📋 Tender Overview
Scope :
Multi-sectoral approaches are a critical element of successful country responses to stunting. The policy framework in PNG clearly recognizes this, and actions for advocacy, commitment building, knowledge sharing, and policy engagement can support the operationalization of a multi-sectoral approach in GoPNG actions. Multi-sectoral initiatives can address poor nutrition through three main pathways: (i) direct nutrition (or nutrition specific) interventions and programs which target the direct drivers of undernutrition, burden of illness and infections, inadequate care, nutrient intake and feeding practices, poor quality diet and inadequate diet diversification, inadequate WASH; (ii) nutrition sensitive programs and approaches, which target the underlying determinants of undernutrition and call for applying a nutrition lens to existing sector interventions; and (iii) coherent policy to create an enabling environment.Direct nutrition interventions, essential or high impact nutrition actions, are critical but will not suffice to achieve sustained and large reductions in child undernutrition. Direct nutrition interventions address the immediate causes of undernutrition, i.e., by improving nutrient intake and reducing burden of illness, and are typically delivered through healthand nutrition programs, implemented by the health sector. The first 1,000 days from conception to age 2 years are the most critical to reduce stunting. Global evidence suggests that scaling up coverage of a package with ten proven cost-effective nutrition-specific interventions to 90 percent could achieve a mean 20.3 percent reduction in stunting and a 61.4 percent reduction in severe wasting. This could make a substantial dent in undernutrition, particularly in the many countries that are far from the 90 percent coverage rate for this proven and cost-effective package of interventions. Both direct nutritionspecific and nutrition-sensitive actions must come together for improved impact. To maximize the impact on the ground these actions need to be synchronized in timing and sequence for the same set of households and the relevant policies and programs are coordinated to support such synchronization. The importance of synchronization of multiple actions that are critical to improving nutrition across various sectors highlights the needs of co-locating of key programs and services, strong systems requirements, and adequate use of monitoring information to make the necessary changes for greater impact. Figure 4below outlines the importance of a multi-sectoral interventions that are targeted at the household, individual andstructural level to address the main drivers of child stunting:access to food security and diversity at the household level(demand-side); a
