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Approaches for Nutrition Costing and Financial Tracking in SUN Countries MQSUN+ Guidance Note 24 March 2020 About MQSUN+ MQSUN+ aims to provide the UK Department for International Development (DFID) with technical services to improve the quality of nutrition-specific and nutrition-sensitive programmes. The project is resourced by a consortium of five leading nonstate organisations working on nutrition. The consortium is led by PATH. The group is committed to: • Expanding the evidence base on the causes of undernutrition. • Enhancing skills and capacity to support scaling up of nutrition-specific and nutrition-sensitive programmes. • Providing the best guidance available to support programme design, implementation, monitoring and evaluation. • Increasing innovation in nutrition programmes. • Knowledge sharing to ensure lessons are learnt across DFID and beyond. + MQSUN partners Aga Khan University DAI Global Health Development Initiatives (DI) NutritionWorks PATH Contact PATH | 455 Massachusetts Avenue NW, Suite 1000 | Washington, DC 20001 | USA Tel: +1 (202) 822-0033 Fax: +1 (202) 457-1466 About This Publication This guidance note was produced by Andrew Mirelman (WHO), Clara Picanyol (OPM), Barb Koloshuk (independent consultant), Monica Kothari and Carrie Hemminger (PATH). We would especially like to thank the expert technical reviewers for their time and input on this guidance note: Mary D’Alimonte (R4D), Kaia Engesveen (WHO), Patrizia Fracassi (WFP), William Knetchel (SMS), Ann Levin (independent consultant), Carol Levin (University of Washington), and Richard Watts (DI). This document was produced through support provided by UK aid and the UK Government; however, the views expressed do not necessarily reflect the UK Government’s official policies. 21 Table of Contents List of Tables ................................................................................................................................................ 4 List of Figures ............................................................................................................................................... 4 Abbreviations ................................................................................................................................................ 5 Executive Summary ..................................................................................................................................... 7 Introduction .................................................................................................................................................. 8 Costing for Nutrition .................................................................................................................................. 10 Nutrition costing methodologies .......................................................................................................... 10 Costing tools .......................................................................................................................................... 13 Costing challenges and recommendations ......................................................................................... 18 Financial Tracking for Nutrition ................................................................................................................ 20 Nutrition financial-tracking methodologies and tools ......................................................................... 21 Nutrition financial-tracking challenges and recommendations ......................................................... 26 Nutrition budget-analysis methodologies and approaches ................................................................ 27 Budget-analysis challenges and recommendations ........................................................................... 33 Conclusion ................................................................................................................................................. 39 Annex 1: Glossary of Terms ...................................................................................................................... 40 Annex 2: UNICEF Conceptual Framework ................................................................................................ 43 References ................................................................................................................................................ 44 21 List of Tables Table 1. Tools for planning and costing with a nutrition component. ................................................... 15 Table 2. Financial-tracking tools for nutrition. ........................................................................................ 24 Table 3. Percent of subnational financing. ............................................................................................. 27 Table 4. Glossary of terms. ....................................................................................................................... 40 List of Figures Figure 1. Scaling Up Nutrition planning and implementation cycle. ......................................................... 9 Figure 2. Key steps in nutrition costing. .................................................................................................. 12 Figure 3. Estimated subnational financing in SUN countries. ............................................................... 27 Figure 4. SPRING's budget tool methodology. ........................................................................................ 30 Figure 5. Phases of a budget advocacy strategy. ................................................................................... 31 Figure 6. SPRING key lessons for budget-analysis exercise. ................................................................. 32 Figure 7. UNICEF conceptual framework. ................................................................................................ 43 21
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