MINISTRY OF HEALTH The Kenya Nutrition Action Plan (KNAP) 2018 – 2022 Improved Nutrition For All Suggested citation: Government of Kenya, Ministry of Health (2018): The Kenya Nutrition Action Plan (KNAP), 2018 –2022 December 2018 THE KENYA NUTRITION ACTION PLAN (KNAP) | 2018 – 2022 iii Improved Nutrition For All TABLE OF CONTENTS TABLE OF CONTENTS iv CONTENTS List of Tables.................................................................................................................................................. vi List of Figures............................................................................................................................................... vii List of Abbreviations and Acronyms........................................................................................................... viii Foreword....................................................................................................................................................... xii Preface........................................................................................................................................................... xiii Nutrition Commitments.............................................................................................................................. xiv Acknowledgements.................................................................................................................................... xviii Executive Summary.................................................................................................................................... xix Chapter 1: Introduction................................................................................................................................ 1 1.1. Background........................................................................................................................................ 2 1.2. Policy Context.................................................................................................................................... 2 1.3 National Policy and Legal Frameworks.............................................................................................. 4 1.4. Kenya Nutrition Action Plan Development Process........................................................................... 7 1.4.1. Review of the NNAP 2012-2017.....................................................................................................7 1.4.2. Challenges in implementation of NNAP 2012-2017........................................................................7 1.4.3. Recommendations of NNAP 2012-2017.........................................................................................7 1.4.4. Development of KNAP 2018-2022..................................................................................................9 1.5. Target audience for the KNAP............................................................................................................9 Chapter 2: Kenya Nutrition Situation Analysis...........................................................................................10 2.1. Introduction........................................................................................................................................ 11 2.2. The global context.............................................................................................................................. 11 2.3. Regional Trends ................................................................................................................................. 12 2.4. Trends of malnutrition in Kenya......................................................................................................... 12 2.4.1 Trends in undernutrition................................................................................................................... 12 2.4.2 Trends in overweight, Obesity and diet related non-communicable diseases (DRNCDs)............... 15 2.4.3 Trends in Micronutrients deficiencies.............................................................................................. 15 2.4.4 Trends in feeding practices (Children 6-23 months and Adults)...................................................... 16 2.4.5 Mortality Trends............................................................................................................................... 16 2.4.6 Morbidity Trends.............................................................................................................................. 17 2.5. Trends in access to food, care and health services........................................................................... 18 2.6. Nutrition actions in the national development context...................................................................... 19 2.7. Conceptual framework for addressing malnutrition in all its forms................................................... 19 Chapter 3: The Kenya Nutrition Action Plan Design Framework............................................................... 21 3.1 Rationale............................................................................................................................................. 22 3.2 Theory of Change................................................................................................................................23 3.3 Vision, Mission and Guiding Principles............................................................................................... 25 3.4 Objective of the KNAP........................................................................................................................ 26 3.5 Key strategies..................................................................................................................................... 26 Chapter 4: Key Result Areas (KRAs), Strategies and Interventions.......................................................... 27 4.1 Introduction........................................................................................................................................ 28 4.2 Key result areas with corresponding Outcomes, Outputs, Strategies and Activities........................ 29 KRA 1: Maternal, Newborn, Infant and Young Child Nutrition (MIYCN) Scaled-Up........................ 29 KRA 2: Nutrition of Older Children and Adolescents Promoted........................................................ 31 iv THE KENYA NUTRITION ACTION PLAN (KNAP) | 2018 – 2022 Improved Nutrition For All KRA 3: Nutrition Status of Adults and Older Persons promoted....................................................... 33 KRA 4: Prevention, Control and Management of Micronutrient Deficiencies Scaled-Up.................. 35 KRA 5: Prevention, Control and Management of Diet Related Risk Factors for Non-Communicable Diseases scaled up........................................................................................... 36 KRA 6: Prevention and Integrated Management of Acute Malnutrition (IMAM) Strengthened........ 38 KRA 7: Nutrition in Emergencies Strengthened................................................................................ 40 KRA 8: Nutrition in HIV and TB promoted......................................................................................... 42 KRA 9: Clinical Nutrition and Dietetics in Disease Management Strengthened................................ 44 KRA 10: Nutrition in Agriculture and Food Security Scaled up.......................................................... 46 KRA 11: Nutrition in the Health Sector Strengthened....................................................................... 47 KRA 12: Nutrition in the Education Sector Strengthened.................................................................. 48 KRA 13: Nutrition in Water, Sanitation and Hygiene (WASH) Sector Promoted............................... 49 KRA 14: Nutrition in social protection programmes promoted.......................................................... 50 KRA 15: Sectoral and Multi-Sectoral Nutrition Governance (MNG) Including Coordination and Legal/Regulatory Framework Strengthened...................................................................................... 52 KRA 16: Sectoral and Multi-sectoral Nutrition Information Systems, Learning and Research Strengthened..................................................................................................................................... 54 KRA 17: Advocacy, Communication and Social Mobilization (ACSM) Strengthened......................... 57 KRA 18: Capacity for Nutrition Developed......................................................................................... 58 KRA 19: Supply Chain Management for Nutrition Commodities and Equipment Strengthened....... 59 Chapter 5: Costed Action Plans of The KNAP.............................................................................................. 62 5.1 Context .............................................................................................................................................. 63 5.2 Costing Approach............................................................................................................................... 63 5.3 Resource needs for Implementing Kenya Nutrition Action Plan........................................................ 63 5.4 Funding opportunities and sustainability plan for the KNAP.............................................................. 64 Chapter 6: KNAP Monitoring, Evaluation,