[{"bbox": [96, 121, 1134, 307], "category": "Text", "text": "MSNP-III acknowledges that the human resource structure required for effective oversight and implementation requires considerable strengthening at every level (federal, provincial and local). Going forward the focus will be on strengthening capacities to mainstream nutrition within sector ministries, as well as ensuring that nutrition is increasingly central to core development planning and budgeting processes at both provincial and local levels. Confirmation of government commitment to adequately remunerate and support both local level MSNP volunteers (renamed MSNP Facilitators) and female community health volunteers will be a key step forward for effective implementation of the MSNP-III."}, {"bbox": [96, 307, 497, 333], "category": "Text", "text": "Sector Governance (including civil society)"}, {"bbox": [96, 333, 1134, 629], "category": "Text", "text": "MSNP-II was deployed in the context of nascent federalism and has clearly demonstrated an opportunity to mainstream nutrition as a cross cutting priority for human development and the reduction of inequalities (based on gender, age, disability, among others) at all administrative levels. Ensuring policy coherence and optimal synergies across horizontal sectors as well as vertical levels of government is therefore key to the effective implementation of the MSNP. Only coordinated and collaborative long-term engagement of multiple sectors represented by Government and non-government (including organizations of women, youth and persons with disabilities) actors can effectively address and reverse the trends of malnutrition in Nepal. In practice, while substantial efforts have been made to establish a corresponding system of nutrition governance, progress towards such a convergent approach has proven to be difficult to track with sectoral ministries having their own broader mandates and priorities to pursue. A key lesson learned is that nutrition outcomes which are not visible at local level, can be poorly prioritised and financed as compared to more visible investments in infrastructure."}, {"bbox": [96, 640, 1134, 774], "category": "Text", "text": "The flow-chart below provides a snapshot of existing governance arrangements³⁸. At national level, the NPC has been supported by EU and UNICEF to take on a stewardship and coordination role³⁹, while technical and managerial oversight in the implementation of MSNP-II is provided by two committees: 1) the High-Level Nutrition and Food Security Steering Committee (HLNFSSC⁴⁰), and 2) the National Nutrition and Food Security Coordination Committee (NNFSCC⁴¹)."}, {"bbox": [96, 785, 1134, 973], "category": "Text", "text": "As Nepal transitions from a unitary form of government to federalism, improving nutrition governance requires (i) clarifying roles, responsibilities and coordination mechanisms between federal/national and provincial and local Governments (including PLNFSSCs and LNFSSCs⁴²); (ii) ensuring availability and adequacy of both financial and human resources, particularly at local level; (iii) understanding and championing a coordinated multi-sectoral gender-responsive and inclusive approach to nutrition by political, bureaucratic and technical stakeholders at all levels of Government; and (iv) tailored and evidence-based, multi-sectoral plans of action for nutrition at local level with availability of resources and capacities to drive implementation."}, {"bbox": [314, 986, 914, 1411], "category": "Picture"}, {"bbox": [86, 1491, 337, 1515], "category": "Footnote", "text": "³⁸ Source: World Bank (2022)"}, {"bbox": [86, 1515, 1143, 1563], "category": "Footnote", "text": "³⁹ EU supported TA from UNICEF has contributed to build the capacity of the NNFSS to facilitate joint meetings and to improve overall coordination across MSNP sectorial ministries."}, {"bbox": [86, 1563, 1143, 1611], "category": "Footnote", "text": "⁴⁰ This is the highest-level Government body chaired by the Honourable Vice Chairman of NPC and members include Members of the NPC"}, {"bbox": [86, 1611, 944, 1637], "category": "Footnote", "text": "⁴¹ The Coordination Committee aims to meet once a quarter to take stock of MSNP-III implementation."}, {"bbox": [86, 1637, 1028, 1661], "category": "Footnote", "text": "⁴² At the sub-national level, the constitution, functionality and outputs of these committees often remains unclear."}, {"bbox": [1038, 1681, 1143, 1706], "category": "Page-footer", "text": "Page 9 of 27"}]