"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" "6085","Weekly iron and folic acid supplementation (WIFS)/de-worming program","English","Community/sub-national","","VNM","Viet Nam","Yen Bai, Vietnam","Rural","on-going","01-2006","","
Periodical deworming and weekly supplementation of iron was offered free of charge to more than 52 000 women in the province. The acceptance of the intervention and the nutritional outcomes were followed up. In March 2008 the programme was expanded to cover 250 000 and the management handed over to provincial authorities.
","Pasricha SR, et al. Baseline Iron Indices as Predictors of Hemoglobin Improvement in Anemic Vietnamese Women Receiving Weekly Iron-Folic Acid Supplementation and Deworming (2009). American Journal of Tropical Medicine and Hygiene 81;1114-9.
Phuc TQ, et al. Lessons learned from implementation of a demonstration program to reduce the burden of anemia and hookworm in women in Yen Bai Province, Viet Nam. (2009). BMC Public Health.; 9: 266.
Casey GJ, et al. Long-term weekly iron-folic acid and de-worming is associated with stabilised haemoglobin and increasing iron stores in non-pregnant women in Vietnam. (2010) PLoS ONE 5, e15691.
Casey GJ., et al. Weekly iron-folic acid supplementation with regular deworming is cost-effective in preventing anaemia in women of reproductive age in Vietnam PLoS ONE [in print]
","","","Health","Provincial Health Department","World Health Organization (WHO)","","","","","","","","","","Research/academia","University of Melbourne","","","","","80 000 USD/ year initially provided by the University of Melbourne, as a starting up (including training activities and development of education material) after the first years the Provincial Health Department covered the running cost. WHO donated the deworming drugs.","Research/academia","","University of Melbourne","Government","","Provincial Health Department","UN","World Health Organization (WHO)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","6084","Acute malnutrition","Iron and folic acid supplementation","","Folic acid|Iron","","Women of reproductive age (WRA)","15-45 years","Yen Bai province","Primary health care center","","Weekly iron-folic acid tablets; 200mg ferrous sulphaet/0.4 mg folic acid
Deworming every 4 months with one albendazole tablet (400 mg) in the first year and 6-monthly thereafter
","Anemia prevalence
","Periodical prevalence surveys and compliance monitoring by the research and training centre for community development.
","52000 (In March 2008 the programme was expanded to cover 250 000 and the management handed over to provincial authorities.)","missing","","STH infection 75%","(after 30 months) STH infection 22%","Vulnerable groups","","Intermittent iron and folic acid supplementation for menstruating women>>>Intermittent iron and folic acid supplementation for menstruating women>>http://www.who.int/elena/titles/iron_women","Adherence","Independent monitoring started early to be able to modify training and packaging","Financial resources","No solution","","","","","","","","","","","","","","","","","","","In March 2008 the programme was expanded to cover 250 000 and the management handed over to provincial authorities.
","English" "6085","Weekly iron and folic acid supplementation (WIFS)/de-worming program","English","Community/sub-national","","VNM","Viet Nam","Yen Bai, Vietnam","Rural","on-going","01-2006","","Periodical deworming and weekly supplementation of iron was offered free of charge to more than 52 000 women in the province. The acceptance of the intervention and the nutritional outcomes were followed up. In March 2008 the programme was expanded to cover 250 000 and the management handed over to provincial authorities.
","Pasricha SR, et al. Baseline Iron Indices as Predictors of Hemoglobin Improvement in Anemic Vietnamese Women Receiving Weekly Iron-Folic Acid Supplementation and Deworming (2009). American Journal of Tropical Medicine and Hygiene 81;1114-9.
Phuc TQ, et al. Lessons learned from implementation of a demonstration program to reduce the burden of anemia and hookworm in women in Yen Bai Province, Viet Nam. (2009). BMC Public Health.; 9: 266.
Casey GJ, et al. Long-term weekly iron-folic acid and de-worming is associated with stabilised haemoglobin and increasing iron stores in non-pregnant women in Vietnam. (2010) PLoS ONE 5, e15691.
Casey GJ., et al. Weekly iron-folic acid supplementation with regular deworming is cost-effective in preventing anaemia in women of reproductive age in Vietnam PLoS ONE [in print]
","","","Health","Provincial Health Department","World Health Organization (WHO)","","","","","","","","","","Research/academia","University of Melbourne","","","","","80 000 USD/ year initially provided by the University of Melbourne, as a starting up (including training activities and development of education material) after the first years the Provincial Health Department covered the running cost. WHO donated the deworming drugs.","Research/academia","","University of Melbourne","Government","","Provincial Health Department","UN","World Health Organization (WHO)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","8875","","Deworming","","","","Women of reproductive age (WRA)","15-45","Yen Bai ","Community-based","","","Hookworm prevalence
","","250000","missing","","","","Vulnerable groups","","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" "8891","Double Burden of Malnutrition: Hub in West Africa","English","Multi-national","","BEN|BFA|MLI","Benin|Burkina Faso|Mali","Benin|Burkina Faso|Mali","Urban","on-going","01-2008","01-2014","The 6-year partnership project (2008-2014) involves TRANSNUT, WHO Collaborating Centre on Nutrition Changes and Developement, academic and research institutions from Benin, Burkina Faso and Mali, Helen Keller International, an international NGO, and WHO as special collaborator. The purpose of the project is to strengthen capacity of partner countries to address the double burden of the coexistence of undernutrition and nutrition-related chronic diseases.The strategy includes: 1) Workforce training in nutrition with two new regional university programs in Benin, a Master's and an undetrgraduate professional program (licence), as well as continuous intensive courses on Nutrition Transition and Chronic Diseases, and Community Management of acute malnutrition; 2) Action research in communities (Benin) and schools (Benin and Burkina Faso), and other studies on the nutrition transition and the double burden of malnutrition; 3) Communication for the public with development of a food guide for Benin, and the development of advocacy tools for policy and programs focusing on diabetes.
","Website: www.poleDFN.org
Publications:
Delisle H. Findings on dietary patterns in different groups of African origin undergoing nutrition transition. Applied Physiol Nutr Metab 2010; 35: 224-8.
Daboné C, Receveur O, Delisle H. Poor nutritional status of schoolchildren in urban and peri-urban areas of Ouagadougou. Nutrition Journal 2011; Apr 19;10:34.
Delisle H, Ntandou G, Agueh V, Sodjinou R, Fayomi B. Urbanisation, nutrition transition and cardiometabolic risk: the Benin Study. Brit J Nutr 2011; 107: 1534-44 (doi:10.1017/S0007114511004661)
Sossa J, Delisle H, Agueh V, Makoutodé M, Fayomi B. Four-year trends in cardiometabolic risk factors according to baseline abdominal obesity status in West-African adults: The Benin Study. J Obesity 2012 doi: 10.1155/2012/740854
Zeba A, Delisle H, Renier G, Savadogo B, Banza B. The double burden of malnutrition and cardio-metabolic risk widens the gender and socioeconomic health gap: a study among adults in Burkina Faso (West Africa). Public Health Nutr 2012; 15: 2210-9
Zeba A, Delisle H, Rossier C, Renier G. Association of high-sensitive C-reactive protein (hsCRP) with cardio-metabolic risk factors and micronutrient deficiencies in adults of Ouagadougou; Burkina Faso. Brit J Nutr (Accepted)
Delisle H, Agueh V, Fayomi B. Partnership research on nutrition transition and chronic diseases in West Africa – trends, outcomes and impacts. BMC International Health & Human Rights 2011; 11 (suppl 2): S10 http://www.biomedcentral.com/bmcinthealthhumrights/supplements/11/S2
Delisle H, Agueh V, Fayomi B. Recherche en partenariat sur la transition nutritionnelle et les maladies chroniques en Afrique de l’ouest – évolution, résultats et retombées. CRDI, 2011. Disponible à : http://www.crdi.ca/irsm10etudesdecas
Delisle H, Receveur O, Agueh V, Nishida C. Pilot-testing of the Nutrition-Friendly School Initiative in West Africa in Ouagadougou (Burkina Faso) and Cotonou (Benin). Global Health Promotion (in press)
Sossa C, Delisle H, Agueh V, Makoutodé M, Fayomi B. Insulin resistance status and four-year changes in other cardiometabolic risk factors in West-African adults: The Benin Study. (NMCD, in press)
Daboné C, Delisle H, Receveur O. Cardiometabolic risk factors and associated features in 5th grade school children in Ouagadougou, Burkina Faso. Int J Child Health Nut 2012 (In press)
Daboné C, Delisle H, Receveur O. Predisposing, facilitating and reinforcing factors of healthy and unhealthy food consumption in schoolchildren. A study in Ouagadougou, Burkina Faso (West Africa). Global Health Promotion 2012 (in press)
Delisle H. Empowering our profession in Africa. World Nutrition 2012; 3: 269-84: http://www.wphna.org/2012_may_hp6_this_month.htm
","8811|8621|8622|8554","","","","","","Helen Keller International (HKI)","Particularly in Burkina Faso","","","","","National NGOs","Mali: Santé-Diabète (French NGO)","Research/academia","Benin: Regional Public Health Institute (IRSP); Faculty of Health Sciences, Abomey-Calavi University; Appiled Biomedical Science Institute (ISBA); Burkina Faso: Research Institute on Health Sciences (IRSS); Ouagadougou University (Medicine; CRSBAN); Mali: University of Bamako and university hospital; University of Montreal, Canada, TRANSNUT, Department of Nutrition","","","","","Total: ~5 million CAD, including 3 million CAD provided by Canadian International Development Agency","Bilateral and donor agencies and lenders","Canadian International Development Agency (CIDA)","University of Montreal contributes ~1.3 million CAD and African partner institution, ~700.000CAD","Research/academia","Research/academia","NFSI implemented on a pilot basis in primary schools of Cotonou (n=6) and in Ouagadougou (n=6). In Ouagadougou, quasi-experimental approach, with 6 matched control schools. Baseline study conducted on nutritional status of pupils (nearly 900), and hygiene and eating practices. Implementation with Nutrition & Health Committees in schoolds. DFN project trained in nutrition education and surveillance (using anthropometry). Other activities elected by individual schools.
","Nutritional status of pupils after 3 years of NFSI implementation, and their hygiene and eating practices.
","","Undefined","Undefined","","Baseline study in Ouagadougou in 2009","Due in 2013
","Sex","","","","","","","","","","","","","","","","","","","","","","","","","","English" "8891","Double Burden of Malnutrition: Hub in West Africa","English","Multi-national","","BEN|BFA|MLI","Benin|Burkina Faso|Mali","Benin|Burkina Faso|Mali","Urban","on-going","01-2008","01-2014","The 6-year partnership project (2008-2014) involves TRANSNUT, WHO Collaborating Centre on Nutrition Changes and Developement, academic and research institutions from Benin, Burkina Faso and Mali, Helen Keller International, an international NGO, and WHO as special collaborator. The purpose of the project is to strengthen capacity of partner countries to address the double burden of the coexistence of undernutrition and nutrition-related chronic diseases.The strategy includes: 1) Workforce training in nutrition with two new regional university programs in Benin, a Master's and an undetrgraduate professional program (licence), as well as continuous intensive courses on Nutrition Transition and Chronic Diseases, and Community Management of acute malnutrition; 2) Action research in communities (Benin) and schools (Benin and Burkina Faso), and other studies on the nutrition transition and the double burden of malnutrition; 3) Communication for the public with development of a food guide for Benin, and the development of advocacy tools for policy and programs focusing on diabetes.
","Website: www.poleDFN.org
Publications:
Delisle H. Findings on dietary patterns in different groups of African origin undergoing nutrition transition. Applied Physiol Nutr Metab 2010; 35: 224-8.
Daboné C, Receveur O, Delisle H. Poor nutritional status of schoolchildren in urban and peri-urban areas of Ouagadougou. Nutrition Journal 2011; Apr 19;10:34.
Delisle H, Ntandou G, Agueh V, Sodjinou R, Fayomi B. Urbanisation, nutrition transition and cardiometabolic risk: the Benin Study. Brit J Nutr 2011; 107: 1534-44 (doi:10.1017/S0007114511004661)
Sossa J, Delisle H, Agueh V, Makoutodé M, Fayomi B. Four-year trends in cardiometabolic risk factors according to baseline abdominal obesity status in West-African adults: The Benin Study. J Obesity 2012 doi: 10.1155/2012/740854
Zeba A, Delisle H, Renier G, Savadogo B, Banza B. The double burden of malnutrition and cardio-metabolic risk widens the gender and socioeconomic health gap: a study among adults in Burkina Faso (West Africa). Public Health Nutr 2012; 15: 2210-9
Zeba A, Delisle H, Rossier C, Renier G. Association of high-sensitive C-reactive protein (hsCRP) with cardio-metabolic risk factors and micronutrient deficiencies in adults of Ouagadougou; Burkina Faso. Brit J Nutr (Accepted)
Delisle H, Agueh V, Fayomi B. Partnership research on nutrition transition and chronic diseases in West Africa – trends, outcomes and impacts. BMC International Health & Human Rights 2011; 11 (suppl 2): S10 http://www.biomedcentral.com/bmcinthealthhumrights/supplements/11/S2
Delisle H, Agueh V, Fayomi B. Recherche en partenariat sur la transition nutritionnelle et les maladies chroniques en Afrique de l’ouest – évolution, résultats et retombées. CRDI, 2011. Disponible à : http://www.crdi.ca/irsm10etudesdecas
Delisle H, Receveur O, Agueh V, Nishida C. Pilot-testing of the Nutrition-Friendly School Initiative in West Africa in Ouagadougou (Burkina Faso) and Cotonou (Benin). Global Health Promotion (in press)
Sossa C, Delisle H, Agueh V, Makoutodé M, Fayomi B. Insulin resistance status and four-year changes in other cardiometabolic risk factors in West-African adults: The Benin Study. (NMCD, in press)
Daboné C, Delisle H, Receveur O. Cardiometabolic risk factors and associated features in 5th grade school children in Ouagadougou, Burkina Faso. Int J Child Health Nut 2012 (In press)
Daboné C, Delisle H, Receveur O. Predisposing, facilitating and reinforcing factors of healthy and unhealthy food consumption in schoolchildren. A study in Ouagadougou, Burkina Faso (West Africa). Global Health Promotion 2012 (in press)
Delisle H. Empowering our profession in Africa. World Nutrition 2012; 3: 269-84: http://www.wphna.org/2012_may_hp6_this_month.htm
","8811|8621|8622|8554","","","","","","Helen Keller International (HKI)","Particularly in Burkina Faso","","","","","National NGOs","Mali: Santé-Diabète (French NGO)","Research/academia","Benin: Regional Public Health Institute (IRSP); Faculty of Health Sciences, Abomey-Calavi University; Appiled Biomedical Science Institute (ISBA); Burkina Faso: Research Institute on Health Sciences (IRSS); Ouagadougou University (Medicine; CRSBAN); Mali: University of Bamako and university hospital; University of Montreal, Canada, TRANSNUT, Department of Nutrition","","","","","Total: ~5 million CAD, including 3 million CAD provided by Canadian International Development Agency","Bilateral and donor agencies and lenders","Canadian International Development Agency (CIDA)","University of Montreal contributes ~1.3 million CAD and African partner institution, ~700.000CAD","Research/academia","Research/academia","The Master's program in Public Health Nutrition started at the Regional Institute of Public Health in 2009 and a first cohort of 10 graduates finished in 2011. A new cohort of 10 students started in October 2012. Regarding the 3-year undergraduate professional program in Nutrition and Dietetics, the 3-year program is offered at the Faculty of Health Studies School of Nutrition since 2010. A first cohort of 20 will get their degree (licence) in July 2013.
","Number, sex, and position of graduates
","","N/A","N/A","","","","Sex","","","","","","","","","","","","","","","","","","","","","","","","","","English" "8891","Double Burden of Malnutrition: Hub in West Africa","English","Multi-national","","BEN|BFA|MLI","Benin|Burkina Faso|Mali","Benin|Burkina Faso|Mali","Urban","on-going","01-2008","01-2014","The 6-year partnership project (2008-2014) involves TRANSNUT, WHO Collaborating Centre on Nutrition Changes and Developement, academic and research institutions from Benin, Burkina Faso and Mali, Helen Keller International, an international NGO, and WHO as special collaborator. The purpose of the project is to strengthen capacity of partner countries to address the double burden of the coexistence of undernutrition and nutrition-related chronic diseases.The strategy includes: 1) Workforce training in nutrition with two new regional university programs in Benin, a Master's and an undetrgraduate professional program (licence), as well as continuous intensive courses on Nutrition Transition and Chronic Diseases, and Community Management of acute malnutrition; 2) Action research in communities (Benin) and schools (Benin and Burkina Faso), and other studies on the nutrition transition and the double burden of malnutrition; 3) Communication for the public with development of a food guide for Benin, and the development of advocacy tools for policy and programs focusing on diabetes.
","Website: www.poleDFN.org
Publications:
Delisle H. Findings on dietary patterns in different groups of African origin undergoing nutrition transition. Applied Physiol Nutr Metab 2010; 35: 224-8.
Daboné C, Receveur O, Delisle H. Poor nutritional status of schoolchildren in urban and peri-urban areas of Ouagadougou. Nutrition Journal 2011; Apr 19;10:34.
Delisle H, Ntandou G, Agueh V, Sodjinou R, Fayomi B. Urbanisation, nutrition transition and cardiometabolic risk: the Benin Study. Brit J Nutr 2011; 107: 1534-44 (doi:10.1017/S0007114511004661)
Sossa J, Delisle H, Agueh V, Makoutodé M, Fayomi B. Four-year trends in cardiometabolic risk factors according to baseline abdominal obesity status in West-African adults: The Benin Study. J Obesity 2012 doi: 10.1155/2012/740854
Zeba A, Delisle H, Renier G, Savadogo B, Banza B. The double burden of malnutrition and cardio-metabolic risk widens the gender and socioeconomic health gap: a study among adults in Burkina Faso (West Africa). Public Health Nutr 2012; 15: 2210-9
Zeba A, Delisle H, Rossier C, Renier G. Association of high-sensitive C-reactive protein (hsCRP) with cardio-metabolic risk factors and micronutrient deficiencies in adults of Ouagadougou; Burkina Faso. Brit J Nutr (Accepted)
Delisle H, Agueh V, Fayomi B. Partnership research on nutrition transition and chronic diseases in West Africa – trends, outcomes and impacts. BMC International Health & Human Rights 2011; 11 (suppl 2): S10 http://www.biomedcentral.com/bmcinthealthhumrights/supplements/11/S2
Delisle H, Agueh V, Fayomi B. Recherche en partenariat sur la transition nutritionnelle et les maladies chroniques en Afrique de l’ouest – évolution, résultats et retombées. CRDI, 2011. Disponible à : http://www.crdi.ca/irsm10etudesdecas
Delisle H, Receveur O, Agueh V, Nishida C. Pilot-testing of the Nutrition-Friendly School Initiative in West Africa in Ouagadougou (Burkina Faso) and Cotonou (Benin). Global Health Promotion (in press)
Sossa C, Delisle H, Agueh V, Makoutodé M, Fayomi B. Insulin resistance status and four-year changes in other cardiometabolic risk factors in West-African adults: The Benin Study. (NMCD, in press)
Daboné C, Delisle H, Receveur O. Cardiometabolic risk factors and associated features in 5th grade school children in Ouagadougou, Burkina Faso. Int J Child Health Nut 2012 (In press)
Daboné C, Delisle H, Receveur O. Predisposing, facilitating and reinforcing factors of healthy and unhealthy food consumption in schoolchildren. A study in Ouagadougou, Burkina Faso (West Africa). Global Health Promotion 2012 (in press)
Delisle H. Empowering our profession in Africa. World Nutrition 2012; 3: 269-84: http://www.wphna.org/2012_may_hp6_this_month.htm
","8811|8621|8622|8554","","","","","","Helen Keller International (HKI)","Particularly in Burkina Faso","","","","","National NGOs","Mali: Santé-Diabète (French NGO)","Research/academia","Benin: Regional Public Health Institute (IRSP); Faculty of Health Sciences, Abomey-Calavi University; Appiled Biomedical Science Institute (ISBA); Burkina Faso: Research Institute on Health Sciences (IRSS); Ouagadougou University (Medicine; CRSBAN); Mali: University of Bamako and university hospital; University of Montreal, Canada, TRANSNUT, Department of Nutrition","","","","","Total: ~5 million CAD, including 3 million CAD provided by Canadian International Development Agency","Bilateral and donor agencies and lenders","Canadian International Development Agency (CIDA)","University of Montreal contributes ~1.3 million CAD and African partner institution, ~700.000CAD","Research/academia","Research/academia","Food-based dietary guidelines, including an illustrated food guide, is being developed in Benin with partner institutions. The urban population in particular is targeted. These nutrition communication tools were based on WHO/FAO recommendations and on recent dietary intake studies in the southern part of Benin.
","Formal acceptation of dietary guidelines by authorities of Benin
","","Approximately 3 million people (urban and peri-urban population of southern Benin)","Undetermined","","","","None","","","","","","","","","","","","","","","","","","","","","","","","","","English" "11466","Healthy Urbanisation: Tackling child malnutrition through intervening to change the social determinants of health in informal settlements and slums","English","Multi-national","","CHL|KEN","Chile|Kenya","Nairobi, Kenya|Mombasa, Kenya |Kisumu, Kenya|Valparaiso, Chile","Urban","on-going","01-2010","01-2013","The purpose of this project is to find out whether malnutrition in young children living in informal settlements and slums can be reduced through small-scale interventions operating to change the social determinants of health (SDH) through broadening participation. The SDH are a broad range of social and environmental factors operating at multiple levels of social organizations that can lead to inequities in the level and distribution of health and nutrition in a population.
This research will address the international poverty agenda through making a contribution to the first six of the eight Millennium Development Goals (MDG) for which adequate nutrition is a crucial input. It responds to the challenge posed by the recent revitalisation of the Primary Health Care approach and the report of the WHO Commission on the SDH, which call for studies to clarify the complexity and dynamics of the social processes involved in health development and their contribution to health equity and better health and nutrition.
Studies in rural areas of sub-Saharan Africa have shown that interventions to broaden participation and stakeholder participation can change the social determinants and lead to reduced child malnutrition but there is a gap in the evidence base for urban slum areas. This gap needs to be addressed because rapid rates of change and growth in many cities in developing countries have led to ineffective responses to the impacts of urbanization on child nutrition and to concern over high levels of child malnutrition. This research will therefore be conducted in the city of Mombasa in Kenya where child undernutrition in the slum areas is a serious public health problem. It will also be conducted in the major city of Valparaísoty in Chile which is of comparative interest because there are spiralling rates of child obesity is slum areas.
The study will use a cross-disciplinary approach drawing on the fields of health, food and nutrition, education, social development and governance to help 'join up' research, policy development and implementation across disciplinary boundaries.
","The study will be implemented in 3 phases.
The impact of these actions will be assessed quantitatively through collection of weight-for-height, weight-for-age and height-for-age data collected in baseline and follow-up surveys and any change in nutritional status will be measured using a controlled experimental design.
Qualitative data will also be collected to illuminate the process (actions, pathways and mechanisms -including those in existing structures) through which any change in nutritional status has been achieved.
","","Poor households living in slums of Nairobi, Mombasa and Kisumu","Poor households living in slums of Nairobi","","Weight-for-height, weight-for-age and height-for-age data collected in baseline surveys will be measured ","Weight-for-height, weight-for-age and height-for-age data collected at follow-up surveys and any change in nutritional status will be measured using a controlled experimental design. ","Vulnerable groups","","Conditional cash transfer programmes and nutritional status>>>Conditional cash transfer programmes and nutritional status>>http://www.who.int/elena/titles/cash_transfer","Financial resources","The cash transfer for poor households was put at Kshs 1,500 per month (within the urban food poverty line estimated at Kshs 1,490). Although it was considered an important learning process, government funding has not come through. The WFP and Oxfam/World are currently implementing the programme in limited informal settlements of Nairobi.","","","","","","","","","","","","","","","","","","","","Evidence is beginning to emerge of over-nutrition in slum areas. This is mainly due to the fact that not all slum residents are poor, uneducated and migrants from rural communities, even though they live in the same environments. Differences in income, migration status, education and ethnic background influence diet with those more able economically providing high sugar, high fat and high salt foods to their children.
","","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" "11493","Strengthening Agricultural Technologies among People Living with HIV: Lessons Learned in the Border Towns of Busia, Kenya and Busia, Uganda","English","Multi-national","","KEN|UGA","Kenya|Uganda","Busia, Kenya|Busia, Uganda","Rural|Peri-urban","completed","01-2007","01-2008","The Food and Nutrition Technical Assistance Project (FANTA) of the Academy for Educational Development (AED) and the Ministry of Health (MOH) AIDS Control Programs (ACPs) in Kenya and Uganda worked together between 2007 and 2008 to integrate nutrition into the activities of HIV support groups in the border towns of Busia Uganda and Busia Kenya, funded by USAID/East Africa. The aim was to build skills in nutrition and disseminate national materials on nutrition and HIV developed by the national ACPs. However, PLHIV in the border towns increasingly reported lack of access to adequate food, in terms of quantity and variety, as the main reason they could not apply the dietary practices recommended during counseling sessions. In response, between September 2007 and September 2008 FANTA and the ROADS Project collaborated to facilitate the diffusion and use of appropriate technologies to improve the productivity of PLHIV agricultural activities developed under the ROADS Project in the two border towns.
","http://www.fantaproject.org/downloads/pdfs/FANTA_Busia2008.pdf
","8762|8576|8430|8302|8241|8671|8237","","Food and agriculture","Ministry of Agriculture, Department of Culture and Social Services, Kenya│Ministry of Animal Industry and Fisheries (MAAIF), Uganda│National Agricultural Advisory Services (NAADS), Uganda","","","Family Health International (incl.AED)","","","","","","National NGOs","AIDS Support Organisation; National Agricultural Research Organization (NARO), Uganda","Research/academia","Busia Agricultural Training Centre (BATC) in Kenya, Kenya Agricultural Research Institute (KARI)","","","Other","Africa 2000 Network","","Bilateral and donor agencies and lenders","US Agency for International Development (USAID)","East Africa","Other","","Busia Parish Catholic Church, Kenya","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","11492","","Promotion of food security and agriculture","","","","Pregnant/lactating women with HIV/AIDS","","Busia , Kenya and Busia Uganda","Community-based","","The process involved identifying simple technologies to increase farm and garden outputs and linking clusters of people living with HIV (PLHIV) with local agricultural institutions including the Ministry of Agriculture (MOA), Department of Culture and Social Services, Kenya Agricultural Research Institute (KARI), and Busia Agricultural Training Centre (BATC) in Kenya and the MOA, Ministry of Animal Industry and Fisheries (MAAIF), National Agricultural Research Organization (NARO), and National Agricultural Advisory Services (NAADS) in Uganda, as well as community development officers, community-based organizations (CBOs), and nongovernmental organizations (NGOs) in the districts. FANTA facilitated the development of a participatory learning process to motivate groups of PLHIV to learn the new technologies to increase farm and garden output.
In phase one of the participatory learning process, FANTA and ROADS helped members of the clusters and agricultural institutions understand the agricultural technologies used in Busia, Kenya and Busia, Uganda to improve productivity. Phase two facilitated a process of linking cluster with agricultural institutions to help cluster members implement existing technologies that they had not widely used and to assess the impact of the process on the adaptation of the technologies. Neither FANTA nor ROADS invested substantial funds in the process, but provide technical assistance and connected the clusters to locally available technical assistance and support.
Three sensitization meetings were held, one joint meeting between cluster representatives, the FHI Cluster Coordinators, and FANTA staff and two meetings with groups on either side of the border. The meetings laid the foundation for agreement on the purpose of the activity and sharing of expectations. Over a period of two weeks, the group representatives identified viable and interesting agricultural technologies used in their localities and discussed how easily they could be implemented by PLHIV living in the towns (urban setting) and how they could improve their food diversity. In meetings with the agricultural institutions (mainly from Kenya), examples of agricultural technologies and activities were identified and discussed. Ministry of Agriculture and BATC extension personnel were available in the meetings to explain the different technologies.
The cross-border learning process was initiated by 14 representatives of the Ugandan clusters, who visited their peers on the Kenyan side of the border in November 2007. For two days they visited homes and training centers to see different agricultural technologies and livelihood activities implemented in Kenya and discussed the
feasibility of their adoption in their own context. At BATC the Ugandan visitors toured all the Group identification of learning content and methodology Preliminary sensitization meetings with cluster groups Group consultative meetings Meetings of Cluster representatives with departments of agriculture, NGOs, research institutions, and farmer training Cross‐border learning and home visits Arrange meetings among ROADS representatives, cluster representatives from Kenya and Uganda, and FANTA. Explain the different technologies that could be used in the locale and by PLHIV. Agree on how groups would implement the technologies and priorities. Group consensus meetings See different technologies in the communities and discuss.
Visits were also made to school gardens, community land (e.g., belonging to clusters of orphans and vulnerable children [OVC] in Kenya), seed multiplication sites, and farmer training centers. The cluster members discussed opportunities for and challenges of implementing similar activities in the urban Uganda context. Group consensus meetings were held to prioritize what the clusters wanted to learn about and the optimal methods of learning.
","