02 December 2020

Evaluation Report - United Nations Maternal and Child Stunting Reduction Programme

The nutritional status of the children and women in Pakistan denotes both a chronic long-term problem and an acute on-going emergency. A large proportion of Pakistan’s children are stunted (one in every three children), which represents an estimated 6% of the global stunting caseload. Sindh is the worst hit province in Pakistan in terms of malnutrition and food insecurity, with a prevalence of 49.9% for stunting, 16.1% for wasting and 4.4% for severe wasting. In the given context of Sindh province, UNICEF with support of USAID designed and implemented integrated nutrition-specific and nutrition-sensitive programme to complement Government of Sindh (GoS) efforts in stunting reduction.   The specific objectives of the evaluation were: a) to provide relevant key stakeholders with accurate, credible, and usable information on the performance of the UN Maternal and Child Stunting Reduction Programme against the DAC criteria for evaluation, b) to examine effects of integrated Nutrition-Specific and Nutrition-Sensitive interventions on the contribution toward reduction of stunting, c) to explore the determinants of good or poor performance (internal and external, such as the enabling environment). The evaluation is expected to support advocacy purposes of adopting and refining further integrative Nutrition-Specific and Nutrition-Sensitive programme approaches and strategies. The primary expected audience of this evaluation are the Government, UNICEF Pakistan, ROSA, donors, policy makers, service providers, NGOs and academicians. Indirectly, the learning from this evaluation will support the women, children, families, communities and opinion leaders as secondary audiences of the evaluation.