Country government

Malawi

Nutrition for Growth (N4G) commitment to 2020

Reported progress

Assessment

Financial commitments
London 2013

1. Proportion of total annual government expenditure allocated to nutrition will rise from 0.1% to 0.3% by 2020.

2. Nutrition will be mainstreamed in sectoral budgets, which have a role in fighting malnutrition (education, health, agriculture, and gender).

3. Increase accountability by rolling out the nutrition financial tracking tools and the national monitoring and evaluation framework by 2014.

Reported progress

1. There has been steady increase in budgetary allocation for nutrition, however the expected rise likely not to be met.

2. Nutrition has been mainstreamed in sectoral (education, health, agriculture, and gender) with at least 4 officers in each sector and have a budget line. At district level capacity is being built and at least each district is having 3 nutritionist by the end of the year each district will have 4 nutritionist. This is in the bid to improve service delivery and decentralization.

3. The national M and E framework include the financial tracking system at all levels was developed and rolled out in all the districts. Feedback is provided by districts every month and lessons shared annually through multi-sector platforms

Assessment
On course
Basis of assessment

Steady increase of budgetary allocation for nutition but not likely to meet commitment by 2020.

Impact commitments
New commitment - added in 2015

Reduce stunting among children under-5 children from 47% to less than 20% by 2020.

Reported progress

Some progress being registered stunting is going down from 47% in 2010 to 37% in 2017. However the reduction rates is slow and likely not to meet the target of less than 20% by 2020

Assessment
Off course
Basis of assessment

Annual rate of stunting reduction is lower than required to meet the target.

Policy commitments
London 2013

Develop a Nutrition Act by 2016.

Reported progress

The Nutrition Act was developed and is currently with Ministry of Justice to take it through approval processes. It is anticipated to be tabled in Parliament in November 2019.

Assessment
Reached commitment
Basis of assessment

Nutrition action plan has been developed, although still needs official approval by Parliament.

Program commitments
London 2013

1. Coverage of community-based nutrition services will be scaled up in all districts at traditional authority and village level by 2016.

2. Community Based Acute Malnutrition (CMAM) will be scaled up from 50% to 80% in all districts.

3. Public–private partnerships on nutrition will increase, building on successful examples such as the work with Illovo on sugar fortification with vitamin A.

Reported progress

1. community-based nutrition services have been scaled up in all (100%) districts at traditional authority and village level. However, concentration of interventions varies by district and Traditional authority

2. Community Based Acute Malnutrition (CMAM) has been scaled up in all districts (100% coverage)

3. The PPP has been strengthen through the creation of the SUN Business network. There is lots of engagement on nutrition through the buy Malawian initiative for example ready to use therapeutic supplies are procured locally. This is one way of promoting value addition.

Assessment
Reached commitment
Basis of assessment

Community-based nutrition services have been scaled up; CMAM has been scaled up and exceeded target coverage; PPP have been strengthened