"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" "11480","A2Z: The USAID Micronutrient and Child Blindness ","English","Multi-national","","UGA","Uganda","Kampala, Central Region, Uganda|Hoima, Western Region, Uganda|Bushenyi, Western Region, Uganda|Kitgum, Northern Region, Uganda|Lira, Northern Region, Uganda ","Urban|Rural|Peri-urban","completed","01-2005","01-2011","
A2Z: The USAID Micronutrient and Child Blindness Project consolidates, builds, and expands on USAID's long-term investment in micronutrients, child survival, and nutrition. A2Z takes proven interventions to scale, introduces innovation, expands services, and builds sustainable programs to increase the use of key micronutrient and blindness interventions to improve child and maternal health. With work in vitamin A supplementation of children, newborn vitamin A, food fortification, maternal and child anemia control, monitoring and evaluation, and health systems strengthening, A2Z's focus countries have included Bangladesh, Cambodia, the East, Central and Southern Africa region, India, Nepal, Philippines, Tanzania, Uganda and West Bank.
The objectives of A2Z’s program in Uganda are to support increased vitamin A supplementation coverage in selected districts, expand coverage of fortified foods, improve coverage and adherence to anemia protocols for pregnant women, and support development of guidelines to include zinc in diarrhea case management for young children.
","A2Z supports Uganda’s national Child Days Plus (CDP) program for vitamin A and deworming each year at national and district levels. The project is collaborating with the Neglected Tropical Diseases program to train community medicine distributors to administer vitamin A supplements to children 6-59 months old, assist target districts in the development of guidelines, share best practices for planning of Child Days Plus, and conduct regional Child Days Plus feedback and planning meetings in collaboration with UNICEF. The project also supports data collection and supervision activities as part of the national health management information system.
",".
","","some districts","","","","","Vulnerable groups","","Vitamin A supplementation in neonates>>>Vitamin A supplementation in neonates>>http://www.who.int/elena/titles/vitamina_neonatal","","","","","","","","","","","","","","","","","","","","","","","","English" "11480","A2Z: The USAID Micronutrient and Child Blindness ","English","Multi-national","","UGA","Uganda","Kampala, Central Region, Uganda|Hoima, Western Region, Uganda|Bushenyi, Western Region, Uganda|Kitgum, Northern Region, Uganda|Lira, Northern Region, Uganda ","Urban|Rural|Peri-urban","completed","01-2005","01-2011","A2Z: The USAID Micronutrient and Child Blindness Project consolidates, builds, and expands on USAID's long-term investment in micronutrients, child survival, and nutrition. A2Z takes proven interventions to scale, introduces innovation, expands services, and builds sustainable programs to increase the use of key micronutrient and blindness interventions to improve child and maternal health. With work in vitamin A supplementation of children, newborn vitamin A, food fortification, maternal and child anemia control, monitoring and evaluation, and health systems strengthening, A2Z's focus countries have included Bangladesh, Cambodia, the East, Central and Southern Africa region, India, Nepal, Philippines, Tanzania, Uganda and West Bank.
The objectives of A2Z’s program in Uganda are to support increased vitamin A supplementation coverage in selected districts, expand coverage of fortified foods, improve coverage and adherence to anemia protocols for pregnant women, and support development of guidelines to include zinc in diarrhea case management for young children.
","A2Z provides technical inputs to a wheat and maize flour fortification program supported by the Global Alliance for Improved Nutrition (GAIN). A2Z is also strengthening existing fortification programs in such as areas as inspection and monitoring of iodized salt and vitamin A fortified oil. The country routinely supervises factories, importation sites, and retail stores. Most of the salt in the country complies with iodization regulation, and more than 95 percent of the oil available at retail stores appears to be fortified with adequate vitamin A content. Wheat flour samples are also periodically analyzed for their iron content. A food and nutrition consumption survey is underway in collaboration with Makerere University, the National Working Group in Food Fortification, and GAIN to determine the suitability and potential benefit of the food fortification policies of the country. As part of advocacy and planning support, A2Z is assisting in cost studies of oil and sugar fortification.
","A2Z is also strengthening existing fortification programs in such as areas as inspection and monitoring of iodized salt and vitamin A fortified oil.
","more than 95 percent of the oil available at retail stores appears to be fortified ","","","","","Other","Universal salt iodization, vitamin A fortification of all oils","Iodization of salt>>>Iodization of salt>>http://www.who.int/elena/titles/salt_iodization","","","","","","","","","","","","","","","","","","","","","","","","English" "11480","A2Z: The USAID Micronutrient and Child Blindness ","English","Multi-national","","UGA","Uganda","Kampala, Central Region, Uganda|Hoima, Western Region, Uganda|Bushenyi, Western Region, Uganda|Kitgum, Northern Region, Uganda|Lira, Northern Region, Uganda ","Urban|Rural|Peri-urban","completed","01-2005","01-2011","A2Z: The USAID Micronutrient and Child Blindness Project consolidates, builds, and expands on USAID's long-term investment in micronutrients, child survival, and nutrition. A2Z takes proven interventions to scale, introduces innovation, expands services, and builds sustainable programs to increase the use of key micronutrient and blindness interventions to improve child and maternal health. With work in vitamin A supplementation of children, newborn vitamin A, food fortification, maternal and child anemia control, monitoring and evaluation, and health systems strengthening, A2Z's focus countries have included Bangladesh, Cambodia, the East, Central and Southern Africa region, India, Nepal, Philippines, Tanzania, Uganda and West Bank.
The objectives of A2Z’s program in Uganda are to support increased vitamin A supplementation coverage in selected districts, expand coverage of fortified foods, improve coverage and adherence to anemia protocols for pregnant women, and support development of guidelines to include zinc in diarrhea case management for young children.
","A2Z works at national and district levels to help implement national guidelines on the prevention and control of maternal anemia. The intervention package includes reduction of malaria, deworming, and improved iron intake. Efforts are underway to revitalize maternal anemia reduction activities by positioning it as a key maternal mortality reduction approach. The project is systematically addressing bottlenecks such as low health worker knowledge and motivation and generally low community awareness (especially among mothers) on the dangers of anemia. Another bottleneck—poor logistics management with frequent stock outs of iron—was examined as part of an assessment of the availability of micronutrient supplements and medicines for use in micronutrient programs. The assessment was conducted in Uganda by A2Z in collaboration with MSH/RPM+.
","maternal anaemia
maternal mortality
","","","","","","","Sex","","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" "11480","A2Z: The USAID Micronutrient and Child Blindness ","English","Multi-national","","UGA","Uganda","Kampala, Central Region, Uganda|Hoima, Western Region, Uganda|Bushenyi, Western Region, Uganda|Kitgum, Northern Region, Uganda|Lira, Northern Region, Uganda ","Urban|Rural|Peri-urban","completed","01-2005","01-2011","A2Z: The USAID Micronutrient and Child Blindness Project consolidates, builds, and expands on USAID's long-term investment in micronutrients, child survival, and nutrition. A2Z takes proven interventions to scale, introduces innovation, expands services, and builds sustainable programs to increase the use of key micronutrient and blindness interventions to improve child and maternal health. With work in vitamin A supplementation of children, newborn vitamin A, food fortification, maternal and child anemia control, monitoring and evaluation, and health systems strengthening, A2Z's focus countries have included Bangladesh, Cambodia, the East, Central and Southern Africa region, India, Nepal, Philippines, Tanzania, Uganda and West Bank.
The objectives of A2Z’s program in Uganda are to support increased vitamin A supplementation coverage in selected districts, expand coverage of fortified foods, improve coverage and adherence to anemia protocols for pregnant women, and support development of guidelines to include zinc in diarrhea case management for young children.
","A2Z provided assistance to the MOH in reviewing the plan for revitalization of oral rehydration therapy and advocated for the inclusion of zinc as an adjunct therapy for diarrhea treatment. Zinc therapy as part of diarrhea management was accepted as national treatment in December 2006.
","diarreal cases
","","","","","","","Vulnerable groups","","Zinc supplementation in the management of diarrhoea>>>Zinc supplementation in the management of diarrhoea>>http://www.who.int/elena/titles/zinc_diarrhoea","","","","","","","","","","","","","","","","","","","","","","","","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" "11629","Feed the Future: The U.S. Government’s Global Hunger and Food Security Initiative","English","Multi-national","","UGA","Uganda","Northern Uganda |central “Maize Belt|Southwest Uganda","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 country-driven 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, hildren, 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 Uganda, Feed the Future aims to help an estimated 709,000 vulnerable Ugandan women, children and family members—mostly mallholder farmers—escape hunger and poverty. More than 450,000 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 Uganda is making core investments in three key areas:
1. Nutrition
2. Agriculture. The maize, coffee and bean belt are in Southwest and Central Uganda. The choice to focus on these value chains represents considerations regarding Ugandan government priorities, division of donor labor, and the highest impact interventions for the expected scale of Feed the Future resources.
3. Connecting Nutrition to Agriculture
USAID will build on previous strategic investments in nutrition and take them to scale in the areas and populations of greatest need to support the GOU and private sector to reduce chronic undernutrition in the country with a primary focus on prevention. Through these interventions an estimated 709,000 vulnerable Ugandan women, children, and family members—mostly smallholder farmers—will receive targeted assistance to escape hunger and poverty. More than 450,000 children will be reached with services to improve their nutrition and prevent stunting and child mortality. The core investments in nutrition will focus on community and facility based prevention and treatment, targeted nutrition service delivery, the enabling environment for nutrition and capacity building.
Community and Facility-Base Prevention and Treatment
By emphasizing prevention, FTF programs will help to reduce not only chronic undernutrition, but should also reduce the number of severely/acutely malnourished children as well, resulting in fewer children outside HIV and emergency situations needing treatment for severe acute malnutrition. For the treatment of acute malnutrition, Uganda has adopted a national protocol for the Integrated Management of Acute Malnutrition (IMAM). Through a ommunity and facility based approach to treating under nutrition, therapeutic and/or supplementary food is provided to severe or moderately malnourished children, with medical support, nutrition education, and at-home follow up through community based volunteers. FTF and PEPFAR’s partnership on the production, distribution, and management of RUTF support the larger national IMAM protocols.
Capacity Building
Capacity building at the national and district level is critical. Nutrition has only recently become a priority in the health sector, and without strong nutrition champions and policies centrally, nutrition priorities will not be realized. USAID will continue to train health workers in new IMAM guidelines for use in health facilities and will expand technical assistance and capacity building at the national level beyond the health sector to include Agriculture and other ministries who can contribute to a national action plan on nutrition.
","Some key outputs of nutrition activities are: nutrition officers placed in a majority of districts; active Food and Nutrition Councils organized in districts; mandatory fortification of major manufactured foods; therapeutic food reconstituted from locally available foods developed and distributed to district and regional hospitals; and community behavior changes to prevent undernutrition.
","PERFORMANCE MONITORING
Through an interactive approach across Mission teams and in collaboration with other donors and the GOU, the USG FTF effort will go beyond the status quo of performance monitoring. At the basic level, data will be collected by implementing partners and reported to USAID/Uganda through quarterly reports while quality will be assessed via Data Quality Assessment visits to the field.
IMPACT EVALUATION
To build an evidence base to adjust ongoing projects and inform future programs, we will design rigorous impact evaluations for select FTF programs. We have already identified such an opportunity with our Community Connector program, which fully integrates agriculture and nutrition activities at the household level. Discussions have been held with partners within the MIT Poverty Action Lab consortium on the use of Randomized Control Trial (RCT) experiments. We will use the results of these impact evaluations to test the hypotheses of our FTF strategy and make mid-stream adjustments to programs if necessary, or scale up programs that are working well. Using the earning component of FTF programs like Community Connector is in line with the Mission’s continuing CLA component. We will also partner with other donors to disseminate and promote lessons learned. USAID/Uganda, through unbiased and independent impact evaluations, will identify interventions that work; we will be an active contributor to the greater discourse in testable development hypotheses and our programs will benefit from our increased understanding
CAPACITY BUILDING/SUPPORT TO DATA COLLECTION
A key component of our Feed the Future program will be capacity building of the Government of Uganda in the collection, analysis, and use of agriculture and nutrition data for planning, monitoring, and evaluation. We will work with all relevant government agencies and ministries including the Uganda Bureau of Statistics, the Ministry of Agriculture, Animal Industry and Fisheries, and the Ministry of Health. We will work in partnership with the National Planning authority as they attempt to convene the multisectoral Food and Nutrition Council as a cohesive and functional unit. We will seek to build local academic institutions’ capacity in nutrition through improved pre-service and in-service training, and enhanced research capacity. In addition to training in data collection and assistance in improving data systems, we will build analytical capacity in the Ministry of Agriculture by establishing a Strategic Analysis and Knowledge Support System (SAKSS) node.
NUTRITION COLLABORATIVE RESEARCH AND SUPPORT PROGRAM (CRSP)
We will use the Nutrition CRSP to assist us with specific research questions that tell us about the impact of our nutrition-related FTF programs. We have already had preliminary discussions with a Nutrition CRSP team. The Nutrition CRSP is intended to investigate effective ways of translating research results into widespread development practice. The CRSP anticipates the development of a well-balanced research strategy that is both innovative and problem solving, responds to the food and nutrition scientific needs, and to the capacity development requirements of Uganda. USAID/Uganda, through the CRSP, will be better positioned to build more effective strategies and programs, while establishing a research capacity within the Mission and the country as a whole. As programs continue to be developed and procured in the coming months, the CRSP will assist in collecting the relevant local and international knowledge base needed to better implement, evaluate, and learn from our programs. Within individual programs, the CRSP will be an active participant in identifying and rigorously measure testable hypotheses related to food security.
","estimated 709,000 vulnerable Ugandan women, children, and family members—mostly smallholder farmers—will receive targeted assistance to escape hunger and poverty. More than 450,000 children will be reached with services to improve their nutrition","This component will reach children in 47 districts in the Southwest and North of Uganda","","","Prevalence of households with moderate or severe hunger;Prevalence of children 6-23 months receiving a minimum acceptable diet; Prevalence of exclusive breastfeeding of children under 6 months; Number of health facilities with established capacity to manage acute under nutrition; Prevalence of anemia among children 6-59 months; Prevalence of Poverty: Percent of people living on less than $1.25/day; Expenditures of rural households;Prevalence of stunted children under five; Change in average score on Household Hunger index; Percent of children 6-23 months who received a Minimum Acceptable Diet.","Vulnerable groups","","","","","","","","","","","","","","","","","","","","","","","","","","English" "11629","Feed the Future: The U.S. Government’s Global Hunger and Food Security Initiative","English","Multi-national","","UGA","Uganda","Northern Uganda |central “Maize Belt|Southwest Uganda","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 country-driven 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, hildren, 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 Uganda, Feed the Future aims to help an estimated 709,000 vulnerable Ugandan women, children and family members—mostly mallholder farmers—escape hunger and poverty. More than 450,000 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 Uganda is making core investments in three key areas:
1. Nutrition
2. Agriculture. The maize, coffee and bean belt are in Southwest and Central Uganda. The choice to focus on these value chains represents considerations regarding Ugandan government priorities, division of donor labor, and the highest impact interventions for the expected scale of Feed the Future resources.
3. Connecting Nutrition to Agriculture
USAID will build on previous strategic investments in nutrition and take them to scale in the areas and populations of greatest need to support the GOU and private sector to reduce chronic undernutrition in the country with a primary focus on prevention. Through these interventions an estimated 709,000 vulnerable Ugandan women, children, and family members—mostly smallholder farmers—will receive targeted assistance to escape hunger and poverty. More than 450,000 children will be reached with services to improve their nutrition and prevent stunting and child mortality. The core investments in nutrition will focus on community and facility based prevention and treatment, targeted nutrition service delivery, the enabling environment for nutrition and capacity building.
Targeted Nutrition Service Delivery – Fortification and Supplementation
Targeted nutrition service delivery is focused primarily on approaches to reduce specific micronutrient
deficiencies in Uganda. FTF will continue to support vitamin A supplementation and de-worming for
children and iron folic acid supplementation and de-worming for pregnant women at the facility level,
through district-level health programs in target geographical areas. In addition, food fortification
activities will be supported to improve the necessary vitamin and mineral content of staple foods that
will reach a larger target audience, primarily in urban and peri-urban areas where fortified foods are
more accessible. This will build on previous work supported by the USG that has resulted in cooking
oil fortification with vitamin A that now covers more than 85 percent of the country’s market and the
fortification of maize and wheat flour with vitamin A, iron, zinc, folic acid and vitamin B12 and. New food fortification vehicles will be added that include sugar fortification with vitamin A.
The agriculture team is also looking at improved seed varieties to increase micronutrient content such as the orange-fleshed sweet potato, which has increased levels of beta-carotene (Vitamin A). The introduction of fortification of foods will be combined with educational activities that promote dietary diversity through the community and facility based programs.
As previously mentioned, a key component to treatment of undernutrition in Uganda is the production of therapeutic and complementary foods. USG’s Feed the Future will expand on previous investments in local ready-to-use therapeutic food production to increase availability and distribution in health facilities across the country to treat acute undernutrition.
Enabling Environment
Our program will work to leverage other sectors (e.g., agriculture, water, public/private, etc) to create demand for fortified foods, adopt good nutrition behaviors, and activities like exclusive breastfeeding and integrated nutrition/WASH/food hygiene. Advocacy efforts will continue to emphasize the importance of nutrition among key stakeholders. Uganda is one of the countries that is taking on the Scaling Up Nutrition (SUN) initiative spear headed globally by the Irish Government, U.S. Government and the UN. SUN focuses on integration of relevant sectors with a view to addressing the window of opportunity within the 1,000 days (from minus 9 months to 24 months). We will work to harmonize FTF and SUN activities to maximize efficiency and national coverage in close consultation with MOH, MAAIF and other stakeholders. Through the existing micronutrient fortification program that has successfully enriched common staples such as oil and flour, FTF will continue to advocate for mandatory fortification of manufactured foods.
","Some key outputs of nutrition activities are: nutrition officers placed in a majority of districts; active Food and Nutrition Councils organized in districts; mandatory fortification of major manufactured foods; therapeutic food reconstituted from locally available foods developed and distributed to district and regional hospitals; and community behavior changes to prevent undernutrition.
","PERFORMANCE MONITORING
Through an interactive approach across Mission teams and in collaboration with other donors and the GOU, the USG FTF effort will go beyond the status quo of performance monitoring. At the basic level, data will be collected by implementing partners and reported to USAID/Uganda through quarterly reports while quality will be assessed via Data Quality Assessment visits to the field.
IMPACT EVALUATION
To build an evidence base to adjust ongoing projects and inform future programs, we will design rigorous impact evaluations for select FTF programs. We have already identified such an opportunity with our Community Connector program, which fully integrates agriculture and nutrition activities at the household level. Discussions have been held with partners within the MIT Poverty Action Lab consortium on the use of Randomized Control Trial (RCT) experiments. We will use the results of these impact evaluations to test the hypotheses of our FTF strategy and make mid-stream adjustments to programs if necessary, or scale up programs that are working well. Using the earning component of FTF programs like Community Connector is in line with the Mission’s continuing CLA component. We will also partner with other donors to disseminate and promote lessons learned. USAID/Uganda, through unbiased and independent impact evaluations, will identify interventions that work; we will be an active contributor to the greater discourse in testable development hypotheses and our programs will benefit from our increased understanding
CAPACITY BUILDING/SUPPORT TO DATA COLLECTION
A key component of our Feed the Future program will be capacity building of the Government of Uganda in the collection, analysis, and use of agriculture and nutrition data for planning, monitoring, and evaluation. We will work with all relevant government agencies and ministries including the Uganda Bureau of Statistics, the Ministry of Agriculture, Animal Industry and Fisheries, and the Ministry of Health. We will work in partnership with the National Planning authority as they attempt to convene the multisectoral Food and Nutrition Council as a cohesive and functional unit. We will seek to build local academic institutions’ capacity in nutrition through improved pre-service and in-service training, and enhanced research capacity. In addition to training in data collection and assistance in improving data systems, we will build analytical capacity in the Ministry of Agriculture by establishing a Strategic Analysis and Knowledge Support System (SAKSS) node.
NUTRITION COLLABORATIVE RESEARCH AND SUPPORT PROGRAM (CRSP)
We will use the Nutrition CRSP to assist us with specific research questions that tell us about the impact of our nutrition-related FTF programs. We have already had preliminary discussions with a Nutrition CRSP team. The Nutrition CRSP is intended to investigate effective ways of translating research results into widespread development practice. The CRSP anticipates the development of a well-balanced research strategy that is both innovative and problem solving, responds to the food and nutrition scientific needs, and to the capacity development requirements of Uganda. USAID/Uganda, through the CRSP, will be better positioned to build more effective strategies and programs, while establishing a research capacity within the Mission and the country as a whole. As programs continue to be developed and procured in the coming months, the CRSP will assist in collecting the relevant local and international knowledge base needed to better implement, evaluate, and learn from our programs. Within individual programs, the CRSP will be an active participant in identifying and rigorously measure testable hypotheses related to food security.
","estimated 709,000 vulnerable Ugandan women, children, and family members—mostly smallholder farmers—will receive targeted assistance to escape hunger and poverty. More than 450,000 children will be reached with services to improve their nutrition","This component will reach children in 47 districts in the Southwest and North of Uganda.","","","Prevalence of households with moderate or severe hunger;Prevalence of children 6-23 months receiving a minimum acceptable diet; Prevalence of exclusive breastfeeding of children under 6 months; Number of health facilities with established capacity to manage acute under nutrition; Prevalence of anemia among children 6-59 months; Prevalence of Poverty: Percent of people living on less than $1.25/day; Expenditures of rural households;Prevalence of stunted children under five; Change in average score on Household Hunger index; Percent of children 6-23 months who received a Minimum Acceptable Diet.","Vulnerable groups","","Multiple micronutrient powders for home fortification of foods consumed by pregnant women>>>Multiple micronutrient powders for home fortification of foods consumed by pregnant women>>http://www.who.int/elena/titles/micronutrients_pregnancy","","","","","","","","","","","","","","","","","","","","","","","","English" "11629","Feed the Future: The U.S. Government’s Global Hunger and Food Security Initiative","English","Multi-national","","UGA","Uganda","Northern Uganda |central “Maize Belt|Southwest Uganda","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 country-driven 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, hildren, 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 Uganda, Feed the Future aims to help an estimated 709,000 vulnerable Ugandan women, children and family members—mostly mallholder farmers—escape hunger and poverty. More than 450,000 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 Uganda is making core investments in three key areas:
1. Nutrition
2. Agriculture. The maize, coffee and bean belt are in Southwest and Central Uganda. The choice to focus on these value chains represents considerations regarding Ugandan government priorities, division of donor labor, and the highest impact interventions for the expected scale of Feed the Future resources.
3. Connecting Nutrition to Agriculture
Priority Value Chains
Our investments will focus on value chains with the greatest market potential, the highest number of farmers, and the greatest income potential for farmers. Impact on nutrition and role of gender were also critical considerations in our value chain focus, as was the potential for sector-wide impact and maximum return on investment. Many of the value chain components have integrated nutrition and agriculture dimensions. The starting point for this strategy is the Government of Uganda’s Agriculture Sector Development Strategy and Investment Plan (DSIP) where ten priority value chains were selected. In looking at each commodity, maize and coffee stood out as key drivers for conomic growth in terms of number of farmers, market demand, and income potential. Most of the Ugandan staple diet is built around other staples like beans, cassava, and banana – leaving maize to function more as a cash crop that responds to regional food security and trade demands, rather than as a household staple. Fish, dairy and livestock were also considered. However all three present a number of challenges that would require substantially higher levels of investment to address and would deliver a much lower rate of return for dollar invested.
Value-chain Investments
Policy - The USG FTF strategy will support a five-year policy reform initiative in agriculture, trade, health and gender equity. Some examples of policy priorities include the passage of Uganda’s Biotechnology and Bio-safely bill, effective implementation of the Agricultural Chemicals Control Act (1989, amended in 2006) which establishes a licensing regime for insecticides, herbicides, fungicides and fertilizers, and controls and regulates the manufacture, storage, distribution, trade, import, and export of agricultural chemicals, effective implementation of the Agriculture Seeds and Plant Act (1994) which regulates seed companies operating or importing plant material into Uganda, and passage of the Food and Nutrition Bill and related Health, Nutrition and Sanitation policies for a proposed National Food and Drug Authority. Review of Uganda’s marriage and family act lays out the ownership and control of assets for women. It is critical to address key gender components of legislation.
Capacity Building - Support to strengthen key public and private sector institutions at the national and district levels is essential to the overall success of our Feed the Future activities. This five-year set of activities will focus on building capacity within the Uganda Bureau of Statistics, and Ministries of Health and Agriculture to collect and analyze data, and to monitor and evaluate the effectiveness of their programs. There will also be a short, medium, and long-term training and education component to develop the next generation of Uganda decision makers.
Agriculture Research – Feed the Future will support continued research in three areas:Biotechnology to protect food security crops from serious disease threat – specifically cassava (Cassava MOSAIC) and banana (Banana Wilt (BXW) and Black Sigatoka Disease); breeding to increase stress tolerance and disease resistance for Feed the Future focus crops (maize, coffee and beans); and partnership with Harvest Plus to scale-up the production and mainstream marketing of bio-fortified/nutritionally enhanced crop varieties - specifically Orange-fleshed Sweet Potato and high zinc/iron beans.
Increased Quality and Production – USG will contribute to a $50 million partnership with DANIDA, the EU, Belgium, and Sweden to address farm-level constraints to quality and production in maize, beans and coffee. The program will also focus on increasing farmer access to financial services and supporting trade-related sanitary and phytosanitary standards and quality management systems. Agro-Input Supply - A five-year program to increase the quality, availability, and use of inputs. This program will build the capacity of the Uganda National Agriculture Input Dealers Association (UNADA) and private sector retailers.
Farm-level Aggregation and Market Linkages - This program will work to build the capacity of farmer organizations to enter into agreements with major buyers, access finance, purchase inputs, bulk, clean, and process their commodities. The program will work in conjunction with the Abi-Trust Partnership (DANIDA) and emphasize linkages to the WFP's Purchase for Progress efforts and the Uganda Commodity Exchange.
Market-Information System - This program will work with local partners to utilize the latest in information and communications technology to address market information gaps for smallholder farmers.
","Some key outputs include:
PERFORMANCE MONITORING
Through an interactive approach across Mission teams and in collaboration with other donors and the GOU, the USG FTF effort will go beyond the status quo of performance monitoring. At the basic level, data will be collected by implementing partners and reported to USAID/Uganda through quarterly reports while quality will be assessed via Data Quality Assessment visits to the field.
IMPACT EVALUATION
To build an evidence base to adjust ongoing projects and inform future programs, we will design rigorous impact evaluations for select FTF programs. We have already identified such an opportunity with our Community Connector program, which fully integrates agriculture and nutrition activities at the household level. Discussions have been held with partners within the MIT Poverty Action Lab consortium on the use of Randomized Control Trial (RCT) experiments. We will use the results of these impact evaluations to test the hypotheses of our FTF strategy and make mid-stream adjustments to programs if necessary, or scale up programs that are working well. Using the earning component of FTF programs like Community Connector is in line with the Mission’s continuing CLA component. We will also partner with other donors to disseminate and promote lessons learned. USAID/Uganda, through unbiased and independent impact evaluations, will identify interventions that work; we will be an active contributor to the greater discourse in testable development hypotheses and our programs will benefit from our increased understanding
CAPACITY BUILDING/SUPPORT TO DATA COLLECTION
A key component of our Feed the Future program will be capacity building of the Government of Uganda in the collection, analysis, and use of agriculture and nutrition data for planning, monitoring, and evaluation. We will work with all relevant government agencies and ministries including the Uganda Bureau of Statistics, the Ministry of Agriculture, Animal Industry and Fisheries, and the Ministry of Health. We will work in partnership with the National Planning authority as they attempt to convene the multisectoral Food and Nutrition Council as a cohesive and functional unit. We will seek to build local academic institutions’ capacity in nutrition through improved pre-service and in-service training, and enhanced research capacity. In addition to training in data collection and assistance in improving data systems, we will build analytical capacity in the Ministry of Agriculture by establishing a Strategic Analysis and Knowledge Support System (SAKSS) node.
NUTRITION COLLABORATIVE RESEARCH AND SUPPORT PROGRAM (CRSP)
We will use the Nutrition CRSP to assist us with specific research questions that tell us about the impact of our nutrition-related FTF programs. We have already had preliminary discussions with a Nutrition CRSP team. The Nutrition CRSP is intended to investigate effective ways of translating research results into widespread development practice. The CRSP anticipates the development of a well-balanced research strategy that is both innovative and problem solving, responds to the food and nutrition scientific needs, and to the capacity development requirements of Uganda. USAID/Uganda, through the CRSP, will be better positioned to build more effective strategies and programs, while establishing a research capacity within the Mission and the country as a whole. As programs continue to be developed and procured in the coming months, the CRSP will assist in collecting the relevant local and international knowledge base needed to better implement, evaluate, and learn from our programs. Within individual programs, the CRSP will be an active participant in identifying and rigorously measure testable hypotheses related to food security.
","estimated 709,000 vulnerable Ugandan women, children and family members—mostly smallholder farmers—escape hunger and poverty. ","This component will reach farmers in 62 districts in the maize, coffee, and beans belt in Southwest and Central Uganda.","","Uganda National Household Survey, 2009/2010; Demographic Health Survey, 2006; The 2008 Uganda Food Consumption Survey; 2007 Uganda Service Provision Survey; The Uganda National Household Survey 2008/2009","Percent growth in agricultural GDP of maize and coffee; Percent change in value of intra-regional exports of targeted agricultural commodities as a result of USG assistance; Post-harvest losses as a percentage of overall harvest, for selected commodities; Value of new private sector investment in the agriculture sector or food chain leveraged by FTF.implementationCapacity of relevant national statistical office to collect high-quality agricultural data","Socio-economic status","","Biofortification of staple crops>>>Biofortification of staple crops>>http://www.who.int/elena/titles/biofortification","","","","","","","","","","","","","","","","","","","","","","","","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" "12284","GNPR 2009-2010: Vitamin and mineral nutrition","English","National","","CIV","Côte d'Ivoire","Côte d'Ivoire","","","","","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.
","","","","","","","","","","","","","National NGOs","","","","Private sector","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","12283","","Complementary food fortification","","","Iron","Infants and young children","","","Commercial","shops","Fortification of Complementary foods was reported during the WHO Global Nutrition Policy Review (GNPR) 2009-2010. Mandatory fortification. Import. Product paid by users.
","","","","Mandatory fortification","","","","","","Complementary feeding>>>Complementary feeding>>http://www.who.int/elena/titles/complementary_feeding","","","","","","","","","","","","","","","","","","","","","","","","" "12284","GNPR 2009-2010: Vitamin and mineral nutrition","English","National","","CIV","Côte d'Ivoire","Côte d'Ivoire","","","","","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.
","","","","","","","","","","","","","National NGOs","","","","Private sector","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","13323","Iron and/or folic acid","Iron supplementation","","Iron","Iron alone","Preschool-age children (Pre-SAC)","0-5 yrs","","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.
","","","","National coverage","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "12284","GNPR 2009-2010: Vitamin and mineral nutrition","English","National","","CIV","Côte d'Ivoire","Côte d'Ivoire","","","","","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.
","","","","","","","","","","","","","National NGOs","","","","Private sector","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","13766","","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. 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","","","","","","","","","","","","","","","","","","","","","","","","" "12284","GNPR 2009-2010: Vitamin and mineral nutrition","English","National","","CIV","Côte d'Ivoire","Côte d'Ivoire","","","","","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.
","","","","","","","","","","","","","National NGOs","","","","Private sector","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","14106","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. Import. Product paid by users.
","","","","Mandatory fortification","","","","","","Iodization of salt>>>Iodization of salt>>http://www.who.int/elena/titles/salt_iodization","","","","","","","","","","","","","","","","","","","","","","","","" "12284","GNPR 2009-2010: Vitamin and mineral nutrition","English","National","","CIV","Côte d'Ivoire","Côte d'Ivoire","","","","","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.
","","","","","","","","","","","","","National NGOs","","","","Private sector","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","14413","","Vitamin A supplementation","","Vitamin A","Vitamin A","Lactating women (LW)","","","","","Supplementation with vitamin A was reported to the WHO Global Nutrition Policy Review (GNPR) 2009-2010. Supplementation free to user.
","","","","National coverage","","","","","","Vitamin A supplementation in postpartum women>>>Vitamin A supplementation in postpartum women>>http://www.who.int/elena/titles/vitamina_postpartum","","","","","","","","","","","","","","","","","","","","","","","","" "12284","GNPR 2009-2010: Vitamin and mineral nutrition","English","National","","CIV","Côte d'Ivoire","Côte d'Ivoire","","","","","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.
","","","","","","","","","","","","","National NGOs","","","","Private sector","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","14435","","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: 6 mois, Dose: 100 000/200 000 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","","","","","","","","","","","","","","","","","","","","","","","","" "12284","GNPR 2009-2010: Vitamin and mineral nutrition","English","National","","CIV","Côte d'Ivoire","Côte d'Ivoire","","","","","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.
","","","","","","","","","","","","","National NGOs","","","","Private sector","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","14555","Other micronutrients","Zinc supplementation","","Zinc","Zinc","Diarrhoea cases","","","Primary health care center","health system","Supplementation with zinc was reported to the WHO Global Nutrition Policy Review (GNPR) 2009-2010. Supplementation free to user.
","","","","National coverage","","","","","","Zinc supplementation in the management of diarrhoea>>>Zinc supplementation in the management of diarrhoea>>http://www.who.int/elena/titles/zinc_diarrhoea","","","","","","","","","","","","","","","","","","","","","","","","" "13156","GNPR 2009-2010: Vitamin and mineral nutrition","English","Community/sub-national","","CIV","Côte d'Ivoire","Côte d'Ivoire","","","","","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.
","","","","","","","","","","","","","National NGOs","","","","Private sector","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","13155","Iodine","Iodine supplementation","","Iodine","Iodine","Preschool-age children (Pre-SAC)","0-5 yrs","","Commercial","shops","Supplementation with iodine was reported to the WHO Global Nutrition Policy Review (GNPR) 2009-2010. Supplementation paid by user.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "13156","GNPR 2009-2010: Vitamin and mineral nutrition","English","Community/sub-national","","CIV","Côte d'Ivoire","Côte d'Ivoire","","","","","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.
","","","","","","","","","","","","","National NGOs","","","","Private sector","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","13157","Iodine","Iodine supplementation","","Iodine","Iodine","Pregnant women (PW)","","","Commercial","shops","Supplementation with iodine was reported to the WHO Global Nutrition Policy Review (GNPR) 2009-2010. Supplementation paid by user.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "13156","GNPR 2009-2010: Vitamin and mineral nutrition","English","Community/sub-national","","CIV","Côte d'Ivoire","Côte d'Ivoire","","","","","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.
","","","","","","","","","","","","","National NGOs","","","","Private sector","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","13158","Iodine","Iodine supplementation","","Iodine","Iodine","Females","","","Commercial","shops","Supplementation with iodine was reported to the WHO Global Nutrition Policy Review (GNPR) 2009-2010. Supplementation paid by user.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "13156","GNPR 2009-2010: Vitamin and mineral nutrition","English","Community/sub-national","","CIV","Côte d'Ivoire","Côte d'Ivoire","","","","","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.
","","","","","","","","","","","","","National NGOs","","","","Private sector","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","13309","Iron and/or folic acid","Iron supplementation","","Iron","Iron alone","Pregnant women (PW)","","","Commercial|Primary health care center","health system, pharmacies","Supplementation with iron alone was reported to the WHO Global Nutrition Policy Review (GNPR) 2009-2010. Supplementation both free and paid by user.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "13156","GNPR 2009-2010: Vitamin and mineral nutrition","English","Community/sub-national","","CIV","Côte d'Ivoire","Côte d'Ivoire","","","","","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.
","","","","","","","","","","","","","National NGOs","","","","Private sector","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","14546","Other micronutrients","Zinc supplementation","","Zinc","Zinc","Preschool-age children (Pre-SAC)","0-5 yrs","","","","Supplementation with zinc was reported to the WHO Global Nutrition Policy Review (GNPR) 2009-2010.
","","","","","","","","","","Zinc supplementation in the management of diarrhoea>>>Zinc supplementation in the management of diarrhoea>>http://www.who.int/elena/titles/zinc_diarrhoea","","","","","","","","","","","","","","","","","","","","","","","","" "13205","GNPR 2009-2010: Vitamin and mineral nutrition","English","National","","UGA","Uganda","Uganda","","","","","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.
","","","","","","","","","","","","","National NGOs","","","","Private sector","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","13204","Iron and/or folic acid","Iron and folic acid supplementation","","Iron|Folic acid","Iron and folic acid","Pregnant women (PW)","","","Commercial|Primary health care center","health system, pharmacies","Supplementation with iron and folic acid was reported to the WHO Global Nutrition Policy Review (GNPR) 2009-2010. Supplementation both free and paid by user.
","","","","National coverage","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "13205","GNPR 2009-2010: Vitamin and mineral nutrition","English","National","","UGA","Uganda","Uganda","","","","","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.
","","","","","","","","","","","","","National NGOs","","","","Private sector","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","14109","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. Import. Product paid by users.
","","","","Mandatory fortification","","","","","","Iodization of salt>>>Iodization of salt>>http://www.who.int/elena/titles/salt_iodization","","","","","","","","","","","","","","","","","","","","","","","","" "13205","GNPR 2009-2010: Vitamin and mineral nutrition","English","National","","UGA","Uganda","Uganda","","","","","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.
","","","","","","","","","","","","","National NGOs","","","","Private sector","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","14411","","Vitamin A supplementation","","Vitamin A","Vitamin A","","","","Commercial|Primary health care center","health system, pharmacies","Supplementation with vitamin A was reported to the WHO Global Nutrition Policy Review (GNPR) 2009-2010. Supplementation both free and paid by user.
","","","","National coverage","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "13205","GNPR 2009-2010: Vitamin and mineral nutrition","English","National","","UGA","Uganda","Uganda","","","","","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.
","","","","","","","","","","","","","National NGOs","","","","Private sector","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","14412","","Vitamin A supplementation","","Vitamin A","Vitamin A","Preschool-age children (Pre-SAC)"," 6m-5yrs","","Commercial|Primary health care center","health system, pharmacies","Supplementation with vitamin A was reported to the WHO Global Nutrition Policy Review (GNPR) 2009-2010. Supplementation both free and paid by user. Dose: 200000 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","","","","","","","","","","","","","","","","","","","","","","","","" "13205","GNPR 2009-2010: Vitamin and mineral nutrition","English","National","","UGA","Uganda","Uganda","","","","","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.
","","","","","","","","","","","","","National NGOs","","","","Private sector","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","14552","Other micronutrients","Zinc supplementation","","Zinc","Zinc","Diarrhoea cases","","","Commercial|Primary health care center","health system, pharmacies","Supplementation with zinc was reported to the WHO Global Nutrition Policy Review (GNPR) 2009-2010. Supplementation both free and paid by user. Dose: 10 mg (tablets)
","","","","National coverage","","","","","","Zinc supplementation in the management of diarrhoea>>>Zinc supplementation in the management of diarrhoea>>http://www.who.int/elena/titles/zinc_diarrhoea","","","","","","","","","","","","","","","","","","","","","","","","" "13527","GNPR 2009-2010: Vitamin and mineral nutrition","English","Community/sub-national","","UGA","Uganda","Uganda","","","","","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.
","","","","","","","","","","","","","National NGOs","","","","Private sector","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","13526","","Margarine/butter fortification","","Vitamin A","Vitamin A","All population groups","","","Commercial","shops","Fortification of Margarine/butter was reported during the WHO Global Nutrition Policy Review (GNPR) 2009-2010. Voluntary fortification. Import. Product paid by users.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "13527","GNPR 2009-2010: Vitamin and mineral nutrition","English","Community/sub-national","","UGA","Uganda","Uganda","","","","","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.
","","","","","","","","","","","","","National NGOs","","","","Private sector","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","13775","","Oil fortification","","Vitamin A","Vitamin A","All population groups","","","Commercial","food aid, shops ","Fortification of Oil was reported during the WHO Global Nutrition Policy Review (GNPR) 2009-2010. Voluntary fortification. Local production. Food aid. Import. Product paid by users.
","","","","","","","","","","Vitamin A fortification of staple foods>>>Vitamin A fortification of staple foods>>http://www.who.int/elena/titles/vitamina_fortification","","","","","","","","","","","","","","","","","","","","","","","","" "13527","GNPR 2009-2010: Vitamin and mineral nutrition","English","Community/sub-national","","UGA","Uganda","Uganda","","","","","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.
","","","","","","","","","","","","","National NGOs","","","","Private sector","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","14543","","Wheat flour fortification","","Iron|Folic acid|Zinc","Iron, Folic acid, Zinc","All population groups","","","Commercial","shops","Fortification of Wheat flour was reported during the WHO Global Nutrition Policy Review (GNPR) 2009-2010. Voluntary fortification. Product paid by users.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "14604","GAIN Nutritious Foods for Mothers and Children","English","National","","CIV","Côte d'Ivoire","Côte d'Ivoire","","on-going","12-2010","08-2014","","http://www.gainhealth.org/countries
","","","","","","","Helen Keller International (HKI)","","","","","","","","","","Private sector","Protéin Kisée-Là (PKL) ","","","","International NGOs","Global Alliance for Improved Nutrition (GAIN)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","14603","","Complementary food fortification","","Iodine|Iron|Zinc|Vitamin A|Vitamin D|B vitamins|Folic acid","","Infants and young children","Children 6-23 months","National population","Commercial","","Fortified Complementary Food (Farinor); Besides iodine, iron, folic acid, zinc and vitamins A, B and D, the Fortified Complementary Foods contain additional micronutrients. GAIN advises its partners to formulate products according to the GAIN Nutritional Guidelines for Complementary Foods and Complementary Food Supplements:","","","","","","","","","","Complementary feeding>>>Complementary feeding>>http://www.who.int/elena/titles/complementary_feeding","","","","","","","","","","","","","","","","","","","","","","","","" "14711","GAIN Micro-Nutrient Supplementation","English","National","","ZAF","South Africa","South Africa","Urban|Rural|Peri-urban","on-going","01-2010","01-2015","","http://www.gainhealth.org/countries
","","","","","","","","","","","","","","","","","Private sector","1 national private-sector partner","","","","International NGOs","Global Alliance for Improved Nutrition (GAIN)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","14710","","Lipid-based nutrient supplementation","","Iodine|Iron|Zinc|Vitamin A|Vitamin D|B vitamins|Folic acid","","Infants and young children","Children 6-23 months","South Africa","Commercial|Other","Market-based delivery","lipid-based Nutrient Supplement & Micro.Nutrient Powder;
Micronutrients: Iron, Zinc, Vitamin A, Vitamin D, Folic acid, B vitamins.
Besides iodine, iron, folic acid, zinc and vitamins A, B and D, the multi-nutrient Powder contains additional micronutrients as per guidelines of the Technical Advisory Group on Home Fortification (http://hftag.gainhealth.org/products/micronutrient-powders-mnp) and GAIN Nutritional Guidelines for Complementary Foods and Complementary Food Supplements (http://www.gainhealth.org/sites/www.gainhealth.org/files/GAIN%20IYCN%20g...)
",".
","","","","","","","None","","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" "14711","GAIN Micro-Nutrient Supplementation","English","National","","ZAF","South Africa","South Africa","Urban|Rural|Peri-urban","on-going","01-2010","01-2015","","","","","","","","","","","","","","","","","","","Private sector","1 national private-sector partner","","","","International NGOs","Global Alliance for Improved Nutrition (GAIN)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","14712","","Multiple micronutrients supplementation","","","","Infants and young children","Children 6-23 months","National population","Commercial","","lipid-based Nutrient Supplement & Micro.Nutrient Powder; Besides iodine, iron, folate, 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%20guidelines%20formatted%20English%20-%20FINAL.pdf)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English"