Under five stunting (%) 39.8
Under five overweight (%) 2.8
Anaemia in women 15-49 years (%) 47.7
Under five wasting (%) 13.3
Low birth weight (%) n.a.
0 to 5-month-old exclusive breastfeeding (%) 0.1
Adolescent overweight (%) Male: 5.1 / Female: 11.4
Adult overweight (%) Male: 16 / Female: 29.8
Adult obesity (%) Male: 3.1 / Female: 8.9
Adult diabetes (%) Male: 7.9 / Female: 6.2
Nutrition has been taken into consideration in the national coordinating mechanism for the public health response to COVID-19, with different stakeholders, for the preparation of a contingency plan. In addition, the platform has also continued its activities, mobilising and adapting to the situation, in particular by holding in-person and virtual meetings.
Institutional transformations 2019-2020
Bringing people together into a shared space for actionDespite challenges linked to staff mobility and scaling-up Provincial Committees on Nutrition and Food (CPNA), Chad has made significant progress during this period, with a coordination mechanism that is functional at the decentralised level, through the implementation and installation of 5 new CPNAs with focal points, and six civil society organisations, as well as support from the private sector for the implementation of an Ready-to-Use Therapeutic Food production unit and support for training nutrition stakeholders, including parliamentarians and nutrition ambassadors.
Ensuring a coherent policy and legal frameworkEvaluation of the implementation of the Intersectoral Action Plan on Nutrition and Food (PAINA) has enabled stakeholders to combine their efforts on the implementation of the communication strategy and to advocate for nutrition. Parliamentary networks and champions have advocated for nutrition, in particular with decisionmakers, which has led to the adoption and enactment of the code on the marketing of breastmilk substitutes; the implementing decrees for this code are pending signature. Advocacy with the private sector has led to the launch of Ready-to-Use Therapeutic Food production.
Aligning actions around common resultsStakeholder plans and programmes are aligned with the National Policy on Nutrition and Food (PNNA) and the PAINA, through the logical framework that serves as a basis for the implementation of progress-monitoring activities. An annual working plan at the central and provincial levels is also developed based on the results of previous programmes, as well as various surveys and progress monitoring and evaluation methods (SMART, National Food Security Survey – (ENSA), standardised framework, sentinel sites, etc.). A manual for the analysis and standardisation of data tools would also be beneficial for improved joint programmes.
Financial tracking and resource mobilisationDespite difficulties linked to the economic crisis and COVID-19, funds have been mobilised for continuing food and nutrition interventions, in particular through the 11th European Development Fund and the United Nations. It should be noted that two project management units have been established within the Ministry of Public Health and National Solidarity as well as within the Ministry of the plan for monitoring projects implemented by NGOs. With regard to state institutions, monitoring of budget lines still remains unstable and requires significant improvement. However, the country has carried out four reviews of public spending in the agriculture sector.
- Drafting and adopting the implementing legislation on breastmilk substitutes and food fortification.
- Scaling up civil society organisations.
- Updating mapping of stakeholders and interventions.
- Implementing the FORMANUT (training for nutrition) project.
- Ensuring management of malnutrition in the context of COVID-19.
- Official launch of the food and nutrition security programme.