Nutrition for Growth (N4G) commitment to 2020
1. Increase government expenditure on nutrition to reach the estimated additional US$30 per child under 5 required.
2. Progressively match additional cooperating partner’s resources through new and existing nutrition budget lines.
3. Increase financial contributions by at least 20% annually for the next 10 years.
1. The country has shown marginal improvement in government expenditure on nutrition per under five child per annum from ZMW 6.8 2013 to ZMW 22.1. This translates to US$ 0.57 in 2013 to US$ 1.84 in 2019 using exchange rate of ZMW12.00 to US$1.00
The trend in ZMW is shown below:
2013; 6.8 ZMW per child per annum
2014; 12.7 ZMW per child per annum
2015; 11.6 ZMW per child per annum
2016; 12.3 ZMW per child per annum
2017; 11.0 ZMW per child per annum
2018; 19.3 ZMW per child per annum
2019; 22.1 ZMW per child per annum
This trend shows marginal improvement in government expenditure in nutrition between 2013 and 2017. Despite doubling expenditure in nutrition from 2017 to 2019 the country is still very far from achieving this target of about ZMW360.00 per under five child per year (US$30).
2. Analysis from the 2019 Government’s Revenue and Expenditure Framework, (National Budget) showed that a Total of ZMW 72,384,000 (Government Contribution) equivalent to US$6,032,000 was contributed by government to match cooperating partner resources. As of date data collected from in country Nutrition Cooperating Partners indicated that donors pledged an excess of US$14,757,759 in 2019.
3. Below is the trend on the increase on financial contributions from 2013 to 2019
Year; ZMW; US$
2013; 19,372,000; 1,614,333.33
2014; 37,019,000; 3,084,916.67
2015; 34,697,000; 2,891,416.67
2016; 37,500,000; 3,125,000.00
2017; 34,300,000; 2,858,333.33
2018; 61,874,000; 5,156,166.67
2019; 72,384,000; 6,032,000.00
Exchange US$1 = ZMW 12.00
The trend shows improvement in financial contributions from Government, there was not a yearly increase of at least 20% as planned. However, there was a significant increase in 2018 due to introduction of new food and nutrition budget lines across sectors.
Two out of three commitments are off course. Commitment 1 falls far short of the target expenditure per child. Original language of commitment 2 is vague but is current government financial contributions are less than half that of donors'. For Commitment 3, while a 20% increase per year has not been realized, Zambia has made an impressive overall increase since the London N4G Summit (274% increase between 2013 and 2019).
Reducing chronic undernutrition by 50% in the next 10 years.
The 50% reduction in chronic undernutrition means moving from 40% (2013/2014) to 20% by 2025. This would translate as reducing stunting by 2 percentage points per year. Currently chronic malnutrition has reduced to 35% in 2018 (ZDHS 2018) from 40% in 2014. This shows a reduction by 5 percentage points in 5 years. To achieve this by 2025 commitment Zambia has to reduce stunting by 3% points per year.
Achievements have been made towards commitment but the country will have to increase their efforts to meet the full commitment by 2025.
1. Resolve the human resource and financial gaps in the five key line ministries.
2. Strengthen the governance and coordination mechanisms by establishing direct oversight of progress toward agreed national targets and strengthening the line ministries involved particularly to deliver at community level.
3. Strengthen the functioning and accountability of the National Food and Nutrition Commission of Zambia to adequately coordinate across the key sectors.
1. The workforce report is currently being updated that will consider recent recruitment and deployment of staff especially in Ministry of Health and Ministry of Agriculture. The Financial gaps will be met by introduction of nutrition specific and nutrition sensitive budget lines through the progress on operationalization of the US$ 40 per Under 5 Child per year as directed by the Special Committee of Permanent Sectaries to all sectors implementing nutrition sensitive and specific interventions in the period of the 7 National Development Plan (2017-2021).
2. The National Food and Nutrition Commission (NFNC) remains the Government’s Nutrition Focal Point and convener for Scaling Up Nutrition and serves as Secretariat for High Level Special Committee of Permanent Secretaries on Nutrition (PSs) involving 10 ministries, as well as the National Multistakeholder Platform (MSP). The Special committee of PSs on Nutrition has met three times in 2019 to track progress towards achieving some targets such as ensuring key ministries increase budget lines for nutrition, nutrition workforce needs for their ministries are addressed, and all ministries to comment on the Food and Nutrition Bill, and strengthening integration of nutrition activities at community level. NFNC has further continued to strengthen and expand coordination structures at sub national level with District Nutrition Coordinating Committees increasing from 14 in 2014 to 31 in 2019. The 1st 1000 Most Critical Days Programme II (MCDP II) that commenced this year prioritizes inclusion of a hybrid Nutrition Care Group model to leverage ministerial structures for service delivery at community level. The objective of this approach is to increase convergence of high impact nutrition-specific and nutrition-sensitive interventions at community level and strengthen decentralized multi-sectoral programming for nutrition improvement.
3. The Food and Nutrition Bill (that intends to repeal the National Food and Nutrition Commission Act of 1967) with provision to strengthen coordination across sectors is has been submitted for Internal Legislation at Ministry of Justice and is expected to be submitted to Parliament in the current seating of Parliament. The National Food and Nutrition Commission of Zambia (NFNC) with facilitation from Cabinet Office has generated its institutional strategic plan for the period 2019 to 2021 in alignment with the 7th National Development Plan. NFNC has redefined its mission in this strategy to coordinate delivery of Food and Nutrition Action for optimal nutrition of the nation. This will be implemented under two strategic themes of Service Coordination Excellence and Operational Excellence. To this effect the Commission has commenced realigning its staffing structure to speak to the need for multi-sectoral coordination and overall sector leadership at national and sub national levels.
Significant achievements made towards the commitment.
Progressively encourage the involvement of the private sector to enable access to affordable and appropriate nutritious foods to mothers, children, and other vulnerable groups.
SUN Business Network membership has grown from 14 to 90 members (private companies) between 2014 and 2019. A total of 35 companies are currently producing nutritious foods. This number increasing from 2 to 35 over the same period. The Good Food Logo, a front of the pack label has been developed to help consumers on making healthy food choices. Support to the Government through the Zambia Bureau of Standards to enhance capacity in Good Food Logo product testing and certifications has been provided including trainings and support in the recruitment of companies for the Good Food Logo certification Mark. Private sector has been supported with information and tools to support efforts in the production of nutritious foods. To date 10 companies have applied to use Good Food Logo and 5 have been Audited by ZABS. A website developer has been engaged to develop a social platform that provide information to private sector and users on the Good Food Logo processes. Five companies are reported ready for the certification mark. A healthy diet campaign has been planned through a prominent media house to promote the Good Food Logo among the general population which shall also create demand for nutritious foods.
Significant achievements made towards the commitment.