Country government

Guatemala

Nutrition for Growth (N4G) commitment

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 execution of the Annual Operational Plan for Food and Nutritional Security (POASAN). Since 2013, the POASAN budget execution has been monitored on a monthly basis through the Integrated Accounting System (SICOIN) of the Ministry of Finance. The POASAN budget execution reports for the period 2013 to 2021 can be consulted at the following link:http://www.siinsan.gob.gt/siinsan/ejecucion-presupuestaria/ The total budget of the Annual Operational Plan for Food and Nutritional Security (POASAN), increased from Q5,342,538764.44 in 2015 to Q5,526,904,517.50 in 2019, subsequently decreasing in 2020 and 2021. The POASAN budget was higher in 2014, due to the fact that the Ministry of Communications, Infrastructure and Housing, linked actions that did not have a direct relationship with food and nutritional security.

Assessment
Off course
Basis of assessment

Reported progress shows that the budget is decreasing, although 2014 is the earliest figure

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

The prevalence of chronic malnutrition decreased from 49.8% in 2008/2009 to 46.5% in 2014/2015. A National Survey of Maternal and Child Health has not been conducted since 2015. The "Gran Cruzada Nacional por la NutriciĆ³n" survey is currently being conducted to establish the baseline for the government strategy to combat malnutrition. Information related to chronic malnutrition will be available by the end of 2021.

2. There is a trend of mortality due to acute malnutrition in children under five years of age. Mortality due to acute malnutrition in children under five years of age increased from 175 in 2014 to 183 in 2015, then showed a decreasing trend. In 2020, the Ministry of Health reported 85 cases of death due to acute malnutrition.

The prevalence of anemia in non-pregnant women, decreased from 21.4% in 2008/2009 to 14.5% in 2014/2015. Regarding pregnant women, the prevalence of anemia decreased from 29.1% in 2008/2009 to 24.2% in 2014/2015. The "Gran Cruzada Nacional por la NutriciĆ³n" survey to establish the baseline for the government strategy to combat malnutrition called is currently underway. By the end of 2021, information related to anemia in pregnant and non-pregnant women will be available.

4. Not reported

Assessment
On course
Basis of assessment

At least half of the individual commitment components are assessed to be on course

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

a. Quantitative targets of the Annual Operational Plan for Food and Nutrition Security (POASAN): Quarterly financial tracking of the progress of the Covenant Zero-Hunger Plan was carried out via a municipal tracking matrix. This monitoring took place until 2015.

b. Progress on the POASAN: Monthly financial tracking of POASAN is conducted via the Ministry of Finance's Integrated Accounting System (SICOIN). Reports for budgetary progress for POASAN for the years 2013-2020 can be found using the following link: http://www.siinsan.gob.gt/siinsan/ejecucion-presupuestaria

c. Monitoring of the First 1,000 Days program (MONIMIL): MONIMIL monitored the consumables, equipment, human resources and other aspects related to the capacity of health services to deliver the selected actions of the First 1,000 Days program: Improvement of complementary feeding from 6 months of age; vitamin A supplementation; zinc supplementation in the management of diarrhea; provision of micronutrient powders; deworming and vaccination; iron and folic acid supplements for the prevention and/or treatment of anemia in pregnant women; and the prevention and treatment of acute malnutrition. This monitoring was carried out until 2017. From 2018, it was replaced by Monitoring of Food Security and Nutrition (MONISAN). The overall objective of MONISAN is to monitor the delivery of interventions related to food and nutritional security to the beneficiaries of government programs. These interventions are related to the First 1,000 Days program, Conditional Cash Transfers, the Family Farming Program to Strengthen the Rural Economy and the School Nutrition Program. The monitoring is conducted quarterly via a national survey with regional representation, in homes that are selected randomly. The reports can be found using the following link: http://www.siinsan.gob.gt/siinsan/monitoreo-y-evaluacion

d. Monitoring the treatment of children diagnosed with acute malnutrition. This monitoring was performed until 2014; from 2015 onwards it was no longer performed officially, because priority was given to the implementation of MONIMIL. Currently, there is a proposal to conduct monitoring of children suffering from acute malnutrition at the household level. The objective of this monitoring is to promote comprehensive care for children under five suffering from acute malnutrition through the coordination of intersectoral actions at the central and local levels. The monitoring will be carried out through a mobile application for devices with Android operating systems, using ArcGIS Survey123 software. This monitoring was to be implemented as of July 2021.

Assessment
On course
Basis of assessment

At least half of the individual commitment components are assessed to be on course

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

The thousand Days Window Budget: The Thousand Days Window budget increased from Q 619,385,546.71 in 2014 to Q 1,008,060,706.50 in 2015, subsequently it showed a decreasing trend until 2019, from 2020 it shows an increasing trend, in 2021 the budget is Q 643,654,856.00. Source: SESAN, from SICOIN/MINFIN.

Assessment
On course
Basis of assessment

Reported progress shows that the budget is increasing as of 2020