"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" "11464","Improving Maternal, Newborn and Child Nutrition in Northern Nigeria","English","Community/sub-national","","NGA","Nigeria","Kebbi, Nigeria|Katsina State, Nigeria|Jigawa State, Nigeria|Zamfara, Nigeria|Yobe, Nigeria","Rural|Peri-urban","on-going","01-2011","01-2017","
One million children under five die every year in Nigeria, 35% of them due to causes attributed to malnutrition. This makes Nigeria one of the six countries that accounts for half of all child deaths from malnutrition worldwide. In the north, half of all children under five are stunted, and one in five suffers from acute malnutrition. This has profound implications for health and for human development, and presents a major obstacle to attainment of Millennium Development Goals in the country and globally. To date, the Nigerian government has not provided the necessary leadership or response to the crisis. Coupled with this, is a weak and fragmented health system which is unable to provide the most basic, cost-effective services for the prevention and management of common health problems. Primary health care level remains the weakest link in effective health delivery.
The programme will deliver a number of evidence-based, highly cost-effective direct interventions for the prevention and treatment of malnutrition, including community-based management of acute malnutrition (CMAM), vitamin A supplementation and deworming, and promotion of improved infant and young child feeding (IYCF) practices. The scaled up delivery will be used to raise the political profile of undernutrition in Nigeria and leverage government to coordinate and fund nutrition programmes. Independent operational research will examine the wider determinants and structural barriers of undernutrition. Impact evaluation will measure progress, quality and advise on critical elements required for a sustainable strategy.
A UNICEF and an INGO consortium of Save the Children (SC UK) and Action Against Hunger / Action Against Hunger (AAH/ACF) will deliver the interventions. Operational research and impact evaluation will be conducted by independent nutrition researchers and evaluation experts.
Results: This programme will reduce the incidence and prevalence of undernutrition in children under five across selected Northern States with high rates of undernutrition: Kebbi, Katsina, Jigawa, Zamfara, and Yobe. By 2017, DFID will improve the nutritional status of 6.2 million children under five in northern Nigeria. At least 140,000 children with severe acute malnutrition will receive treatment. The programme will contribute to National targets of reducing underweight and stunting by 20% (absolute reduction) and exclusive breast feeding rates will increase by 15% in the selected five northern states.
It is anticipated that the programme advocacy component will have some impact on improved government commitment and health system strengthening. Delivering services through government facilities, primary health care workers and community-led interventions will embed a culture of government ownership. Additionally, the design places high importance on support for government policies and strategic planning.
Irrespective of long term, systemic changes there is a strong economic and efficacy argument for DFID investment in nutrition. The direct nutrition interventions delivered through the health sector are evidence-based, cost effective and present a key opportunity for achievement of MDGs (1,4,5).
","http://projects.dfid.gov.uk/project.aspx?Project=201874
","7944|7943","","","","United Nations Children's Fund (UNICEF)","","","","","","","","","","","","","","Other","Operational research and impact evaluation will be conducted by independent nutrition researchers and evaluation experts","Project budget: £50 millionBudget spent to Date: £11,090,293","Bilateral and donor agencies and lenders","Department of International Development (DFID)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","11461","","Management of severe acute malnutrition","","","","Preschool-age children (Pre-SAC)|SAM child|Stunted child","Children under 5 years","Selected Northern States with high rates of undernutrition: Kebbi, Katsina, Jigawa, Zamfara, and Yobe. ","Primary health care center","","
","
One million children under five die every year in Nigeria, 35% of them due to causes attributed to malnutrition. This makes Nigeria one of the six countries that accounts for half of all child deaths from malnutrition worldwide. In the north, half of all children under five are stunted, and one in five suffers from acute malnutrition. This has profound implications for health and for human development, and presents a major obstacle to attainment of Millennium Development Goals in the country and globally. To date, the Nigerian government has not provided the necessary leadership or response to the crisis. Coupled with this, is a weak and fragmented health system which is unable to provide the most basic, cost-effective services for the prevention and management of common health problems. Primary health care level remains the weakest link in effective health delivery.
The programme will deliver a number of evidence-based, highly cost-effective direct interventions for the prevention and treatment of malnutrition, including community-based management of acute malnutrition (CMAM), vitamin A supplementation and deworming, and promotion of improved infant and young child feeding (IYCF) practices. The scaled up delivery will be used to raise the political profile of undernutrition in Nigeria and leverage government to coordinate and fund nutrition programmes. Independent operational research will examine the wider determinants and structural barriers of undernutrition. Impact evaluation will measure progress, quality and advise on critical elements required for a sustainable strategy.
A UNICEF and an INGO consortium of Save the Children (SC UK) and Action Against Hunger / Action Against Hunger (AAH/ACF) will deliver the interventions. Operational research and impact evaluation will be conducted by independent nutrition researchers and evaluation experts.
Results: This programme will reduce the incidence and prevalence of undernutrition in children under five across selected Northern States with high rates of undernutrition: Kebbi, Katsina, Jigawa, Zamfara, and Yobe. By 2017, DFID will improve the nutritional status of 6.2 million children under five in northern Nigeria. At least 140,000 children with severe acute malnutrition will receive treatment. The programme will contribute to National targets of reducing underweight and stunting by 20% (absolute reduction) and exclusive breast feeding rates will increase by 15% in the selected five northern states.
It is anticipated that the programme advocacy component will have some impact on improved government commitment and health system strengthening. Delivering services through government facilities, primary health care workers and community-led interventions will embed a culture of government ownership. Additionally, the design places high importance on support for government policies and strategic planning.
Irrespective of long term, systemic changes there is a strong economic and efficacy argument for DFID investment in nutrition. The direct nutrition interventions delivered through the health sector are evidence-based, cost effective and present a key opportunity for achievement of MDGs (1,4,5).
","http://projects.dfid.gov.uk/project.aspx?Project=201874
","7944|7943","","","","United Nations Children's Fund (UNICEF)","","","","","","","","","","","","","","Other","Operational research and impact evaluation will be conducted by independent nutrition researchers and evaluation experts","Project budget: £50 millionBudget spent to Date: £11,090,293","Bilateral and donor agencies and lenders","Department of International Development (DFID)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","11462","","Breastfeeding promotion and/or counselling","Infant and Young Child Feeding","","","Infants and young children|Lactating women (LW)","Infants and young children below 2 years","Selected Northern States with high rates of undernutrition: Kebbi, Katsina, Jigawa, Zamfara, and Yobe.","Community-based|Primary health care center","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "11464","Improving Maternal, Newborn and Child Nutrition in Northern Nigeria","English","Community/sub-national","","NGA","Nigeria","Kebbi, Nigeria|Katsina State, Nigeria|Jigawa State, Nigeria|Zamfara, Nigeria|Yobe, Nigeria","Rural|Peri-urban","on-going","01-2011","01-2017","One million children under five die every year in Nigeria, 35% of them due to causes attributed to malnutrition. This makes Nigeria one of the six countries that accounts for half of all child deaths from malnutrition worldwide. In the north, half of all children under five are stunted, and one in five suffers from acute malnutrition. This has profound implications for health and for human development, and presents a major obstacle to attainment of Millennium Development Goals in the country and globally. To date, the Nigerian government has not provided the necessary leadership or response to the crisis. Coupled with this, is a weak and fragmented health system which is unable to provide the most basic, cost-effective services for the prevention and management of common health problems. Primary health care level remains the weakest link in effective health delivery.
The programme will deliver a number of evidence-based, highly cost-effective direct interventions for the prevention and treatment of malnutrition, including community-based management of acute malnutrition (CMAM), vitamin A supplementation and deworming, and promotion of improved infant and young child feeding (IYCF) practices. The scaled up delivery will be used to raise the political profile of undernutrition in Nigeria and leverage government to coordinate and fund nutrition programmes. Independent operational research will examine the wider determinants and structural barriers of undernutrition. Impact evaluation will measure progress, quality and advise on critical elements required for a sustainable strategy.
A UNICEF and an INGO consortium of Save the Children (SC UK) and Action Against Hunger / Action Against Hunger (AAH/ACF) will deliver the interventions. Operational research and impact evaluation will be conducted by independent nutrition researchers and evaluation experts.
Results: This programme will reduce the incidence and prevalence of undernutrition in children under five across selected Northern States with high rates of undernutrition: Kebbi, Katsina, Jigawa, Zamfara, and Yobe. By 2017, DFID will improve the nutritional status of 6.2 million children under five in northern Nigeria. At least 140,000 children with severe acute malnutrition will receive treatment. The programme will contribute to National targets of reducing underweight and stunting by 20% (absolute reduction) and exclusive breast feeding rates will increase by 15% in the selected five northern states.
It is anticipated that the programme advocacy component will have some impact on improved government commitment and health system strengthening. Delivering services through government facilities, primary health care workers and community-led interventions will embed a culture of government ownership. Additionally, the design places high importance on support for government policies and strategic planning.
Irrespective of long term, systemic changes there is a strong economic and efficacy argument for DFID investment in nutrition. The direct nutrition interventions delivered through the health sector are evidence-based, cost effective and present a key opportunity for achievement of MDGs (1,4,5).
","http://projects.dfid.gov.uk/project.aspx?Project=201874
","7944|7943","","","","United Nations Children's Fund (UNICEF)","","","","","","","","","","","","","","Other","Operational research and impact evaluation will be conducted by independent nutrition researchers and evaluation experts","Project budget: £50 millionBudget spent to Date: £11,090,293","Bilateral and donor agencies and lenders","Department of International Development (DFID)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","11463","","Deworming","Micronutrients and Deworming","","","Preschool-age children (Pre-SAC)","Children under 5 years","Selected Northern States with high rates of undernutrition: Kebbi, Katsina, Jigawa, Zamfara, and Yobe.","Hospital/clinic|Primary health care center","","","
.
","
Impact, outcome and output indicators will be monitored throughout the lifetime of the programme. Data will be obtained through programme monitoring tools and through routine surveillance instruments such as the Demographic Health Survey. An independent impact evaluation will be embedded within delivery. This will assess the overall effectiveness, cost efficiency and equity of the programme.
","6.2 million children under five in northern Nigeria","6.2 million children under five in 5 states of northern Nigeria","","","","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" "11489","Nutritional Improvement for children in urban Chile and Kenya (NICK) Project","English","Multi-national","","KEN","Kenya","Mombasa, Kenya","Urban","on-going","01-2010","01-2013","
NICK (Nutritional Improvement for children in urban Chile and Kenya) is a three year study that started in October 2010 with funding from the UK Government Department for International Development (DFID) through the Economic and Social Research Council. This study helps the cities of Mombasa in Kenya and Valparaíso in Chile reduce child malnutrition using participatory action research to broaden stakeholder participation at municipal level to change the social determinants. These determinants control the everyday conditions in which people are living and include education, income, working conditions, housing, neighbourhood and community conditions, and social inclusion. It is envisaged that this study will contribute to existing knowledge and also serve as a useful guide for action not only in Kenya and Chile but also in other countries with high levels of child malnutrition.
The NICK project is being implemented in one Mombasa informal settlement (with one matched control settlement). The project, which started on October 1st 2010 and ends on September 30th 2013, is guided by the following central question: Can child malnutrition amongst families living in poverty in informal settlements and slums in Mombasa and Valparaíso be reduced through broadening community and stakeholder participation to change the social determinants of nutritional status?
The project seeks to address the following research questions:
Given the recognition that the determinants of child malnutrition are systemic and require multi-disciplinary concerted efforts to address, the Kenyan research team decided to explore ways of ensuring that the project is integrated into the national efforts that focus on child nutrition. The initial steps, therefore, involved holding discussions with the Nutrition Division in the Ministry of Public Health and Sanitation (MOPHS). During these discussions (in January 2011), it emerged that there are multiple efforts being put in place to strengthen interventions on child malnutrition and related problems among the urban poor. One such initiative was the proposed formation of Urban Nutrition Working Groups (UNWG).
The Kenyan NICK team considered that establishing an UNWG in Mombasa was critical entry point that would help to make NICK activities an integral part of local initiatives with a high possibility of sustainability. This UNWG would function as the participatory action research (PAR) group that was needed for the NICK Project. The team, therefore, sought the support of the national nutrition office to do the following:
Following the granting of permission to work with the Provincial Nutrition Officer, several meetings were held in Mombasa to plan for an initial meeting with local stakeholders to introduce the project and form a Participatory Action Research (PAR) group. The agreement was that the UNWG would also serve as the PAR group. The research group also met with Dr. Shariff,3 the Director of Medical Services, in the Ministry of Public Health and sanitation (MOPHS) who was supportive of NICK and emphasized the need for the project to enhance the implementation of national nutrition priorities. The team also met with members of the Kenya Food Security Steering Group (KFSSG) who had just completed a national survey on Urban Food Security.
The preparatory phase was also utilized to carry out literature reviews and interviews to consolidate the situational analysis. A research permit was acquired, which was granted by the National Council for Science and Technology. With this permit, the Kenyan research team was able to plan for the baseline survey.
(i) Formation of the Provincial Nutrition Technical Committee and UNWG
This meeting was held in Mombasa on April 29th 2011. It brought together 24 participants who were drawn from the participating government departments and other partners. During this meeting, the team agreed to form the Provincial Nutrition Technical Committee under the leadership of the Provincial Nutritionist. Thirteen members were also nominated to form the UNWG under the leadership of the District Nutrition Officer. The members were supportive of this group due to the potential to have a coordinated approach to addressing child nutrition in the region.
(ii) Conduct of the baseline survey
During the initial meeting, it was agreed that the UNWG would be involved in carrying out the baseline survey. As part of community service, the members agreed that anthropometric measurements would be done for every child up to 5 years in the two study sites of Chaani (intervention) and Kongowea (control). Over 900 children were weighed and measured. Data from children 12-59 months indicate higher than national averages for stunting, with Chaani worse off than Kongowea.
The KDHS indicates high levels of stunting and underweight in the Coastal Province.
A household baseline survey was conducted (between June and July 2011) during which over 800 households were interviewed. The main issues addressed were child nutrition, health seeking behaviour and coping mechanisms. Data analysis is ongoing. The Kenyan team is now facilitating the UNGWA through three 6-monthly cycle of action and reflection to develop, implement and improve a range of small scale multisectiorial action to change the social determinants of child undernutrition.
(iii) 1st UNWG/PAR workshop – July 2011
This was a three-day meeting that was attended by 16 participants including the London-based researchers. A follow-up meeting for the UNWG was held on 20th July during which the first multisectorial action plan was finalised.
(iv) Community level activities
Community sensitization is ongoing. The UNWG has held meetings with health officials and village elders in Chaani (the intervention site). A public meeting was held with the community members on 7th November 2011, which was attended by over 250 people. So far 17 formalized groups have been identified and the next steps are to assess the training and research needs of these groups. Support for this group, in the form of training and provision of seed funds will be initiated in January 2011.
","
","","","Over 800 households; Over 900 children","","Anthropometric measurements","","Vulnerable groups","","Complementary feeding>>>Complementary feeding>>http://www.who.int/elena/titles/complementary_feeding","Others, please specify below","Competing interestsThe UNWG members are very busy with multiple responsibilities, which limits the amount of time they have for NICK activities, which are seen as not being directly part of their mandates. The implementation of national level campaigns, such as the polio campaign, interfered with planned programme activities.","Others, please specify below","Time constraints among Government officialsIt was difficult for the research team to interview the district level officers as key respondents for the baseline survey due to time constraints. Although some of them are interested in research they are hard pressed to put aside an hour for an interview.","Management","Managing expectationsIt has been difficult due to the low project budget. In Kenya, there is a tendency for officers to be given allowances when they attend meetings. Doing this would deplete the project budget completely. The research team has shared the project budget with the UNWG and an agreement has been reached to facilitate travel but not to provide ‘sitting allowances’ as a compromise.","Adherence","Balancing between studies and field activitiesCombining the field activities and the research activities of the extension research project on domestic violence and child undernutrition led to some delay in the implementation of community level activities and the 2nd PAR workshop. These activities will be initiated in earnest in January 2012. The PAR workshop will be held in February 2012","","","","","","","","","","","","","","
The current project implementation process introduces a different mechanism of working in partnership at the community level for the implementation partners. Although the project has experienced some challenges, the achievement to-date indicates that with more support and additional training, the UNWG is in a position to implement sustainable interventions to address the social determinants of child nutrition. The baseline survey tools that will be used at the end of the project will be a good measure of whether this approach will have borne the anticipated outcome of multiple implementers working together for the common good.
","","English"