APPENDIX 4: DONOR SPENDING ON NUTRITION-SPECIFIC AND NUTRITION-SENSITIVE INTERVENTIONS AND PROGRAMS
T
able A.4 shows how much donors committed to spend on nutrition-specific and nutrition-sensitive interventions
and programs in 2010 and 2012, and how much they actual- ly disbursed in those years. Nutrition-specific interventions or programs are those that address the immediate determinants of fetal and child nutrition and development—adequate food and nutrient intake, feeding, caregiving, and parenting practic- es, and a low burden of infectious diseases. Examples include adolescent, preconception, and maternal health and nutrition; maternal dietary or micronutrient supplementation; promo- tion of optimum breastfeeding; complementary feeding and responsive feeding practices and stimulation; dietary supple- mentation; diversification and micronutrient supplementation or fortification for children; treatment of severe acute malnutrition; prevention and management of moderate acute malnutrition; and nutrition in emergencies.
Nutrition-sensitive interventions or programs are those that
address the underlying determinants of fetal and child nutrition and development—food security; adequate caregiving resources at the maternal, household, and community levels; and access to health services and a safe and hygienic environment—and in- corporate specific nutrition goals and actions. Nutrition-sensitive
programs can serve as delivery platforms for nutrition-specific interventions, potentially increasing their scale, coverage, and effectiveness. Examples of these programs include agriculture and food security; social safety nets; early child development; maternal mental health; women’s empowerment; child protec- tion; schooling; water, sanitation, and hygiene; and health and family planning services. These definitions of “nutrition specific” and “nutrition sensitive” are consistent with The Lancet’s 2013 Series on Maternal and Child Nutrition.
For all donors, commitments represent the total amount
reserved by a donor, backed by the appropriation or avail- ability of the necessary funds, to provide a specified amount of resources for the benefit of a recipient country, agency, or nongovernmental organization. Multiyear commitments may be made in one year but disbursed over several years. There is some variation in how disbursements are reported. For example, the EU 2012 total disbursement figure represents all disburse- ments made against their 2012 commitments, regardless of the year in which they are disbursed. All other donors have reported their disbursements against commitments made in current and previous years.
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