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Peru Mapping

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Peru Mapping Nutrition Stakeholder and Action Mapping SAVING LIVES CHANGING LIVES WFP Peru Office July 2020 Content 1 Nutrition situation in Peru 2 Mapping of nutrition actors and actions 3 Who is working on nutrition? 4 Geographical coverage 5 Use of the delivery mechanisms 6 Results of the mapping of nutrition actors and actions 7 Gaps in the coverage of nutrition actions 8 Key messages 9 Acronyms 1. Nutrition situation in Peru Nutrition situation in Peru - 2019 Prevalence of chronic malnutrition (< 5 years) Children aged 6 to 35 months who took an iron supplement • National average 34.5% • National average 12% • 7 regions reached 49.8% • Three regions at 31% • Lima (1) 5% • Province of Callao 5% Children aged 6 months with exclusive breastfeeding • National average 65.6% Overweight and obesity (< 5 years) • 5 regions reached 87% | Callao 58.2% • National average 8% • Metropolitan Lima 12.3% Pregnant women aged 15 to 49 years who received > 6 antenatal check- • Highlands 4.9% | Jungle 3.7% ups • National average 89.7% Anaemia in children aged between 6 to 36 months Individuals > 15 years of age with obesity, high blood pressure or diabetes • National average 40.1% • National average 37.2% • The region with the highest average is Puno 69.9% • Urban 39.6% | Lima (1) 43% | Callao 44.3% | Rural 27.5% • Lima (1) 29.8% | Lima (2) Provinces 39.6% Lima (1): Metropolitan, Lima (2): Lima Provinces Source: National Institute of Statistics and Informatics (INEI), Demographic and Family Health Survey (ENDES) 2019 - 4 - 2. Mapping of nutrition actors and actions What does the mapping of nutrition actors and actions consist of? It is an analytical exercise carried out in a participative approach involving multi-sectoral stakeholders working on nutrition. The mapping exercise provides quantitative and qualitative results which inform nutrition decision making. It allows the It focuses on actions identification of needed to improve the 1 2 stakeholders acting in nutrition situation of specific geographic areas specific target groups (districts) 3 Each action is associated with indicators relating to the geographic and population coverage - 6 - Objectives of the Nutrition Stakeholder and Action Mapping • Sensitize, inform, and identify opportunities to improve the nutrition situation in the country • Foster an informed dialogue among the government, private sector, civil society and academia to improve the coverage of nutrition actions in the country - 7 - What are the benefits of carrying out the process of the Nutrition Stakeholder and Action? Recap nutrition situation and Coverage Guidance for a nutrition actions Continuous monitoring (quantitative view) stakeholder dialogue (qualitative view) Who does what and where? What percentage of the target How & where to scale up Are the targets achieved over population is covered? nutrition? time? What is the country nutrition What is the role of the public Is the target population 1 4 What % of the target 8 12 situation sector in the nutrition situation? coverage improving over time? population is covered nationally? Who are the key 9 What is the role of the private 13 Are the targets being achieved 2 stakeholders? What are their sector, civil society and as defined in the national plan? 5 What % of target population roles? international organizations in is covered per action? the nutrition situation? 14 Are there opportunities to Which stakeholders are doing monitor and evaluate the 3 6 What % of the target what where? And through Is the revision of national and planning and management population is covered 10 which delivery mechanisms? local public policies aligned with tools? per region/district? the situation identified? 7 For each district, who is 11 What accountability mechanism reaching what % of the target is in place? population? - 8 - Who are the results of the Nutrition Stakeholder and Action Mapping relevant for? Sub-national Civil society, private administrations (regional Government ministries sector and international Donors and local) organizations See what partners are Get a better overview of Enhance coordination Identify what provinces working on nutrition in who the partners are and through better info on need further support your area what they do what organizations are working in the same See what actions need Get info on what actions Identify potential gaps in districts and/or on the more funds to scale up are being conducted, and geographic and same actions where population coverage Help identify what Identify what provinces organizations can cover How many people are Help planning & scale-up need further support different actions and being reached by of nutrition actions provinces different actions, what See what actions need to needs to be scaled up be scaled up, and where - 9 - Development of the implementation process Data quality Stages Preparation Data collection Dara Analysis Results Sharing check Presentation Timeline October 2019 15 March to 30 June, Delays due to Covid-19 lockdown August 2020 of the results Dialogue • Formation of the • Meetings with • Meetings with • Preparation of the • Review of the between the Mapping government stakeholders to preliminary report results and stakeholders Committee sectors, civil review data and development situation society and the of key messages indicators • Development of • Data cleaning and private sector to the preliminary list input modifications • Systematization Activities present the of actions exercise • Preparation of metadata template • Data entry on and customization web-based tool of tool - 10 - Identification of nutrition actions Formation of the Review of country Preparation of the Review and validation Final list of actions Technical Team guidelines preliminary list of actions Results of the More than 30 Consensus MINDSI, MINH, National, sectoral analysis of situation meetings with between 5 UNICEF, IFAD, FAO, and multi-sectoral and coverage representatives of government Peru 2021, CARE plans indicators and their specific sectors ministries to Peru and WFP Peru delivery mechanisms and government identify 20 priority and target groups organizations nutrition actions - 11 - Participating public organizations Presidency of the Council of Ministers Ministry of Agriculture and Irrigation Ministry of Economy and Finance Secretariat of Digital Ministry of Education Government Ministry of Health Ministry of Production Ministry of Housing, Construction and Sanitation - 12 - Criteria considered in the selection of actions Criteria of selection of priority nutrition Completion of metadata actions • 2019 data • Evidence-based • District level coverage • Within the framework of the budgeted • Nutrition actions programmes and results management • Target groups processes led by the Ministry of • Delivery mechanisms Economy and Finance • Situation indicators • Availability of associated secondary, Data collection using questionnaires in Excel district-level data for 2019 from administrative systems Government ministries | Civil society Private sector - 13 - List of priority nutrition actions MINH MINPROD AGRICULTURE MHCS Thematic area Nutrition actions Thematic area Nutrition actions Treatment of 18-month-old children who have been Delivery of the package of care for pregnant women (4 supporting diagnosed with anaemia and recovered tests) in the first term, at least 6 antenatal check-ups with the iron Disease prevention and folic acid supplement, and at least 6 doses of iron and folic Treatment of acute respiratory infections and control Health of acid tablets (4) Treatment of acute diarrhoeal diseases pregnant women Delivery of the anaemia treatment after diagnosis (4) Mass deworming of school children Comprehensive guidance through home visits Prevention of Promotion of healthy eating and physical exercise in public spaces (recreation areas) by local governments Food preparation demonstration sessions overweight and obesity Sessions and/or projects held by trained teachers about Delivery of the comprehensive package of care (complete GDM (2) healthy eating and physical exercise according to age, pneumococcal and rotavirus vaccines, iron supplementation and measurement of haemoglobin) for children Healthy eating at Assessment of school snack bars, canteens and dining halls aged 0 to 11 months school (1) Delivery of the comprehensive package of care (complete GDM Demonstration sessions at Communal Promotion and Nutrition education for according to age, pneumococcal and rotavirus vaccines, iron Monitoring Centres (CPMCs) for parents and caregivers of families (1) Infant and young supplementation and measurement of haemoglobin) for children children under 1 year of age children feeding aged 12 to 23 months Food consumption practices Training on the consumption of fishery products (5) Delivery of the comprehensive package of care (complete GDM (1) according to age, pneumococcal and rotavirus vaccines, iron supplementation and measurement of haemoglobin) for children Agriculture aged 24 to 36 months Creation of cultivated pastures (1) Food preparation demonstration sessions Rehabilitation of drinking water systems in a substandard Comprehensive guidance through home visits to children under 6 Water, sanitation and state months hygiene (2) Systems that supply water with an adequate concentration Iron of chlorine supplementation Supplementation with iron drops starting at 4 months of age (1) - 14 - Target population (1/2) MINH MINPROD AGRICULTURE MHCS Component Actions Target population 1. Delivery of the package of care for pregnant
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