Cambodia - 2019 Joint-Assessment by the multi-stakeholder platform Cambodia - Scaling Up Nutrition
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2019 Joint-Assessment by the multi-stakeholder platform
Cambodia
Cambodia
1
2019 Joint-Assessment by the multi-stakeholder platform
Cambodia
Participants
Did the following stakeholder groups feed into the Joint-Assessment (in writing or verbally)?
Group Yes/ No
Goverment Yes
Civil society Yes
Donors Yes
1. United Nations Yes
Business No
Academia and science No
Other No
If other, please specify:
How many participated in the Joint-Assessment process?
Total
80
2.
How many participants were female and how many were male?
Female Male
36 44
2
2019 Joint-Assessment by the multi-stakeholder platform
Cambodia
Process
Was the Joint-Assessment data gathered and/or reviewed during a face-to-face meeting or
via email?
Step Format
Meeting
3. Collection
Email
Meeting
Review and validation
Email
If an information gathering or validation meeting took place, you can attach one or more
4.
photos here.
3
2019 Joint-Assessment by the multi-stakeholder platform
Cambodia
Usefulness
If an information gathering or validation meeting took place, would you say that the meeting
was seen as useful by participants, beyond the usual work of the multi-stakeholder platform
(MSP)?
5.
Yes
Why?
6. Helping to promote cooperation and interest and complementing the process of formulating
the National Strategy for Food Security and Nutrition 2019-2023 and mobilising support for
actions to address the Cambodia SDGs.
4
2019 Joint-Assessment by the multi-stakeholder platform
Cambodia
Particpant list
Add to
SUN
Name Organisation Job title Email Phone
mailing
list
Deputy
Secretary
SOK Silo CARD soksilo@gmail.com 012 451 111 N/A
General,
CARD
Policy
Iean Russell FAO iean.russell@fao.org 0965755118 N/A
Officer
Selamawit Nutrition 099 891
UNICEF snegash@unicef.org Yes
Negash Specialist 246
Yav Long WFP yav.long@wfp.org N/A
Seanglay DIN WFP seanglay.din@wfp.org N/A
Programme
SOY Seung FAO sueng.soy@fao.org N/A
Officer
Technical
Lead. NCD
Nargiza and Health
WHO khodjaevan@who.int 023 216610 N/A
Khodjaevan through the
Life-Course
(NHL)
Francesca Country
WFP N/A
ERDELMANN Director
EU Programme
BY Sokunthea sokunthea.by@eeas.europa.eu N/A
Delegation Officer
52019 Joint-Assessment by the multi-stakeholder platform
Cambodia
Particpant list
Add to
SUN
Name Organisation Job title Email Phone
mailing
list
SEK MCH
USAID sosek@usaid.gov N/A
Sopheanarith Adviser
CHHORN Project
KfW chorn.chamna@kfw.de 095888660 N/A
Chamna Coordinator
Benjamin German Chargé
v@phno.auswaertiges-amt.de N/A
Knoedler Embassy d\'Affairs
Investment
Rochelle Case and
World Bank reng@worldbank.org 077979910 N/A
ENG Partner
Coordinator
Deputy
Director
Food
Laura Cizmo USAID lcizmo@usaid.gov 078999203 N/A
Security and
Environment
Office
Interim
Iris Richter GIZ/MUSEFO Programme iris.evelin.richter@gmail.com 092996415 N/A
Manager
Nutrition
Anne Provo World Bank aprovo@worldbank.org N/A
Specialist
Dominique
GIZ/MUSEFO N/A
Uwira
Deputy
Helen Keller 095 432
HOU Kroeun Country hkroeun@hki.org N/A
International 425
Coordinator
62019 Joint-Assessment by the multi-stakeholder platform
Cambodia
Particpant list
Add to
SUN
Name Organisation Job title Email Phone
mailing
list
VAN Save Vulnerable Executive
saravuth.v@svc-cambodia.org N/A
Saravuth Cambodians Director
Technical
HUN World Vision
programme Vannary_hun@wvi.org N/A
Vannary International
Manager
Laura Save the
Chief of Party Laura.cardinal@savethechildren.org N/A
Cardinal Children/NOURISH
health and
VONG Save the
Nutrition lenin.vong@savethechildren.org N/A
Lenin Children/NOURISH
Specialist
National
Mr. Yi
Plan International Program Kimthan.Yi@plan-international.org N/A
Kimthan
Director
Health and
Alan T. Nutrition
Samaritan\'s Purse ATalens@samaritan.org N/A
Talens Program
Manager
Ms.
Country
Mieko SHARE mmorgan@share.or.jp N/A
Representative
Morgan
Marieke Netherlands Nutrition and
van Development Gender mvanschie@snv.org N/A
Schie Organisations(SNV) Advisor
Paloma Action Against Country
cd@kh-actionagainsthunger.org N/A
Martin Hunger Cambodia Director
72019 Joint-Assessment by the multi-stakeholder platform
Cambodia
Particpant list
Add to
SUN
Name Organisation Job title Email Phone
mailing
list
Adventist
Ann M. Development and Associate
anns@adracambodia.org N/A
Stickle Relief Agency Director
Cambodia
Organization to
Executive
Tes Sopheat Develop Our sopheat_tes@odov.org N/A
Director
Villages
Organization to
Executive
Tes Sopheat Develop Our sopheat_tes@odov.org N/A
Director
Villages
Ros Village Support Executive
chhorvivorn@vsgcambodia.org N/A
Chhorvivorn Group Director
Khoun Exective
Prom Vihear Thor promvihearthor@yahoo.com N/A
Narin Director
Johanniter
Sinead Country
International sinead.mcgrath@thejohanniter.org N/A
McGrath Director
Assistance
Foundation for
Kimlong Project
International kimlonghong@fidr.org.kh N/A
Hong Manager
Development/Relief
Library
Sin Sothea SIPAR Program sothea.sin@sipar-cam.org N/A
Coordinator
Khmer Community Executive
Chan Sokha youth_kcd@hotmail.com N/A
Development Director
82019 Joint-Assessment by the multi-stakeholder platform
Cambodia
Particpant list
Add to
SUN
Name Organisation Job title Email Phone
mailing
list
Human and Executive
Ki Penh kepenh@humanandhealth.org N/A
Health Director
Olivier Research
World Fish O.Joffre@cgiar.org N/A
Joffre Fellow
Khut
Sreang Deputy
People in
Deputy Program sreang.khut@peopleinneed.cz N/A
Need
Program Manager
Manager
Health
World
Liz Byles Promotion liz.byles@gmail.com N/A
Renew
Advisor
Ker Civil Society Course
Soeurth.Ker@welthungerhilfe.de N/A
Soeurth Academy Coordinator
Love
Eang Program
Mission eang.vireak@yahoo.com N/A
Vireak Coordinator
Cambodia
Bernadette Program
CARITAS glisse.bernadette@caritascambodia.org N/A
Glisse Director
Peace
Executive
Sok Sokha Family s_sokha2005@yahoo.com N/A
Director
Organization
Family
Seng Deputy
Health SSopheap@fhi360.org N/A
Sopheap Director
International
92019 Joint-Assessment by the multi-stakeholder platform
Cambodia
Particpant list
Add to
SUN
Name Organisation Job title Email Phone
mailing
list
Save
Chan Program
Cambodia\'s vicheth@cambodiaswildlife.org N/A
Vicheth Manager
Wildlife
Cambodian
David Midwives
Director davidawcock@gmail.com N/A
Awcock Association
(CMA)
Indigenous
Community
Executive
Sao Vansey Support vansey@icso.org.kh N/A
Director
Organisation
(ICSO)
SOS
National
Children’s
Lok Vichet Youth/IPD vichet.lok@soscvcambodia.org N/A
Village
Coordinator
Cambodia
Royal Dean of Faculty
Kong Thong University of of Agro- kthong@rua.edu.kh N/A
Agriculture Industry
WASH and
Sam Ol WaterAid
Health Program channa.samol@wateraid.org.au N/A
Channa Cambodia
Manager
Program
Thlang Manager,
GRET thlang.cambodia@gret.org N/A
Pheaktra WatSan Team
Leader
Lay CARE Senior Clinical
Channeang.L@gmail.com N/A
Channeang International Officer - SRMH
Angkor External
Kong Naro Hospital for Programs knaro@angkorhospital.org N/A
Children Director
102019 Joint-Assessment by the multi-stakeholder platform
Cambodia
Particpant list
Add to
SUN
Name Organisation Job title Email Phone
mailing
list
Hope for
Executive
Sann Sambath Cambodian ssambath227@gmail.com N/A
Director
Children
Duong Executive
Banteay Srei ed@banteaysrei.info N/A
Chansereivisal Director
Lyndon Paul
Founder/General
Founder/General DCF/Vissot Lyndon.paul@vissot.com N/A
Manager
Manager
Lyndon Paul
Founder/General
Founder/General DCF/Vissot Lyndon.paul@vissot.com N/A
Manager
Manager
Lyndon Paul
Founder/General
Founder/General DCF/Vissot Lyndon.paul@vissot.com N/A
Manager
Manager
Lyndon Paul
Founder/General
Founder/General DCF/Vissot Lyndon.paul@vissot.com N/A
Manager
Manager
Lyndon Paul
Founder/General
Founder/General DCF/Vissot Lyndon.paul@vissot.com N/A
Manager
Manager
Lyndon Paul
Founder/General
Founder/General DCF/Vissot Lyndon.paul@vissot.com N/A
Manager
Manager
Lyndon Paul
Founder/General
Founder/General DCF/Vissot Lyndon.paul@vissot.com N/A
Manager
Manager
112019 Joint-Assessment by the multi-stakeholder platform
Cambodia
Particpant list
Add to
SUN
Name Organisation Job title Email Phone
mailing
list
Lyndon Paul
Founder/General
Founder/General DCF/Vissot Lyndon.paul@vissot.com N/A
Manager
Manager
Hiroko Oji Nom Popok Co-Founder Popok.cambodia@gmail.com N/A
Alix Coombs HKI acoombs@hki.org 085736159 N/A
Phim Loan NNP/NMCHC/MoH loanphim@gmail.com 017665150 N/A
Consultant for
Chim Charanay Consultant chchimn@gmail.com 078424545 N/A
World Bank
Director
His Excellency Department
Ministry of Planning borathmam.mop@yahoo.com 012882768 N/A
Mam Boreth Improvement
Nutrition
Rath Boreach MoP rath.boreach@gmail.com 093936830 N/A
Head of
Department of
Meach Yardy MAFF meachyardy@gmail.com 092665590 N/A
Agricultural
Marketing
They Chanto MRD/DRHC theychanto@gmail.com 012540450 N/A
122019 Joint-Assessment by the multi-stakeholder platform
Cambodia
Particpant list
Add to
SUN
Name Organisation Job title Email Phone
mailing
list
Nea
CARD neachamnan@yahoo.com 017969615 N/A
Chamnan
Hong Leang
CARD leangheng_hong@yahoo.com 016280607 N/A
Heng
Head of
Department
Say Ung CARD sayungcard@gmail.com 012926789 N/A
of Health and
Nutrition
Kreal Dara GIZ dara.kreal@giz.de 012374911 N/A
Chou
CARD bunheang_chou@yahoo.com 011898038 N/A
Bunheang
Indira Bose WFP indira.bose@wfp.org 078551084 N/A
Sou Chan
CARD N/A
Kresna
Kong Vanna CARD N/A
132019 Joint-Assessment by the multi-stakeholder platform
Cambodia
PROCESS 1: Bringing people together in the same space for action
Progress marker 1.1: Select/develop coordinating mechanisms
at the country level
Final score Last year's data used
3 No
Please explain how you determined this score, especially if changes have been seen over the past
year
The coordination mechanisms at the national level have a strong framework and are well supported.
These mechanisms include an Advisory Group for CARD that meets on an informal basis as needed,
the Technical Working Group for Social protection (meeting approximately three times per year) and
FSN which is formal and operates at the level of political decision-making and the Food Security
Forum which meets more often, at approximately every two months for the exchange of information.
Special events are used to increase the reach of the messages around nutrition, including the annual
National Nutrition Day, and the Second National Conference on WASH and Nutrition. The co-
ordination effort for WASH-Nutrition is strengthened by the Sub-Working Group leading that area.
The Fast track Roadmap for Nutrition Improvement and the There has been a strengthening of the
SUN CSA, Donor and UN Networks over the past year. Although there have been pilot efforts to
improve sub-national coordination, this is an area where substantial improvement can occur by
expanding the coverage of sub-national coordination effort. It is vital that this work proceeds rapidly
in line with the NCDD and the devolution of the roles and responsibilities for most areas to the
District Government and Commune Councils. Substantial effort is required to boost sub-national
coordination. To this end, with the assistance of the project related efforts by GIZ NOURISH, HKI and
others, there have been SUN Sub-National workshops, Sub-National Nutrition Days, Sub-National
Consultations for the formulation of the NSFSN 2019-2023.
142019 Joint-Assessment by the multi-stakeholder platform
Cambodia
PROCESS 1: Bringing people together in the same space for action
Progress marker 1.2: Coordinate internally and expand
membership/engage with other actors for broader influence
Final score Last year's data used
3 No
Please explain how you determined this score, especially if changes have been seen over the past
year
Initial meeting to progress towards the formation of the SUN Business Network is a positive step, but
other stakeholders (academia, media, politicians) yet to be directly involved. Continuing efforts
underway for moving to the launch of the Business Network and for engagement of the politicians
(SUN CSA plans for 2019). The RGC has assigned WFP to continue facilitating interaction with
business partners and explore opportunities for a sustainable arrangement to establish the the SUN
Business Network for Cambodia. SUN CSA have increased the engagement with the media. CARD
has made significant contributions to broaden the influence of the MSP, hosting state visits to
showcase the efforts of CARD and the MSP (Nepal and Lao PDR). In addition, CARD contributed to
an inter-ministerial meeting conducted by UNICEF and MEF, inviting participating ministries working
on nutrition (MoH, MoP, MoIH, MoC, CARD) to present on budget for nutrition for 2020. The MEF
agreed in general to increase the budget for nutrition for the line ministries in line with economic
growth and the budget for CARD has been increased for 2020. The UN network assisted with
preparation of a report and attend the Annual Consultation between the PM and the UN to discuss
Social Assistance and Nutrition.
152019 Joint-Assessment by the multi-stakeholder platform
Cambodia
PROCESS 1: Bringing people together in the same space for action
Progress marker 1.3: Engage within/contribute to the multi-
stakeholder platform (MSP)
Final score Last year's data used
4 No
Please explain how you determined this score, especially if changes have been seen over the past
year
The SUN CSA, Donors, UN constituency, and Government regularly participate in meetings for the
Technical Working Group for Social Protection and Food Security and Nutrition (TWG – SP & FSN);
Food Security (FS) Forum; Nutrition Working Group (NWG); Sub-technical Working Group (SWG) for
WASH and Nutrition to maintain and ensure effective coordination between networks. Through the
various existing working groups, the different networks have contributed to transparency and broad
ownership of the SUN process through sharing of relevant information and activity updates. Members
have regularly delivered presentations on best practices and experiences related to nutrition
activities, research, and other studies at these meetings. The SUN CSA Cambodia has mapped each
organization’s needs, capacities and activities and the UN network have conducted a similar exercise.
Work has also been conducted to help standardize the exercise for the SUN Networks in Cambodia to
improve consistency in reporting. This enabled them to determine the coverage, reach and types of
nutrition services implemented in Cambodia by their members. All groups (UN, SUN-CSA and
Donors) and the Government were also actively engaging in the process and consultations related to
the dissemination of the results of the Mid-Term and Strategic Review of the National Strategy for
Food Security and Nutrition (NSFSN) 2014-2018 and in the formulation of the NSFSN 2019-2023. This
included participation in the National Consultation Workshop and Sub-National workshops for
National Breastfeeding week and National Nutrition Day, jointly contributing to funding and staffing
and participating directly in the exercises providing valuable inputs and contributions for the NSFSN
2019-2023.
162019 Joint-Assessment by the multi-stakeholder platform
Cambodia
PROCESS 1: Bringing people together in the same space for action
Progress marker 1.4: Track, report and reflect on own
contributions and accomplishments
Final score Last year's data used
4 Yes
Please explain how you determined this score, especially if changes have been seen over the past
year
The MTSR for the NSFSN 2014-2018 was released in English and Khmer in early 2018. The MTSR
reflected on the past achievements, situation analysis of present trends, and recommendations for
action in 2018 and has greatly assisted the process for the formulation of NSFSN 2019-2023. These
strategic processes, complemented by parallel strategic analysis for the UN and SUN CSA and
individual agencies including the World Bank have led to a more standardised, streamlined and
comprehensive process for determining agreed actions and for tracking and reporting on progress.
The agreement of the CSDGs and the formulation of JMIs also helped to achieve this coherence. In
addition, key documents have published to support the future National Strategy for Food Security
and Nutrition (2019-2023) such as the 2018 Mapping of SUN Civil Society Organizations in Cambodia.
The incorporation of the ZHC into the NSFSN has helped to streamline procedures for monitoring
and reporting and the close alignment of the NSFSN with the SUN Networks and reporting has also
led to greater accountability to the MSP by the individual stakeholders. The willingness of these
stakeholders to support the MSP and joint processes has been a strong signal of the effectiveness of
the MSP.
172019 Joint-Assessment by the multi-stakeholder platform
Cambodia
PROCESS 1: Bringing people together in the same space for action
Progress marker 1.5: Sustain the political impact of the multi-
stakeholder platform
Final score Last year's data used
4 Yes
Please explain how you determined this score, especially if changes have been seen over the past
year
The emphasis on nutrition has increased in recent years, with high level political commitment, active
participation from line ministries, civil society and developing partners, enhancing efforts towards
improved socio-economic and nutritional outcomes, aided by an increasingly enabling policy
framework. This effort should be sustained and scaled-up by supporting the leadership of the Council
of Agricultural and Rural Development in the dissemination and implementation of the NSFSN
2019-2023 and the technical working groups including the Sub-Group on Wash and Nutrition, the
FSN Forum and initiatives at the national and the sub-national level. CARD is joined by the National
Council for Social Protection in elevating the efforts to combat malnutrition, especially with the
launch of the new maternal and child cash transfer scheme announced by HE Prime Minister. The
increase of national budget in areas like social protection, health and education is a sign of a
transition away from reliance mostly on donor funds for nutrition related issues. The willingness of
the RGC and MEF to borrow loan funds from the World Bank for nutrition shows a transition in
thinking and the recognition that nutrition is in fact an investment on the part of both society and
economy. There is strong support for a comprehensive approach to combating malnutrition. This
support extends to the highest level in Cambodia and is reflected in policy statements and high level
directives from the RGC. The support of UN, Donor and CSA is additional layer of advocacy which
ensures that nutrition stays high in the government agenda, even as Cambodia moves forward into
Lower Middle Income Status The strengthening of governance arrangements , especially the sub-
national linkages to ensure coordination of ground level implementations is a joint priority under the
NSFSN 2019-2023. The One Village One Product initiative helps support sustainability. The risk faced
in terms of this progress indicator is that nutrition matters slip on the agenda as the country makes
further economic progress.
182019 Joint-Assessment by the multi-stakeholder platform
Cambodia
PROCESS 1: Bringing people together in the same space for action
Scaling up nutrition at the sub-national level
Does the multi-stakeholder platform (MSP) exist at the sub-national level?
1.
Yes
If so, in how many counties, districts or regions?
2. Counties Districts Regions
5
Who convenes the MSP at the sub-national level? Please explain, if applicable:
Different conveners according to the different stakeholders involved. The Provinces working
with MUSEFO (GIZ) have developed a MSP called a coordination unit with six different
departments involved as well as other project stakeholders under the management of the
3. Deputy Governor. In the case of NOURISH (USAID) the convener is from the project, with the
Health Centres playing a key role, Other provinces have evolved different structures and
sometimes there is a PTWG WASH and there are Inter-Ministerial Provincial Nutrition
Coordination Committee in each Province (MoP) representing 12 Departments and mirroring
the TWG at national level, usually chaired by a Provincial Governor, There are ProTWGH and
the Emergency Food Assistance Programme (EFAP) under MEF and PCDM.
Is there regular communication between the national and sub-national MSPs?
4.
Yes
Does the MSP at the sub-national level meet regularly?
5.
Yes
Which Governmental sectors work with the MSP at the sub-national level? Please explain, if
applicable
6.
The key sectors are health, agriculture, rural development, planning, education and
women\\\\\\\'s affairs. In addition, there is critical oversight of the sub-national processes by
the Ministry of Interior and the NCDD.
Does the sub-national multi-stakeholder platform or platforms work with civil society,
business, the UN and donors?
7.
Yes, they generally work with these agencies, depending on the driver for the sub-national
MSP. Sometimes the arrangements are driven by internal project actors and do not fully 19
reflect the different parties outside the proejct who could potentially be involved.2019 Joint-Assessment by the multi-stakeholder platform
Cambodia
PROCESS 1: Bringing people together in the same space for action
SUMMARY: Bringing people together in the same space
Please describe overall achievements, positive developments, key challenges and suggestions for
improvement towards bringing people together in the same space seen the past year (April 2018 - April
2019). Note that this section will be used to draft your individual country profiles in the SUN Movement
annual progress report.
The calendar of events, the dialogue, analysis and planning coordinated by CARD in relation to FSN
provides an effective national coordination mechanism and MSP for government and development
partners to meet. In addition the supporting work for the SUN Movement and the various networks helps
to ensure that the key stakeholders are brought together regularly and their efforts are combined
through information sharing, joint planning, policy formulation and strategic processes. SUN networks,
including government, CSA, UN, and donors regularly attend meetings at the TWG for Social Protection
and Food Security and Nutrition chaired by the Deputy Prime Minister ; the FS Forum chaired by CARD;
NWG chaired by the National Nutrition Program (NNP), and Sub-Working Group WASH -Nutrition I
chaired by CARD and co-chaired by Save the Children to maintain to ensure effective coordination
between the different networks. In addition the Advisory Group which has representatives from all
networks often meets under the chairmanship of CARD to coordinate specific actions. The examples that
could be highlighted include the finalization of the ISPA for FSN released in April 2018, the completion of
the MTSR of the NSFSN 2014-2018, the conduct of the Second Conference on the Integration of WASH
and Nutrition in Dec 2018 and the formulation of the NSFSN 2019-2023 currently underway. The
consensus of opinion is that the main limitation to the score of 4 for this progress indicator is that the
sub-national level needs to mirror these achievements and the Business and other actors
(parliamentarians, media, academics, youth) need to be directly and consistently engaged.
202019 Joint-Assessment by the multi-stakeholder platform
Cambodia
PROCESS 2: Ensuring a coherent policy and legal framework
Progress marker 2.1: Continuously analyse existing nutrition-
relevant policies and legislation
Final score Last year's data used
4 No
Please explain how you determined this score, especially if changes have been seen over the past
year
There is continuing emphasis on the use of evidence generated by different studies to update policies
or address the bottlenecks faced in implementation. Creation of an NCD Alliance and a supporting
Action Plan. Progress with Health Strategic Plan 2016 to 2020 assessed. The different SUN groups
also continued to support the RGC by generating data that could support future policies and/or
guidelines and these data are used in 2018/2019 for: i) formulation of the NSFSN 2019-2023, ii)
MIYCN strategy 2018-2020; strengthen monitoring and enforcement of Sub-Decree 133 and 69
(Management of Iodized Salt Exploitation); iv) efforts to combat NCDs relating to overweight and
obesity; v) conduct of a Diagnostic Exercise by EU-FAO FIRST Programme as a basis for policy
development; vi) the improvement of Information systems and knowledge management of FSN; vii)
conduct of joint mapping exercises to coordinate nutrition contributions and nutrition-related
activities for all networks; viii) reporting progress for CSDGs and on JMIs.
212019 Joint-Assessment by the multi-stakeholder platform
Cambodia
PROCESS 2: Ensuring a coherent policy and legal framework
Progress marker 2.2: Continuously engage in advocacy to
influence the development, updating and dissemination of
relevant policy and legal frameworks
Final score Last year's data used
4 No
Please explain how you determined this score, especially if changes have been seen over the past
year
There is a strong planning framework and coordination mechanism for FSN in place under the
leadership of CARD. Some key research and publications have allowed the different agencies and
SUN groups to advocate within the different working groups for several aspects of nutrition. The Fast
track Roadmap for Nutrition Improvement and the Health Strategic Plan 2016-2020 continue to serve
as a strong foundation for coordinated action in the health sphere. Government agencies and the
SUN-CSA, WHO and UNICEF continued advocating for the enforcement of Sub-Decree 133 to ban
marketing of breast milk substitutes and reported infringements identified by Network members.
Guidelines for enforcement of Sub-decree 69 in place and progress assessed. CARD and the UN
Network supported the Ministry of Education, Youth and Sport (MoEYS) and the Ministry of Economy
and Finance (MEF) to provide evidence supporting effectiveness of Home Grown School Feeding in
Cambodia, assisting the RGC to transition to the management of the School Feeding Programme in
Cambodia as the supply of food aid diminishes. UN, CSA and Donor networks also supported the
RGC through the MEF, Ministry of Health (MoH) and Ministry of Social Affairs, Veterans and Youth
Rehabilitation (MoSAVY) in the design and testing of cash transfer mechanisms and the use of the
IDPoor System as a targeting mechanism. These have been adopted by the RGC for the Maternal and
Child Cash transfer scheme.
222019 Joint-Assessment by the multi-stakeholder platform
Cambodia
PROCESS 2: Ensuring a coherent policy and legal framework
Progress marker 2.3: Develop or update coherent policies and
legal frameworks through coordinated and harmonised in-
country stakeholder efforts
Final score Last year's data used
2 No
Please explain how you determined this score, especially if changes have been seen over the past
year
There is a continuing effort to improve their policies and/or legal frameworks to improve the
efficiency of its programs. Since the National elections, there has been a coordinated process for the
alignment of strategic directions, including international frameworks like the SGDs which have been
localized as CSDGs, and the Rectangular Strategy and NSDP for the period of the mandate. The
NSFSN 2019-2023 fits within this harmonized strategic framework. The key policies and strategic
plans are taken into account in the formulation of the NSFSN 2019-2023. However, it is challenging to
ensure that the strategies of the line ministries reflect nutrition goals. There is strong coherence with
the policies and strategies of the Ministry of Health, the Ministry of Rural Development and ongoing
efforts relating to the Agricultural Sector Development Plan and the Agricultural Sector Master Plan.
The legal framework is very challenging progress with the Food safety Law has been slow due to the
many interests and complex institutional arrangements involved. The different interests limit
compliance and effective enforcement of existing laws and regulations. There are continuing
challenges for the enforcement of the law relating to the marketing of breast milk substitutes ,
although the SUN CSA has made a determined effort to report offenders and there is a growing
record of successful prosecutions under the law. Sub-Decree 69 which sets salt manufacturing
standards and includes the introduction of a new logo for the certification of iodized salt is also a
challenge to enforce. To ensure the highest quality product, using iodine is not enough – the correct
equipment is also needed. It is also vital to standardize and harmonize the manufacturing code, and
the standards, of all small and medium enterprises. The new certification logo will be available
through the Ministry of Industry and Handicraft only to factories with the correct procedures in place
to comply with the standards that ensure proper iodization. It will signal to consumers, that the salt
producer follows good manufacturing practices. Ongoing efforts to increase compliance with dealing
with mandatory iron fortification standards for fish sauce and soy sauce. The limited score for this
progress indicator relates to the limited progress with drafting and passage of laws and for the
enforcement of the regulations that relate to nutrition.
232019 Joint-Assessment by the multi-stakeholder platform
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PROCESS 2: Ensuring a coherent policy and legal framework
Progress marker 2.4: Operationalise/enforce legal frameworks
Final score Last year's data used
3 No
Please explain how you determined this score, especially if changes have been seen over the past
year
There are continuing challenges for the enforcement of the law relating to the marketing of breast
milk substitutes , although the SUN CSA has made a determined effort to report offenders and there
is a growing record of successful prosecutions under the law. MoH and NNP, MoInf, Moc, MoIH,
SUN CSA and UNICEF and WHO actively supported monitoring and enforcement of Sub Decree 133.
Sub-Decree 69 which sets salt manufacturing standards and includes the introduction of a new logo
for the certification of iodized salt is also a challenge to enforce. To ensure the highest quality
product, using iodine is not enough – the correct equipment is also needed. It is also vital to
standardize and harmonize the manufacturing code, and the standards, of all small and medium
enterprises. The new certification logo will be available through the Ministry of Industry and
Handicraft only to factories with the correct procedures in place to comply with the standards that
ensure proper iodization. It will signal to consumers, that the salt producer follows good
manufacturing practices. UNICEF has supported MoP and National Council for Nutrition with the
legislation on salt iodization since it was passed. It will be a good indicator on the operationalization
of a fortification initiative and therefore will impact future fortification program. Inter-Ministerial
Prakas 48 introduced for the production and use of iron fortified fish sauce and soy sauce. There have
been ongoing efforts to increase compliance with dealing with mandatory iron fortification standards
for fish sauce and soy sauce.
242019 Joint-Assessment by the multi-stakeholder platform
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PROCESS 2: Ensuring a coherent policy and legal framework
Progress marker 2.5: Track and report for learning and
sustaining the policy and legislative impact
Final score Last year's data used
3 No
Please explain how you determined this score, especially if changes have been seen over the past
year
Following the previous example used in 2.3 & 2.4, the SUN-CSA has worked intensively on the sub-
decree 133 and reported violations to the Oversight Board and its Executive Working Group. The
Oversight Board brings together the Ministries of Health, Commerce, Industry and Handicrafts, and
Information. With use of the Cambodia NetCode, 21 cases violating Sub-Decree 133 were filed by the
SUN CSA Cambodia to the Executive Working Group of the Oversight Board for action during 2018.
Thus 11 violators were provided with warning letter by the EWG of the Oversight Board and 7 were
penalized. The SUN CSA shared this information effectively both within its extensive network and
with all other networks in an effort to deter the marketing of breast milk substitutes in Cambodia and
in conjunction with campaigns promoting exclusive breastfeeding.
252019 Joint-Assessment by the multi-stakeholder platform
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PROCESS 2: Ensuring a coherent policy and legal framework
SUMMARY: Ensuring a coherent policy and legal framework
Please describe overall achievements, positive developments, key challenges and suggestions for
improvement towards bringing people together in the same space seen the past year (April 2018 - April
2019). Note that this section will be used to draft your individual country profiles in the SUN Movement
annual progress report.
Key policies and strategies are in place for Cambodia to address Food Security and Nutrition Issues. The
policy context is shaped by the NSDP 2019-2023 that provides the roadmap for implementing the RGC’s
Rectangular Strategy, Phase IV. The National Strategy for Food Security and Nutrition is placed within
the context. CARD and line ministries are working to update policeies and strategies to deal with current
problems including Severe Acute malnutrition, salt iodization, MIYCN SBCC, Sub-decree133, etc..) but
struggling with the legal and regulatory frameworks. The advocacy and support of the SUN Networks is
critical to these efforts. The Fast Track Road Map for Improved Nutrition is in place. Key policies and
laws supporting nutrition that are missing include: i) Food Safety Law and ii) Policies and Law to support
double duty actions addressing malnutrition in all forms. Those policies or guidelines are urgently
needed. Challenge for provision of improved water supplies continue to occur and this is another area
where regulations and responsibilities can be improved to ensure the quality of the water supply. Laws
are in place for regulation of breastmilk substitutes and fortification of food but enforcement of the
regulations is a continuing battle. Fortification efforts face many challenges including the institutional
arrangements, quality assurance and enforcement of legislation. The effectiveness of the new NSFSN
will be tested by the progress made with the passage of key laws and regulations and the effective
enforcement of existing laws and regulations. The policy setting is relatively strong.
262019 Joint-Assessment by the multi-stakeholder platform
Cambodia
PROCESS 3: Aligning actions around common results
Progress marker 3.1: Continuously analyse existing nutrition-
relevant policies and legislation
Final score Last year's data used
4 Yes
Please explain how you determined this score, especially if changes have been seen over the past
year
Significant steps have been taken to align all members’ programs, activities and actions with national
nutrition-relevant policies. In 2018-19, different groups have collected information for the next round
of strategic programming. This includes the substantial efforts to harmonise plans under the NSDP
and the NSFSN 2019-2023; the incorporation of the CSDGs into a wide range of planning frameworks
as a national framework for alignment of results; alignment of individual UN agency planning
frameworks and the combined UNDAF 2019-2023; the SUN CSA has made substantial progress in
aligning members activities around key results and ensuring that these results are incorporated in the
national planning frameworks. The preparation for a major World Bank nutrition project illustrates
very well how the programme frameworks have been built into the project design and reporting to
reflect national policies and priorities. The project design aligns actions across the health and WASH
sectors and among different stakeholders, focusing on the achievement of key results at the sub-
national level.
272019 Joint-Assessment by the multi-stakeholder platform
Cambodia
PROCESS 3: Aligning actions around common results
Progress marker 3.2: Translate policy and legal frameworks into
an actionable Common Results Framework (CRF) for scaling up
nutrition at the national and sub-national level
Final score Last year's data used
3 Yes
Please explain how you determined this score, especially if changes have been seen over the past
year
The CSDGs serve as a broad mechanism for the alignment of development efforts. These CSDGs
have been taken into account in developing the NSDP 2019-2023 and other plans. On the basis of the
MTSR of the NSFSN 2014-2018, the SUN Joint Annual Assessment 2017-2018 and subsequent
discussions, nutrition stakeholders have moved forwards with alignment around the common
response framework embodied by the NSFSN 2019-2023 and SUN Movement. The National Plan of
Action for the ZHC 2016-2025 is also incorporated into the NSFSN 2019-2023, in an effort to
streamline the results framework . This includes efforts to align results at national and sub-national
level.
282019 Joint-Assessment by the multi-stakeholder platform
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PROCESS 3: Aligning actions around common results
Progress marker 3.3: Organise and implement annual priorities
as per the Common Results Framework
Final score Last year's data used
2 No
Please explain how you determined this score, especially if changes have been seen over the past
year
As previously identified, stronger bridges are required between CARD and line ministries and to the
sub-national level to ensure responsibilities are agreed and outcomes assured. The NSFSN 2019-2023
is intended to achieve this and there has been some limited progress stemming from the process of
strategy formulation.
292019 Joint-Assessment by the multi-stakeholder platform
Cambodia
PROCESS 3: Aligning actions around common results
Progress marker 3.4: Jointly monitor priority actions as per the
Common Results Framework
Final score Last year's data used
3 Yes
Please explain how you determined this score, especially if changes have been seen over the past
year
As highlighted in the Mid-Term and Strategic Review of the NSFSN 2014-2018, one of these
challenges was to increase the effectiveness and reach of the strategy by ensuring better linkages
with line ministries and sub-national government. Limited information flow between these bodies
limits engagement with the NSFSN. Lack of assigned responsibilities for actions and outcomes also
effects engagement, implementation and reporting. There is a recognised need for partners to ensure
that there is capacity to collect the data on a routine basis and agree on the agency responsible for it.
There is a need to invest in a more functional information system with limited output indicators.
Reporting on the results framework has been a major challenge. The priority actions and indicators in
the NSFSN 2019-2023 have been linked to assigned responsibilities for sector-led and joint priorities.
The indicator set has been rationalised to fit this arrangement at the output level and discussed at
length in the formulation of the strategy.
302019 Joint-Assessment by the multi-stakeholder platform
Cambodia
PROCESS 3: Aligning actions around common results
Progress marker 3.5: Evaluate the implementation of actions to
understand, achieve and sustain nutrition impact
Final score Last year's data used
4 No
Please explain how you determined this score, especially if changes have been seen over the past
year
The most relevant evaluation that was conducted was the Mid-Term and Strategic Review of the
NSFSN 2014-2018, which provided an opportunity to reflect on how past and present issues and gaps
can be addressed in the short, medium and longer term. It provided 8 recommendations for the
common work of SUN partners in the National Strategy for Food Security and Nutrition: 1. Greater
attention should be paid to improving access and utilization of food 2. Strengthen understanding of
the basic and underlying causes of under-nutrition in Cambodia 3. Strengthen the framework for
management of food and nutrition security 4. Conduct a comprehensive review of institutional issue
in representation for the formulation of the next NSFSN 2019-2023 5. Continued investment by civil
society in community-based approaches, combined with programmatic investment by governments
at a local level 6. Strengthen the linkages with social protection 7. Prepare plans for dealing with the
double burden of malnutrition 8. Use economic arguments and cross-sectoral dialogue to advocate
for increased investments by governments, development partners and private sector for funding for
food security and nutrition In light of these recommendations from the MTSR, there has been a
sustained effort on the part of SUN Networks in Cambodia to ensure a sustained nutrition impact
under the NSFSN 2019-2023.
312019 Joint-Assessment by the multi-stakeholder platform
Cambodia
PROCESS 3: Aligning actions around common results
SUMMARY: Aligning actions around common results
Please describe overall achievements, positive developments, key challenges and suggestions for
improvement towards bringing people together in the same space seen the past year (April 2018 - April
2019). Note that this section will be used to draft your individual country profiles in the SUN Movement
annual progress report.
There has been strong progress around the alignment of actions around a common results framework
over the reporting period. This stems from the very strong commitment to the MTSR of the NSFSN
2014-2018 and the ongoing preparations for the formulation of the NSFSN 2019-2023. This alignment of
actions is assisted by the localization of the SDGs and the strong commitment by the RGC to the
Cambodia SDGs in its planning frameworks. The alignment process also benefits from the strategic plans
of agencies being communicated and harmonized through the JMIs for the TWG and SUN Networks
with CARD as the Focal Point . The challenges remaining are for the launch of the strategy, the sustained
effort to implement the strategy and for the collection of data to report on progress and make effective
decisions. These challenges are well recognised and there stakeholders are determined to progress the
alignment process towards the common goals. The process of decentralization under the NCDD also
poses fresh challenges and opportunities for alignment sub-nationally and this is a key area for
improvements to address the implementation blockages identified in the past.
322019 Joint-Assessment by the multi-stakeholder platform
Cambodia
PROCESS 4: Financial tracking and resource mobilisation
Progress marker 4.1: Cost and assess the financial feasibility of
the CRF
Final score Last year's data used
4 No
Please explain how you determined this score, especially if changes have been seen over the past
year
There are costing exercises completed for the Fast Track Road Map for Improved Nutrition and for
the WASH sector. SUN Networks are undertaking routine mapping exercises to identify gaps and
contributions. The MEF has provided data on RGC expenditures. It has proven challenging to conduct
costing exercises for nutrition-sensitive activities across the range of government and non-
government agencies involved. There have been costing exercises for nutrition-specific activities, but
the wider range of nutrition-sensitive activities prove much harder to cost.
332019 Joint-Assessment by the multi-stakeholder platform
Cambodia
PROCESS 4: Financial tracking and resource mobilisation
Progress marker 4.2: Track and report on financing for nutrition
Final score Last year's data used
3 Yes
Please explain how you determined this score, especially if changes have been seen over the past
year
Whilst the expenditures for nutrition specific activities and from the MoH are reported transparently,
data are not collated and shared for other nutrition-sensitive activities because they are generally
difficult to separate from other expenditure. It is common for nutrition to be seen as a cross-cutting
issue rather than a separate expenditure category. More work is needed to implement a routine
expenditure tracking framework. UN and SUN CSA Networks have been working to standardize
procedures for mapping expenditures, with prospects for this standardized procedure to be
expanded to all parties and to accommodate SUN guidelines.
342019 Joint-Assessment by the multi-stakeholder platform
Cambodia
PROCESS 4: Financial tracking and resource mobilisation
Progress marker 4.3: Scale up and align resources including
addressing financial shortfalls
Final score Last year's data used
2 No
Please explain how you determined this score, especially if changes have been seen over the past
year
To ensure appropriate resourcing, strategies need to be appropriately costed. Currently this only
been done for a few areas; the Fast Track Roadmap for Improving Nutrition 2014-2020 was costed at
approximately 50 million, with only some 30% of funds secured towards this. The NSFSN itself does
not have associated budget, and resourcing for CARD is very limited. Key ministries including the
MRD do not have a costed plan.
352019 Joint-Assessment by the multi-stakeholder platform
Cambodia
PROCESS 4: Financial tracking and resource mobilisation
Progress marker 4.4: Turn pledges into disbursements
Final score Last year's data used
2 No
Please explain how you determined this score, especially if changes have been seen over the past
year
Institutions mandated to provide a range of social services for vulnerable groups, including MoSVY,
MoLVT, and MoWA, have not been adequately resourced to achieve their policy objectives, even
taking into account recent improvements in RGC commitments for social services. Most of the costed
strategies are only partially funded (MOH, MAFF). Implementation gaps, resources and weak sub-
national engagement have limited achievements. We need to go further, to develop an inclusive plan
of action, focused on a limited set of objectives BUT fully funded to provide evidence on value for
money. This requires that the results framework is kept simple so that different agencies can
recognise where there commitments fall and the totality of the work required to fulfil the needs.
362019 Joint-Assessment by the multi-stakeholder platform
Cambodia
PROCESS 4: Financial tracking and resource mobilisation
Progress marker 4.5: Ensure predictability of multi-year funding
to sustain implementation results and nutrition impact
Final score Last year's data used
2 No
Please explain how you determined this score, especially if changes have been seen over the past
year
The RGC is working to ensure greater predictability, transparency and accountability in budgeting.
Finding a continuous source of funding for SUN CSA Cambodia and for supporting the NSFSN has
been challenging. Donors have long-term financial plans and the UN and SUN CSA have all worked
on producing more comprehensive plans over longer time frames. The performance record of the
SUN CSA serves as an attraction for donors and for boosting membership and helps to generate
greater predictability overall. However, future financial projections are contingent upon the
availability of funds from various sources (e.g. the US Congress for USAID).
372019 Joint-Assessment by the multi-stakeholder platform
Cambodia
PROCESS 4: Financial tracking and resource mobilisation
SUMMARY: Financial tracking and Resource mobilisation
Please describe overall achievements, positive developments, key challenges and suggestions for
improvement towards bringing people together in the same space seen the past year (April 2018 - April
2019). Note that this section will be used to draft your individual country profiles in the SUN Movement
annual progress report.
The RGC is working to ensure greater predictability, transparency and accountability in budgeting. This
includes data on nutrtion expenditures for each of the ministries concerned. Tracking of ODA
expenditure for nutrition using official estimates of ODA provided by the CDC provides limited
information. Finding a continuous source of funding for SUN CSA Cambodia and for supporting the
NSFSN has been challenging. Donors have long-term financial plans and the UN and SUN CSA have all
worked on producing more comprehensive plans over longer time frames.
382019 Joint-Assessment by the multi-stakeholder platform
Cambodia
Outcome marker
Scaling up nutrition-specific interventions
Final score: 3
Scaling up nutrition-sensitive interventions
Final score: 3
Outcome marker summary: Scaling up nutrition-specific and nutrition-sensitive
interventions
A major step forward in scaling up has occurred with the national introduction the 1000 day Package
for Maternal and Child cash transfers. The investments from the Cambodia Nutrition Project by the
RGC and World Bank will make significant steps in scaling up of nutrition activities in 7 provinces.
Rapid improvements have continued in scaling up WASH activities over recent years. National Action
Plans for the National School Health Programme and Early Childhood Care and Development
(MoEYS) and the Early Childhood Development Plan (MoSAVY) have been developed and
implemented nationally. Council Committee Women and Children (MoI and NCDD) has been created
in addition a National Council for Women. Although there has been an increase in national funding,
the domestic commitment to multi-sectoral coordination and funding for CARD specifically remains
challenging. CARD and its coordination mandate need to be further empowered across line
ministries. This will be critical for efforts to take strategic directions down to the sub-national level for
local adaptation. There has been a concerted effort from all parties to engage in the multi-sectoral
platforms for coordination, information sharing, policy dialogue and reporting at national level. For
the next year, the emphasis will turn to ensuring that CARD is assisted to ensure that the TWG-
SP&FSN is more strategic and effective, with greater scope and membership, effective sectoral
linkages and strategic direction linking with the SUN Movement in Cambodia, the Zero Hunger
Challenge and the annual cycle of events relating to FSN. The successful development and
implementation of the NSFSN 2019-2023 will provide overall direction for scaling up nutrition
interventions over coming years. This change will involve moving beyond bringing people together to
greater focus on processes for alignment around results, tracking progress and mobilising financial
resources. This is the main challenge faced at national level.
392019 Joint-Assessment by the multi-stakeholder platform
Cambodia
SUN Business Network
Does the country have a network, forum or platform where the private sector coordinates
their nutrition actions?
1.
In progress
If yes, what is the name of this network, forum or platform?
2.
N/A
If yes, what is the name and contact details of the convener?
3.
Name: N/A Email: N/A
If yes, does it have a strategy developed and aligned with the national nutrition plan?
4.
In progress
If yes, does it have funding secured for at least the next 6 months?
5.
No
If the country has not established a network, forum or platform, does the multi-stakeholder
platform work with the private sector/businesses, at large?
6.
Yes
Is the role of the private sector defined or included in the national nutrition action plan?
7.
In progress
Overall summary of progress achieved or challenges over the past year (April 2018 to April
2019)
At the end of 2018, a local food business launched the production of local nutritious snacks
following years of product development in collaboration with government, UNICEF and
academia. This is exemplary for existing multi-stakeholder collaboration including private
sector. Continued engagement of Govt, UN and local salt producers aimed to enhance the
8. iodization of locally produced salt and thus improve household access to and use of iodized
salt. This is an ongoing investment. In the first half of 2019, CARD in collaboration with UN and
other stakeholders started a scoping exercise to explore the interest and viability of a SBN in
Cambodia. A range of private sector actors and/or representatives were approached to
introduce the concept of the SBN, discuss mutual interest and explore possible formal
arrangements in future. A multi-stakeholder meeting confirmed enthusiasm to move ahead
with further consultations and exploration of formal administrative mechanisms. On behalf of
and with CARD and other Cambodia SUN members, WFP will take this forward including
through resource mobilization efforts to facilitate the continued scoping and start-up process. 402019 Joint-Assessment by the multi-stakeholder platform
Cambodia
Key contributions of the private sector/businesses towards the
SUN Movement strategic objectives in 2018-2019
Contributions to Process 1
Bringing people together in the same space for action
N/A
Contributions to Process 2
Ensuring a coherent policy and legal framework
N/A
Contributions to Process 3
Aligning actions around common results
N/A
Contributions to Process 4
Financial tracking and resource mobilisation
N/A
412019 Joint-Assessment by the multi-stakeholder platform
Cambodia
SUN Civil Society Network
Does the country have a network, forum or platform where the private sector coordinates
their nutrition actions?
1.
Yes
If yes, what is the name of this network, forum or platform?
2.
Scaling Up Nutrition Civil Society Alliance In Cambodia
If yes, what is the name and contact details of the convener?
3.
Name: Hou Kroeun Email: hkroeun@hki.org
If the country has not established a network, forum or platform, does the multi-stakeholder
platform work with civil society, at large?
4.
Not applicable as a Network has been established
Please explain:
5.
Overall summary of progress achieved or challenges over the past year (April 2018 to April
2019)
The SUN CSA Cambodia to scale up nutrition were focused on identifying nutrition priorities
and coordinating nutrition activities of members. This is evident through the Mapping Survey
and Capacity Needs Assessment and contributions of the SUN CSA Cambodia at high level
nutrition discussions, such as the development of the NSFSN 2019-2023 and MIYCN SBCC
Strategies. The SUN CSA Network has made very effective contributions at sub-national,
national and international levels. Existing CSOs working in nutrition-specific and -sensitive
interventions were successfully mobilized and coordinated, maximizing impact and influence
6. on nutrition governance, policies and investments. SUN CSA membership grew from 25 in
2017 to 40 at the completion of 2018. During the reporting period the CSA Network was
involved in many activities involving information sharing, coordination, capacity building and
reporting on progress. Nine case studies were submitted by member organizations, focusing
on key evidence, lessons learned and best practices around specific and sensitive nutrition
interventions in communities where SUN CSA Cambodia members work. SUN CSA Cambodia
submitted a total of 16 violation reports to the Executive Working Group (EWG) of the
National Oversight Board. While much has been accomplished since the formation of the SUN
CSA Cambodia a few years ago, there is room to grow as a united alliance and it is our hope
that government, NGOs and other nutrition actors in Cambodia continue to connect, learn
and grow together.
422019 Joint-Assessment by the multi-stakeholder platform
Cambodia
Key contributions of civil society towards the SUN Movement strategic objectives in 2018-2019
Contributions to Process 1
Bringing people together in the same space for action
The Scaling Up Nutrition Civil Society Alliance (SUN CSA) in Cambodia had a productive year in 2018 under the leadership of the Executive Committee (EC), consisting of Helen Keller International as
the Chair, Plan International, Save The Children, World Vision International and Save Vulnerable Cambodians - the local representative. Existing CSOs working in nutrition-specific and -sensitive
interventions were successfully mobilized and coordinated, maximizing impact and influence on nutrition governance, policies and investments. As well as working with existing CSOs, membership
numbers grew from 25 in 2017 to 40 at the completion of 2018. SUN CSA Cambodia members actively contributed evidence and technical support to the mid-term review for the National Strategy for
Food Security and Nutrition and the monitoring and enforcement of the National BMS Code in 2017 and 2018. Partnership continued to grow between the SUN CSA Cambodia and the Council for
Agricultural and Rural Development (CARD) – the highest national coordination body for the nutrition multi-stakeholder platform – and other SUN Networks (Donor and UN Network), as well as other
line ministries. Alliance members regularly participated in nutrition and food security related technical working groups, bridging community experiences with local authorities and government.
Members also provided technical and financial support for the implementation of multi-sectoral nutrition advocacy events including World Breastfeeding Week and National Nutrition Day. The SUN
CSA Cambodia consists of a diverse community of civil society actors working towards the common goal of ending malnutrition in Cambodia. While much has been accomplished since the formation
of the SUN CSA Cambodia a few years ago, there is room to grow as a united alliance and it is our hope that government, NGOs and other nutrition actors in Cambodia continue to connect, learn and
grow together.
Contributions to Process 2
Ensuring a coherent policy and legal framework
Overall, efforts of the SUN CSA Cambodia to scale up nutrition were focused on identifying nutrition priorities and coordinating nutrition activities of members. This is evident through the Mapping
Survey and Capacity Needs Assessment that was conducted among members, along with the contributions of the SUN CSA Cambodia (via the EC) at high level nutrition discussions, such as that
pertaining to the development of the NSFSN 2019-2023 and MIYCN SBCC Strategies. Members of the SUN CSA Cambodia also regularly communicated activities and networked with other actors
including UN agencies, donors, academics and government networks to update them on the status, progress and challenges at various technical working groups and national forums. All project
findings, research, experiences and best practices in implementing nutrition programs at the community level by members have been satisfactorily documented and published. SUN CSA Cambodia
members regularly attend meetings at the TWG for SP and FS chaired by the Deputy Prime Minister (DPM); FS Forum chaired by CARD; NWG chaired by the National Nutrition Program (NNP), and
SWG Integration of Nutrition and WASH chaired by CARD and co-chaired by Save the Children to maintain and ensure effective coordination between the SUN CSA Cambodia with other networks.
SUN CSA Cambodia members occasionally deliver presentations on best practices and experiences related to nutrition activities, research, and studies at these meetings. In the past year, the alliance
continued to provide technical and financial support to CARD and the MOH to implement various national multi-sectoral nutrition advocacy events including World Breastfeeding Week (WBW) and
National Nutrition Day (NND). Specific activities and contributions that brought civil society organizations together included a one-day capacity building workshop attended by 30-member
organizations, provision of technical resources on breastfeeding and support to NGO partners to facilitate WBW activities in communities, and engagement in a one-day national workshop on nutrition
and WASH. Another two day-capacity building workshop on nutrition policies and programs was conducted during the reporting period with participants representing 35 member organizations. The
SUN CSA Executive Committee organized a Capacity Building Workshop in April 2018 that was attended by 45 participants. The workshop aimed to familiarize participants with the National BMS Code
structures and mechanisms for monitoring and enforcing, types of violations, instructions on use of violation reporting forms and procedures for submitting violation reports. During this workshop,
agreement was reached that SUN CSA Cambodia members would collect violation cases using the provided form. Violation cases would be sent to the SUN CSA Cambodia Focal Point for review,
before being submitted to the Executive Working Group for action. Many SUN CSA members have limited experience advocating for nutrition topics, and based on this a two-day training workshop
was conducted by HKI on behalf of the SUN CSA EC in May, 2018. 57 participants attended, 24 of whom were based provincially. The workshop was facilitated by Ms. Megan Pennell, Advocacy
Advisor of the Global SUN CSN and supported by Mr. Hou Kroeun, SUN CSA Cambodia Focal Point, and the SUN CSA Executive Committee. The objectives of the workshop were to; (i) Increase
understanding of what advocacy is and how it can support your work; (ii) Understand the basic elements of advocacy and how it can be integrated into the SUN CSA Cambodia member’s work; (iii)
Learn how to develop an advocacy strategy and begin to develop an advocacy plan related to their work; and (iv) Strengthen personal relationships with fellow advocates, learning from each other’s
experience and working towards building a community of advocacy practitioners. SUN CSA Cambodia members play a critical role in nutrition interventions at the sub-national level to support and
build capacity among communities to improve local nutrition practices, as documented in the 2017 Mapping of SUN Civil Society Organizations in Cambodia (published 2018). From the document, SUN
CSA Cambodia members were implementing 71 distinct developmental projects encompassing nutrition, health, WASH, and agriculture at the national, sub-national and community levels, covering 22
out of the 25 provinces in Cambodia; reaching over 9 million individuals with greater focus on women and children. Some challenges identified include lack of finances and resources, as well as limited
technical capacities of staff and partners. We recommend that more strategic partnerships are formed to complement efforts and prevent duplication.
Contributions to Process 3
Aligning actions around common results
The government has formed a National Core Group, chaired by CARD, to lead the development process of the NSFSN 2019-2023. Members of the Core Group were represent CARD, the Ministry of
Agriculture, Forestry and Fisheries, Ministry of Rural Development, Ministry of Health, Ministry of Interior, Ministry of Planning, Ministry of Economy and Finance and the Ministry of Women’s Affairs.
The active SUN Networks with be represented by GIZ for the Donors Network, the FAO for the UN Network and HKI for the SUN CSA network, with additional representation from the EU, USAID,
World Bank, WFP, WHO, UNICEF and Save The Children. The concept note and Terms of Reference for this group was developed by the SUN CSA, highlighting clear roles and responsibilities of group
members and a timeline for the development process. Nine case studies were submitted by member organizations, focusing on key evidence, lessons learned and best practices around specific and
sensitive nutrition interventions in communities where SUN CSA Cambodia members work. The case studies underwent the following process: editing, returning for approval, design to fit a uniform
format including appropriate pictures, and printing, and were then officially submitted to CARD for consideration as input in the development process of the NSFSN 2019-2023. More than 1,000 copies
were also printed and distributed to stakeholders during National Nutrition Day celebrations and the SUN CSA Annual Workshop as a representation of the work of the SUN CSA in Cambodia SUN CSA
Cambodia submitted a total of 16 violation reports to the Executive Working Group (EWG) of the National Oversight Board during the course of this project. As results, the EWG issued a total of 8
warning and agreement letters to companies/distributors who were found to have label/package violations during the pilot monitoring. Warning letters indicated that the company/distributor had
violated BMS Code and that by signing the company agreed to resolve the violation within a specified period of time (typically 2-3 months). BMS promotional activity was assessed by HKI and WVI in
66 purposely selected retail locations across 6 provincial capitals and 12 district towns for two cross-sectional surveys. All BMS products found for sale were purchased and their labels reviewed using a
24-point checklist of label requirements from the Cambodian BMS code and the International Code. The proportion of stores which had Point of Sale (POS) promotions and total number of POS
promotions were calculated, along with the mean label score. Descriptive comparisons were made between 2015 and 2018. Across the six provinces, 137 BMS promotions were observed in 2015 and 144
promotions in 2018. The percentage of stores with promotions increased from 57.8% in 2015 to 75.8% in 2018, but the median number of promotions per store decreased from 3 (interquartile range 2-5)
to 2 (1-3). The most frequently observed promotional technique changed from informational material (57.7%) to display (63.2%). Mean product label scores increased, showing better adherence to the
Code. These documented improvements and continued violations will inform the Royal Government’s ongoing efforts to implement a monitoring and enforcement system to control BMS promotion
and protect breastfeeding. Several video clips demonstrating best practice of exclusive breastfeeding were created and disseminated to raise awareness of the importance of exclusive breastfeeding
until at least 6 months old. Similarly, educational videos on BMS code on the Marketing of Products for Infant and Young Child Feeding were created and disseminated to all relevant stakeholders to
raise awareness of what constitutes a violation and the correct mechanism for reporting a violation. SUN CSA Cambodia members also actively participated in the development of the Maternal, Infant
and Young Child Nutrition (MIYCN) Strategy for Behaviour Change Communication (SBCC) 2019-2025. Involvement in this strategy is ongoing as we progress from development of the strategy to the
development of TV spots and communication materials to be disseminated throughout Cambodia. In 2018 the SUN CSA Cambodia hosted regional Skype calls twice with the SUN Asia Regional
Thematic Working Group on the monitoring and enforcement of national BMS codes. We shared and discussed our experiences and best practices on engagement in enforcement and monitoring of
BMS code. SUN CSA Cambodia also shared Cambodia’s BMS monitoring tool, BMS code video clip, case studies and breastfeeding materials. These exchanges were well received by other SUN CSA
countries. Throughout the year the SUN CSA Cambodia Focal Point and HKI Deputy Country Director, Hou Kroeun, attended two main global events: the 71st World Health Assembly Meeting and the
40th Session of the Codex Committee on Nutrition and Food for Special Dietary Uses. The 71st World Health Assembly Meeting took place on 21–26 May 2018 in Geneva, Switzerland, and the Global
Codex Meeting occurred from 26 – 30 November 2018 in Berlin, Germany. At the World Health Assembly Meeting, Kroeun joined the panel discussion on Cambodia’s research findings on Adolescent
Nutrition, as well as a productive discussion on Breastmilk and the Politics of Infant and Young Child Feeding. He also joined a session on Nourishing UHC that covered country successes, lessons
learned and new tools for integrating infant and young child nutrition in health with a focus on breastfeeding. Importantly, he advocated to the Cambodian delegation to support the WHA resolution on
IYCF. The Global Codex meeting was attended to discuss with other member states the standard of follow-up formula for 6-12 month and 12-36 month old children, which was advocated by Global
HKI’s ARCH Project. The Cambodia delegates had a chance to speak out 11 times in support of HKI’s advocacy points and many members of state also spoke up in support of this advocacy. This
resulted in follow-up formula for 6-12 month olds being defined as BMS, as per our proposition, with additional information on labeling for children 6-12 months included accordingly. Importantly, the
standard on cross promotion was largely endorsed by many members of state and was also included in the Codex standard as per our demand. Because of the HKI global and country office’s active
advocacy activities across the Webinar and face-face meetings we were able to gain great support from many low and middle-income countries. Although Asia was not completely united many
countries supported our causes, and Norway and Switzerland were big supporters that we will actively engage from now on to ensure success next year.
Contributions to Process 4
Financial tracking and resource mobilisation
The SUN CSA has introduced a systematic mapping procedure and reports on the activities of the members in terms of the intended outcomes and population targets, geographic coverage and
finances. The SUN and UN networks have worked together to standardise the data collection efforts and to encourage standardised coverage by SUN Networks. The network has also assisted in the
analysis of budget allocations released by Government. Budget for Nutrition Related Expenditure for 2017-208 MOH: 35 million USD - 370,000 USD for SAM treatment - 3.91 million USD for
supplementation - 11.8 million USD for access to health services (HEF/Kantha Bopha children hospital) - 2.3 million USD for deworming - 17.48 million USD for health service provision under the Health
Equity Fund • MOP: 30,000 USD for salt iodization awareness • MOIH: 780,000 USD - 360,000 USD to Increase industrial production base: large and SMEs and urban clean water supply - 420,000
USD to Support and strengthen capacity of industrial enterprises and handicraft • MRD: 40.2 million USD for Rural Water Supply, Hygiene and Sanitation including -1.9 million USD to Promote rural
water supply service provision - 1.2 million USD to Promote rural sanitation service provision • MAFF: 68 million USD for food security including 14.9 million USD for agriculture interventions and
programs • MOEYS: 1.06 million USD WASH in schools
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