ✓ ✓
Provide Vitamin A supplementation for children (12- 6-59 months receiving Vitamin A ✓ 6-59 months ✓
59 months) children supplementation suppl.
Provide Iron / folate supplementation for pregnant Pregnant women receiving Iron and Folic acid Pregnant women ✓
women during antenatal care (Iron and Folic acid) ✓ Micronut 0-59 months with MAM 0-59 months treated for MAM X ✓ HIV/AIDS patients with MAM Management of moderate acute malnutrition HIV/AIDS patients treated for MAM No data Xcollected X Pregnant and lactacting women with
MMAM Pregnant and lactacting women treated for MAM X MAM X
Provision of nutrition messages People receiving nutrition messages Geo. Total population ✓
nutrition nutrition
practices Improved
Geo. = only geographic data are available 19 No. of Beneficiaries ______Key actions and data availability 2/3 Total target population
Obtained Obtained Sector Core nutrition action Beneficiaries ? Target population ? Provide deworming tablets 12-59 months 12-59 months dewormed ✓ 12-59 months ✓ Provide diarrhea treatment ORS/Zinc for Under 5 ✓ Children under-5 receiving diarrhea treatment No data collectedX 0-59 months children ✓
Provide women with Antenatal Care, at least 4 + visits Pregnant women attending ANC4 ✓ Pregnant women ✓
Pregnant and lactating women receiving nutritious Provision of nutritious foods to pregnant and lactating Pregnant women ✓ food ✓ 6-23 months women and/or 6 to 23 months 6-23 months receiving nutritious food Nutrition assessment, Counselling and Support for Pregnant and lactating women receiving NACS 6-59 months Geo. ✓ caregivers of children aged 6-59 months 6-59 months receiving NACS Pregnant and lactacting women 0-24 months HIV exposed receiving PMTCT & 0-24 months HIV exposed HIV/Aids package X X Provide PMTCT&HIV/AIDS package Pregnant women HIV+ receiving PMTCT & ✓ ✓
Disease prevention prevention management & Disease Pregnant women HIV+ HIV/Aids package Primary schools children Primary schools receiving meals ✓ ✓ Provision of meals in ECCD and primary schools EECD children EECD receiving meals ✓ ✓ Poor and vulnerable households Distribution of unconditional cash transfer for poor Poor and vulnerable households receiving Orphans (target included in poor and Geo. ✓ and vulnerable households and orphans unconditional cash transfer vulnerable households as many data were not precising the target) Poor and vulnerable households Poor and vulnerable households
Distribution of food packages for poor and vulnerable Orphans (target included in poor and vulnerable ✓ Orphans (target included in poor and ✓ SocialProtection households and orphans households as many data were not precising the vulnerable households as many data X target) were not precising the target)
Geo. = only geographic data are available 20 No. of Beneficiaries ______Key actions and data availability 3/3 Total target population
Obtai Obtaine Sector Core nutrition action Beneficiaries ned? Target population d?
Household benefitting from the households without water sources Construction and rehabilitation of water sources Geo. ✓ construction/rehabilitation of water sources Schools/EECD receiving the intervention ✓ Schools / ECCDs without improved sanitation facilities x Construction/rehabilitation of sanitation facilities Household of sanitation facilities Households with/ improved sanitation
WASH ✓ ✓ facilities
Households in which a handwashing station has been installed Geo. Households ✓ Installation of handwashing stations Primary school in which a handwashing station Primary Schools ✓ has been installed
Farmers trained on biofortified crops ✓ Farmers ✓ Provide training on biofortified crops Inputs dealer trained on biofortified crops ✓ Input dealers x Distribution of diversified crops and training Farmers receiving diversified crops with training ✓ Farmers ✓ Distribution of short cycled livestock and training on Farmers receiving short cycled livestock+training Geo. Farmers ✓ livestock production Number of person who benefited from a Provide training/demonstration on home food Household (1 pax trained = 1 household training/demonstration on home food preparation Geo. ✓ trained) preparation and preservation and preservation
Food Food agriculture & Number of person who received training on Household (1 pax trained = 1 household ✓ Provide training on income generating activities Geo. income generation activities trained)
Geo. = only geographic data are available 21 Nutrition situation at national level Not currently a serious problem Improving; positive trends Situation Analysis Dashboard Requiring action No change Serious problem requiring urgent action Getting worse; negative trend National level Threshold not determined n.a.Data not available Indicator Status source Year Severity Trend Stunting Prevalence of stunting among children <5 years old 33.2% LDHS 2014 GAM prevalence among children <5 years old 2.8% LDHS 2014 Wasting SAM prevalence among children <5 years old 0.6% LDHS 2014 VAD Children <5 years old with vitamin A deficiency 32.7% LDHS 2014 n.a. Children 6-59 months old with anaemia 50.8% LDHS 2016 Iron deficiency Women ages 15-49 years old with anaemia 46.5% LDHS 2014
Nutritional Impact Nutritional IDD Children 6-11 years old with iodine deficiency (median UI) 214.7 μg/L Urinary Iodine Excretion Survey 2002 Households with poor or borderline food consumption 63.6% LVAC 2016 n.a. Food Security FAO Prevalence of undernourishment 11.2% STAT/IFPRI 2016 Under 5 mortality rate (deaths per 1000 live births) 90.2 UNICEF 2015 Low birthweight 10.4% LDHS 2014 Health & HIV Prevalence 24.6% LDHS 2014 Sanitation Women 15-49 years old with problems accessing health care 41.8% LDHS 2014 Household access to improved water source 54.0% LDHS 2014 n.a. Household access to improved sanitation facilities 47.1% LDHS 2014
Timely initiation of breastfeeding 65.0% LDHS 2014 Underlying Causes Underlying Infants 0-5 months old exclusively breastfed 66.9% LDHS 2014 Care Children 6-23 months old with adequate complementary feeding 11.3% LDHS 2016 Time to fetch water (households that take ≥30 min) 46.0% LDHS 2014 n.a. Females that completed at least primary school 81.2% LDHS 2014 n.a. Education Female literacy rate 97.0% LDHS 2014 Population Total fertility rate per woman 3.3 LDHS 2014 n.a. Women ages 20-49 years old, with first birth at 15 years 15% LDHS 2014 n.a. Gender
Women’s intra-household decision-making power 65.4% LDHS 2014 n.a. Basic Causes Basic Poverty Population living under national poverty line 57.1% HDR 2016
Source: MNO 2017, trends determined, using data from LDHS2009 and LDHS2014 23 Who does what? Who are the key stakeholders? What are their roles?
Responsible Core Nutrition Action ministry Catalyst Implementing partners Donors
Counselling for IYCF on UNICEF, Good Shepherd Sisters exclusive breastfeeding MAFS MoH MoH, nutripower GoL, UNICEF FAO, WFP, EPAF, WHO, nutripower
and optimal complement IYCF Provision of monthly child Growth Monitoring and MoH UNICEF MoH, CHAL, LRC UNICEF, GoL Promotion GMP
Provide Vitamin A
& & supplementation for MoH UNICEF, WHO MoH, CHAL, LRC UNICEF, GAVI children (12-59 months children )
Provide Iron / folate
supplementation for fortification
Micronutrients pregnant women during MoH UNICEF MoH, CHAL, LRC UNICEF
supplementation antenatal care (Iron and Folic acid)
Management of moderate No data
acute malnutrition
malnutrition Management of of Management
25 Who are the key stakeholders? What are their roles?
Responsible Core Nutrition Action ministry Catalyst Implementing partners Donors
Provide deworming tablets MoH UNICEF MoH, CHAL, LRC UNICEF, WV for children (12-59 months
Provide diarrhea treatment ORS/Zinc for Under 5 No data children
Provide women with Ante UNICEF, UNFPA UNFPA, UNICEF, Natal Care, at least 4 + MoH MoH UNICEF, SIDA, PEPFAR & management & EGPAF visits
Provision of nutritious foods to pregnant and lactating prevention MSD Good Shepherd Sisters N/A women and/or 6 to 23 months
Nutrition assessment, Disease Counselling and Support EGPAF, BAYLOR, Partners in LENASO, LENEPWHA MoH, MAFS MoH, MSD Global Fund, WILSA, WFP, GoL for caregivers of children Health, LPPA, MAFS, MoF LENOPOWA, LPPA aged 6-59 months LENASO, MoH, NGOs, CHAL, Provide PMTCT&HIV/AIDS EGPAF, UNICEF, EGPAF, Global Fund, WILSA, UNITAID, PEPFAR, UNICEF, MoH private facilities, LRC, MoH, Mother package BAYLOR, UNAIDS, MoH, WHO GoL to Mother 26 Who are the key stakeholders? What are their roles?
Responsible Core Nutrition Action ministry Catalyst Implementing partners Donors
Provision of nutrition UNFPA, MAFS WV, TED, FAO, WV, Caritas MoH, CRS, WV, WV, UNICEF, WFP, GoL, EGPAF, SIDA, FAO, CRS, messages MAFS, MoH, MSD MoET, Caritas, CRS, MoH, FNCO, EGPAF, LPPA, MAFS, FAO, MoET, Caritas, DFID, USAID, EU
OPM, UNICEF, EGPAF FNCO, Nutripower
nutrition nutrition
practices Improved Construction and rehabilitation of water MoW, MAFS, MoH WV, TED, UNICEF WV, Caritas MoW, WV, CRS WV, PEPFAR sources
Construction/rehabilitation DHMT, MoF, MoET, LRC, BORDA, GTO, TED, MoW, LRC, TED, WV, Caritas RWS, Water Aid, EU, BORDA, GoL, EIB, WV, UNICEF, CRS
of sanitation facilities MoH, MSD, MoW WV, CRS MoET, MoH, MoW, TED, WV WASH
Installation of WV, Caritas MoW, NGOs, LRC, handwashing stations MAFS, MoW, MoH WV, CRS, Send a Cow WV, UNICEF, GoL TED, WV
27 Who are the key stakeholders? What are their roles?
Responsible Core Nutrition Action ministry Catalyst Implementing partners Donors
Provide training on Faculty of Agriculture National RSDA Agric Nutrition, Lehakoe MAFS MAFS CIAT, SDC, GRM Zimbabwe biofortified crops University of Lesotho, RSDA Seed Supplier
LRC, WV, FAO GARD, LENASO, Distribution of diversified RSDA, LENASO, Caritas LRC, LRC, SIDA, CISU, GoL, WV, UNICEF, FAO, Gov MAFS MAFS, MSD WV, CRS, international trade centre crops and training MAFS, WV, NGOs China, ECHO, DFID, GEF for mushroom, MSD, WFP Distribution of short cycled livestock and WV, Good Shepherd Sisters MAFS, GoL, German Agro Action, GEF, SIDA, CISU, Demark MAFS MAFS, MSD RSDA, Caritas MAFS, NGOs, WV training on livestock GART, CRS Lesotho Network, WV, LENEPHWA, RSDA, FAO production Provide training/demonstration on
Food Food agriculture & MAFS, MSD LRC, Good Shepherd Sisters LRC, MAFS LRC, GoL home food preparation and preservation Provide training on Caritas MAFS, LRC, NGOs, Good MAFS, MSD, MoH, WV, Good Shepherd Sisters LRC, income generating Shepard Sisters, Jiepaego, LRC WV, PEPFAR, 4 Children, EU MoET CRS, PSI, EGPAF, AIDS free activities LENASO, UNICEF
28 Who are the key stakeholders? What are their role?
Responsible Core Nutrition Action ministry Catalyst Implementing partners Donors Provision of meals in ECCD and primary MoET MoH, FMU WFP, FMU, MoH, MAFS FMU, WFP, MoET GoL, JICA, Share the meal schools Distribution of unconditional cash transfer for poor and MSD DMA, MoF WV, WFP UNICEF NGOs, MoF, MSD WV, ECHO, EU, GoL vulnerable households and orphans Distribution of food SocialProtection LENEPWHA DMA, WV, LRC, packages for poor and FMU MoH, MSD WFP DMA, WV, LRC, MAFS, MoF ADRA, Phelisanang Bophelong, GoL, Gov China, India, WFP, PEPFAR vulnerable households LENEPHWA and orphans
29 What is the geographic coverage 17 actions are implemented in all 10 districts The majority of actions mapped are covering all the districts of Lesotho. % of district covered <25% >25% - <50% >50% - <75% >75% Lesotho Total: Actions 10 Counselling for IYCF on exclusive breastfeeding and optimal complement 10 Provision of monthly child Growth Monitoring and Promotion (GMP) 10 Provide Vitamin A supplementation for children (12-59 months) 10
Provide Iron / folate supplementation for pregnant women during antenatal care (Iron and Folic acid) 10 Provide deworming tablets for children (12-59 months) 10
Provide women with Ante Natal Care, at least 4 + visits 10
Nutrition assessment, Counselling and Support for caregivers of children aged 6-59 months 10 Provide PMTCT&HIV/AIDS package 10 Provision of nutrition messages 10 Construction/rehabilitation of sanitation facilities 10 Installation of handwashing stations 10 Provision of meals in ECCD and primary schools 10 Distribution of unconditional cash transfer 10 Distribution of food packages for poor and vulnerable households and orphans 10 Distribution of short cycled livestock and training on livestock production 10 Provide training/demonstration on home food preparation and preservation 10 Distribution of diversified crops and training 10
31 Two actions weren’t implemented in 2017 while four other were implemented in only some of the 10 districts % of district covered <25% >25% - <50% >50% - <75% >75%
Lesotho
Total: Actions 10
Provide training on biofortified crops 5
Provision of nutritious foods to pregnant and lactating women and/or 6 to 23 months 1
Construction and rehabilitation of water sources 7
Provide training on income generating activities 8
Provide diarrhea treatment ORS/Zinc for Under 5 children No data Management of moderate acute malnutrition No data
32 What are the implementing mechanisms used? What implementing mechanisms are used the most for actions in the health sector? 15 implementing mechanisms have been declared in the execution of health related actions. Most of the actions use the health facilities and the community and villages health workers.
Nutritious PMTCT& Actions food Nut. IYCF GMP Vit.A Iron/folic MMAM deworming ORS/Zinc ANC NACs HIV/AIDS using Implementing pregnat/lac Messages package mechanism mechanisms tatng
Community Health 2 Workers 4 Health facilities 9 Maternal and Child Health 4
Nutrition clubs 2 Nutrition extension workers 2 Community & village Health Workers up Scale 5 Community-based organizations 3 No No Campaign 3 data data Under-5 clinics 2
Public Gathering 1
Media Synergies 1
Outreach clinic 2
NGOs 3
Agricultural ext. workers 4
Demonstration 4
3434 What are the implementing mechanisms used for agriculture and social related nutrition actions? 15 implementing mechanisms have been declared in the execution of agriculture and social related actions. Most food and agriculture actions are implemented through agricultural extension workers and training/demonstration.
Implementing Biofortified Distri. Distri. Food prep & Income gen. # actions Diversified School feeding Cash transfer Food distri mechanisms crops crops livestock preservation activities using the mechanism Agricultural extension workers 5 Agricultural business 4 Cooperatives 2 Training/demonstrati on 5 Producers 2 Campaign/media 1 Nutrition clubs 1 Public Gathering 2 Distribution 2 Social service 4 Primary schoold/ECCD 1 Caterers and cooks 1 Bank transfer 1 Nut. Ext. workees 1 Communities 2
3535 What are the implementing mechanisms used for WASH related nutrition actions? 6 implementing mechanisms have been declared in the execution of WASH related actions. All the actions use the environmental field workers, the community water minders and the community to implement the actions
Construction Implementing Construction and Installation of rehabilitation of rehabilitation of handwashing # actions using mechanisms sanitation the mechanism water sources stations facilities
Environmental Field Workers 3 Community water minders 3 Rural Water Supply 1 Teachers 2 Community and village Health Workers 2 Community 3
3636 Combination of coverages and implementing mechanisms % Target group covered ≤ 25% % district covered > 25 - ≤50% Who are the key stakeholders? What are their roles? > 50 - ≤75% <25% >50% - <75% > 75% >25% - <50% >75% n/a. No data
District Population Core Nutrition Action coverage Target group(s) coverage Implementing mechanisms Communities, Nutrition clubs, Nutrition extension workers, Counselling for IYCF on exclusive Health facilities, Community and village Health Workers, breastfeeding and optimal 10 Pregnant & Lactating women n/a Community-based organizations, Maternal and Child complement
Health, NGOs IYCF Provision of monthly child Growth Health facilities, Community and village Health Workers, 10 0-59 months 1
Monitoring and Promotion (GMP) Under-5 clinics & & Provide Vitamin A supplementation 10 Community Health Workers, Health facilities, Campaign for children (6-59 months) children 6-59 months
Provide Iron / folate supplementation
fortification for pregnant women during antenatal 10 Health facilities Micronutrients care (Iron and Folic acid) supplementation Pregnant women
Management of moderate acute
of of No data
malnutrition
malnutrition Management
Notes: 1. The coverage calculated is above 100% indicating an issue in the data or in the target population
38 % Target group covered ≤ 25% % district covered > 25 - ≤50% Who are the key stakeholders? What are their roles? > 50 - ≤75% <25% >50% - <75% > 75% >25% - <50% >75% n.a. No data
District Population Core Nutrition Action coverage Target group(s) coverage Implementing mechanisms
Provide deworming tablets for 10 12-59 months Community Health Workers, Health facilities, Campaign children (12-59 months)
Provide diarrhea treatment No data ORS/Zinc for Under 5 children
Provide women with Ante Natal Community Health Workers, Health facilities, Maternal and 10 Pregnant women
Care, at least 4 + visits Child Health & management & Provision of nutritious foods to Pregnant and lactating woment Community-based organizations, Maternal and Child pregnant and lactating women 1 Health, NGOs
and/or 6 to 23 months 6-23 months prevention Nutrition assessment, Counselling caregivers of children 6-59 months Nutrition extension workers, Community and village Health and Support for caregivers of 10 n/a Workers, Community-based organizations, Health facilities,
children aged 6-59 months Pregnant and lactating women Outreach clinics Disease
Provide PMTCT&HIV/AIDS 0-59 months HIV exposed n/a Health facilities, Outreach clinics, Under-5 clinics, Maternal 10 and Child Health, NGOs, Community and village Health Pregnant women Workers
39 % Target group covered ≤ 25% % district covered > 25 - ≤50% Who are the key stakeholders? What are their roles? > 50 - ≤75% <25% >50% - <75% > 75% >25% - <50% >75% n.a. No data
District Population Core Nutrition Action coverage Target group(s) coverage Implementing mechanisms Farmers Provide training on biofortified Agricultural business, Agricultural extension workers, 5 Demonstration crops Inputs dealer n/a
Distribution of diversified crops Agricultural extension workers, Agricultural business, 10 Farmers and training Cooperatives, Demonstration, Producers, NGOs
Distribution of short cycled Agricultural extension workers, Demonstration, Producers, livestock and training on livestock 10 Farmers n/a Cooperatives, NGOs, Agricultural business production
Provide training/demonstration on Agricultural extension workers, Campaign, Nutrition clubs, n/a
home food preparation and 10 Households Trainings, Media, Public Gatherings, Nutrition extension Food Food agriculture & preservation workers, Agricultural business, Social service centers
Training on income generating Trainings, NGOs, Public Gatherings, Demonstration, 8 Households n/a activities Agricultural extension workers
40 % Target group covered ≤ 25% % district covered > 25 - ≤50% Who are the key stakeholders? What are their roles? > 50 - ≤75% <25% >50% - <75% > 75% >25% - <50% >75% n.a. No data District Population Core Nutrition Action coverage Target group(s) coverage Implementing mechanisms Communities, Media, Campaign, Nutrition clubs, Public 1 Gatherings, Demonstration, Health facilities, Community Provision of nutrition messages 10 All population n/a
Health Workers, Agricultural extension workers, nutrition nutrition
practices Community and village Health Workers Improved
Construction and rehabilitation of Communities, Rural water supply, MoW, Environmental 7 Households without water sources n/a water sources Field workers, Community water minders
Households without improved Environmental Field workers, Rural water supply, Construction/rehabilitation of sanitation facilities 10 Teachers, Community water minders, Communities, Schools/ECCD without improved n/a sanitation facilities Community and village Health Workers, NGOs, Media sanitation facilities
andschool level Communities, Environmental Field workers, Teachers, Installation of handwashing District Households Population
10 n/a Community and village Health Workers, Community water Improvement of WASH of WASH Improvement practices at household practicesat Primary schools stationsCore Nutrition Action coverage Target group(s) coverage minders Implementing mechanisms Primary schools Provision of meals in ECCD and 2 10 Primary schools, Distribution, ECCD, Caterers&cooks primary schools ECCD
Distribution of unconditional cash Bank Transfer, Distribution, Social service outreach transfer for poor and vulnerable 10 Poor and vulnerable households n/a workers, Communities households and orphans
Distribution of food packages for SocialProtection Distribution, NGOs, Communities, Social service outreach poor and vulnerable households 10 Poor and vulnerable households workers and orphans
Notes: 1. The same person can receive nutrition several time during the year. As per consequence, no coverage can be calculated on this intervention. 2. The coverage calculated is above 100% indicating an issue in the data or in the target population 41 Geographic and population coverage Supplementation in Vitamin A (1/2) The vitamin A supplementation is provided in all 10 districts by the same partners under the responsibility of the Ministry of Health
The Ministry of Health provides Vitamin A with the support of UNICEF, WHO and GAVI Key messages
• Vitamin A deficiency among pre-school aged children is a severe public health problem, although updated Butha-Buthe data is needed (WHO Global Database on Vitamin A Leribe • MoH Deficiency 2009) • UNICEF Berea Mokhotlong • WHO • The same partners provide Vitamin A supplementation • MoH in all ten districts Maseru • CHAL Thaba-Tseka Mafeteng • LRC • Vitamin A is provided through Community Health Workers, Health facilities and Campaigns • GAVI Qacha's Nek Mohale‘s Hoek • UNICEF • Private medical practitioners and pharmacists also contribute to the Vitamin A supplementation. Quthing
Stakeholder role Responsible Ministry No. of stakeholders Catalyst Implementing partner 8 Donor
43 Supplementation in Vitamin A (2/2) Difference in coverage reaches 40 percentage points between Mohale’s Hoek (26% of 6-59 months reached) and Berea (66%)
In average, 49% of 6-59 months received Vitamin A Key messages at national level
Butha-Buthe
• In Mohale’s Hoek, only 26% of children between 6 and Leribe 59 months received Vitamin A supplementation in 2017. Berea Mokhotlong • Target population coverage is also under national average in Butha Bute (34%), Maseru (34%) and Mokhotlong (46%). Maseru Thaba-Tseka
• Berea is the district with the best coverage. However, Mafeteng only 66% of the 6-59 months have received the supplementation in these district in 2017. Qacha's Nek Mohale‘s Hoek • Data are exclusively from the campaign as no other beneficiary information were provided. Due to shortage of complements the campaign didn’t reach 6-59 months receiving Quthing Vitamin A its target as expected in 2017. <25% >25% - <50% >50% - <75% >75%
44 Pregnant women* receiving at least 4 antenatal care visits (1/2) The Ministry of Health is the responsible ministry for ANC visits with the support of UNICEF and UNFPA
Who are the stakeholders involved? Who does what? Key messages
Butha-Buthe • In all 10 districts the Ministry of Health provides Leribe • MoH access to antenatal care visits. • UNICEF • EGPAF Berea • UNICEF and UNFPA provide technical support in Mokhotlong • UNFPA • MoH conducting this intervention. • CHAL Maseru • LRC • In 2017, funding for this action came from UNICEF, Thaba-Tseka • SIDA Mafeteng • UNICEF the Swedish International Development Cooperation • UNFPA Agency, the GoL, UNFPA, UNAIDS and WHO. • UNAIDS Mohale‘s Hoek Qacha's Nek • WHO • The implementing mechanisms used for this • GoL • PEPFAR intervention are the Community Health Workers, the Quthing Health facilities, and the Maternal and Child Health.
Stakeholder role Responsible Ministry Catalyst No. of stakholders Implementing partner Donor 14
st *Due to unavailability of population data for pregnant women, the group is considering women going to the 1 ANC visit (DHIS2 data) as representing 95.2% of total pregnant women (LDHS2014) 45 Pregnant women* receiving at least 4 antenatal visits (2/2) At national level, only one out of two pregnant women go to the 4th ANC visit
In six districts, less than half of the pregnant women attended the fourth antenatal care visit Key messages
Butha-Buthe • At national level, in 2017 only one out of two pregnant Leribe women who received a first ANC visit went to their 4th ANC visit.
Berea Mokhotlong • Mokhotlong where the coverage of pregnant women receiving the ANC4 is the lowest (39%), also had the lowest rate of delivery in health structures (60.8%) in Maseru 2014 (LDHS 2014). Thaba-Tseka Mafeteng
• In 2014, 74.4% received at least four antenatal care
Qacha's Nek visits during their pregnancy (LDHS 2014). According Mohale‘s Hoek to the data received, it seems the situation has deteriorated between 2014 and 2017.
Quthing Pregnant women attending at least 4 ANC visits > 40 - ≤50% > 50 - ≤60%
*Due to unavailability of population data for pregnant women, the group is considering women going to the 1st ANC visit (DHIS2 data) as representing 95.2% of total pregnant women (LDHS2014) 46 Nutrition assessment, Counselling and Support (NACS) for caregivers Provision of NACS for 6-59 months is implemented under the responsibility of the Ministry of Health with several other ministries contributing to this intervention in the 10 districts
In most district, more than 10 partners are present, except in Bereasupport where ofonly UNICEF,WHO3 partners work and GAVIon NACS Key messages
• MAFS • MAFS • LENOPOWA • The MoH, MAFS, MoF and MSD partner in ensuring • MoH • MoH • LPPA • EGPAF • EGPAF • CHAL NACS in Lesotho • UNICEF • BAYLOR • Global Fund • CHAL • Partners in • WILSA • There are 4 donors, the Global Fund, WILSA, GoL WFP • GoL Health • GoL • FANTA Butha-Buthe • UNICEF • FANTA and FANTA. The catalysts are EGPAF, Nutripower • LENASO BAYLOR, UNICEF and partners in Health. Implementing MAFS Leribe MoH partners are LENOPOWA, LPPA, CHAL,EGPAF, MSD Nutripower and LENASO MoF Berea EGPAF Mokhotlong BAYLOR • Berea is the district with the less stakeholders. Only two Partners in Health donors are supporting this district (GoL and FANTA) UNICEF Maseru Thaba-Tseka LPPA CHAL Mafeteng • NACS is provided to under-5, pregnant and lactating LENASO LENOPOWA women and HIV/AIDS/TB patients. Nutripower Qacha's Nek Global Fund Mohale‘s Hoek WILSA • The implementing mechanisms are the following: Nutrition WFP • MAFS • LENOPO • FANTA extension workers, Community and village Health GoL • MoH WA Workers, Community-based organizations, Health FANTA Quthing • EGPAF • CHAL • BAYLOR • LPPA facilities, Outreach clinics • Partners • Global Stakeholder role No. of in Health Fund • UNICEF • WILSA Responsible Ministry stakeholders • LENASO • GoL Due to unavailability of data by partners no population coverage has Catalyst 6-10 been calculated for this intervention Implementing partner 11-15 Donor >15 47 Micronutrient supplementation during antenatal care (Iron and Folic acid) (1/2) The supplementation during antenatal care takes place under the supervision of the MoH in the 10 districts.
Key messages The same stakeholders are active in all 10 districts
Butha-Buthe • UNICEF is both the catalyst and the main donor for Leribe this intervention Berea Mokhotlong • MoH • The MoH, CHAL and the Red Cross cooperate in the • UNICEF direct implementation of this intervention toward the Maseru • MOH final beneficiaries Thaba-Tseka Mafeteng • CHAL • The intervention is implemented through the health • LRC facilities Mohale‘s Hoek Qacha's Nek • UNICEF
Quthing
Stakeholder role Responsible Ministry Catalyst No. of stakeholders Implementing partner 6 Donor
48 Micronutrient supplementation during antenatal care (Iron and Folic acid) 2/2 Micronutrient supplementation is distributed during the first antenatal care visit for all the length of the pregnancy, covering over 90% of pregnant women in all districts. However, half of the pregnant women receive it only after 4 months of pregnancy
At national level, 90% of pregnant women receive Iron and Folic acid supplementation Key messages
Butha-Buthe • Iron and Folic acid is distributed to pregnant women during their first ANC visit, to cover all their pregnancy Leribe needs. No data is available on the percentage of pregnant women actually taking the supplementation Berea daily during their pregnancy. Mokhotlong
• The coverage per district is not necessarily accurate Maseru as the calculation for this intervention considers st Thaba-Tseka pregnant women going to the 1 ANC visit (DHIS2 Mafeteng data) as representing 95.2% of total pregnant women.
• Over half of pregnant women (53.9%) do not receive Mohale‘s Hoek Qacha's Nek their first ANC visit until 4 months into their pregnancy and the recommended prenatal care services are not Pregnant women receiving always performed. As a consequence they might not micronutrient supplementation Quthing benefit from iron and folic acid from the beginning of during ANC1 their pregnancy. <25% >25% - <50% >50% - <75% >75%
*Due to unavailability of population data for pregnant women, the group is considering women going to the 1st ANC visit (DHIS2 data) as representing 95.2% of total pregnant women (LDHS2014) 49 Provision of PMTCT and HIV/AIDS prevention package (1/2) The Ministry of Health is the responsible ministry and works with many partners in all 10 districts
Who are the stakeholders involved in providing? Who does what? Key messages
• PMTCT and HIV/AIDS prevention package is provided Butha-Buthe in all 10 districts. Leribe • MoH • BAYLOR • EGPAF • private • EGPAF, BAYLOR, UNICEF and WHO provide Berea Mokhotlong • BAYLOR facilities technical support in conducting this intervention. • UNICEF • Mother to
Maseru • UNAIDS mother • Implementation of the intervention comes through the Thaba-Tseka Mafeteng • WHO • Global MoH, LENASO, CHAL, LRC, EGPAF, BAYLOR, • LENASO Fund Mother to Mother, and private facilities. • CHAL • WILSA Mohale‘s Hoek Qacha's Nek • MoH • UNICEF • The implementing mechanisms used for this intervention are the Health facilities, Maternal and • LRC • GoL Quthing Child Health, NGOs, Community and village Health • EGPAF Workers, and Outreach clinics
• The partners offer a wide set of interventions as part Stakeholder role of PMTCT and HIV/AIDS prevention package Responsible Ministry including Social Behavior Communication for Catalyst No. of stakeholders prevention, reinforcement of referal, follow up, and Implementing partner tracking of patients back to care, testing, counselling, 15 Donor provision of ARV, and family planning services
50 Provision of PMTCT and HIV/AIDS prevention package (2/2) The coverage of pregnant women received PMTCT and HIV/AIDS prevention package is over 75% in all districts, except in Qacha's Nek where it is lower (73%).
91% of pregnant women HIV+ received PMTCT and HIV/AIDS Key messages prevention package in 2017 at national level
• The coverage of pregnant women received PMTCT Butha-Buthe and HIV/AIDS prevention package is over 75% in all Leribe districts, except in Qacha's Nek where it is lower
(73%). Berea Mokhotlong • These results concern the testing, counselling, provision of ARV, prophylaxis and family planning services directly implemented by the MoH Maseru Thaba-Tseka Mafeteng • The prevalence of HIV is high in all ten districts, averaging 24.6% nationally, with the highest
prevalence found in Maseru, where almost a third of Mohale‘s Hoek Qacha's Nek the population (28.0%) is HIV positive
Quthing HIV+ pregnant women receiving PMTCT
<25% >25% - <50% >50% - <75% >75%
51 Provision of monthly child Growth Monitoring and Promotion (GMP) (1/2) The monthly child GMP is implemented by the MoH through health facilities and community level health workers in the 10 districts
Where do the partners work? Key messages
• In all 10 districts the Ministry of Health provides Butha-Buthe access to GMP in health facilities Leribe • MoH • UNICEF • UNICEF provides both technical support and funding Berea Mokhotlong • CHAL in conducting this intervention. • LRC • The GoL is funding this intervention Maseru • MoH Thaba-Tseka Mafeteng • GoL • CHAL, LRC and the MoH are implementing the • UNICEF monthly GMP on the field Mohale‘s Hoek Qacha's Nek • The implementing mechanisms used for this intervention are the health facilities, Community and Quthing village Health Workers, and Under-5 clinics
Stakeholder role No. of Responsible Ministry stakeholders Catalyst Implementing partner 7 Donor
52 Provision of monthly child Growth Monitoring and Promotion (GMP) 2/2
Key messages Population coverage
• This intervention takes place both in health facilities and at village and community level. Butha-Buthe • Only health facilities data are available in DHIS2 Leribe and can be reported in this mapping Berea Mokhotlong • The data provided are above the total number of children between 0-59 months. It might be due to the fact this intervention can be provided to the Maseru Thaba-Tseka same children several times in the year. Mafeteng
Mohale‘s Hoek Qacha's Nek
Quthing
Population coverage
<25% >50% - <75% >25% - <50% >75% >>100%
Data from DHIS2 53 Provision of deworming tablets for children of 12-59 months (1/2) In 2017, the provision of deworming tablets by the MoH with support of UNICEF and WV reaches all ten districts
The Ministry of Health is the responsible ministry for deworming with the support of UNICEF and WV Key messages
• This interventions is coordinated by the Ministry of Butha-Buthe Health Leribe • UNICEF provides both technical support as a catalyst • MoH Berea Mokhotlong and funding as a donor • UNICEF • MoH • The Ministry of Health implements the intervention Maseru Thaba-Tseka • CHAL with the support of CHAL and LRC through Mafeteng • LRC Community Health Workers, Health facilities, and the • UNICEF campaign. Pharmacists and private practitioners also Mohale‘s Hoek Qacha's Nek contribute to reaching beneficiaries. • WV • WV supports the funding of this intervention. Quthing
Stakeholder role Responsible Ministry Catalyst No. of stakeholders Implementing partner Donor 7
54 Provision of deworming tablets for children of 12-59 months (2/2) Due to the lack of data for routine provision of deworming tablets, only the campaign data have been considered.
At national level, in 2017 more than 90% of the 12-59 months Key messages received deworming tablets, mostly during a campaign
• At national level, in 2017 more than 90% of the 12-59 91% months received deworming tablets. Butha-Buthe
Leribe • According to the LDHS 2014, one in five children received deworming medication, with lower rates in Quthing and 97% Qacha's Nek districts (graph below) Berea Mokhotlong 88% 89% Thaba-Tseka Maseru 89% Mafeteng 100%
86%
Mohale‘s Hoek Qacha's Nek 78% 98%
Quthing 12-59 months receiving 87% deworming tablets
75-90% > 90%
55 Provision of Infant and Young Child Feeding Practices (IYCF) Provision of IYCF is provided in the 10 districts, under the stewardship of the Ministry of Health and the Ministry of Agriculture and Food Security
Who contributes to the provision of supportIYCF adviceof UNICEF,WHOin each district? and GAVI Key messages
• MoH • WFP • MAFS • CRS • MSD • GoL • UNICEF • UNICEF • FAO • The intervention is implemented in the 10 districts. • MoH • Good • MAFS Sheperd • The Government of Lesotho, with the support of • MSD Sisters Butha-Buthe • UNICEF • CRS Leribe UNICEF in 5 districts, are the funder of this initiative. • FAO • GoL • WFP • UNICEF • MoH Berea • The MAFS works in all 10 districts through a Mokhotlong community based project providing trainings and demonstration on IYCF in all districts. Maseru • MoH • MAFS Thaba-Tseka Mafeteng • FAO • The implementing mechanisms used for this • WFP • GoL intervention are Communities, Nutrition clubs,
• MoH extension workers, Health facilities, Community and Mohale‘s Hoek Qacha's Nek • MAFS village Health Workers, Community-based • FAO • WFP organizations, Maternal and Child Health, NGOs • Nutripower Quthing • GoL Stakeholder role Responsible Ministry No. of • MoH • WFP stakeholders Catalyst • MAFS • GoL Implementing partner 0-5 • FAO Due to unavailability of data by partners no population coverage has 6-10 Donor been calculated for this intervention
56 Distribution of diversified crops with training (1/2) The Ministry of Agriculture and Food Security (MAFS) and the Ministry of Social Development (MSD) are responsible for this interventions and act with a large number of partners in the 10 districts
Many stakeholders work in the 10 districts while some other are focusing on a few of them only Key messages
• MAFS • LENASO • MAFS • WFP • ECHO • MSD • Caritas • MSD • LENASO • DFID • LRC • SIDA • FAO • WV • GEF • Many stakeholders work towards distributing • FAO • CISU • ITC • GoL diversified crops and provide relevant training to • GARD • UNICEF mushroom• Gov China • ITC • GoL cultivate those crops. mushroom • Gov China Butha-Buthe • MAFS • CRS • WFP • ECHO • MSD • GoL • RSDA • DFID Leribe • LRC • Gov • The number of stakeholders working in the same • WV • GEF • FAO China • UNICEF • ECHO district might be a challenge for coordination. Berea Mokhotlong • ITC • DFID mushroo • GEF • WFP • The donors for this action are mainly the GoL, ECHO, • LENASO the government of China, DFID, GEF and WV in all Maseru • WV Thaba-Tseka districts, SIDA, CISU, UNICEF, FAO and LRC. Mafeteng • MAFS • GoL • MSD • Gov • The implementing mechanisms used for this No. of • LRC China Mohale‘s Hoek Qacha's Nek stakeholders • FAO • ECHO intervention are Agricultural extension workers, • ITC • DFID Agricultural business, Cooperatives, Demonstration, 12-14 mushroo • GEF • WFP Producers and NGOs. 15-17 Quthing • LENASO 18-19 • WV
Stakeholder role • MAFS • Caritas • Gov China • MSD • LENASO • ECHO Responsible Ministry • FAO • WV • DFID Catalyst • WFP • CRS • GEF Implementing partner • ITC • GoL mushroom • UNICEF Donor
57 Distribution of diversified crops with training (2/2) The distribution of diversified crops with training benefits around 40% farmers at national level, with significant differences between districts
The distribution of diversified crops with training benefit to around 40% farmers at national level Key messages
87% • In Butha-Buthe, Qacha's Nek and Mokhotlong, more than half of the farmers received diversified crops and Butha-Buthe training in 2017. Leribe 34% • Less than 30% farmers received diversified crops in
Berea Berea, Maseru and Mohale’s Hoek 29% Mokhotlong
64% • The action takes place in all 10 districts with difference in population coverage. Maseru Thaba-Tseka Mafeteng 17% 34% • Only 10.7% of the land in Lesotho is arable – 31% Mafeteng, Berea and Leribe districts have the highest percentage of arable land (2009/2010 Agricultural Household Census) Mohale‘s Hoek Qacha's Nek 90% 26% • With little arable land, the majority of farming Farmers receiving diversified households produce crops for household crops and training Quthing consumption, in this context diversification influences 33% <25% >25% - <50% directly the consumption pattern (2009/2010 >50% - <75% Agricultural Household Census). >75%
58 Training, demonstration on home food preparation and preservation Two ministries are in charge of the training and demonstration on home food preparation and preservation: the MSD and the MAFS
Where do the partners work? Key messages
• MAFS • This intervention has been provided in the 10 districts • MSD • UNICEF in 2017 • CRS • MAFS • GoL • GoL • EU • The catalysts for this intervention are UNICEF and LRC • MAFS Butha-Buthe • MSD Leribe • MAFS • UNICEF • MSD • In addition of the staff, the field implementers are CRS • CRS • UNICEF Berea and Good Sheperd sisters • Good Mokhotlong • LRC Shepherd • CRS Sisters • GoL • The GoL and the EU are funding this intervention • EU • GoL Maseru • EU Thaba-Tseka Mafeteng • This intervention is implemented through Agricultural extension workers, Campaign, Nutrition clubs, • MAFS Trainings, Media, Public Gatherings, Nutrition Mohale‘s Hoek Qacha's Nek • LRC • MAFS • GoL extension workers, Agricultural business, Social service • LRC centers • GoL Quthing
No. of Stakeholder role stakeholders Responsible Ministry • MAFS 0-5 Due to unavailability of beneficiaries data by partners, only the • GoL Catalyst 6-10 Implementing partner geographic information can be provided here. Donor
59 Distribution of short cycled livestock and training on livestock production The MAFS is the responsible ministry for this intervention which takes place in the 10 districts. Many partners are contributing to this intervention. Coverage population data are not available for this action.
Who distribute and train on short cycled livestock, and where? Key messages
• MAFS • German Agro • MAFS • Caritas • Demark • Short cycled livestock have been distributed, and • WV Action • WV German Agro Lesotho • GART • GEF training provided in the 10 districts in 2017 • GART Action Network • CRS • SIDA • CRS • GEF • LENEPHWA • FAO • CISU • FAO • SIDA • Caritas • Demark • Ten donors contribute to the distribution of short cycled • RSDA • CISU • RSDA Lesotho Network livestock in addition to the GoL. The German Agro Butha-Buthe • MAFS • RSDA • LENEPHWA Action, GEF, SIDA, CISU, Demark Lesotho Network, • MSD • Caritas Leribe • GoL • CRS • GoL WV, LENEPHWA, RSDA and FAO also provide funds. • FAO • LENEPHWA • Good Berea Mokhotlong sheperd sis. • Technical support is provided by WV, FAO, GART, and CRS • MAFS Maseru • GART Thaba-Tseka • RSDA • On the field, the service is provided to the beneficiary Mafeteng • GoL • MAFS • German Agro through the MAFS, but also RSDA, Good Shepherd • WV Action • CRS Sisters, Caritas, MAFS, and WV. Qacha's Nek • GEF • GART Mohale‘s Hoek • SIDA • RSDA • CISU • Caritas • Denmark • This intervention is implemented through Agricultural • MAFS Lesotho Quthing extension workers, Demonstration, Producers, • MAFS • RSDA Network • WV • GoL • LENEPHWA Cooperatives, NGOs and Agricultural business • CRS • LENEPHWA • FAO • RSDA Stakeholder role No. of stakeholders • LENEPHWA Responsible Ministry 0-5 Due to unavailability of data, population coverage couldn’t be calculated for this action. Catalyst 6-10 Implementing partner 10-15 Donor 60 Training on biofortified crops Farmers and/or input dealers are trained on biofortified crops in half of the districts. This training reaches less than 1% of farmers in each district where the action is implemented.
Where do the partners work? Key messages
• MAFS • Lehakoe Seed • Fac. of Agriculture Supplier • RSDA • CIAT • The MAFS is the ministry responsible for the training • RSDA • SDC on biofortified crops. • Agric Nutrition • GRM Zimbabwe Butha-Buthe Leribe • The trainings are funded by CIAT, SDC and GRM Zimbabwe. Berea Mokhotlong • RSDA, Agric Nutrition and Lehakoe Seed Supplier are
Maseru the actors training the farmers and/or input dealers. Thaba-Tseka • Technical support for this intervention is provided by Mafeteng both the Faculty of agriculture and RSDA.
Qacha's Nek Mohale‘s Hoek • Only a small number of farmers have been trained in 2017 with the target group coverage inferior to 1% in the 5 districts. No data was available for coverage of Quthing input dealers in this intervention. Stakeholder role No. of Responsible Ministry • The implementing mechanisms used for this stakeholders Catalyst intervention are Agricultural business, Agricultural 8 Implementing partner Donor extension workers and Demonstration.
61 Construction and rehabilitation of water sources In 2017, the construction and rehabilitation of water sources is implemented in 7 districts out of 10.
The ministries involved in the rehabilitation and construction of water sources in Lesotho are MoW, MAFS and MoH Key messages
• Data for this intervention have been received for 7 • MoW districts out of 10. However, according to partners’ Butha-Buthe feedbacks it is possible that rural water supply and • MAFS Leribe WASCO for which no data have been received work in • MoH the 10 districts. Berea Mokhotlong • TED • UNICEF • The donors are PEPFAR and WV. The catalysts are
Maseru • WV TED, UNICEF and WV. Partners implementing are Thaba-Tseka Caritas, WV and CRS Mafeteng • Caritas • CRS • This intervention is implemented through Mohale‘s Hoek Qacha's Nek • WV Communities, Rural water supply, MoW, • PEPFAR Environmental Field workers, Community water • WV minders. Quthing • For this intervention, WV plays the role of catalyst, IP Stakeholder role and Donor simultaneously. Responsible Ministry Catalyst No. of stakeholders Implementing partner Due to unavailability of data, no population coverage has been 9 Donor calculated for this intervention.
62 Construction/rehabilitation of sanitation facilities 1/2 Six ministries are involved in the construction and rehabilitation of sanitation facilities in the 10 districts (DHMT, MoF, MoET, MOW, MoH, MSD)
Where do the partners work? Key messages
• MoET • MoH • Caritas • MSD • BORDA• WV • CRS • In 2017, the construction and rehabilitation of sanitation • MoH • MoW • TED • MoET • GTO • Caritas • MoW • WV • UNICEF • MoW • CRS • EU facilities took place in the 10 districts. • MSD • CRS • MoH • TED • UNICEF • WV • BORDA • The high number of partners working in this intervention • GTO Butha-Buthe • DHMT • LRC necessitate additional efforts to ensure alignment and • CRS • MoF • RWS efficient coordination. • Caritas Leribe • MoET • Wateraid • TED • EU • The donors of this intervention are Water Aid, EU, • GoL Berea Mokhotlong • EIB BORDA, GoL, EIB, WV, UNICEF, and CRS. • UNICEF • DHMT A Maseru • MoET • GTO • The implementing partners are LRC, TED, WV, Caritas, Thaba-Tseka • MoW • LRC RWS, MoET, MoH and MoW. • MoH Mafeteng • MoH • TED • MoW • MSD • RWS • MoET • LRC • The catalyst are LRC, BORDA, GTO, TED, MoW, WV, • MSD • BORD • BORDA Mohale‘s Hoek Qacha's Nek CRS, and UNICEF. • TED • GTO • WV • MoW • MSD • TED • The implementing mechanisms used for this intervention • EU Quthing • MoET • BORDA • EU are the Environmental Field workers, Rural water supply, • MoH • GTO Teachers, Community water minders, Communities, Community and Village Health Workers, NGOs and No. of • MoH • MoW • GTO stakeholders • MoW • MoET • WV Media. • TED • MoH • TED <10 • WV • MSD • EU Most stakeholder declared fulfilling several roles (implementing 10-15 • EU • BORDA partner, donor and/or catalyst) for this intervention. Consequently color coding the partners wasn’t possible on the map. 63 Construction/rehabilitation of sanitation facilities 2/2 At national level, 2% of the households without improved sanitation facilities benefit from the construction or rehabilitation of their facilities in 2017.
Households without improved sanitation facilities who benefited of this intervention in 2017 Key messages
• In Thaba-Tseka and Mokhotlong, 12% and 8% of the Butha-Buthe households without improved sanitation facilities Leribe benefited respectively of this intervention.
Berea Mokhotlong • According to available data, the coverage of households without improved sanitation facilities in Maseru the remaining districts is below 1%. Thaba-Tseka Mafeteng
Mohale‘s Hoek Qacha's Nek
Quthing
Due to unavailability of data, the coverage of EECD and schools can Population coverage not be calculated <25% >25% - <50%
>50% - <75% No data >75% 64 Installation of handwashing stations In all 10 districts of Lesotho, partners are present to install handwashing stations
Where do the partners work? Key messages
• MAFS • MAFS • The donors for this intervention are WV, UNICEF and • MoW • MoH • MoH • WV GoL. GoL is involved in all ten districts. • WV • Send a • CRS Cow • Send a • LRC • Implementing partners for the installation of Cow Butha-Buthe • TED • Caritas • GoL handwashing station in households and schools are • LRC Leribe WV, Caritas, MoW, NGOs, LRC and TED. • TED • UNICEF Berea • GoL Mokhotlong • MAFS • The catalysts are WV, CRS and Send a Cow. • MoH • Send a • MAFS Cow • WV is acting as donor, implementing partner and • MoW Maseru • WV Thaba-Tseka • MoH Mafeteng • TED catalyst in 9 districts. • WV • LRC • Send a • GoL Cow • MAFS, MoH and MoW share the responsibility for this • LRC Mohale‘s Hoek Qacha's Nek multisectoral intervention. • TED • MAFS • GoL • Send a Cow • The installation of handwashing stations is achieved Quthing • GoL through Communities, Environmental Field workers, Teachers, Community and village Health Workers, and No. of Stakeholder role • MAFS • Send a stakeholders Community water minders.. • MoW Cow Responsible Ministry 0-5 • MoH • GoL Catalyst Due to unavailability of data, population coverage couldn’t be • WV 6-10 Implementing partner calculated for this action. 11-15 Donor
65 Distribution of food packages 1/2 The distribution of food packages to vulnerable households takes place in all 10 districts and involves a high number of partners.
Where do the partners work? Key messages
• FMU • WV • GoL • MSD • LRC • Gov China • MoH • LRC • Gov China • FMU • PEPFAR • Gov India • MSD • PEPFAR • Gov India • DMA • DMA • The Food Management Unit is the institution in charge DMA • Phelisanang • WV • GoL • WFP Bophelong of the logistics for the distribution of food packages. • DMA • MSD • DMA The ministries responsible for this intervention are the • FMU • PEPFAR • FMU • GoL MoH and the MSD. • MoH • DMA • DMA • Gov • MSD • ADRA Butha-Buthe • WV China • LRC • Gov India • DMA • GoL Leribe • The catalysts for this intervention are WFP, DMA, WV, • WFP • Gov • PEPFAR • WV China LRC, MAFS and MoF. • LRC • Gov India Berea Mokhotlong • FMU • The organizations directly providing the food package • MoH • MSD to vulnerable households are LENEPWHA, DMA, WV, • DMA Maseru LRC, ADRA, Phelisanang Bophelon and • WFP Thaba-Tseka • WV Mafeteng LENEPHWA. • LRC • PEPFAR • MAFS Qacha's Nek • The funders for this intervention are the GoL, • MoF Mohale‘s Hoek • LENEPWHA Government of China and India, WFP and PEPFAR. • DMA • GoL Quthing • Gov China • Delivery mechanisms for this interventions are NGOs, • Gov India Communities, Social service and outreach workers No. of stakeholders 0-5 • MoH • LENEPHWA • MSD • PEPFAR 6-10 Most stakeholder declared fulfilling several roles (implementing • WFP 10-15 partner, donor and/or catalyst) for this intervention. Consequently color coding the partners wasn’t possible on the map. 66 Distribution of food packages 2/2 The distribution of food packages to vulnerable households reaches 20% of poor and vulnerable households in average in the districts where the action takes place
What is the coverage of this intervention? Key messages
Butha-Buthe • In Mokhotlong, Butha-Buthe, Qacha's Nek, Quthing and Thaba-Tseka, no beneficiary data have been Leribe received by partners. 16% Berea • The poor and vulnerable households receiving the 31% Mokhotlong food packages is the highest in Mafeteng where 41% of the poor and vulnerable (including households Thaba-Tseka Maseru caring for OVC) has been reached. 41% 25% Mafeteng
Mohale‘s Hoek Qacha's Nek 25%
Poor and vulnerable Quthing households receiving the food packages Due to unavailability of data, the coverage for <25% orphans has been included as part of the “poor and vulnerable >25% - <50% households”. >50% - <75% No Data
>75% % Percentage covered
67 Training on income generating activities Four ministries (MAFS, MSD, MoH and MoET) provides training on income generating activities in the country.
Key messages Where do the partners work?
• Fewer partners in the South east of the country are • MAFS • CRS • LENASO • MAFS • AIDS free involved in training households on income generating • MSD • PSI • PEPFAR • MSD Caritas • MoH • EGPAF • 4 • MoH • Jiepaego activities: • MoET • AIDS free Children • MoET LENASO o None of the partners who provided data • UNICEF • Caritas • EU • UNICEF PEPFAR • WV • Jiepaego • CRS • 4 reported activity in Mokholtong and Quacha’s Butha-Buthe • PSI Children • EGPAF • EU Nek. Leribe o in Thaba-Tseka, the lowest number of partners • MAFS • Caritas working on training on income generating • MSD • Good Berea • MoH Sheperd Mokhotlong activities country-wide is reported • MoET sist. • UNICEF • Jiepaeg • WV o Maseru • The implementing mechanism for this intervention are • CRS • LENASO Thaba-Tseka Trainings, Public Gatherings, Demonstration and • PSI • PEPFAR • EGPAF • 4ChildreMafeteng Agricultural extension workers. • AIDS n free • EU Qacha's Nek • MAFS • LRC Mohale‘s Hoek • MSD • EU • The income generating activities referred to in this • UNICEF intervention vary across partners. • CRS • MAFS free Quthing Most stakeholder declared fulfilling several roles (implementing • MSD • Caritas • MoH • Jiepaeg No. of stakeholders partner, donor and/or catalyst) for this intervention. • MoET o Consequently color coding the partners wasn’t possible on the • LRC • LENASO 5-9 map. • CRS • PEPFAR • MAFS • PSI • LENASO • PSI • 4Childre • MSD • EGPAF • PEPFAR 10-15 • EGPAF n • MoH • AIDS free• 4Childre >15 Due to unavailability of data, population coverage couldn’t be • AIDS • MoET • Caritas n Zone with fewer calculated for this action. • CRS • Jiepaego partners 68 Provision of nutrition messages This intervention can take many forms and can be a component in wider projects, leading to the involvement of a high number of stakeholders in the 10 districts.
Key messages Where do the partners work?
• MAFS • UNICEF • LPPA • MoH • WFP • GoL • MoET • WV • SIDA • The governmental agencies contributing to this • MSD • TED • DFID Butha-Buthe • OPM • Caritas • USAID intervention are MAFS, MoH, MoET and OPM. • UNFPA • CRS • EU Leribe • FAO • EGPAF
• Nutrition messages are provided through Berea Mokhotlong Communities, Media, Campaign, Nutrition clubs, • MAFS wer • MoH • CRS Public Gatherings, Demonstration, Health facilities, • MoET • EGPAF Community Health Workers, Agricultural extension • OPM • LPPA Maseru • UNFPA • GoL Thaba-Tseka Mafeteng workers amd Community and Village Health Workers. • FAO • SIDA • UNICEF • DFID • WV • USAID • TED • EU Mohale‘s Hoek Qacha's Nek • Caritas • nutripo
• MAFS • UNICEF • GoL Quthing • MAFS • UNICEF • GoL • MoH • WV • SIDA Most stakeholder declared fulfilling several roles (implementing • MoH • WV • SIDA • MoET • Caritas • DFID • OPM • CRS • USAID partner, donor and/or catalyst) for this intervention. Consequently • MoET • Caritas • DFID • OPM • CRS • USAID • UNFPA • EGPAF • EU color coding the partners wasn’t possible on the map. • UNFPA • EGPAF • EU • FAO • LPPA • FAO • LPPA Due to the nature of this intervention, the same person can be targeted repeatedly several times across the year. As a result, no No. of stakeholders population coverage has been calculated. 15-17 18-20
69 Distribution of unconditional cash transfer Unconditional cash transfer is distributed in all ten districts in 2017
Where do the partners work? Key messages
• MSD • MSD • DMA • UNICEF • WV • EU • Unconditional cash transfer is distributed in all 10 • UNICEF • GoL districts. • EU • GoL • WV Butha-Buthe • MSD, DMA and MoF are the governmental agencies Leribe contributing in the distribution of unconditional cash transfer in 2017. Berea Mokhotlong • Donors for this interventions are EU, ECHO, GoL and Maseru WV. EU and GoL are donors across all districts Thaba-Tseka • MSD Mafeteng • DMA • Beneficiaries are receiving unconditional cash • MoF • WV transfers through Bank Transfer, Distribution, Social • WFP Mohale‘s Hoek Qacha's Nek • UNICEF service outreach workers and Communities. • ECHO • EU • GoL Quthing • Southern Africa El Niño Response Plan was ongoing • WV in 2017 which involved social protection interventions Stakeholder role with DMA. No. of stakeholders Responsible Ministry <5 Catalyst Due to unavailability of data, population coverage couldn’t be Implementing partner calculated for this action. >5 Donor
70 Provision of meals in ECCD and primary schools In all 10 districts, meals in schools and EECD are provided with MoET as the responsible ministry
Who are the stakeholders supporting the provision of meals in schools and EECD? What is the population coverage?
Coverage of • MoET • JICA Coverage of Population covered Districts primary schools • MoH • WFP EECD students <25% • WFP Share • MAFS the Butha-Buthe >25% - <50% • FMU meal Berea 96% 82% • GoL Leribe >50% - <75% Butha-Buthe 116% 111% >75% Berea Mokhotlong Leribe 102% 92% >100%
Maseru Thaba-Tseka Mafeteng 67% 94% Mafeteng Maseru 84% 90%
Qacha's Nek Mohale's Hoek 71% 85% Mohale‘s Hoek Mokhotlong • MoET • WFP 142% 108% • MoH Share Quthing • WFP the Qacha's Nek 118% 105% • FMU meal • GoL Quthing • JICA 94% 96% Thaba-Tseka 86% 97% 10/10 National No. of Stakeholder role Districts covered stakeholders Responsible Ministry 7 Catalyst 8 Implementing partner Donor The coverage data provided exceed the total number of population provided by the MoET in some districts. Further information has been requested 71 Comparison of population coverage and nutrition situation Chronic malnutrition in Lesotho and some interventions contributing to its reduction Chronic malnutrition is particularly high in the North East. Mokhotlong and Thaba Tseka (red circle) have high chronic malnutrition prevalence, low provision of deworming tablets, and below average (Mokhlotong) or average (Thaba Tseka) coverage for Vitamin A supplementation.
Chronic malnutrition rates Vitamin A supplementation Provision of deworming tablets
34% 91% 60% 97%
66% 88%
46% 89%
34% 53% 100% 89% 61% 86%
54% 78% 26% 98%
12-59 months receiving 64% 87% deworming tablets
75-90% > 90%
Source: LDHS2014
Leribe, Maseru and Mohale’s Hoes have the largest number of children suffering from chronic malnutrition 73 Chronic malnutrition in Lesotho and some interventions contributing to its reduction Thaba Tseka, has one of the highest level of chronic malnutrition in the country, while the provision of diversified crop is within national average and there was no provision of food package reported for 2017.
Chronic malnutrition per district Provision of food packages Provision of diversified crops
Source: LDHS2014
Leribe, Maseru and Mohale’s Hoek have the largest number of children suffering from chronic malnutrition. 74 HIV prevalence and coverage of PMTCT and HIV/Aids prevention package The prevalence of HIV is high in all ten districts, averaging 24.6% nationally. PMTCT and HIV/Aids prevention package have high target coverage at national scale which should ensure low mother to child transmission risk.
An average of 91% of HIV+ pregnant women received PMTCT Prevalence of HIV per district and HIV/AIDS prevention package in 2017 at national level
85% Butha-Buthe Leribe 98% Berea 88% Mokhotlong 89% Thaba-Tseka Maseru 89% 89% 92% Mafeteng
Mohale‘s Hoek Qacha's Nek 73% 89%
HIV+ pregnant women Quthing receiving PMTCT 96% <25% >25% - <50% >50% - <75% >75%
75 Comparison between target coverage and chronic malnutrition in the 10 districts Among interventions with reported population coverage, very few reach more than 40% of their target population even in districts with relatively high chronic malnutrition prevalence. The unavailability of coverage data for many actions impacts the completion of this analysis.
% Chronic malnutrition1 50 Critical nutritional situation with a low Critical nutritional situation with a better- 2 4 coverage of target groups Mokhotlong than-average coverage of target groups 45 Thaba-Tseka
40 Butha-Buthe Mohale's Quthing 35 Hoek Qacha's Nek
30 Maseru Leribe Berea
25 Mafeteng
20
15 Better than average nutritional situation 3 Better than average nutritional situation with a with a better-than-average coverage of 1 better than average coverage of target groups target groups 10 5 6 7 8 9 10 Number of nutrition actions covering more than 40% of their target
1. Source: LDHS 2014
76 Key messages and next steps Key Messages from the Nutrition Stakeholder and Action Mapping
Availability and accessibility of data Coverage scale Long term planning • Overall gap in data at country level • Most interventions take place in all the 10 districts • High chronic malnutrition rates, especially in Butha- • Depends on sectors • Population coverage is higher for health and Buthe, Mokhotlong and Thaba-Tseka. • Challenge to access district level data at social protection (school meals) interventions • The districts with the largest number of stunted central level • Need for further analysis to identify targeting and children are Maseru, Leribe and Mohale’s Hoek • Need for transparency and availability, within bottlenecks preventing better coverage • Need for long term multi-sectorial planning each sector for data collection
Opportunity to identify and replicate good practices Diversity of stakeholders operating at district level • Health interventions generally benefit from a better coverage • Challenge in interviewing many stakeholders at district level due to • Most interventions take place in the 10 districts lack of resources and inaccessibility • what are success factors for interventions to be scaled up while • Most stakeholders lack available district data maintaining a high population coverage? • Need for improved data management systems and mechanisms
78 Next steps
Should Lesotho be interested in launching a second phase of nutrition mapping, suggestions to facilitate the process include:
• Further sensitization of the stakeholders prior to the data collection to increase buy-in and engagement; • A strategy to facilitate data collection including data on the number of beneficiaries at district level (e.g. FNCO district staff involvement to collect district level data); • Improved allocation of resources, including improved capacity development of the mapping team; • Employ the DHIS2 web-based version of the mapping tool ensuring: - Data Confidentiality, - Automated Data Analysis, - Existing in-country technical infrastructure and capacities, - Results sharing through online dashboards.
79 List of acronyms
4 Children Coordinating Comprehensive Care for Children MoET Ministry of Education and Training ADRA Adventist Development and Relief Agency MoF Ministry of Forestry BORDA Bremen Overseas research and Development Association MoH Ministry of Health CIAT International Center for Tropical Agriculture MoW Ministry of Water CISU Civil Society in Development´s mission and strategy MSD Ministry of Social Development CRS Catholic Relief Services OPM Office of Prime Minister DMA Disaster Management Authority PEPFAR U.S. President's Emergency Plan for AIDS Relief ECHO European Civil Protection and Humanitarian Aid Operations PSI Population Services International EGPAF Elizabeth Glaser Pediatric AIDS Foundation LRC Red Cross EIB European Investment Bank RSDA Rural Self-Help Development Association EU European Union RWS Rural Water Supply FANTA Food and Nutrition Technical Assistance SDC Skills Development Corporation FAO Food Agriculture Organization SIDA Swedish International Development Cooperation Agency FMU Food Management Unit TED Technologies for Economic Development GART Golden Valley Agricultural research Trust UNFPA United Nations Population Fund GEF Global Environment Facility UNICEF United Nations International Children's Emergency Fund GoL Government of Lesotho WFP World Food Program GTO German Toilet Organisation WHO World Health Organization JICA Japan International Cooperation Agency WILSA Women and Law in Southern Africa LENASO Lesotho Network of AIDS Service Organization WV World Vision LENEPHWA Network of people living with HIV and AIDS LENEPOWA Lesotho Network of People Living Openly with HIV and AIDS LPPA Leading Parent Partnership Award MAFS Ministry of Agriculture and Food Security
80 This analysis has been conducted by the FNCO with the support of the UN Network’s intensive arm REACH.
In Lesotho, the UN Network support the country through a full time REACH facilitator, sitting at the FNCO. • In 2017, the UN Network facilitated the identification of the Core Nutrition Actions and the realization of a Multi-sectoral Nutrition Overview • In 2018, the UN Network facilitated the Capacity Gap Assessment • In 2018-2019, the UN Network facilitated the realization of the Stakeholder and Nutrition Mapping . • In 2019, the UN Network completed the UN Nutrition Inventory / common agenda, and the development of the nutrition plan and its costing.
About the UN Network for SUN The UN Network technical facility works closely with governments to conduct analytical exercises such as the Stakeholder and Action Nutrition Mapping to galvanize and coordinate the efforts of multiple stakeholders across sectors to scale up nutrition.
Strong focus on capacity development, country-level support focuses on the creation and operation of multi-stakeholder platforms, advocacy, development of multi-sectoral national strategies and policies, and design, implementation, monitoring and evaluation of nutrition interventions.
To learn more about how the UN Network is supporting country-level action visit https://www.unnetworkforsun.org/ or write to [email protected] UN Network Secretariat: Via Cesare Giulio Viola, 68/70 - 00148 Rome, Italy