Report on the Private Sector Consultation on the ...

Report on the Private Sector Consultation on the Development of the Tanzania National Multisectoral Nutrition Action Plan (NMNAP) for 2016/17-2020/21

Report by Dr Festo P. Kavishe, NMNAP Lead Facilitator and Independent Human Development Consultant

Dar Es Salaam, Tanzania

30 April 2016

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Table of contents 1. INTRODUCTION ........................................................................................................................ 3 2. THE CONSULTATION ............................................................................................................... 3 2.1 Facilitation .............................................................................................................................. 3 2.2 Introductions and Opening ...................................................................................................... 3 2.3 The power of nutrition ............................................................................................................ 3 2.4 The role of the SUN Business Network (SBN) ...................................................................... 4 2.5 NMNAP Progress Overview and role of private sector .......................................................... 5 2.6 Introduction to Group Work and formation of groups ............................................................ 6 3. OUTCOME OF THE CONSULTATION ................................................................................... 6 3.1 Working Group Reports ............................................................................................................. 6 3.1.1 Private sector contribution to Adolescent, Maternal, Infant and Young Child Nutrition 6 3.1.2 Private sector contribution to control of Micronutrient Deficiencies ............................. 7 3.1.3 Private sector contribution to Integrated Management of Acute Malnutrition ................ 7 3.1.4 Private sector contribution to the Management of Dietary Related Non Communicable Diseases (DRNCDs) .................................................................................................................... 8 3.1.5 Private sector contribution to Multi-Sectoral Nutrition Response (MNR) ...................... 9 3.1.6 Private sector contribution to Multisectoral Nutrition Information System ................... 9 3.2 Key discussion points............................................................................................................ 10 4. CONCLUSION .......................................................................................................................... 10 5. ANNEXES ..................................................................................................................................... 12 Annex 1: Agenda: NMNAP Consultation with the Private Sector ................................................ 12 Annex 2: LIST OF REGISTERED PARTICIPANTS (NMNAP 2016/17-2020/21) .................... 13 Annex 3: Development of NMNAP: Discussion Points/Questions with Private Sector .............. 14

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1.

INTRODUCTION

1) As part of consultation with various key stakeholders in the development of the NMNAP, the High Level Steering Committee on Nutrition (HLSCN) sub-committee on the development of the NMNAP organized a consultation with the private sector on 15/04/2016 at Protea Courtyard Hotel in Dar Es Salaam. Hosted by GAIN as coordinator of the SUN Business Network, the objective of the consultation was to get private sector input into the NMNAP and recommendations on what they can do to further input into national actions that improve nutrition (see annex 1 for the programme). 2) The consultation was attended by over 40 participants of whom half were from the private sector and the rest from other stakeholders including from the Government, NGOs and the NMNAP Facilitators and Chairs from the six NMNAP Task Teams (see annex 2 for list of participants who registered).

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THE CONSULTATION

2.1

Facilitation

3) The consultation was Co-Facilitated by Mr. Enock Musinguzi, GAIN Country Representative and

SUN Business Network Coordinator and Dr. Festo Kavishe, the NMNAP Lead Facilitator and Independent Human Development Consultant, using a mixed methodology of presentations, discussions and group work with plenary feedback. 2.2

Introductions and Opening self-introductions, the consultation was officially opened by Mr. Obey Ansery Nkya, the SUN Government Focal Point, Coordinator of Government Business in the PMO Office and chair of the NMNAP Steering Committee. 5) Mr. Obey Nkya acknowledged the role played so far by the private sector in addressing the nutrition challenge and assured participants of Government’s intention to strengthen the policy environment for effective Private Sector participation in advancing overall National Development goals including for nutrition. He called upon the Private Sector to scale up their support for nutrition and other human development and social transformation objectives as envisaged in the Five-Year Development Plan II (FYDP II) for the period 2016/17-2020/21, which is the same period as the NMNAP. 4) After

2.3 The power of nutrition 6) Participants were shown a 4-minute video in Kiswahili audio with English sub-titles called “The Power of nutrition” https://www.youtube.com/watch?v=QHIZyYAsSFY. The video animates the power of nutrition in breaking down the vicious nexus of poverty-disease-malnutrition and how investing in nutrition improves educational performance, lessens the burden of disease, reduces poverty, improves agricultural productivity and overall social and economic performance. 7) To provide more specific information on the power on investing in nutrition in Tanzania, Dr. Joyceline Kaganda, TFNC Ag Managing Director made a brief presentation on the Tanzania “PROFILES” as calculated in 2014. PROFILES is an evidence-based tool that was developed by USAID in the 1990s for the purpose of nutrition advocacy. PROFIELS consists of a set of computer-based models that calculate estimates of the benefits of improved nutrition on health and development outcomes. The USAID-funded Food and Nutrition Technical Assistance (FANTA) project III developed the 2014 PROFILES for Tanzania on request by the Government of Tanzania and in collaboration with the Prime

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Minister’s Office (PMO) and TTNC, aiming at developing a national nutrition advocacy strategy and related materials. 8) The results showed that the health and development benefits in improving the nutrition situation in Tanzania are huge. Taking 2025 as the target date and an improving nutrition scenario, about 869,800 children would have been saved from mild to severe brain damage due to maternal iodine deficiency and 120,633 saved from death due to the impact of stunting. Again using an improved nutrition scenario, the estimated future economic gain is a total of about US$4,759 million (about $4.8 billion) of which $3,895 ($3.9 billion) is related to reduction in stunting; US382 million in reduction to improvements in anaemia among no-pregnant women and $ 479 million to improvements in iodine deficiency. The figures underscore the fact that investing in nutrition is not only a health investment, but an economic investment with huge economic returns and the role of the private sector in fortification, education, improving sanitation and hygiene among other things is crucial. 2.4 The role of the SUN Business Network (SBN) 9) Mr. Enock Musinguzi, Country Representative and SUN Business Network Coordinator made a brief presentation on the role of the SUN Business Network. He indicated that the Scaling-Up Nutrition (SUN) Movement has got four networks: the (i) Civil Society Network ▶ (ii) Donor Network ▶ (iii) Business Network ▶ and (iv) the UN Network for SUN ▶. 10) The SUN Business Network (SBN) aims to mobilise and intensify efforts from the business community in support of the SUN Movement globally. In Tanzania the SUN Business Network aims to support Tanzania’s efforts in improving the national nutrition situation, thus its incorporation as a key stakeholder in the development of the NMNAP for 2016/172020/21. The SBN national networks identify where business can support existing national nutrition strategies, sensitise national businesses and other actors to the role business can play as partners to scale up nutrition and mobilise commitments from business in priority areas. 11) The SUN Movement has developed a Guide to Business Engagement aimed at SUN country stakeholders to help inform the development of local strategies to engage business in national nutrition priorities. The guide can be used as a resource to stimulate ideas and dialogue amongst local SUN teams about the potential role of business in local nutrition plans, in addition to supporting the development of local strategies and programmes. Developed in three sections, the guide responds to three basic questions

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about private sector engagement in nutrition: (i) why engage with Business? (ii) How can Business contribute to Nutrition? (Specifically in agriculture and nutrition, large scale food fortification, innovation and local solutions, workplace and supporting overall nutrition sensitive interventions); and (iii) how can we develop a private sector strategy in engaging in nutrition? (Looks at approaches, principles and building relationships, guidelines, guidance, engagement in action and managing and preventing conflicts of interest). 12) Mr. Musinguzi called on participants to fully engage in reflecting and responding to the prepared questions (see annex 3) on the six thematic focus areas of the NMNAP: (i) Adolescent, Maternal, Infant and Young Child Nutrition (AMIYCN); (ii) Control of Micronutrient Deficiencies; (iii) Integrated Management of Acute Malnutrition (IMAM); (iv) Diet Related Non-Communicable Diseases (DRNCD); (v) Multi-Sectoral Nutrition Response (MNR) and (vi) Multi-Sectoral Nutrition Information Systems (MNIS). 2.5

NMNAP Progress Overview and role of private sector

13) Dr Festo Kavishe, Lead Facilitator for the NMNAP and an independent Human Development

consultant briefly presented on the progress made in the development of the NMNAP and the role of the private sector. He indicated that the development of the NMNAP was going on well and in addition to the private sector consultation in the morning of that day, in the afternoon it was planned to have a seminar for the chairs and facilitators of the six focus thematic areas on the “Theory of Change” to ensure that results in the NMNAP are well articulated to be able to measure change and monitor verifiable progress. Moreover, each thematic Task Team was engaging and consulting with key stakeholders in their area of focus. Dr. Kavishe stressed the importance of the private sector in fighting malnutrition, which was very clear when the six thematic focus area task teams started developing their action plans. Recognizing that, the chairs and facilitators of the six task teams were invited to participate in the private sector consultation. Dr. Kavishe gave an example on how the iodization of salt by the private sector reduced the prevalence of goitre from 25% in the 1980s to the current