Nutrition for Growth (N4G) commitment
Increase the government’s financial allocation to nutrition and food security and create a specific budget line for nutrition in budgets for the Ministries of Health and Sanitation, Agriculture, and other relevant ministries.
Sierra Leone government is not making progress in terms of financial investment on nutrition interventions. Overall nutrition expenditure for government decreased by 7% in real terms from 2016 to 2017. In nominal terms, nutrition expenditure increased by 5% from 2016 to 2017.
1. Reducing the prevalence of stunting from 25.7% to 11.7% in under-2 children.
2. Reducing wasting from 6.9% to 2.0%.
3. Increasing exclusive breastfeeding from 32% to 70%.
1. Despite the moderate investment on nutrition intervention by Government of Sierra Leone, progress towards meeting the N4G commitment is not satisfactory especially in addressing stunting and wasting. The N4G commitment is to reduce stunting from 25.7% to 11.7% and wasting from 6% to 2% by 2020. However, stunting has increased to 31.5%.
2. Wasting also increased to 8.4% in 2017.
3. There was a moderate increase of exclusive breast-feeding from below 60% to 61.6% in 2017.
Although some progress has been made towards exclusive breastfeeding, improvements will need to accelerate to meet targets by 2020. Stunting and wasting have increased a significant amount despite targets to reduce both.
1. Finalize and endorse 5-year Nutrition and Food Security costed plan by July 2013.
2. Prioritize fundraising to ensure successful implementation of the Nutrition and Food Security costed plan.
3. Establish legal frameworks and enforce the Code for the Marketing of Breast Milk Substitutes and food fortification.
1. Continuously improve national planning and implementation to end malnutrition – Sierra Leone have completed nutrition plans, endorsed at the highest level, with national nutrition targets and cost actions that guide collective implementation and resource allocation from 2019 to 2025.
2. Mobilize, advocate and communicate for impact
- have increased the salience of nutrition as a top policy, financing and institutional priority at national, regional and global levels
- have increased implementation of social mobilization, advocacy and behaviour change communication actions aligned with national priorities
- more effectively communicate the economic, development and human impacts of malnutrition and the ways to improve it
3. Partnership with Parliamentarians and Mayors/Chairpersons of City Councils is to ensure that child (and maternal) malnutrition and related poor health and high mortality issues are placed and remain high on the new Government’s Agenda. It is also to ensure that through high publicity of actions of Parliamentarians and Mayors on issues of child malnutrition and child wellbeing are prominent in the public domain.
Role and Priority Actions for Parliamentarians
Legislation and policy
- Introduce and support enactment of new policies e.g. Code on the Marketing of Breast milk Substitutes
- Adopt and translate into SL policies and legislation international Conventions that promote nutrition and food security e.g. – 2000 ILO Maternity Protection Convention
- Monitor and support enforcement of legally enforceable legislation e.g. paid maternity [and paternity] leave by GOSL MDAs, INGO/NGOs, private sector
- Establish regulations to promote proper branding – e.g. proper food labelling
Commitment 1 was reached and the second iteration of the plan is underway. The language of commitment 2 is vague but some efforts are underway.
Scale up community support networks for nutrition and food security.