"programme_id","programme_title","programme_language","programme_type","other_program","iso3code","country_name","program_location","area","status","start_date","end_date","brief_description","references","related_policy","new_policy","partner_gov","partner_government_details","partner_un","partner_un_details","partner_ngo","partner_ngo_details","partner_donors","partner_donors_details","partner_intergov","partner_intgov_details","partner_national_ngo","partner_nat_ngo_details","partner_research","partner_research_details","partner_private","partner_private_details","partner_other","partner_other_details","cost","fsector_0","fpartner_0","fdetails_0","fsector_1","fpartner_1","fdetails_1","fsector_2","fpartner_2","fdetails_2","fsector_3","fpartner_3","fdetails_3","fsector_4","fpartner_4","fdetails_4","fsector_5","fpartner_5","fdetails_5","fsector_6","fpartner_6","fdetails_6","fsector_7","fpartner_7","fdetails_7","fsector_8","fpartner_8","fdetails_8","fsector_9","fpartner_9","fdetails_9","fsector_10","fpartner_10","fdetails_10","fsector_11","fpartner_11","fdetails_11","fsector_12","fpartner_12","fdetails_12","fsector_13","fpartner_13","fdetails_13","fsector_14","fpartner_14","fdetails_14","fsector_15","fpartner_15","fdetails_15","fsector_16","fpartner_16","fdetails_16","fsector_17","fpartner_17","fdetails_17","fsector_18","fpartner_18","fdetails_18","fsector_19","fpartner_19","fdetails_19","fsector_20","fpartner_20","fdetails_20","fsector_21","fpartner_21","fdetails_21","fsector_22","fpartner_22","fdetails_22","fsector_23","fpartner_23","fdetails_23","fsector_24","fpartner_24","fdetails_24","fsector_25","fpartner_25","fdetails_25","fsector_26","fpartner_26","fdetails_26","fsector_27","fpartner_27","fdetails_27","fsector_28","fpartner_28","fdetails_28","fsector_29","fpartner_29","fdetails_29","fsector_30","fpartner_30","fdetails_30","fsector_31","fpartner_31","fdetails_31","fsector_32","fpartner_32","fdetails_32","fsector_33","fpartner_33","fdetails_33","fsector_34","fpartner_34","fdetails_34","fsector_35","fpartner_35","fdetails_35","fsector_36","fpartner_36","fdetails_36","fsector_37","fpartner_37","fdetails_37","fsector_38","fpartner_38","fdetails_38","fsector_39","fpartner_39","fdetails_39","fsector_40","fpartner_40","fdetails_40","fsector_41","fpartner_41","fdetails_41","fsector_42","fpartner_42","fdetails_42","fsector_43","fpartner_43","fdetails_43","fsector_44","fpartner_44","fdetails_44","fsector_45","fpartner_45","fdetails_45","fsector_46","fpartner_46","fdetails_46","fsector_47","fpartner_47","fdetails_47","fsector_48","fpartner_48","fdetails_48","fsector_49","fpartner_49","fdetails_49","action_id","theme","topic","new_topic","micronutrient","micronutrient_compound","target_group","age_group","place","delivery","other_delivery","dose_frequency","impact_indicators","me_system","target_pop","coverage_percent","coverage_type","baseline","post_intervention","social_det","social_other","elena_link","problem_0","solution_0","problem_1","solution_1","problem_2","solution_2","problem_3","solution_3","problem_4","solution_4","problem_5","solution_5","problem_6","solution_6","problem_7","solution_7","problem_8","solution_8","problem_9","solution_9","other_problems","other_lessons","personal_story","language" "8818","Improving nutrition of women and children: the MICAH program ","English","Multi-national","","ETH|GHA|MWI","Ethiopia|Ghana|Malawi","Ethiopia|Ghana|Malawi","Peri-urban","completed","01-1995","01-2005","
The MICronutrient and Health (MICAH) Program contributed to improved quality of life of women and children in five African nations (Ethiopia, Ghana, Malawi, Sénégal and Tanzania) over a 10-year period between 1996 and 2005. The problem of micronutrient deficiencies (vitamin A, iron and iodine) was addressed through integrated strategies and direct interventions that resulted in measurable positive effects. Quantitative and qualitative program results affirm the contribution of MICAH’s achievements towards the Millennium Development Goals, and global nutrition and health targets.
","http://www.wvnutrition.net/home/resources/better-practices/micah-final-d...
","8329|8270|8112|8488|8111|8013|8657|8369|7979|7917","","","","","","World Vision International","","","","","","","","","","","","","","Ethiopia • $4.4 million budget (USD, 2002-2005)Ghana • $745,000 budget (USD, 2002-2005)Malawi • $3.8 million budget (USD, 2002-2005)","Bilateral and donor agencies and lenders","Canadian International Development Agency (CIDA)","Working in close cooperation with government, non-government organizations (NGOs), and communities, MICAH built on existing delivery systems within ministries of health, education and agriculture, equipping them to strengthen the coverage and quality of their mandated activities. The foundation for a self-sustaining nutrition and health infrastructure was laid, by empowering communities to take ownership for program activities within their grasp: exclusive breastfeeding, capacity building of community health workers in nutrition and health, establishment of household gardens and revolving funds, and latrine construction.
MICAH also provided education to local populations about the importance of health and nutrition. Thousands of community health workers and volunteers were trained while program staff were equipped with skills to monitor and evaluate the program, gathering valuable information to assess its impact.
","Ethiopia
Ghana
Malawi
ETHIOPIA
Supervision/monitoring visits were routinely made at all levels of Ethiopia’s MICAH projects.The program coordinating office and program partners conducted 86 visits to assess the implementation and progress of various initiatives.Throughout the year, activity reports and evaluation documents were reviewed, site visits made, and ongoing discussions held between MICAH staff and stakeholders. After every visit, copies of feedback reports were sent to the relevant ADPs and NGOs. At the project level, MICAH facilitators conducted joint field visits and reviews with frontline personnel such as government health workers, community health workers, volunteers and school teachers to ensure implementation of activities was proceeding according to plan.
GHANA
Monitoring of MICAH Ghana improved in several ways in Phase 2 as the program team worked closely with Ghana Health Service and community health volunteers. Increased effectiveness was best illustrated by the heightened accuracy of data for iodized salt consumption after changing the method from school-based to houseto-house surveys.The team reinforced this effort by testing the quality of salt in markets as well. To improve monitoring of compliance with iron supplementation, MICAH facilitators worked closely with community health volunteers to assess whether women and children were taking the supplements as prescribed.Throughout the program, monitoring information was shared with all stakeholders at quarterly district and sub-district meetings in an effort to improve implementation and build ownership.
MALAWI
Regular meetings were conducted with government ministry and partner staff to share feedback and resolve issues.Training was provided and follow-up maintained to improve the capacity of field agents and staff. Regular community visits, including meetings with women and local leaders, provided management staff an opportunity to ensure quality implementation. Specific issues were dealt with using results-based management. For example, to obtain a more accurate estimate of deworming coverage in Phase 2, the household listing register was introduced and utilized, to supplement data regarding the de-wormed child. As a result of this new system, household monitoring revealed the extent of infection and enabled appropriate follow-up.To monitor the quality of the flour fortification project, the Malawi Bureau of Standards (MBS) and Chancellor College labs analyzed premix produced at the Domasi Fortification Unit. Each test found the Domasi premix to meet all MBS requirements; recommended levels of iron were found in the flour, and flour samples were free from contaminants.
","Ethiopia (1.8 million beneficiaries); Ghana (150,000 beneficiaries); Malawi (272,391 direct beneficiaries, with indirect benefit extending to 4.7 million people)","x","","","","Vulnerable groups","","Biofortification of staple crops>>>Biofortification of staple crops>>http://www.who.int/elena/titles/biofortification","","","","","","","","","","","","","","","","","","","","","","","“The MICAH approach is a good and successful model for the Ministry of Agriculture. Given right training people are ready to follow new habits and change traditional attitudes – for example, by eating rabbits and drinking goat milk. MICAH has provided a learning area for agriculture to reduce hunger.” – Mr. Bbvumbwe, Malawi
""""""""The positive impact of MICAH on the
health of children is a motivation to
continue. With improved knowledge,
good health and nutrition practices will
be sustained with support from chiefs
and elders.""""""""
– Qualitative survey, Ghana
Aa a result of the MICAH program… our children are healthy, alert and active; they look
attractive and beautiful; children are not falling sick with malaria as frequently as they did in the
past; the frequency of diarrhea and intestinal worms has decreased; eye diseases have decreased
because of improved hygiene; the harmful health practices have now been dropped because of
the intensive education given by health workers; and severe malnutrition, blindness, measles and polio have decreased.”
– Focus group discussion, qualitative survey, Ethiopia
","English" "8930","Assistance to Ghanaian Food-Insecure Households in Northern Ghana","English","Community/sub-national","","GHA","Ghana","Tongo, Bolgatanga Municipal, Upper East, Ghana|Danko, Wa Municipal, Upper West, Ghana|Zuorugu, Tamale, Ghana","Rural","on-going","01-2010","01-2014","
The project supports the Government of Ghana in its efforts to improve the protection of vulnerable populations in northern Ghana from the devastating impacts of floods and droughts, and also to ensure that the immediate food needs of the most severely food-insecure households are met. The project aims to improve agriculture, water and land resources; create strategic reserves to protect the nutritional status of at-risk groups (including children under five, pregnant and lactating women and people living with HIV/AIDS); and support the rehabilitation and recovery of agricultural livelihoods. This project contributes to alleviating chronic food security amongst vulnerable groups, targeting and assisting poverty reduction in the most susceptible areas of northern Ghana.
","http://www.acdi-cida.gc.ca/CIDAWEB/cpo.nsf/vWebCSAZEn/503DAC11D7D8F3AD85...
","8488","","","","World Food Programme (WFP)","","","","","","","","","","","","","","","","CA$ 20,000,000","Bilateral and donor agencies and lenders","Canadian International Development Agency (CIDA)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","8929","","Food distribution/supplementation for prevention of acute malnutrition","","","","HIV cases|Infants and young children|Lactating women (LW)|Pregnant women (PW)","","The 3 Northern regions (Upper East, Upper West, Northern region)","Community-based","","Results as of May 2012 include: the World Food Program (WFP) has distributed food to 327,982 beneficiaries out of the 423,250 planned. In particular, the targets for supplementary feeding of malnourished children under five and pregnant and lactating women are close to being achieved, and will likely be exceeded by the end of the project. The project has already exceeded the targets for the number of beneficiaries on its components Food for Assets (FFA) and Food for Training (FFT), and has reforested some 7,357 ha of land and rehabilitated 250 dams/dugouts.
","It is anticipated that all expected outcomes of increasing equitable access to food aid and prevention of malnutrition, particularly among children under five, pregnant and lactating women, including refugees; as well as to improving food consumption over the assistance period for targeted households, and people living with HIV/AIDS and their families; and increasing the targeted communities equitable access to livelihood assets, including assets for environmental conservation will be achieved.
","","423,250","327,982 beneficiaries (for distributed food); ","","","","Vulnerable groups","","Micronutrient supplementation in children with severe acute malnutrition>>>Micronutrient supplementation in children with severe acute malnutrition>>http://www.who.int/elena/titles/micronutrients_sam","","","","","","","","","","","","","","","","","","","","","","","","English" "8933","The Leyaata (“Rescue Us”) Project to Reduce Maternal, Infant and Child Mortality","English","Community/sub-national","","GHA","Ghana","Kintamp, Ghana|Bole, Ghana","Rural","on-going","01-2011","01-2015","The project aims to reduce maternal, infant and child mortality in 50 marginalized villages in the north Kintampo and south Bole districts of Ghana by directly addressing key health issues. Reaching approximately 10,000 beneficiaries, the project addresses care during pregnancy and childbirth, neonatal care, and malaria control as critical health concerns in these communities. Key project components include establishing a prenatal and neonatal home visit system for pregnant women and infants, and launching a malaria control program that prioritizes mothers and infants.
Specific activities include: distributing neonatal care kits; training community-based volunteers and local health professionals; providing mosquito nets for all village residents; conducting malaria control workshops; and supplying local clinics with rapid malaria test kits. Ghana Rural Integrated Development is working in partnership with the Northern Empowerment Association to implement this project.
","http://www.acdi-cida.gc.ca/CIDAWEB/cpo.nsf/vWebCSAZen/index.html7E4DFE9C...
","8111","","","","","","","","","","","","National NGOs","Ghana Rural Integrated Development, Northern Empowerment Association","","","","","","","CA$ 643,464.00","Bilateral and donor agencies and lenders","Canadian International Development Agency (CIDA)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","8932","","Distribution of insecticide-treated bednets","","","","Infants and young children|Lactating women (LW)|Pregnant women (PW)","","North Kintampo & South Bole Districts","Community-based","","Specific activities include: distributing neonatal care kits; training community-based volunteers and local health professionals; providing mosquito nets for all village residents; conducting malaria control workshops; and supplying local clinics with rapid malaria test kits.
","Maternal, infant and child mortality
","","10,000 beneficiaries","50 marginalized villages in the north Kintampo and south Bole districts of Ghana","","","","Vulnerable groups","","Insecticide-treated nets to prevent malaria and anaemia in pregnant women>>>Insecticide-treated nets to prevent malaria and anaemia in pregnant women>>http://www.who.int/elena/titles/bednets_malaria_pregnancy","","","","","","","","","","","","","","","","","","","","","","","","English"