"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" "6043","Integrated Malnutrition, HIV/AIDS & TB (IMHAT) Prevention and Control Project","English","Community/sub-national","","GHA","Ghana","Nadowli, Upper West, Ghana| Tolon, Kumbungu, Northern, Ghana| Kintampo South, Ghana|Brong Ahafo,Ghana|Northern, Ghana","Urban","on-going","01-2009","09-2013","
The goal of the IMHAT Project is to contribute to the reduction and prevention of malnutrition, HIV/AIDS, TB and thereby contribute to reduction of child mortality rates in the Nadowli, Kintampo South and Tolon-Kumbungu districts. The specifc objectives of the project include the following: 1.Improved quality of diet for children under-five years and families 2.Improved access to essential health services and a healthy environment 3. Improved household food security 4. Strengthen capacity of World Vision, communities and partner institutions to implement programs to address malnutrition, health(including HIV/TB) and food security issues.
","","","","Cabinet/Presidency","","","","","","","","","","","","","","","","","","Budget(2009-2012)= US$667,757","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","6042","Maternal, infant and young child nutrition","Breastfeeding promotion and/or counselling","","","","Women of reproductive age (WRA)","","Nadowli, Tolon-Kumbungu, and Kintampo South districts respectively in the Upper West, Northern and Brong Ahafo regions of Ghana","Community-based|Hospital/clinic|Primary health care center","","1. Train health 69 staff in lactation management, including HIV in relation to breastfeeding; 2. Support the formation of 95 mother-to-mother support groups and men’s groups; 3. Support assessment and designation of 6 facilities as Baby Friendly Health Institutions (BFHI); 4. Support follow up of HIV infected mothers through mother-to-support groups and CBSV to maintain exclusive breastfeeding and monitor nutritional status and growth of the infants; 5. Train HIV infected mothers on breastfeeding techniques to decrease risk of breat inflammation that may increase HIV transmission; 6. Intensify nutrition and health education at facility and community levels monthly
","% of children 0-6 exclusively breastfed in the previous 24 hours. % of infants fed mothers' milk within 1hour after birth % ofchildren(12-23mos) exclusively breastfed for 6 months
","Key performance indicators were baselined to establish coverage at the beginning of the project. Monitoring of project interventions are conducted monthly. Monthly, quarterly, semi-annual and annual reports(narrative and financial) are collated to inform management decisions. These reports are shared with key stakeholders. Midterm and endterm project evalutions will be conducted.
","79 communities with a total population of 77, 780 children under-five years of age and 19,445 pregnant women living in an area with a population of 388, 902 people and an estimated 64,817 households are benefiting from project interventions.","Missing","","Conducted","Midterm evaluation has been conducted and results are being analysed","Vulnerable groups","","Breastfeeding – exclusive breastfeeding>>>Breastfeeding – exclusive breastfeeding>>http://www.who.int/elena/titles/exclusive_breastfeeding","Staff skills/training","Project and GHS staffs have received training in lactation management. ","Insufficient staff","We have continued to advocate for increased numbers for the beneficiary districts. To meet this gap capacities of Mother-to-mother Supports Groups(MtMSGs),Traditional Birth Attendants(TBAs) and Community Based Surveillance Volunteers(CBSVs) been built to support the action. Community Health Planning and Services(CHPS) compounds are expected to be extened by the government to remote communities to address this challenge. ","Infrastructure","We have poor roads linking most communities. There are ,however,plans by the District Assemblies to improve road infrastructure.","Adherence","The slow adoption of appropriate feeding practices by caregivers remains a challenge. Community level education has therefore, been intensified to address the situation.","Financial resources","Government's financial support to District Health Management Teams (DHMTs) is sometimes delayed and this affects the smooth implementation of project interventions.","","","","","","","","","","","","","I have observed that grandmothers' and men's involvement in the action implementation is critical. In some communties for instance, father-to-father support groups have been formed to support the action. Capacity building for groups such as CBSVs, MtMSGs, TBAs, women's and men's groups, faith-based organizations(FBOs) etc at the community could contribute immensely to project outcomes.
","English" "6043","Integrated Malnutrition, HIV/AIDS & TB (IMHAT) Prevention and Control Project","English","Community/sub-national","","GHA","Ghana","Nadowli, Upper West, Ghana| Tolon, Kumbungu, Northern, Ghana| Kintampo South, Ghana|Brong Ahafo,Ghana|Northern, Ghana","Urban","on-going","01-2009","09-2013","The goal of the IMHAT Project is to contribute to the reduction and prevention of malnutrition, HIV/AIDS, TB and thereby contribute to reduction of child mortality rates in the Nadowli, Kintampo South and Tolon-Kumbungu districts. The specifc objectives of the project include the following: 1.Improved quality of diet for children under-five years and families 2.Improved access to essential health services and a healthy environment 3. Improved household food security 4. Strengthen capacity of World Vision, communities and partner institutions to implement programs to address malnutrition, health(including HIV/TB) and food security issues.
","","","","Cabinet/Presidency","","","","","","","","","","","","","","","","","","Budget(2009-2012)= US$667,757","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","6044","","Complementary feeding promotion and/or counselling","","","","Women of reproductive age (WRA)","","Nadowli, Tolon-Kumbungu, and Kintampo South districts respectively in the Upper West, Northern and Brong Ahafo regions of Ghana","Community-based|Hospital/clinic|Primary health care center","","1. Train 105 GHS staff and CBSVs in Community Based Growth Promotion (CBGP) 2. Institute CBGP in 15 poor and hard to reach communities including visits to OVCs under 5 to make sure these children go for growth monitoring3. Train 60 GHS, World Vision staff in Infant and Young Child Nutrition counselling4. Provide equipment for growth monitoring and counseling5. Carry out quarterly food demonstration sessions including low-labour nutritious meals that can be prepared/managed by mothers who are ill in communities using nutrient and energy dense locally available foods 6. Intensify monthly nutrition and health education for mothers and other caregivers, including appropriate messages for HIV+ve mothers through CBSV, CCC and health staff","% of children< 2 years underweight % of children 12-23 months who are still breastfeeding % of sick children 6-59 month who received increased fluids and continues feeding during an illness in the last 2 weeks % of children 6-59 month attending growth promotion sessions at least once every 3 months % of children 6-59 months who ate solid or semi-solid food at least the minimum recommended no. of times 24hrs preceding survey","Key performance indicators were baselined to establish coverage at the beginning of the project. Monitoring of project interventions are conducted monthly. Monthly, quarterly, semi-annual and annual reports(narrative and financial) are collated to inform management decisions. These reports are shared with key stakeholders. Midterm and endterm project evalutions will be conducted.
","89447","","","Conducted","Midterm evaluation has been conducted and results are being analysed.","Vulnerable groups","","Complementary feeding>>>Complementary feeding>>http://www.who.int/elena/titles/complementary_feeding","Staff skills/training","Project and GHS staffs have received training in lactation management. ","Insufficient staff","We have continued to advocate for increased numbers for the beneficiary districts. To meet this gap capacities of Mother-to-mother Supports Groups(MtMSGs),Traditional Birth Attendants(TBAs) and Community Based Surveillance Volunteers(CBSVs) been built to support the action. Community Health Planning and Services(CHPS) compounds are expected to be extened by the government to remote communities to address this challenge. ","Infrastructure","We have poor roads linking most communities. There are ,however,plans by the District Assemblies to improve road infrastructure.","Adherence","The slow adoption of appropriate feeding practices by caregivers remains a challenge. Community level education has therefore, been intensified to address the situation.","Financial resources","Government's financial support to District Health Management Teams (DHMTs) is sometimes delayed and this affects the smooth implementation of project interventions.","","","","","","","","","","","","","Cultural barriers could impede the action as mothers/caregivers who have acquired knowledge and are willing to feed their children appropriately could be prevented from doing so.","English" "6043","Integrated Malnutrition, HIV/AIDS & TB (IMHAT) Prevention and Control Project","English","Community/sub-national","","GHA","Ghana","Nadowli, Upper West, Ghana| Tolon, Kumbungu, Northern, Ghana| Kintampo South, Ghana|Brong Ahafo,Ghana|Northern, Ghana","Urban","on-going","01-2009","09-2013","The goal of the IMHAT Project is to contribute to the reduction and prevention of malnutrition, HIV/AIDS, TB and thereby contribute to reduction of child mortality rates in the Nadowli, Kintampo South and Tolon-Kumbungu districts. The specifc objectives of the project include the following: 1.Improved quality of diet for children under-five years and families 2.Improved access to essential health services and a healthy environment 3. Improved household food security 4. Strengthen capacity of World Vision, communities and partner institutions to implement programs to address malnutrition, health(including HIV/TB) and food security issues.
","","","","Cabinet/Presidency","","","","","","","","","","","","","","","","","","Budget(2009-2012)= US$667,757","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","6045","","Management of moderate malnutrition","","","","Infants and young children","","Nadowli, Tolon-Kumbungu, and Kintampo South districts respectively in the Upper West, Northern and Brong Ahafo regions of Ghana","Community-based","","1. Purchase vegetable seeds and citrus seedlings2. Distribute vegetable seeds and seedlings to households and groups3. Purchase small animals 4. Distribute small animals to households and groups5. Train beneficiaries in the raising of small animals and crop production techniques6. Support the processing of vegetables materials)7. Produce/adapt & distribute IEC materials8. Carry out community education on animal husbandry and crop production","% of households producing fruits for their own consumption% of households producing vegetables for their own consumption% of households growing and using nutrient-dense drought-tolerant crops for their food sources e.g. cowpeas, green grams, groundnuts etc% of household rearing and using one or more type of high protein animal/poultry based foods sources eg. Chicken, fish etc.% of households practicing food preservation techniques% of women controlling some household resources e.g. animals, land etc","Key performance indicators were baselined to establish coverage at the beginning of the project. Monitoring of project interventions are conducted monthly. Monthly, quarterly, semi-annual and annual reports(narrative and financial) are collated to inform management decisions. These reports are shared with key stakeholders. Midterm and endterm project evalutions will be conducted.
","2400","","","Conducted","Midterm evaluation has been conducted and results are being analysed.","Vulnerable groups","","eLENA titles related to prevention or treatment of moderate acute malnutrition in children>>>Supplementary feeding in community settings for promoting child growth>>http://www.who.int/elena/titles/child_growth|Food supplementation in children with moderate acute malnutrition>>http://www.who.int/elena/titles/food_children_mam","Financial resources","Government's financial support to District Agriculture Development Unit is sometimes delayed and this affects the smooth implementation of project interventions. We continue to advocate for timely disbursement of funds.","Adherence","","Infrastructure","We have poor roads linking most communities. There are ,however,plans by the District Assemblies to improve road infrastructure.","","","","","","","","","","","","","","","Although, households with children under-five in particular are targeted, the provision of inputs has been demand-driven. Consquently, the response by households has not been at the level expected.","Continuous community level education by Agriculture Extension Agents (AEAs) has, however, brought about improvement in the implmentation of the action. Land availability for home gardening activities is a challege in some communities. Group garden activities are therefore being considered. ","","English" "6043","Integrated Malnutrition, HIV/AIDS & TB (IMHAT) Prevention and Control Project","English","Community/sub-national","","GHA","Ghana","Nadowli, Upper West, Ghana| Tolon, Kumbungu, Northern, Ghana| Kintampo South, Ghana|Brong Ahafo,Ghana|Northern, Ghana","Urban","on-going","01-2009","09-2013","The goal of the IMHAT Project is to contribute to the reduction and prevention of malnutrition, HIV/AIDS, TB and thereby contribute to reduction of child mortality rates in the Nadowli, Kintampo South and Tolon-Kumbungu districts. The specifc objectives of the project include the following: 1.Improved quality of diet for children under-five years and families 2.Improved access to essential health services and a healthy environment 3. Improved household food security 4. Strengthen capacity of World Vision, communities and partner institutions to implement programs to address malnutrition, health(including HIV/TB) and food security issues.
","","","","Cabinet/Presidency","","","","","","","","","","","","","","","","","","Budget(2009-2012)= US$667,757","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","6046","Acute malnutrition","Growth monitoring and promotion","","","","Infants and young children","0-59months","Nadowli, Tolon-Kumbungu, and Kintampo South districts respectively in the Upper West, Northern and Brong Ahafo regions of Ghana","Community-based|Hospital/clinic|Primary health care center","","1.Support monthly growth monitoring2.Train 105 GHS staff and CBSVs in Community Based Growth Promotion (CBGP) 3.Institute CBGP in 15 poor and hard to reach communities including visits to OVCs under 5 to make sure these children go for growth monitoring","% of boys and girls underweight (WAZ<-2) % of children 6-59 month attending growth promotion sessions at least once every 3 months","Key performance indicators were baselined to establish coverage at the beginning of the project. Monitoring of project interventions are conducted monthly. Monthly, quarterly, semi-annual and annual reports(narrative and financial) are collated to inform management decisions. These reports are shared with key stakeholders. Midterm and endterm project evalutions will be conducted.
","77780","","","Conducted","Midterm evaluation has been conducted and results are being analysed","Vulnerable groups","","","Insufficient staff","","Supplies","","Stakeholder","","","","","","","","","","","","","","","","","","","English" "6043","Integrated Malnutrition, HIV/AIDS & TB (IMHAT) Prevention and Control Project","English","Community/sub-national","","GHA","Ghana","Nadowli, Upper West, Ghana| Tolon, Kumbungu, Northern, Ghana| Kintampo South, Ghana|Brong Ahafo,Ghana|Northern, Ghana","Urban","on-going","01-2009","09-2013","The goal of the IMHAT Project is to contribute to the reduction and prevention of malnutrition, HIV/AIDS, TB and thereby contribute to reduction of child mortality rates in the Nadowli, Kintampo South and Tolon-Kumbungu districts. The specifc objectives of the project include the following: 1.Improved quality of diet for children under-five years and families 2.Improved access to essential health services and a healthy environment 3. Improved household food security 4. Strengthen capacity of World Vision, communities and partner institutions to implement programs to address malnutrition, health(including HIV/TB) and food security issues.
","","","","Cabinet/Presidency","","","","","","","","","","","","","","","","","","Budget(2009-2012)= US$667,757","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","6047","Stunting","Vaccination","","","","Infants and young children","0-59 months","Nadowli, Tolon-Kumbungu, and Kintampo South districts respectively in the Upper West, Northern and Brong Ahafo regions of Ghana","Community-based|Hospital/clinic|Primary health care center","","1. Support GHS in increasing immunization coverage among children < 5 years2. Support GHS in carrying out follow-ups on IMNCI activities at health facility and community levels3.Produce/adapt and distribute IEC materials on vaccine preventable diseases4.Carry out education on vaccine preventable diseases in communities
","% of children12-23 months fully immunized
","Key performance indicators were baselined to establish coverage at the beginning of the project. Monitoring of project interventions are conducted monthly. Monthly, quarterly, semi-annual and annual reports(narrative and financial) are collated to inform management decisions. These reports are shared with key stakeholders. Midterm and endterm project evalutions will be conducted.
","77780","","","Conducted","Midterm evaluation has been conducted and results are being analysed","Vulnerable groups","","","Insufficient staff","","Supplies","","","","","","","","","","","","","","","","","","","","","English" "6043","Integrated Malnutrition, HIV/AIDS & TB (IMHAT) Prevention and Control Project","English","Community/sub-national","","GHA","Ghana","Nadowli, Upper West, Ghana| Tolon, Kumbungu, Northern, Ghana| Kintampo South, Ghana|Brong Ahafo,Ghana|Northern, Ghana","Urban","on-going","01-2009","09-2013","The goal of the IMHAT Project is to contribute to the reduction and prevention of malnutrition, HIV/AIDS, TB and thereby contribute to reduction of child mortality rates in the Nadowli, Kintampo South and Tolon-Kumbungu districts. The specifc objectives of the project include the following: 1.Improved quality of diet for children under-five years and families 2.Improved access to essential health services and a healthy environment 3. Improved household food security 4. Strengthen capacity of World Vision, communities and partner institutions to implement programs to address malnutrition, health(including HIV/TB) and food security issues.
","","","","Cabinet/Presidency","","","","","","","","","","","","","","","","","","Budget(2009-2012)= US$667,757","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","6048","Acute malnutrition","Oral rehydration solution promotion","","","","Infants and young children","0-59 months","Nadowli, Tolon-Kumbungu, and Kintampo South districts respectively in the Upper West, Northern and Brong Ahafo regions of Ghana","Community-based|Hospital/clinic|Primary health care center","","1. Purchase ORS2. Distribute ORS to CBSVs and health facilities 3. Support GHS in providing quality treatment to children with diarrhoea5.Train GHS and World Vision Staffs in IMNCI4. Support GHS in carrying out follow-ups on IMNCI activities at health facility and community levels5.Produce/adapt and distribute IEC materials on control of diarrhea6.Carry out education on environmental sanitation and personal hygiene in communities","1.% of children with diarrhoea in the previous 2 weeks(or last episode of diarrhoea) who received ORT 2. % of health facilities(or alternative access point) with no stock out for ORT in the previous three months","Key performance indicators were baselined to establish coverage at the beginning of the project. Monitoring of project interventions are conducted monthly. Monthly, quarterly, semi-annual and annual reports(narrative and financial) are collated to inform management decisions. These reports are shared with key stakeholders. Midterm and endterm project evalutions will be conducted.
","77780","","","Conducted","Midterm evaluation has been conducted and results are being analysed","Vulnerable groups","","","Insufficient staff","","Adherence","","Stakeholder","","","","","","","","","","","","","","","","","Mothers/caregivers have difficulties continuing feeding as well as increasing the amount of fluids given their children during illness.","","English" "6043","Integrated Malnutrition, HIV/AIDS & TB (IMHAT) Prevention and Control Project","English","Community/sub-national","","GHA","Ghana","Nadowli, Upper West, Ghana| Tolon, Kumbungu, Northern, Ghana| Kintampo South, Ghana|Brong Ahafo,Ghana|Northern, Ghana","Urban","on-going","01-2009","09-2013","The goal of the IMHAT Project is to contribute to the reduction and prevention of malnutrition, HIV/AIDS, TB and thereby contribute to reduction of child mortality rates in the Nadowli, Kintampo South and Tolon-Kumbungu districts. The specifc objectives of the project include the following: 1.Improved quality of diet for children under-five years and families 2.Improved access to essential health services and a healthy environment 3. Improved household food security 4. Strengthen capacity of World Vision, communities and partner institutions to implement programs to address malnutrition, health(including HIV/TB) and food security issues.
","","","","Cabinet/Presidency","","","","","","","","","","","","","","","","","","Budget(2009-2012)= US$667,757","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","6049","Acute malnutrition","Distribution of insecticide-treated bednets","","","","Infants and young children","0-59 months","Nadowli, Tolon-Kumbungu, and Kintampo South districts respectively in the Upper West, Northern and Brong Ahafo regions of Ghana","Community-based|Hospital/clinic|Primary health care center","","1. Purchase LITNs2. Distribute LITNs to children under five years and pregnant women3. Support GHS in carrying out follow-ups on IMNCI activities at facility and community level4. Produce/adapt and distribute IEC materials on malaria5. Carry out education on malaria control in communities","% of children Under five sleeping under an LLITN the previous night% of pregnant women who slept under an LLITN the previous night","Key performance indicators were baselined to establish coverage at the beginning of the project. Monitoring of project interventions are conducted monthly. Monthly, quarterly, semi-annual and annual reports(narrative and financial) are collated to inform management decisions. These reports are shared with key stakeholders. Midterm and endterm project evalutions will be conducted.
","7,460 (children 0-59 months), 2615 PWs","","","Conducted","Midterm evaluation conducted and results are being analysed","Vulnerable groups","","Insecticide-treated nets to prevent malaria and anaemia in pregnant women>>>Insecticide-treated nets to prevent malaria and anaemia in pregnant women>>http://www.who.int/elena/titles/bednets_malaria_pregnancy","Adherence","Community level education to encourage households to sleep under insecticide-treated bednets has been intensified.","","","","","","","","","","","","","","","","","","","","","","English" "6043","Integrated Malnutrition, HIV/AIDS & TB (IMHAT) Prevention and Control Project","English","Community/sub-national","","GHA","Ghana","Nadowli, Upper West, Ghana| Tolon, Kumbungu, Northern, Ghana| Kintampo South, Ghana|Brong Ahafo,Ghana|Northern, Ghana","Urban","on-going","01-2009","09-2013","The goal of the IMHAT Project is to contribute to the reduction and prevention of malnutrition, HIV/AIDS, TB and thereby contribute to reduction of child mortality rates in the Nadowli, Kintampo South and Tolon-Kumbungu districts. The specifc objectives of the project include the following: 1.Improved quality of diet for children under-five years and families 2.Improved access to essential health services and a healthy environment 3. Improved household food security 4. Strengthen capacity of World Vision, communities and partner institutions to implement programs to address malnutrition, health(including HIV/TB) and food security issues.
","","","","Cabinet/Presidency","","","","","","","","","","","","","","","","","","Budget(2009-2012)= US$667,757","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","6050","","Vitamin A supplementation","","","","Infants and young children","","Nadowli, Tolon-Kumbungu, and Kintampo South districts respectively in the Upper West, Northern and Brong Ahafo regions of Ghana","Community-based|Hospital/clinic|Primary health care center","","1.Through monthly routine EPI2. Bi-annual spplementation
","% of children 6-59 months who received vitamin A capsules in previous 6 months
","1.Key performance indicator was baselined to establish coverage at the beginning of the project.2.Monitoring of project interventions are conducted monthly. Monthly, quarterly, semi-annual and annual reports(narrative and financial) are collated to inform management decisions. These reports are shared with key stakeholders.3. Midterm and Endterm project evalutions will be conducted.
","","","","","","Vulnerable groups","","Vitamin A supplementation in infants and children 6–59 months of age>>>Vitamin A supplementation in infants and children 6–59 months of age>>http://www.who.int/elena/titles/vitamina_children","Insufficient staff","Insufficient staffing levels of partner institutions particularly of Ghana Health Service(GHS) remains a challenge. We have continued to advocate for increased numbers for the beneficiary districts. Community Health Planning and Services(CHPS) compounds are expected to be extened by the government to remote communities to address this gap.Occassional stock out of vitamin A capsules at health facilities. Regular monitoring of stock levels and communication with the logistics department/stores at all levels in timely for support has beed encouraged.","Infrastructure","We have poor roads linking most communities. There are ,however,plans by District Assemblies to improve road infrastructure. Insuffient staffing levels of partner institutions particularly of Ghana Health Service(GHS) remains a challenge. We have continued to advocate for increased numbers for the beneficiary districts. Community Health Planning and Services(CHPS) compounds are expected to be extened by the government to remote communities to address this gap.Occassional stock out of vitamin A capsules at health facilities. Regular monitoring of stock levels and communication with the logistics department/stores at all levels in timely for support has beed encouraged.","Supplies","Occasional stock out of vitamin A capsules at health facilities. Regular monitoring of stock levels and communication with the logistics department/stores at all levels in timely for support has been encouraged.","","","","","","","","","","","","","","","","","","English" "6043","Integrated Malnutrition, HIV/AIDS & TB (IMHAT) Prevention and Control Project","English","Community/sub-national","","GHA","Ghana","Nadowli, Upper West, Ghana| Tolon, Kumbungu, Northern, Ghana| Kintampo South, Ghana|Brong Ahafo,Ghana|Northern, Ghana","Urban","on-going","01-2009","09-2013","The goal of the IMHAT Project is to contribute to the reduction and prevention of malnutrition, HIV/AIDS, TB and thereby contribute to reduction of child mortality rates in the Nadowli, Kintampo South and Tolon-Kumbungu districts. The specifc objectives of the project include the following: 1.Improved quality of diet for children under-five years and families 2.Improved access to essential health services and a healthy environment 3. Improved household food security 4. Strengthen capacity of World Vision, communities and partner institutions to implement programs to address malnutrition, health(including HIV/TB) and food security issues.
","","","","Cabinet/Presidency","","","","","","","","","","","","","","","","","","Budget(2009-2012)= US$667,757","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","6051","Acute malnutrition","Preventive malaria treatment","","","","Pregnant women (PW)","","Nadowli, Tolon-Kumbungu, and Kintampo South districts respectively in the Upper West, Northern and Brong Ahafo regions of Ghana","Community-based|Hospital/clinic|Primary health care center","","1. Carry out education on malaria control in communities2.Support education to increase proportion of pregnant women accessing IPT service at health facilities","% of women who received two doses of SP during last pregnancy","Key performance indicators were baselined to establish coverage at the beginning of the project. Monitoring of project interventions are conducted monthly. Monthly, quarterly, semi-annual and annual reports(narrative and financial) are collated to inform management decisions. These reports are shared with key stakeholders. Midterm and endterm project evalutions will be conducted.
","19445","","","Conducted","Midterm evaluation has been conducted and results are being analysed","Vulnerable groups","","","Adherence","","","","","","","","","","","","","","","","","","","","","","","English" "8818","Improving nutrition of women and children: the MICAH program ","English","Multi-national","","ETH|GHA|MWI","Ethiopia|Ghana|Malawi","Ethiopia|Ghana|Malawi","Peri-urban","completed","01-1995","01-2005","The MICronutrient and Health (MICAH) Program contributed to improved quality of life of women and children in five African nations (Ethiopia, Ghana, Malawi, Sénégal and Tanzania) over a 10-year period between 1996 and 2005. The problem of micronutrient deficiencies (vitamin A, iron and iodine) was addressed through integrated strategies and direct interventions that resulted in measurable positive effects. Quantitative and qualitative program results affirm the contribution of MICAH’s achievements towards the Millennium Development Goals, and global nutrition and health targets.
","http://www.wvnutrition.net/home/resources/better-practices/micah-final-d...
","8329|8270|8112|8488|8111|8013|8657|8369|7979|7917","","","","","","World Vision International","","","","","","","","","","","","","","Ethiopia • $4.4 million budget (USD, 2002-2005)Ghana • $745,000 budget (USD, 2002-2005)Malawi • $3.8 million budget (USD, 2002-2005)","Bilateral and donor agencies and lenders","Canadian International Development Agency (CIDA)","Working in close cooperation with government, non-government organizations (NGOs), and communities, MICAH built on existing delivery systems within ministries of health, education and agriculture, equipping them to strengthen the coverage and quality of their mandated activities. The foundation for a self-sustaining nutrition and health infrastructure was laid, by empowering communities to take ownership for program activities within their grasp: exclusive breastfeeding, capacity building of community health workers in nutrition and health, establishment of household gardens and revolving funds, and latrine construction.
MICAH also provided education to local populations about the importance of health and nutrition. Thousands of community health workers and volunteers were trained while program staff were equipped with skills to monitor and evaluate the program, gathering valuable information to assess its impact.
","Ethiopia
Ghana
Malawi
ETHIOPIA
Supervision/monitoring visits were routinely made at all levels of Ethiopia’s MICAH projects.The program coordinating office and program partners conducted 86 visits to assess the implementation and progress of various initiatives.Throughout the year, activity reports and evaluation documents were reviewed, site visits made, and ongoing discussions held between MICAH staff and stakeholders. After every visit, copies of feedback reports were sent to the relevant ADPs and NGOs. At the project level, MICAH facilitators conducted joint field visits and reviews with frontline personnel such as government health workers, community health workers, volunteers and school teachers to ensure implementation of activities was proceeding according to plan.
GHANA
Monitoring of MICAH Ghana improved in several ways in Phase 2 as the program team worked closely with Ghana Health Service and community health volunteers. Increased effectiveness was best illustrated by the heightened accuracy of data for iodized salt consumption after changing the method from school-based to houseto-house surveys.The team reinforced this effort by testing the quality of salt in markets as well. To improve monitoring of compliance with iron supplementation, MICAH facilitators worked closely with community health volunteers to assess whether women and children were taking the supplements as prescribed.Throughout the program, monitoring information was shared with all stakeholders at quarterly district and sub-district meetings in an effort to improve implementation and build ownership.
MALAWI
Regular meetings were conducted with government ministry and partner staff to share feedback and resolve issues.Training was provided and follow-up maintained to improve the capacity of field agents and staff. Regular community visits, including meetings with women and local leaders, provided management staff an opportunity to ensure quality implementation. Specific issues were dealt with using results-based management. For example, to obtain a more accurate estimate of deworming coverage in Phase 2, the household listing register was introduced and utilized, to supplement data regarding the de-wormed child. As a result of this new system, household monitoring revealed the extent of infection and enabled appropriate follow-up.To monitor the quality of the flour fortification project, the Malawi Bureau of Standards (MBS) and Chancellor College labs analyzed premix produced at the Domasi Fortification Unit. Each test found the Domasi premix to meet all MBS requirements; recommended levels of iron were found in the flour, and flour samples were free from contaminants.
","Ethiopia (1.8 million beneficiaries); Ghana (150,000 beneficiaries); Malawi (272,391 direct beneficiaries, with indirect benefit extending to 4.7 million people)","x","","","","Vulnerable groups","","Biofortification of staple crops>>>Biofortification of staple crops>>http://www.who.int/elena/titles/biofortification","","","","","","","","","","","","","","","","","","","","","","","“The MICAH approach is a good and successful model for the Ministry of Agriculture. Given right training people are ready to follow new habits and change traditional attitudes – for example, by eating rabbits and drinking goat milk. MICAH has provided a learning area for agriculture to reduce hunger.” – Mr. Bbvumbwe, Malawi
""""""""The positive impact of MICAH on the
health of children is a motivation to
continue. With improved knowledge,
good health and nutrition practices will
be sustained with support from chiefs
and elders.""""""""
– Qualitative survey, Ghana
Aa a result of the MICAH program… our children are healthy, alert and active; they look
attractive and beautiful; children are not falling sick with malaria as frequently as they did in the
past; the frequency of diarrhea and intestinal worms has decreased; eye diseases have decreased
because of improved hygiene; the harmful health practices have now been dropped because of
the intensive education given by health workers; and severe malnutrition, blindness, measles and polio have decreased.”
– Focus group discussion, qualitative survey, Ethiopia
","English" "8916","Reducing Maternal and Child Undernutrition","English","Community/sub-national","","GHA","Ghana","Bolgatanga, Ghana|Wa, Upper West, Ghana|Tamale, Northern, Ghana","Rural","on-going","01-2012","01-2017","
The project’s first aim is to reduce child morbidity and mortality by scaling up proven nutrition interventions to the most vulnerable populations of northern Ghana. The key to the success of these interventions is an early identification of severely malnourished children by trained and appropriately equipped frontline health workers. This allows treating effectively most of the children at home by a simple provision of therapeutic food and micronutrient supplements. To ensure sustainability of the results and to help reduce the number of children facing undernutrition in the long term, the project will also assist the Government of Ghana in the development and implementation of a strong and coherent national nutrition policy. Finally, a gender sensitive nutrition information and surveillance system will be developed in the 3 northern regions to enable the government and development partners to improve monitoring of nutrition programs, decision-making and timely response in the three northern regions.
","http://www.acdi-cida.gc.ca/CIDAWEB/cpo.nsf/vWebCSAZEn/4A6A423FA901C7D785...
","","National Nutrition Policy","","","United Nations Children's Fund (UNICEF)"," Multi-year award for fiscal years 2011-12 to 2016-17","","","","","","","","","","","","","","","CA$ 15,000,000","Bilateral and donor agencies and lenders","Canadian International Development Agency (CIDA)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","8915","","Management of severe acute malnutrition","Reducing Maternal and Child Undernutrition","","","Infants and young children|Preschool-age children (Pre-SAC)|SAM child","Children under 5 years","The 3 Northern regions (Upper East, Upper West, Northern region)","Community-based|Kindergarten/school","","","Expected intermediate outcomes include: - Improved treatment and prevention of child undernutrition for boys and girls under 5 and mothers - Improved financial support, gender-sensitive policy coherence and coordination in nutrition sector - Improved monitoring of nutritional indicators and decision making for better nutritional outcomes
","","x","Northern Ghana","","","","Vulnerable groups","","Micronutrient supplementation in children with severe acute malnutrition>>>Micronutrient supplementation in children with severe acute malnutrition>>http://www.who.int/elena/titles/micronutrients_sam","","","","","","","","","","","","","","","","","","","","","","","","English" "8930","Assistance to Ghanaian Food-Insecure Households in Northern Ghana","English","Community/sub-national","","GHA","Ghana","Tongo, Bolgatanga Municipal, Upper East, Ghana|Danko, Wa Municipal, Upper West, Ghana|Zuorugu, Tamale, Ghana","Rural","on-going","01-2010","01-2014","The project supports the Government of Ghana in its efforts to improve the protection of vulnerable populations in northern Ghana from the devastating impacts of floods and droughts, and also to ensure that the immediate food needs of the most severely food-insecure households are met. The project aims to improve agriculture, water and land resources; create strategic reserves to protect the nutritional status of at-risk groups (including children under five, pregnant and lactating women and people living with HIV/AIDS); and support the rehabilitation and recovery of agricultural livelihoods. This project contributes to alleviating chronic food security amongst vulnerable groups, targeting and assisting poverty reduction in the most susceptible areas of northern Ghana.
","http://www.acdi-cida.gc.ca/CIDAWEB/cpo.nsf/vWebCSAZEn/503DAC11D7D8F3AD85...
","8488","","","","World Food Programme (WFP)","","","","","","","","","","","","","","","","CA$ 20,000,000","Bilateral and donor agencies and lenders","Canadian International Development Agency (CIDA)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","8929","","Food distribution/supplementation for prevention of acute malnutrition","","","","HIV cases|Infants and young children|Lactating women (LW)|Pregnant women (PW)","","The 3 Northern regions (Upper East, Upper West, Northern region)","Community-based","","Results as of May 2012 include: the World Food Program (WFP) has distributed food to 327,982 beneficiaries out of the 423,250 planned. In particular, the targets for supplementary feeding of malnourished children under five and pregnant and lactating women are close to being achieved, and will likely be exceeded by the end of the project. The project has already exceeded the targets for the number of beneficiaries on its components Food for Assets (FFA) and Food for Training (FFT), and has reforested some 7,357 ha of land and rehabilitated 250 dams/dugouts.
","It is anticipated that all expected outcomes of increasing equitable access to food aid and prevention of malnutrition, particularly among children under five, pregnant and lactating women, including refugees; as well as to improving food consumption over the assistance period for targeted households, and people living with HIV/AIDS and their families; and increasing the targeted communities equitable access to livelihood assets, including assets for environmental conservation will be achieved.
","","423,250","327,982 beneficiaries (for distributed food); ","","","","Vulnerable groups","","Micronutrient supplementation in children with severe acute malnutrition>>>Micronutrient supplementation in children with severe acute malnutrition>>http://www.who.int/elena/titles/micronutrients_sam","","","","","","","","","","","","","","","","","","","","","","","","English" "8933","The Leyaata (“Rescue Us”) Project to Reduce Maternal, Infant and Child Mortality","English","Community/sub-national","","GHA","Ghana","Kintamp, Ghana|Bole, Ghana","Rural","on-going","01-2011","01-2015","The project aims to reduce maternal, infant and child mortality in 50 marginalized villages in the north Kintampo and south Bole districts of Ghana by directly addressing key health issues. Reaching approximately 10,000 beneficiaries, the project addresses care during pregnancy and childbirth, neonatal care, and malaria control as critical health concerns in these communities. Key project components include establishing a prenatal and neonatal home visit system for pregnant women and infants, and launching a malaria control program that prioritizes mothers and infants.
Specific activities include: distributing neonatal care kits; training community-based volunteers and local health professionals; providing mosquito nets for all village residents; conducting malaria control workshops; and supplying local clinics with rapid malaria test kits. Ghana Rural Integrated Development is working in partnership with the Northern Empowerment Association to implement this project.
","http://www.acdi-cida.gc.ca/CIDAWEB/cpo.nsf/vWebCSAZen/index.html7E4DFE9C...
","8111","","","","","","","","","","","","National NGOs","Ghana Rural Integrated Development, Northern Empowerment Association","","","","","","","CA$ 643,464.00","Bilateral and donor agencies and lenders","Canadian International Development Agency (CIDA)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","8932","","Distribution of insecticide-treated bednets","","","","Infants and young children|Lactating women (LW)|Pregnant women (PW)","","North Kintampo & South Bole Districts","Community-based","","Specific activities include: distributing neonatal care kits; training community-based volunteers and local health professionals; providing mosquito nets for all village residents; conducting malaria control workshops; and supplying local clinics with rapid malaria test kits.
","Maternal, infant and child mortality
","","10,000 beneficiaries","50 marginalized villages in the north Kintampo and south Bole districts of Ghana","","","","Vulnerable groups","","Insecticide-treated nets to prevent malaria and anaemia in pregnant women>>>Insecticide-treated nets to prevent malaria and anaemia in pregnant women>>http://www.who.int/elena/titles/bednets_malaria_pregnancy","","","","","","","","","","","","","","","","","","","","","","","","English" "9144","Infant and Young Child Nutrition (IYCN) Project ","English","Multi-national","","GHA","Ghana","Ghana","Urban|Rural","completed","01-2010","01-2011","In 2010 and 2011, the US Agency for International Development’s (USAID) Infant & Young Child Nutrition (IYCN) Project provided technical assistance to the Global Alliance for Improved Nutrition (GAIN) to promote appropriate complementary feeding practices and encourage increased use of high-quality, fortified complementary foods to curb malnutrition among children 6-23 months of age.
Working in nine districts of Ghana’s Brong Ahafo Region, the project used a social marketing approach to engage households and communities through radio spots, radio discussions with community health workers and community leaders, and use of social and behavior change communication materials. These behavior change techniques aimed to increase knowledge and application of appropriate complementary feeding practices among low-income households caring for young children.
","Behaviour change communication and/or counselling for improved complementary feeding was reported to the Global Nutrition Policy Review (GNPR) 2009-2010SamplingStudy participants were drawn from 45 communities in the nine project districts. The communities were selected based on the presence of mother support groups and church-based groups. In each district, purposeful sampling was used to select the female caregivers.1 The criterion used for selecting female respondents was that they were caregivers of children 6-24 months. Fathers2 of children 6-24 months, health workers, and community group leaders were selected using convenience sampling. Data collection methodsBoth qualitative and quantitative methods were used to conduct this study. Data were collected using a structured survey, in-depth interviews, and focus group discussions (FGDs) (see Appendix 2 for the study tools). Findings from all three sources were triangulated for the purpose of validation.Structured surveyEach study community was divided into six sub-areas, and one caregiver was selected from each sampled household within each sub-area, for a total of six participants per community.3Households in the cluster were numbered, and one was randomly selected. In a sampled household where there was more than one caregiver for the child aged 6-24 months, data collectors purposefully sampled for the interview one mother or caregiver who regularly fed the index child. In a situation where the selected caregiver had more than one child aged 6-24 months, the older one was selected as the index child. In-depth interviewsBased on the classification of health facilities in Brong Ahafo Region, we identified and selected four categories to use in the data collection exercise: district hospitals, clinics, health centers, and Community-Based Health Planning and Services compounds. In each district, five health workers were interviewed, including two health workers from the district hospital responsible for child welfare clinics (growth monitoring sessions) and one from each of the other three facility categories. Leaders of mother support groups and church-based groups at the community level whose activities could impact infant and young child feeding practices were also interviewed. In each district, five of these groups were randomly selected from a list of such groups within the district. Identification and sampling of the groups was done with the help of district-level health staff.
","From October 2010 to December 2011, the project:•Aired 855 radio spots with key messages on complementary feeding on Radio BAR, Omega FM, Success FM, Jerryson FM, Chris FM, Adarz FM, Star FM, and Royals FM. An additional 340 spots are scheduled to air in January 2012.Distributed 5,860 posters with key messages.Distributed 19,428 flyers with key messages.Trained 196 health workers and 137 community group leaders in appropriate complementary feeding practices and the use of BCC materials. Reached around 2,500 community group members with appropriate complementary feeding messages through trained group leaders.
","","45 communities in 9 selected districts in Brong- Ahafo region","45 communities in 9 selected districts in Brong- Ahafo region (","","Initiation of complementary feeding; Frequency of feeding; Feeding a variety of foods to children 6-24 months; Knowledge of three food groups; Caregivers who followed the World Health Organization’s (WHO) recommended practice of starting complementary foods at 6 months; Caregivers who gave fortified complementary foods to their children aged 6 to 9 months two or more times per day; Caregivers who gave their children aged 6 to 9 months porridge thick enough to stay on a spoon.","","Socio-economic status","","Complementary feeding>>>Complementary feeding>>http://www.who.int/elena/titles/complementary_feeding","","","","","","","","","","","","","","","","","","","","","","Engaging District Health Management Teams is integral to success. IYCN and partners engaged district heads early in the process. As a result, they demonstrated strong support for the activities and they are poised to monitor the community-level activities to ensure effective rollout, dissemination, and distribution of BCC materials.Partnerships can help to expand reach. By collaborating with the BCS Project and leveraging a national behavior change communication campaign, the project was able to expand reach of the complementary feeding messages. Although the social marketing strategy targets the Brong Ahafo region, radio spots and BCC materials will be spread across the country as part of the Healthy Eating for Good Life campaign. Local partners at the district level, such as World Vision Ghana, also carried messages into districts outside of the project’s target area.Job-aids are necessary in communicating behavior change messages. Health workers in the target districts welcomed posters and leaflets that contained key messages and were grateful for them. It certainly made work easier for them. Since the orientations, community workers have displayed posters on walls in vantage points in all the communities and caregivers discussed the contents of the leaflets at community meetings.
","In addition to breastmilk, we give local dishes like palm nut soup with soya beans, banku and groundnut soup, fufu with soup, kontomire [cocoyam leaf] with soya beans, and fish soup. We also give them oranges and pineapple — FGD with women Sunyani West District.At weighing, we are taught how to dress the child, breastfeeding, cleanliness, sleeping under mosquito nets, and family planning, how to feed the child. — FGDs with women Jaman South and Sunyani West Districts“I learned a lot of things here. You see my son likes the breastmilk and the only other thing he will eat is porridge; so I am going to read this leaflet so that it will guide me on what to feed him. You see he is my firstborn so his health is important to me.” —Nursing mother“This project is a good start of what we want to see in the community; that the caregiver is empowered to be in charge of the health and good development of their children. What I would also like to see is strengthening the skills and competencies of the health providers so that [they] would be able to help caregivers do appropriate feeding especially for the children under two years.” —Mrs. Wilhelmina Okwabi, Deputy Director of Health Services (Nutrition)“I was part of the data collection process and listening to the preliminary results gives me a sense of ownership; also the results show what is happening in the district and it shows us the work we are doing in the districts. We’ve learnt a lot here. We are going back to educate the mothers on what they are not doing well and encourage them to continue the good feeding practices.” —Technical officer, Vivian Dapaah District“We are thinking of ending malnutrition in children in line with Millennium Development Goal 4. If we don’t feed them well we cannot achieve this. That is why this [IYCN] project is very important and timely for the Regional Health Directorate.” —WS Supiimeh, Regional Health Promoter
","English" "9144","Infant and Young Child Nutrition (IYCN) Project ","English","Multi-national","","GHA","Ghana","Ghana","","","","","In 2010 and 2011, the US Agency for International Development’s (USAID) Infant & Young Child Nutrition (IYCN) Project provided technical assistance to the Global Alliance for Improved Nutrition (GAIN) to promote appropriate complementary feeding practices and encourage increased use of high-quality, fortified complementary foods to curb malnutrition among children 6-23 months of age.
Working in nine districts of Ghana’s Brong Ahafo Region, the project used a social marketing approach to engage households and communities through radio spots, radio discussions with community health workers and community leaders, and use of social and behavior change communication materials. These behavior change techniques aimed to increase knowledge and application of appropriate complementary feeding practices among low-income households caring for young children.
","Nutritional care and support for people living with HIV/AIDS was reported to the Global Nutrition Policy Review (GNPR) 2009-2010
","","","","National coverage","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English" "9144","Infant and Young Child Nutrition (IYCN) Project ","English","Multi-national","","GHA","Ghana","Ghana","","","","","In 2010 and 2011, the US Agency for International Development’s (USAID) Infant & Young Child Nutrition (IYCN) Project provided technical assistance to the Global Alliance for Improved Nutrition (GAIN) to promote appropriate complementary feeding practices and encourage increased use of high-quality, fortified complementary foods to curb malnutrition among children 6-23 months of age.
Working in nine districts of Ghana’s Brong Ahafo Region, the project used a social marketing approach to engage households and communities through radio spots, radio discussions with community health workers and community leaders, and use of social and behavior change communication materials. These behavior change techniques aimed to increase knowledge and application of appropriate complementary feeding practices among low-income households caring for young children.
","In 2010 and 2011, the US Agency for International Development’s (USAID) Infant & Young Child Nutrition (IYCN) Project provided technical assistance to the Global Alliance for Improved Nutrition (GAIN) to promote appropriate complementary feeding practices and encourage increased use of high-quality, fortified complementary foods to curb malnutrition among children 6-23 months of age.
Working in nine districts of Ghana’s Brong Ahafo Region, the project used a social marketing approach to engage households and communities through radio spots, radio discussions with community health workers and community leaders, and use of social and behavior change communication materials. These behavior change techniques aimed to increase knowledge and application of appropriate complementary feeding practices among low-income households caring for young children.
","In 2010 and 2011, the US Agency for International Development’s (USAID) Infant & Young Child Nutrition (IYCN) Project provided technical assistance to the Global Alliance for Improved Nutrition (GAIN) to promote appropriate complementary feeding practices and encourage increased use of high-quality, fortified complementary foods to curb malnutrition among children 6-23 months of age.
Working in nine districts of Ghana’s Brong Ahafo Region, the project used a social marketing approach to engage households and communities through radio spots, radio discussions with community health workers and community leaders, and use of social and behavior change communication materials. These behavior change techniques aimed to increase knowledge and application of appropriate complementary feeding practices among low-income households caring for young children.
","Distribution of insecticide-treated bednets was reported to the Global Nutrition Policy Review (GNPR) 2009-2010
","","","","National coverage","","","","","","Insecticide-treated nets to prevent malaria and anaemia in pregnant women>>>Insecticide-treated nets to prevent malaria and anaemia in pregnant women>>http://www.who.int/elena/titles/bednets_malaria_pregnancy","","","","","","","","","","","","","","","","","","","","","","","","English" "9144","Infant and Young Child Nutrition (IYCN) Project ","English","Multi-national","","GHA","Ghana","Ghana","Urban|Rural","completed","01-2010","01-2011","In 2010 and 2011, the US Agency for International Development’s (USAID) Infant & Young Child Nutrition (IYCN) Project provided technical assistance to the Global Alliance for Improved Nutrition (GAIN) to promote appropriate complementary feeding practices and encourage increased use of high-quality, fortified complementary foods to curb malnutrition among children 6-23 months of age.
Working in nine districts of Ghana’s Brong Ahafo Region, the project used a social marketing approach to engage households and communities through radio spots, radio discussions with community health workers and community leaders, and use of social and behavior change communication materials. These behavior change techniques aimed to increase knowledge and application of appropriate complementary feeding practices among low-income households caring for young children.
","Deworming of children 0-2 years was reported to the Global Nutrition Policy Review (GNPR) 2009-2010
","","","","National coverage","","","","","","Deworming to combat the health and nutritional impact of soil-transmitted helminths>>>Deworming to combat the health and nutritional impact of soil-transmitted helminths>>http://www.who.int/elena/titles/deworming","","","","","","","","","","","","","","","","","","","","","","","","English" "9144","Infant and Young Child Nutrition (IYCN) Project ","English","Multi-national","","GHA","Ghana","Ghana","Urban|Rural","completed","01-2010","01-2011","In 2010 and 2011, the US Agency for International Development’s (USAID) Infant & Young Child Nutrition (IYCN) Project provided technical assistance to the Global Alliance for Improved Nutrition (GAIN) to promote appropriate complementary feeding practices and encourage increased use of high-quality, fortified complementary foods to curb malnutrition among children 6-23 months of age.
Working in nine districts of Ghana’s Brong Ahafo Region, the project used a social marketing approach to engage households and communities through radio spots, radio discussions with community health workers and community leaders, and use of social and behavior change communication materials. These behavior change techniques aimed to increase knowledge and application of appropriate complementary feeding practices among low-income households caring for young children.
","Maternal deworming in pregnancy was reported to the Global Nutrition Policy Review (GNPR) 2009-2010
","","","","National coverage","","","","","","Deworming to combat the health and nutritional impact of soil-transmitted helminths>>>Deworming to combat the health and nutritional impact of soil-transmitted helminths>>http://www.who.int/elena/titles/deworming","","","","","","","","","","","","","","","","","","","","","","","","English" "9144","Infant and Young Child Nutrition (IYCN) Project ","English","Multi-national","","GHA","Ghana","Ghana","","","","","In 2010 and 2011, the US Agency for International Development’s (USAID) Infant & Young Child Nutrition (IYCN) Project provided technical assistance to the Global Alliance for Improved Nutrition (GAIN) to promote appropriate complementary feeding practices and encourage increased use of high-quality, fortified complementary foods to curb malnutrition among children 6-23 months of age.
Working in nine districts of Ghana’s Brong Ahafo Region, the project used a social marketing approach to engage households and communities through radio spots, radio discussions with community health workers and community leaders, and use of social and behavior change communication materials. These behavior change techniques aimed to increase knowledge and application of appropriate complementary feeding practices among low-income households caring for young children.
","Preventive treatment of malaria in women was reported to the Global Nutrition Policy Review (GNPR) 2009-2010
","","","","National coverage","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English" "9144","Infant and Young Child Nutrition (IYCN) Project ","English","Multi-national","","GHA","Ghana","Ghana","Urban|Rural","completed","01-2010","01-2011","In 2010 and 2011, the US Agency for International Development’s (USAID) Infant & Young Child Nutrition (IYCN) Project provided technical assistance to the Global Alliance for Improved Nutrition (GAIN) to promote appropriate complementary feeding practices and encourage increased use of high-quality, fortified complementary foods to curb malnutrition among children 6-23 months of age.
Working in nine districts of Ghana’s Brong Ahafo Region, the project used a social marketing approach to engage households and communities through radio spots, radio discussions with community health workers and community leaders, and use of social and behavior change communication materials. These behavior change techniques aimed to increase knowledge and application of appropriate complementary feeding practices among low-income households caring for young children.
","Distribution of complementary foods was reported to the Global Nutrition Policy Review (GNPR) 2009-2010
","","","","National coverage","","","","","","eLENA titles related to prevention or treatment of moderate acute malnutrition in children>>>Supplementary feeding in community settings for promoting child growth>>http://www.who.int/elena/titles/child_growth|Food supplementation in children with moderate acute malnutrition>>http://www.who.int/elena/titles/food_children_mam","","","","","","","","","","","","","","","","","","","","","","","","English" "11451","Food Security and Environment Facility","English","Community/sub-national","","GHA","Ghana","Zuarungu, Bolgatanga,Ghana | Baayiri, Wa, Ghana | Jekeyirili, Tamale, Ghana","Rural","on-going","01-2008","01-2016","This project supports Ghana's efforts to achieve food security through environmentally sound agricultural initiatives in the country's three northern (and poorest) regions. It provides funding for local initiatives developed by Ghanaian non-governmental organizations and the private sector in collaboration with Canadian and international organizations.
This project is expected to:
http://www.acdi-cida.gc.ca/acdi-cida/ACDI-CIDA.nsf/eng/CAR-822151642-QLZ
","8109|8013","","Food and agriculture","","","","","","","","","","","","","","","","","","CA$ 15,000,000","Bilateral and donor agencies and lenders","Canadian International Development Agency (CIDA)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","11450","","Promotion of food security and agriculture","","","","Adult men and women","","3 northern (poorest) regions of Ghana","Community-based","","This project is expected to:
Results as of April 2012 include:
These activities are helping to improve food security in Ghana’s three poorest, northern regions, and to strengthen the capacity of Ghanaian organizations to support both women and men in practising sustainable agriculture.
","","4,020 farmers (1,300 women) as April 2012","The 3 northern (poorest) regions of Ghana","","Awareness farmers on environmentally sound agricultural practices.","Crop yields; new practices such as dry-season gardening in communities with highly degraded lands.","Vulnerable groups","","","","","","","","","","","","","","","","","","","","","","","","","","English" "11460","Systems Approach to Improving and Sustaining Food Security in West Africa","English","Multi-national","","GHA|MLI|SEN|SLE","Ghana|Mali|Senegal|Sierra Leone","","Rural","on-going","01-2012","01-2017","The project aims to improve the food security status of people living in poor rural communities in Ghana, Mali, Sierra Leone and Senegal. The project will work to increase the adoption of agricultural practices that promote sustainable livelihoods; improve the utilization of health food especially by women and children; and, increase the effectiveness and use of agricultural extension services. Specific activities include: training farmers on best animal husbandry practices, seed production, pest management and early disease detection; as well as the training of government rural extension service staff in planning, implementing, and monitoring projects together with the participation of local communities and farmers. The project is expected to reach around 45,000 subsistence farmers and their families and around 1,400 members of farmer associations and purchasing groups, as well as local agriculture authorities.
At the country level, World Vision Canada is working in partnership with local farm-based civil society organizations to implement this project.
","http://www.acdi-cida.gc.ca/CIDAWEB/cpo.nsf/vWebCSAZEn/F97D0F095CDFC78985...
","8013|8487|8206|8036|8594|8592|8505|8365|8405|8354","","","","","","World Vision International","","","","","","","","","","","","","","CAD 11,056,793","Bilateral and donor agencies and lenders","Canadian International Development Agency (CIDA)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","11459","","Promotion of food security and agriculture","","","","Women of reproductive age (WRA)","","","Community-based","","Training farmers on best animal husbandry practices, seed production, pest management and early disease detection; as well as the training of government rural extension service staff in planning, implementing, and monitoring projects together with the participation of local communities and farmers
","The expected intermediate outcomes for this project include: Increased adoption of practices, in a gender equitable manner, promoting sustainable livelihoods by the people living in poor rural communities; improved utilization of healthy food in a gender-equitable manner and with a particular focus on children; and, increased use of agricultural services by people living in poor rural communities.
","","The project is expected to reach around 45,000 subsistence farmers and their families and around 1,400 members of farmer associations and purchasing groups, as well as local agriculture authorities.","","","","","Vulnerable groups","","","","","","","","","","","","","","","","","","","","","","","","","","English" "11483","The MOST Project","English","Multi-national","","ETH|GHA|ZAF|UGA|ZMB","Ethiopia|Ghana|South Africa|Uganda|Zambia","Ethiopia|Ghana|South Africa|Uganda|Zambia","Urban|Rural|Peri-urban","completed","01-1997","01-2001","Background
Micronutrient deficiency adversely affects the health and economic and social development of individuals, communities, and nations. Given their high prevalence in developing regions, deficiencies in vitamin A, iron, and iodine have great public health significance.
Vitamin A deficiency weakens the immune system and, hence, increases the severity of infections. It is also the most common cause of blindness among children in developing countries. Iron deficiency anemia impairs immunity and reduces physical and mental capacities of populations. Iodine deficiency is the leading cause of mental and physical retardation in infants and children worldwide. As with vitamin A and iron, iodine deficiency increases the risk of death in newborns.
Programs that promote improved micronutrient status can alleviate the disability, morbidity, and mortality—particularly among young children and women—that are the consequences of micronutrient deficiency.
The MOST Mission
The MOST mission is to 1) maintain and enhance USAID's global leadership position in addressing micronutrient malnutrition, particularly vitamin A deficiency; 2) implement and evaluate state-of-the-art interventions to alleviate micronutrient deficiencies; and 3) provide technical guidance and coordination to other USAID projects with micronutrient-related components.
The MOST Strategy
The MOST strategy is built upon a framework of global and country-level results:
The global agenda focuses on 1) promoting a revised global agenda in collaboration with other organizations worldwide committed to reducing micronutrient malnutrition; 2) translating scientific knowledge into policy and program action; and 3) maximizing lessons learned through USAID’s extensive field program experience.
Country-level results address deficiencies in vitamin A, iron, and iodine: 1) vitamin A coverage of at least 80 percent of deficient children under 6 years of age; 2) moderate to severe anemia decreased by 30 percent in pregnant women and children 6–24 months of age; and 3) percentage of the population with symptoms of iodine deficiency reduced by 30 percent.
Country Activities
For micronutrient delivery at the country level, MOST’s role is to provide technical support to countries to guide the use of not only USAID funds, but also the full range of financial and human resources needed to eliminate micronutrient deficiencies from the list of public health problems.
In the design of country activities, MOST seeks the appropriate balance between supplementation, food fortification, and other food-based approaches to deliver micronutrients to at-risk populations in an effective, yet affordable way. Country activities are based upon analyses of a variety of relevant information:
—Prevalence and severity of micronutrient deficiencies
—Awareness of effects of micronutrient deficiencies
—Nutrition policies and programs
—Providers’ motivation, knowledge, and practices
—Food consumption data
—Production, distribution, and marketing of staple foods
—Estimates of the costs of alternative interventions
Key Areas of Activity
—Application of behavior change techniques to create demand for micronutrient programs and services
—Enhancement of the effectiveness and sustainability of supplementation programs
—Sound planning, implementation, and quality control of fortification programs
—Inclusion of other food-based approaches in programs
—Application of appropriate economic analysis to guide the evolution of country programs
—Use of monitoring and evaluation to improve program operations
—Development of public and private sector alliances to enhance the effectiveness of interventions
Target Groups
MOST focuses on the improvement of the micronutrient status of children under 6 years of age and women of childbearing age. Several intervention options available to address micronutrient deficiency, such as food fortification, will benefit not only those target groups, but also school-age children and adult males.
The MOST Team
The MOST team consists of five organizations led by the International Science and Technology Institute, Inc. (ISTI) as the primary contractor. ISTI's partners are the Academy for Educational Development, Helen Keller International, the International Food Policy Research Institute, and Johns Hopkins University.
In addition, five resource institutions have joined MOST for in-country implementation and technical tasks: CARE, International Executive Service Corps, Population Services International, Program for Appropriate Technology in Health, and Save the Children.
","Twice a year, at designated times, the three programs distribute capsules to children aged six months to five years. Each program follows a campaign model based upon intensified social mobilization and service delivery over two to seven days. The twice-yearly events have created a cadre of field-tested personnel in the three countries, who are skilled at working with the local communities and at promoting their support and active participation. All three programs have been associated with National Immunization Days (NIDs), a WHO global program to eradicate polio. Since NIDs were held annually, however, they provided an opportunity for only one dose of vitamin A each year. Because children with vitamin A deficiency should receive a supplement at least twice a year (every four to six months), another mechanism was needed for the second dose. Relying exclusively upon facility-based distribution to deliver the second dose was not a viable option for several reasons, but in particular because healthfacility attendance for older children was not high enough to ensure adequate coverage in the one-to-five-year age group.
In Zambia, the first non-NIDs vitamin A supplementation program was launched in August 1999, and later renamed Child Health Week (CHW) to make the focus on the child more explicit. It was also felt that, instead of limiting activities to a vertical vitamin A supplementation program, the opportunity should be seized to deliver an integrated service that included not only vitamin A capsules but also other health services such as de-worming, health education, immunization, family planning, prenatal care, and growth monitoring. Districts were encouraged to provide an integrated package of services commensurate with their local capacity and need — as long as vitamin A supplementation remained the core activity during that week. In Zambia, the first NIDs campaign took place in 1997, and was a nationwide undertaking. The program was scaled down to about half the districts in recent years. Since 1999, the focus has shifted to priority districts, where communities have been at a constant risk of cross-border polio infections due to civil-war-related migrations from neighboring countries. This narrower focus is referred to in Zambia as sub-NIDS.
The first round of vitamin A supplementation in Ghana was integrated into NIDs in 1996. By 1999, a detailed plan was developed to implement a nationwide stand-alone supplementation program for the second round. In 2000, the Ministry of Health (MOH) carried out the first vitamin A standalone capsule distribution in the country’s ten regions. Since that date, the program has become a two- to three-day stand-alone event used to deliver a second dose of vitamin A to all children 6 to 59 months of age. Volunteers from the Ghana Education Service, along with personnel from other decentralized departments, assist with the supervision and capsule-distribution effort. Community-based volunteers are in direct contact with caregivers and children and also work very closely with health workers, assemblymen, chiefs, opinion leaders, gong-gong beaters, and other community leaders to mobilize beneficiaries, administer vitamin A, and maintain distribution records.
In contrast to Zambia and Ghana, Nepal followed a phased approach to program implementation. Integration of vitamin A into NIDs in Nepal was initiated in 1997,
four years after a supplementation program was established in 8 of the country’s 75 districts. The second distribution campaign has since been phased in at a rate of eight to ten districts per year. By 2001, the program covered all but three politically unstable districts. Under the program, high-dose vitamin A capsules are distributed to all children aged 6 to 59 months during a twoday event.
","
Ghana
A monitoring team consisting of national, regional, and district supervisors carries out organized and random spot checks. Where necessary, vitamin A capsule administrators are assisted in performing their tasks. Capsule-distribution teams use all means of transportation available within the region and district, whether these be 4x4 vehicles, 2x4 pickups, motorcycles, or bicycles. MOH, district assemblies, decentralized departments, and local and international NGOs provide fuel and contribute to vehicle maintenance. At the end of each day, tally sheets are counted and summary sheets completed. Data are compiled by sub-district and district health management teams. After all figures are checked for accuracy, district coverage is calculated. District coverage data are sent to the regional nutrition officers and senior medical officers of public health, who compile regional coverage figures before sending them to the Nutrition Unit in Accra. Using regional figures, the Nutrition Unit estimates national coverage.
Zambia
Monitoring teams consisting of national, provincial, and district staff carry out systematic or random observations, depending on what they are monitoring. Where necessary, vitamin A capsule administrators are assisted in performing their tasks. At the end of each day, tally sheets are counted, summary sheets completed, and data compiled. District figures are then checked for accuracy, after which district coverage is calculated and the results forwarded to NFNC.
","Ghana: 3.5 million children ","Ghana: Exceeded target in May 2001; Zambia: 28 percent in 1999, 88 in Febraury 2002","","serum retinol levels of &lt;20 ug/dl,night-blindness prevalence,vitamin A supplementation coverage for children,subclinical vitamin A deficiency,","serum retinol levels of <20 ug/dl,night-blindness prevalence,vitamin A supplementation coverage for children,subclinical vitamin A deficiency,","Vulnerable groups","","Vitamin A supplementation in neonates>>>Vitamin A supplementation in neonates>>http://www.who.int/elena/titles/vitamina_neonatal","Insufficient staff","In Zambia and Ghana, it has been somewhat more difficult to generate a consistent cadre of volunteers for the vitamin A distribution. In each country, districts mobilize health post and sub-health post staff, identify extended outreach sites (including clinics, schools, and community centers),and then recruit community members to assist them with their activities. In Ghana, this has been relatively successful since there have been adequate clinic staff and a manageable number of outreach sites. In spite of this, many districts have continued to do some house-to-house visits to ensure high coverage. In Zambia, it has been more difficult to recruit community volunteers, and the clinic staff have been stretched to cover outreach sites.","","","","","","","","","","","","","","","","","","","","","Robin Houston (2003). Why They Work: An analysis of three successful public health interventions - Vitamin A supplementation programs in Ghana, Nepal, and Zambia
Background
Micronutrient deficiency adversely affects the health and economic and social development of individuals, communities, and nations. Given their high prevalence in developing regions, deficiencies in vitamin A, iron, and iodine have great public health significance.
Vitamin A deficiency weakens the immune system and, hence, increases the severity of infections. It is also the most common cause of blindness among children in developing countries. Iron deficiency anemia impairs immunity and reduces physical and mental capacities of populations. Iodine deficiency is the leading cause of mental and physical retardation in infants and children worldwide. As with vitamin A and iron, iodine deficiency increases the risk of death in newborns.
Programs that promote improved micronutrient status can alleviate the disability, morbidity, and mortality—particularly among young children and women—that are the consequences of micronutrient deficiency.
The MOST Mission
The MOST mission is to 1) maintain and enhance USAID's global leadership position in addressing micronutrient malnutrition, particularly vitamin A deficiency; 2) implement and evaluate state-of-the-art interventions to alleviate micronutrient deficiencies; and 3) provide technical guidance and coordination to other USAID projects with micronutrient-related components.
The MOST Strategy
The MOST strategy is built upon a framework of global and country-level results:
The global agenda focuses on 1) promoting a revised global agenda in collaboration with other organizations worldwide committed to reducing micronutrient malnutrition; 2) translating scientific knowledge into policy and program action; and 3) maximizing lessons learned through USAID’s extensive field program experience.
Country-level results address deficiencies in vitamin A, iron, and iodine: 1) vitamin A coverage of at least 80 percent of deficient children under 6 years of age; 2) moderate to severe anemia decreased by 30 percent in pregnant women and children 6–24 months of age; and 3) percentage of the population with symptoms of iodine deficiency reduced by 30 percent.
Country Activities
For micronutrient delivery at the country level, MOST’s role is to provide technical support to countries to guide the use of not only USAID funds, but also the full range of financial and human resources needed to eliminate micronutrient deficiencies from the list of public health problems.
In the design of country activities, MOST seeks the appropriate balance between supplementation, food fortification, and other food-based approaches to deliver micronutrients to at-risk populations in an effective, yet affordable way. Country activities are based upon analyses of a variety of relevant information:
—Prevalence and severity of micronutrient deficiencies
—Awareness of effects of micronutrient deficiencies
—Nutrition policies and programs
—Providers’ motivation, knowledge, and practices
—Food consumption data
—Production, distribution, and marketing of staple foods
—Estimates of the costs of alternative interventions
Key Areas of Activity
—Application of behavior change techniques to create demand for micronutrient programs and services
—Enhancement of the effectiveness and sustainability of supplementation programs
—Sound planning, implementation, and quality control of fortification programs
—Inclusion of other food-based approaches in programs
—Application of appropriate economic analysis to guide the evolution of country programs
—Use of monitoring and evaluation to improve program operations
—Development of public and private sector alliances to enhance the effectiveness of interventions
Target Groups
MOST focuses on the improvement of the micronutrient status of children under 6 years of age and women of childbearing age. Several intervention options available to address micronutrient deficiency, such as food fortification, will benefit not only those target groups, but also school-age children and adult males.
The MOST Team
The MOST team consists of five organizations led by the International Science and Technology Institute, Inc. (ISTI) as the primary contractor. ISTI's partners are the Academy for Educational Development, Helen Keller International, the International Food Policy Research Institute, and Johns Hopkins University.
In addition, five resource institutions have joined MOST for in-country implementation and technical tasks: CARE, International Executive Service Corps, Population Services International, Program for Appropriate Technology in Health, and Save the Children.
","Five data collection methods were used:
During the fieldwork, the enumerators worked in pairs. The enumerators were not allowed to use the instruments in the facilities where they worked. Each pair spent a full day at a health facility. Field supervisors supported the enumerators during the data collection and checked the questionnaires for consistency and completeness. This was to ensure that the data collected was accurate as possible.
","""""Many pregnant mothers do not come to ANC because they had several normal pregnancies and think all will continue to go on well always.”
- Health worker, Apac
“ The health worker at the health centre is very rude, she has no time for us; so we fear even asking questions or discussing any issue about our health. So I go all the way to Naguru health clinic and only here if I have no money for transport.”
- A pregnant woman, Kojja, Mukono
“ I think these tablets for blood should be given only to pregnant women who have no blood. It may cause a high blood level and lead to high blood pressure.”
- TBAs, Kyampisi
“ Women with increased blood should not take these tablets (iron and folic acids) because their heartbeats will increase and they will sweat very much.”
- TBAs, Seeta Nazigo
“ Some mothers say it smells and they throw away the tablets soon after the clinic.”
- Pregnant mothers, Kojja
“ Some mothers do not like taking tablets when they are pregnant.”
- Pregnant mothers, Seeta Nazigo
Background
Micronutrient deficiency adversely affects the health and economic and social development of individuals, communities, and nations. Given their high prevalence in developing regions, deficiencies in vitamin A, iron, and iodine have great public health significance.
Vitamin A deficiency weakens the immune system and, hence, increases the severity of infections. It is also the most common cause of blindness among children in developing countries. Iron deficiency anemia impairs immunity and reduces physical and mental capacities of populations. Iodine deficiency is the leading cause of mental and physical retardation in infants and children worldwide. As with vitamin A and iron, iodine deficiency increases the risk of death in newborns.
Programs that promote improved micronutrient status can alleviate the disability, morbidity, and mortality—particularly among young children and women—that are the consequences of micronutrient deficiency.
The MOST Mission
The MOST mission is to 1) maintain and enhance USAID's global leadership position in addressing micronutrient malnutrition, particularly vitamin A deficiency; 2) implement and evaluate state-of-the-art interventions to alleviate micronutrient deficiencies; and 3) provide technical guidance and coordination to other USAID projects with micronutrient-related components.
The MOST Strategy
The MOST strategy is built upon a framework of global and country-level results:
The global agenda focuses on 1) promoting a revised global agenda in collaboration with other organizations worldwide committed to reducing micronutrient malnutrition; 2) translating scientific knowledge into policy and program action; and 3) maximizing lessons learned through USAID’s extensive field program experience.
Country-level results address deficiencies in vitamin A, iron, and iodine: 1) vitamin A coverage of at least 80 percent of deficient children under 6 years of age; 2) moderate to severe anemia decreased by 30 percent in pregnant women and children 6–24 months of age; and 3) percentage of the population with symptoms of iodine deficiency reduced by 30 percent.
Country Activities
For micronutrient delivery at the country level, MOST’s role is to provide technical support to countries to guide the use of not only USAID funds, but also the full range of financial and human resources needed to eliminate micronutrient deficiencies from the list of public health problems.
In the design of country activities, MOST seeks the appropriate balance between supplementation, food fortification, and other food-based approaches to deliver micronutrients to at-risk populations in an effective, yet affordable way. Country activities are based upon analyses of a variety of relevant information:
—Prevalence and severity of micronutrient deficiencies
—Awareness of effects of micronutrient deficiencies
—Nutrition policies and programs
—Providers’ motivation, knowledge, and practices
—Food consumption data
—Production, distribution, and marketing of staple foods
—Estimates of the costs of alternative interventions
Key Areas of Activity
—Application of behavior change techniques to create demand for micronutrient programs and services
—Enhancement of the effectiveness and sustainability of supplementation programs
—Sound planning, implementation, and quality control of fortification programs
—Inclusion of other food-based approaches in programs
—Application of appropriate economic analysis to guide the evolution of country programs
—Use of monitoring and evaluation to improve program operations
—Development of public and private sector alliances to enhance the effectiveness of interventions
Target Groups
MOST focuses on the improvement of the micronutrient status of children under 6 years of age and women of childbearing age. Several intervention options available to address micronutrient deficiency, such as food fortification, will benefit not only those target groups, but also school-age children and adult males.
The MOST Team
The MOST team consists of five organizations led by the International Science and Technology Institute, Inc. (ISTI) as the primary contractor. ISTI's partners are the Academy for Educational Development, Helen Keller International, the International Food Policy Research Institute, and Johns Hopkins University.
In addition, five resource institutions have joined MOST for in-country implementation and technical tasks: CARE, International Executive Service Corps, Population Services International, Program for Appropriate Technology in Health, and Save the Children.
","Ethiopia
MOST is providing technical and implementation support to the Ministry of Health in the development of a national micronutrient program. The program is a cooperative effort between the MOH, USAID/Ethiopia, MOST, and UNICEF. Program components include strengthening of the newly formed nutrition division at the MOH and the micronutrient committee; development of a locally designed vitamin A supplementation strategy and its pilot test; support for initial trials of vitamin A sugar fortification in one of the country's four sugar factories; and support for information, education, and communication activities.
South Africa
MOST is working with counterparts at the University of the Western Cape (UWC) to support and strengthen a new vitamin A supplementation program being started by the Department of Health in Eastern Cape province. MOST is also supporting a pilot initiative by UWC that aims to incorporate micronutrient interventions into the Eastern Cape Integrated Nutrition Program.
.
","","","","","","","Vulnerable groups","","Vitamin A supplementation in neonates>>>Vitamin A supplementation in neonates>>http://www.who.int/elena/titles/vitamina_neonatal","","","","","","","","","","","","","","","","","","","","","","","","English" "11483","The MOST Project","English","Multi-national","","ETH|GHA|ZAF|UGA|ZMB","Ethiopia|Ghana|South Africa|Uganda|Zambia","Ethiopia|Ghana|South Africa|Uganda|Zambia","Urban|Rural|Peri-urban","completed","01-1997","01-2001","Background
Micronutrient deficiency adversely affects the health and economic and social development of individuals, communities, and nations. Given their high prevalence in developing regions, deficiencies in vitamin A, iron, and iodine have great public health significance.
Vitamin A deficiency weakens the immune system and, hence, increases the severity of infections. It is also the most common cause of blindness among children in developing countries. Iron deficiency anemia impairs immunity and reduces physical and mental capacities of populations. Iodine deficiency is the leading cause of mental and physical retardation in infants and children worldwide. As with vitamin A and iron, iodine deficiency increases the risk of death in newborns.
Programs that promote improved micronutrient status can alleviate the disability, morbidity, and mortality—particularly among young children and women—that are the consequences of micronutrient deficiency.
The MOST Mission
The MOST mission is to 1) maintain and enhance USAID's global leadership position in addressing micronutrient malnutrition, particularly vitamin A deficiency; 2) implement and evaluate state-of-the-art interventions to alleviate micronutrient deficiencies; and 3) provide technical guidance and coordination to other USAID projects with micronutrient-related components.
The MOST Strategy
The MOST strategy is built upon a framework of global and country-level results:
The global agenda focuses on 1) promoting a revised global agenda in collaboration with other organizations worldwide committed to reducing micronutrient malnutrition; 2) translating scientific knowledge into policy and program action; and 3) maximizing lessons learned through USAID’s extensive field program experience.
Country-level results address deficiencies in vitamin A, iron, and iodine: 1) vitamin A coverage of at least 80 percent of deficient children under 6 years of age; 2) moderate to severe anemia decreased by 30 percent in pregnant women and children 6–24 months of age; and 3) percentage of the population with symptoms of iodine deficiency reduced by 30 percent.
Country Activities
For micronutrient delivery at the country level, MOST’s role is to provide technical support to countries to guide the use of not only USAID funds, but also the full range of financial and human resources needed to eliminate micronutrient deficiencies from the list of public health problems.
In the design of country activities, MOST seeks the appropriate balance between supplementation, food fortification, and other food-based approaches to deliver micronutrients to at-risk populations in an effective, yet affordable way. Country activities are based upon analyses of a variety of relevant information:
—Prevalence and severity of micronutrient deficiencies
—Awareness of effects of micronutrient deficiencies
—Nutrition policies and programs
—Providers’ motivation, knowledge, and practices
—Food consumption data
—Production, distribution, and marketing of staple foods
—Estimates of the costs of alternative interventions
Key Areas of Activity
—Application of behavior change techniques to create demand for micronutrient programs and services
—Enhancement of the effectiveness and sustainability of supplementation programs
—Sound planning, implementation, and quality control of fortification programs
—Inclusion of other food-based approaches in programs
—Application of appropriate economic analysis to guide the evolution of country programs
—Use of monitoring and evaluation to improve program operations
—Development of public and private sector alliances to enhance the effectiveness of interventions
Target Groups
MOST focuses on the improvement of the micronutrient status of children under 6 years of age and women of childbearing age. Several intervention options available to address micronutrient deficiency, such as food fortification, will benefit not only those target groups, but also school-age children and adult males.
The MOST Team
The MOST team consists of five organizations led by the International Science and Technology Institute, Inc. (ISTI) as the primary contractor. ISTI's partners are the Academy for Educational Development, Helen Keller International, the International Food Policy Research Institute, and Johns Hopkins University.
In addition, five resource institutions have joined MOST for in-country implementation and technical tasks: CARE, International Executive Service Corps, Population Services International, Program for Appropriate Technology in Health, and Save the Children.
","Government agencies encouraged the initial development of fortification: NFNC promoted initial research, sponsored meetings, and coordinated activities related to fortification; MOH researched the legal framework; the National Institute for Scientific and Industrial Research (NISIR) provided technical guidance; the Food and Drug Control Laboratory (FDCL) conducted monitoring and evaluation; and the Zambian Revenue Authority (ZRA) examined the tax structure. Industry acceptance allowed planning to begin, but donor support was critical to the development of the program: the U.S. Agency for International Development (USAID) was the lead financer of the project and provided technical assistance, UNICEF provided spare parts, and the Japanese International Cooperation Agency (JICA) provided spectrophotometers for Zambia Sugar and the FDCL.
While legislation was still being developed, Zambia Sugar went ahead with the launch of fortified Whitespoon Sugar on May 15, 1998. Zambia Sugar began its fortification program at 15 mg/kg, but cost considerations led the company to reduce the level to 10 mg/kg within three months. In May 1997, one year before fortification began, a consultant estimated the cost of fortifying 100,000 metric tons of sugar at 16 mg/kg to be around $1 million U.S., while fortifying at 20 mg/kg would cost almost $1.25 million.24 Reducing the level from 16 to 10 mg/kg could thus have reduced costs by approximately $375,000 a year.
","Modified Relative Dose Response Test (MRDR) in children
","The first outside tests of fortificant levels in sugar were controversial. Four months after the launch of fortified sugar, a team consisting of representatives from the MOH, the NFNC, and NISIR visited the Zambia Sugar mill. The team tested samples from the mill at the FDCL; these tests showed far lower levels of vitamin A than those shown in tests by Zambia Sugar. The government’s tests indicated a range of 0–13.6 mg/kg, while Zambia Sugar’s tests indicated a range of 9–21 mg/kg for the same samples. Zambia Sugar believes that the samples suffered sedimentation in the transport to the government laboratory and that this explains the different results.
MOST, the USAID micronutrient program, sponsored the creation of training manuals for health inspectors and Food and Drug enforcement officers, as well as a national training workshop from September 24 to October 7, 2000. The workshop focused on inspection procedures and methods, provided laboratory training where appropriate, and included a trip to the Zambia Sugar plant. Since the implementation of that program, Zambia Sugar has expressed satisfaction with law enforcement efforts. UNICEF subsequently funded workshops at the district level, using reproductions of the training manuals that had been produced with MOST funding.
","nationwide","..","","","","Vulnerable groups","","","Financial resources","","Communication","","Financial resources","","Adherence","","","","","","","","","","","","","","","","","English" "11516","Feed the Future: The U.S. Government’s Global Hunger and Food Security Initiative","English","Multi-national","","GHA","Ghana","Northern, Ghana|Western Region, Ghana","Rural|Peri-urban","on-going","01-2011","01-2015","Feed the Future, the U.S. Government’s global hunger and food security initiative, is establishing a foundation for lasting progress against global hunger. With a focus on smallholder farmers, particularly women, Feed the Future supports partner countries in developing their agriculture sectors to spur economic growth that increases incomes and reduces hunger, poverty, and undernutrition. Feed the Future efforts are driven by country-led priorities and rooted in partnership with governments, donor organizations, the private sector, and civil society to enable long-term success. Feed the Future aims to assist millions of vulnerable women, children, and family members to escape hunger and poverty, while reaching significant numbers of children with highly effective nutrition interventions to prevent stunting and child mortality.
Over the next five years in Ghana, Feed the Future aims to help an estimated 860,000 vulnerable Ghanaian women, children and family members—mostly smallholder farmers—escape hunger and poverty. More than 324,000 children will be reached with services to improve their nutrition and prevent stunting and child mortality. Significant numbers of additional rural populations will achieve improved income and nutritional status from strategic policy engagement and institutional investments.
To meet its objectives, Feed the Future Ghana is making core investments in three key areas:
1. To achieve food security, agriculture programs will focus on driving a step-change in the volume and value performance of core staple value chains—starting with rice, maize and soy—and improving the governance of marine fisheries resources.
2. To help reduce malnutrition and improve household resilience of vulnerable populations, agriculture and nutrition programs will focus on a) improving access to diverse quality food, b) improving nutrition-related behaviors within vulnerable households, c) developing community mechanisms to identify and address their food and nutrition problems, and d) strengthening coordination of government and other actors to meet food security and nutrition objectives.
3. To improve the nutritional status of women and children, nutrition programs will focus on:
In addition to these three core areas, environment, natural resource management, climate change, and gender are incorporated as cross-cutting issues in all programs and activities as guiding principles.
Target Regions
A strategic focus on the rice, maize and soy value chains for five years could raise tens of thousands of people out of poverty, 75 percent of whom would be in northern Ghana. Improving marine fisheries governance in the Western Region will benefit fishery households and increase the nutritional status of fish consumers across Ghana.
Highlights
Northern Zone. The rural northern regions have the highest rates of food insecurity in the country—as much as seven times the national average. The northern zone program will aim to improve economic opportunities and diversify household income by doing the following:
Coastal Marine Fisheries Zone. Poverty in the coastal areas of Ghana is extensive, with the average welfare level among food farmers in rural coastal areas 12 percent below that in large urban centers such as Accra. Marine capture fisheries are the major economic activity along the coast and their importance reaches far beyond the coast. There is strong evidence that Ghana’s coastal ecosystems are already seriously degraded and experiencing erosion and will undoubtedly be under growing pressure with an oil and gas industry on its way. The Feed the Future program will:
National Scale Nutritional Programming. In coordination with other development partners, Feed the Future will support the Government of Ghana’s implementation of a comprehensive program of community-based management of acute malnutrition through a comprehensive behavior change program. This comprehensive package will improve nutrition-related behaviors and will be incorporated into programming in the Western, Central, and Greater Accra regions. Operational research will be conducted in 2011–2012 to better understand the extremely high rates of anemia among children in Ghana. This research will be used to develop key nutritional aspects of Feed the Future programming and to shape a national child anemia strategy and program that can be undertaken by Ghana Health Service and its development partners.
","Ghana achieved significant reductions in poverty in the past from agricultural growth that came from area expansion, but today it must come from increased productivity and reduced pre- and post-harvest loss, which fuels increases in farm output and income. Thus, the Strategy is based on:
Sustainably Reduce Global Poverty and Hunger
Inclusive agriculture sector growth
Improved nutritional status especially of women and children
Improved Agricultural Productivity
Enhanced human and institutional capacity development for increased agricultural sector productivity
Enhanced Technology Development, Dissemination, Management and Innovation
Improved Agricultural Policy Environment (increase productivity)
Enhanced institutional capacity development for increased ag. sector productivity
Agricultural producer organizations strengthened
Expanding Markets and Trade
Enhanced Human and Institutional capacity dev’t for agribusiness growth
Property Rights to Land and Other Productive Assets Strengthened
Improved Post-harvest market information
Improved access to business development and sound and affordable financial and risk management services
Increased private sector investment in agriculture and nutrition related activities
Increased agriculture value-chain productivity leading to greater on and off-farm jobs
","
USAID/Ghana will continue using the basic methodology of its existing Performance Monitoring Plan (PMP) for 2009–2013 that includes its monitoring of regular Development Assistance funds, GFSR, and FTF funds. With technical support to be provided by USAID/Washington, USAID/Ghana will build on its current monitoring and evaluation (M&E) systems to design and establish a comprehensive new FTF M&E system and PMP in 2011. In addition, the Mission has several years of experience using the Initiative to End Hunger in Africa (IEHA) monitoring and reporting system which will form the foundation for FTF monitoring and reporting. Since Mission implementing partners will be the source of a great deal of information, their own monitoring and reporting systems will be set up to provide the appropriate sex-disaggregated data, results, indicators, followed by regular monthly, quarterly, semi-annual, and annual reports to comply with the Operating Unit’s overall M&E system requirements. The Mission will be more watchful in ensuring that sex-disaggregated data is collected at all levels of indicators (outputs, outcomes and impacts), and will use available resources to invest in more in-depth analysis of the impacts of programs on men and women.
Data Quality and Management: FTF M&E will benefit greatly from assistance provided by the USAID’s GSSP project to strengthen Ghana’s agricultural statistics system. A new system is being launched in 2011 called the Ghana Agricultural Production Survey (GAPS). The key improvements to be made in the current Multi-Round Crop and Livestock Survey (MRCLS) are a disaggregated and updated sample design (district representativeness), expanded scope and depth of (geo-referenced) agricultural information collected, and new and enhanced management system consisting of improved data management practices and tailored software for improved and timely data processing, monitoring, and reporting. This resource will provide unprecedented household (gender disaggregated) information on an annual basis to help report on a number of FTF indicators.
Other than the in-house sources of information, various other M&E analytical tools, structures, and approaches will be considered for establishing baselines and constant monitoring. These options include instruments like the Ghana Living Standards Survey (GLSS- the local version of the LSMS), Participatory Poverty and Vulnerability Assessment (PPVA), Poverty and Social Impact Analysis (PSIA), and the Northern Ghana Food Security and Nutrition Monitoring System.
Data from the Demographic and Health Survey, which was last conducted in Ghana 2008, provides the baseline for nutrition and maternal and child health interventions. The USG will support this survey again in 2011, and therefore will have access to important data to assess the impact of the program at its midpoint. The Multiple Indicator Cluster Survey, conducted by UNICEF with support from USAID and planned for 2011 and 2015, will provide impact data to assess the success of the FTF program in Ghana at the conclusion of this Strategy period.
Developing National/Regional Capacity to use Data: IFPRI (through the GSSP project) is helping to establish the CAADP Strategic Analysis and Knowledge Support System (SAKSS) Node and will continue to provide the professional guidance to the country to ensure high quality statistical data remains available.
In addition, a Technical Services staffer will support the ASWG Secretariat in carrying out its functions effectively, including tasks like helping stakeholders (especially MOFA) keep track of agricultural related public and private sector investments and foreign support to the sector. There may be times where additional design work will be needed to create results monitoring frameworks for new activities and assist in modifying existing frameworks by adjusting indicators, defining baselines and setting targets. In addition, the Mission will be a partner in Joint Sector Reviews of agricultural sector performance conducted jointly by MOFA and development partners according to a mutual agreement the Mission supports for transparency, accountability, benchmarking, and results monitoring.
Impact Evaluations: The USG will ensure that evaluations for FTF will be adequately covered by above mentioned Technical Services PASA. One of its primary objectives is to evaluate and assess impact of the USAID/Ghana/EG portfolio of investments, in relationship to GOG and donor portfolios, and in relationship to Ghanaian needs in order to make progress towards MDGs and sustaining status of a middle income country. This includes providing relevant information for design of new and/or scaled-up projects as USG increases its investments in Ghana.
Evaluations will include both qualitative and quantitative methods. The hypothesis is that the development process itself can have a significant impact on and bring change to the Ghanaian environment. The objective is to test how much influence FTF programs have had on human behavior, human attitudes (e.g., trust in value chain systems), business and commercial practices, establishment of value chain linkages, increased livelihood options, smoothed out income flow over time (not just level of income), institutional efficiency and quality service delivery, and the programs’ impact on reducing key gender disparities. In addition, the programs should be evaluated to see if they were effective enough to bring about a transformative change or improvement in the lives of the poor, mainly in the northern regions.
","A strategic focus on the rice, maize and soy value chains for five years could raise tens of thousands of people out of poverty, 75 percent of whom would be in northern Ghana","At least 40,000 food insecure households with women of reproductive age and children under two in the Northern region of Ghana","","Lead indicators will be: gross margins per hectare of rice, maize/soya; value of incremental rice, maize/soya sales; value of intra-regional trade in maize; and value of new private sector investments in these select value chains. Many of these will be disaggregated by sex (e.g., gross margins per hectare) of the farmer (not the household head).","Lead indicators will be: gross margins per hectare of rice, maize/soya; value of incremental rice, maize/soya sales; value of intra-regional trade in maize; and value of new private sector investments in these select value chains. Many of these will be disaggregated by sex (e.g., gross margins per hectare) of the farmer (not the household head).","Vulnerable groups","","Biofortification of staple crops>>>Biofortification of staple crops>>http://www.who.int/elena/titles/biofortification","","","","","","","","","","","","","","","","","","","","","","","","English" "11516","Feed the Future: The U.S. Government’s Global Hunger and Food Security Initiative","English","Multi-national","","GHA","Ghana","Northern, Ghana|Western Region, Ghana","Rural|Peri-urban","on-going","01-2011","01-2015","Feed the Future, the U.S. Government’s global hunger and food security initiative, is establishing a foundation for lasting progress against global hunger. With a focus on smallholder farmers, particularly women, Feed the Future supports partner countries in developing their agriculture sectors to spur economic growth that increases incomes and reduces hunger, poverty, and undernutrition. Feed the Future efforts are driven by country-led priorities and rooted in partnership with governments, donor organizations, the private sector, and civil society to enable long-term success. Feed the Future aims to assist millions of vulnerable women, children, and family members to escape hunger and poverty, while reaching significant numbers of children with highly effective nutrition interventions to prevent stunting and child mortality.
Over the next five years in Ghana, Feed the Future aims to help an estimated 860,000 vulnerable Ghanaian women, children and family members—mostly smallholder farmers—escape hunger and poverty. More than 324,000 children will be reached with services to improve their nutrition and prevent stunting and child mortality. Significant numbers of additional rural populations will achieve improved income and nutritional status from strategic policy engagement and institutional investments.
To meet its objectives, Feed the Future Ghana is making core investments in three key areas:
1. To achieve food security, agriculture programs will focus on driving a step-change in the volume and value performance of core staple value chains—starting with rice, maize and soy—and improving the governance of marine fisheries resources.
2. To help reduce malnutrition and improve household resilience of vulnerable populations, agriculture and nutrition programs will focus on a) improving access to diverse quality food, b) improving nutrition-related behaviors within vulnerable households, c) developing community mechanisms to identify and address their food and nutrition problems, and d) strengthening coordination of government and other actors to meet food security and nutrition objectives.
3. To improve the nutritional status of women and children, nutrition programs will focus on:
In addition to these three core areas, environment, natural resource management, climate change, and gender are incorporated as cross-cutting issues in all programs and activities as guiding principles.
Target Regions
A strategic focus on the rice, maize and soy value chains for five years could raise tens of thousands of people out of poverty, 75 percent of whom would be in northern Ghana. Improving marine fisheries governance in the Western Region will benefit fishery households and increase the nutritional status of fish consumers across Ghana.
Highlights
Northern Zone. The rural northern regions have the highest rates of food insecurity in the country—as much as seven times the national average. The northern zone program will aim to improve economic opportunities and diversify household income by doing the following:
Coastal Marine Fisheries Zone. Poverty in the coastal areas of Ghana is extensive, with the average welfare level among food farmers in rural coastal areas 12 percent below that in large urban centers such as Accra. Marine capture fisheries are the major economic activity along the coast and their importance reaches far beyond the coast. There is strong evidence that Ghana’s coastal ecosystems are already seriously degraded and experiencing erosion and will undoubtedly be under growing pressure with an oil and gas industry on its way. The Feed the Future program will:
National Scale Nutritional Programming. In coordination with other development partners, Feed the Future will support the Government of Ghana’s implementation of a comprehensive program of community-based management of acute malnutrition through a comprehensive behavior change program. This comprehensive package will improve nutrition-related behaviors and will be incorporated into programming in the Western, Central, and Greater Accra regions. Operational research will be conducted in 2011–2012 to better understand the extremely high rates of anemia among children in Ghana. This research will be used to develop key nutritional aspects of Feed the Future programming and to shape a national child anemia strategy and program that can be undertaken by Ghana Health Service and its development partners.
","Activities will be implemented within the communities where staple crop value chain activities will take place, but will target vulnerable households that would not be captured by a staple crop value chain approach. Hopefully some of these households will eventually be able to participate in the larger commercial value chains as their condition improves. USAID’s efforts will concentrate on value chains in which women have some control and decision-making power over the production, processing, or marketing of the crops, or livestock, as well as control over the income derived from sales of those products. Examples of these include horticulture and small animal husbandry, which are generally managed and controlled by women. 16 In Ghana, activities of the USAID funded Global Livestock Project, ENAM (Enhancing Child Nutrition through Animal Source Food Management), showed positive results on improving production and consumption of animal source foods through a comprehensive approach that integrated income generation and nutrition education. USAID Title II programs in Ghana have also shown success in improving production of staple and non-staple foods. Nutrition and food safety education will be combined with microenterprise development so that men and women beneficiaries build resources and gain knowledge to provide safe and diverse diets to themselves, young children, and families. Male involvement is an essential aspect for the adoption of positive nutrition behaviors and practices.
Messages against child abuse and child trafficking as well as improved nutrition will be carried out among vulnerable households. Capacity-building in the use of good agricultural practices to prevent contamination of horticultural crops will result in higher yields and higher quality, safer products which will improve public health and develop markets for surplus products. Other aspects of household behaviors such as hygiene and sanitation are critical components to improve nutrition. Evidence shows that hand washing alone can reduce the incidence of diarrhea by 47 percent; diarrhea being both a potential cause and a consequence of undernutrition. By using evidence-based approaches (e.g., Community Led Total Sanitation), program activities will stimulate community mobilization and train local craftsmen (e.g., masons, carpenters) on inexpensive latrine construction or materials that could be purchased at the community level based on the types of latrines identified to construct by community members.
Improved access to diverse safe and quality food, especially for young children
Improved access to food can be accomplished through either direct consumption of produced goods or through purchase with improved incomes; most often improved access requires both approaches. In the northern areas of Ghana, both poverty and poor dietary diversity contribute to reduced access to diverse foods for the most vulnerable. Poverty is associated with lower consumption of a diverse diet including animal source proteins throughout Ghana, with particularly low diversity scores in the northern areas. Storage remains a major obstacle to food preservation and safety in Ghana that not only impedes direct access to food throughout the year, but also limits access to income since the majority of crops are sold post-harvest at low prices and then purchased at higher prices for consumption late in season. This strategy under the Agriculture Program explains that improving storage options will help address this problem.
The integrated program will require that implementing partners assess men’s and women’s roles to design interventions related to the four areas above that have the greatest chance for improving household and community resilience. For example, research on small-scale production activities through the ENAM Project found that men’s perception and appreciation of women’s activities had an impact on women’s empowerment and use of income for the household,17 underscoring the importance of including men in nutrition programs.
Improved nutrition–related behaviors within vulnerable households
Interpersonal communication, linked with community-based monitoring, will promote positive household behaviors related to nutritional health. This approach will encourage not only households but also communities to support broader measures such as hygiene and sanitation improvements, while helping reduce social and cultural barriers to improved nutrition-related behaviors, such as dietary restrictions based on age or gender. Positive practices that affect nutritional status of women and children will be promoted and supported through a combination of household visits, community outreach events, mother-to-mother support groups and other community groups. Men will be also targeted to promote their role in supporting positive nutrition-related behaviors.
This sub-program on nutrition behavior will be intertwined with and will build upon mass media and community behavior change activities undertaken through Program Objective Three. It will also be coordinated with other USG efforts such as the President’s Malaria Initiative (PMI), other USAID-funded health and agriculture programs, and related programs of the Ghana Health Service and other development partners and civil society groups to ensure complementarily and leverage additional resources and activities in target areas.
Communities able to identify and address their food and nutrition problems
Communities will establish food and nutrition objectives and will monitor their own progress by developing community-based nutrition monitoring systems. With data in hand, communities will be enabled to identify specific actions (e.g., diversified food production, fortification, improved storage or improved hygiene to reduce the incidence of diarrheal diseases) relevant to the local context and particular challenges. The integrated program will promote participatory practices that encourage men, women, and children to undertake and advocate for improvements to critical infrastructure through public works, facilitating effective engagement with local authorities, access to private sector credit, and potentially other support such as a small grants program. These actions will all be oriented to improve resiliency of households by allowing greater diversity and stability of income and access to food products.
One possible approach is to develop multi-sectoral collaborations to allow communities to systematically address food and nutrition challenges. All of the features of an improvement collaborative are applicable to improvement of services regardless of sector, including: shared improvement objectives; adequately supported quality improvement teams testing changes; an implementation package; regular analysis of measured results to guide quality improvement; shared learning for accelerated scale-up; spread of the successful strategy; and development or strengthening of relevant organizational structures.
Strengthened coordination of government and other actors to meet food security and nutrition objectives
USAID will work to strengthen cross-sectoral management of food security efforts at the central level as well as at the regional level. MOFA’s Women in Agricultural Development (WIAD) is working on several integrated initiatives targeting women farmers, focused on dietary diversity and increasing access to nutritious foods, and has also been involved in the CAADP and METASIP review processes.
On the health side, the interagency nutrition working group chaired by the Ghana Health Service will be strengthened as a planning and decision-making body for health-related nutrition efforts, and will be encouraged to work more directly with WIAD. Increasing support to WIAD and utilizing USAID’s position in health sector coordination to ensure that health actors become more involved with WIAD’s initiatives will greatly contribute to progress toward FTF objectives. These actions will provide a forum for sharing of best practices in cross-sectoral food security interventions, and will help WIAD to become the lead agency for coordinating interventions to improve food security for vulnerable households.
","
Increased resilience of vulnerable communities and households
Improved access to diverse and quality foods
USAID/Ghana will continue using the basic methodology of its existing Performance Monitoring Plan (PMP) for 2009–2013 that includes its monitoring of regular Development Assistance funds, GFSR, and FTF funds. With technical support to be provided by USAID/Washington, USAID/Ghana will build on its current monitoring and evaluation (M&E) systems to design and establish a comprehensive new FTF M&E system and PMP in 2011. In addition, the Mission has several years of experience using the Initiative to End Hunger in Africa (IEHA) monitoring and reporting system which will form the foundation for FTF monitoring and reporting. Since Mission implementing partners will be the source of a great deal of information, their own monitoring and reporting systems will be set up to provide the appropriate sex-disaggregated data, results, indicators, followed by regular monthly, quarterly, semi-annual, and annual reports to comply with the Operating Unit’s overall M&E system requirements. The Mission will be more watchful in ensuring that sex-disaggregated data is collected at all levels of indicators (outputs, outcomes and impacts), and will use available resources to invest in more in-depth analysis of the impacts of programs on men and women.
Data Quality and Management: FTF M&E will benefit greatly from assistance provided by the USAID’s GSSP project to strengthen Ghana’s agricultural statistics system. A new system is being launched in 2011 called the Ghana Agricultural Production Survey (GAPS). The key improvements to be made in the current Multi-Round Crop and Livestock Survey (MRCLS) are a disaggregated and updated sample design (district representativeness), expanded scope and depth of (geo-referenced) agricultural information collected, and new and enhanced management system consisting of improved data management practices and tailored software for improved and timely data processing, monitoring, and reporting. This resource will provide unprecedented household (gender disaggregated) information on an annual basis to help report on a number of FTF indicators.
Other than the in-house sources of information, various other M&E analytical tools, structures, and approaches will be considered for establishing baselines and constant monitoring. These options include instruments like the Ghana Living Standards Survey (GLSS- the local version of the LSMS), Participatory Poverty and Vulnerability Assessment (PPVA), Poverty and Social Impact Analysis (PSIA), and the Northern Ghana Food Security and Nutrition Monitoring System.
Data from the Demographic and Health Survey, which was last conducted in Ghana 2008, provides the baseline for nutrition and maternal and child health interventions. The USG will support this survey again in 2011, and therefore will have access to important data to assess the impact of the program at its midpoint. The Multiple Indicator Cluster Survey, conducted by UNICEF with support from USAID and planned for 2011 and 2015, will provide impact data to assess the success of the FTF program in Ghana at the conclusion of this Strategy period. Developing National/Regional Capacity to use Data: IFPRI (through the GSSP project) is helping to establish the CAADP Strategic Analysis and Knowledge Support System (SAKSS) Node and will continue to provide the professional guidance to the country to ensure high quality statistical data remains available.
In addition, a Technical Services staffer will support the ASWG Secretariat in carrying out its functions effectively, including tasks like helping stakeholders (especially MOFA) keep track of agricultural related public and private sector investments and foreign support to the sector. There may be times where additional design work will be needed to create results monitoring frameworks for new activities and assist in modifying existing frameworks by adjusting indicators, defining baselines and setting targets. In addition, the Mission will be a partner in Joint Sector Reviews of agricultural sector performance conducted jointly by MOFA and development partners according to a mutual agreement the Mission supports for transparency, accountability, benchmarking, and results monitoring.
Impact Evaluations: The USG will ensure that evaluations for FTF will be adequately covered by above mentioned Technical Services PASA. One of its primary objectives is to evaluate and assess impact of the USAID/Ghana/EG portfolio of investments, in relationship to GOG and donor portfolios, and in relationship to Ghanaian needs in order to make progress towards MDGs and sustaining status of a middle income country. This includes providing relevant information for design of new and/or scaled-up projects as USG increases its investments in Ghana.
Evaluations will include both qualitative and quantitative methods. The hypothesis is that the development process itself can have a significant impact on and bring change to the Ghanaian environment. The objective is to test how much influence FTF programs have had on human behavior, human attitudes (e.g., trust in value chain systems), business and commercial practices, establishment of value chain linkages, increased livelihood options, smoothed out income flow over time (not just level of income), institutional efficiency and quality service delivery, and the programs’ impact on reducing key gender disparities. In addition, the programs should be evaluated to see if they were effective enough to bring about a transformative change or improvement in the lives of the poor, mainly in the northern regions.
","This Resilience and Reduction of Undernutrition program will increase resiliency of at least 40,000 food insecure households with women of reproductive age and children under two in the Northern region of Ghana ","Northern region of Ghana","","Household Hunger Index; percent children stunted; households benefitting from USG assistance.","Household Hunger Index; percent children stunted; households benefitting from USG assistance.","Vulnerable groups","","Complementary feeding>>>Complementary feeding>>http://www.who.int/elena/titles/complementary_feeding","","","","","","","","","","","","","","","","","","","","","","","","English" "11516","Feed the Future: The U.S. Government’s Global Hunger and Food Security Initiative","English","Multi-national","","GHA","Ghana","Northern, Ghana|Western Region, Ghana","Rural|Peri-urban","on-going","01-2011","01-2015","
Feed the Future, the U.S. Government’s global hunger and food security initiative, is establishing a foundation for lasting progress against global hunger. With a focus on smallholder farmers, particularly women, Feed the Future supports partner countries in developing their agriculture sectors to spur economic growth that increases incomes and reduces hunger, poverty, and undernutrition. Feed the Future efforts are driven by country-led priorities and rooted in partnership with governments, donor organizations, the private sector, and civil society to enable long-term success. Feed the Future aims to assist millions of vulnerable women, children, and family members to escape hunger and poverty, while reaching significant numbers of children with highly effective nutrition interventions to prevent stunting and child mortality.
Over the next five years in Ghana, Feed the Future aims to help an estimated 860,000 vulnerable Ghanaian women, children and family members—mostly smallholder farmers—escape hunger and poverty. More than 324,000 children will be reached with services to improve their nutrition and prevent stunting and child mortality. Significant numbers of additional rural populations will achieve improved income and nutritional status from strategic policy engagement and institutional investments.
To meet its objectives, Feed the Future Ghana is making core investments in three key areas:
1. To achieve food security, agriculture programs will focus on driving a step-change in the volume and value performance of core staple value chains—starting with rice, maize and soy—and improving the governance of marine fisheries resources.
2. To help reduce malnutrition and improve household resilience of vulnerable populations, agriculture and nutrition programs will focus on a) improving access to diverse quality food, b) improving nutrition-related behaviors within vulnerable households, c) developing community mechanisms to identify and address their food and nutrition problems, and d) strengthening coordination of government and other actors to meet food security and nutrition objectives.
3. To improve the nutritional status of women and children, nutrition programs will focus on:
In addition to these three core areas, environment, natural resource management, climate change, and gender are incorporated as cross-cutting issues in all programs and activities as guiding principles.
Target Regions
A strategic focus on the rice, maize and soy value chains for five years could raise tens of thousands of people out of poverty, 75 percent of whom would be in northern Ghana. Improving marine fisheries governance in the Western Region will benefit fishery households and increase the nutritional status of fish consumers across Ghana.
Highlights
Northern Zone. The rural northern regions have the highest rates of food insecurity in the country—as much as seven times the national average. The northern zone program will aim to improve economic opportunities and diversify household income by doing the following:
Coastal Marine Fisheries Zone. Poverty in the coastal areas of Ghana is extensive, with the average welfare level among food farmers in rural coastal areas 12 percent below that in large urban centers such as Accra. Marine capture fisheries are the major economic activity along the coast and their importance reaches far beyond the coast. There is strong evidence that Ghana’s coastal ecosystems are already seriously degraded and experiencing erosion and will undoubtedly be under growing pressure with an oil and gas industry on its way. The Feed the Future program will:
National Scale Nutritional Programming. In coordination with other development partners, Feed the Future will support the Government of Ghana’s implementation of a comprehensive program of community-based management of acute malnutrition through a comprehensive behavior change program. This comprehensive package will improve nutrition-related behaviors and will be incorporated into programming in the Western, Central, and Greater Accra regions. Operational research will be conducted in 2011–2012 to better understand the extremely high rates of anemia among children in Ghana. This research will be used to develop key nutritional aspects of Feed the Future programming and to shape a national child anemia strategy and program that can be undertaken by Ghana Health Service and its development partners.
","Efforts to decrease poverty and improve options for food consumption will not have a significant impact upon the nutritional status of most Ghanaians unless they are accompanied by strong household and community understanding and motivation to change child feeding behaviors, and improvements in nutrition services and products that are offered to the public. For this reason, FTF in Ghana will invest resources through USAID/Ghana’s health program to prevent and treat undernutrition.
Improved nutrition-related behaviors and community norms regarding nutrition
USAID/Ghana is helping to expand and improve behavior change approaches related to nutrition and to develop training materials and approaches for infant and young children feeding and dietary diversity. In FY2011 a national Infant and Young Child Feeding (IYCF) campaign will be launched using mass media, a range of educational and community action materials, and community-led efforts and interpersonal communication by health staff and community volunteers. This campaign is expected to contribute significantly to improved feeding practices and increase the prevalence of minimum acceptable diet among children 6–23 months. USAID’s Behavior Change Support Program (BCS) will design the national campaign with the active involvement of the GHS, coordinating outreach activities with JICA (Japan International Cooperation Agency), UNICEF, and the World Bank, all of which are active in nutrition promotion in the northern regions. This will ensure that messages heard across the country are uniform and consistent. This national campaign will target all adults who care for children less than five years of age throughout the country. Heads of extended families and household decision makers (most often men) will be a particular target group for this campaign, to improve allocation of household resources towards child nutrition. USAID will support all outreach components of this intervention in the regions currently targeted by USAID’s overall health program (Greater Accra, Central, and Western), and in the northern regions targeted by the Feed the Future program, while the other areas of the country will receive the same package of outreach materials delivered through other actors (GHS with support from UNICEF, JICA, World Bank, etc.)
Key messages and related activities will promote the following behaviors: Exclusive breastfeeding through the first six months of life; Complementary feeding as of six months of age; Dietary diversity Maternal nutrition Care of sick children; Utilization of maternal, child health and nutrition services; Household water treatment Hand washing with soap Safe sanitation practices.
Expanded community-based treatment of acute malnutrition of children
Since 2008, USAID/Ghana has supported a community-based program to treat acute undernutrition (CMAM). Through the FANTA-2 project (Food and Nutrition Technical Assistance), USAID provides technical assistance to the Ghana Health Service (GHS) to integrate CMAM services into the district health system. A Severe Acute Malnutrition (SAM) Support Unit was established at the Nutrition Department of the GHS to provide technical support for CMAM implementation and coordination of CMAM activities in the country. From an initial pilot in two districts, the GHS plans to scale up the CMAM program nationally; USAID is already beginning this effort with support from UNICEF in the Northern Region. The CMAM platform also provides opportunities for improving the skills of health care providers, community outreach workers, mother support groups, and community health workers to provide quality nutrition services for mothers and children under two years of age.
To increase the reach and sustainability of the program to combat malnutrition in children, USAID is building private sector capacity for local production of ready-to-use food to be used in treatment of severely malnourished children. Local production is expected to start in FY 2011.
Expanded accessibility of safe quality foods available for child weaning in Ghana
The normal weaning foods used in Ghana are thin gruels based on cassava or other starches, which provide carbohydrates and assuage hunger but are otherwise quite poor in nutrition. In order to facilitate the adoption of improved weaning practices and increase the nutritional content of the diets of young children, USAID is exploring strategic partnerships to promote nutritional products that have a critical set of attributes including: a) would fill specific nutritional gaps in the existing diet of pregnant women and/or young children; b) can be marketed at a low enough price point to be feasibly accessible by the lower income segments of the population; c) has a reasonable chance of becoming sustainable over the medium term; and d) has significant existing support including investment from other private sector, government or civil society agencies.
A variety of actors, including private sector companies, Ghanaian universities, and non-governmental groups, have approached USAID with potential products and strategies in this regard. USAID will continue to track the progress of the different initiatives already underway, including several that already have support from other USAID programs such as CRSPs (Collaborative Research Support Program), and will determine whether any of them are likely to meet the four criteria listed above.
A critical related issue is access to clean and safe drinking water and sanitation facilities, which greatly impact the health of women and children and will be assessed and considered in the context of this intervention.
Causes of severe levels of anemia among children in Ghana identified and addressed
The levels of maternal and children anemia in Ghana, 59 percent and 78 percent respectively, actually increased between 2003 and 2008 according to the 2008 Ghana Demographic and Health Survey, even though other health indicators improved over the same period.
Maternal anemia is a major factor in both maternal and infant health in Ghana, which are the focus of USAID’s current maternal and child health program. To address the problem of maternal anemia, USAID/Ghana is providing support and technical assistance for quality prenatal services, coordinated with malaria prevention and deworming activities. USAID’s ongoing programs to improve the quality of maternal health services will include a sharper focus on maternal anemia prevention and treatment during the prenatal period.
Unlike maternal anemia, there is not a sufficient evidence base nor are there extensive programmatic experiences to inform child anemia programs. The causes of anemia in young children are multi-faceted, and while closely linked to maternal health and nutrition, cannot be explained by poor maternal nutrition alone. Many factors including dietary insufficiency during weaning, repeated bouts of malaria, diarrhea and other diseases, intestinal parasites, and even high prevalence of the sickling trait have been posited to explain the extraordinary levels of child anemia in Ghana. Some of these factors are being addressed through other programs, such as the expansion of malaria prevention programs and school-based deworming interventions. However there is a compelling need to obtain current information on the relative importance of contributing factors, service delivery challenges, and barriers to reducing prevalence of anemia in young children. USAID will consider supporting Ghanaian public health and nutrition research institutions to perform operations research that will include problem identification and the development and application of improved tools, technologies, and approaches for addressing child anemia. Approaches identified as being the most promising will be field tested by existing USAID health activities to determine their potential to be scaled up to a national level. This activity will be performed in collaboration with other established and recognized institutions to contribute to local capacity strengthening and sustainability.
","Improved nutrition related behaviors
Improved utilization of maternal and child health and nutrition services
USAID/Ghana will continue using the basic methodology of its existing Performance Monitoring Plan (PMP) for 2009–2013 that includes its monitoring of regular Development Assistance funds, GFSR, and FTF funds. With technical support to be provided by USAID/Washington, USAID/Ghana will build on its current monitoring and evaluation (M&E) systems to design and establish a comprehensive new FTF M&E system and PMP in 2011. In addition, the Mission has several years of experience using the Initiative to End Hunger in Africa (IEHA) monitoring and reporting system which will form the foundation for FTF monitoring and reporting. Since Mission implementing partners will be the source of a great deal of information, their own monitoring and reporting systems will be set up to provide the appropriate sex-disaggregated data, results, indicators, followed by regular monthly, quarterly, semi-annual, and annual reports to comply with the Operating Unit’s overall M&E system requirements. The Mission will be more watchful in ensuring that sex-disaggregated data is collected at all levels of indicators (outputs, outcomes and impacts), and will use available resources to invest in more in-depth analysis of the impacts of programs on men and women.
Data Quality and Management: FTF M&E will benefit greatly from assistance provided by the USAID’s GSSP project to strengthen Ghana’s agricultural statistics system. A new system is being launched in 2011 called the Ghana Agricultural Production Survey (GAPS). The key improvements to be made in the current Multi-Round Crop and Livestock Survey (MRCLS) are a disaggregated and updated sample design (district representativeness), expanded scope and depth of (geo-referenced) agricultural information collected, and new and enhanced management system consisting of improved data management practices and tailored software for improved and timely data processing, monitoring, and reporting. This resource will provide unprecedented household (gender disaggregated) information on an annual basis to help report on a number of FTF indicators.
Other than the in-house sources of information, various other M&E analytical tools, structures, and approaches will be considered for establishing baselines and constant monitoring. These options include instruments like the Ghana Living Standards Survey (GLSS- the local version of the LSMS), Participatory Poverty and Vulnerability Assessment (PPVA), Poverty and Social Impact Analysis (PSIA), and the Northern Ghana Food Security and Nutrition Monitoring System.
Data from the Demographic and Health Survey, which was last conducted in Ghana 2008, provides the baseline for nutrition and maternal and child health interventions. The USG will support this survey again in 2011, and therefore will have access to important data to assess the impact of the program at its midpoint. The Multiple Indicator Cluster Survey, conducted by UNICEF with support from USAID and planned for 2011 and 2015, will provide impact data to assess the success of the FTF program in Ghana at the conclusion of this Strategy period.
Developing National/Regional Capacity to use Data: IFPRI (through the GSSP project) is helping to establish the CAADP Strategic Analysis and Knowledge Support System (SAKSS) Node and will continue to provide the professional guidance to the country to ensure high quality statistical data remains available.
In addition, a Technical Services staffer will support the ASWG Secretariat in carrying out its functions effectively, including tasks like helping stakeholders (especially MOFA) keep track of agricultural related public and private sector investments and foreign support to the sector. There may be times where additional design work will be needed to create results monitoring frameworks for new activities and assist in modifying existing frameworks by adjusting indicators, defining baselines and setting targets. In addition, the Mission will be a partner in Joint Sector Reviews of agricultural sector performance conducted jointly by MOFA and development partners according to a mutual agreement the Mission supports for transparency, accountability, benchmarking, and results monitoring.
Impact Evaluations: The USG will ensure that evaluations for FTF will be adequately covered by above mentioned Technical Services PASA. One of its primary objectives is to evaluate and assess impact of the USAID/Ghana/EG portfolio of investments, in relationship to GOG and donor portfolios, and in relationship to Ghanaian needs in order to make progress towards MDGs and sustaining status of a middle income country. This includes providing relevant information for design of new and/or scaled-up projects as USG increases its investments in Ghana.
Evaluations will include both qualitative and quantitative methods. The hypothesis is that the development process itself can have a significant impact on and bring change to the Ghanaian environment. The objective is to test how much influence FTF programs have had on human behavior, human attitudes (e.g., trust in value chain systems), business and commercial practices, establishment of value chain linkages, increased livelihood options, smoothed out income flow over time (not just level of income), institutional efficiency and quality service delivery, and the programs’ impact on reducing key gender disparities. In addition, the programs should be evaluated to see if they were effective enough to bring about a transformative change or improvement in the lives of the poor, mainly in the northern regions.
","Reaching nearly 324,000 children, improving their nutrition to prevent stunting and child mortality.","About 75 percent of Ghanaians assisted would be in northern Ghana","","Lead indicators will include: prevalence of women with anemia; prevalence of childhood anemia; prevalence of diarrheal diseases, diet diversity among children under five; percent of children who are wasted.","Lead indicators will include: prevalence of women with anemia; prevalence of childhood anemia; prevalence of diarrheal diseases, diet diversity among children under five; percent of children who are wasted.","Vulnerable groups","","eLENA titles related to prevention or treatment of moderate acute malnutrition in children>>>Supplementary feeding in community settings for promoting child growth>>http://www.who.int/elena/titles/child_growth|Food supplementation in children with moderate acute malnutrition>>http://www.who.int/elena/titles/food_children_mam","","","","","","","","","","","","","","","","","","","","","","","","English" "11627","Feed the Future: The U.S. Government’s Global Hunger and Food Security Initiative","English","Multi-national","","RWA","Rwanda","Rwanda","Urban|Rural|Peri-urban","on-going","01-2011","12-2015","
Feed the Future, the U.S. government’s global hunger and food security initiative, is a $3.5 billion commitment to support countrydriven approaches to address the root causes of poverty, hunger and undernutrition. A whole-of-government initiative led by the United States Agency for International Development (USAID), Feed the Future leverages the strengths of multilateral institutions, civil society and the private sector. Globally we aim to assist 18 million vulnerable women, children, and family members – mostly smallholder farmers – escape hunger and poverty. Together, we will increase agricultural productivity, decrease poverty, drive economic growth, and reduce undernutrition to improve millions of lives.
Over the next five years in Rwanda, Feed the Future aims to help an estimated 713,000 vulnerable Rwandan women, children and family members—mostly smallholder farmers—escape hunger and poverty. More than 174,000 children will be reached with services to improve their nutrition and prevent stunting and child mortality. Significant numbers of additional rural populations will achieve improved income and nutritional status from strategic policy engagement and institutional investments.
To meet its objectives, Feed the Future Rwanda is making core investments in three key areas:
1. Systems Transformation
Sustainable Market Linkages
Infrastructure
Nutrition
2. Innovation. Research Capacity Building Program
3. Policy
Concerted U.S. Government engagement at the policy level through the provision of SPA will ensure the FTF initiative in Rwanda has nation-wide impact. The policy dialogue with the GOR will seek to encourage more robust dialogue between the GOR and private sector and focus on key issues that are critical to raising productivity of staple crops and constitute core elements of the FTF strategy: privatization of the fertilizer market, post-harvest management, and land tenure security. The SPA will thus enhance the effectiveness of the technical support provided under the FTF initiative in these areas, and, similarly, the technical support will enhance the effectiveness of the SPA.
While the SPA will focus specifically on a few key measures to raise agricultural productivity, it can be expected to help strengthen the GOR-donor policy dialogue in the agriculture sector more generally and even to provide a platform for discussing other issues, such as food safety standards and climate change policy.62 According to the FAO, the core elements of a strengthened dialogue include: more detailed annual planning and budgeting, strengthening existing monitoring arrangements such as the JSRs, and a strengthened M&E system so that discussions are grounded in reliable performance information.63 Complementary technical support will therefore be provided to strengthen M&E capacity, including through the (re-)establishment of the Famine Early Warning System (FEWS) in Rwanda to strengthen data collection and analytical capacity on a number of issues that affect food security, such as climate change.
Because SPA resources will be channeled through GOR systems, it is important to have a full understanding of the risks the systems present so they can be mitigated. As previously mentioned, the general environment for making use of host-country systems in Rwanda is quite sound, with low levels of corruption and high levels of performance on various measures of the quality of public administration. The recent PEFA assessment found that substantial progress was made in the area of public financial management over the past three years, findings that were confirmed in the first phase application of USAID’s fiduciary risk assessment tool. The second phase application of the tool, performed with the support the internationally recognized accounting firm, Deloitte, involved a detailed analysis of agriculture sector institutions’ financial management systems and found that all identified risks can be mitigated through a targeted public financial management capacity building program within MINAGRI.64 Such a program will complement planned support to strengthen the human and institutional capacity of selected GOR institutions and civil society organizations that have a role in providing oversight of public expenditure and program performance.
",".
","PERFORMANCE MONITORING
USAID’s existing Performance Management Plan (PMP) for its Economic Growth SO already includes several FTF indicators or indicators closely related to them. Efforts to strengthen the PMP’s alignment with the initiative are underway while FTF nutrition indicators will be incorporated into the GHI/BEST PMP. USAID has developed a web-based performance monitoring tool that facilitates reporting from its implementing partners as a key element of its M&E system. This same system will be utilized to collect activity-level data on FTF indicators.
For many of the high-level FTF indicators, baselines will be established through two national surveys currently underway. Results from the Demographic and Health Survey (DHS), for which the U.S. Government is providing focused technical support to the National Institute of Statistics (NISR), will be available in late 2011 while results from a household survey, providing data on poverty levels, are scheduled to be released in early 2012. Consideration is being given to the regular application of an adapted version of USAID’s Poverty Assessment Tool in order to obtain some indication of poverty trends between household surveys, which typically only take place every five years, while an interim DHS planned for 2013/14 and a Knowledge, Attitudes, and Practices survey will document changes in nutritional status and feeding practices. Efforts will also be made to utilize the Ministry of Health database to which community health workers report cases of malnutrition via mobile phone.
As previously noted, given identified gaps in data collection and performance monitoring in MINAGRI, the U.S. Government will seek to strengthen its M&E capacity through the establishment of a FEWS field presence and additional M&E technical support. Other donors, including DFID, the EC, and the World Bank, are helping to strengthen the NISR, including its collection and analysis of agricultural data. Improvement of agricultural statistics is a core element of the GOR’s PSI program with the IMF, as data collection procedures that systematically over-estimated agricultural production were thought to compromise the reliability of the GOR’s national income accounts data.
Given Rwanda’s limited size and population, as well as planned U.S. Government engagement on several key policy issues that will have broad, national impact on agricultural development and nutrition, FTF assistance can be expected to substantively contribute to reductions in Rwanda’s rural poverty and malnutrition rates. Through FTF in Rwanda more than 174,000 children will be reached with services to improve their nutrition and prevent stunting and child mortality. An estimated 713,000 vulnerable Rwandan women, children and family members will receive targeted assistance to escape hunger and poverty.
IMPACT EVALUATION
Periodic impact evaluations conducted over the course of the strategy period will help identify the contributions of FTF investments to progress observed through regular performance monitoring, as well as programmatic adjustments that may be required. As an example, a recent impact evaluation of the U.S. Government’s investments in the coffee sector over the past decade was used to inform a decision about whether continued support to the sector was warranted under the FTF initiative.66 An evaluation of USAID’s dairy competiveness program, undertaken in early 2011, likewise informed a decision to re-compete the program.
In addition, the Integrated Improved Livelihoods Program was selected for inclusion in USAID’s FY 2012 Evaluation Initiative, requiring a rigorous impact evaluation of the program’s central hypothesis that integrating microfinance with non-financial services, such as health and education, has the potential to address the multiple needs of the poor with greater efficiency and impact. The evaluation’s design will commence with program start-up to ensure the necessary baseline data is collected from treatment and control groups. The evaluation itself is planned to take place during the program’s third year of implementation so that lessons learned can be applied during its remaining two years.
","estimated 713,000 vulnerable Rwandan women, children and family members—mostly smallholder farmers—escape hunger and poverty. More than 174,000 children will be reached with services to improve their nutrition and prevent stunting and child mortality.",".","","","","Socio-economic status","","","","","","","","","","","","","","","","","","","","","","","","","","English" "11627","Feed the Future: The U.S. Government’s Global Hunger and Food Security Initiative","English","Multi-national","","RWA","Rwanda","Rwanda","Urban","on-going","01-2011","12-2015","Feed the Future, the U.S. government’s global hunger and food security initiative, is a $3.5 billion commitment to support countrydriven approaches to address the root causes of poverty, hunger and undernutrition. A whole-of-government initiative led by the United States Agency for International Development (USAID), Feed the Future leverages the strengths of multilateral institutions, civil society and the private sector. Globally we aim to assist 18 million vulnerable women, children, and family members – mostly smallholder farmers – escape hunger and poverty. Together, we will increase agricultural productivity, decrease poverty, drive economic growth, and reduce undernutrition to improve millions of lives.
Over the next five years in Rwanda, Feed the Future aims to help an estimated 713,000 vulnerable Rwandan women, children and family members—mostly smallholder farmers—escape hunger and poverty. More than 174,000 children will be reached with services to improve their nutrition and prevent stunting and child mortality. Significant numbers of additional rural populations will achieve improved income and nutritional status from strategic policy engagement and institutional investments.
To meet its objectives, Feed the Future Rwanda is making core investments in three key areas:
1. Systems Transformation
Sustainable Market Linkages
Infrastructure
Nutrition
2. Innovation. Research Capacity Building Program
3. Policy
It is well known that research generates some of the highest average returns to public investment in agriculture.60 In Rwanda, where research capacity is extremely limited – it is estimated there are only about 30 people actively engaged in agriculture-related research with PhDs61 – the returns are likely to be even higher. As a result, the country is not adequately prepared to meet the demands of producers for improved agricultural inputs and respond to emerging threats to agricultural productivity and food security, such as crop disease and climate change. Developing such capacity is all the more important in light of the GOR’s policy to encourage land use consolidation. FTF assistance will therefore invest in strengthening Rwandan research capacity, with priority given to actionable, demand-driven research in support of priority value chains and nutrition objectives, such as maize and bean varieties that are more resistant to extreme weather events and post-harvest technologies that can be commercialized.
The program will aim to strengthen the capacity of the Rwandan Agriculture Research Institute (ISAR) to produce relevant research and develop systems, in cooperation with Belgian assistance, to ensure research results are disseminated to the field through an improved extension network. Drawing on USAID’s extensive experience with higher education partnerships in Africa, the program will also provide cost-effective, long-term degree training by forging partnerships between U.S. and Rwandan universities so that the country begins to produce a steady stream of qualified agricultural researchers and extension agents. Consistent with the recommendations of the gender strategy for the agriculture sector, special efforts will be made to encourage female enrollment in agricultural universities as a means of ensuring the different needs of women are considered in the country’s agricultural research and extension agendas.
","Improved agricultural productivity
","PERFORMANCE MONITORING
USAID’s existing Performance Management Plan (PMP) for its Economic Growth SO already includes several FTF indicators or indicators closely related to them. Efforts to strengthen the PMP’s alignment with the initiative are underway while FTF nutrition indicators will be incorporated into the GHI/BEST PMP. USAID has developed a web-based performance monitoring tool that facilitates reporting from its implementing partners as a key element of its M&E system. This same system will be utilized to collect activity-level data on FTF indicators.
For many of the high-level FTF indicators, baselines will be established through two national surveys currently underway. Results from the Demographic and Health Survey (DHS), for which the U.S. Government is providing focused technical support to the National Institute of Statistics (NISR), will be available in late 2011 while results from a household survey, providing data on poverty levels, are scheduled to be released in early 2012. Consideration is being given to the regular application of an adapted version of USAID’s Poverty Assessment Tool in order to obtain some indication of poverty trends between household surveys, which typically only take place every five years, while an interim DHS planned for 2013/14 and a Knowledge, Attitudes, and Practices survey will document changes in nutritional status and feeding practices. Efforts will also be made to utilize the Ministry of Health database to which community health workers report cases of malnutrition via mobile phone.
As previously noted, given identified gaps in data collection and performance monitoring in MINAGRI, the U.S. Government will seek to strengthen its M&E capacity through the establishment of a FEWS field presence and additional M&E technical support. Other donors, including DFID, the EC, and the World Bank, are helping to strengthen the NISR, including its collection and analysis of agricultural data. Improvement of agricultural statistics is a core element of the GOR’s PSI program with the IMF, as data collection procedures that systematically over-estimated agricultural production were thought to compromise the reliability of the GOR’s national income accounts data.
Given Rwanda’s limited size and population, as well as planned U.S. Government engagement on several key policy issues that will have broad, national impact on agricultural development and nutrition, FTF assistance can be expected to substantively contribute to reductions in Rwanda’s rural poverty and malnutrition rates. Through FTF in Rwanda more than 174,000 children will be reached with services to improve their nutrition and prevent stunting and child mortality. An estimated 713,000 vulnerable Rwandan women, children and family members will receive targeted assistance to escape hunger and poverty.
IMPACT EVALUATION
Periodic impact evaluations conducted over the course of the strategy period will help identify the contributions of FTF investments to progress observed through regular performance monitoring, as well as programmatic adjustments that may be required. As an example, a recent impact evaluation of the U.S. Government’s investments in the coffee sector over the past decade was used to inform a decision about whether continued support to the sector was warranted under the FTF initiative.66 An evaluation of USAID’s dairy competiveness program, undertaken in early 2011, likewise informed a decision to re-compete the program.
In addition, the Integrated Improved Livelihoods Program was selected for inclusion in USAID’s FY 2012 Evaluation Initiative, requiring a rigorous impact evaluation of the program’s central hypothesis that integrating microfinance with non-financial services, such as health and education, has the potential to address the multiple needs of the poor with greater efficiency and impact. The evaluation’s design will commence with program start-up to ensure the necessary baseline data is collected from treatment and control groups. The evaluation itself is planned to take place during the program’s third year of implementation so that lessons learned can be applied during its remaining two years.
",".",".","","","","Sex","","","","","","","","","","","","","","","","","","","","","","","","","","English" "11627","Feed the Future: The U.S. Government’s Global Hunger and Food Security Initiative","English","Multi-national","","RWA","Rwanda","Rwanda","Urban|Rural|Peri-urban","on-going","01-2011","01-2015","Feed the Future, the U.S. government’s global hunger and food security initiative, is a $3.5 billion commitment to support countrydriven approaches to address the root causes of poverty, hunger and undernutrition. A whole-of-government initiative led by the United States Agency for International Development (USAID), Feed the Future leverages the strengths of multilateral institutions, civil society and the private sector. Globally we aim to assist 18 million vulnerable women, children, and family members – mostly smallholder farmers – escape hunger and poverty. Together, we will increase agricultural productivity, decrease poverty, drive economic growth, and reduce undernutrition to improve millions of lives.
Over the next five years in Rwanda, Feed the Future aims to help an estimated 713,000 vulnerable Rwandan women, children and family members—mostly smallholder farmers—escape hunger and poverty. More than 174,000 children will be reached with services to improve their nutrition and prevent stunting and child mortality. Significant numbers of additional rural populations will achieve improved income and nutritional status from strategic policy engagement and institutional investments.
To meet its objectives, Feed the Future Rwanda is making core investments in three key areas:
1. Systems Transformation
Sustainable Market Linkages
Infrastructure
Nutrition
2. Innovation. Research Capacity Building Program
3. Policy
While nutritional value was a key criteria in selecting priority value chains, planned value chain investments will be designed to ensure their nutritional benefits are maximized. Increasing the focus of post-harvest investments on the household level, as noted above, and targeting women with the Integrated Improved Livelihoods Program are expected to contribute to the FTF nutrition objective and are part of the NSEM’s plan to strengthen and scale-up CBNP.
Interestingly, recent evaluative evidence suggests access to microfinance may contribute more to maintaining basic food security and nutrition than raising incomes due to its consumption-smoothing effects and the flexibility it offers in dealing with unexpected health emergencies.58 Research also suggests that integrating microfinance with nonfinancial services, such as education on improved feeding and consumption practices, as is planned in the Integrated Improved Livelihoods Program, offers great potential to address the multiple needs of the poor in a more efficient manner.
It is important to note that achieving the FTF nutrition objective in Rwanda will require investments beyond those which can be integrated into investments in priority value chains. Illustrative activities and expected results in each of these areas are as follows:
FTF assistance will support improvements in the quality of routine reporting to monitor mild, moderate, and acute malnutrition among young children and pregnant and lactating women. For example, the Ministry of Health has introduced a system for providing community health workers with health and nutrition information and promptly reporting cases of malnutrition via mobile phone.
PERFORMANCE MONITORING
USAID’s existing Performance Management Plan (PMP) for its Economic Growth SO already includes several FTF indicators or indicators closely related to them. Efforts to strengthen the PMP’s alignment with the initiative are underway while FTF nutrition indicators will be incorporated into the GHI/BEST PMP. USAID has developed a web-based performance monitoring tool that facilitates reporting from its implementing partners as a key element of its M&E system. This same system will be utilized to collect activity-level data on FTF indicators.
For many of the high-level FTF indicators, baselines will be established through two national surveys currently underway. Results from the Demographic and Health Survey (DHS), for which the U.S. Government is providing focused technical support to the National Institute of Statistics (NISR), will be available in late 2011 while results from a household survey, providing data on poverty levels, are scheduled to be released in early 2012. Consideration is being given to the regular application of an adapted version of USAID’s Poverty Assessment Tool in order to obtain some indication of poverty trends between household surveys, which typically only take place every five years, while an interim DHS planned for 2013/14 and a Knowledge, Attitudes, and Practices survey will document changes in nutritional status and feeding practices. Efforts will also be made to utilize the Ministry of Health database to which community health workers report cases of malnutrition via mobile phone.
As previously noted, given identified gaps in data collection and performance monitoring in MINAGRI, the U.S. Government will seek to strengthen its M&E capacity through the establishment of a FEWS field presence and additional M&E technical support. Other donors, including DFID, the EC, and the World Bank, are helping to strengthen the NISR, including its collection and analysis of agricultural data. Improvement of agricultural statistics is a core element of the GOR’s PSI program with the IMF, as data collection procedures that systematically over-estimated agricultural production were thought to compromise the reliability of the GOR’s national income accounts data.
Given Rwanda’s limited size and population, as well as planned U.S. Government engagement on several key policy issues that will have broad, national impact on agricultural development and nutrition, FTF assistance can be expected to substantively contribute to reductions in Rwanda’s rural poverty and malnutrition rates. Through FTF in Rwanda more than 174,000 children will be reached with services to improve their nutrition and prevent stunting and child mortality. An estimated 713,000 vulnerable Rwandan women, children and family members will receive targeted assistance to escape hunger and poverty.
IMPACT EVALUATION
Periodic impact evaluations conducted over the course of the strategy period will help identify the contributions of FTF investments to progress observed through regular performance monitoring, as well as programmatic adjustments that may be required. As an example, a recent impact evaluation of the U.S. Government’s investments in the coffee sector over the past decade was used to inform a decision about whether continued support to the sector was warranted under the FTF initiative.66 An evaluation of USAID’s dairy competiveness program, undertaken in early 2011, likewise informed a decision to re-compete the program.
In addition, the Integrated Improved Livelihoods Program was selected for inclusion in USAID’s FY 2012 Evaluation Initiative, requiring a rigorous impact evaluation of the program’s central hypothesis that integrating microfinance with non-financial services, such as health and education, has the potential to address the multiple needs of the poor with greater efficiency and impact. The evaluation’s design will commence with program start-up to ensure the necessary baseline data is collected from treatment and control groups. The evaluation itself is planned to take place during the program’s third year of implementation so that lessons learned can be applied during its remaining two years.
","estimated 713,000 vulnerable Rwandan women, children and family members—mostly smallholder farmers—escape hunger and poverty. More than 174,000 children will be reached with services to improve their nutrition and prevent stunting and child mortality.",".","","","","Vulnerable groups","","Multiple micronutrient powders for home fortification of foods consumed by children 6–23 months of age>>>Multiple micronutrient powders for home fortification of foods consumed by children 6–23 months of age>>http://www.who.int/elena/titles/micronutrientpowder_infants","","","","","","","","","","","","","","","","","","","","","","","","English" "11637","Purchase for Progress (P4P) Pilot Initiative ","English","Multi-national","","AFG|BFA|COD|SLV|ETH|GHA|GTM|HND|KEN|LAO|LBR|MWI|MLI|MOZ|NIC|RWA|SLE|SSD|UGA|TZA|ZMB","Afghanistan|Burkina Faso|Democratic Republic of the Congo|El Salvador|Ethiopia|Ghana|Guatemala|Honduras|Kenya|Lao People's Democratic Republic|Liberia|Malawi|Mali|Mozambique|Nicaragua|Rwanda|Sierra Leone|South Sudan|Uganda|United Republic of Tanzania|Zambia","","Rural|Peri-urban","on-going","01-2008","01-2013","As the world’s largest humanitarian agency, WFP is a major staple food buyer. In 2012, WFP bought US$1.1 billion worth of food – more than 75 percent of this in developing countries WFP buys locally in developing countries when its criteria of price, quality and quantity can be met. P4P is a logical continuation of this local procurement with the intent to achieve a higher developmental gain with WFP’s procurement footprint by buying increasingly in a smallholder-friendly way.
Through P4P, WFP’s demand provides smallholder farmers in 20 pilot countries with a greater incentive to invest in their production, as they have the possibility to sell to a reliable buyer and receive a fair price for their crops. It is envisioned that in the wake of WFP purchasing in a more smallholder-friendly way, other buyers of staple commodities including Governments and the private sector will also increasingly be able to buy from smallholders.
P4P at the same time invests in capacity building at country level in areas such as post-harvest handling or storage, which will yield sustainable results in boosting national food security over the long term. The five year pilot P4P (2009 - 2013)[1] rests on three pillars:
WFP usually buys food through large competitive tenders. Through P4P, WFP is testing new procurement approaches more suited to smallholder farmers and:
Country approaches to P4P are tailored to suit the opportunities and constraints within each country. Generally, however, each programme has applied one or more of the general approaches:
Approach #1: Farmers’ organisations and capacity building partnerships:
Approach #2: Support to emerging structured trading systems
Approach #3: Small and medium traders
Approach #4: Developing local food processing capacity
.
","M&E system specifies data collection and analysis methods designed to track a number of indicators of programme performance.
The M&E system collects data from a number of sources including:
The M&E system also incorporates peer review to identify and validate best practices. At the country level, these include stakeholder meetings, workshops, and annual reviews. At the regional level, WFP is using writeshops and regional workshops to consolidate and validate learning. At the global/programme level, a Technical Review Panel meets annually to review and help interpret results and to guide implementation. Peer review meetings, annual reviews, internal (to WFP) stakeholder groups, and external evaluations also serve to validate results.
Managing the learning process for a programme with the scope and scale of P4P has been challenging and the design and evolution of the M&E system reflect these challenges. In particular:
Economic Research Consortium (AERC) to manage collection and analysis of the quantitative data.
Since P4P's launch in September 2008,
Stories From the Field: Ethiopi
Women farmers face many obstacles that they need to overcome to become successful business women. But the example of Mashuu, from Chefo Umbera, southern Ethiopia, shows that with the right support, female farmers can become independent market players.
When she left school, Mashuu noticed her peers marrying early, sometimes to men who took more than one wife. Mashuu saw her future differently, and together with two sisters and a sister-in-law, formed a women’s group, hoping to empower women through family planning education and HIV/AIDS awareness. They started with four members – today, there are 165.
“As the group started to grow, I realized we needed to become strong and independent economically,” said Mashuu. And that was how Jalela Primary Cooperative was born. Women bring their cereal harvests to Jalela, and the cooperative then sells it to Mira, their local cooperative union. The union sells the aggregated commodities to buyers such as WFP.
The 2011 drought-induced crop failure led to high market prices and a shortage of marketable produce in Ethiopia. This caused most cooperatives to default on their contracts with WFP. But Jalela still sold 30 metric tons of maize to WFP. The net profit of about US$170 was in part kept for the cooperative and in part distributed to the co-op members. Mashuu still has high hopes for the future despite the difficulties with the 2011 drought. She has plans to build a grain mill, start dairy production, and even bring electricity to the Jalela co-op. “We are going to change our lives,” she concludes.
The Experience in Guatemala
In Guatemala, P4P focuses on sales beyond WFP for two reasons: to promote long-term sustainability and to provide alternative outlets for farmers’ surplus production. Since WFP in Guatemala distributes only a few thousand metric tons (mt) of food every year, the quantities it can purchase from smallholder farmers’ organizations is relatively small, as illustrated in the table below.
P4P assisted Farmers’ Organizations (FOs) are located in northern and eastern regions of Guatemala as well as on the Pacific Coastal plain. A market study examined potential alternative buyers for both bulked and processed grain, including regional and national buyers such as the food industry, private traders, exporters, NGOs and the Government of Guatemala. According to information collected between 2008 through 2012, approximately a third of the P4P supported FOs have sold maize or beans to buyers beyond WFP. Of the total of 6,800 mt sold, 70% was maize (4,800 mt) and the rest beans (2,000 mt).
A maize processor in Guatemala that produces tortilla flour purchased 59% of the total tonnage. The second biggest buyer was Wal-Mart, which purchased 918 mt of beans. Sales to other national supermarkets, large traders and exporters represent 11% of the total (750 mt). Some 739 mt of maize and beans were sold on local markets (local grocery stores, municipal markets and traders). Small amounts were also purchased by NGOs, FAO and other P4P supported FOs.
With support from FAO, some FOs have developed the capacity to produce seed as well as grain. This represents 1.3% of the tonnage sold, but 4.2% of the income generated through collective sales beyond WFP. Such a successful focus on higherincome options has motivated the FOs to explore other markets such as retail packaging of beans, production of red beans specific to the El Salvador market, and fresh corn on the cob.
The P4P team works with the FOs to encourage sales beyond WFP. Commercialization committees are formed in the FOs and a roster of identified potential buyers in the market is shared with all. Training on effective negotiation t e c h n i q u e s a n d t h e development of business plans also begins this year.
Potential buyers are invited to the field to see the production of the grains, post-harvest management and quality control. This also allows them to become familiar with the maturity of the organization, increasing the confidence of buyers in the capacity of the FOs to establish commercial relations. This is complemented by demonstrating tools such as the “Blue Box”1, which is both a training tool and a field laboratory, which separates produce that does not meet specifications. Through partnering with P4P, FOs gained the trust of the commercial sector and confidence in their own abilities to reach a broad range of markets.
Farmers organizations’ experience steady progression in Mozambique
In Mozambique, farmers’ organizations (FOs) were created by both national government and nongovernmental organizations to facilitate technical assistance in agricultural production and marketing. This was especially important in the recovery period that followed the 1992 General Peace Agreement.
Most FOs gradually evolved from the village level to linking with other FOs at a district level. The district level is often represented by an ‘umbrella’ association of FOs, the tier with which P4P in Mozambique works directly. There are currently 10 such “umbrella” FOs in Mozambique participating in P4P. As of 2012, WFP has bought almost 10,000 metric tons (mt) of maize, beans and pulses from these FOs, valued at $5.8 million.
Apart from selling to WFP, P4P is helping FOs to identify sustainable and fair markets for sales beyond WFP. Prior to participating in the P4P initiative, many farmers had limited or no experience in selling collectively to markets. In 2009, sales beyond WFP were only 644 mt, tripling by 2012 to 1,800 mt. The table below summarizes crops sold by all 10 FOs under P4P in Mozambique and the income generated from sales per year.
P4P’s support to smallholder farmers in accessing markets for crops such as maize, beans and pulses has had a positive impact. When P4P began in 2009, soybean was the mostsold commodity by P4P supported FOs (2,480 mt). Maize was second at 926 mt, sesame third with 699 mt, followed by pigeon peas at 538 mt of sales. The possible profit margin for growing and selling maize is beginning to compete with the profits available in the soy and sesame trade, although commercial maize value remains low compared to other commodities. Buyers that are purchasing commodities from these FOs are:
The volume of products marketed in relation to the number of buyers demonstrates that the market in Mozambique is neither structured nor stable. There are often a high number of buyers intervening at the same time in more than one crop. Quality issues are often secondary for many buyers, as product availability is often considered more important.
While marketing platforms still have a long way to go in Mozambique, participating in P4P has helped with sales to markets beyond WFP. The relative consistency of having WFP as a buyer and the training provided by P4P and partners has helped many FOs meet the demands needed for selling to other buyers of quality.
Malawi – How a farmers’ organization is progressing
Kafulu Smallholder Farmers Organization (FO) was established in 2003. At the time of its establishment, Kafulu had two clear objectives: to achieve food security in the area and to find markets for their surplus. Currently the FO has 1,400 members (of which 500 are women) and with assistance from the National Agricultural Smallholder Farmers Association of Malawi (NASFAM), they have been able to build a warehouse. Kafulu had experience of selling maize collectively before P4P started in Malawi, however, since joining P4P they have been given the opportunity to learn the skills needed to achieve better deals with buyers.
A Challenging Beginning
Though Kafulu has progressed in their ability to connect to markets, the process has not been without difficulty. When the FO decided to participate in P4P it obtained credit in the 2008/2009 season, allowing them to expand their inputs loan scheme. In the 2009/2010 season, the organization again had access to credit, but faced severe problems in repayment. Loans were given to individuals and not directly to the FO and as a result, some individuals were unable to meet repayment obligations causing tensions among members. In addition, Kafulu signed a contract with WFP for the sale of 526 metric tons (mt) of maize, but was not able to deliver anything at all due to quality problems. The FO then had to sell the maize to other buyers who were not looking for high quality and they received a lower price.
In spite of these difficulties, Kafulu persevered. They managed to retain most of the membership despite the credit repayment issue, and tried to sell to WFP once again. In the 2010/2011 season, Kafulu delivered 100 mt of maize to WFP, this time with no quality issues.
Towards Graduation
By then, Kafulu farmers saw a clear way ahead: “We want to sell to people like WFP, because they are able to get a lot of money at one time and they offer fair prices for quality produce”,
stated one of the members of the Executive Committee. Although Kafulu farmers did not know then, they were completing the first step towards graduation - they had learnt how to condition their crop for higher quality standards and they had managed to aggregate at least twice. This placed them in a better position to compete with other FOs.
In the 2011/2012 season, Kafulu managed to aggregate 460 mt of maize, which they deposited into the warehouse receipt system (WRS) at the beginning of the season. From this deposit, they managed to get 70 percent of the receipt value as credit, which allowed them to wait until later in the season to sell when better prices were available.
Market Experience Today
In February 2013, Kafulu was awarded a contract for almost 230 mt of maize from WFP. They competed directly with medium and big traders in the Malawi market. By that time, they had already sold half of their maize to other buyers, at prevailing prices of around 90 MWK/kg (USD 0.27), making a good profit and enabling them to repay the credit and fees for the warehouse.
Kafulu FO still has problems with its membership stemming from past individual loan defaults and it is now dealing with the challenges of managing a WRS on its own. However, the FO has more knowledge of markets and is now prepared to engage competitively in them.
","English" "12078","GNPR 2009-2010: Maternal, infant and young child nutrition","English","National","","MUS","Mauritius","Mauritius","","","","","These programmes and actions were reported by countries for the WHO Global Nutrition Policy Review 2009-2010, Module 2 on Maternal, infant and young child nutrition. Please note that for simplicity, all interventions in a thematic module have been combined under the same programme for GINA, while they may not be implemented as a package and may have different partners. These data are currently being updated and completed through the GINA verification process. If you think you can help update and complete any of these data, please sign up to GINA and edit.
","WHO (2013) Global Nutrition Policy Review. What does it take to scale up nutrition action?
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global nutrition policy review is based on a questionnaire survey conducted during 2009–2010, in which 119 WHO Member States and 4 territories participated.
","","","","","","","","","","","","","National NGOs","MAPBIN-CHAN","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","12077","","Breastfeeding promotion and/or counselling","","","","Infants (up to 1 year of age)","","","","","Promotion of breastfeeding was reported to the Global Nutrition Policy Review (GNPR) 2009-2010
","","","","National coverage","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "12078","GNPR 2009-2010: Maternal, infant and young child nutrition","English","National","","MUS","Mauritius","Mauritius","","","","","These programmes and actions were reported by countries for the WHO Global Nutrition Policy Review 2009-2010, Module 2 on Maternal, infant and young child nutrition. Please note that for simplicity, all interventions in a thematic module have been combined under the same programme for GINA, while they may not be implemented as a package and may have different partners. These data are currently being updated and completed through the GINA verification process. If you think you can help update and complete any of these data, please sign up to GINA and edit.
","WHO (2013) Global Nutrition Policy Review. What does it take to scale up nutrition action?
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global nutrition policy review is based on a questionnaire survey conducted during 2009–2010, in which 119 WHO Member States and 4 territories participated.
","","","","","","","","","","","","","National NGOs","MAPBIN-CHAN","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","12244","","Complementary feeding promotion and/or counselling","","","","Infants and young children","","","","","Behaviour change communication and/or counselling for improved complementary feeding was reported to the Global Nutrition Policy Review (GNPR) 2009-2010
","","","","National coverage","","","","","","Complementary feeding>>>Complementary feeding>>http://www.who.int/elena/titles/complementary_feeding","","","","","","","","","","","","","","","","","","","","","","","","" "12078","GNPR 2009-2010: Maternal, infant and young child nutrition","English","National","","MUS","Mauritius","Mauritius","","","","","These programmes and actions were reported by countries for the WHO Global Nutrition Policy Review 2009-2010, Module 2 on Maternal, infant and young child nutrition. Please note that for simplicity, all interventions in a thematic module have been combined under the same programme for GINA, while they may not be implemented as a package and may have different partners. These data are currently being updated and completed through the GINA verification process. If you think you can help update and complete any of these data, please sign up to GINA and edit.
","WHO (2013) Global Nutrition Policy Review. What does it take to scale up nutrition action?
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global nutrition policy review is based on a questionnaire survey conducted during 2009–2010, in which 119 WHO Member States and 4 territories participated.
","","","","","","","","","","","","","National NGOs","MAPBIN-CHAN","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","12355","Nutrition and HIV","Counselling on nutritional support&care for people living with HIV","","","","Pregnant/lactating women with HIV/AIDS","","","","","Nutritional care and support for people living with HIV/AIDS was reported to the Global Nutrition Policy Review (GNPR) 2009-2010
","","","","National coverage","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "12301","GNPR 2009-2010: Vitamin and mineral nutrition","English","National","","GHA","Ghana","Ghana","","","","","These programmes and actions were reported by countries for the WHO Global Nutrition Policy Review 2009-2010, Module 5 on Vitamin and mineral nutrition. Please note that for simplicity, all interventions in a thematic module have been combined under the same programme for GINA, while they may not be implemented as a package and may have different partners. These data are currently being updated and completed through the GINA verification process. If you think you can help update and complete any of these data, please sign up to GINA and edit.
","WHO (2013) Global Nutrition Policy Review. What does it take to scale up nutrition action?
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global nutrition policy review is based on a questionnaire survey conducted during 2009–2010, in which 119 WHO Member States and 4 territories participated.
","","","","","","","","","","","","","","","","","Private sector","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","12300","","Complementary food fortification","","Iron|Folic acid|Zinc|Vitamin A","Iron, Folic acid, Zinc, Vitamin A, B1, B2, B3, B6","Infants and young children","","","Commercial","shops","Fortification of Complementary foods was reported during the WHO Global Nutrition Policy Review (GNPR) 2009-2010. Mandatory fortification. Local production. Import. Product paid by users.
","","","","Mandatory fortification","","","","","","Complementary feeding>>>Complementary feeding>>http://www.who.int/elena/titles/complementary_feeding","","","","","","","","","","","","","","","","","","","","","","","","" "12301","GNPR 2009-2010: Vitamin and mineral nutrition","English","National","","GHA","Ghana","Ghana","","","","","These programmes and actions were reported by countries for the WHO Global Nutrition Policy Review 2009-2010, Module 5 on Vitamin and mineral nutrition. Please note that for simplicity, all interventions in a thematic module have been combined under the same programme for GINA, while they may not be implemented as a package and may have different partners. These data are currently being updated and completed through the GINA verification process. If you think you can help update and complete any of these data, please sign up to GINA and edit.
","WHO (2013) Global Nutrition Policy Review. What does it take to scale up nutrition action?
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global nutrition policy review is based on a questionnaire survey conducted during 2009–2010, in which 119 WHO Member States and 4 territories participated.
","","","","","","","","","","","","","","","","","Private sector","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","12735","Iron and/or folic acid","Folic acid supplementation","","Folic acid","folic acid alone","Pregnant women (PW)","","","Primary health care center","health system","Supplementation with folic acid alone was reported to the WHO Global Nutrition Policy Review (GNPR) 2009-2010. Supplementation free to user. Dose: 400 μg
","","","","National coverage","","","","","","Daily iron and folic acid supplementation during pregnancy>>>Daily iron and folic acid supplementation during pregnancy>>http://www.who.int/elena/titles/daily_iron_pregnancy","","","","","","","","","","","","","","","","","","","","","","","","" "12301","GNPR 2009-2010: Vitamin and mineral nutrition","English","National","","GHA","Ghana","Ghana","","","","","These programmes and actions were reported by countries for the WHO Global Nutrition Policy Review 2009-2010, Module 5 on Vitamin and mineral nutrition. Please note that for simplicity, all interventions in a thematic module have been combined under the same programme for GINA, while they may not be implemented as a package and may have different partners. These data are currently being updated and completed through the GINA verification process. If you think you can help update and complete any of these data, please sign up to GINA and edit.
","WHO (2013) Global Nutrition Policy Review. What does it take to scale up nutrition action?
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global nutrition policy review is based on a questionnaire survey conducted during 2009–2010, in which 119 WHO Member States and 4 territories participated.
","","","","","","","","","","","","","","","","","Private sector","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","13350","Iron and/or folic acid","Iron supplementation","","Iron","Iron alone","Pregnant women (PW)","","","Primary health care center","health system","Supplementation with iron alone was reported to the WHO Global Nutrition Policy Review (GNPR) 2009-2010. Supplementation free to user. Dose: 60 mg (elemental iron)
","","","","National coverage","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "12301","GNPR 2009-2010: Vitamin and mineral nutrition","English","National","","GHA","Ghana","Ghana","","","","","These programmes and actions were reported by countries for the WHO Global Nutrition Policy Review 2009-2010, Module 5 on Vitamin and mineral nutrition. Please note that for simplicity, all interventions in a thematic module have been combined under the same programme for GINA, while they may not be implemented as a package and may have different partners. These data are currently being updated and completed through the GINA verification process. If you think you can help update and complete any of these data, please sign up to GINA and edit.
","WHO (2013) Global Nutrition Policy Review. What does it take to scale up nutrition action?
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global nutrition policy review is based on a questionnaire survey conducted during 2009–2010, in which 119 WHO Member States and 4 territories participated.
","","","","","","","","","","","","","","","","","Private sector","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","13762","","Oil fortification","","Vitamin A","Vitamin A","All population groups","","","Commercial","shops","Fortification of Oil was reported during the WHO Global Nutrition Policy Review (GNPR) 2009-2010. Mandatory fortification. Local production. Import. Product paid by users.
","","","","Mandatory fortification","","","","","","Vitamin A fortification of staple foods>>>Vitamin A fortification of staple foods>>http://www.who.int/elena/titles/vitamina_fortification","","","","","","","","","","","","","","","","","","","","","","","","" "12301","GNPR 2009-2010: Vitamin and mineral nutrition","English","National","","GHA","Ghana","Ghana","","","","","These programmes and actions were reported by countries for the WHO Global Nutrition Policy Review 2009-2010, Module 5 on Vitamin and mineral nutrition. Please note that for simplicity, all interventions in a thematic module have been combined under the same programme for GINA, while they may not be implemented as a package and may have different partners. These data are currently being updated and completed through the GINA verification process. If you think you can help update and complete any of these data, please sign up to GINA and edit.
","WHO (2013) Global Nutrition Policy Review. What does it take to scale up nutrition action?
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global nutrition policy review is based on a questionnaire survey conducted during 2009–2010, in which 119 WHO Member States and 4 territories participated.
","","","","","","","","","","","","","","","","","Private sector","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","14116","Iodine","Salt iodization","","Iodine","Iodine","All population groups","","","Commercial","shops","Fortification of Salt was reported during the WHO Global Nutrition Policy Review (GNPR) 2009-2010. Mandatory fortification. Local production. Import.
","","","","Mandatory fortification","","","","","","Iodization of salt>>>Iodization of salt>>http://www.who.int/elena/titles/salt_iodization","","","","","","","","","","","","","","","","","","","","","","","","" "12301","GNPR 2009-2010: Vitamin and mineral nutrition","English","National","","GHA","Ghana","Ghana","","","","","These programmes and actions were reported by countries for the WHO Global Nutrition Policy Review 2009-2010, Module 5 on Vitamin and mineral nutrition. Please note that for simplicity, all interventions in a thematic module have been combined under the same programme for GINA, while they may not be implemented as a package and may have different partners. These data are currently being updated and completed through the GINA verification process. If you think you can help update and complete any of these data, please sign up to GINA and edit.
","WHO (2013) Global Nutrition Policy Review. What does it take to scale up nutrition action?
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global nutrition policy review is based on a questionnaire survey conducted during 2009–2010, in which 119 WHO Member States and 4 territories participated.
","","","","","","","","","","","","","","","","","Private sector","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","14431","","Vitamin A supplementation","","Vitamin A","Vitamin A","Lactating women (LW)","","","Primary health care center","health system","Supplementation with vitamin A was reported to the WHO Global Nutrition Policy Review (GNPR) 2009-2010. Supplementation free to user. Frequency: 2 doses given 24 hours apart, Dose: 400000 IU
","","","","National coverage","","","","","","Vitamin A supplementation in postpartum women>>>Vitamin A supplementation in postpartum women>>http://www.who.int/elena/titles/vitamina_postpartum","","","","","","","","","","","","","","","","","","","","","","","","" "12301","GNPR 2009-2010: Vitamin and mineral nutrition","English","National","","GHA","Ghana","Ghana","","","","","These programmes and actions were reported by countries for the WHO Global Nutrition Policy Review 2009-2010, Module 5 on Vitamin and mineral nutrition. Please note that for simplicity, all interventions in a thematic module have been combined under the same programme for GINA, while they may not be implemented as a package and may have different partners. These data are currently being updated and completed through the GINA verification process. If you think you can help update and complete any of these data, please sign up to GINA and edit.
","WHO (2013) Global Nutrition Policy Review. What does it take to scale up nutrition action?
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global nutrition policy review is based on a questionnaire survey conducted during 2009–2010, in which 119 WHO Member States and 4 territories participated.
","","","","","","","","","","","","","","","","","Private sector","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","14457","","Vitamin A supplementation","","Vitamin A","Vitamin A","Preschool-age children (Pre-SAC)"," 6m-5yrs","","Primary health care center","health system","Supplementation with vitamin A was reported to the WHO Global Nutrition Policy Review (GNPR) 2009-2010. Supplementation free to user. Frequency: Twice yearly, Dose: 6-11 mths 100,000 IU 12-29ths 200,000 IU
","","","","National coverage","","","","","","Vitamin A supplementation in infants and children 6–59 months of age>>>Vitamin A supplementation in infants and children 6–59 months of age>>http://www.who.int/elena/titles/vitamina_children","","","","","","","","","","","","","","","","","","","","","","","","" "12444","GNPR 2009-2010: School-based nutrition","English","National","","GHA","Ghana","Ghana","","","","","These programmes and actions were reported by countries for the WHO Global Nutrition Policy Review 2009-2010, Module 4 on School-based nutrition programmes. Please note that for simplicity, all interventions in a thematic module have been combined under the same programme for GINA, while they may not be implemented as a package and may have different partners. These data are currently being updated and completed through the GINA verification process. If you think you can help update and complete any of these data, please sign up to GINA and edit.
","WHO (2013) Global Nutrition Policy Review. What does it take to scale up nutrition action?
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global nutrition policy review is based on a questionnaire survey conducted during 2009–2010, in which 119 WHO Member States and 4 territories participated.
","","","","","World Food Programme (WFP)","","","","","","","","","","","","","","","","","Government","","Deworming was reported during the WHO Global Nutrition Policy Review (GNPR) 2009-2010.
","","M&E implemented by: GES & GHS","","National coverage","","","","","","Deworming to combat the health and nutritional impact of soil-transmitted helminths>>>Deworming to combat the health and nutritional impact of soil-transmitted helminths>>http://www.who.int/elena/titles/deworming","","","","","","","","","","","","","","","","","","","","","","","","" "12444","GNPR 2009-2010: School-based nutrition","English","National","","GHA","Ghana","Ghana","","","","","These programmes and actions were reported by countries for the WHO Global Nutrition Policy Review 2009-2010, Module 4 on School-based nutrition programmes. Please note that for simplicity, all interventions in a thematic module have been combined under the same programme for GINA, while they may not be implemented as a package and may have different partners. These data are currently being updated and completed through the GINA verification process. If you think you can help update and complete any of these data, please sign up to GINA and edit.
","WHO (2013) Global Nutrition Policy Review. What does it take to scale up nutrition action?
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global nutrition policy review is based on a questionnaire survey conducted during 2009–2010, in which 119 WHO Member States and 4 territories participated.
","","","","","World Food Programme (WFP)","","","","","","","","","","","","","","","","","Government","","Marketing of high-fat, energy dense, and/or micronutrient-poor foods and beverages not allowed on school premises was reported during the WHO Global Nutrition Policy Review (GNPR) 2009-2010.
","","M&E implemented by: GES","","National coverage","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "12444","GNPR 2009-2010: School-based nutrition","English","National","","GHA","Ghana","Ghana","","","","","These programmes and actions were reported by countries for the WHO Global Nutrition Policy Review 2009-2010, Module 4 on School-based nutrition programmes. Please note that for simplicity, all interventions in a thematic module have been combined under the same programme for GINA, while they may not be implemented as a package and may have different partners. These data are currently being updated and completed through the GINA verification process. If you think you can help update and complete any of these data, please sign up to GINA and edit.
","WHO (2013) Global Nutrition Policy Review. What does it take to scale up nutrition action?
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global nutrition policy review is based on a questionnaire survey conducted during 2009–2010, in which 119 WHO Member States and 4 territories participated.
","","","","","World Food Programme (WFP)","","","","","","","","","","","","","","","","","Government","","Hygienic cooking facilities and clean eating environment was reported during the WHO Global Nutrition Policy Review (GNPR) 2009-2010.
","","M&E implemented by: GES","","National coverage","","","","","","Water, sanitation and hygiene interventions to prevent diarrhoea>>>Water, sanitation and hygiene interventions to prevent diarrhoea>>http://www.who.int/elena/titles/wsh_diarrhoea","","","","","","","","","","","","","","","","","","","","","","","","" "12444","GNPR 2009-2010: School-based nutrition","English","National","","GHA","Ghana","Ghana","","","","","These programmes and actions were reported by countries for the WHO Global Nutrition Policy Review 2009-2010, Module 4 on School-based nutrition programmes. Please note that for simplicity, all interventions in a thematic module have been combined under the same programme for GINA, while they may not be implemented as a package and may have different partners. These data are currently being updated and completed through the GINA verification process. If you think you can help update and complete any of these data, please sign up to GINA and edit.
","WHO (2013) Global Nutrition Policy Review. What does it take to scale up nutrition action?
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global nutrition policy review is based on a questionnaire survey conducted during 2009–2010, in which 119 WHO Member States and 4 territories participated.
","","","","","World Food Programme (WFP)","","","","","","","","","","","","","","","","","Government","","Safe drinking-water was reported during the WHO Global Nutrition Policy Review (GNPR) 2009-2010.
","","M&E implemented by: GES","","National coverage","","","","","","Water, sanitation and hygiene interventions to prevent diarrhoea>>>Water, sanitation and hygiene interventions to prevent diarrhoea>>http://www.who.int/elena/titles/wsh_diarrhoea","","","","","","","","","","","","","","","","","","","","","","","","" "12444","GNPR 2009-2010: School-based nutrition","English","National","","GHA","Ghana","Ghana","","","","","These programmes and actions were reported by countries for the WHO Global Nutrition Policy Review 2009-2010, Module 4 on School-based nutrition programmes. Please note that for simplicity, all interventions in a thematic module have been combined under the same programme for GINA, while they may not be implemented as a package and may have different partners. These data are currently being updated and completed through the GINA verification process. If you think you can help update and complete any of these data, please sign up to GINA and edit.
","WHO (2013) Global Nutrition Policy Review. What does it take to scale up nutrition action?
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global nutrition policy review is based on a questionnaire survey conducted during 2009–2010, in which 119 WHO Member States and 4 territories participated.
","","","","","World Food Programme (WFP)","","","","","","","","","","","","","","","","","Government","","Vitamin A supplements distributed was reported during the WHO Global Nutrition Policy Review (GNPR) 2009-2010.
","","M&E implemented by: GHS","","National coverage","","","","","","Vitamin A supplementation in infants and children 6–59 months of age>>>Vitamin A supplementation in infants and children 6–59 months of age>>http://www.who.int/elena/titles/vitamina_children","","","","","","","","","","","","","","","","","","","","","","","","" "12527","GNPR 2009-2010: Obesity and diet-related NCDs","English","Community/sub-national","","GHA","Ghana","Ghana","","","","","These programmes and actions were reported by countries for the WHO Global Nutrition Policy Review 2009-2010, Module 6 on Obesity and diet-related NCDs. Please note that for simplicity, all interventions in a thematic module have been combined under the same programme for GINA, while they may not be implemented as a package and may have different partners. These data are currently being updated and completed through the GINA verification process. If you think you can help update and complete any of these data, please sign up to GINA and edit.
","WHO (2013) Global Nutrition Policy Review. What does it take to scale up nutrition action?
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global nutrition policy review is based on a questionnaire survey conducted during 2009–2010, in which 119 WHO Member States and 4 territories participated.
","","","","","","","","","","","","","","","","","","","","","","Government","","Food-based dietary guidelines (FBDG) was reported during the WHO Global Nutrition Policy Review (GNPR) 2009-2010.
","","M&E implemented by: MOH","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "12853","GNPR 2009-2010: School-based nutrition","English","Community/sub-national","","GHA","Ghana","Ghana","","","","","These programmes and actions were reported by countries for the WHO Global Nutrition Policy Review 2009-2010, Module 4 on School-based nutrition programmes. Please note that for simplicity, all interventions in a thematic module have been combined under the same programme for GINA, while they may not be implemented as a package and may have different partners. These data are currently being updated and completed through the GINA verification process. If you think you can help update and complete any of these data, please sign up to GINA and edit.
","WHO (2013) Global Nutrition Policy Review. What does it take to scale up nutrition action?
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global nutrition policy review is based on a questionnaire survey conducted during 2009–2010, in which 119 WHO Member States and 4 territories participated.
","","","","","World Food Programme (WFP)","","","","","","","","","","","","","","","","","Government","","Take-home rations distributed was reported during the WHO Global Nutrition Policy Review (GNPR) 2009-2010.
","","M&E implemented by: GES","","","","","","","","eLENA titles related to prevention or treatment of moderate acute malnutrition in children>>>Supplementary feeding in community settings for promoting child growth>>http://www.who.int/elena/titles/child_growth|Food supplementation in children with moderate acute malnutrition>>http://www.who.int/elena/titles/food_children_mam","","","","","","","","","","","","","","","","","","","","","","","","" "12853","GNPR 2009-2010: School-based nutrition","English","Community/sub-national","","GHA","Ghana","Ghana","","","","","These programmes and actions were reported by countries for the WHO Global Nutrition Policy Review 2009-2010, Module 4 on School-based nutrition programmes. Please note that for simplicity, all interventions in a thematic module have been combined under the same programme for GINA, while they may not be implemented as a package and may have different partners. These data are currently being updated and completed through the GINA verification process. If you think you can help update and complete any of these data, please sign up to GINA and edit.
","WHO (2013) Global Nutrition Policy Review. What does it take to scale up nutrition action?
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global nutrition policy review is based on a questionnaire survey conducted during 2009–2010, in which 119 WHO Member States and 4 territories participated.
","","","","","World Food Programme (WFP)","","","","","","","","","","","","","","","","","Government","","Referral health system for children who require nutrition interventions was reported during the WHO Global Nutrition Policy Review (GNPR) 2009-2010.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "12912","GNPR 2009-2010: School-based nutrition","English","National","","MUS","Mauritius","Mauritius","","","","","These programmes and actions were reported by countries for the WHO Global Nutrition Policy Review 2009-2010, Module 4 on School-based nutrition programmes. Please note that for simplicity, all interventions in a thematic module have been combined under the same programme for GINA, while they may not be implemented as a package and may have different partners. These data are currently being updated and completed through the GINA verification process. If you think you can help update and complete any of these data, please sign up to GINA and edit.
","WHO (2013) Global Nutrition Policy Review. What does it take to scale up nutrition action?
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global nutrition policy review is based on a questionnaire survey conducted during 2009–2010, in which 119 WHO Member States and 4 territories participated.
","","","","","","","","","","","","","","","","","","","","","","Government","","Monitoring and informing parents on children's growth was reported during the WHO Global Nutrition Policy Review (GNPR) 2009-2010.
","","M&E implemented by: MOH&QL and MOE &HumanResources","","National coverage","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "12912","GNPR 2009-2010: School-based nutrition","English","National","","MUS","Mauritius","Mauritius","","","","","These programmes and actions were reported by countries for the WHO Global Nutrition Policy Review 2009-2010, Module 4 on School-based nutrition programmes. Please note that for simplicity, all interventions in a thematic module have been combined under the same programme for GINA, while they may not be implemented as a package and may have different partners. These data are currently being updated and completed through the GINA verification process. If you think you can help update and complete any of these data, please sign up to GINA and edit.
","WHO (2013) Global Nutrition Policy Review. What does it take to scale up nutrition action?
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global nutrition policy review is based on a questionnaire survey conducted during 2009–2010, in which 119 WHO Member States and 4 territories participated.
","","","","","","","","","","","","","","","","","","","","","","Government","","Marketing of high-fat, energy dense, and/or micronutrient-poor foods and beverages not allowed on school premises was reported during the WHO Global Nutrition Policy Review (GNPR) 2009-2010.
","","","","National coverage","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "12912","GNPR 2009-2010: School-based nutrition","English","National","","MUS","Mauritius","Mauritius","","","","","These programmes and actions were reported by countries for the WHO Global Nutrition Policy Review 2009-2010, Module 4 on School-based nutrition programmes. Please note that for simplicity, all interventions in a thematic module have been combined under the same programme for GINA, while they may not be implemented as a package and may have different partners. These data are currently being updated and completed through the GINA verification process. If you think you can help update and complete any of these data, please sign up to GINA and edit.
","WHO (2013) Global Nutrition Policy Review. What does it take to scale up nutrition action?
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global nutrition policy review is based on a questionnaire survey conducted during 2009–2010, in which 119 WHO Member States and 4 territories participated.
","","","","","","","","","","","","","","","","","","","","","","Government","","Referral health system for children who require nutrition interventions was reported during the WHO Global Nutrition Policy Review (GNPR) 2009-2010.
","","M&E implemented by: MOH&QL","","National coverage","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "12912","GNPR 2009-2010: School-based nutrition","English","National","","MUS","Mauritius","Mauritius","","","","","These programmes and actions were reported by countries for the WHO Global Nutrition Policy Review 2009-2010, Module 4 on School-based nutrition programmes. Please note that for simplicity, all interventions in a thematic module have been combined under the same programme for GINA, while they may not be implemented as a package and may have different partners. These data are currently being updated and completed through the GINA verification process. If you think you can help update and complete any of these data, please sign up to GINA and edit.
","WHO (2013) Global Nutrition Policy Review. What does it take to scale up nutrition action?
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global nutrition policy review is based on a questionnaire survey conducted during 2009–2010, in which 119 WHO Member States and 4 territories participated.
","","","","","","","","","","","","","","","","","","","","","","Government","","Safe drinking-water was reported during the WHO Global Nutrition Policy Review (GNPR) 2009-2010.
","","M&E implemented by: MOH &QL","","National coverage","","","","","","Water, sanitation and hygiene interventions to prevent diarrhoea>>>Water, sanitation and hygiene interventions to prevent diarrhoea>>http://www.who.int/elena/titles/wsh_diarrhoea","","","","","","","","","","","","","","","","","","","","","","","","" "13194","GNPR 2009-2010: Vitamin and mineral nutrition","English","Community/sub-national","","GHA","Ghana","Ghana","","","","","These programmes and actions were reported by countries for the WHO Global Nutrition Policy Review 2009-2010, Module 5 on Vitamin and mineral nutrition. Please note that for simplicity, all interventions in a thematic module have been combined under the same programme for GINA, while they may not be implemented as a package and may have different partners. These data are currently being updated and completed through the GINA verification process. If you think you can help update and complete any of these data, please sign up to GINA and edit.
","WHO (2013) Global Nutrition Policy Review. What does it take to scale up nutrition action?
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global nutrition policy review is based on a questionnaire survey conducted during 2009–2010, in which 119 WHO Member States and 4 territories participated.
","","","","","","","","","","","","","","","","","Private sector","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","13193","Iron and/or folic acid","Iron and folic acid supplementation","","Iron|Folic acid","Iron and folic acid","Pregnant women (PW)","","","","","Supplementation with iron and folic acid was reported to the WHO Global Nutrition Policy Review (GNPR) 2009-2010.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "13216","GNPR 2009-2010: Vitamin and mineral nutrition","English","National","","MUS","Mauritius","Mauritius","","","","","These programmes and actions were reported by countries for the WHO Global Nutrition Policy Review 2009-2010, Module 5 on Vitamin and mineral nutrition. Please note that for simplicity, all interventions in a thematic module have been combined under the same programme for GINA, while they may not be implemented as a package and may have different partners. These data are currently being updated and completed through the GINA verification process. If you think you can help update and complete any of these data, please sign up to GINA and edit.
","WHO (2013) Global Nutrition Policy Review. What does it take to scale up nutrition action?
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global nutrition policy review is based on a questionnaire survey conducted during 2009–2010, in which 119 WHO Member States and 4 territories participated.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","13215","Iron and/or folic acid","Iron and folic acid supplementation","","Iron|Folic acid","Iron and folic acid","Pregnant women (PW)","","","Primary health care center","health system","Supplementation with iron and folic acid was reported to the WHO Global Nutrition Policy Review (GNPR) 2009-2010. Supplementation free to user.
","","","","National coverage","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "13391","GNPR 2009-2010: Obesity and diet-related NCDs","English","National","","GHA","Ghana","Ghana","","","","","These programmes and actions were reported by countries for the WHO Global Nutrition Policy Review 2009-2010, Module 6 on Obesity and diet-related NCDs. Please note that for simplicity, all interventions in a thematic module have been combined under the same programme for GINA, while they may not be implemented as a package and may have different partners. These data are currently being updated and completed through the GINA verification process. If you think you can help update and complete any of these data, please sign up to GINA and edit.
","WHO (2013) Global Nutrition Policy Review. What does it take to scale up nutrition action?
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global nutrition policy review is based on a questionnaire survey conducted during 2009–2010, in which 119 WHO Member States and 4 territories participated.
","","","","","","","","","","","","","","","","","","","","","","Government","","Labelling of foods with nutritional information was reported during the WHO Global Nutrition Policy Review (GNPR) 2009-2010.
","","","","National coverage","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "13391","GNPR 2009-2010: Obesity and diet-related NCDs","English","National","","GHA","Ghana","Ghana","","","","","These programmes and actions were reported by countries for the WHO Global Nutrition Policy Review 2009-2010, Module 6 on Obesity and diet-related NCDs. Please note that for simplicity, all interventions in a thematic module have been combined under the same programme for GINA, while they may not be implemented as a package and may have different partners. These data are currently being updated and completed through the GINA verification process. If you think you can help update and complete any of these data, please sign up to GINA and edit.
","WHO (2013) Global Nutrition Policy Review. What does it take to scale up nutrition action?
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global nutrition policy review is based on a questionnaire survey conducted during 2009–2010, in which 119 WHO Member States and 4 territories participated.
","","","","","","","","","","","","","","","","","","","","","","Government","","Promotion of healthy nutrition through media (e.g.TV, radio, newspapers, posters, websites) was reported during the WHO Global Nutrition Policy Review (GNPR) 2009-2010.
","","","","National coverage","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "13391","GNPR 2009-2010: Obesity and diet-related NCDs","English","National","","GHA","Ghana","Ghana","","","","","These programmes and actions were reported by countries for the WHO Global Nutrition Policy Review 2009-2010, Module 6 on Obesity and diet-related NCDs. Please note that for simplicity, all interventions in a thematic module have been combined under the same programme for GINA, while they may not be implemented as a package and may have different partners. These data are currently being updated and completed through the GINA verification process. If you think you can help update and complete any of these data, please sign up to GINA and edit.
","WHO (2013) Global Nutrition Policy Review. What does it take to scale up nutrition action?
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global nutrition policy review is based on a questionnaire survey conducted during 2009–2010, in which 119 WHO Member States and 4 territories participated.
","","","","","","","","","","","","","","","","","","","","","","Government","","Nutrition counselling in primary health care was reported during the WHO Global Nutrition Policy Review (GNPR) 2009-2010.
","","","","National coverage","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "13391","GNPR 2009-2010: Obesity and diet-related NCDs","English","National","","GHA","Ghana","Ghana","","","","","These programmes and actions were reported by countries for the WHO Global Nutrition Policy Review 2009-2010, Module 6 on Obesity and diet-related NCDs. Please note that for simplicity, all interventions in a thematic module have been combined under the same programme for GINA, while they may not be implemented as a package and may have different partners. These data are currently being updated and completed through the GINA verification process. If you think you can help update and complete any of these data, please sign up to GINA and edit.
","WHO (2013) Global Nutrition Policy Review. What does it take to scale up nutrition action?
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global nutrition policy review is based on a questionnaire survey conducted during 2009–2010, in which 119 WHO Member States and 4 territories participated.
","","","","","","","","","","","","","","","","","","","","","","Government","","Measures to promote fruit and vegetable intakes was reported during the WHO Global Nutrition Policy Review (GNPR) 2009-2010. Regenerative health and nutrition program.
","","","","National coverage","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "13452","GNPR 2009-2010: Obesity and diet-related NCDs","English","National","","MUS","Mauritius","Mauritius","","","","","These programmes and actions were reported by countries for the WHO Global Nutrition Policy Review 2009-2010, Module 6 on Obesity and diet-related NCDs. Please note that for simplicity, all interventions in a thematic module have been combined under the same programme for GINA, while they may not be implemented as a package and may have different partners. These data are currently being updated and completed through the GINA verification process. If you think you can help update and complete any of these data, please sign up to GINA and edit.
","WHO (2013) Global Nutrition Policy Review. What does it take to scale up nutrition action?
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global nutrition policy review is based on a questionnaire survey conducted during 2009–2010, in which 119 WHO Member States and 4 territories participated.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","13451","Overweight and diet-related NCDs","Labelling of food products","","","","All population groups","","","","","Labelling of foods with nutritional information was reported during the WHO Global Nutrition Policy Review (GNPR) 2009-2010. Voluntary measures.
","","","","National coverage","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "14615","GAIN Large-scale Food Fortification Program","English","National","","GHA","Ghana","Ghana","","completed","10-2002","04-2011","","http://www.gainhealth.org/countries
","","","Health","Food and Drugs Board of Ghana","","","","","","","","","","","","","","","","","","International NGOs","Global Alliance for Improved Nutrition (GAIN)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","14614","","Oil fortification","","Vitamin A","","All population groups","","National population","","","Vegetable Oil","","","","","","","","","","Vitamin A fortification of staple foods>>>Vitamin A fortification of staple foods>>http://www.who.int/elena/titles/vitamina_fortification","","","","","","","","","","","","","","","","","","","","","","","","" "14615","GAIN Large-scale Food Fortification Program","English","National","","GHA","Ghana","Ghana","","completed","10-2002","04-2011","","http://www.gainhealth.org/countries
","","","Health","Food and Drugs Board of Ghana","","","","","","","","","","","","","","","","","","International NGOs","Global Alliance for Improved Nutrition (GAIN)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","14616","","Wheat flour fortification","","Iron|Zinc|Vitamin A|B vitamins|Folic acid","","All population groups","","National population","","","Wheat Flour","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "14620","GAIN Nutritious Foods for Mothers and Children","English","National","","GHA","Ghana","Ghana","Urban|Rural|Peri-urban","on-going","01-2010","01-2014","","http://www.gainhealth.org/countries
","","","","","","","Program for Appropriate Technology in Health (PATH)","","","","","","","","","","Private sector","1 national private-sector partner","","","","International NGOs","Global Alliance for Improved Nutrition (GAIN)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","14619","","Complementary food fortification","","Iodine|Iron|Zinc|Vitamin A|Vitamin D|B vitamins|Folic acid","","Infants and young children","Children 6-23 months","Ghana","Commercial","","Fortified Complementary Food (Maisoyforte); Besides iodine, iron, folic acid, zinc and vitamins A, B and D, the lipid-based Nutrient Supplement contains additional micronutrients as per guidelines of the Technical Advisory Group on Home Fortification (http://hftag.gainhealth.org/products/lipid-based-nutrient-supplements-lns) and GAIN Nutritional Guidelines for Complementary Foods and Complementary Food Supplements (http://www.gainhealth.org/sites/www.gainhealth.org/files/GAIN%20IYCN%20g...)
",".
","","","","","","","None","","Complementary feeding>>>Complementary feeding>>http://www.who.int/elena/titles/complementary_feeding","","","","","","","","","","","","","","","","","","","","","","","","English" "23914","Rwanda In-Home Fortification and Nutrition Education","English","Pilot/research","","RWA","Rwanda","","","on-going","","","","Information retrieved from the Home Fortification Technical Advisory Group. http://www.hftag.org/
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","23913","","Multiple micronutrient powder (point-of-use fortification)","","","","Infants and young children","6-23 months","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English" "23946","School Feeding Programme","English","Community/sub-national","","GHA","Ghana","ghana","","","","","","Information retrieved from the Home Fortification Technical Advisory Group. http://www.hftag.org/
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","23945","","Multiple micronutrient powder (point-of-use fortification)","","","","School age children (SAC)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English" "27228","GNPR 2016-2017: Infant and young child nutrition (q10)","English","Other","","GIN","Guinea","Guinea","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to infant and young child nutrition. More actions and programmes reported can be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","Health","Ministère de la santé","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","27229","","Complementary feeding promotion and/or counselling","","","","Infants and young children","","","Community-based|Hospital/clinic","","Components of counselling or education on complementary feeding: timely introduction of complementary foods (i.e. at 6 moths), continued frequent, on-demand breastfeeding until 2 years or beyond, good hygiene and proper food handling practice, variety of food to ensure that nutrient needs are met, appropriate amount and frequency of meals (i.e. increase the number of times and the amount of complementary food as the child gets older), fortified complementary foods or micronutrient supplements, as needed, cooking demonstrations. Counselling or education on complementary feeding occurs during ante-natal care, post-natal check-up.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "27278","GNPR 2016-2017: Infant and young child nutrition (q10)","English","Other","","GHA","Ghana","Ghana","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to infant and young child nutrition. More actions and programmes reported can be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","Health","The Ghana Health Service","","","","","","","","","","","","","","","","DPs e.g. USAID funded projects","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","27279","","Complementary feeding promotion and/or counselling","","","","Infants and young children","","","Community-based|Hospital/clinic","","Components of counselling or education on complementary feeding: timely introduction of complementary foods (i.e. at 6 moths), continued frequent, on-demand breastfeeding until 2 years or beyond, good hygiene and proper food handling practice, variety of food to ensure that nutrient needs are met, appropriate amount and frequency of meals (i.e. increase the number of times and the amount of complementary food as the child gets older), fortified complementary foods or micronutrient supplements, as needed. Counselling or education on complementary feeding occurs during ante-natal care, post-natal check-up, child welfare clinics and also at the community level.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "27662","GNPR 2016-2017: Infant and young child nutrition (q6)","English","Other","","GHA","Ghana","Ghana","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to infant and young child nutrition. More actions and programmes reported can be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","Health","Ghana Health Service","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","27663","","Growth monitoring and promotion","","","","Infants and young children|Preschool-age children (Pre-SAC)","","","","","Components of growth monitoring and promotion: taking measurments, tracking indicators, discussing growth patterns with parents/caregivers, involving parents/caregivers in identifying problems and solutions related to growth faltering, counselling on infant and young child feeding, identifying and following-up on children with growth faltering. Measurements taken: weight.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "27666","GNPR 2016-2017: Infant and young child nutrition (q6)","English","Other","","GIN","Guinea","Guinea","","","01-1990","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to infant and young child nutrition. More actions and programmes reported can be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","Health","Ministère de la santé","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","27667","","Growth monitoring and promotion","","","","Infants and young children|Preschool-age children (Pre-SAC)","","","","","Components of growth monitoring and promotion: tracking indicators, completing growth chart, discussing growth patterns with parents/caregivers, involving parents/caregivers in identifying problems and solutions related to growth faltering, counselling on infant and young child feeding, identifying and following-up on children with growth faltering. Indicators tracked: stunting, wasting, overweight, BMI.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "27856","GNPR 2016-2017: Infant and young child nutrition (q7)","English","Other","","GHA","Ghana","Ghana","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to infant and young child nutrition. More actions and programmes reported can be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","Health","Ministry of Health and the Ghana Health Service","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","27857","","Breastfeeding promotion and/or counselling","","","","Infants and young children|Lactating women (LW)|Pregnant women (PW)","","","Community-based|Hospital/clinic","","Components of breastfeeding promotion and counselling: early initiation of breastfeeding within 1 hour of birth, counselling on exclusive breastfeeding for 6 months, counselling on continued breastfeeding for 2 years or beyond, counselling on attachment and positioning for successful breastfeeding. Counselling occurs during ante-natal care, post-natal check-up, during child welfare clinics.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "27912","GNPR 2016-2017: Infant and young child nutrition (q7)","English","Other","","GIN","Guinea","Guinea","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to infant and young child nutrition. More actions and programmes reported can be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","Health|Nutrition council","Ministère de la santé à travers la division alimentation et nutrition","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","27913","","Breastfeeding promotion and/or counselling","","","","Infants and young children|Lactating women (LW)|Pregnant women (PW)","","","Community-based|Hospital/clinic","","Components of breastfeeding promotion and counselling: early initiation of breastfeeding within 1 hour of birth, counselling on exclusive breastfeeding for 6 months, counselling on continued breastfeeding for 2 years or beyond, counselling on attachment and positioning for successful breastfeeding. Counselling occurs during ante-natal care, post-natal check-up.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "28188","GNPR 2016-2017: Infant and young child nutrition (q8)","English","Other","","GIN","Guinea","Guinea","","","01-2000","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to infant and young child nutrition. More actions and programmes reported can be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
WHO (2017) National Implementation of the Baby-friendly Hospital Initiative https://www.who.int/nutrition/publications/infantfeeding/bfhi-national-i...
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","28189","","Baby-friendly Hospital Initiative (BFHI)","","","","Lactating women (LW)|Newborns (up to 28 days of age)","","","Hospital/clinic","","Health care facilities are re-assessed for designation every 5 years. Criteria included in the designation process: WHO/UNICEF Global BFHI criteria, Community health services (e.g. Baby-friendly Community Initiative). Number of health care facilities that have ever been designated Baby-friendly: 20.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "28196","GNPR 2016-2017: Infant and young child nutrition (q8)","English","Other","","GHA","Ghana","Ghana","","","01-1993","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to infant and young child nutrition. More actions and programmes reported can be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
WHO (2017) National Implementation of the Baby-friendly Hospital Initiative https://www.who.int/nutrition/publications/infantfeeding/bfhi-national-i...
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","28197","","Baby-friendly Hospital Initiative (BFHI)","","","","Lactating women (LW)|Newborns (up to 28 days of age)","","","Hospital/clinic","","Health care facilities are re-assessed for designation every 5 years. Criteria included in the designation process: WHO/UNICEF Global BFHI criteria. Number of health care facilities that have ever been designated Baby-friendly: 549.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "28362","GNPR 2016-2017: Infant and young child nutrition (q9a)","English","Other","","GIN","Guinea","Guinea","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to infant and young child nutrition. More actions and programmes reported can be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","28363","","Feeding of LBW infants","","","","Infants (up to 1 year of age)|Lactating women (LW)|Newborns (up to 28 days of age)","","","","","Components of the guidelines on feeding and care of premature or low-birth-weight infants: establishment of breastfeeding, cup-feeding with mother’s own milk for those who cannot breastfeed,
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "28518","GNPR 2016-2017: Infant and young child nutrition (q9b)","English","Other","","GIN","Guinea","Guinea","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to infant and young child nutrition. More actions and programmes reported can be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","28519","","Infant feeding in the context of HIV","","","","Infants and young children|Pregnant/lactating women with HIV/AIDS","","","","","Components of the guidelines on infant feeding in the context of HIV: counselling on continued breastfeeding for 12 months, counselling on attachment and positioning for successful breastfeeding, replacement feeding, testing for HIV among pregnant women, testing for HIV among new-borns, antiretroviral therapy for the mother, antiretroviral therapy for the infant.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "28540","GNPR 2016-2017: Infant and young child nutrition (q9b)","English","Other","","GHA","Ghana","Ghana","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to infant and young child nutrition. More actions and programmes reported can be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","28541","","Infant feeding in the context of HIV","","","","Infants and young children|Pregnant/lactating women with HIV/AIDS","","","","","Components of the guidelines on infant feeding in the context of HIV: counselling on exclusive breastfeeding for 6 months, counselling on continued breastfeeding for 12 months, counselling on attachment and positioning for successful breastfeeding, replacement feeding, testing for HIV among pregnant women, testing for HIV among new-borns, antiretroviral therapy for the mother, antiretroviral therapy for the infant.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "28937","GNPR 2016-2017: Promotion of healthy diet and prevention of obesity and diet-related NCDs (q12b)","English","Other","","GIN","Guinea","Guinea","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to healthy diets, overweight and diet-related NCDs. More actions and programmes reported can be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","28938","","Nutrient-based dietary guidelines","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "28969","GNPR 2016-2017: Promotion of healthy diet and prevention of obesity and diet-related NCDs (q12b) Dietary and Physical Activity Guidelines for Ghana","English","Other","","GHA","Ghana","Ghana","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to healthy diets, overweight and diet-related NCDs. More actions and programmes reported can be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","28970","","Nutrient-based dietary guidelines","","","","Adolescents|Adult men and women|Elderly|Infants and young children|Lactating women (LW)|Pregnant women (PW)|Preschool-age children (Pre-SAC)|School age children (SAC)","","","","","http://rhnp.gov.gh/admindox/DIETARY%20AND%20PHYSICAL%20ACTIVITY%20GUIDEL...(2)_5Feb10[1][1].pdf
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "29367","GNPR 2016-2017: Promotion of healthy diet and prevention of obesity and diet-related NCDs (q13)","English","Other","","GIN","Guinea","Guinea","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to healthy diets, overweight and diet-related NCDs. More actions and programmes reported can be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","29368","","Nutrition and health claims","","","","","","","","","","","","All population groups","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "29755","GNPR 2016-2017: Promotion of healthy diet and prevention of obesity and diet-related NCDs (q20) Good Life Live it Well (Nutrition and Health)","English","Other","","GHA","Ghana","Ghana","","","01-2016","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to healthy diets, overweight and diet-related NCDs. More actions and programmes reported can be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","Health","Ministry of Health and the Ghana Health Service, Ministry of Health","","","","","","","","","","","","","","","","USAID Funded Project","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","29756","","Media promotion of healthy nutrition","","","","Adolescents|Adult men and women|Lactating women (LW)|Pregnant women (PW)","","","","","Objectives of the media campaign: Raise population awareness on how to consume healthier diets, including how to include more fruits and vegetables in the diet. Nutrients, foods, or beverages addressed by the campaign: Fruits and vegetables. Media campaigns implemented through TV, radio, Internet/social media, print media.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "29757","GNPR 2016-2017: Promotion of healthy diet and prevention of obesity and diet-related NCDs (q20) Campagnes sur la nutrition","English","Other","","GIN","Guinea","Guinea","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to healthy diets, overweight and diet-related NCDs. More actions and programmes reported can be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","World Health Organization (WHO)|United Nations Children's Fund (UNICEF)|Food and Agriculture Organisation (FAO)|World Food Programme (WFP)","unicef oms pam fao","","hki acf tdh","","","","","","","","","","les societes miniere les industrielles de farine et l' huile","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","29758","","Media promotion of healthy nutrition","","","","Adolescents|All population groups|Lactating women (LW)|Pregnant women (PW)|Women of reproductive age (WRA)","","","","","Campagne sur la promotion de l' allaitement maternel et l' alimentation de complement
Campagne de distribution de la vitamine A
Campagne de promotion sur le sel iode
Campagne de la sante mere enfant
Objectives of the media campaign: Raise population awareness on health effects of high intake of fats, sugars and salt/sodium; Raise population awareness on how to consume healthier diets, including how to include more fruits and vegetables in the diet; Raise population awareness on how to use nutrition labels; Raise population awareness on how to interpret nutrition and health claims. Nutrients, foods, or beverages addressed by the campaign: Sugars, Salt/sodium, Fruits and vegetables. Media campaigns implemented through TV, radio, events.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "30035","GNPR 2016-2017: Promotion of healthy diet and prevention of obesity and diet-related NCDs (q21)","English","Other","","GIN","Guinea","Guinea","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to healthy diets, overweight and diet-related NCDs. More actions and programmes reported can be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","30036","","Nutrition education and counselling","","","","Adolescents|All population groups|Lactating women (LW)|Pregnant women (PW)|Women of reproductive age (WRA)","","","","","Nutrition education and counselling is implemented at primary health care, schools, food security programmes. Areas covered include: the health effects of high intake of fats, sugars and salt/sodium; how to consume healthier diets, including how to include more fruits and vegetables in the diet. Approaches used to deliver education and counselling: IEC – information, education, communication (usually informative materials, posters, pamphlets, guidelines, etc.); information transfer (mainly talks/presentations and question-and-answer); behaviour change communication (strong focus on behavioural messages and media campaigns with specific target audiences); participatory (based on dialogue, demonstration, practice, feedback, self-monitoring).
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "30173","GNPR 2016-2017: Promotion of healthy diet and prevention of obesity and diet-related NCDs (q21)","English","Other","","GHA","Ghana","Ghana","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to healthy diets, overweight and diet-related NCDs. More actions and programmes reported can be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","30174","","Nutrition education and counselling","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "31308","GNPR 2016-2017: Vitamin and mineral nutrition (q25)","English","Other","","GHA","Ghana","Ghana","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to vitamin and mineral nutrition. More actions and programmes can be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","31309","","Iron and folic acid supplementation","","Folic acid|Iron","","Pregnant women (PW)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "31310","GNPR 2016-2017: Vitamin and mineral nutrition (q25)","English","Other","","GIN","Guinea","Guinea","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to vitamin and mineral nutrition. More actions and programmes can be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","31311","","Iron and folic acid supplementation","","Folic acid|Iron","","Pregnant women (PW)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "31312","GNPR 2016-2017: Vitamin and mineral nutrition (q25)","English","Other","","GIN","Guinea","Guinea","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to vitamin and mineral nutrition. More actions and programmes can be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","31313","","Iodine supplementation","","Iodine","","Pregnant women (PW)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "31314","GNPR 2016-2017: Vitamin and mineral nutrition (q25)","English","Other","","GIN","Guinea","Guinea","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to vitamin and mineral nutrition. More actions and programmes can be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","31315","","Multiple micronutrients supplementation","","","","Pregnant women (PW)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "31772","GNPR 2016-2017: Vitamin and mineral nutrition (q26)","English","Other","","GIN","Guinea","Guinea","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to vitamin and mineral nutrition. More actions and programmes can be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","31773","","Iron and folic acid supplementation","","Folic acid|Iron","","Women of reproductive age (WRA)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "32042","GNPR 2016-2017: Vitamin and mineral nutrition (q27)","English","Other","","GIN","Guinea","Guinea","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to vitamin and mineral nutrition. More actions and programmes can be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","32043","","Iron supplementation","","Iron","","Preschool-age children (Pre-SAC)|School age children (SAC)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "32044","GNPR 2016-2017: Vitamin and mineral nutrition (q27)","English","Other","","GIN","Guinea","Guinea","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to vitamin and mineral nutrition. More actions and programmes can be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","32045","","Vitamin A supplementation","","Vitamin A","","Preschool-age children (Pre-SAC)|School age children (SAC)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "32046","GNPR 2016-2017: Vitamin and mineral nutrition (q27)","English","Other","","GIN","Guinea","Guinea","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to vitamin and mineral nutrition. More actions and programmes can be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","32047","","Zinc supplementation","","Zinc","","Preschool-age children (Pre-SAC)|School age children (SAC)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "32048","GNPR 2016-2017: Vitamin and mineral nutrition (q27)","English","Other","","GIN","Guinea","Guinea","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to vitamin and mineral nutrition. More actions and programmes can be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","32049","","Iodine supplementation","","Iodine","","Preschool-age children (Pre-SAC)|School age children (SAC)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "32050","GNPR 2016-2017: Vitamin and mineral nutrition (q27)","English","Other","","GIN","Guinea","Guinea","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to vitamin and mineral nutrition. More actions and programmes can be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","32051","","Multiple micronutrients supplementation","","","","Preschool-age children (Pre-SAC)|School age children (SAC)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "32418","GNPR 2016-2017: Vitamin and mineral nutrition (q28)","English","Other","","GHA","Ghana","Ghana","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to vitamin and mineral nutrition. More actions and programmes can be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","32419","","Wheat flour fortification","","B vitamins|Folic acid|Iron|Vitamin A|Zinc","","All population groups","","","","","Mandatory fortification. Wheat flour is fortified with iron, folic acid, zinc, vitamin A, vitamins B1, B2, B6.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "32420","GNPR 2016-2017: Vitamin and mineral nutrition (q28)","English","Other","","GIN","Guinea","Guinea","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to vitamin and mineral nutrition. More actions and programmes can be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","32421","","Wheat flour fortification","","Folic acid|Iron|Vitamin A|Zinc","","All population groups","","","","","Mandatory fortification. Wheat flour is fortified with iron, folic acid, zinc, vitamin A.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "32672","GNPR 2016-2017: Vitamin and mineral nutrition (q31)","English","Other","","GHA","Ghana","Ghana","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to vitamin and mineral nutrition. More actions and programmes can be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","32673","","Oil fortification","","Vitamin A","","All population groups","","","","","Mandatory fortification. Oil/margarine is fortified with vitamin A.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "32674","GNPR 2016-2017: Vitamin and mineral nutrition (q31)","English","Other","","GIN","Guinea","Guinea","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to vitamin and mineral nutrition. More actions and programmes can be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","32675","","Oil fortification","","Vitamin A","","All population groups","","","","","Mandatory fortification. Oil/margarine is fortified with vitamin A.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "33304","GNPR 2016-2017: Prevention and management of acute malnutrition (q38)","English","Other","","GIN","Guinea","Guinea","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to the prevention and treatment of acute malnutrition. More actions and programmes be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","33305","","Management of moderate malnutrition","","","","MAM child|Preschool-age children (Pre-SAC)","","","Community-based|Hospital/clinic","","Components of the MAM programme: breastfeeding promotion and support, nutrition counselling, activities that identify and address the underlying causes of malnutrition, food security interventions, water, sanitation and hygiene intervention, conditional or non-conditional cash transfers, provision of supplementary foods. Recommendations as part of nutrition: increase intake of animal-source foods high in nutrients, increase intake of plant-source foods high in nutrients, modify processing of plant-source foods high in anti-nutrients (e.g. through soaking, germination, malting or fermentation). Supplementary foods provided: Ready-to-Use-Supplementary Foods (RUSFs), fortified blended foods (e.g. Corn-Soy Blend (CSB)). Target groups: children 6-59 months with MAM. MAM is assessed among children 6-59 months using weight-for-height or weight-for-length > -3Z score and < -2 without bilateral pitting oedema, mid-upper arm circumference (MUAC) <125mm and >115 mm without bilateral pitting oedema.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "33402","GNPR 2016-2017: Prevention and management of acute malnutrition (q38)","English","Other","","GHA","Ghana","Ghana","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to the prevention and treatment of acute malnutrition. More actions and programmes be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","33403","","Management of moderate malnutrition","","","","MAM child|Preschool-age children (Pre-SAC)","","","Hospital/clinic","","Components of the MAM programme: nutrition counselling, provision of supplementary foods. Recommendations as part of nutrition: increase intake of animal-source foods high in nutrients, increase intake of plant-source foods high in nutrients. Supplementary foods provided: fortified blended foods (e.g. Corn-Soy Blend (CSB)). Target groups: children 6-59 months with MAM. MAM is assessed among children 6-59 months using mid-upper arm circumference (MUAC) <125mm and >115 mm without bilateral pitting oedema.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "33506","GNPR 2016-2017: Prevention and management of acute malnutrition (q39)","English","Other","","GIN","Guinea","Guinea","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to the prevention and treatment of acute malnutrition. More actions and programmes be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","33507","","Management of severe acute malnutrition","","","","Infants and young children|Preschool-age children (Pre-SAC)|SAM child","","","","","Target groups: children 0-5 months with SAM, children 6-59 months with SAM. SAM is assessed among children 0-5 months by weight-for-length <-3Z score, bilateral pitting oedema. SAM is assessed among children 6-59 months by weight-for-height or weight-for-length <-3Z score, mid-upper arm circumference (MUAC) <115 mm, bilateral pitting oedema, recent weight loss. Components of the SAM programme: inpatient treatment, outpatient treatment. Admission criteria for children 0-5 months with SAM to inpatient care: serious clinical condition or medical complications, recent weight loss or failure to gain weight, ineffective breastfeeding, any bilateral pitting oedema. Admission criteria for children 6-59 months with SAM to inpatient care: medical complications, severe bilateral pitting oedema, poor appetite and/or breastfeeding problems, major illness or death of the caregiver so that their replacement requests that the patient be followed in a hospital setting, or she does not wish to take care of the malnourished child or she is unable to do so, presence of one of the criteria of treatment failure: weight loss during 2 consecutive weighings; weight loss of more than 5% of body weight at any visit; stagnant weight during 3 consecutive weighings; weighing less than 3 kg even if more than 6 months. Discharge criteria: regained appetite and/or breastfeeding effectively, weight-for-height or weight-for-length ≥ –1.5 Z-score, MUAC ≥ 125 mm, no bilateral pitting oedema for at least 2 weeks, weight gain > 15%.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "33512","GNPR 2016-2017: Prevention and management of acute malnutrition (q39)","English","Other","","GHA","Ghana","Ghana","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to the prevention and treatment of acute malnutrition. More actions and programmes be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","33513","","Management of severe acute malnutrition","","","","Infants and young children|Preschool-age children (Pre-SAC)|SAM child","","","","","Target groups: children 0-5 months with SAM, children 6-59 months with SAM. SAM is assessed among children 0-5 months by weight-for-length <-3Z score, bilateral pitting oedema. SAM is assessed among children 6-59 months by weight-for-height or weight-for-length <-3Z score, mid-upper arm circumference (MUAC) <115 mm, bilateral pitting oedema. Components of the SAM programme: inpatient treatment, outpatient treatment. Admission criteria for children 0-5 months with SAM to inpatient care: serious clinical condition or medical complications, any bilateral pitting oedema, visible wasting. Admission criteria for children 6-59 months with SAM to inpatient care: medical complications, severe bilateral pitting oedema, poor appetite and/or breastfeeding problems. Discharge criteria: regained appetite and/or breastfeeding effectively, weight-for-height or weight-for-length ≥ –2 Z-score, MUAC ≥ 125 mm, no bilateral pitting oedema for at least 2 weeks, clinically well and alert.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "33656","GNPR 2016-2017: Nutrition and infectious disease (q40)","English","Other","","GIN","Guinea","Guinea","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to nutrition and infectious disease. More actions and programmes reported can be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","DAN ET LE PROGRAMME VIH","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","33657","","Counselling on nutritional support&care for people living with HIV","","","","HIV cases","","","Community-based|Hospital/clinic","","Components of the nutritional care and support for people living with HIV: nutrition assessment, nutrition advice and counselling, food or nutrition support. Advices are provided on healthy diets for prevention of undernutrition, healthy diets for prevention of obesity and diet-related NCD. Nutrition support includes: micronutrient supplementation, fortified food supplements.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "33670","GNPR 2016-2017: Nutrition and infectious disease (q40)","English","Other","","GHA","Ghana","Ghana","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to nutrition and infectious disease. More actions and programmes reported can be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","33671","","Counselling on nutritional support&care for people living with HIV","","","","HIV cases","","","Hospital/clinic","","Components of the nutritional care and support for people living with HIV: nutrition assessment, nutrition advice and counselling, food or nutrition support. Advices are provided on healthy diets for prevention of undernutrition. Nutrition support includes: fortified food supplements, RUTF.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "33860","GNPR 2016-2017: Nutrition and infectious disease (q41)","English","Other","","GHA","Ghana","Ghana","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to nutrition and infectious disease. More actions and programmes reported can be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","Health","Ministry of Health and Ghana Health Service","","","","Global Fund","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","33861","","Counselling on nutritional support & care for people living with TB","","","","TB cases","","","Hospital/clinic","","Components of the nutritional care and support for people with active tuberculosis: nutrition assessment, nutrition advice and counselling, food or nutrition support. Advices are provided on healthy diets for prevention of undernutrition. Nutrition support includes: fortified food supplements.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "33870","GNPR 2016-2017: Nutrition and infectious disease (q41)","English","Other","","GIN","Guinea","Guinea","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to nutrition and infectious disease. More actions and programmes reported can be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","33871","","Counselling on nutritional support & care for people living with TB","","","","TB cases","","","Community-based|Hospital/clinic","","Components of the nutritional care and support for people with active tuberculosis: nutrition assessment, nutrition advice and counselling. Advices are provided on healthy diets for prevention of undernutrition, healthy diets for prevention of obesity and diet-related NCD.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "33902","GNPR 2016-2017: Nutrition and infectious disease (q42)","English","Other","","GHA","Ghana","Ghana","","","01-2007","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to nutrition and infectious disease. More actions and programmes reported can be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","Health|Education and research","Ghana Education Service and Ghana Health Service","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","33903","","Deworming","","","","Pregnant women (PW)|School age children (SAC)","","","Community-based|Kindergarten/school","","Components of deworming campaigns include: anthelminthic, education on health and hygiene, provision of adequate sanitation.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "33972","GNPR 2016-2017: Nutrition and infectious disease (q42)","English","Other","","GIN","Guinea","Guinea","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to nutrition and infectious disease. More actions and programmes reported can be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","33973","","Deworming","","","","","","","","","Components of deworming campaigns include: anthelminthic.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "35331","GNPR 2016-2017: School health and nutrition (q11) School Health Policy","English","Other","","GHA","Ghana","Ghana","","","01-2012","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to school health and nutrition programmes. Programme objectives: reduce or prevent child undernutrition (stunting, wasting, micronutrient deficiencies); reduce or prevent childhood overweight or obesity; foster healthy diet and lifestyle habits; educate children and improve knowledge about healthy diet and lifestyle habits; improve children’s skills (e.g. cooking, food hygiene); improve school enrolment; improve school attendance; improve academic performance; reduce food insecurity and hunger. Components of the school health and nutrition programme include: training of school staff on nutrition; hygienic cooking facilities and clean eating environment in schools; provision of school meals/school feeding programme; micronutrient supplementation; deworming; nutrition education included in school curriculum; extracurricular nutrition education; physical education in school curriculum; monitoring of children's growth; safe drinking water available free of charge; adequate sanitation and hygiene facilities in schools. http://hgsf-global.org/component/docman/doc_details/377-menu-planning-fo...
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","Education and research","Ministry of Education and Ghana Education Service","United Nations Children's Fund (UNICEF)","UNICEF","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","35332","","Deworming","","","","School age children (SAC)","","","Kindergarten/school","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "35331","GNPR 2016-2017: School health and nutrition (q11) School Health Policy","English","Other","","GHA","Ghana","Ghana","","","01-2012","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to school health and nutrition programmes. Programme objectives: reduce or prevent child undernutrition (stunting, wasting, micronutrient deficiencies); reduce or prevent childhood overweight or obesity; foster healthy diet and lifestyle habits; educate children and improve knowledge about healthy diet and lifestyle habits; improve children’s skills (e.g. cooking, food hygiene); improve school enrolment; improve school attendance; improve academic performance; reduce food insecurity and hunger. Components of the school health and nutrition programme include: training of school staff on nutrition; hygienic cooking facilities and clean eating environment in schools; provision of school meals/school feeding programme; micronutrient supplementation; deworming; nutrition education included in school curriculum; extracurricular nutrition education; physical education in school curriculum; monitoring of children's growth; safe drinking water available free of charge; adequate sanitation and hygiene facilities in schools. http://hgsf-global.org/component/docman/doc_details/377-menu-planning-fo...
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","Education and research","Ministry of Education and Ghana Education Service","United Nations Children's Fund (UNICEF)","UNICEF","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","35333","","Extracurricular nutrition education","","","","School age children (SAC)","","","Kindergarten/school","","The School Health Education Programme (SHEP) is set up to conduct extracurricular activities in schools including nutrition education
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "35331","GNPR 2016-2017: School health and nutrition (q11) School Health Policy","English","Other","","GHA","Ghana","Ghana","","","01-2012","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to school health and nutrition programmes. Programme objectives: reduce or prevent child undernutrition (stunting, wasting, micronutrient deficiencies); reduce or prevent childhood overweight or obesity; foster healthy diet and lifestyle habits; educate children and improve knowledge about healthy diet and lifestyle habits; improve children’s skills (e.g. cooking, food hygiene); improve school enrolment; improve school attendance; improve academic performance; reduce food insecurity and hunger. Components of the school health and nutrition programme include: training of school staff on nutrition; hygienic cooking facilities and clean eating environment in schools; provision of school meals/school feeding programme; micronutrient supplementation; deworming; nutrition education included in school curriculum; extracurricular nutrition education; physical education in school curriculum; monitoring of children's growth; safe drinking water available free of charge; adequate sanitation and hygiene facilities in schools. http://hgsf-global.org/component/docman/doc_details/377-menu-planning-fo...
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","Education and research","Ministry of Education and Ghana Education Service","United Nations Children's Fund (UNICEF)","UNICEF","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","35334","","Micronutrient supplementation in schools","","","","School age children (SAC)","","","Kindergarten/school","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "35331","GNPR 2016-2017: School health and nutrition (q11) School Health Policy","English","Other","","GHA","Ghana","Ghana","","","01-2012","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to school health and nutrition programmes. Programme objectives: reduce or prevent child undernutrition (stunting, wasting, micronutrient deficiencies); reduce or prevent childhood overweight or obesity; foster healthy diet and lifestyle habits; educate children and improve knowledge about healthy diet and lifestyle habits; improve children’s skills (e.g. cooking, food hygiene); improve school enrolment; improve school attendance; improve academic performance; reduce food insecurity and hunger. Components of the school health and nutrition programme include: training of school staff on nutrition; hygienic cooking facilities and clean eating environment in schools; provision of school meals/school feeding programme; micronutrient supplementation; deworming; nutrition education included in school curriculum; extracurricular nutrition education; physical education in school curriculum; monitoring of children's growth; safe drinking water available free of charge; adequate sanitation and hygiene facilities in schools. http://hgsf-global.org/component/docman/doc_details/377-menu-planning-fo...
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","Education and research","Ministry of Education and Ghana Education Service","United Nations Children's Fund (UNICEF)","UNICEF","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","35335","","Monitoring children's growth in schools","","","","School age children (SAC)","","","Kindergarten/school","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "35331","GNPR 2016-2017: School health and nutrition (q11) School Health Policy","English","Other","","GHA","Ghana","Ghana","","","01-2012","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to school health and nutrition programmes. Programme objectives: reduce or prevent child undernutrition (stunting, wasting, micronutrient deficiencies); reduce or prevent childhood overweight or obesity; foster healthy diet and lifestyle habits; educate children and improve knowledge about healthy diet and lifestyle habits; improve children’s skills (e.g. cooking, food hygiene); improve school enrolment; improve school attendance; improve academic performance; reduce food insecurity and hunger. Components of the school health and nutrition programme include: training of school staff on nutrition; hygienic cooking facilities and clean eating environment in schools; provision of school meals/school feeding programme; micronutrient supplementation; deworming; nutrition education included in school curriculum; extracurricular nutrition education; physical education in school curriculum; monitoring of children's growth; safe drinking water available free of charge; adequate sanitation and hygiene facilities in schools. http://hgsf-global.org/component/docman/doc_details/377-menu-planning-fo...
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","Education and research","Ministry of Education and Ghana Education Service","United Nations Children's Fund (UNICEF)","UNICEF","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","35336","","Nutrition education included in school curriculum","","","","School age children (SAC)","","","Kindergarten/school","","Nutrition education curriculum includes: lessons on healthy diet to prevent undernutrition; lessons on healthy diet to prevent overweight and obesity; lessons on the links between nutrition and health. Mandatory in all preschools covered by this programme. Mandatory in all primary schools covered by this programme. Mandatory in all secondary schools covered by this programme.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "35331","GNPR 2016-2017: School health and nutrition (q11) School Health Policy","English","Other","","GHA","Ghana","Ghana","","","01-2012","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to school health and nutrition programmes. Programme objectives: reduce or prevent child undernutrition (stunting, wasting, micronutrient deficiencies); reduce or prevent childhood overweight or obesity; foster healthy diet and lifestyle habits; educate children and improve knowledge about healthy diet and lifestyle habits; improve children’s skills (e.g. cooking, food hygiene); improve school enrolment; improve school attendance; improve academic performance; reduce food insecurity and hunger. Components of the school health and nutrition programme include: training of school staff on nutrition; hygienic cooking facilities and clean eating environment in schools; provision of school meals/school feeding programme; micronutrient supplementation; deworming; nutrition education included in school curriculum; extracurricular nutrition education; physical education in school curriculum; monitoring of children's growth; safe drinking water available free of charge; adequate sanitation and hygiene facilities in schools. http://hgsf-global.org/component/docman/doc_details/377-menu-planning-fo...
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","Education and research","Ministry of Education and Ghana Education Service","United Nations Children's Fund (UNICEF)","UNICEF","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","35337","","School feeding programmes","","","","School age children (SAC)","","","Kindergarten/school","","All children in the targeted schools are eligible to receive school meals or participate in the school feeding programme. School meals are free for all children. Menus are decided to provide 30% of RDA. At the local or municipal level, menus are decided by a nutritionist. Fruits and vegetables are part of the menu. Food is procured domestically, locally.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","The school meals planner and handy measures developed to help in quantifying food ingredients to meet the nutrient recommendations
","","" "35338","GNPR 2016-2017: School health and nutrition (q11) Programme de nutrition scolaire","English","Other","","GIN","Guinea","Guinea","","","01-2013","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to school health and nutrition programmes. Programme objectives: reduce or prevent child undernutrition (stunting, wasting, micronutrient deficiencies); reduce or prevent childhood overweight or obesity; educate children and improve knowledge about healthy diet and lifestyle habits; improve children’s skills (e.g. cooking, food hygiene); improve school enrolment; improve school attendance; improve academic performance; tackle health inequalities; reduce food insecurity and hunger; support the agriculture sector by creating farm to school linkages (e.g. cereals, milk, fruit and vegetables supply). Components of the school health and nutrition programme include: training of school staff on nutrition; standards or rules for foods and beverages available in schools; ban on vending machines in schools; provision of school meals/school feeding programme; school fruit and vegetable scheme; school milk scheme; take-home rations distributed through schools; micronutrient supplementation; deworming; nutrition education included in school curriculum; extracurricular nutrition education; monitoring of children's growth; safe drinking water available free of charge; adequate sanitation and hygiene facilities in schools; school gardens.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","Health","SERVICE NATIONALE DE LA SANTE SCOLAIRE","United Nations Children's Fund (UNICEF)|World Food Programme (WFP)","PAM ET L' UNICEF","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","35339","","Deworming","","","","School age children (SAC)","","","Kindergarten/school","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "35338","GNPR 2016-2017: School health and nutrition (q11) Programme de nutrition scolaire","English","Other","","GIN","Guinea","Guinea","","","01-2013","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to school health and nutrition programmes. Programme objectives: reduce or prevent child undernutrition (stunting, wasting, micronutrient deficiencies); reduce or prevent childhood overweight or obesity; educate children and improve knowledge about healthy diet and lifestyle habits; improve children’s skills (e.g. cooking, food hygiene); improve school enrolment; improve school attendance; improve academic performance; tackle health inequalities; reduce food insecurity and hunger; support the agriculture sector by creating farm to school linkages (e.g. cereals, milk, fruit and vegetables supply). Components of the school health and nutrition programme include: training of school staff on nutrition; standards or rules for foods and beverages available in schools; ban on vending machines in schools; provision of school meals/school feeding programme; school fruit and vegetable scheme; school milk scheme; take-home rations distributed through schools; micronutrient supplementation; deworming; nutrition education included in school curriculum; extracurricular nutrition education; monitoring of children's growth; safe drinking water available free of charge; adequate sanitation and hygiene facilities in schools; school gardens.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","Health","SERVICE NATIONALE DE LA SANTE SCOLAIRE","United Nations Children's Fund (UNICEF)|World Food Programme (WFP)","PAM ET L' UNICEF","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","35340","","Extracurricular nutrition education","","","","School age children (SAC)","","","Kindergarten/school","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "35338","GNPR 2016-2017: School health and nutrition (q11) Programme de nutrition scolaire","English","Other","","GIN","Guinea","Guinea","","","01-2013","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to school health and nutrition programmes. Programme objectives: reduce or prevent child undernutrition (stunting, wasting, micronutrient deficiencies); reduce or prevent childhood overweight or obesity; educate children and improve knowledge about healthy diet and lifestyle habits; improve children’s skills (e.g. cooking, food hygiene); improve school enrolment; improve school attendance; improve academic performance; tackle health inequalities; reduce food insecurity and hunger; support the agriculture sector by creating farm to school linkages (e.g. cereals, milk, fruit and vegetables supply). Components of the school health and nutrition programme include: training of school staff on nutrition; standards or rules for foods and beverages available in schools; ban on vending machines in schools; provision of school meals/school feeding programme; school fruit and vegetable scheme; school milk scheme; take-home rations distributed through schools; micronutrient supplementation; deworming; nutrition education included in school curriculum; extracurricular nutrition education; monitoring of children's growth; safe drinking water available free of charge; adequate sanitation and hygiene facilities in schools; school gardens.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","Health","SERVICE NATIONALE DE LA SANTE SCOLAIRE","United Nations Children's Fund (UNICEF)|World Food Programme (WFP)","PAM ET L' UNICEF","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","35341","","Food distribution/supplementation for prevention of acute malnutrition","","","","School age children (SAC)","LES FILLES ADOLESCENTES SEULEMENT","","Kindergarten/school","","Take-home rations distributed through schools
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "35338","GNPR 2016-2017: School health and nutrition (q11) Programme de nutrition scolaire","English","Other","","GIN","Guinea","Guinea","","","01-2013","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to school health and nutrition programmes. Programme objectives: reduce or prevent child undernutrition (stunting, wasting, micronutrient deficiencies); reduce or prevent childhood overweight or obesity; educate children and improve knowledge about healthy diet and lifestyle habits; improve children’s skills (e.g. cooking, food hygiene); improve school enrolment; improve school attendance; improve academic performance; tackle health inequalities; reduce food insecurity and hunger; support the agriculture sector by creating farm to school linkages (e.g. cereals, milk, fruit and vegetables supply). Components of the school health and nutrition programme include: training of school staff on nutrition; standards or rules for foods and beverages available in schools; ban on vending machines in schools; provision of school meals/school feeding programme; school fruit and vegetable scheme; school milk scheme; take-home rations distributed through schools; micronutrient supplementation; deworming; nutrition education included in school curriculum; extracurricular nutrition education; monitoring of children's growth; safe drinking water available free of charge; adequate sanitation and hygiene facilities in schools; school gardens.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","Health","SERVICE NATIONALE DE LA SANTE SCOLAIRE","United Nations Children's Fund (UNICEF)|World Food Programme (WFP)","PAM ET L' UNICEF","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","35342","","Home, school or community gardening","","","","School age children (SAC)","","","Kindergarten/school","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "35338","GNPR 2016-2017: School health and nutrition (q11) Programme de nutrition scolaire","English","Other","","GIN","Guinea","Guinea","","","01-2013","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to school health and nutrition programmes. Programme objectives: reduce or prevent child undernutrition (stunting, wasting, micronutrient deficiencies); reduce or prevent childhood overweight or obesity; educate children and improve knowledge about healthy diet and lifestyle habits; improve children’s skills (e.g. cooking, food hygiene); improve school enrolment; improve school attendance; improve academic performance; tackle health inequalities; reduce food insecurity and hunger; support the agriculture sector by creating farm to school linkages (e.g. cereals, milk, fruit and vegetables supply). Components of the school health and nutrition programme include: training of school staff on nutrition; standards or rules for foods and beverages available in schools; ban on vending machines in schools; provision of school meals/school feeding programme; school fruit and vegetable scheme; school milk scheme; take-home rations distributed through schools; micronutrient supplementation; deworming; nutrition education included in school curriculum; extracurricular nutrition education; monitoring of children's growth; safe drinking water available free of charge; adequate sanitation and hygiene facilities in schools; school gardens.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","Health","SERVICE NATIONALE DE LA SANTE SCOLAIRE","United Nations Children's Fund (UNICEF)|World Food Programme (WFP)","PAM ET L' UNICEF","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","35343","","Micronutrient supplementation in schools","","","","School age children (SAC)","","","Kindergarten/school","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "35338","GNPR 2016-2017: School health and nutrition (q11) Programme de nutrition scolaire","English","Other","","GIN","Guinea","Guinea","","","01-2013","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to school health and nutrition programmes. Programme objectives: reduce or prevent child undernutrition (stunting, wasting, micronutrient deficiencies); reduce or prevent childhood overweight or obesity; educate children and improve knowledge about healthy diet and lifestyle habits; improve children’s skills (e.g. cooking, food hygiene); improve school enrolment; improve school attendance; improve academic performance; tackle health inequalities; reduce food insecurity and hunger; support the agriculture sector by creating farm to school linkages (e.g. cereals, milk, fruit and vegetables supply). Components of the school health and nutrition programme include: training of school staff on nutrition; standards or rules for foods and beverages available in schools; ban on vending machines in schools; provision of school meals/school feeding programme; school fruit and vegetable scheme; school milk scheme; take-home rations distributed through schools; micronutrient supplementation; deworming; nutrition education included in school curriculum; extracurricular nutrition education; monitoring of children's growth; safe drinking water available free of charge; adequate sanitation and hygiene facilities in schools; school gardens.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","Health","SERVICE NATIONALE DE LA SANTE SCOLAIRE","United Nations Children's Fund (UNICEF)|World Food Programme (WFP)","PAM ET L' UNICEF","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","35344","","Monitoring children's growth in schools","","","","School age children (SAC)","","","Kindergarten/school","","Indicators tracked: underweight, overweight, BMI. No protocol exists for monitoring children's growth in school. The growth monitoring programme does not include referral to health services.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "35338","GNPR 2016-2017: School health and nutrition (q11) Programme de nutrition scolaire","English","Other","","GIN","Guinea","Guinea","","","01-2013","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to school health and nutrition programmes. Programme objectives: reduce or prevent child undernutrition (stunting, wasting, micronutrient deficiencies); reduce or prevent childhood overweight or obesity; educate children and improve knowledge about healthy diet and lifestyle habits; improve children’s skills (e.g. cooking, food hygiene); improve school enrolment; improve school attendance; improve academic performance; tackle health inequalities; reduce food insecurity and hunger; support the agriculture sector by creating farm to school linkages (e.g. cereals, milk, fruit and vegetables supply). Components of the school health and nutrition programme include: training of school staff on nutrition; standards or rules for foods and beverages available in schools; ban on vending machines in schools; provision of school meals/school feeding programme; school fruit and vegetable scheme; school milk scheme; take-home rations distributed through schools; micronutrient supplementation; deworming; nutrition education included in school curriculum; extracurricular nutrition education; monitoring of children's growth; safe drinking water available free of charge; adequate sanitation and hygiene facilities in schools; school gardens.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","Health","SERVICE NATIONALE DE LA SANTE SCOLAIRE","United Nations Children's Fund (UNICEF)|World Food Programme (WFP)","PAM ET L' UNICEF","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","35345","","Nutrition education included in school curriculum","","","","School age children (SAC)","","","Kindergarten/school","","Nutrition education curriculum includes: lessons on healthy diet to prevent undernutrition; lessons on healthy diet to prevent overweight and obesity; lessons on breastfeeding; lessons on the links between nutrition and health; hands-on cooking skills; hands-on gardening skills. Voluntary for all preschools covered by this programme. Voluntary for all primary schools covered by this programme. Voluntary for all secondary schools covered by this programme.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "35338","GNPR 2016-2017: School health and nutrition (q11) Programme de nutrition scolaire","English","Other","","GIN","Guinea","Guinea","","","01-2013","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to school health and nutrition programmes. Programme objectives: reduce or prevent child undernutrition (stunting, wasting, micronutrient deficiencies); reduce or prevent childhood overweight or obesity; educate children and improve knowledge about healthy diet and lifestyle habits; improve children’s skills (e.g. cooking, food hygiene); improve school enrolment; improve school attendance; improve academic performance; tackle health inequalities; reduce food insecurity and hunger; support the agriculture sector by creating farm to school linkages (e.g. cereals, milk, fruit and vegetables supply). Components of the school health and nutrition programme include: training of school staff on nutrition; standards or rules for foods and beverages available in schools; ban on vending machines in schools; provision of school meals/school feeding programme; school fruit and vegetable scheme; school milk scheme; take-home rations distributed through schools; micronutrient supplementation; deworming; nutrition education included in school curriculum; extracurricular nutrition education; monitoring of children's growth; safe drinking water available free of charge; adequate sanitation and hygiene facilities in schools; school gardens.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","Health","SERVICE NATIONALE DE LA SANTE SCOLAIRE","United Nations Children's Fund (UNICEF)|World Food Programme (WFP)","PAM ET L' UNICEF","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","35346","","School feeding programmes","","","","School age children (SAC)","","","Kindergarten/school","","All children in the targeted schools are eligible to receive school meals or participate in the school feeding programme. School meals are subsidised for all children. Menus are decided according to minimum levels of specific nutrients (e.g. certain vitamins and minerals), following national food-based dietary guidelines. At the regional or national level, menus are decided by a nutritionist. Food is procured internationally, domestically, locally.
","","","","","MOINS DE 30 POURCENT","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "35338","GNPR 2016-2017: School health and nutrition (q11) Programme de nutrition scolaire","English","Other","","GIN","Guinea","Guinea","","","01-2013","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to school health and nutrition programmes. Programme objectives: reduce or prevent child undernutrition (stunting, wasting, micronutrient deficiencies); reduce or prevent childhood overweight or obesity; educate children and improve knowledge about healthy diet and lifestyle habits; improve children’s skills (e.g. cooking, food hygiene); improve school enrolment; improve school attendance; improve academic performance; tackle health inequalities; reduce food insecurity and hunger; support the agriculture sector by creating farm to school linkages (e.g. cereals, milk, fruit and vegetables supply). Components of the school health and nutrition programme include: training of school staff on nutrition; standards or rules for foods and beverages available in schools; ban on vending machines in schools; provision of school meals/school feeding programme; school fruit and vegetable scheme; school milk scheme; take-home rations distributed through schools; micronutrient supplementation; deworming; nutrition education included in school curriculum; extracurricular nutrition education; monitoring of children's growth; safe drinking water available free of charge; adequate sanitation and hygiene facilities in schools; school gardens.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","Health","SERVICE NATIONALE DE LA SANTE SCOLAIRE","United Nations Children's Fund (UNICEF)|World Food Programme (WFP)","PAM ET L' UNICEF","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","35347","","School fruit and vegetable scheme","","","","School age children (SAC)","","","Kindergarten/school","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "35338","GNPR 2016-2017: School health and nutrition (q11) Programme de nutrition scolaire","English","Other","","GIN","Guinea","Guinea","","","01-2013","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to school health and nutrition programmes. Programme objectives: reduce or prevent child undernutrition (stunting, wasting, micronutrient deficiencies); reduce or prevent childhood overweight or obesity; educate children and improve knowledge about healthy diet and lifestyle habits; improve children’s skills (e.g. cooking, food hygiene); improve school enrolment; improve school attendance; improve academic performance; tackle health inequalities; reduce food insecurity and hunger; support the agriculture sector by creating farm to school linkages (e.g. cereals, milk, fruit and vegetables supply). Components of the school health and nutrition programme include: training of school staff on nutrition; standards or rules for foods and beverages available in schools; ban on vending machines in schools; provision of school meals/school feeding programme; school fruit and vegetable scheme; school milk scheme; take-home rations distributed through schools; micronutrient supplementation; deworming; nutrition education included in school curriculum; extracurricular nutrition education; monitoring of children's growth; safe drinking water available free of charge; adequate sanitation and hygiene facilities in schools; school gardens.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","Health","SERVICE NATIONALE DE LA SANTE SCOLAIRE","United Nations Children's Fund (UNICEF)|World Food Programme (WFP)","PAM ET L' UNICEF","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","35348","","School milk scheme","","","","School age children (SAC)","","","Kindergarten/school","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "35338","GNPR 2016-2017: School health and nutrition (q11) Programme de nutrition scolaire","English","Other","","GIN","Guinea","Guinea","","","01-2013","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to school health and nutrition programmes. Programme objectives: reduce or prevent child undernutrition (stunting, wasting, micronutrient deficiencies); reduce or prevent childhood overweight or obesity; educate children and improve knowledge about healthy diet and lifestyle habits; improve children’s skills (e.g. cooking, food hygiene); improve school enrolment; improve school attendance; improve academic performance; tackle health inequalities; reduce food insecurity and hunger; support the agriculture sector by creating farm to school linkages (e.g. cereals, milk, fruit and vegetables supply). Components of the school health and nutrition programme include: training of school staff on nutrition; standards or rules for foods and beverages available in schools; ban on vending machines in schools; provision of school meals/school feeding programme; school fruit and vegetable scheme; school milk scheme; take-home rations distributed through schools; micronutrient supplementation; deworming; nutrition education included in school curriculum; extracurricular nutrition education; monitoring of children's growth; safe drinking water available free of charge; adequate sanitation and hygiene facilities in schools; school gardens.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","Health","SERVICE NATIONALE DE LA SANTE SCOLAIRE","United Nations Children's Fund (UNICEF)|World Food Programme (WFP)","PAM ET L' UNICEF","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","35349","","Standards or rules for foods and beverages available in schools","","","","School age children (SAC)","","","Kindergarten/school","","Standards or rules apply to: Packed lunches and other foods or beverages brought from home, all foods and beverages being sold in school shops/stores including tuck shops and in vending machines, foods and beverages available at school events (e.g. sports days), foods and beverages being sold in immediate vicinity of schools. Criteria to determine which foods are prohibited, limited or encouraged are based on specific foods and beverages, nutrient content, portion size. Apres l' epidemie a virus ebola , les aliments vendus etaient interdits dans l' ecole.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "35338","GNPR 2016-2017: School health and nutrition (q11) Programme de nutrition scolaire","English","Other","","GIN","Guinea","Guinea","","","01-2013","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to school health and nutrition programmes. Programme objectives: reduce or prevent child undernutrition (stunting, wasting, micronutrient deficiencies); reduce or prevent childhood overweight or obesity; educate children and improve knowledge about healthy diet and lifestyle habits; improve children’s skills (e.g. cooking, food hygiene); improve school enrolment; improve school attendance; improve academic performance; tackle health inequalities; reduce food insecurity and hunger; support the agriculture sector by creating farm to school linkages (e.g. cereals, milk, fruit and vegetables supply). Components of the school health and nutrition programme include: training of school staff on nutrition; standards or rules for foods and beverages available in schools; ban on vending machines in schools; provision of school meals/school feeding programme; school fruit and vegetable scheme; school milk scheme; take-home rations distributed through schools; micronutrient supplementation; deworming; nutrition education included in school curriculum; extracurricular nutrition education; monitoring of children's growth; safe drinking water available free of charge; adequate sanitation and hygiene facilities in schools; school gardens.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","Health","SERVICE NATIONALE DE LA SANTE SCOLAIRE","United Nations Children's Fund (UNICEF)|World Food Programme (WFP)","PAM ET L' UNICEF","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","35350","","Vending machines not allowed in schools","","","","School age children (SAC)","","","Kindergarten/school","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "14618","GAIN Universal Salt Iodization","English","National","","GHA","Ghana","Ghana","","on-going","04-2008","03-2015","","http://www.gainhealth.org/countries
","","","","","United Nations Children's Fund (UNICEF)","","Global Alliance for Improved Nutrition (GAIN)","","","","","","","","","","","","","","","International NGOs","Global Alliance for Improved Nutrition (GAIN)","Salt
","","","","","","","","","","Iodization of salt>>>Iodization of salt>>http://www.who.int/elena/titles/salt_iodization","","","","","","","","","","","","","","","","","","","","","","","","" "11445","Iodin deficiency disorders control programme","English","National","","GHA","Ghana","Accra, Greater Accra, Ghana|Kumasi, Ashanti, Ghana|Takoradi, Western, Ghana|Sunyani, Brong Ahafo, Ghana|Cape Coast, Central, Ghana|Wa, Ghana|Tamale, Ghana|Bolgatanga, Ghana|Koforidua, Eastern, Ghana|Ho, Volta, Ghana","Urban|Rural|Peri-urban","on-going","01-1996","","The programme focuses on the promotion of iodised salt consumption to elimate IDDs which are highly prevalent in Ghana. This done through sensitization of the public, training of salt producers and law enforcement agencies.
","Total goitre rates, household iodised salt consumption, market coverage of iodised salt, urinary and salt iodine concentrations
","Vulnerable groups","","Iodization of salt>>>Iodization of salt>>http://www.who.int/elena/titles/salt_iodization","Financial resources","Awareness creation of policy makers on the need to make funds available for IDD programms","Stakeholder","Ineffective collaboration is also dealt with by creating awareness of the importance of the programme to get them to include IDD in their work plan","Supplies","Removal of tax exemption on the import of potassium iodate to reduce the cost salt iodisation in the factories and cottage salt producers","","","","","","","","","","","","","","","","The programme focusses on the promotion of iodised salt consumption to eliminate IDDs which are prevalent in Ghana. This is done through enforcement of the Public Health Amendment law 2012 Act 851, which states that salts for human and animal cosumption must be iodised. The programme also trains salt producers on effective ways of iodising salt.
","Total goitre rates, urinary and salt iodine concentrations,Household iodated salt consumption coverageMarket coverage of iodated salt
","Vulnerable groups","","Iodization of salt>>>Iodization of salt>>http://www.who.int/elena/titles/salt_iodization","Financial resources","Creating awareness of the importance of the program in policy makers to make funds available for the programme","Stakeholder","Lyasing with international organizations to inculcate IDD in their programms","Supplies","Imposing tax exemption on the importation of potassium iodate to reduce the cost of salt iodisation","","","","","","","","","","","","","","","","Establishment of salt banks at salt producing areas to mop up salts produce by small scale salt producers
","","English" "32800","GNPR 2016-2017: Vitamin and mineral nutrition (q32)","English","Other","","GHA","Ghana","Ghana","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to vitamin and mineral nutrition. More actions and programmes can be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","32801","","Salt iodization","","Iodine","","All population groups","","","","","Mandatory fortification. Salt is fortified with iodine.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "32802","GNPR 2016-2017: Vitamin and mineral nutrition (q32)","English","Other","","GIN","Guinea","Guinea","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to vitamin and mineral nutrition. More actions and programmes can be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","32803","","Salt iodization","","Iodine","","All population groups","","","","","Mandatory fortification. Salt is fortified with iodine.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","",""