7
THE ENABLING ENVIRONMENT IS IMPROVING, BUT NOT QUICKLY ENOUGH
E
NABLING OR SUPPORTIVE ENVIRONMENTS FOR NUTRITION IMPROVEMENT HAVE A WIDE RANGE OF FEATURES AND RELATE TO BROAD ISSUES OF GOVERNANCE.1
HERE,
we focus on issues such as identifying and tracking financial resources to nutrition, where it is absolutely vital for measurement to improve. We also focus on factors that can increasingly be measured in a comparable way for a large number of countries, such as legislation, policy, and institutional transformation.
THE CHALLENGE OF TRACKING FINANCIAL RESOURCES TO NUTRITION
Although donors and a few countries are making progress in tracking financial re- sources to nutrition, this task has been a challenge for all nutrition actors. There are technical challenges (which components and line items to include or exclude), data collection challenges (how to routinize the data collection), coordination challenges (it can be politically tricky to achieve consensus on what is included and excluded), and planning issues (which time frame to report to).
KEY POINTS
1. Most countries are currently unable to identify and track their financial commitments to nutrition. Several tools exist to accomplish this, and investments will need to be made to build the organization- al capacity to do so. Guatemala provides an inspiring case study.
2. Between 2010 and 2012 commitments and disbursements to nutrition-specific interventions from 13 donors increased by 39 percent and 30 percent respectively. Nutrition-sensitive commitments fell by 14 percent, but nutrition-sensitive disbursements by the 10 donors that reported data rose by 19 percent. Donor reporting on nutrition is becoming more harmonized but has further to go owing to definitional and timing differences.
3. No comment can be made on donors’ Nutrition for Growth financial commitments because 2013– 2014 data are not yet available. The share of official development assistance disbursed to nutrition in 2012 was just above 1 percent.
4. A nutrition spending target for governments and for official development assistance could help focus more attention on this issue. Such a target would need to be complemented by better tracking data on spending to ensure that the quality and quantity of spending are improved.
5. Policies, laws, and institutions are important for scaling up nutrition, and they can be measured. The Scaling Up Nutrition (SUN) process score approach is noteworthy for being a participatory measure- ment process that stimulates reflection and action.
6. Assessments of policies, laws, and institutions can point out actionable disconnects, such as the coexistence of weak policy environments on diabetes and populations with high rates of raised blood glucose levels.
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