"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"
"24629","Nutrition International - India","English","Community/sub-national","","IND","India","Gujarat","","on-going","","2020","
Food Fortification is the addition of vitamins and minerals to staple foods like rice and wheat to prevent micronutrient deficiencies,strengthen immune systems and nurture a healthy and productive next generation. It is a cost effective strategy to deliver key micronutrients to a large population. Fortifying commonly-eaten grains such as wheat, maize flour and rice is among the easiest and least expensive ways to prevent disease, strengthen immune systems and nurture a healthy and productive next generation.[1] Nutrition International leads and supports grain fortification efforts in low- and middle – income countries through a number of programs. Fortifying grains with iron and folic acid is an effective way to prevent anaemia and neural tube defects in a population.[2]
In August 2018, the government published new standards for mass food fortification, including high-extraction atta wheat flour. The Government of India also recommends the introduction of food fortification in its existing social safety net programs as a strategy to improve nutrition and address micronutrient deficiencies among the population.
In India, Nutrition International is providing technical support to the Gujarat Roller Flour Millers Association through the following activities, as an efforts to introduce fortified wheat flour into the open market:
- Conducted an industry assessment to understand the capacity of roller flour millers to produce fortified wheat flour and to assess the preparedness of the distribution channel.
- Developed a training module on the production and QA/QC process for fortifying wheat flour.
- Developed a Behaviour Change Communication strategy and communication prototypes on the benefits of fortified wheat flour. These prototypes were developed to be customized by millers for their brand.
- Supported the Gujarat Roller Flour Miller’s Association to set up a laboratory to monitor the quality of fortified wheat flour produced by the millers.
- Continued advocacy for an enabling policy environment for the introduction of fortified wheat flour through social safety programs of the state.
These activities are being implemented in partnership with the Gujarat Roller Flour Millers Association and Food Safety and Standards Authority of India, Government of India.
In 2017, 29,732 MTs of additional adequately fortified wheat flour was produced by NI-supported millers which would benefit 561,398 individuals. NI has provided long-standing support to food fortification in India.
","- Why Fortify Flour and Rice? (n.d.). Retrieved from http://www.ffinetwork.org/why_fortify/index.html
- Fisberg, M., & Tosatti, A. M. (2011). Enrichment of iron and folic acid. Revista Brasileira De Hematologia E Hemoterapia,33(2), 94-95. doi:10.5581/1516-8484.20110026
For more information:
","8754|8274|8092","","Health","Food Safety and Standards Authority of India;","","","Nutrition International","","","","","","","","","","Private sector","Gujarat Roller Flour Mills Association","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","25801","","Wheat flour fortification","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English"
"24594","Nutrition International - Micronutrient Supplementation for Reducing Mortality and Morbidity in Indonesia (MITRA)","English","Community/sub-national","","IDN","Indonesia","East Java|East Nusa Tenggara","","on-going","08-2015","09-2018","The MITRA (Micronutrient Supplementation for Reducing Mortality and Morbidity in Indonesia) program is a partnership between the governments of Indonesia, Australia and Canada, facilitated by Nutrition International. It is an integrated micronutrient supplementation program being implemented in 20 districts of East Java and East Nusa Tenggara (ENT) provinces, centering its work on four micronutrients – Vitamin A, Zinc, Iron and Folic Acid - with a focus on their key role in improving Maternal, Newborn and Child Health (MNCH). The overall objective of the program is to improve access to health services for both pregnant women and caregivers of children under five to improve health outcomes. Ultimately, these health outcomes will be accomplished through improved coverage and adherence to IFA supplementation among pregnant women, Vitamin A supplementation (VAS) to children under five, and the use of zinc and ORS in the treatment of childhood diarrhoea. In order to achieve the goal of the program, the program strategy components fall under three categories (i) enabling environment; (ii) provision or supply chain; and (iii) consumption and include:
- Strengthening government commitment to reduce micronutrient deficiencies and integrate such programs within the health system.
- National technical assistance on improving the quality of key micronutrient supplements, Health Management Information Systems and revision of national guidelines.
- Streamlining the supply chain and improving forecasting for supplies at the district, province and national levels.
- Needs based capacity building of health staff, midwives and other relevant cadres.
- Streamlining program monitoring and supervision from national to district levels.
- Exploring support through the private sector.
- The use of an appropriate Behaviour Change Intervention (BCI) strategy and supporting BCI for creating awareness on the benefits of these interventions to caregivers and consumers on one hand and to health workers on the other, including the need for effective counselling to caregivers and proper administration of the interventions.
Funding for this program began in August 2015 and will end in September 2018.
","","17802","National Medium Term Development Plan (RPJMN) 2015-2019, The National Diarrhoea Disease Control Program (NDDCP) ","Other","Government of IndonesiaGovernment of AustraliaGovernment of Canada","","","Nutrition International","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","25868","","Vitamin A supplementation","","","","Infants and young children","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English"
"24594","Nutrition International - Micronutrient Supplementation for Reducing Mortality and Morbidity in Indonesia (MITRA)","English","Community/sub-national","","IDN","Indonesia","East Java|East Nusa Tenggara","","on-going","08-2015","09-2018","The MITRA (Micronutrient Supplementation for Reducing Mortality and Morbidity in Indonesia) program is a partnership between the governments of Indonesia, Australia and Canada, facilitated by Nutrition International. It is an integrated micronutrient supplementation program being implemented in 20 districts of East Java and East Nusa Tenggara (ENT) provinces, centering its work on four micronutrients – Vitamin A, Zinc, Iron and Folic Acid - with a focus on their key role in improving Maternal, Newborn and Child Health (MNCH). The overall objective of the program is to improve access to health services for both pregnant women and caregivers of children under five to improve health outcomes. Ultimately, these health outcomes will be accomplished through improved coverage and adherence to IFA supplementation among pregnant women, Vitamin A supplementation (VAS) to children under five, and the use of zinc and ORS in the treatment of childhood diarrhoea. In order to achieve the goal of the program, the program strategy components fall under three categories (i) enabling environment; (ii) provision or supply chain; and (iii) consumption and include:
- Strengthening government commitment to reduce micronutrient deficiencies and integrate such programs within the health system.
- National technical assistance on improving the quality of key micronutrient supplements, Health Management Information Systems and revision of national guidelines.
- Streamlining the supply chain and improving forecasting for supplies at the district, province and national levels.
- Needs based capacity building of health staff, midwives and other relevant cadres.
- Streamlining program monitoring and supervision from national to district levels.
- Exploring support through the private sector.
- The use of an appropriate Behaviour Change Intervention (BCI) strategy and supporting BCI for creating awareness on the benefits of these interventions to caregivers and consumers on one hand and to health workers on the other, including the need for effective counselling to caregivers and proper administration of the interventions.
Funding for this program began in August 2015 and will end in September 2018.
","","17802","National Medium Term Development Plan (RPJMN) 2015-2019, The National Diarrhoea Disease Control Program (NDDCP) ","Other","Government of IndonesiaGovernment of AustraliaGovernment of Canada","","","Nutrition International","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","25869","","Iron and folic acid supplementation","","","","Pregnant women (PW)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English"
"24594","Nutrition International - Micronutrient Supplementation for Reducing Mortality and Morbidity in Indonesia (MITRA)","English","Community/sub-national","","IDN","Indonesia","East Java|East Nusa Tenggara","","on-going","08-2015","09-2018","The MITRA (Micronutrient Supplementation for Reducing Mortality and Morbidity in Indonesia) program is a partnership between the governments of Indonesia, Australia and Canada, facilitated by Nutrition International. It is an integrated micronutrient supplementation program being implemented in 20 districts of East Java and East Nusa Tenggara (ENT) provinces, centering its work on four micronutrients – Vitamin A, Zinc, Iron and Folic Acid - with a focus on their key role in improving Maternal, Newborn and Child Health (MNCH). The overall objective of the program is to improve access to health services for both pregnant women and caregivers of children under five to improve health outcomes. Ultimately, these health outcomes will be accomplished through improved coverage and adherence to IFA supplementation among pregnant women, Vitamin A supplementation (VAS) to children under five, and the use of zinc and ORS in the treatment of childhood diarrhoea. In order to achieve the goal of the program, the program strategy components fall under three categories (i) enabling environment; (ii) provision or supply chain; and (iii) consumption and include:
- Strengthening government commitment to reduce micronutrient deficiencies and integrate such programs within the health system.
- National technical assistance on improving the quality of key micronutrient supplements, Health Management Information Systems and revision of national guidelines.
- Streamlining the supply chain and improving forecasting for supplies at the district, province and national levels.
- Needs based capacity building of health staff, midwives and other relevant cadres.
- Streamlining program monitoring and supervision from national to district levels.
- Exploring support through the private sector.
- The use of an appropriate Behaviour Change Intervention (BCI) strategy and supporting BCI for creating awareness on the benefits of these interventions to caregivers and consumers on one hand and to health workers on the other, including the need for effective counselling to caregivers and proper administration of the interventions.
Funding for this program began in August 2015 and will end in September 2018.
","","17802","National Medium Term Development Plan (RPJMN) 2015-2019, The National Diarrhoea Disease Control Program (NDDCP) ","Other","Government of IndonesiaGovernment of AustraliaGovernment of Canada","","","Nutrition International","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","25871","","Zinc supplementation","","","","Infants and young children","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English"
"25757","Nutrition International - Indonesia","English","Community/sub-national","","IDN","Indonesia","Indonesia","","","","","Vitamin A deficiency (VAD) is a public health problem all around the world, affecting more than 100 countries [1]. A lack of vitamin A weakens the immune system, putting a child at greater risk of disease and early death; and it is also the leading cause of preventable child blindness. The solution for correcting vitamin A deficiency lies in improving the child’s diet – through increased consumption of vitamin A-rich foods, naturally rich or commercially fortified foods such as processed oils or sugar.
In countries where this remains a public health problem, and while food-based solutions are gradually being implemented and scaled-up to reach those populations, giving children 6 to 59 months of age two doses of vitamin A per year can impact a child’s health. Specifically, the range of impact on deaths averted can range from a lower bound cause-specific effect size of 28% (diarrheal deaths averted) to an upper bound of 12%-24% all-cause mortality reduction [2].
Nutrition International is committed to supporting vitamin A supplement (VAS) programs for children 6 to 59 months of age in settings where VAD is a public health problem, as one of the most cost-effective ways to improve child survival.
The main aims of NI’s VAS program in Indonesia are to:
- Provide technical assistance on a national level for the revision of key policy, guidelines and strategy documents through participation in the VAS Technical Working Group.
- Support Provincial Health Officers (PHOs) and District Health Officers (DHOs) to implement Indonesia’s “replication package” for improved VAS program management across all districts.
- Provide technical assistance at a national level to revise the National VAS guidelines and support to UNICEF to implement a retrospective VAS coverage analysis.
These activities are being implemented in partnership with the Ministry of Health at Central level, Provincial Health Offices, District Health Offices and UNICEF. Progress is being achieved on a sub-national scale in six high-mortality provinces (Banten, West Java, West Nusa Tenggara, North Sumatra, Riau and South Sumatra.). NI support to Indonesia’s VAS program began in 1999 and is ongoing.
","[1] WHO. (2013). Micronutrient deficiencies. Retrieved from http://www.who.int/nutrition/topics/vad/en/
[2] Imdad A, Herzer, K, Mayo-Wilson E, Yakoob MY, Bhuta ZA. Vitamin A supplementation for preventing morbidity and mortality in children from 6 months to 5 years of age. Cochrane Database of Systematic Reviews 2010, Issue 12.
For more information:
","17802|7954","","Health|Sub-national","Ministry of Health at Central levelProvincial Health OfficesDistrict Health Offices","United Nations Children's Fund (UNICEF)","","Nutrition International","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","26184","","Vitamin A supplementation","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English"
"26196","Nutrition International - Infant and Young Child Nutrition - India","English","Community/sub-national","","IND","India","India","","","","","The first 1000 days from conception to two years of age are critical to the health and development of a child. Adequate infant and young child nutrition (IYCN) is crucial for survival and long-term health and well-being. Approximately 45% of deaths of children under five years of age can be attributed to malnutrition [1], and are often associated with inappropriate feeding practices during the first years of life [2]. The first two years of life provide a critical window of opportunity for ensuring children’s appropriate growth and development through optimal feeding. Many countries experience a sharp increase in the prevalence of malnutrition for this age group.
NI supports countries to implement their IYCN program in line with WHO/UNICEF recommended IYCF practices. This includes the timely initiation of breastfeeding, exclusive breastfeeding to the age of six months, introduction of solid, semi-solid and soft foods at 6 months of age and continued breastfeeding until 24 months of age, recommended minimum meal frequency and dietary diversity. NI also supports recommended practices such as responsive feeding, hand washing with clean water and soap, and safe food preparation and storage.
In India, NI’s approach to IYCN is to demonstrate a model for improved community IYCN practices in Uttar Pradesh and Gujarat. Specifically, NI aims to show the link between the prevention and treatment of child under-nutrition as a ‘continuum of care’. There are two areas of focus: (i) Appropriate IYCF practices to prevent children going into moderate acutre malnutrition (MAM) and severe acute malnutrition (SAM); and (ii) Ensuring treated children (who have ‘graduated’ from the different grades of malnutrition) do not sink back again into malnourishment. NI has a dedicated team that support activities that build the capacity of government service providers and managers; improve awareness through appropriate BCI; and improve reporting by strengthening monitoring and review through joint visits and meetings.
This project is being implemented sub-nationally in two districts: Basti, in the State of Uttar Pradesh (UP) and Dahod, in the State of Gujarat. These activities are being implemented with respective state governments. NI support to IYCN in India began in 2016 and is ongoing.
","[1] Black RE et al. Maternal and child undernutrition and overweight in low-income and middle-income countries. The Lancet. 2013; 382(9890):427-451
[2] Sankar MJ, et al. Optimal breastfeeding practices and infant and child mortality: a systematic review and meta-analysis. Acta Paediatr. 2015 Dec;104(467):3-13
For more information:
","","","Sub-national","State Governments of Uttar Pradesh and Gujarat","","","Nutrition International","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","26202","","Breastfeeding promotion and/or counselling","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English"
"26196","Nutrition International - Infant and Young Child Nutrition - India","English","Community/sub-national","","IND","India","India","","","","","The first 1000 days from conception to two years of age are critical to the health and development of a child. Adequate infant and young child nutrition (IYCN) is crucial for survival and long-term health and well-being. Approximately 45% of deaths of children under five years of age can be attributed to malnutrition [1], and are often associated with inappropriate feeding practices during the first years of life [2]. The first two years of life provide a critical window of opportunity for ensuring children’s appropriate growth and development through optimal feeding. Many countries experience a sharp increase in the prevalence of malnutrition for this age group.
NI supports countries to implement their IYCN program in line with WHO/UNICEF recommended IYCF practices. This includes the timely initiation of breastfeeding, exclusive breastfeeding to the age of six months, introduction of solid, semi-solid and soft foods at 6 months of age and continued breastfeeding until 24 months of age, recommended minimum meal frequency and dietary diversity. NI also supports recommended practices such as responsive feeding, hand washing with clean water and soap, and safe food preparation and storage.
In India, NI’s approach to IYCN is to demonstrate a model for improved community IYCN practices in Uttar Pradesh and Gujarat. Specifically, NI aims to show the link between the prevention and treatment of child under-nutrition as a ‘continuum of care’. There are two areas of focus: (i) Appropriate IYCF practices to prevent children going into moderate acutre malnutrition (MAM) and severe acute malnutrition (SAM); and (ii) Ensuring treated children (who have ‘graduated’ from the different grades of malnutrition) do not sink back again into malnourishment. NI has a dedicated team that support activities that build the capacity of government service providers and managers; improve awareness through appropriate BCI; and improve reporting by strengthening monitoring and review through joint visits and meetings.
This project is being implemented sub-nationally in two districts: Basti, in the State of Uttar Pradesh (UP) and Dahod, in the State of Gujarat. These activities are being implemented with respective state governments. NI support to IYCN in India began in 2016 and is ongoing.
","[1] Black RE et al. Maternal and child undernutrition and overweight in low-income and middle-income countries. The Lancet. 2013; 382(9890):427-451
[2] Sankar MJ, et al. Optimal breastfeeding practices and infant and child mortality: a systematic review and meta-analysis. Acta Paediatr. 2015 Dec;104(467):3-13
For more information:
","","","Sub-national","State Governments of Uttar Pradesh and Gujarat","","","Nutrition International","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","26203","","Complementary feeding promotion and/or counselling","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English"
"26194","Nutrition International - Infant and Young Child Nutrition - Philippines","English","Community/sub-national","","PHL","Philippines","Philippines","","","","","The first 1000 days from conception to two years of age are critical to the health and development of a child. Adequate infant and young child nutrition (IYCN) is crucial for survival and long-term health and well-being. Approximately 45% of deaths of children under five years of age can be attributed to malnutrition [1], and are often associated with inappropriate feeding practices during the first years of life [2]. The first two years of life provide a critical window of opportunity for ensuring children’s appropriate growth and development through optimal feeding. Many countries experience a sharp increase in the prevalence of malnutrition for this age group.
NI supports countries to implement their IYCN program in line with WHO/UNICEF recommended IYCF practices. This includes the timely initiation of breastfeeding, exclusive breastfeeding to the age of six months, introduction of solid, semi-solid and soft foods at 6 months of age and continued breastfeeding until 24 months of age, recommended minimum meal frequency and dietary diversity. NI also supports recommended practices such as responsive feeding, hand washing with clean water and soap, and safe food preparation and storage.
Some of NI’s support to IYCN programs includes a Micronutrient Powder (MNP) component.
NI’s approach to IYCN in the Philippines is to support the Department of Health’s (DOH) framework for the First 1000 days (F1KD) which delivers an integrated package of maternal, newborn and child health and nutrition (MNCHN) services at both the facility and community-level. The program is focused on promoting, protecting and supporting exclusive breastfeeding for infants 0-5 months and providing appropriate counselling for caregivers and their supporters on optimal complementary feeding, including MNPs for children 6-23 months. Key interventions include the following:
- Revision and/or updating of related DOH policies and guidelines.
- Capacity building of frontline health workers (midwives, volunteer community health workers) to deliver continuum of services in the F1KD.
- Establishment and operationalization of community based mother to mother (nutrition and breastfeeding) support groups.
- Enhancement of behavior change interventions.
- Tracking clients for case management (exclusive breastfeeding among 0-6 months old infants, consumption of MNP supplementation among children 6-23 months old, complementary feeding).
- Conduct monthly nutrition review meetings to monitor progress of service delivery and promote accountability for targeted nutrition outcomes.
- Formulation and issuance of local ordinances on F1KD to support institutionalization of services and ensure funding for recurrent costs of interventions.
This program is being implemented in partnership with the Family Health Office (FOH)-DOH, the National Nutrition Council (NNC), Regional Health Offices, Provincial Health Offices, Rural Health Units, Helen Keller International (HKI) and UNICEF. Activities are being implemented in 45 municipalities in six provinces (Antique, Bohol, Cebu, Iloilo, Camarines Norte and Zamboanga del Norte). NI support to IYCN in Philippines began in 2016 and is ongoing.
","[1] Black RE et al. Maternal and child undernutrition and overweight in low-income and middle-income countries. The Lancet. 2013; 382(9890):427-451
[2] Sankar MJ, et al. Optimal breastfeeding practices and infant and child mortality: a systematic review and meta-analysis. Acta Paediatr. 2015 Dec;104(467):3-13
For more information:
","","","Health","Family Health Office - Department of Health; The National Nutrition Council (NNC), Regional Health Offices; Provincial Health Offices; Rural Health Units","United Nations Children's Fund (UNICEF)","","Helen Keller International (HKI)|Nutrition International","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","26212","","Breastfeeding promotion and/or counselling","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English"
"26194","Nutrition International - Infant and Young Child Nutrition - Philippines","English","Community/sub-national","","PHL","Philippines","Philippines","","","","","The first 1000 days from conception to two years of age are critical to the health and development of a child. Adequate infant and young child nutrition (IYCN) is crucial for survival and long-term health and well-being. Approximately 45% of deaths of children under five years of age can be attributed to malnutrition [1], and are often associated with inappropriate feeding practices during the first years of life [2]. The first two years of life provide a critical window of opportunity for ensuring children’s appropriate growth and development through optimal feeding. Many countries experience a sharp increase in the prevalence of malnutrition for this age group.
NI supports countries to implement their IYCN program in line with WHO/UNICEF recommended IYCF practices. This includes the timely initiation of breastfeeding, exclusive breastfeeding to the age of six months, introduction of solid, semi-solid and soft foods at 6 months of age and continued breastfeeding until 24 months of age, recommended minimum meal frequency and dietary diversity. NI also supports recommended practices such as responsive feeding, hand washing with clean water and soap, and safe food preparation and storage.
Some of NI’s support to IYCN programs includes a Micronutrient Powder (MNP) component.
NI’s approach to IYCN in the Philippines is to support the Department of Health’s (DOH) framework for the First 1000 days (F1KD) which delivers an integrated package of maternal, newborn and child health and nutrition (MNCHN) services at both the facility and community-level. The program is focused on promoting, protecting and supporting exclusive breastfeeding for infants 0-5 months and providing appropriate counselling for caregivers and their supporters on optimal complementary feeding, including MNPs for children 6-23 months. Key interventions include the following:
- Revision and/or updating of related DOH policies and guidelines.
- Capacity building of frontline health workers (midwives, volunteer community health workers) to deliver continuum of services in the F1KD.
- Establishment and operationalization of community based mother to mother (nutrition and breastfeeding) support groups.
- Enhancement of behavior change interventions.
- Tracking clients for case management (exclusive breastfeeding among 0-6 months old infants, consumption of MNP supplementation among children 6-23 months old, complementary feeding).
- Conduct monthly nutrition review meetings to monitor progress of service delivery and promote accountability for targeted nutrition outcomes.
- Formulation and issuance of local ordinances on F1KD to support institutionalization of services and ensure funding for recurrent costs of interventions.
This program is being implemented in partnership with the Family Health Office (FOH)-DOH, the National Nutrition Council (NNC), Regional Health Offices, Provincial Health Offices, Rural Health Units, Helen Keller International (HKI) and UNICEF. Activities are being implemented in 45 municipalities in six provinces (Antique, Bohol, Cebu, Iloilo, Camarines Norte and Zamboanga del Norte). NI support to IYCN in Philippines began in 2016 and is ongoing.
","[1] Black RE et al. Maternal and child undernutrition and overweight in low-income and middle-income countries. The Lancet. 2013; 382(9890):427-451
[2] Sankar MJ, et al. Optimal breastfeeding practices and infant and child mortality: a systematic review and meta-analysis. Acta Paediatr. 2015 Dec;104(467):3-13
For more information:
","","","Health","Family Health Office - Department of Health; The National Nutrition Council (NNC), Regional Health Offices; Provincial Health Offices; Rural Health Units","United Nations Children's Fund (UNICEF)","","Helen Keller International (HKI)|Nutrition International","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","26213","","Complementary feeding promotion and/or counselling","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English"
"26194","Nutrition International - Infant and Young Child Nutrition - Philippines","English","Community/sub-national","","PHL","Philippines","Philippines","","","","","The first 1000 days from conception to two years of age are critical to the health and development of a child. Adequate infant and young child nutrition (IYCN) is crucial for survival and long-term health and well-being. Approximately 45% of deaths of children under five years of age can be attributed to malnutrition [1], and are often associated with inappropriate feeding practices during the first years of life [2]. The first two years of life provide a critical window of opportunity for ensuring children’s appropriate growth and development through optimal feeding. Many countries experience a sharp increase in the prevalence of malnutrition for this age group.
NI supports countries to implement their IYCN program in line with WHO/UNICEF recommended IYCF practices. This includes the timely initiation of breastfeeding, exclusive breastfeeding to the age of six months, introduction of solid, semi-solid and soft foods at 6 months of age and continued breastfeeding until 24 months of age, recommended minimum meal frequency and dietary diversity. NI also supports recommended practices such as responsive feeding, hand washing with clean water and soap, and safe food preparation and storage.
Some of NI’s support to IYCN programs includes a Micronutrient Powder (MNP) component.
NI’s approach to IYCN in the Philippines is to support the Department of Health’s (DOH) framework for the First 1000 days (F1KD) which delivers an integrated package of maternal, newborn and child health and nutrition (MNCHN) services at both the facility and community-level. The program is focused on promoting, protecting and supporting exclusive breastfeeding for infants 0-5 months and providing appropriate counselling for caregivers and their supporters on optimal complementary feeding, including MNPs for children 6-23 months. Key interventions include the following:
- Revision and/or updating of related DOH policies and guidelines.
- Capacity building of frontline health workers (midwives, volunteer community health workers) to deliver continuum of services in the F1KD.
- Establishment and operationalization of community based mother to mother (nutrition and breastfeeding) support groups.
- Enhancement of behavior change interventions.
- Tracking clients for case management (exclusive breastfeeding among 0-6 months old infants, consumption of MNP supplementation among children 6-23 months old, complementary feeding).
- Conduct monthly nutrition review meetings to monitor progress of service delivery and promote accountability for targeted nutrition outcomes.
- Formulation and issuance of local ordinances on F1KD to support institutionalization of services and ensure funding for recurrent costs of interventions.
This program is being implemented in partnership with the Family Health Office (FOH)-DOH, the National Nutrition Council (NNC), Regional Health Offices, Provincial Health Offices, Rural Health Units, Helen Keller International (HKI) and UNICEF. Activities are being implemented in 45 municipalities in six provinces (Antique, Bohol, Cebu, Iloilo, Camarines Norte and Zamboanga del Norte). NI support to IYCN in Philippines began in 2016 and is ongoing.
","[1] Black RE et al. Maternal and child undernutrition and overweight in low-income and middle-income countries. The Lancet. 2013; 382(9890):427-451
[2] Sankar MJ, et al. Optimal breastfeeding practices and infant and child mortality: a systematic review and meta-analysis. Acta Paediatr. 2015 Dec;104(467):3-13
For more information:
","","","Health","Family Health Office - Department of Health; The National Nutrition Council (NNC), Regional Health Offices; Provincial Health Offices; Rural Health Units","United Nations Children's Fund (UNICEF)","","Helen Keller International (HKI)|Nutrition International","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","26214","","Multiple micronutrients supplementation","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English"
"26250","Nutrition International - India - Maternal Newborn Health and Nutrition (MNHN) Program ","English","Community/sub-national","","IND","India","India","","","","","Pregnancy and the postnatal period are critical times for ensuring the health and wellbeing of women and their children. Anaemia during pregnancy is common and can have serious consequences for both mother and child, including increased risk of low birthweight and preterm birth, as well as maternal and perinatal mortality.[1&2] Iron deficiency is a major cause of anaemia among pregnant women.[3] Iron requirements increase substantially during pregnancy and it is difficult to meet these needs with food alone. Based on evidence of reduced risk of anaemia, iron deficiency and other adverse outcomes including having a low birthweight baby, WHO recommends daily iron and folic acid (IFA) supplementation throughout pregnancy.[4] This is in addition to a series of other recommendations for nutrition interventions as part of antenatal care for a positive pregnancy experience and other important maternal and child outcomes.[4]
Optimal care and feeding of newborns helps ensure babies survive and sets the stage for healthy growth and development. For example, initiating breastfeeding within the first hour of life, as recommended by WHO[5&6], increases the likelihood of exclusive breastfeeding and reduces the chance of newborn illness or death [7]. The newborn period, which is the first 28 days of life, is the most vulnerable time in a child’s life, and accounts for almost half (46%) of the total deaths in children under five years of age [8]. Fortunately, many of these deaths are preventable through evidence-informed, low-cost care, such as supporting mothers to start breastfeeding soon after birth, which can be delivered even in resource-limited settings.
Nutrition International works in collaboration with government and other partners to improve maternal and newborn health and nutrition (MNHN) through enhancing the provision, quality and integration of health and nutrition services and empowering women and their families to seek care and adopt healthy behaviours.
Nutrition International contributes to improving MNHN in India by:
- Collaborating with state government in Gujarat and Uttar Pradesh to improve maternal and newborn care services, including the package of care under the India Newborn Action Plan (with emphasis on neonatal resuscitation, optimal timing of cord clamping, timely initiation of breastfeeding, prevention of hypothermia, vitamin K, and kangaroo mother care), as well as maternal antenatal care (including IFA and calcium supplementation and nutrition counselling, completion of full ANC, identification and follow-up of high risk pregnancy, promotion of institutional delivery) and postnatal care for mother and baby.
- Promoting an enabling environment through advocacy with key decision-makers for commitment to MNHN.
- Providing technical assistance.
- Supporting facility assessments and planning for improving the capacity of facilities to provide care for pregnant women and newborns.
- Capacity-building of health care managers and service providers at facility and community levels, through training and mentoring/supportive supervision.
- Developing and implementing a behavior change communication strategy.
- Supporting program monitoring and assessment, and use of this information to inform decision-making.
This work is in partnership with state government in Gujarat and Uttar Pradesh. This project supports implementation in three districts in Gujarat (Vadodara, Panchmahal and Dahod) and two districts in Uttar Pradesh (Gorakhpur and Basti). NI has supported MNHN programming in India since 2015 and support is ongoing.
Although this section describes MNHN, wherever possible, Nutrition International’s work in India follows a comprehensive and integrated approach, with a strong focus on the first 1000 days, from pregnancy through 2 years of age.
","- Allen, L. H. (2000). Anemia and iron deficiency: Effects on pregnancy outcome. The American Journal of Clinical Nutrition,71(5). doi:10.1093/ajcn/71.5.1280s
- Black, R. E., Victora, C. G., Walker, S. P., Bhutta, Z. A., Christian, P., Onis, M. D., . . . Uauy, R. (2013). Maternal and child undernutrition and overweight in low-income and middle-income countries. The Lancet,382(9890), 427-451. doi:10.1016/s0140-6736(13)60937-x
- WHO. The global prevalence of anaemia in 2011. Geneva: World Health Organization; 2015.
- WHO. (2016). WHO recommendations on antenatal care for a positive pregnancy experience. (Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/250796/9789241549912-eng...
- WHO. (2017). Protecting, promoting and supporting breastfeeding in facilities providing maternity and newborn services: Guideline(Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/259386/9789241550086-eng...
- WHO. (2018). WHO recommendations: Intrapartum care for a positive childbirth experience(Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/260178/9789241550215-eng...
- NEOVITA Study Group. (2016). Timing of initiation, patterns of breastfeeding, and infant survival: Prospective analysis of pooled data from three randomised trials. The Lancet Global Health,4(4). doi:10.1016/s2214-109x(16)00040-1
- United Nations Inter-agency Group for Child Mortality Estimation (UN IGME), ‘Levels & Trends in Child Mortality: Report 2017, Estimates Developed by the UN Inter-agency Group for Child Mortality Estimation’, United Nations Children’s Fund, New York, 2017.
For more information:
","","","Sub-national","State government in Gujarat and Uttar Pradesh","","","Nutrition International","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","26264","","Iron and folic acid supplementation","","","","Pregnant women (PW)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English"
"26250","Nutrition International - India - Maternal Newborn Health and Nutrition (MNHN) Program ","English","Community/sub-national","","IND","India","India","","","","","Pregnancy and the postnatal period are critical times for ensuring the health and wellbeing of women and their children. Anaemia during pregnancy is common and can have serious consequences for both mother and child, including increased risk of low birthweight and preterm birth, as well as maternal and perinatal mortality.[1&2] Iron deficiency is a major cause of anaemia among pregnant women.[3] Iron requirements increase substantially during pregnancy and it is difficult to meet these needs with food alone. Based on evidence of reduced risk of anaemia, iron deficiency and other adverse outcomes including having a low birthweight baby, WHO recommends daily iron and folic acid (IFA) supplementation throughout pregnancy.[4] This is in addition to a series of other recommendations for nutrition interventions as part of antenatal care for a positive pregnancy experience and other important maternal and child outcomes.[4]
Optimal care and feeding of newborns helps ensure babies survive and sets the stage for healthy growth and development. For example, initiating breastfeeding within the first hour of life, as recommended by WHO[5&6], increases the likelihood of exclusive breastfeeding and reduces the chance of newborn illness or death [7]. The newborn period, which is the first 28 days of life, is the most vulnerable time in a child’s life, and accounts for almost half (46%) of the total deaths in children under five years of age [8]. Fortunately, many of these deaths are preventable through evidence-informed, low-cost care, such as supporting mothers to start breastfeeding soon after birth, which can be delivered even in resource-limited settings.
Nutrition International works in collaboration with government and other partners to improve maternal and newborn health and nutrition (MNHN) through enhancing the provision, quality and integration of health and nutrition services and empowering women and their families to seek care and adopt healthy behaviours.
Nutrition International contributes to improving MNHN in India by:
- Collaborating with state government in Gujarat and Uttar Pradesh to improve maternal and newborn care services, including the package of care under the India Newborn Action Plan (with emphasis on neonatal resuscitation, optimal timing of cord clamping, timely initiation of breastfeeding, prevention of hypothermia, vitamin K, and kangaroo mother care), as well as maternal antenatal care (including IFA and calcium supplementation and nutrition counselling, completion of full ANC, identification and follow-up of high risk pregnancy, promotion of institutional delivery) and postnatal care for mother and baby.
- Promoting an enabling environment through advocacy with key decision-makers for commitment to MNHN.
- Providing technical assistance.
- Supporting facility assessments and planning for improving the capacity of facilities to provide care for pregnant women and newborns.
- Capacity-building of health care managers and service providers at facility and community levels, through training and mentoring/supportive supervision.
- Developing and implementing a behavior change communication strategy.
- Supporting program monitoring and assessment, and use of this information to inform decision-making.
This work is in partnership with state government in Gujarat and Uttar Pradesh. This project supports implementation in three districts in Gujarat (Vadodara, Panchmahal and Dahod) and two districts in Uttar Pradesh (Gorakhpur and Basti). NI has supported MNHN programming in India since 2015 and support is ongoing.
Although this section describes MNHN, wherever possible, Nutrition International’s work in India follows a comprehensive and integrated approach, with a strong focus on the first 1000 days, from pregnancy through 2 years of age.
","- Allen, L. H. (2000). Anemia and iron deficiency: Effects on pregnancy outcome. The American Journal of Clinical Nutrition,71(5). doi:10.1093/ajcn/71.5.1280s
- Black, R. E., Victora, C. G., Walker, S. P., Bhutta, Z. A., Christian, P., Onis, M. D., . . . Uauy, R. (2013). Maternal and child undernutrition and overweight in low-income and middle-income countries. The Lancet,382(9890), 427-451. doi:10.1016/s0140-6736(13)60937-x
- WHO. The global prevalence of anaemia in 2011. Geneva: World Health Organization; 2015.
- WHO. (2016). WHO recommendations on antenatal care for a positive pregnancy experience. (Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/250796/9789241549912-eng...
- WHO. (2017). Protecting, promoting and supporting breastfeeding in facilities providing maternity and newborn services: Guideline(Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/259386/9789241550086-eng...
- WHO. (2018). WHO recommendations: Intrapartum care for a positive childbirth experience(Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/260178/9789241550215-eng...
- NEOVITA Study Group. (2016). Timing of initiation, patterns of breastfeeding, and infant survival: Prospective analysis of pooled data from three randomised trials. The Lancet Global Health,4(4). doi:10.1016/s2214-109x(16)00040-1
- United Nations Inter-agency Group for Child Mortality Estimation (UN IGME), ‘Levels & Trends in Child Mortality: Report 2017, Estimates Developed by the UN Inter-agency Group for Child Mortality Estimation’, United Nations Children’s Fund, New York, 2017.
For more information:
","","","Sub-national","State government in Gujarat and Uttar Pradesh","","","Nutrition International","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","26314","","Breastfeeding promotion and/or counselling","","","","Lactating women (LW)|Pregnant women (PW)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English"
"26250","Nutrition International - India - Maternal Newborn Health and Nutrition (MNHN) Program ","English","Community/sub-national","","IND","India","India","","","","","Pregnancy and the postnatal period are critical times for ensuring the health and wellbeing of women and their children. Anaemia during pregnancy is common and can have serious consequences for both mother and child, including increased risk of low birthweight and preterm birth, as well as maternal and perinatal mortality.[1&2] Iron deficiency is a major cause of anaemia among pregnant women.[3] Iron requirements increase substantially during pregnancy and it is difficult to meet these needs with food alone. Based on evidence of reduced risk of anaemia, iron deficiency and other adverse outcomes including having a low birthweight baby, WHO recommends daily iron and folic acid (IFA) supplementation throughout pregnancy.[4] This is in addition to a series of other recommendations for nutrition interventions as part of antenatal care for a positive pregnancy experience and other important maternal and child outcomes.[4]
Optimal care and feeding of newborns helps ensure babies survive and sets the stage for healthy growth and development. For example, initiating breastfeeding within the first hour of life, as recommended by WHO[5&6], increases the likelihood of exclusive breastfeeding and reduces the chance of newborn illness or death [7]. The newborn period, which is the first 28 days of life, is the most vulnerable time in a child’s life, and accounts for almost half (46%) of the total deaths in children under five years of age [8]. Fortunately, many of these deaths are preventable through evidence-informed, low-cost care, such as supporting mothers to start breastfeeding soon after birth, which can be delivered even in resource-limited settings.
Nutrition International works in collaboration with government and other partners to improve maternal and newborn health and nutrition (MNHN) through enhancing the provision, quality and integration of health and nutrition services and empowering women and their families to seek care and adopt healthy behaviours.
Nutrition International contributes to improving MNHN in India by:
- Collaborating with state government in Gujarat and Uttar Pradesh to improve maternal and newborn care services, including the package of care under the India Newborn Action Plan (with emphasis on neonatal resuscitation, optimal timing of cord clamping, timely initiation of breastfeeding, prevention of hypothermia, vitamin K, and kangaroo mother care), as well as maternal antenatal care (including IFA and calcium supplementation and nutrition counselling, completion of full ANC, identification and follow-up of high risk pregnancy, promotion of institutional delivery) and postnatal care for mother and baby.
- Promoting an enabling environment through advocacy with key decision-makers for commitment to MNHN.
- Providing technical assistance.
- Supporting facility assessments and planning for improving the capacity of facilities to provide care for pregnant women and newborns.
- Capacity-building of health care managers and service providers at facility and community levels, through training and mentoring/supportive supervision.
- Developing and implementing a behavior change communication strategy.
- Supporting program monitoring and assessment, and use of this information to inform decision-making.
This work is in partnership with state government in Gujarat and Uttar Pradesh. This project supports implementation in three districts in Gujarat (Vadodara, Panchmahal and Dahod) and two districts in Uttar Pradesh (Gorakhpur and Basti). NI has supported MNHN programming in India since 2015 and support is ongoing.
Although this section describes MNHN, wherever possible, Nutrition International’s work in India follows a comprehensive and integrated approach, with a strong focus on the first 1000 days, from pregnancy through 2 years of age.
","- Allen, L. H. (2000). Anemia and iron deficiency: Effects on pregnancy outcome. The American Journal of Clinical Nutrition,71(5). doi:10.1093/ajcn/71.5.1280s
- Black, R. E., Victora, C. G., Walker, S. P., Bhutta, Z. A., Christian, P., Onis, M. D., . . . Uauy, R. (2013). Maternal and child undernutrition and overweight in low-income and middle-income countries. The Lancet,382(9890), 427-451. doi:10.1016/s0140-6736(13)60937-x
- WHO. The global prevalence of anaemia in 2011. Geneva: World Health Organization; 2015.
- WHO. (2016). WHO recommendations on antenatal care for a positive pregnancy experience. (Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/250796/9789241549912-eng...
- WHO. (2017). Protecting, promoting and supporting breastfeeding in facilities providing maternity and newborn services: Guideline(Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/259386/9789241550086-eng...
- WHO. (2018). WHO recommendations: Intrapartum care for a positive childbirth experience(Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/260178/9789241550215-eng...
- NEOVITA Study Group. (2016). Timing of initiation, patterns of breastfeeding, and infant survival: Prospective analysis of pooled data from three randomised trials. The Lancet Global Health,4(4). doi:10.1016/s2214-109x(16)00040-1
- United Nations Inter-agency Group for Child Mortality Estimation (UN IGME), ‘Levels & Trends in Child Mortality: Report 2017, Estimates Developed by the UN Inter-agency Group for Child Mortality Estimation’, United Nations Children’s Fund, New York, 2017.
For more information:
","","","Sub-national","State government in Gujarat and Uttar Pradesh","","","Nutrition International","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","26315","","Nutrition education and counselling","","","","Lactating women (LW)|Pregnant women (PW)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English"
"26250","Nutrition International - India - Maternal Newborn Health and Nutrition (MNHN) Program ","English","Community/sub-national","","IND","India","India","","","","","Pregnancy and the postnatal period are critical times for ensuring the health and wellbeing of women and their children. Anaemia during pregnancy is common and can have serious consequences for both mother and child, including increased risk of low birthweight and preterm birth, as well as maternal and perinatal mortality.[1&2] Iron deficiency is a major cause of anaemia among pregnant women.[3] Iron requirements increase substantially during pregnancy and it is difficult to meet these needs with food alone. Based on evidence of reduced risk of anaemia, iron deficiency and other adverse outcomes including having a low birthweight baby, WHO recommends daily iron and folic acid (IFA) supplementation throughout pregnancy.[4] This is in addition to a series of other recommendations for nutrition interventions as part of antenatal care for a positive pregnancy experience and other important maternal and child outcomes.[4]
Optimal care and feeding of newborns helps ensure babies survive and sets the stage for healthy growth and development. For example, initiating breastfeeding within the first hour of life, as recommended by WHO[5&6], increases the likelihood of exclusive breastfeeding and reduces the chance of newborn illness or death [7]. The newborn period, which is the first 28 days of life, is the most vulnerable time in a child’s life, and accounts for almost half (46%) of the total deaths in children under five years of age [8]. Fortunately, many of these deaths are preventable through evidence-informed, low-cost care, such as supporting mothers to start breastfeeding soon after birth, which can be delivered even in resource-limited settings.
Nutrition International works in collaboration with government and other partners to improve maternal and newborn health and nutrition (MNHN) through enhancing the provision, quality and integration of health and nutrition services and empowering women and their families to seek care and adopt healthy behaviours.
Nutrition International contributes to improving MNHN in India by:
- Collaborating with state government in Gujarat and Uttar Pradesh to improve maternal and newborn care services, including the package of care under the India Newborn Action Plan (with emphasis on neonatal resuscitation, optimal timing of cord clamping, timely initiation of breastfeeding, prevention of hypothermia, vitamin K, and kangaroo mother care), as well as maternal antenatal care (including IFA and calcium supplementation and nutrition counselling, completion of full ANC, identification and follow-up of high risk pregnancy, promotion of institutional delivery) and postnatal care for mother and baby.
- Promoting an enabling environment through advocacy with key decision-makers for commitment to MNHN.
- Providing technical assistance.
- Supporting facility assessments and planning for improving the capacity of facilities to provide care for pregnant women and newborns.
- Capacity-building of health care managers and service providers at facility and community levels, through training and mentoring/supportive supervision.
- Developing and implementing a behavior change communication strategy.
- Supporting program monitoring and assessment, and use of this information to inform decision-making.
This work is in partnership with state government in Gujarat and Uttar Pradesh. This project supports implementation in three districts in Gujarat (Vadodara, Panchmahal and Dahod) and two districts in Uttar Pradesh (Gorakhpur and Basti). NI has supported MNHN programming in India since 2015 and support is ongoing.
Although this section describes MNHN, wherever possible, Nutrition International’s work in India follows a comprehensive and integrated approach, with a strong focus on the first 1000 days, from pregnancy through 2 years of age.
","- Allen, L. H. (2000). Anemia and iron deficiency: Effects on pregnancy outcome. The American Journal of Clinical Nutrition,71(5). doi:10.1093/ajcn/71.5.1280s
- Black, R. E., Victora, C. G., Walker, S. P., Bhutta, Z. A., Christian, P., Onis, M. D., . . . Uauy, R. (2013). Maternal and child undernutrition and overweight in low-income and middle-income countries. The Lancet,382(9890), 427-451. doi:10.1016/s0140-6736(13)60937-x
- WHO. The global prevalence of anaemia in 2011. Geneva: World Health Organization; 2015.
- WHO. (2016). WHO recommendations on antenatal care for a positive pregnancy experience. (Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/250796/9789241549912-eng...
- WHO. (2017). Protecting, promoting and supporting breastfeeding in facilities providing maternity and newborn services: Guideline(Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/259386/9789241550086-eng...
- WHO. (2018). WHO recommendations: Intrapartum care for a positive childbirth experience(Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/260178/9789241550215-eng...
- NEOVITA Study Group. (2016). Timing of initiation, patterns of breastfeeding, and infant survival: Prospective analysis of pooled data from three randomised trials. The Lancet Global Health,4(4). doi:10.1016/s2214-109x(16)00040-1
- United Nations Inter-agency Group for Child Mortality Estimation (UN IGME), ‘Levels & Trends in Child Mortality: Report 2017, Estimates Developed by the UN Inter-agency Group for Child Mortality Estimation’, United Nations Children’s Fund, New York, 2017.
For more information:
","","","Sub-national","State government in Gujarat and Uttar Pradesh","","","Nutrition International","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","26316","","Care of LBW infants","","","","Newborns (up to 28 days of age)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English"
"26250","Nutrition International - India - Maternal Newborn Health and Nutrition (MNHN) Program ","English","Community/sub-national","","IND","India","India","","","","","Pregnancy and the postnatal period are critical times for ensuring the health and wellbeing of women and their children. Anaemia during pregnancy is common and can have serious consequences for both mother and child, including increased risk of low birthweight and preterm birth, as well as maternal and perinatal mortality.[1&2] Iron deficiency is a major cause of anaemia among pregnant women.[3] Iron requirements increase substantially during pregnancy and it is difficult to meet these needs with food alone. Based on evidence of reduced risk of anaemia, iron deficiency and other adverse outcomes including having a low birthweight baby, WHO recommends daily iron and folic acid (IFA) supplementation throughout pregnancy.[4] This is in addition to a series of other recommendations for nutrition interventions as part of antenatal care for a positive pregnancy experience and other important maternal and child outcomes.[4]
Optimal care and feeding of newborns helps ensure babies survive and sets the stage for healthy growth and development. For example, initiating breastfeeding within the first hour of life, as recommended by WHO[5&6], increases the likelihood of exclusive breastfeeding and reduces the chance of newborn illness or death [7]. The newborn period, which is the first 28 days of life, is the most vulnerable time in a child’s life, and accounts for almost half (46%) of the total deaths in children under five years of age [8]. Fortunately, many of these deaths are preventable through evidence-informed, low-cost care, such as supporting mothers to start breastfeeding soon after birth, which can be delivered even in resource-limited settings.
Nutrition International works in collaboration with government and other partners to improve maternal and newborn health and nutrition (MNHN) through enhancing the provision, quality and integration of health and nutrition services and empowering women and their families to seek care and adopt healthy behaviours.
Nutrition International contributes to improving MNHN in India by:
- Collaborating with state government in Gujarat and Uttar Pradesh to improve maternal and newborn care services, including the package of care under the India Newborn Action Plan (with emphasis on neonatal resuscitation, optimal timing of cord clamping, timely initiation of breastfeeding, prevention of hypothermia, vitamin K, and kangaroo mother care), as well as maternal antenatal care (including IFA and calcium supplementation and nutrition counselling, completion of full ANC, identification and follow-up of high risk pregnancy, promotion of institutional delivery) and postnatal care for mother and baby.
- Promoting an enabling environment through advocacy with key decision-makers for commitment to MNHN.
- Providing technical assistance.
- Supporting facility assessments and planning for improving the capacity of facilities to provide care for pregnant women and newborns.
- Capacity-building of health care managers and service providers at facility and community levels, through training and mentoring/supportive supervision.
- Developing and implementing a behavior change communication strategy.
- Supporting program monitoring and assessment, and use of this information to inform decision-making.
This work is in partnership with state government in Gujarat and Uttar Pradesh. This project supports implementation in three districts in Gujarat (Vadodara, Panchmahal and Dahod) and two districts in Uttar Pradesh (Gorakhpur and Basti). NI has supported MNHN programming in India since 2015 and support is ongoing.
Although this section describes MNHN, wherever possible, Nutrition International’s work in India follows a comprehensive and integrated approach, with a strong focus on the first 1000 days, from pregnancy through 2 years of age.
","- Allen, L. H. (2000). Anemia and iron deficiency: Effects on pregnancy outcome. The American Journal of Clinical Nutrition,71(5). doi:10.1093/ajcn/71.5.1280s
- Black, R. E., Victora, C. G., Walker, S. P., Bhutta, Z. A., Christian, P., Onis, M. D., . . . Uauy, R. (2013). Maternal and child undernutrition and overweight in low-income and middle-income countries. The Lancet,382(9890), 427-451. doi:10.1016/s0140-6736(13)60937-x
- WHO. The global prevalence of anaemia in 2011. Geneva: World Health Organization; 2015.
- WHO. (2016). WHO recommendations on antenatal care for a positive pregnancy experience. (Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/250796/9789241549912-eng...
- WHO. (2017). Protecting, promoting and supporting breastfeeding in facilities providing maternity and newborn services: Guideline(Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/259386/9789241550086-eng...
- WHO. (2018). WHO recommendations: Intrapartum care for a positive childbirth experience(Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/260178/9789241550215-eng...
- NEOVITA Study Group. (2016). Timing of initiation, patterns of breastfeeding, and infant survival: Prospective analysis of pooled data from three randomised trials. The Lancet Global Health,4(4). doi:10.1016/s2214-109x(16)00040-1
- United Nations Inter-agency Group for Child Mortality Estimation (UN IGME), ‘Levels & Trends in Child Mortality: Report 2017, Estimates Developed by the UN Inter-agency Group for Child Mortality Estimation’, United Nations Children’s Fund, New York, 2017.
For more information:
","","","Sub-national","State government in Gujarat and Uttar Pradesh","","","Nutrition International","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","26317","","Feeding of LBW infants","","","","Newborns (up to 28 days of age)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English"
"26252","Nutrition International - Pakistan - Maternal Newborn Health and Nutrition (MNHN) Program","English","Community/sub-national","","PAK","Pakistan","Pakistan","","","","","Pregnancy and the postnatal period are critical times for ensuring the health and wellbeing of women and their children. Anaemia during pregnancy is common and can have serious consequences for both mother and child, including increased risk of low birthweight and preterm birth, as well as maternal and perinatal mortality.[1&2] Iron deficiency is a major cause of anaemia among pregnant women.[3] Iron requirements increase substantially during pregnancy and it is difficult to meet these needs with food alone. Based on evidence of reduced risk of anaemia, iron deficiency and other adverse outcomes including having a low birthweight baby, WHO recommends daily iron and folic acid (IFA) supplementation throughout pregnancy.[4] This is in addition to a series of other recommendations for nutrition interventions as part of antenatal care for a positive pregnancy experience and other important maternal and child outcomes.[4]
Optimal care and feeding of newborns helps ensure babies survive and sets the stage for healthy growth and development. For example, initiating breastfeeding within the first hour of life, as recommended by WHO[5&6], increases the likelihood of exclusive breastfeeding and reduces the chance of newborn illness or death [7]. The newborn period, which is the first 28 days of life, is the most vulnerable time in a child’s life, and accounts for almost half (46%) of the total deaths in children under five years of age [8]. Fortunately, many of these deaths are preventable through evidence-informed, low-cost care, such as supporting mothers to start breastfeeding soon after birth, which can be delivered even in resource-limited settings.
Nutrition International works in collaboration with government and other partners to improve maternal and newborn health and nutrition (MNHN) through enhancing the provision, quality and integration of health and nutrition services and empowering women and their families to seek care and adopt healthy behaviours.
Nutrition International's (NI) support to MNHN programming in Pakistan began in 2015. Since then, NI has contributed to improving MNHN in Pakistan by:
- Increasing access to antenatal care (ANC) quality and attendance as well as a package of care for women and newborns at delivery and in the postnatal period.
- Reducing the risk of anaemia among pregnant women by supporting the provision of and adherence to iron and folic acid supplements.
- Supporting the government in demonstrating an integrated multipronged program model for implementing community outreach health and nutrition interventions.
- Supporting the identification and referral of pregnant women and children 6-23 months of age with malnutrition.
- Promoting an enabling environment through advocacy among key decision-makers for commitment to MNHN.
- Providing technical assistance for scaling up best practices.
- Supporting procurement and supply chain strengthening.
- Capacity-building of health care managers, midwives, and service providers at facility and community levels, through training and mentoring/supportive supervision.
- Developing and implementing a behavior change communication materials and tools.
- Supporting the establishment of KMC centers in hospitals.
- Supporting program monitoring and assessment, and use of this information to inform decision-making.
This work is in partnership with the Ministry of National Health Services, Regulations and Coordination, Provincial Director General Health Services (DGHS), and Departments of Health Integrated Maternal, Newborn, Child Health and Nutrition Program (IRMNCH & NP). The program is being implemented in three districts Lodhran, Jamshoro and Swabi across the three provinces Punajb, Sindh and Khyber Pakhtunkhwa, respectively.
Although this section describes MNHN, wherever possible, Nutrition International’s work in Pakistan follows a comprehensive and integrated approach, with a strong focus on the first 1000 days, from pregnancy through 2 years of age.
","- Allen, L. H. (2000). Anemia and iron deficiency: Effects on pregnancy outcome. The American Journal of Clinical Nutrition,71(5). doi:10.1093/ajcn/71.5.1280s
- Black, R. E., Victora, C. G., Walker, S. P., Bhutta, Z. A., Christian, P., Onis, M. D., . . . Uauy, R. (2013). Maternal and child undernutrition and overweight in low-income and middle-income countries. The Lancet,382(9890), 427-451. doi:10.1016/s0140-6736(13)60937-x
- WHO. The global prevalence of anaemia in 2011. Geneva: World Health Organization; 2015.
- WHO. (2016). WHO recommendations on antenatal care for a positive pregnancy experience. (Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/250796/9789241549912-eng...
- WHO. (2017). Protecting, promoting and supporting breastfeeding in facilities providing maternity and newborn services: Guideline(Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/259386/9789241550086-eng...
- WHO. (2018). WHO recommendations: Intrapartum care for a positive childbirth experience(Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/260178/9789241550215-eng...
- NEOVITA Study Group. (2016). Timing of initiation, patterns of breastfeeding, and infant survival: Prospective analysis of pooled data from three randomised trials. The Lancet Global Health,4(4). doi:10.1016/s2214-109x(16)00040-1
- United Nations Inter-agency Group for Child Mortality Estimation (UN IGME), ‘Levels & Trends in Child Mortality: Report 2017, Estimates Developed by the UN Inter-agency Group for Child Mortality Estimation’, United Nations Children’s Fund, New York, 2017.
For more information:
","","","Health","Ministry of National Health Services, Regulations and Coordination, Provincial Director General Health Services (DGHS), and Departments of Health Integrated Maternal, Newborn, Child Health and Nutrition Program (IRMNCH & NP)","","","Nutrition International","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","26262","","Iron and folic acid supplementation","","","","Pregnant women (PW)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English"
"26252","Nutrition International - Pakistan - Maternal Newborn Health and Nutrition (MNHN) Program","English","Community/sub-national","","PAK","Pakistan","Pakistan","","","","","Pregnancy and the postnatal period are critical times for ensuring the health and wellbeing of women and their children. Anaemia during pregnancy is common and can have serious consequences for both mother and child, including increased risk of low birthweight and preterm birth, as well as maternal and perinatal mortality.[1&2] Iron deficiency is a major cause of anaemia among pregnant women.[3] Iron requirements increase substantially during pregnancy and it is difficult to meet these needs with food alone. Based on evidence of reduced risk of anaemia, iron deficiency and other adverse outcomes including having a low birthweight baby, WHO recommends daily iron and folic acid (IFA) supplementation throughout pregnancy.[4] This is in addition to a series of other recommendations for nutrition interventions as part of antenatal care for a positive pregnancy experience and other important maternal and child outcomes.[4]
Optimal care and feeding of newborns helps ensure babies survive and sets the stage for healthy growth and development. For example, initiating breastfeeding within the first hour of life, as recommended by WHO[5&6], increases the likelihood of exclusive breastfeeding and reduces the chance of newborn illness or death [7]. The newborn period, which is the first 28 days of life, is the most vulnerable time in a child’s life, and accounts for almost half (46%) of the total deaths in children under five years of age [8]. Fortunately, many of these deaths are preventable through evidence-informed, low-cost care, such as supporting mothers to start breastfeeding soon after birth, which can be delivered even in resource-limited settings.
Nutrition International works in collaboration with government and other partners to improve maternal and newborn health and nutrition (MNHN) through enhancing the provision, quality and integration of health and nutrition services and empowering women and their families to seek care and adopt healthy behaviours.
Nutrition International's (NI) support to MNHN programming in Pakistan began in 2015. Since then, NI has contributed to improving MNHN in Pakistan by:
- Increasing access to antenatal care (ANC) quality and attendance as well as a package of care for women and newborns at delivery and in the postnatal period.
- Reducing the risk of anaemia among pregnant women by supporting the provision of and adherence to iron and folic acid supplements.
- Supporting the government in demonstrating an integrated multipronged program model for implementing community outreach health and nutrition interventions.
- Supporting the identification and referral of pregnant women and children 6-23 months of age with malnutrition.
- Promoting an enabling environment through advocacy among key decision-makers for commitment to MNHN.
- Providing technical assistance for scaling up best practices.
- Supporting procurement and supply chain strengthening.
- Capacity-building of health care managers, midwives, and service providers at facility and community levels, through training and mentoring/supportive supervision.
- Developing and implementing a behavior change communication materials and tools.
- Supporting the establishment of KMC centers in hospitals.
- Supporting program monitoring and assessment, and use of this information to inform decision-making.
This work is in partnership with the Ministry of National Health Services, Regulations and Coordination, Provincial Director General Health Services (DGHS), and Departments of Health Integrated Maternal, Newborn, Child Health and Nutrition Program (IRMNCH & NP). The program is being implemented in three districts Lodhran, Jamshoro and Swabi across the three provinces Punajb, Sindh and Khyber Pakhtunkhwa, respectively.
Although this section describes MNHN, wherever possible, Nutrition International’s work in Pakistan follows a comprehensive and integrated approach, with a strong focus on the first 1000 days, from pregnancy through 2 years of age.
","- Allen, L. H. (2000). Anemia and iron deficiency: Effects on pregnancy outcome. The American Journal of Clinical Nutrition,71(5). doi:10.1093/ajcn/71.5.1280s
- Black, R. E., Victora, C. G., Walker, S. P., Bhutta, Z. A., Christian, P., Onis, M. D., . . . Uauy, R. (2013). Maternal and child undernutrition and overweight in low-income and middle-income countries. The Lancet,382(9890), 427-451. doi:10.1016/s0140-6736(13)60937-x
- WHO. The global prevalence of anaemia in 2011. Geneva: World Health Organization; 2015.
- WHO. (2016). WHO recommendations on antenatal care for a positive pregnancy experience. (Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/250796/9789241549912-eng...
- WHO. (2017). Protecting, promoting and supporting breastfeeding in facilities providing maternity and newborn services: Guideline(Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/259386/9789241550086-eng...
- WHO. (2018). WHO recommendations: Intrapartum care for a positive childbirth experience(Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/260178/9789241550215-eng...
- NEOVITA Study Group. (2016). Timing of initiation, patterns of breastfeeding, and infant survival: Prospective analysis of pooled data from three randomised trials. The Lancet Global Health,4(4). doi:10.1016/s2214-109x(16)00040-1
- United Nations Inter-agency Group for Child Mortality Estimation (UN IGME), ‘Levels & Trends in Child Mortality: Report 2017, Estimates Developed by the UN Inter-agency Group for Child Mortality Estimation’, United Nations Children’s Fund, New York, 2017.
For more information:
","","","Health","Ministry of National Health Services, Regulations and Coordination, Provincial Director General Health Services (DGHS), and Departments of Health Integrated Maternal, Newborn, Child Health and Nutrition Program (IRMNCH & NP)","","","Nutrition International","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","26318","","Breastfeeding promotion and/or counselling","","","","Lactating women (LW)|Pregnant women (PW)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English"
"26252","Nutrition International - Pakistan - Maternal Newborn Health and Nutrition (MNHN) Program","English","Community/sub-national","","PAK","Pakistan","Pakistan","","","","","Pregnancy and the postnatal period are critical times for ensuring the health and wellbeing of women and their children. Anaemia during pregnancy is common and can have serious consequences for both mother and child, including increased risk of low birthweight and preterm birth, as well as maternal and perinatal mortality.[1&2] Iron deficiency is a major cause of anaemia among pregnant women.[3] Iron requirements increase substantially during pregnancy and it is difficult to meet these needs with food alone. Based on evidence of reduced risk of anaemia, iron deficiency and other adverse outcomes including having a low birthweight baby, WHO recommends daily iron and folic acid (IFA) supplementation throughout pregnancy.[4] This is in addition to a series of other recommendations for nutrition interventions as part of antenatal care for a positive pregnancy experience and other important maternal and child outcomes.[4]
Optimal care and feeding of newborns helps ensure babies survive and sets the stage for healthy growth and development. For example, initiating breastfeeding within the first hour of life, as recommended by WHO[5&6], increases the likelihood of exclusive breastfeeding and reduces the chance of newborn illness or death [7]. The newborn period, which is the first 28 days of life, is the most vulnerable time in a child’s life, and accounts for almost half (46%) of the total deaths in children under five years of age [8]. Fortunately, many of these deaths are preventable through evidence-informed, low-cost care, such as supporting mothers to start breastfeeding soon after birth, which can be delivered even in resource-limited settings.
Nutrition International works in collaboration with government and other partners to improve maternal and newborn health and nutrition (MNHN) through enhancing the provision, quality and integration of health and nutrition services and empowering women and their families to seek care and adopt healthy behaviours.
Nutrition International's (NI) support to MNHN programming in Pakistan began in 2015. Since then, NI has contributed to improving MNHN in Pakistan by:
- Increasing access to antenatal care (ANC) quality and attendance as well as a package of care for women and newborns at delivery and in the postnatal period.
- Reducing the risk of anaemia among pregnant women by supporting the provision of and adherence to iron and folic acid supplements.
- Supporting the government in demonstrating an integrated multipronged program model for implementing community outreach health and nutrition interventions.
- Supporting the identification and referral of pregnant women and children 6-23 months of age with malnutrition.
- Promoting an enabling environment through advocacy among key decision-makers for commitment to MNHN.
- Providing technical assistance for scaling up best practices.
- Supporting procurement and supply chain strengthening.
- Capacity-building of health care managers, midwives, and service providers at facility and community levels, through training and mentoring/supportive supervision.
- Developing and implementing a behavior change communication materials and tools.
- Supporting the establishment of KMC centers in hospitals.
- Supporting program monitoring and assessment, and use of this information to inform decision-making.
This work is in partnership with the Ministry of National Health Services, Regulations and Coordination, Provincial Director General Health Services (DGHS), and Departments of Health Integrated Maternal, Newborn, Child Health and Nutrition Program (IRMNCH & NP). The program is being implemented in three districts Lodhran, Jamshoro and Swabi across the three provinces Punajb, Sindh and Khyber Pakhtunkhwa, respectively.
Although this section describes MNHN, wherever possible, Nutrition International’s work in Pakistan follows a comprehensive and integrated approach, with a strong focus on the first 1000 days, from pregnancy through 2 years of age.
","- Allen, L. H. (2000). Anemia and iron deficiency: Effects on pregnancy outcome. The American Journal of Clinical Nutrition,71(5). doi:10.1093/ajcn/71.5.1280s
- Black, R. E., Victora, C. G., Walker, S. P., Bhutta, Z. A., Christian, P., Onis, M. D., . . . Uauy, R. (2013). Maternal and child undernutrition and overweight in low-income and middle-income countries. The Lancet,382(9890), 427-451. doi:10.1016/s0140-6736(13)60937-x
- WHO. The global prevalence of anaemia in 2011. Geneva: World Health Organization; 2015.
- WHO. (2016). WHO recommendations on antenatal care for a positive pregnancy experience. (Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/250796/9789241549912-eng...
- WHO. (2017). Protecting, promoting and supporting breastfeeding in facilities providing maternity and newborn services: Guideline(Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/259386/9789241550086-eng...
- WHO. (2018). WHO recommendations: Intrapartum care for a positive childbirth experience(Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/260178/9789241550215-eng...
- NEOVITA Study Group. (2016). Timing of initiation, patterns of breastfeeding, and infant survival: Prospective analysis of pooled data from three randomised trials. The Lancet Global Health,4(4). doi:10.1016/s2214-109x(16)00040-1
- United Nations Inter-agency Group for Child Mortality Estimation (UN IGME), ‘Levels & Trends in Child Mortality: Report 2017, Estimates Developed by the UN Inter-agency Group for Child Mortality Estimation’, United Nations Children’s Fund, New York, 2017.
For more information:
","","","Health","Ministry of National Health Services, Regulations and Coordination, Provincial Director General Health Services (DGHS), and Departments of Health Integrated Maternal, Newborn, Child Health and Nutrition Program (IRMNCH & NP)","","","Nutrition International","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","26319","","Nutrition education and counselling","","","","Lactating women (LW)|Pregnant women (PW)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English"
"26252","Nutrition International - Pakistan - Maternal Newborn Health and Nutrition (MNHN) Program","English","Community/sub-national","","PAK","Pakistan","Pakistan","","","","","Pregnancy and the postnatal period are critical times for ensuring the health and wellbeing of women and their children. Anaemia during pregnancy is common and can have serious consequences for both mother and child, including increased risk of low birthweight and preterm birth, as well as maternal and perinatal mortality.[1&2] Iron deficiency is a major cause of anaemia among pregnant women.[3] Iron requirements increase substantially during pregnancy and it is difficult to meet these needs with food alone. Based on evidence of reduced risk of anaemia, iron deficiency and other adverse outcomes including having a low birthweight baby, WHO recommends daily iron and folic acid (IFA) supplementation throughout pregnancy.[4] This is in addition to a series of other recommendations for nutrition interventions as part of antenatal care for a positive pregnancy experience and other important maternal and child outcomes.[4]
Optimal care and feeding of newborns helps ensure babies survive and sets the stage for healthy growth and development. For example, initiating breastfeeding within the first hour of life, as recommended by WHO[5&6], increases the likelihood of exclusive breastfeeding and reduces the chance of newborn illness or death [7]. The newborn period, which is the first 28 days of life, is the most vulnerable time in a child’s life, and accounts for almost half (46%) of the total deaths in children under five years of age [8]. Fortunately, many of these deaths are preventable through evidence-informed, low-cost care, such as supporting mothers to start breastfeeding soon after birth, which can be delivered even in resource-limited settings.
Nutrition International works in collaboration with government and other partners to improve maternal and newborn health and nutrition (MNHN) through enhancing the provision, quality and integration of health and nutrition services and empowering women and their families to seek care and adopt healthy behaviours.
Nutrition International's (NI) support to MNHN programming in Pakistan began in 2015. Since then, NI has contributed to improving MNHN in Pakistan by:
- Increasing access to antenatal care (ANC) quality and attendance as well as a package of care for women and newborns at delivery and in the postnatal period.
- Reducing the risk of anaemia among pregnant women by supporting the provision of and adherence to iron and folic acid supplements.
- Supporting the government in demonstrating an integrated multipronged program model for implementing community outreach health and nutrition interventions.
- Supporting the identification and referral of pregnant women and children 6-23 months of age with malnutrition.
- Promoting an enabling environment through advocacy among key decision-makers for commitment to MNHN.
- Providing technical assistance for scaling up best practices.
- Supporting procurement and supply chain strengthening.
- Capacity-building of health care managers, midwives, and service providers at facility and community levels, through training and mentoring/supportive supervision.
- Developing and implementing a behavior change communication materials and tools.
- Supporting the establishment of KMC centers in hospitals.
- Supporting program monitoring and assessment, and use of this information to inform decision-making.
This work is in partnership with the Ministry of National Health Services, Regulations and Coordination, Provincial Director General Health Services (DGHS), and Departments of Health Integrated Maternal, Newborn, Child Health and Nutrition Program (IRMNCH & NP). The program is being implemented in three districts Lodhran, Jamshoro and Swabi across the three provinces Punajb, Sindh and Khyber Pakhtunkhwa, respectively.
Although this section describes MNHN, wherever possible, Nutrition International’s work in Pakistan follows a comprehensive and integrated approach, with a strong focus on the first 1000 days, from pregnancy through 2 years of age.
","- Allen, L. H. (2000). Anemia and iron deficiency: Effects on pregnancy outcome. The American Journal of Clinical Nutrition,71(5). doi:10.1093/ajcn/71.5.1280s
- Black, R. E., Victora, C. G., Walker, S. P., Bhutta, Z. A., Christian, P., Onis, M. D., . . . Uauy, R. (2013). Maternal and child undernutrition and overweight in low-income and middle-income countries. The Lancet,382(9890), 427-451. doi:10.1016/s0140-6736(13)60937-x
- WHO. The global prevalence of anaemia in 2011. Geneva: World Health Organization; 2015.
- WHO. (2016). WHO recommendations on antenatal care for a positive pregnancy experience. (Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/250796/9789241549912-eng...
- WHO. (2017). Protecting, promoting and supporting breastfeeding in facilities providing maternity and newborn services: Guideline(Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/259386/9789241550086-eng...
- WHO. (2018). WHO recommendations: Intrapartum care for a positive childbirth experience(Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/260178/9789241550215-eng...
- NEOVITA Study Group. (2016). Timing of initiation, patterns of breastfeeding, and infant survival: Prospective analysis of pooled data from three randomised trials. The Lancet Global Health,4(4). doi:10.1016/s2214-109x(16)00040-1
- United Nations Inter-agency Group for Child Mortality Estimation (UN IGME), ‘Levels & Trends in Child Mortality: Report 2017, Estimates Developed by the UN Inter-agency Group for Child Mortality Estimation’, United Nations Children’s Fund, New York, 2017.
For more information:
","","","Health","Ministry of National Health Services, Regulations and Coordination, Provincial Director General Health Services (DGHS), and Departments of Health Integrated Maternal, Newborn, Child Health and Nutrition Program (IRMNCH & NP)","","","Nutrition International","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","26320","","Care of LBW infants","","","","Newborns (up to 28 days of age)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English"
"26252","Nutrition International - Pakistan - Maternal Newborn Health and Nutrition (MNHN) Program","English","Community/sub-national","","PAK","Pakistan","Pakistan","","","","","Pregnancy and the postnatal period are critical times for ensuring the health and wellbeing of women and their children. Anaemia during pregnancy is common and can have serious consequences for both mother and child, including increased risk of low birthweight and preterm birth, as well as maternal and perinatal mortality.[1&2] Iron deficiency is a major cause of anaemia among pregnant women.[3] Iron requirements increase substantially during pregnancy and it is difficult to meet these needs with food alone. Based on evidence of reduced risk of anaemia, iron deficiency and other adverse outcomes including having a low birthweight baby, WHO recommends daily iron and folic acid (IFA) supplementation throughout pregnancy.[4] This is in addition to a series of other recommendations for nutrition interventions as part of antenatal care for a positive pregnancy experience and other important maternal and child outcomes.[4]
Optimal care and feeding of newborns helps ensure babies survive and sets the stage for healthy growth and development. For example, initiating breastfeeding within the first hour of life, as recommended by WHO[5&6], increases the likelihood of exclusive breastfeeding and reduces the chance of newborn illness or death [7]. The newborn period, which is the first 28 days of life, is the most vulnerable time in a child’s life, and accounts for almost half (46%) of the total deaths in children under five years of age [8]. Fortunately, many of these deaths are preventable through evidence-informed, low-cost care, such as supporting mothers to start breastfeeding soon after birth, which can be delivered even in resource-limited settings.
Nutrition International works in collaboration with government and other partners to improve maternal and newborn health and nutrition (MNHN) through enhancing the provision, quality and integration of health and nutrition services and empowering women and their families to seek care and adopt healthy behaviours.
Nutrition International's (NI) support to MNHN programming in Pakistan began in 2015. Since then, NI has contributed to improving MNHN in Pakistan by:
- Increasing access to antenatal care (ANC) quality and attendance as well as a package of care for women and newborns at delivery and in the postnatal period.
- Reducing the risk of anaemia among pregnant women by supporting the provision of and adherence to iron and folic acid supplements.
- Supporting the government in demonstrating an integrated multipronged program model for implementing community outreach health and nutrition interventions.
- Supporting the identification and referral of pregnant women and children 6-23 months of age with malnutrition.
- Promoting an enabling environment through advocacy among key decision-makers for commitment to MNHN.
- Providing technical assistance for scaling up best practices.
- Supporting procurement and supply chain strengthening.
- Capacity-building of health care managers, midwives, and service providers at facility and community levels, through training and mentoring/supportive supervision.
- Developing and implementing a behavior change communication materials and tools.
- Supporting the establishment of KMC centers in hospitals.
- Supporting program monitoring and assessment, and use of this information to inform decision-making.
This work is in partnership with the Ministry of National Health Services, Regulations and Coordination, Provincial Director General Health Services (DGHS), and Departments of Health Integrated Maternal, Newborn, Child Health and Nutrition Program (IRMNCH & NP). The program is being implemented in three districts Lodhran, Jamshoro and Swabi across the three provinces Punajb, Sindh and Khyber Pakhtunkhwa, respectively.
Although this section describes MNHN, wherever possible, Nutrition International’s work in Pakistan follows a comprehensive and integrated approach, with a strong focus on the first 1000 days, from pregnancy through 2 years of age.
","- Allen, L. H. (2000). Anemia and iron deficiency: Effects on pregnancy outcome. The American Journal of Clinical Nutrition,71(5). doi:10.1093/ajcn/71.5.1280s
- Black, R. E., Victora, C. G., Walker, S. P., Bhutta, Z. A., Christian, P., Onis, M. D., . . . Uauy, R. (2013). Maternal and child undernutrition and overweight in low-income and middle-income countries. The Lancet,382(9890), 427-451. doi:10.1016/s0140-6736(13)60937-x
- WHO. The global prevalence of anaemia in 2011. Geneva: World Health Organization; 2015.
- WHO. (2016). WHO recommendations on antenatal care for a positive pregnancy experience. (Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/250796/9789241549912-eng...
- WHO. (2017). Protecting, promoting and supporting breastfeeding in facilities providing maternity and newborn services: Guideline(Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/259386/9789241550086-eng...
- WHO. (2018). WHO recommendations: Intrapartum care for a positive childbirth experience(Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/260178/9789241550215-eng...
- NEOVITA Study Group. (2016). Timing of initiation, patterns of breastfeeding, and infant survival: Prospective analysis of pooled data from three randomised trials. The Lancet Global Health,4(4). doi:10.1016/s2214-109x(16)00040-1
- United Nations Inter-agency Group for Child Mortality Estimation (UN IGME), ‘Levels & Trends in Child Mortality: Report 2017, Estimates Developed by the UN Inter-agency Group for Child Mortality Estimation’, United Nations Children’s Fund, New York, 2017.
For more information:
","","","Health","Ministry of National Health Services, Regulations and Coordination, Provincial Director General Health Services (DGHS), and Departments of Health Integrated Maternal, Newborn, Child Health and Nutrition Program (IRMNCH & NP)","","","Nutrition International","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","26321","","Feeding of LBW infants","","","","Newborns (up to 28 days of age)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English"
"25775","Nutrition International - Philippines - Maternal Nutrition Program ","English","Community/sub-national","","PHL","Philippines","Philippines","","","","","Pregnancy and the postnatal period are critical times for ensuring the health and wellbeing of women and their children. Anaemia during pregnancy is common and can have serious consequences for both mother and child, including increased risk of low birthweight and preterm birth, as well as maternal and perinatal mortality.[1&2] Iron deficiency is a major cause of anaemia among pregnant women.[3] Iron requirements increase substantially during pregnancy and it is difficult to meet these needs with food alone. Based on evidence of reduced risk of anaemia, iron deficiency and other adverse outcomes including having a low birthweight baby, WHO recommends daily iron and folic acid (IFA) supplementation throughout pregnancy, together with appropriate nutrition counselling.[4] This is in addition to a series of other recommendations for nutrition interventions as part of antenatal care for a positive pregnancy experience and other important maternal and child outcomes.[4]
Nutrition International contributes to improving Maternal Nutrition in the Philippines by:
- Providing support to the Department of Health’s (DOH) framework for the First 1000 Days (F1KD) which delivers an integrated package of maternal newborn and child health and nutrition (MNCHN), and improving delivery of quality antenatal care (ANC), including nutrition counseling, and provision and consumption of at least 180 IFA supplements during pregnancy.
- Promoting an enabling environment through advocacy among key decision-makers at the national level and supported at the local level by formulation and passage of local ordinances for continued commitment to MNCHN, including ensuring adequate supply of IFA supplements at all levels.
- Supporting the revision and/or update of related DOH policies and guidelines on the nutrition of the women of reproductive age (WRA) including pregnant and lactating mothers, and the Manual of Operations on Micronutrient Supplementation.
- Building Capacity of frontline workers (midwives and community health and nutrition volunteers) to deliver continuum of services in the F1KD, with focus on IFA supplementation.
- Supporting the establishment and operationalization of community-based mother to mother support groups composed of pregnant women and mothers with children 0-23 months.
- Enhancing Behaviour Change Interventions.
- Supporting the development and implementation of a system to track adherence to IFA supplementation.
- Supporting conducting of monthly nutrition review meetings to monitor progress of service delivery and promote accountability for targeted nutrition outcomes.
This work is implemented in partnership with DOH-Family Health Office (FHO) and National Nutrition Council (NNC), the health and nutrition offices at the regional, provincial and municipal levels, Helen Keller International and UNICEF in 45 municipalities in seven provinces of Antique, Bohol, Camarines Norte, Cebu, Iloilo and Zamboanga del Norte. NI support to Maternal Nutrition programming in the Philippines began in 2016 and is ongoing.
","- Allen, L. H. (2000). Anemia and iron deficiency: Effects on pregnancy outcome. The American Journal of Clinical Nutrition,71(5). doi:10.1093/ajcn/71.5.1280s
- Black, R. E., Victora, C. G., Walker, S. P., Bhutta, Z. A., Christian, P., Onis, M. D., . . . Uauy, R. (2013). Maternal and child undernutrition and overweight in low-income and middle-income countries. The Lancet,382(9890), 427-451. doi:10.1016/s0140-6736(13)60937-x
- WHO. The global prevalence of anaemia in 2011. Geneva: World Health Organization; 2015.
- WHO. (2016). WHO recommendations on antenatal care for a positive pregnancy experience. (Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/250796/9789241549912-eng...
For more information:
","","","Health|Sub-national","DOH-Family Health Office (FHO);National Nutrition Council (NNC);Provincial and Municipal Health and Nutrition Offices;Rural Health Units","United Nations Children's Fund (UNICEF)","","Helen Keller International (HKI)|Nutrition International","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","26253","","Iron and folic acid supplementation","","","","Pregnant women (PW)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English"
"25775","Nutrition International - Philippines - Maternal Nutrition Program ","English","Community/sub-national","","PHL","Philippines","Philippines","","","","","Pregnancy and the postnatal period are critical times for ensuring the health and wellbeing of women and their children. Anaemia during pregnancy is common and can have serious consequences for both mother and child, including increased risk of low birthweight and preterm birth, as well as maternal and perinatal mortality.[1&2] Iron deficiency is a major cause of anaemia among pregnant women.[3] Iron requirements increase substantially during pregnancy and it is difficult to meet these needs with food alone. Based on evidence of reduced risk of anaemia, iron deficiency and other adverse outcomes including having a low birthweight baby, WHO recommends daily iron and folic acid (IFA) supplementation throughout pregnancy, together with appropriate nutrition counselling.[4] This is in addition to a series of other recommendations for nutrition interventions as part of antenatal care for a positive pregnancy experience and other important maternal and child outcomes.[4]
Nutrition International contributes to improving Maternal Nutrition in the Philippines by:
- Providing support to the Department of Health’s (DOH) framework for the First 1000 Days (F1KD) which delivers an integrated package of maternal newborn and child health and nutrition (MNCHN), and improving delivery of quality antenatal care (ANC), including nutrition counseling, and provision and consumption of at least 180 IFA supplements during pregnancy.
- Promoting an enabling environment through advocacy among key decision-makers at the national level and supported at the local level by formulation and passage of local ordinances for continued commitment to MNCHN, including ensuring adequate supply of IFA supplements at all levels.
- Supporting the revision and/or update of related DOH policies and guidelines on the nutrition of the women of reproductive age (WRA) including pregnant and lactating mothers, and the Manual of Operations on Micronutrient Supplementation.
- Building Capacity of frontline workers (midwives and community health and nutrition volunteers) to deliver continuum of services in the F1KD, with focus on IFA supplementation.
- Supporting the establishment and operationalization of community-based mother to mother support groups composed of pregnant women and mothers with children 0-23 months.
- Enhancing Behaviour Change Interventions.
- Supporting the development and implementation of a system to track adherence to IFA supplementation.
- Supporting conducting of monthly nutrition review meetings to monitor progress of service delivery and promote accountability for targeted nutrition outcomes.
This work is implemented in partnership with DOH-Family Health Office (FHO) and National Nutrition Council (NNC), the health and nutrition offices at the regional, provincial and municipal levels, Helen Keller International and UNICEF in 45 municipalities in seven provinces of Antique, Bohol, Camarines Norte, Cebu, Iloilo and Zamboanga del Norte. NI support to Maternal Nutrition programming in the Philippines began in 2016 and is ongoing.
","- Allen, L. H. (2000). Anemia and iron deficiency: Effects on pregnancy outcome. The American Journal of Clinical Nutrition,71(5). doi:10.1093/ajcn/71.5.1280s
- Black, R. E., Victora, C. G., Walker, S. P., Bhutta, Z. A., Christian, P., Onis, M. D., . . . Uauy, R. (2013). Maternal and child undernutrition and overweight in low-income and middle-income countries. The Lancet,382(9890), 427-451. doi:10.1016/s0140-6736(13)60937-x
- WHO. The global prevalence of anaemia in 2011. Geneva: World Health Organization; 2015.
- WHO. (2016). WHO recommendations on antenatal care for a positive pregnancy experience. (Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/250796/9789241549912-eng...
For more information:
","","","Health|Sub-national","DOH-Family Health Office (FHO);National Nutrition Council (NNC);Provincial and Municipal Health and Nutrition Offices;Rural Health Units","United Nations Children's Fund (UNICEF)","","Helen Keller International (HKI)|Nutrition International","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","26328","","Nutrition education and counselling","","","","Pregnant women (PW)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English"
"25779","Nutrition International - India - Maternal Nutrition Program ","English","Community/sub-national","","IND","India","India","","","","","Pregnancy and the postnatal period are critical times for ensuring the health and wellbeing of women and their children. Anaemia during pregnancy is common and can have serious consequences for both mother and child, including increased risk of low birthweight and preterm birth, as well as maternal and perinatal mortality.[1&2] Iron deficiency is a major cause of anaemia among pregnant women.[3] Iron requirements increase substantially during pregnancy and it is difficult to meet these needs with food alone. Based on evidence of reduced risk of anaemia, iron deficiency and other adverse outcomes including having a low birthweight baby, WHO recommends daily iron and folic acid (IFA) supplementation throughout pregnancy, together with appropriate nutrition counselling.[4] This is in addition to a series of other recommendations for nutrition interventions as part of antenatal care for a positive pregnancy experience and other important maternal and child outcomes.[4]
Nutrition International works in collaboration with government and other partners to improve maternal nutrition through enhancing the provision, quality and integration of health and nutrition services and empowering women and their families to seek care and adopt healthy behaviours.
Nutrition International contributes to improving Maternal Nutrition in India by:
- Collaborating with state government in Gujarat, Chhattisgarh and Madhya Pradesh to improve the coverage and consumption of IFA and calcium supplements among pregnant and lactating women.
- Supporting an enabling environment for implementing the National Iron Plus Initiative and the National Calcium Supplementation Guideline.
- Providing technical assistance.
- Supporting procurement and supply chain strengthening.
- Capacity-building of health care managers and service providers at facility and community levels, through training and mentoring/supportive supervision.
- Developing and implementing a behavior change communication materials.
- Supporting program monitoring and assessment, and use of this information to inform decision-making.
This work is in partnership with state government in Gujarat, Chhattisgrah and Madhya Pradesh and Gorakpur Environmental Action group (GEAG) and Centre for Integrated Development in MP, TRIOs Development Support Private Limited in Chhattisgarh, and Deepak Foundation in Gujarat. This project supports implementation in 9 districts in Gujarat, 9 districts in Chhattisgrah, and 8 districts in Madhya Pradesh.
","- Allen, L. H. (2000). Anemia and iron deficiency: Effects on pregnancy outcome. The American Journal of Clinical Nutrition,71(5). doi:10.1093/ajcn/71.5.1280s
- Black, R. E., Victora, C. G., Walker, S. P., Bhutta, Z. A., Christian, P., Onis, M. D., . . . Uauy, R. (2013). Maternal and child undernutrition and overweight in low-income and middle-income countries. The Lancet,382(9890), 427-451. doi:10.1016/s0140-6736(13)60937-x
- WHO. The global prevalence of anaemia in 2011. Geneva: World Health Organization; 2015.
- WHO. (2016). WHO recommendations on antenatal care for a positive pregnancy experience. (Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/250796/9789241549912-eng...
For more information:
","","","Sub-national","State government in Gujarat, Chhattisgrah and Madhya Pradesh","","","Nutrition International","","","","","","National NGOs","Gorakpur Environmental Action group; Centre for Integrated Development in Madhya Pradesh; Deepak Foundation in Gujarat","","","Private sector","TRIOs Development Support Private Limited in Chhattisgarh","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","26263","","Iron and folic acid supplementation","","","","Pregnant women (PW)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English"
"25779","Nutrition International - India - Maternal Nutrition Program ","English","Community/sub-national","","IND","India","India","","","","","Pregnancy and the postnatal period are critical times for ensuring the health and wellbeing of women and their children. Anaemia during pregnancy is common and can have serious consequences for both mother and child, including increased risk of low birthweight and preterm birth, as well as maternal and perinatal mortality.[1&2] Iron deficiency is a major cause of anaemia among pregnant women.[3] Iron requirements increase substantially during pregnancy and it is difficult to meet these needs with food alone. Based on evidence of reduced risk of anaemia, iron deficiency and other adverse outcomes including having a low birthweight baby, WHO recommends daily iron and folic acid (IFA) supplementation throughout pregnancy, together with appropriate nutrition counselling.[4] This is in addition to a series of other recommendations for nutrition interventions as part of antenatal care for a positive pregnancy experience and other important maternal and child outcomes.[4]
Nutrition International works in collaboration with government and other partners to improve maternal nutrition through enhancing the provision, quality and integration of health and nutrition services and empowering women and their families to seek care and adopt healthy behaviours.
Nutrition International contributes to improving Maternal Nutrition in India by:
- Collaborating with state government in Gujarat, Chhattisgarh and Madhya Pradesh to improve the coverage and consumption of IFA and calcium supplements among pregnant and lactating women.
- Supporting an enabling environment for implementing the National Iron Plus Initiative and the National Calcium Supplementation Guideline.
- Providing technical assistance.
- Supporting procurement and supply chain strengthening.
- Capacity-building of health care managers and service providers at facility and community levels, through training and mentoring/supportive supervision.
- Developing and implementing a behavior change communication materials.
- Supporting program monitoring and assessment, and use of this information to inform decision-making.
This work is in partnership with state government in Gujarat, Chhattisgrah and Madhya Pradesh and Gorakpur Environmental Action group (GEAG) and Centre for Integrated Development in MP, TRIOs Development Support Private Limited in Chhattisgarh, and Deepak Foundation in Gujarat. This project supports implementation in 9 districts in Gujarat, 9 districts in Chhattisgrah, and 8 districts in Madhya Pradesh.
","- Allen, L. H. (2000). Anemia and iron deficiency: Effects on pregnancy outcome. The American Journal of Clinical Nutrition,71(5). doi:10.1093/ajcn/71.5.1280s
- Black, R. E., Victora, C. G., Walker, S. P., Bhutta, Z. A., Christian, P., Onis, M. D., . . . Uauy, R. (2013). Maternal and child undernutrition and overweight in low-income and middle-income countries. The Lancet,382(9890), 427-451. doi:10.1016/s0140-6736(13)60937-x
- WHO. The global prevalence of anaemia in 2011. Geneva: World Health Organization; 2015.
- WHO. (2016). WHO recommendations on antenatal care for a positive pregnancy experience. (Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/250796/9789241549912-eng...
For more information:
","","","Sub-national","State government in Gujarat, Chhattisgrah and Madhya Pradesh","","","Nutrition International","","","","","","National NGOs","Gorakpur Environmental Action group; Centre for Integrated Development in Madhya Pradesh; Deepak Foundation in Gujarat","","","Private sector","TRIOs Development Support Private Limited in Chhattisgarh","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","26330","","Nutrition education and counselling","","","","Pregnant women (PW)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English"
"26248","Nutrition International - Indonesia - Maternal Nutrition Program ","English","Community/sub-national","","IDN","Indonesia","Indonesia","","","","","Pregnancy and the postnatal period are critical times for ensuring the health and wellbeing of women and their children. Anaemia during pregnancy is common and can have serious consequences for both mother and child, including increased risk of low birthweight and preterm birth, as well as maternal and perinatal mortality.[1&2] Iron deficiency is a major cause of anaemia among pregnant women.[3] Iron requirements increase substantially during pregnancy and it is difficult to meet these needs with food alone. Based on evidence of reduced risk of anaemia, iron deficiency and other adverse outcomes including having a low birthweight baby, WHO recommends daily iron and folic acid (IFA) supplementation throughout pregnancy, together with appropriate nutrition counselling.[4] This is in addition to a series of other recommendations for nutrition interventions as part of antenatal care for a positive pregnancy experience and other important maternal and child outcomes.[4]
Nutrition International works in collaboration with government and other partners to improve maternal nutrition through enhancing the provision, quality and integration of health and nutrition services and empowering women and their families to seek care and adopt healthy behaviours.
Nutrition International contributes to improving Maternal Nutrition in Indonesia by:
- Collaborating with the Directorate of Community Nutrition, Directorate of Health Promotion, Directorate of Maternal and Child Health, and the Directorate of Pharmacy under the Indonesian Ministry of Health at the national level; and the Provincial Health Offices and District Health Offices at the provincial and district levels, as well as UNICEF, to increase pregnant women’s adherence to daily supplementation of iron and folic acid (IFA) and ANC attendance.
- Promoting an enabling environment through advocacy among key decision-makers for commitment to Maternal Nutrition.
- Providing technical assistance for scaling up best practices.
- Strengthening the supply chain.
- Capacity-building of health care managers, midwives, and service providers at facility and community levels, through training and mentoring/supportive supervision.
- Developing and implementing a behavior change communication strategy.
- Supporting program monitoring and assessment, and use of this information to inform decision-making.
This program builds on NI’s successful demonstration project in two districts (Banten and West Java) from 2011-2014. The program has been scaled up to a further 77 districts, in 6 provinces, namely Banten, West Java, East Java, West Nusa Tengarra (WNT), East Nusa Tengarra (ENT) and Riau.
","- Allen, L. H. (2000). Anemia and iron deficiency: Effects on pregnancy outcome. The American Journal of Clinical Nutrition,71(5). doi:10.1093/ajcn/71.5.1280s
- Black, R. E., Victora, C. G., Walker, S. P., Bhutta, Z. A., Christian, P., Onis, M. D., . . . Uauy, R. (2013). Maternal and child undernutrition and overweight in low-income and middle-income countries. The Lancet,382(9890), 427-451. doi:10.1016/s0140-6736(13)60937-x
- WHO. The global prevalence of anaemia in 2011. Geneva: World Health Organization; 2015.
- WHO. (2016). WHO recommendations on antenatal care for a positive pregnancy experience. (Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/250796/9789241549912-eng...
For more information:
","","","Health","Indonesian Ministry of Health; Provincial Health Offices and District Health Offices","United Nations Children's Fund (UNICEF)","","Nutrition International","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","26256","","Iron and folic acid supplementation","","","","Pregnant women (PW)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English"
"26248","Nutrition International - Indonesia - Maternal Nutrition Program ","English","Community/sub-national","","IDN","Indonesia","Indonesia","","","","","Pregnancy and the postnatal period are critical times for ensuring the health and wellbeing of women and their children. Anaemia during pregnancy is common and can have serious consequences for both mother and child, including increased risk of low birthweight and preterm birth, as well as maternal and perinatal mortality.[1&2] Iron deficiency is a major cause of anaemia among pregnant women.[3] Iron requirements increase substantially during pregnancy and it is difficult to meet these needs with food alone. Based on evidence of reduced risk of anaemia, iron deficiency and other adverse outcomes including having a low birthweight baby, WHO recommends daily iron and folic acid (IFA) supplementation throughout pregnancy, together with appropriate nutrition counselling.[4] This is in addition to a series of other recommendations for nutrition interventions as part of antenatal care for a positive pregnancy experience and other important maternal and child outcomes.[4]
Nutrition International works in collaboration with government and other partners to improve maternal nutrition through enhancing the provision, quality and integration of health and nutrition services and empowering women and their families to seek care and adopt healthy behaviours.
Nutrition International contributes to improving Maternal Nutrition in Indonesia by:
- Collaborating with the Directorate of Community Nutrition, Directorate of Health Promotion, Directorate of Maternal and Child Health, and the Directorate of Pharmacy under the Indonesian Ministry of Health at the national level; and the Provincial Health Offices and District Health Offices at the provincial and district levels, as well as UNICEF, to increase pregnant women’s adherence to daily supplementation of iron and folic acid (IFA) and ANC attendance.
- Promoting an enabling environment through advocacy among key decision-makers for commitment to Maternal Nutrition.
- Providing technical assistance for scaling up best practices.
- Strengthening the supply chain.
- Capacity-building of health care managers, midwives, and service providers at facility and community levels, through training and mentoring/supportive supervision.
- Developing and implementing a behavior change communication strategy.
- Supporting program monitoring and assessment, and use of this information to inform decision-making.
This program builds on NI’s successful demonstration project in two districts (Banten and West Java) from 2011-2014. The program has been scaled up to a further 77 districts, in 6 provinces, namely Banten, West Java, East Java, West Nusa Tengarra (WNT), East Nusa Tengarra (ENT) and Riau.
","- Allen, L. H. (2000). Anemia and iron deficiency: Effects on pregnancy outcome. The American Journal of Clinical Nutrition,71(5). doi:10.1093/ajcn/71.5.1280s
- Black, R. E., Victora, C. G., Walker, S. P., Bhutta, Z. A., Christian, P., Onis, M. D., . . . Uauy, R. (2013). Maternal and child undernutrition and overweight in low-income and middle-income countries. The Lancet,382(9890), 427-451. doi:10.1016/s0140-6736(13)60937-x
- WHO. The global prevalence of anaemia in 2011. Geneva: World Health Organization; 2015.
- WHO. (2016). WHO recommendations on antenatal care for a positive pregnancy experience. (Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/250796/9789241549912-eng...
For more information:
","","","Health","Indonesian Ministry of Health; Provincial Health Offices and District Health Offices","United Nations Children's Fund (UNICEF)","","Nutrition International","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","26331","","Nutrition education and counselling","","","","Pregnant women (PW)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English"