Nutrition for Growth (N4G) commitment
Reduce stunting from 58% to 48% by 2017.
Progress was recorded following multiple efforts from the government and its strategic partners: breastfeeding promotion; prevention and management of acute malnutrition cases; subsidies for children under 5, and pregnant womens care and services; implementation of highly nutrition-sensitive interventions, including improvement of access and utilisation of quality health services; strategy to tackle micronutrient deficiencies (food fortification and biofortification). Multisectoral joint programmes and strengthened coordination through the multistakeholder platform made the stunting rate reduce gradually (EDSB III 2016-2017: 56%; SMART 2019: 54.2%).
Reported progress shows that the target was not reached by the specified year
1. Strengthen the protection of maternity and breastfeeding through the development and adoption of a new Code of Marketing of Breastmilk Substitutes.
2. Complete the process of launching the Alliance for Food Fortification in Burundi (national policy and strategy).
3. Examine, quantify and validate the multi-sectoral National Strategic Plan against malnutrition by July 2013.
4. Focus more on production and food security and nutrition education.
1. The government through relevant sectors strengthened maternal protection and breastfeeding practice. On 30 May 2018, the code for health care and services was enacted, and defines the guidelines pertaining to the regulation of breastmilk substitutes (regulations on marketing, certification, import, labelling, information leaflets). Bye-laws may be developed.
2. To strengthen nutrition, it is planned to create an alliance with the main stakeholders such as the Ministry of Health through the National Integrated Food and Nutrition Programme (Programme national intgr d'alimentation et de nutrition (PRONIANUT)), the National Food Technology Centre (Centre National de la Technologie Alimentaire (CNTA)), the Standards and Quality Control Bureau of Burundi (le Bureau Burundais de Normalisation et Contrle de Qualit (BBN)), also involving strategic partners and the private sector network. The permanent executive secretariat of the food security and nutrition multisector platform is responsible for coordinating the processes.
3. Malnutrition is a multifaceted problem and requires a multisector response. The Government of Burundi, eager to keep a holistic vision and improve synergies between sectors and different stakeholders, has developed strong coordination tools to bring all stakeholders to work on a common framework for action. Hence the development of the second Multisector Strategic Plan for Food Security and Nutrition 2019-2023 (Plan Stratgique Multisectoriel de Scurit Alimentaire et Nutrition (PSMSAN II)) adopted by the Council of Ministers on 27 May 2020.
4. Thanks to multiple efforts, agriculture and livestock production generally increased across all the country. Food security initiatives were carried out: subsidies of agricultural inputs; introduction of new crops with a high nutritional value like edible mushrooms, orange-fleshed sweet potatoes, beans and other biofortified crops; conservation and transformation of agri-food products; regionalisation of cultures; introduction of agricultural mechanisation; establishment and dissemination of the food composition table; and creation of a National Agency for Stock Management and Food Security (Agence Nationale de Gestion du Stock de Scurit Alimentaire, (ANAGESSA)) and promotion of good nutrition and hygiene practices.
At least half of the individual commitment components are assessed to be on course
1. Develop a monitoring system to be adopted by all stakeholders by the end of July 2013.
2. Implement national guidelines for infant and young child feeding (IYCF)
1. The multisector monitoring and evaluation framework was developed after the Multisector Strategic Plan for Food Security and Nutrition to enable better integration of interventions and more global monitoring of interventions, as well as the connections between different sectors. This framework outlines a strong monitoring system for the results framework of PSMSAN II. Using a pyramidal model, this system is structured around coordination and executive bodies. Each stakeholder grants priority to the results through measuring results, systematic monitoring, and communication of information.
2. A national communication strategy for Infant and Young Child Feeding was developed by the government nutrition services with the support of strategic partners such as UNICEF and World Food Programme (WFP). The implementation of this strategy is regularly monitored and structured evaluations are often conducted in order to monitor indicators.
All commitment components have been achieved