UN Inventory: Nutrition Action Framework - Potential Actions for Food, Agriculture & Diets

1. UN Inventory - Nutrition Action Framework Potential actions Food, agriculture & diets Maternal & child care Health-based • Maternal, Neonatal & Child Health Care • Ante- & post-natal care • Health professional-assisted delivery • Basic paediatric health services • Micronutrient Supplementation • Iron & folic acid/Iron supplementation • Vitamin A/D/zinc/Ca/iodine supplementation • Multiple micronutrient supplementation • Management of Acute Malnutrition • Mgt of severe acute malnutrition (SAM) • Mgt of moderate acute malnutrition (MAM) • Food technology support for specialized nutrition foods • Disease Prevention & Management • Anti-malaria • Diarrhoea mgt. (e.g. ORT w/ zinc) • Vaccinations (measles, polio, etc.) • HIV mgt. & PMTCT • Mgt. of tuberculosis • Mgt. of respiratory infections • Water & Sanitation • Improvement of water supply/source quality • Sanitation facilities management • Consumption • Improvement of local recipes • Public guidance & consumer awareness/protection • Complementary feeding • Horticulture/Crops • Diversification & locally adapted varieties • Biofortification • Livestock & Fisheries • Animal husbandry, fisheries & insect farming • Animal services • Food Processing, Fortification & Storage • Food processing (excluding fortification) • Fortification (including salt iodization & complementary foods) • Food storage • Infant & Young Child Feeding • Protection, promotion & support of optimal breastfeeding • Improvement of complementary feeding • Hygiene • Hand-washing • Household water treatment & storage • Food hygiene • Sanitation management • Care for Children/ P&L Women • Care to pregnant/lactating women • Childcare support/caregiver workload • Health Behaviours • Health-seeking behaviour • Insecticide-treated nets (anti-malaria) • Family planning behaviour (incl. adolescent girls) Context assessment  Do no harm  Equity  Women’s empowerment  Multi-sectoral collaboration  M&E (explicit nutrition objectives & indicators) Social protection Social Safety Nets • Market Regulation & Insurance • Minimum maternity protection • Insurance (health, unemployment, weather, etc.) • Macroeconomic levers • Food assistance for vulnerable population groups • School-based social safety nets • Assisted health services • Poverty reduction &/or emergency risk mitigation • Governance • Situation analysis, advocacy & communications • Policy formulation/review & planning • Human & institutional capacity development/training • Effectiveness & accountability

2. Food, Agriculture and Diets: Actions and sub-actions by thematic area • HORTICULTURE/CROPS • Diversification & locally adapted varieties • Fruit and vegetable gardens • Intercropping, rotation & sequencing • Inputs & irrigation • Market linkages and consumption promotion • Biofortification • Introduction of micronutrient-rich plant varieties • Social marketing campaigns and market linkages CONSUMPTION • Improvement of local recipes • Trials of improved practices • Nutrition training/sensitisation/counselling for mothers &/or other caregivers • Nutrition education in schools & in the workplace • Public guidance & consumer awareness/protection • Formulation of national, food-based dietary guidelines • Public information (social marketing) campaigns • Food labelling & commercial advertising • Complementary feeding • Dietary diversification • Fortified complementary foods • FOOD PROCESSING, FORTIFICATION & STORAGE • Food processing (excluding fortification) • Malting, drying, pickling and curing at household level • Other nutrition–oriented food processing • Nutrition education • Fortification (including salt iodisation) • Mass and community fortification • Point-of-use fortification • Fortified complementary foods • Nutrition education and social marketing campaigns • Food storage • Household food storage/silos • Large-scale food storage • LIVESTOCK & FISHERIES • Animal husbandry, fisheries & insect farming • Extensive animal rearing (e.g. cattle among (agro)pastoralists) • Homestead animal rearing (e.g. poultry, sheep, goats) • Aquaculture & capture fisheries • Insect-farming • Processing, handling, market access and consumption • Animal services • Vaccinations, parasite control, breeding support & other vet. services • Feed & water • Shelter & settlement • Basic hygiene education

3. Maternal and Child Care: Actions and sub-actions by thematic area • HYGIENE • Hand-washing • Hand-washing education & promotion • Provision of water, soap and other supplies • Hand-washing facilities • Household water treatment & storage • Water treatment methods for drinking water • Safe storage of drinking water • Food hygiene • Food hygiene education & support • Infrastructure & technology • Sanitation Management • Sanitation mgt. education & sanitation environment support INFANT & YOUNG CHILD FEEDING • Promotion, protection and support of optimal breastfeeding practices • Health service level actions (professional, lay & peer) • Community level actions • Communication (media & social marketing) • Improvement of complementary feeding • Availability of appropriate complementary foods • Access to complementary foods • Food technology & quality & safety of complementary foods • Basic instruction/nutrition education on optimal complementary feeding • CARE FOR CHILDREN/PREGNANT & LACTATING WOMEN • Care to pregnant & lactating women • Reduced working hours/special leave (e.g. Maternity Protection) • Provision of essentials (food, water, shelter) and nutrition education to support good maternal nutrition and recommended child feeding practices • Income &/or productive assets support • Psycho-social support to help mothers adopt the recommended breastfeeding practices • Childcare support/caregiver workload • Childcare services & support • Provision of essentials (food, water, shelter) to support good child feeding practices • HEALTH BEHAVIOURS • Health-seeking behaviour • Instruction on early signs/symptoms of pregnancy as well as illness and disease • Promotion of uptake of maternal, neonatal & paediatric health services • Insecticide-treated bednets (anti-malaria) • Guidance on use & mgt. of insecticide-treated nets • Social marketing campaigns on bednets • Family planning behaviour (including adolescent girls) • Prevention of adolescent pregnancy (including prevention of early marriage) • Voluntary family planning and reproductive health education & support • Social marketing campaigns

4. Health-based: Actions and sub-actions by thematic area • MANAGEMENT OF ACUTE MALNUTRITION • Management of severe acute malnutrition • Outpatient management of severe acute malnutrition (SAM) • Inpatient management of SAM • Management of moderate acute malnutrition • Targeted supplementary feeding • Blanket supplementary feeding • Food technology support for specialized nutritious foods • Local production of specialized nutritious foods for management of acute malnutrition • PREVENTION & MANAGEMENT OF SOIL, WATERBORNE & ENDEMIC DISEASES • Anti-malaria • Deworming for management of intestinal parasites <also applicable to Diarrhoea management> • Intermittent preventive treatment of malaria for pregnant women • Iron supplementation • Diarrhoea management • Oral rehydration treatment with zinc • Management of severe acute malnutrition • Water, sanitation & hygiene interventions to prevent diarrhoea • Vaccinations • Measles vaccination • Polio vaccination • Rotavirus & cholera vaccinations • HIV management & prevention of mother to child transmission • Antiretroviral therapy or prophylaxis • Supplementation • Infant feeding counselling & support • HIV/AIDS education • Management of tuberculosis • Direct Observed Treatment Short-course (DOTS) treatment • Nutrition Counselling • Supplementation • Management of acute malnutrition in individuals with active TB • Management of respiratory infections • Antibiotics treatment • Nutrition counselling • Supplementation MATERNAL, NEONATAL & PAEDIATRIC HEALTH CARE • Antenatal & postnatal care • Basic nutrition education & health counselling • Micronutrient supplementation • Nutrition & medical screening & referrals • Supplementary feeding (balanced energy protein & multiple micronutrient) • Disease prevention & management (including anti-malaria interventions) • Health professional-assisted delivery • Obstetrics & neonatal care • Infant & young child feeding counselling & support • Basic paediatric health services • Growth monitoring & promotion • Vaccinations • Diseases prevention & mgt. (including anti-malaria) • MICRONUTRIENT SUPPLEMENTATION • Iron or Iron/folic acid supplementation • Iron/folic acid supplementation for women/adolescent girls • Iron supplementation for children • Nutrition education & behaviour change communication <also applicable to below Action 2 > • Supplementation of vitamins A/D/calcium/zinc/iodine • Vitamin A supplementation • Vitamin D supplementation • Calcium supplementation • Zinc supplementation • Iodine supplementation • Multiple micronutrient supplementation • Point-of-use fortification • Multiple micronutrient supplements • Nutrition education & behaviour change communication • WATER & SANITATION • Improvement of water supply & source quality • Safe water kits • Water source & distribution systems • Water treatment for water sources • Sanitation facilities management • Community led total sanitation • Sanitation systems • Latrine construction &/or rehabilitation & excreta mgt. • Water, sanitation (& hygiene) education & social marketing

5. Social Protection: Actions and sub-actions by thematic area • MARKET REGULATION & INSURANCE • Minimum maternity protection • Maternity protection • Childcare support • Insurance • Health insurance • Unemployment insurance • Livelihood-related insurance • Macroeconomic Levers • Minimum wage • Price subsidies • Tariffs/Taxes SOCIAL SAFETY NETS • Food assistance for vulnerable population groups • Blanket supplementary feeding • School-based Social Safety Nets • School feeding for school-age children • Assisted health services • Maternal health visits • Child health visits • Poverty reduction &/or emergency risk mitigation • General food distribution • Public works programmes & asset protection • Price subsidies

6. Nutrition Governance: Actions and streams • MULTI-SECTORAL GOVERNANCE ACTIONS • Situation analysis, advocacy and communications • Policy formulation/review and planning • Human and institutional capacity development//training • Effectiveness and accountability (e.g. information systems) SECTORAL Governance Actions • Situation analysis, advocacy and communications • Policy formulation/review and planning • Human and institutional capacity development/training • Effectiveness & accountability (e.g. information systems)