Country government

Guatemala

Nutrition for Growth (N4G) commitment to 2020

Reported progress

Assessment

Financial commitments
London 2013

Increased budget for food and nutrition security by 32% by 2014 based on an intersectoral approach that aims to promote food and nutrition security.

Reported progress

Budget of the Annual Operational plan for Food Security and Nutrition, 2013-2019

2013: Q6,099,515,356.00

2014: Q6,583,808,137.52

2015: Q5,342,540,779.44

2016: Q4,349,311,955.75

2017: Q4,741,504,662.00

2018: Q5,144,478,293.79

2019: Q4,961,260,716.00

Source: Integrated accounting system. Report R0818983.rpt, law on access to public information.

Assessment
Off course
Basis of assessment

The budget for food security and nutrition increased between 2013 and 2014, but not by the targeted amount. Moreover, annual funding has been lower for every year since the financial commitment was announced.

Impact commitments
London 2013

1. Reduce stunting prevalence from 49.8% to 39.8% by 2015.

2. Ensure that no deaths occur from acute malnutrition through improved healthcare practices.

3.Reduce the prevalence of anaemia among women of reproductive age and pregnant women.

4. Reduce the prevalence of anaemia in children under age 5.

Reported progress

1. Prevalence of chronic malnutrition among children under 5 years of age: 46.5%.

Source: National survey of Maternal and Child Health and 2014-2015.

2. Mortality rates for acute malnutrition have been decreasing since 2014 (175 in 2014, 183 in 2015, 161 in 2016, 148 in 2017, and 137 in 2018).

Source: Ministry of health statistics.

3.

2008-2009: Prevalence of anaemia among pregnant women: 29.1%

2014-2015: Prevalence of anaemia among pregnant women: 24.2%

2008-2009: Prevalence of anaemia among non-pregnant women: 21.4%

2014-2015: Prevalence of anaemia among non-pregnant women:14.5%

Source: National survey of Maternal and Child Health 2008-2009 and 2014-2015.

4.

2008-2009: Prevalence of anaemia in boys and girls from 6 to 59 months of age: 47.7%

2014-2015: Prevalence of anaemia in boys and girls from 6 to 59 months of age: 32.4%

Source: National survey of Maternal and Child Health 2008-2009 and 2014-2015.

Assessment
On course
Basis of assessment

Although commitment 1 was not met by the deadline, the prevalence of stunting did decrease; similarly, deaths from acute malnutrition decreased although not to 0. Commitment 3 and 4 have been achieved.

Policy commitments
London 2013

Monitor and evaluate the Covenant Zero-Hunger Plan by:

- Conducting annual surveys, including monitoring of the implementation of the First 1000 Days program to refocus efforts and evaluate the impact.

- Monitoring and ensuring proper treatment of cases of acute malnutrition.

- Monitoring of financial performance.

- Monitoring the implementation of the plan at the municipal and district levels, with the update of the institutions regarding the progress of interventions using a tool developed by SESAN (Secretariat for Food and Nutritional Security).

- Publishing reports on the website of the Information System, Monitoring and Early Warning of Food Insecurity and Nutrition.

Reported progress

The Zero Hunger Project was in effect from 2012 to 2015. Currently, the National strategy for the Prevention of Chronic Malnutrition (ENDPC) 2016-2020 is in effect. Financial tracking of the ENDPC is carried out using the ministry of Finance’s Integrated Accounting System. The National Information System on Food Security and Nutrition (SIINSAN) includes the performance of the financial tracking of the ENDPC: http://www.siinsan.gob.gt/siinsan/enpdc/. The monitoring of the delivery of interventions to the beneficiaries of the ENDPC, is conducted through the MONISAN. These interventions are related to the 1000 Days Window of Opportunity, Conditional Cash Transfers, and Programmes of Family Agriculture. The monitoring started last year and is conducted every four months. The 2018 MONSIAN report is available at: http://www.siinsan.gob.gt/siinsan/monitoreo-y-evaluacion/

Assessment
On course
Basis of assessment

Monitoring and evaluation efforts for nutrition are ongoing.

Program commitments
London 2013

Support the implementation of the First 1000 Days program:

- The Ministry of Health and Social Security in Guatemala to increase its budget to support the implementation of First 1000 Days program, taking into account the growth rate of the population of Guatemala.

- Ensure financial resources are dedicated to nutrition during the annual General Budget for Income and Expenditure for the country.

Reported progress

Current annual Budget for the 1000 day (Window of Opportunity) Programme, 2014-2019

2014 2015 2016 2017 2018 2019

Q619,385,546.71 Q1,008,060,706.50 Q618,002,585.75 Q779,773,118.68 Q740,077,063.88 Q446,058,412.00

Source: Integrated accounting system. Report R00818906.rpt, law on access to public information.

From 2017 onwards – Integrated accounting system, report: R00804768.rpt, Operational Expenses

Assessment
Off course
Basis of assessment

Budget has decreased over the period since the London N4G Summit.