Annual Progress Report 2010-LQ

acf InternatIonal Strategy 2010-2015 AnnuAl Progress rePort (2010)
ACF InternAtIOnAl StrAtegy 2010-2015
AnnuAl PrOgreSS rePOrt (2010)
Contents
the ACF International strategic plan for 2010-2015 ACF operations & beneficiaries goal 1 goal 2 goal 3 goal 4 goal 5 Annex 3 4 6 10 14 16 24 27
FIVe MAIn StrAtegIC PIllArS 1. Increase ACFs impact on acute malnutrition, curatively and preventively, especially in young children 2. respond to and prevent humanitarian crises, address vulnerability and reinforce longer term population resilience to crises 3. Further develop partnership with local, national and international stakeholders to increase the number of people we assist and promote sustainability 4. Build ACF capacity to ensure effective and efficient response to humanitarian crises 5. Become preeminent as an advocate and reference source on hunger and malnutrition
Cover photography: Stephane Remael - Nepal This page: S Hauenstein Swan
Our vision is of a world without hunger. A world in which all children and adults have sufficient food and water, equitable access to the resources that sustain life, and are able to attain these with dignity.
2
the ACF International strategic plan for 2010-2015

Development of the Plan For staff members new to ACF, its perhaps worthwhile to describe the development of this plan. The ACF plan was developed over a 22 month period divided into three distinct phases. We began with an investigation of major trends affecting our work, including the recent food and financial crises and the impact of emerging new threats such as climate change. Our analysis included a careful look at the current and projected state of world hunger, an examination of the progress and obstacles to progress that has been made to address acute malnutrition in particular, the impact of such related causes as violent conflict and natural disasters, along with major contributing factors like the lack of accessible clean water, sanitation or food security. During the initial diagnostic phase, we had pro bono assistance from Bain & Company to examine and clarify our core business, benchmark ACFs reputation as perceived by a wide range of stakeholders, and review strategies to improve our impact. In the next phase of the planning process, technical teams were charged with developing strategic frameworks by sector, while early drafts of our priorities were developed with extensive input from staff at all levels. The final phase included review and validation from board leadership, along with the development of metrics and a monitoring plan to measure progress.
DrIVen By tHe neeDS OF tHe MOSt VulnerABle As an organisation, we have just completed the first year of implementation of our ambitious, 6-year Strategic Plan. The plan is a mixture of long-term aspirations and an articulation of many concrete steps that need to be taken along the way to strengthen our capacity to meet those goals. Taken together they present a bold path for ACF Internatioanl to increase its effectiveness in helping to end global hunger, especially the scourge of severe, acute malnutrition which causes the death of so many children. Real progress is evident even in this first year especially in the increase in the number of beneficiaries served and in the initiation of new and different ways of working. Our progress is, however, uneven and it is evident that we need to analyse the trends and programme challenges carefully and thoroughly in the coming months to further our work. Nonetheless, it is impossible to read the report and not come away with enormous pride in the work of ACF staff members from all our HQs working under the ACF banner they have done a remarkable job of bringing the concrete services that are the essence of this plan to needy populations in over 40 countries around the world. This report is a reflection of their skill and dedication. There have been a number of underlying challenges to the implementation of the plan: Data collection: Humanitarian aid is messy. Collecting reliable data is difficult and while there are global attempts to define the collection of specific data it is an enormous challenge to align the 5 headquarters and more than 40 missions to do so consistently. We have made great strides in this direction in 2010 but there is more work to be done for us to have greater confidence in the outcome data. the effect of big emergencies: Having two major crises in one year is rare. The enormity of the impact of the earthquake in Haiti and the floods in Pakistan, both occurring in 2010, revealed strengths and weaknesses of the organisation. The lessons learned from these events are helping to shape our priorities for the coming year.
The ACF International Strategic Plan sets the intention for the network. Each HQ then developed its own Strategic Plan tailored to their needs and resources with the international plan providing common goals and serving as the basic framework for planning. At the end of year one, the ACF International outcomes suggest that the plan itself is indeed shaping the priorities and efforts of ACF as a network. Real progress in many areas is already visible. The report also shows the importance of looking deeply at the story underneath the outcome figures. For example, it is clear that our outcomes are enormously influenced by a few events (e.g. the number of nutrition beneficiaries served is skewed by unusually high numbers in just 2 countries; the number of beneficiaries receiving access to clean water is skewed by the crises that occurred in 2 other countries). But, overall, it would appear that the five HQs that proudly call themselves ACF are making progress on our common goals of preventing and treating malnutrition and serving as a lead resource on global hunger. the International executive Committee
3
ACF operations & beneficiaries
AZ ARMENIA
CHAD NIGER HAITI GUATEMALA MAURITANIA GUINEA NICARAGUA SIERRA LEONE COLOMBIA ECUADOR PERU LIBERIA IVORY COAST BURKINA FASO NIGERIA (opening) DEMOCRATIC REPUBLIC OF THE CONGO (DRC) ANGOLA (closed) MALI LEBANON
SYRIA AFGHANISTAN OCCUPIED PALESTINIAN TERRITORY
ETHIO
YEMEN (exploratory
DJIBOUTI (explorato
SOMA
CENTRAL AFRIC
SOUTH S UGANDA KENYA
ZAMBI ZIMBABWE
BOLIVIA PARAGUAY
SWAZILAND LESOTHO (closed)
ACF beneficiaries 2010
Evolution of total beneficiaries 2007 - 2010

7,000,000
Number of beneficiaries
3.5% 2.4% 15.1% 1.4% 45.3% 32.3%
Nutrition treatment Care practices Health Food security WASH Disaster risk reduction (stand alone projects)
6,000,000 5,000,000 4,000,000 3,000,000 2,000,000 1,000,000 0 2007 2008

4,135,818 4,457,474
ACF OPerAtIOnS & BeneFICIArIeS
Number of beneficiaries by headquarters

7,000,000
Nutrition treatment Care practices Health Food security

MONGOLIA
6,435,770 152,174
ZERBAIJAN
6,000,000
WASH Disaster risk reduction (stand alone projects)
PAKISTAN BURMA
OPIA PHILIPPINES
y mission)
5,000,000
2,916,728
ory mission)
ALIA
CAN REPUBLIC
SUDAN INDIA (exploratory mission)
BANGLADESH INDONESIA
IA
4,000,000
3,150,948
3,000,000
2,077,556
0
6,435,770
2,000,000
1,908,475
TOTAL Nutrition treatment

4,285,787
1,376,147 91,840
Care practices and health Food security Water / Sanitation Disaster risk reduction (stand alone projects)
1,000,000
972,563
224,909
2009
2010
Spain
France
United States
TOTAL
goal 1
We will increase our impact on acute malnutrition, curatively and preventively, especially in young children
1.1
To treat and prevent acute malnutrition in at least 1.5 million children per year
The number of malnourished children who have benefited from ACF nutritional treatment for acute malnutrition, and preventative distributions of nutrition products, has increased by almost 15% compared to 2009. In order to achieve its 2015 target of 500,000 children, ACF will have to increase the annual number of people receiving a treatment by more than 50,000 every year till 2015. The number of people benefiting from our care practices programmes has risen by 23% and has almost reached its 2015 target of one million. However it is important to note that 74% of the beneficiaries are in two countries only: Democratic Republic of Congo and Niger.
Total number of nutrition beneficiaries

500,000 2015 target: 500,000 400,000
300,000
200,000
178,308 169,873 192,267
224,909
100,000
0 2007 2008 2009 2010 2011 2012 2013 2014 2015
total beneficiaries of ACF care practices programmes

1,000,000
972,563
2015 target: 1,000,000
800,000
795,720
600,000
537,108 492,482
400,000
200,000
0
6
2007
2008
2009
2010
2011
2012
2013
2014
2015
Burger Phanie
gOAl 1
1.2
Address the underlying causes of malnutrition
ACF has treated 224,909 malnourished children in 22 countries (see graph 2). Only 9 of these countries are part of the 20 countries with the highest burden of acute malnutrition in terms of caseload (see graph 1). In all 22 countries where ACF is treating malnourished children, interventions are carried out in at least two other sectors (care practices, water, sanitation & hygiene and/or food security). However there is no evidence that all of these programmes are fully integrated i.e. targeting the same population of malnourished children treated by ACF.
Graph 1 20 countries with the highest number of acutely malnourished children in the world
ACF treatment programmes
mALI 91,602 BuRkiNA FAsO 246,477 NIGeR 163,060
EgyPT 153,810
ETHiOPiA 503,082
AFGHANISTAN 139,680
NEPAl 101,108
IRAQ 101,232 CAmBODIA 126,075 BURmA 121,104 BANGLADeSH 662,060 SUDAN 392,256 YemeN 241,468 kENyA 143,184 INDONeSIA 456,834
PAkisTAN 1,114,274
DRC 1,373,498
mADAGASCAR 92,820
NIGeRIA 1,159,296 INDIA 8,882,580
= 100,000 malnourished children FOOD SeCurIty nutrItIOn
Graph 2 20 countries with the highest number of children treated by ACF

CHAD 16,584 CAR 3,575 ETHiOPiA 6,977 BANGLADeSH 6,051 SOmALIA 17,885 BURmA 28,413
mAURITANIA 341 mALI 8,158 GUINeA 2,693 SIeRRA LeONe 942 HAITI 1,072 GUATemALA 216
NIGeR 22,522
WAter, SAnItAtIOn AnD HygIene
DRC 42,038
SOUTH SUDAN 12,709
UGANDA 15,129 BuRkiNA FAsO 8,321
ZImBABWe 2,400 SWAZILAND 1,430
kENyA 14,555
= 1,000 treated children
LIBeRIA 6,558
IvORY COAST 540
TOTAL NUTRITION BeNeFICIARIeS 224,909 7
1.3
engage communities, governments, NGOs, donors and other stakeholders to take concrete steps in eradicating acute malnutrition
In order to enhance local and national governments capacities to treat and prevent acute malnutrition, ACF has implemented specific capacity building activities in 16 out of the 22 countries where it treated acutely malnourished children. ACF is mainly carrying out its treatment of malnourished children in ministry of Health clinics and hospitals, except in Somalia, Bangladesh and Burma where ACF has set up its own facilities. CmAm has still not been integrated into the national protocols of several countries including Bangladesh, Burkina, Burma, India, Indonesia, Nigeria and Sierra Leone.
national guidelines for management of severe acute malnutrition incorporating the community based approach yes (17) No (11) Partial (5)
AFGHANISTAN
LIBeRIA
BANGLADeSH
LeBANON
NEPAl
BOLIvIA
mADAGASCAR
BuRkiNA FAsO
NICARAGUA
NIGeRIA
CAR
mOZAmBIQUe
BURmA
PERu
PAkisTAN
CHAD
NIGeR
COLUmBIA
SOmALIA
PHiliPPiNEs
DRC
SIeRRA LeONe
INDIA
SYRIA
UGANDA
ETHiOPiA
SOUTH SUDAN
INDONeSIA
HAITI
YemeN
IvORY COAST
ZImBABWe
kENyA
gOAl 1
ACF has launched an Acute Malnutrition Advocacy Initiative (AMAI) to influence donors and governments to scale up the community-based management of malnutrition. The AmAI objectives are: Objective 1 By 2015, acute malnutrition is internationally recognised as a major public health issue. Objective 2 By 2015, a minimum of 4 countries where ACF works have recognised acute malnutrition as a major public health issue and have developed a national health and nutrition policy and plan of action. Objective 3 By 2015, the French, spanish, uk, us and Canadian governments have integrated and scaled up treatment of acute malnutrition into their bilateral, multilateral and emergency response programmes and budgets.
ACF has been active in several nutrition platforms and initiatives such as several global initiatives on nutrition: SUN (Scaling-up Nutrition), REACH (Ending Child Hunger and Undernutrition), UNSCN (UN Standing Committee on Nutrition), the 1000 days. In addition ACF has attended several international meetings such the UNSCNs reform held in Rome in December 2010; presentation at the eCOWAS forum on nutrition in Ivory Coast; the 2nd World Congress on Public Health Nutrition in Portugal; ANEC iV (African Nutritional epidemiology Conference) in Nairobi in October. ACF joined forces with End Water Poverty, Action for Global Health and Water Aid to produce a report Breaking Barriers: Working together to achieve a healthy hunger-free world giving key recommendations to Heads of States ahead of the UN mDG summit. ACF has also engaged directly with the French, British, Spanish national and regional Governments and the eU to raise profile of nutrition. Partnership have been reinforced with other NgOs (MsF, save the Children, Hellen keller, Concern) and UNICeF to advocate together. Concrete advocacy action plans have been developed in Niger and West Africa.
goal 2
We will respond to, and prevent humanitarian crises, address vulnerability and reinforce longer term resilience to food, water and nutritional crises
2.1
Improve ACFs capability to respond rapidly to humanitarian crises
ACF continued to develop its capacities to better respond in scale and speed to rapid onset disasters by enhancing its emergency pool, emergency funds and emergency stocks. The two major crises that ACF responded to on a large scale were the earthquake in Haiti and the floods in Pakistan. ACF has emergency stocks in: Lyon Paris Barcelona Dubai Panama Djakarta
Major humanitarian crises in 2010

Samuel-Hauenstein
HAITI earthquake, January
GUATemALA Drought food crisis, January
ACF - Guatemala
ACF-Guatemala
CHAD Drought food crisis, February
NIGeR Food/Nutrition crisis, march

ACF - Indonesia
kyRgyzsTAN Civil conflict, July
PAkisTAN Floods, August
ACF - Burma
INDONeSIA volcano, November
BURmA Harricane, November
HAITI Cholrea, November
CHAD Cholera, November
ACF - Chad
10
ACF - Haiti
Richard mosse
Gonzalo-H
ACF
ACF
gOAl 2
In addition, certain stocks are pre-positioned with key suppliers: BP5/Energy 5 biscuits in Denmark and Germany and a drilling machine in Thailand. In addition to the grants from traditional humanitarian donors (ECHO, OFDA, DFiD/OT, etc) ACF has four mechanisms at its disposal to obtain funds within 48 hours: ACF-France has its own emergency funds Additional 200,000 of emergency treasury from ACF France ACF-Spain has the capacity to mobilise funds through its partnership with the Spanish cooperation (250,000) As a member of the Consortium of British Humanitarian Agencies (CBHA), ACF-uk can access up to 200,000 within 48 hours ACF-US has the capacity to mobilize up to US$150,000/ year within 48 hours for emergency water distribution projects through its partnership with Tyco International
ACF FrAnCe eMergenCy POOl ACF has increased its capacity to respond to crises with its emergency pools of experts use of the ACF France emergency pool (% of their time)
CASe StuDy
38%
34%
emergency deployment HR secondment Field assessment Training HQ work
5% 2%
21%
emmanuel de malg Natacha Soury Raphal-de-Beng
The allocation of these funds depends on the approval by various parties (donors, board members, executives, etc) and funds are therefore not systematically guaranteed. ACF plays an active role in the humanitarian clusters, and is a member of the strategic Advisory group of the Global WASH Cluster.
ACF
11
2.2
Increase ACF support to the most vulnerable and affected populations during acute crises and rehabilitation contexts
The number of people benefiting from our water, sanitation and hygiene programmes has significantly increased reaching 2.9 million people, therefore exceeding the 2015 objective of 2.8 million. The number has been boosted by the responses to both Haiti and Pakistan emergencies totaling a third of all beneficiaries. Other major countries of water, sanitation & hygiene intervention were Democratic Republic of Congo, Uganda, Chad, Zimbabwe and ethiopia. Over 540 domestic wells and 430 domestic boreholes have been rehabilitated and/or built. In addition 13,000 taps were installed on rehabilitated networks and/or spring catchment, and more than 12,300 latrines were installed to improve hygiene.
People reached through WASH programmes

3,000,000
2,916,728
2015 target: 2,800,00 2,500,000
2,060,574
2,000,000
1,987,965
1,500,000
1,564,050
1,000,000
500,000
0 2007 2008 2009 2010 2011 2012 2013 2014 2015
The number of people benefiting from our food security programmes has increased by 8% compared to 2009, and is on course to reach the 2015 objective of 2.2 million people assisted. DRC, Zimbabwe, Haiti, Niger, Uganda, Chad and Pakistan have been the countries with the largest programmes. 21,000 metric tons of food (mostly in Haiti), 436,000 food kits and 93,000 cash kits were distributed.
People reached through Food Security programmes

2,500,000 2015 target: 2,200,000
2,077,556
2,000,000
1,643,953
1,500,000
1,432,437
1,613,643
1,000,000
500,000
0 2007
12
2008
2009
2010
2011
2012
2013
2014
2015
gOAl 2
2.3
Build long-term resilience in populations most vulnerable to natural disasters
Disaster Risk management programmes have been initiated in 5 countries and two regions.
ACF has developed a Disaster Risk Management (DRM) institutional platform designed for all headquarters and missions to address cyclical hazards and climate risks, comprised of (i) Policy (ii) Programming guideline and (iii) strategy. Disaster risk Management programmes ethiopia: ACF initiated a Community-based Drought Risk management in the Borena region that aims at supporting vulnerable communities and local institutions to be better prepared and able to cope with droughts. Philippines: ACF continued its Disaster Risk management project in the Bicol Region through the reinforcement of coping capacities at local and sub-national levels. Haiti: ACF strengthened local capacities to be better able to face future hazards and rehabilitated small-scale mitigation infrastructure in Port-de-Paix and gonaives. Bolivia: ACF designed a comprehensive livelihoods and climate risk management project in Santa Cruz region to support vulnerable farming households in coping with and adapting to droughts and floods. Kenya: ACF continued its actions within the arid and marginal lands recovery consortium, a project that aims at sustaining access to food in vulnerable rural communities through enhanced resilience to climate shocks. Central America: An integrated disaster risk management project to build the resilience of farming households in facing climate shocks in the Dry Corridior; this innovative project consists of a community-managed food and nutrition security surveillance system, seasonal safety nets and watershed rehabilitation interventions. West Africa: GIS and Remote Sensing based surveillance supporting early Warning System in Sahel-Saharian pastoral areas. Climate change ACF released its report Changing climates, changing lives: Adaptation strategies of pastoral and agro-pastoral communities in Ethiopia and Mali in may 2011. ACF contributed in sensitising the broad nutrition community on the impacts and threats of climate change on nutrition security. An article summarising the issues was published in the UNSCN publications SCN News#38: climate change: food and nutrition security implications. ACF contributed in the UNSCN policy brief entitled Climate change and nutrition security: A message to UNFCCC negotiators. It conducted active and fruitful advocacy work ahead and during the Cancun climate change conference, aiming at a better integration of nutrition security in emerging initiatives.
13
goal 3
We will develop partnerships with local, national and international stakeholders to increase the number of people we assist and promote sustainability
3.1
Promote the development of partnerships to empower national and local organisations, promote programme sustainability and build the capacities of both ACF and partner organisations and entities
ACF is committed to empowering national and local organisations to promote programme sustainability via strategic partnerships, mutual learning, training and capacity development. In 2010 ACF had partnerships with more than 40 local NGOs or CBOs in 21 of the countries where ACF France, uk and usA are intervening (information received from 32 countries).
40 lOCAl ngOs In 21 COuntrIeS

1. el VAlleCItO, Food security - Bolivia 2. OMAK - Bolivia 3. OWyBt - Colombia 4. MAnCOMunIDAD COPAnCHOrt Guatemala 5. SOynICA - Nicaragua 6. COnAMurI, Food security project - Paraguay 7. CeCteC - Paraguay 8. CAPIIBAry - Paraguay 9. DeAg - Paraguay 10. InIA - Paraguay 11. CIP (CentrO InternACIOnAl De lA PAPA) in Peru for a food security programme
12. tMSS (Sirajganj) - Bangladesh 13. SAngrAM Bangladesh 14. KArunA lOIKAW (Kl) Burma 15. CeCOeDeCOn - Jaipur, Rajasthan, India 16. SeVA MAnDIr - Udaipur, Rajasthan, India 17. eKJut - Jhabua, Madhya Pradesh, india
14
ACF
gOAl 3
18. yASnA (ntt) Indonesia 19. OISCA Indonesia 20. lAtA/MeCtAt in Lebanon for water programmes 21. PeOPle PrIMAry HeAltH InItIAtIVe (PPHI) - Thatta District, Pakistan 22. nAtIOnAl InStItute FOr rurAl MAnAgeMent (n-IrM) - Pakistan 23. PAKIStAn AgrICulturAl reSeArCH COunCIl (PArC) Pakistan 24. FunDAtIOn DOn BOSCO, Maradeca and Rincomesa for water and food security programmes in the Philippines 25. gerMAn DOCtOrS in the Philippines for nutrition project 26. ACSAD in Syria for water and food security projects 27. SArC in Syria for nutrition and care practices programmes
28. APPuI lA PrOMOtIOn Du DVelOPPeMent DurABle DeS COMMunAutS (APDC) - Burkina Faso 29. Centre rgIOnAl POur leAu POtABle et lASSAInISSeMent FAIBle COt (CrePA) Burkina Faso 30. ASSOCIAtIOn CentrAFrICAIne POur le BIen etre FAMIlIAl (ACABeF) CAR 31. AgenCe CentrAFrICAIne De DVelOPPeMent AgrICOle (ACDA) - CAR 32. InStItut CentrAFrICAIn De reCHerCHe AgrOnOMIque (ICrA) CAR 33. CrOIx rOuge tCHADIenne Chad 34. Centre rgIOnAl POur leAu POtABle et lASSAInISSeMent FAIBle COt (CrePA) Ivory Coast 35. AnIMAtIOn rurAle De KOrHOgO (ArK) Ivory Coast 36. AID FOr tHe neeDy PeOPle AnDP Liberia 37. MOtHer AnD CHIlD CAre (MCC) CBO BASeD In AWeIl tOWn, nBeg South Sudan 38. WOMenS grOuP In nBeg WHO HAVe InItIAteD tHeIr OWn VegetABle gArDen South Sudan 39. nutrItIOn CAPACIty BuIlDIng SuPPOrt PrOJeCt ACF IS SuPPOrtIng VArIOuS lOCAl OrgAnISAtIOnS WItH trAInIng AnD teCHnICAl SuPPOrt South Sudan 40. CInDI Zambia
After 6 years of strategic partnership with a local NGO called Children in Distress in northern zambia, ACF-uk has written a learning paper based on the partnership. Some of the key lessons from this report are:
1.
start Managing expectations from the
long 2. Overcoming the challenge of distance relationships of 3. Managing the ups and downs partnerships nerships 4. Reviewing regularly the part ship 5. Building capacity in partner
15
goal 4
We will build our capacity to ensure effective and efficient responses to humanitarian crises
4.1
Invest in research and development
In 2010 ACF has initiated 26 research projects: 6 on food security; 6 on water and sanitation; 15 on nutrition issues. ACFs International Scientific Committee, composed of academic experts in health, water and agriculture. The ISC meets annually and its role is to support ACF in designing and implementing its research projects and strategy.
Research subject 1. Safety nets, assessing the nutritional impact of safety nets in fragile states 2. Design of low cost system for irrigation of nutritional garden in Sahel in mauritania
Partners IRD, Tufts Universidad Jaime I PRONANuT (Programme National de Nutrition en RDC IDS / Tearfund / Cristina Tirado
FOOD SeCurIty
3. Amlioration de la dite et radication de lintoxication alimentaire appele konzo (paralysie des membres infrieurs) dans le kwango, Bandundu
4. Adaptation strategies of pastoral and agro-pastoral communities in ethiopia and mali / science based advocacy 5. Appropriateness of CBIs in urban context in Guinea 6. Use of Fresh Food voucher in Bolivia 1. PhD: sustainable sanitation in peri-urban context for vulnerable population - mongolia
CIAT Beijing University / Agence eau uPNA
WAter AnD SAnItAtIOn
2. low cost / high efficiency water and sanitation intervention: design of ACF Portable system for Water Treatment in emergencies) 3. Prototype of elevated latrines for flood urban context
Universidad Alcala de Henares LATTS University of Avignon. World Bank
4. PhD - Right to Water and operationalisation in ACF countries 5. Ground water resources monitoring in northern Uganda 6. Household Desalinization unit in sindh, Pakistan
16
ACF
gOAl 4
The members of the International scientific Committee are:
Research subject 1. Update of protocols: Are Routine Antibiotics essential for Uncomplicated Severe Acute malnutrition? 2. Alternative protocol for the treatment of SAm Study in myanmar and Chad 3. Preventing undernutrition in 6-36 months old children during the hungry season by preventive nutritional supplementation in urban Chad. 4. Effect of Plumpy Doz on anemia 5. low input gardens for People living with HiV 6. Pastoralist survey Method (PsM) in Mali, Ethiopia
Partners SC, mSF LSHTm Gend University UNHCR Gend University Consultants (AM Mayer, mark myatt) m myatt / SC
Alain leplaideur Agropolis, montpellier
nutrItIOn
Helene Delisle Department of Nutrition Faculty of medicine, University of montreal
7. New surveillance systems - listening Posts in Burkina Faso and ethiopia 8. mother-Child relationship and impact on the recovery of the malnourished child 9. Psychological criteria definition and tool in emergencies 10. Gross motor milestones as development indicators
external consultant (Mc Donald) Davis Univ.
Pierre ribstein University of Pierre & Marie Curie, Paris Andrew tomkins Centre for International Health and Development; Institute of Child Health, University College, London
11. Future of children suffering from acute malnutrition after treatment 12. Nutrition causal analysis - Improvement of the methodology assessment (Bangladesh, zimbabwe) 13. impact of lNs (Plumpy Doz) on acute undernutrition and anaemia in child 6-59 months old in Colombia (Putumayo) 14. Comparative study between LNS, Government Basic Food Basket (BFB) and BFB+sprinkles and impact on stunting and anaemia in Peru UCA, Universidad de S. marcos, Universidad S. Cristobal de Hujamango Procter and Gamble Foundation Tufts univ., IRD
15. Whether the provision of PuR in addition to Plumpynut will positively influence the CMAM process in Uganda
Miltos ladikas University of Central Lancashire
17
4.2
enhance human resources to ensure that ACF has the manpower and the talent needed
ACF has over 5,000 staff, both national and international, at field level. expatriates only represent 10% of the total. Of these, half are technical experts and the other half are support and management staff. 45% of expatriates are holding positions of coordinators (Fs,WAsH, NUT, Log, Fin/adm coordinators) or senior managers (programme and field coordination, Country Directors). Regarding HQs, ACF has a combined average of 260 permanent staff between HQs, with significant variations between each HQ. ACF is committed to develop the skills and promote the talent of its national staff. ACF USA set up a regional training centre in nairobi in 2010 for east/ Central Africa. It provides customised training to missions in the region to support the needs of expat and national staff (with a particular focus on national staff career development). In 2010 more than 250 people participated in trainings and workshops from various missions.
18
ACF staff on a monthly average
expatriates
473
national staff
4400 260
= 10 staff members
Hq permanent staff
International Field exit Survey results conducted with 183 respondents to gauge staff satisfaction within ACF upon their exit from a field based position from the period of June 2009 until September 2010
Answer Options ACF as an organization ACF values ACF trainings ACF communication my job in ACF The supervision that I received The team work My benefits and salary 1 - not satisfied 2 1 32 13 2 12 5 10 229 18 64 54 33 48 48 59 3Satisfied 102 103 61 90 104 74 96 79 4 - Very satisfied 33 44 5 6 23 23 9 9 response count 166 166 162 163 162 157 158 157
Expatriates profile
12% 11% 11% 16%

Support
Nutrition / Health
20%
Food security Watsan Human resources
15% 14%
Technical
Log and admin Admin / Finances Programmes / field coordinator / manager Country directors
1%
gOAl 4
4.3
enhance ACFs logistic systems, ensuring adequate support for its nutrition, food, water and sanitation programmes
ACF logistic systems have been improved in 2010 with the launch of the new logistic Kit in September 2010. The kit is articulated around seven major sectors: emergency, security, supply chain, logistics management, logistics support, project cycle and logistics programmes. The kit log V3 has five main objectives: 1. To increase professionalism and guarantee better transparency (two principles of ACFs Charter). 2. To set up more reliable follow up and archives systems. 3. To mitigate financial risks by reinforcing supply chain documentation, procedures, etc. 4. To improve projects procurement planning. 5. To better respond to technical requirements in terms of timelines, quality, access to information, etc. The effective implementation of the kit log is measured by the logistic Assessment tool (lAt). The LAT has 12 main indicators and 3 transversal indicators (financial risks, tracking and communication flow) and aims to provide an accurate vision of the progress and issues faced in the implementation of the logistic procedures and systems as defined in the kit log V3. In 2010 the average completion rate of the LAT in 26 countries was at 73%. The objective is to reach 80% by 2015.
Kitlog V3
KItlOg V3 InterFACe
2. Supply Chain 1. Project Funding 6. equipment
3. Storage
4. quality Control
5. Vehicles 7. energy
8. ICt
AVerAge COMPletIOn rAte
73%
9. Hr
10. reporting, Coordination, Planning
11. Security Management
12. ACF Materials
13. Financial risk
14. tracking Indicator
15. Com Flow
19
4.4
Strengthen learning and evaluations
In order to improve ACFs effectiveness and impact, by continually reviewing, refining and adapting our programmes, 24 external evaluations were carried out in 2010 by the ACF uk evaluation unit. The number of evaluations has increased significantly (from 18 last year) but still lagged far behind the target of having 10% of projects evaluated. In addition several other project evaluations were carried out by HQs individually (such as ACF-us evaluations on livelihoods in Uganda and nutrition in DRC).
external evaluations facilitated by ACF evaluations unit based in th uK
24
16 13 14
17
7 4
2004 ACF-uk ACF-US ACF-sPAiN ACF-FRANCe 1 0 1 2
2005 0 0 1 6
2006 0 2 2 9
2007 0 0 3 13
2008 0 2 5 7
68
2009 0 0 6 11
2010 1 1 4 18
4.5
Address complex security environments for both national and non-national staff
Analysis of main security and safety incidents and events in 2010 on ACF missions: 1. The highest single category of incident is car and motorbikes accidents that accounts for the vast majority of victims. 2. High number of robberies and intrusions raise issues on protection and vigilance of watchmen. 3. Regarding threats, a significant number were related to programme issues. 4. A vast majority of victims among ACF staff are national employees.
20
Security and safety incidents and events in 2010 on ACF missions

37
ACF had to face 107 security and 70 safety incidents in 2010

24 24
14
Abuse of Power
Robbery
Assault
Fraud
Car-jacking
Crowd mob
Shooting
Bombing
Sabotage
Ambush
Intrusion
Grenade
mine/UXO
kidnapping
Sexual violence
Harassment
Looting
Threat
Attack
Loss of communication
Arrest / detention
Natural disaster
Security Safety
Transport accident
gOAl 4
Context classification in 2010
Global level of threat Low High very high
GEORGIA AZERBAIJAN ARMENIA MONGOLIA
CHAD NIGER HAITI GUATEMALA MAURITANIA GUINEA NICARAGUA SIERRA LEONE COLOMBIA ECUADOR PERU LIBERIA IVORY COAST BURKINA FASO NIGERIA DEMOCRATIC REPUBLIC OF THE CONGO (DRC) ANGOLA BOLIVIA PARAGUAY MALI LEBANON
PAKISTAN SYRIA AFGHANISTAN OCCUPIED PALESTINIAN TERRITORY ETHIOPIA YEMEN DJIBOUTI SOMALIA CENTRAL AFRICAN REPUBLIC SOUTH SUDAN UGANDA KENYA ZAMBIA INDONESIA ZIMBABWE INDIA PHILIPPINES BURMA
BANGLADESH
SWAZILAND LESOTHO
OnS Set Of RecOMMendati

1. 2. d to Reduce risks connecte transport accidents of security improve integration signing and during programmes de planning and improve management en performance of watchm awareness, Raise national staff ent in training and involvem security management
21
3. 4.
4.6
Develop greater financial independence and sufficient revenue to allow ACF to have greater impact on the eradication of hunger and malnutrition
ACF met the targeted amount for increasing its overall revenue from 2009-10, however most of the gain was a result of major increase of programmes in response to the Haiti crisis. Nonetheless, as the global economic crisis continued throughout the year, a 20% increase is an impressive result. In order to attain our target of 200m euros by 2015, we will need to continue to increase our budget by an average of 5% annually. Despite a significant increase in overall budget and more specifically on public funding, ACF succeeded to raise more private funds and thus to remain on track to meet its objective of reaching a 65/35 split (public/private) by 2015 in order to gain more financial independence. In 2010 ACF has received 29% of its revenue from private sources, with important variations between HQs. ACF-France has met the 35% goal for many years; for ACF-Spain and ACF-USA public funding increases have grown faster than private ones but both are increasing robustly. The public/private split is not relevant for the uk and Canada as the public funding they raise or help to raise is counted in the revenue of the operation HQs. Private funding has been strengthened by a significant number of individual supporters. 390,372 individuals have made at least one donation to ACF between January 2009 and December 2010. In addition, in 2010 ACF has developed partnerships worth more than 15,000 euros each with 66 private companies.
evolution of ACF total financial activity

250m
Net revenue Cem Private - unrestricted

200m
Release of 2010 Haiti and Pakistan private fundraising (+6%)
5% Average growth (20112015) to reach 2015 target of 2m (before CEM) 8% 4% 2% 1% 31% 30%
Public - Restricted release
150m
Release of 2004-2005 Tsunami private fundraising (+6%) 29% 29% 29% 30%
29%
30% 35%
30%
100m
31% 23% 25%
50m
71% 71% 71% 71% 70%
65%
69%
68%
65%
62%
77%
75%
69%
2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 Budget
number of active donors (people who have made at least one donation over the last 24 months)
390,372
Corporate partnerships 15,000+
66
Carluccios Unearthed Bloomberg Fondation Ouest France Warner music France CSC Eden Park Saint Gobain CeTO SFR Agns B maximiles Bonne journe Cartier emeraude International Citroen Brita France Fondation Suez environnement Geremant SA Charal Boulangeries Paul Tolkien Trust The Boston Consulting Group Jou Club Le Fooding Pomme de Pain Bonne journe BNP Paribas Socit Amundi Solidaime Weight Watchers 750 grammes Ferrovial Repsol Fundacion Altadis master Distancia Pfizer Dia Caja Navarra Caja madrid Accenture Ambilamp Solan de Cabras Bancaja Accor services Brighton Collectibles Davidson kempner Capital Management Finish Line Google Inc. HJ Heinz Company katten Muchin Rosenman Lowenstein Sandler macHeist...
22
gOAl 4
In thousands euros
ACF independence has been also reinforced with a better diversity and balance between institutional public donors. The eU still represents an overall 27% of ACF revenue with eCHO alone at 20%, thus fulfilling one of ACF objectives that it is not to rely on one single donor for more than 20% of its overall revenue. ACF remained among the top three NGOs funded by DFID, eCHO and CIDA for humanitarian grants. more than 83% of the total funds spent by ACF in 2010 were used for programmes purposes, 10% for fundraising and less than 6% for management costs.
total ACF revenue by donors

180,000
160,000
140,000
Other Private grants and unrestricted Other governments Canada united kingdom
120,000
100,000
80,000
Spain France
60,000
USA european Community United Nations
40,000
20,000
0 2009 2010
EUROPEAN COMMISSION
Breakdown of ACF 2010 expenses
PArtner
Humanitarian Aid and Civil Protection
1st
ECHO: 1st partner
5.8% 10.5%
rAteD
DFID: rated second for humanitarian funds
nd
Programmes Fundraising management and general
83.7%
rAteD
CIDA
3rd
23
goal 5
We will maximise our pre-eminence as an advocate and reference source on hunger and malnutrition
5.1
Develop a more reliable and comprehensive information system for operational and external communications
ACF-Spain has developed a new intranet which will be assessed for its potential use across ACF international. The intranet is an information sharing tool for ACF employees around the world, keeping staff up to date with the strategic focus of the organization, with updates on programmes, advocacy work and fundraising initiatives.
24
ACF
gOAl 5
5.2
Bring local voices at the forefront
2010 has seen some major development in ACFs advocacy efforts to influence policymaking and bring local voices to the forefront.
In West Africa ACF has started a Nutrition Champion scheme Project as a means to enable grassroots, southern movement based advocacy. Action Against Hunger nutritionists and nutritionists from partner organisations in West African countries can exchange information, experiences and learnings but also voice their opinions and concerns of issues related to nutrition from a grassroots and regional perspective. The long term objective is to initiate a West African grassroots movement on nutrition which could strongly influence policy and lead to policy change.
5.3
Increase ACF analysis and positioning
ACF has continued to provide evidence based analysis and positioning on causes, consequences and responsibilities of food crises as well as to advocate for the implementation of concrete solutions to address malnutrition.
New ACF publications in 2010
25
5.4
Raise awareness
ACF has increased its efforts to raise awareness within the general public on humanitarian crises and malnutrition.
ACF has contact details of almost half a million people who are receiving information about the organisations work. Almost 1.5 million people have visited ACF websites and more than 90,000 people are interacting with ACFs social media platforms. Communications teams have visited ACF programmes in 13 countries in 2010, and ACF has been chosen as the Financial Times charity of choice for their seasonal appeal in November and December. ACF has been mentioned more than 6,000 times in online, print and broadcast media.
COngrAtulAtIOnS
received 5 awards in 2010. Ccile Bizouerne, ACF France psychologist and advisor on mental health and care practices received
to ACF teams and individuals who
I.B.D. 111.326 2 (32x46)_I.B.D. 111.326 28/04/11 17:42 Page1
LE PrIx TrmoLIrES
for her Phd on infant malnutrition in Afghanistan
PRIX JEAN TRMOLIRES 2011

Prix de sciences humaines appliques la nutrition
____________
Ce Prix rcompense des travaux de recherche clairant la psychologie alimentaire, les habitudes et comportements alimentaires individuels ou collectifs. Le montant du Prix est de 3.000 .
Les travaux prsents peuvent tre une thse de Doctorat en Mdecine, de Doctorat s Sciences, un Master ou un Doctorat de Psychiatrie, de Philosophie, de Psychologie, de Sociologie, dconomie ou dHistoire. Le Jury du Prix est compos des Membres du Comit scientifique de lInstitut Benjamin Delessert
Le Prix Jean Trmolires est dcern depuis 1986
FBM DRANCY - 01 48 30 21 17 - RF. : 111.326 (2)
Envoyer un exemplaire du dossier (thse, mmoire...), accompagn dun bref CV avant le 23 dcembre 2011 : Institut Benjamin Delessert - 23, avenue dIna - 75116 Paris e-mail : ibd@institut-b-delessert.asso.fr - Tl. : 01 45 53 41 69
www.institut-benjamin-delessert.net
2 awards for ACF campaign
LE BAnQuET dE LA FAIm
launched in October 2010 for World food day ACF-Spain received two awards for their Facebook campaign
LAdIES wHo...
26
Annex
Annex
Estimated number of ACF beneficiaries per country of intervention
Haiti DR Congo Niger Zimbabwe Uganda Chad Pakistan ethiopia Burma South Sudan Somalia Palestine Afghanistan CAR Colombia Bangladesh Philippines kenya Guinea mali Guatemala Nicaragua Indonesia mauritania Peru Bolivia Burkina Faso Lebanon Ivory Coast mongolia Liberia Angola South Caucasus Sierra Leone Swaziland Paraguay Syria ecuador mexico India
Nutrition treatment Care practices Health Food security WASH Disaster risk reduction (stand alone projects)
200,000
400,000
600,000
800,000
1,000,000
1,200,000
27
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acf InternatIonal Strategy 2010-2015 AnnuAl Progress rePort (2010)

ACF InternAtIOnAl StrAtegy 2010-2015