FIGURE 7.4 MODE SCORES FOR PROGRESS MARKERS OF INSTITUTIONAL TRANSFORMATION IN SUN COUNTRIES 3
3 3 2 2 1 2 2 2 2 2 2 2 1 1 1 1 1 1
PROCESS 1: Bringing people into a shared space for action PROCESS 2: Ensuring a coherent policy and legal framework PROCESS 3: Aligning actions around a common results framework PROCESS 4: Tracking finances and mobilizing resources
2 2
Source: Data provided by Patrizia Fracassi, Scaling Up Nutrition (SUN), July 24, 2014.
Note: Data are from 37 countries for 2014. Scoring used a five-point scale (0 = the outcome is absent/not applicable, 1 = started, 2 = ongoing, 3 = nearly completed, 4 = completed). MSP = multistakeholder platform. CRF = common results framework.
TABLE 7.1 REGIONS WITH HIGH RISKS OF, AND WEAK POLICIES FOR, HYPERTENSION AND DIABETES Region (plus countries with largest populations)
Prevalence of high blood pressure is high and hypertension policy is weak Africa (including Dem. Rep. of the Congo, Uganda, United Rep. of Tanzania, Kenya)
Asia (including Myanmar) Europe (including Russian Federation, Poland, Ukraine)
Latin America and the Caribbean (including Dominican Republic) Oceania
Prevalence of high blood glucose is high and diabetes policy is weak Africa (including Ghana, Cameroon, Morocco)
Asia (including Pakistan)
Europe (including Russian Federation, Turkey, Ukraine) Latin America and the Caribbean (including Argentina) Oceania
586.0 92.0
297.0 28.0 0.4
119.0 427.0 220.0 106.0 9.0
Source: Policy data are from WHO (2014h; data are from 2010); data on blood pressure and blood glucose are from WHO (2014i, 2014j; data are from 2008). Popula- tion data are from United Nations (2013b).
Note: Weak policy means that policy is not fully implemented (absent, not implemented, or partially implemented). High prevalence indicates above-median scores across countries for which data are available.
Total population in countries (millions)
DATA GAPS 1. Data identifying and tracking domestic financial resources to nutrition need to be collected, collated, and organized.
2. The differences between different donor reporting systems on nutrition spending need to be better understood, and the reporting systems need to be further harmonized.
3. Existing data on policies, laws, and commitments need to be linked to nutrition status to help determine whether they have an independent effect on nutrition status.
ACTIONS & ACCOUNTABILITY TO ACCELERATE THE WORLD’S PROGRESS ON NUTRITION 55
Select/develop coordinating mechanism Coordinate internally and broaden membership Engage within/contribute to MSP
Track and report on own contribution to MSP Sustain impact of MSP
Analyze existing policies and programs Mainstream nutrition in own policies and strategies Coordinate member inputs into new policy development Develop/update (new) policy/legal framework
Disseminate policy and operationalize legal framework Track and report/sustain policy impact
Align own programs to nutrition-relevant policies Translate policy into CRF Organize implementation of CRF Manage implementation of CRF Evaluate programs to sustain impact Assess financial feasibility Track and account for spending Scale up and align resources
Honor commitments Ensure predictability/multiyear funding
Page 1 |
Page 2 |
Page 3 |
Page 4 |
Page 5 |
Page 6 |
Page 7 |
Page 8 |
Page 9 |
Page 10 |
Page 11 |
Page 12 |
Page 13 |
Page 14 |
Page 15 |
Page 16 |
Page 17 |
Page 18 |
Page 19 |
Page 20 |
Page 21 |
Page 22 |
Page 23 |
Page 24 |
Page 25 |
Page 26 |
Page 27 |
Page 28 |
Page 29 |
Page 30 |
Page 31 |
Page 32 |
Page 33 |
Page 34 |
Page 35 |
Page 36 |
Page 37 |
Page 38 |
Page 39 |
Page 40 |
Page 41 |
Page 42 |
Page 43 |
Page 44 |
Page 45 |
Page 46 |
Page 47 |
Page 48 |
Page 49 |
Page 50 |
Page 51 |
Page 52 |
Page 53 |
Page 54 |
Page 55 |
Page 56 |
Page 57 |
Page 58 |
Page 59 |
Page 60 |
Page 61 |
Page 62 |
Page 63 |
Page 64 |
Page 65 |
Page 66 |
Page 67 |
Page 68 |
Page 69 |
Page 70 |
Page 71 |
Page 72 |
Page 73 |
Page 74 |
Page 75 |
Page 76 |
Page 77 |
Page 78 |
Page 79 |
Page 80 |
Page 81 |
Page 82 |
Page 83 |
Page 84 |
Page 85 |
Page 86 |
Page 87 |
Page 88 |
Page 89 |
Page 90 |
Page 91 |
Page 92 |
Page 93 |
Page 94 |
Page 95 |
Page 96 |
Page 97 |
Page 98 |
Page 99 |
Page 100 |
Page 101 |
Page 102 |
Page 103 |
Page 104 |
Page 105 |
Page 106 |
Page 107 |
Page 108 |
Page 109 |
Page 110 |
Page 111 |
Page 112 |
Page 113 |
Page 114 |
Page 115 |
Page 116 |
Page 117 |
Page 118