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

The total budget for the Annual Operational Plan for Food and Nutrition Security (POASAN) increased from Q 5,342,538,764.44 in 2015 to Q 5,526,904,517.50 in 2019. It subsequently decreased in 2020. The budget for POASAN was higher in 2014, due to the fact the Ministry of Communications, Infrastructure and Housing included actions that did not have a direct relation to food and nutrition security.

Budget of the Annual Operational Plan for Food and Nutrition Security

Allocated:

2014: Q 6,583,800,000

2015: Q 5,342,538,764.44

2016: Q 4,350,760,000

2017: Q 4,741,500,000

2018: Q 5,144,470,000

2019: Q 5,526,904,517.50

2020*: Q 5,117,490,000

Used:

2014: Q 5,609,600,000

2015: Q 3,560,290,000

2016: Q 3,219,470,000

2017: Q 3,628,470,000

2018: Q 4,655,500,000

2019: Q 5,005,510,000

2020*: Q 2,603,560,000

The projection for 2020 is up to the month of June.

Source: Secretariat for Food and Nutrition Security (SESAN), from Integrated Accounting System (SICOIN)/Ministry of Finance (MINFIN)

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

1. The prevalence of chronic malnutrition decreased from 49.8% in 2008-2009 to 46.5% in 2014-2015.

Chronic malnutrition among children under 5 years of age, according to the National Survey of Maternal and Infant Health:

2002: 54.5%

2008-2009: 49.8%

2014-2015: 46.5%

2. Mortality rates for acute malnutrition among children under 5 years of age decreased from 175 cases in 2014 to 118 cases in 2019.

Mortality rates for acute malnutrition among children under 5 years of age confirmed cases by year:

2014: 175

2015: 183

2016: 161

2017: 148

2018: 127

2019: 118

3. The prevalence of anemia in non-pregnant women decreased from 21.4% in 2008-2009 to 14.5% in 2014-2015. In pregnant women, the prevalence of anaemia decreased from 29.1% in 2008-2009 to 24.2% in 2014-2015.

4. The prevalence of anemia among children under 5 years of age decreased from 47.4% in 2008-2009 to 34.2% in 2014-2015.

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 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 Finances Integrated Accounting System (SICOIN). Reports for budgetary progress for POASAN for 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 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 of the treatment of children diagnosed with acute malnutrition: This monitoring was carried out up to 2014. From 2015, it was no longer carried out in a formal capacity due to the prioritization of MONIMIL. Currently, there is a proposal to carry out monitoring of children with acute malnutrition via coordinated intersectoral actions at local and national levels. Monitoring will be conducted via an Android mobile app, using the software Surveyyourdata. This monitoring has not been implemented, due to social-distancing measures resulting from the Covid-19 pandemic.

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 budget for the First 1,000 Days program increased from Q 619,385,546.71 in 2014 to Q 1,008,060,706.50 in 2015. It subsequently decreased up to 2019. The current budget for 2020* is Q 586,482,377.00.

Annual budget for the First 1,000 Days program:

Allocated

2014: Q 619,385,546.71

2015: Q 1,008,060,706.50

2016: Q 648,457,000

2017: Q 779,773,000

2018: Q 603,262,000

2019: Q 449,486,000

2020*: Q 586,482,377.00

Used

2014: Q 528,769,000

2015: Q 786,358,000

2016: Q 568,286,000

2017: Q 604,655,000

2018: Q 529,520,000

2019: Q 438,371,000

2020*: Q 273,404,000

*The projection for 2020 is up to the month of June.

Source: SESAN, from SICOIN/MINFIN

Assessment
Off course
Basis of assessment

Reported progress shows that the budget is decreasing