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"24628","Nutrition International - Bangladesh","English","Community/sub-national","","BGD","Bangladesh","Kurigram|Sirajganj|Bogra|Shatkhira|Khulna|Bagerhat|Gazipur|Sylhet|Surnamganj|Netrokona|Gopalganj district|Bhola","","on-going","","2020","
Fortifying commonly-eaten grains such as wheat, maize flour and rice is among the easiest and least expensive ways to prevent disease, strengthen immune systems and nurture a healthy and productive next generation.[1] Nutrition International leads and supports grain fortification efforts in low- and middle– income countries through a number of programs.
In Bangladesh, rice fortification is supported by the government, and The World Food Programme (WFP) is supporting rice fortification in 12 districts with funding from the Netherlands government. Under a joint workplan, NI and WFP agreed to support the government and rice millers with capacity building towards strengthening the supply chain, monitoring, quality control, awareness creation and production of fortified rice in 35 upzillas from 2017 onward. NI also developed standard operating procedures and provided training for the rice millers, as well as established a local laboratory capacity for the testing of fortified rice kernels and fortified rice product.
This intervention is being implemented in partnership with Ministry of Women and Children’s Affairs, Ministry of Food, Department of Women Affairs, Directorate General of Food, Bangladesh Standards and Testing Institution, Institute of Food Science and Technology, WFP and Rice Millers. It is being implemented sub-nationally in 3 upazillas of 12 districts (Kurigram, Sirajganj, Bogra, Shatkhira, Khulna, Bagerhat, Gopalganj, Bhola, Gazipur, Sylhet, Sunamganj and Netrokona). Funding for this program began in 2015 and will continue until 2020.
","- Why Fortify Flour and Rice? (n.d.). Retrieved from http://www.ffinetwork.org/why_fortify/index.html
For more information:
","11506|8273|8238|8230|8159|8094","","Women, children, families|Other","Ministry of Women and Children’s Affairs;Ministry of Food;Department of Women Affairs;Directorate General of Food;Bangladesh Standards and Testing Institution;Institute of Food Science and Technology,","World Food Programme (WFP)","","Nutrition International","","","","","","","","","","Private sector","Rice Millers","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","25800","","Rice fortification","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English"
"24629","Nutrition International - India","English","Community/sub-national","","IND","India","Gujarat","","on-going","","2020","Food Fortification is the addition of vitamins and minerals to staple foods like rice and wheat to prevent micronutrient deficiencies,strengthen immune systems and nurture a healthy and productive next generation. It is a cost effective strategy to deliver key micronutrients to a large population. Fortifying commonly-eaten grains such as wheat, maize flour and rice is among the easiest and least expensive ways to prevent disease, strengthen immune systems and nurture a healthy and productive next generation.[1] Nutrition International leads and supports grain fortification efforts in low- and middle – income countries through a number of programs. Fortifying grains with iron and folic acid is an effective way to prevent anaemia and neural tube defects in a population.[2]
In August 2018, the government published new standards for mass food fortification, including high-extraction atta wheat flour. The Government of India also recommends the introduction of food fortification in its existing social safety net programs as a strategy to improve nutrition and address micronutrient deficiencies among the population.
In India, Nutrition International is providing technical support to the Gujarat Roller Flour Millers Association through the following activities, as an efforts to introduce fortified wheat flour into the open market:
- Conducted an industry assessment to understand the capacity of roller flour millers to produce fortified wheat flour and to assess the preparedness of the distribution channel.
- Developed a training module on the production and QA/QC process for fortifying wheat flour.
- Developed a Behaviour Change Communication strategy and communication prototypes on the benefits of fortified wheat flour. These prototypes were developed to be customized by millers for their brand.
- Supported the Gujarat Roller Flour Miller’s Association to set up a laboratory to monitor the quality of fortified wheat flour produced by the millers.
- Continued advocacy for an enabling policy environment for the introduction of fortified wheat flour through social safety programs of the state.
These activities are being implemented in partnership with the Gujarat Roller Flour Millers Association and Food Safety and Standards Authority of India, Government of India.
In 2017, 29,732 MTs of additional adequately fortified wheat flour was produced by NI-supported millers which would benefit 561,398 individuals. NI has provided long-standing support to food fortification in India.
","- Why Fortify Flour and Rice? (n.d.). Retrieved from http://www.ffinetwork.org/why_fortify/index.html
- Fisberg, M., & Tosatti, A. M. (2011). Enrichment of iron and folic acid. Revista Brasileira De Hematologia E Hemoterapia,33(2), 94-95. doi:10.5581/1516-8484.20110026
For more information:
","8754|8274|8092","","Health","Food Safety and Standards Authority of India;","","","Nutrition International","","","","","","","","","","Private sector","Gujarat Roller Flour Mills Association","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","25801","","Wheat flour fortification","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English"
"24594","Nutrition International - Micronutrient Supplementation for Reducing Mortality and Morbidity in Indonesia (MITRA)","English","Community/sub-national","","IDN","Indonesia","East Java|East Nusa Tenggara","","on-going","08-2015","09-2018","The MITRA (Micronutrient Supplementation for Reducing Mortality and Morbidity in Indonesia) program is a partnership between the governments of Indonesia, Australia and Canada, facilitated by Nutrition International. It is an integrated micronutrient supplementation program being implemented in 20 districts of East Java and East Nusa Tenggara (ENT) provinces, centering its work on four micronutrients – Vitamin A, Zinc, Iron and Folic Acid - with a focus on their key role in improving Maternal, Newborn and Child Health (MNCH). The overall objective of the program is to improve access to health services for both pregnant women and caregivers of children under five to improve health outcomes. Ultimately, these health outcomes will be accomplished through improved coverage and adherence to IFA supplementation among pregnant women, Vitamin A supplementation (VAS) to children under five, and the use of zinc and ORS in the treatment of childhood diarrhoea. In order to achieve the goal of the program, the program strategy components fall under three categories (i) enabling environment; (ii) provision or supply chain; and (iii) consumption and include:
- Strengthening government commitment to reduce micronutrient deficiencies and integrate such programs within the health system.
- National technical assistance on improving the quality of key micronutrient supplements, Health Management Information Systems and revision of national guidelines.
- Streamlining the supply chain and improving forecasting for supplies at the district, province and national levels.
- Needs based capacity building of health staff, midwives and other relevant cadres.
- Streamlining program monitoring and supervision from national to district levels.
- Exploring support through the private sector.
- The use of an appropriate Behaviour Change Intervention (BCI) strategy and supporting BCI for creating awareness on the benefits of these interventions to caregivers and consumers on one hand and to health workers on the other, including the need for effective counselling to caregivers and proper administration of the interventions.
Funding for this program began in August 2015 and will end in September 2018.
","","17802","National Medium Term Development Plan (RPJMN) 2015-2019, The National Diarrhoea Disease Control Program (NDDCP) ","Other","Government of IndonesiaGovernment of AustraliaGovernment of Canada","","","Nutrition International","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","25868","","Vitamin A supplementation","","","","Infants and young children","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English"
"24594","Nutrition International - Micronutrient Supplementation for Reducing Mortality and Morbidity in Indonesia (MITRA)","English","Community/sub-national","","IDN","Indonesia","East Java|East Nusa Tenggara","","on-going","08-2015","09-2018","The MITRA (Micronutrient Supplementation for Reducing Mortality and Morbidity in Indonesia) program is a partnership between the governments of Indonesia, Australia and Canada, facilitated by Nutrition International. It is an integrated micronutrient supplementation program being implemented in 20 districts of East Java and East Nusa Tenggara (ENT) provinces, centering its work on four micronutrients – Vitamin A, Zinc, Iron and Folic Acid - with a focus on their key role in improving Maternal, Newborn and Child Health (MNCH). The overall objective of the program is to improve access to health services for both pregnant women and caregivers of children under five to improve health outcomes. Ultimately, these health outcomes will be accomplished through improved coverage and adherence to IFA supplementation among pregnant women, Vitamin A supplementation (VAS) to children under five, and the use of zinc and ORS in the treatment of childhood diarrhoea. In order to achieve the goal of the program, the program strategy components fall under three categories (i) enabling environment; (ii) provision or supply chain; and (iii) consumption and include:
- Strengthening government commitment to reduce micronutrient deficiencies and integrate such programs within the health system.
- National technical assistance on improving the quality of key micronutrient supplements, Health Management Information Systems and revision of national guidelines.
- Streamlining the supply chain and improving forecasting for supplies at the district, province and national levels.
- Needs based capacity building of health staff, midwives and other relevant cadres.
- Streamlining program monitoring and supervision from national to district levels.
- Exploring support through the private sector.
- The use of an appropriate Behaviour Change Intervention (BCI) strategy and supporting BCI for creating awareness on the benefits of these interventions to caregivers and consumers on one hand and to health workers on the other, including the need for effective counselling to caregivers and proper administration of the interventions.
Funding for this program began in August 2015 and will end in September 2018.
","","17802","National Medium Term Development Plan (RPJMN) 2015-2019, The National Diarrhoea Disease Control Program (NDDCP) ","Other","Government of IndonesiaGovernment of AustraliaGovernment of Canada","","","Nutrition International","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","25869","","Iron and folic acid supplementation","","","","Pregnant women (PW)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English"
"24594","Nutrition International - Micronutrient Supplementation for Reducing Mortality and Morbidity in Indonesia (MITRA)","English","Community/sub-national","","IDN","Indonesia","East Java|East Nusa Tenggara","","on-going","08-2015","09-2018","The MITRA (Micronutrient Supplementation for Reducing Mortality and Morbidity in Indonesia) program is a partnership between the governments of Indonesia, Australia and Canada, facilitated by Nutrition International. It is an integrated micronutrient supplementation program being implemented in 20 districts of East Java and East Nusa Tenggara (ENT) provinces, centering its work on four micronutrients – Vitamin A, Zinc, Iron and Folic Acid - with a focus on their key role in improving Maternal, Newborn and Child Health (MNCH). The overall objective of the program is to improve access to health services for both pregnant women and caregivers of children under five to improve health outcomes. Ultimately, these health outcomes will be accomplished through improved coverage and adherence to IFA supplementation among pregnant women, Vitamin A supplementation (VAS) to children under five, and the use of zinc and ORS in the treatment of childhood diarrhoea. In order to achieve the goal of the program, the program strategy components fall under three categories (i) enabling environment; (ii) provision or supply chain; and (iii) consumption and include:
- Strengthening government commitment to reduce micronutrient deficiencies and integrate such programs within the health system.
- National technical assistance on improving the quality of key micronutrient supplements, Health Management Information Systems and revision of national guidelines.
- Streamlining the supply chain and improving forecasting for supplies at the district, province and national levels.
- Needs based capacity building of health staff, midwives and other relevant cadres.
- Streamlining program monitoring and supervision from national to district levels.
- Exploring support through the private sector.
- The use of an appropriate Behaviour Change Intervention (BCI) strategy and supporting BCI for creating awareness on the benefits of these interventions to caregivers and consumers on one hand and to health workers on the other, including the need for effective counselling to caregivers and proper administration of the interventions.
Funding for this program began in August 2015 and will end in September 2018.
","","17802","National Medium Term Development Plan (RPJMN) 2015-2019, The National Diarrhoea Disease Control Program (NDDCP) ","Other","Government of IndonesiaGovernment of AustraliaGovernment of Canada","","","Nutrition International","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","25871","","Zinc supplementation","","","","Infants and young children","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English"
"24602","Nutrition International - Deworming Adolescents, WASH and Nutrition (DAWN)","English","Community/sub-national","","BGD","Bangladesh","Rajshahi|Chapai Nawabganj|Joypurhat|Sirajganj","","","","","DAWN is an innovative partnership among the Ministry of Education and Ministry of Health and Family Welfare of the Government of Bangladesh (GoB) and Nutrition International. The immediate aim of this project is to demonstrate the effectiveness and scalability of using the secondary school platform to deliver iron-folic acid (IFA) within a package of services including soil-transmitted helminth (STH) treatment, WASH interventions, and behavior change interventions, to improve the nutrition and health status of adolescent girls in secondary schools in selected districts in Bangladesh. The lessons learned from this program model and costing data will then inform policy recommendations regarding future scale up for investment by GoB and its investment partners. Johnson & Johnson is the provider of deworming treatment through their global technical partner, Children Without Worms (CWW).
The primary objectives of the project are:
- Identify an appropriate and effective delivery mechanism for the provision of an integrated package of interventions including IFA, STH treatment, WASH, and behavior change intervention (BCI) to adolescents via the secondary school platform (grades 8, 9, and 10).
- Identify key factors that would optimize the implementation efficiency and cost-effectiveness of delivering the integrated package to the target group.
- Enhance the intake of IFA supplementation and STH treatment among adolescent boys and girls.
- Reduce the prevalence of anemia and improve iron nutrition among adolescent girls.
- Improve the overall health and nutrition status of adolescent boys and girls.
- Reduce prevalence of STH infection and decrease worm load among adolescent boys and girls.
- Through a BCI, improve knowledge, attitudes, and practices (KAP) among adolescents and their key social influencers regarding: IFA supplementation, nutrition, WASH (including menstrual hygiene management), and deworming.
- Reduce WASH-related barriers to menstrual hygiene management for girls (to support girls’ school attendance and therefore uptake of the intervention package).
- To provide policy recommendations and a costed action plan to GoB on implementation of a scaled-up school-based nutrition program to deliver IFA and to improve nutrition and health of the adolescents nationwide.
This project will conclude in March 2020.
","","","","Health|Education and research","Ministry of Education, Government of BangladeshMinistry of Health and Family Welfare, Government of Bangladesh","","","Nutrition International","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","26000","","Deworming","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English"
"24602","Nutrition International - Deworming Adolescents, WASH and Nutrition (DAWN)","English","Community/sub-national","","BGD","Bangladesh","Rajshahi|Chapai Nawabganj|Joypurhat|Sirajganj","","","","","DAWN is an innovative partnership among the Ministry of Education and Ministry of Health and Family Welfare of the Government of Bangladesh (GoB) and Nutrition International. The immediate aim of this project is to demonstrate the effectiveness and scalability of using the secondary school platform to deliver iron-folic acid (IFA) within a package of services including soil-transmitted helminth (STH) treatment, WASH interventions, and behavior change interventions, to improve the nutrition and health status of adolescent girls in secondary schools in selected districts in Bangladesh. The lessons learned from this program model and costing data will then inform policy recommendations regarding future scale up for investment by GoB and its investment partners. Johnson & Johnson is the provider of deworming treatment through their global technical partner, Children Without Worms (CWW).
The primary objectives of the project are:
- Identify an appropriate and effective delivery mechanism for the provision of an integrated package of interventions including IFA, STH treatment, WASH, and behavior change intervention (BCI) to adolescents via the secondary school platform (grades 8, 9, and 10).
- Identify key factors that would optimize the implementation efficiency and cost-effectiveness of delivering the integrated package to the target group.
- Enhance the intake of IFA supplementation and STH treatment among adolescent boys and girls.
- Reduce the prevalence of anemia and improve iron nutrition among adolescent girls.
- Improve the overall health and nutrition status of adolescent boys and girls.
- Reduce prevalence of STH infection and decrease worm load among adolescent boys and girls.
- Through a BCI, improve knowledge, attitudes, and practices (KAP) among adolescents and their key social influencers regarding: IFA supplementation, nutrition, WASH (including menstrual hygiene management), and deworming.
- Reduce WASH-related barriers to menstrual hygiene management for girls (to support girls’ school attendance and therefore uptake of the intervention package).
- To provide policy recommendations and a costed action plan to GoB on implementation of a scaled-up school-based nutrition program to deliver IFA and to improve nutrition and health of the adolescents nationwide.
This project will conclude in March 2020.
","","","","Health|Education and research","Ministry of Education, Government of BangladeshMinistry of Health and Family Welfare, Government of Bangladesh","","","Nutrition International","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","26024","","Iron and folic acid supplementation","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English"
"24602","Nutrition International - Deworming Adolescents, WASH and Nutrition (DAWN)","English","Community/sub-national","","BGD","Bangladesh","Rajshahi|Chapai Nawabganj|Joypurhat|Sirajganj","","","","","DAWN is an innovative partnership among the Ministry of Education and Ministry of Health and Family Welfare of the Government of Bangladesh (GoB) and Nutrition International. The immediate aim of this project is to demonstrate the effectiveness and scalability of using the secondary school platform to deliver iron-folic acid (IFA) within a package of services including soil-transmitted helminth (STH) treatment, WASH interventions, and behavior change interventions, to improve the nutrition and health status of adolescent girls in secondary schools in selected districts in Bangladesh. The lessons learned from this program model and costing data will then inform policy recommendations regarding future scale up for investment by GoB and its investment partners. Johnson & Johnson is the provider of deworming treatment through their global technical partner, Children Without Worms (CWW).
The primary objectives of the project are:
- Identify an appropriate and effective delivery mechanism for the provision of an integrated package of interventions including IFA, STH treatment, WASH, and behavior change intervention (BCI) to adolescents via the secondary school platform (grades 8, 9, and 10).
- Identify key factors that would optimize the implementation efficiency and cost-effectiveness of delivering the integrated package to the target group.
- Enhance the intake of IFA supplementation and STH treatment among adolescent boys and girls.
- Reduce the prevalence of anemia and improve iron nutrition among adolescent girls.
- Improve the overall health and nutrition status of adolescent boys and girls.
- Reduce prevalence of STH infection and decrease worm load among adolescent boys and girls.
- Through a BCI, improve knowledge, attitudes, and practices (KAP) among adolescents and their key social influencers regarding: IFA supplementation, nutrition, WASH (including menstrual hygiene management), and deworming.
- Reduce WASH-related barriers to menstrual hygiene management for girls (to support girls’ school attendance and therefore uptake of the intervention package).
- To provide policy recommendations and a costed action plan to GoB on implementation of a scaled-up school-based nutrition program to deliver IFA and to improve nutrition and health of the adolescents nationwide.
This project will conclude in March 2020.
","","","","Health|Education and research","Ministry of Education, Government of BangladeshMinistry of Health and Family Welfare, Government of Bangladesh","","","Nutrition International","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","26025","","Nutrition education and counselling","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English"
"25757","Nutrition International - Indonesia","English","Community/sub-national","","IDN","Indonesia","Indonesia","","","","","Vitamin A deficiency (VAD) is a public health problem all around the world, affecting more than 100 countries [1]. A lack of vitamin A weakens the immune system, putting a child at greater risk of disease and early death; and it is also the leading cause of preventable child blindness. The solution for correcting vitamin A deficiency lies in improving the child’s diet – through increased consumption of vitamin A-rich foods, naturally rich or commercially fortified foods such as processed oils or sugar.
In countries where this remains a public health problem, and while food-based solutions are gradually being implemented and scaled-up to reach those populations, giving children 6 to 59 months of age two doses of vitamin A per year can impact a child’s health. Specifically, the range of impact on deaths averted can range from a lower bound cause-specific effect size of 28% (diarrheal deaths averted) to an upper bound of 12%-24% all-cause mortality reduction [2].
Nutrition International is committed to supporting vitamin A supplement (VAS) programs for children 6 to 59 months of age in settings where VAD is a public health problem, as one of the most cost-effective ways to improve child survival.
The main aims of NI’s VAS program in Indonesia are to:
- Provide technical assistance on a national level for the revision of key policy, guidelines and strategy documents through participation in the VAS Technical Working Group.
- Support Provincial Health Officers (PHOs) and District Health Officers (DHOs) to implement Indonesia’s “replication package” for improved VAS program management across all districts.
- Provide technical assistance at a national level to revise the National VAS guidelines and support to UNICEF to implement a retrospective VAS coverage analysis.
These activities are being implemented in partnership with the Ministry of Health at Central level, Provincial Health Offices, District Health Offices and UNICEF. Progress is being achieved on a sub-national scale in six high-mortality provinces (Banten, West Java, West Nusa Tenggara, North Sumatra, Riau and South Sumatra.). NI support to Indonesia’s VAS program began in 1999 and is ongoing.
","[1] WHO. (2013). Micronutrient deficiencies. Retrieved from http://www.who.int/nutrition/topics/vad/en/
[2] Imdad A, Herzer, K, Mayo-Wilson E, Yakoob MY, Bhuta ZA. Vitamin A supplementation for preventing morbidity and mortality in children from 6 months to 5 years of age. Cochrane Database of Systematic Reviews 2010, Issue 12.
For more information:
","17802|7954","","Health|Sub-national","Ministry of Health at Central levelProvincial Health OfficesDistrict Health Offices","United Nations Children's Fund (UNICEF)","","Nutrition International","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","26184","","Vitamin A supplementation","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English"
"25754","Nutrition International - Senegal","English","Community/sub-national","","SEN","Senegal","Senegal","","","","","Vitamin A deficiency (VAD) is a public health problem all around the world, affecting more than 100 countries [1]. A lack of vitamin A weakens the immune system, putting a child at greater risk of disease and early death; and it is also the leading cause of preventable child blindness. The solution for correcting vitamin A deficiency lies in improving the child’s diet – through increased consumption of vitamin A-rich foods, naturally rich or commercially fortified foods such as processed oils or sugar.
In countries where this remains a public health problem, and while food-based solutions are gradually being implemented and scaled-up to reach those populations, giving children 6 to 59 months of age two doses of vitamin A per year can impact a child’s health. Specifically, the range of impact on deaths averted can range from a lower bound cause-specific effect size of 28% (diarrheal deaths averted) to an upper bound of 12%-24% all-cause mortality reduction [2].
Nutrition International is committed to supporting vitamin A supplement (VAS) programs for children 6 to 59 months of age in settings where VAD is a public health problem, as one of the most cost-effective ways to improve child survival.
The main aims of NI’s VAS program in Senegal are to:
- Support the government with provision of the national supply of Vitamin A Capsules (VAC) through the In-Kind Assistance (IKA) program.
- Provide technical assistance on a national level for the revision of key policy, guidelines and strategy documents through participation in the VAS Technical Working Group.
- Support the Ministry of Health to strengthen the delivery of VAS through routine services in 31 focus districts. NI is leveraging the community-based health platform established by INGOs and strengthening the supportive supervision and quarterly regional reviews to make corrective actions at the district levels.
These activities are being implemented in partnership with the Directorate of Reproductive Health and Child Survival/Ministry of Health, the National VAS Technical Working Group, and UNICEF. This work is being completed sub-nationally by continued support to 31 districts across five regions (Kaffrine, Kolda, Thiès, Saint Louis and Dakar). NI support to Senegal’s VAS program began in 1999 and is ongoing.
","[1] WHO. (2013). Micronutrient deficiencies. Retrieved from http://www.who.int/nutrition/topics/vad/en/
[2] Imdad A, Herzer, K, Mayo-Wilson E, Yakoob MY, Bhuta ZA. Vitamin A supplementation for preventing morbidity and mortality in children from 6 months to 5 years of age. Cochrane Database of Systematic Reviews 2010, Issue 12.
For more information:
","8773|8598|8594|8592|8505","","Health","Directorate of Reproductive Health and Child Survival/Ministry of Health","United Nations Children's Fund (UNICEF)","","Nutrition International","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","26187","","Vitamin A supplementation","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English"
"25753","Nutrition International - Nigeria","English","Community/sub-national","","NGA","Nigeria","Nigeria","","","","","Vitamin A deficiency (VAD) is a public health problem all around the world, affecting more than 100 countries [1]. A lack of vitamin A weakens the immune system, putting a child at greater risk of disease and early death; and it is also the leading cause of preventable child blindness. The solution for correcting vitamin A deficiency lies in improving the child’s diet – through increased consumption of vitamin A-rich foods, naturally rich or commercially fortified foods such as processed oils or sugar.
In countries where this remains a public health problem, and while food-based solutions are gradually being implemented and scaled-up to reach those populations, giving children 6 to 59 months of age two doses of vitamin A per year can impact a child’s health. Specifically, the range of impact on deaths averted can range from a lower bound cause-specific effect size of 28% (diarrheal deaths averted) to an upper bound of 12%-24% all-cause mortality reduction [2].
Nutrition International is committed to supporting vitamin A supplement (VAS) programs for children 6 to 59 months of age in settings where VAD is a public health problem, as one of the most cost-effective ways to improve child survival.
The main aims of NI’s VAS program in Nigeria are to:
- Support the government with the provision of donated Vitamin A Capsule (VAC) supplies through the In-Kind Assistance (IKA) program.
- Provide technical assistance on a national level for the revision of key policy, guidelines and strategy documents through participation in the VAS Technical Working Group.
- Support the development of a VAS-specific social and behavior change communication strategy and materials for both caregivers and the community as a whole, as well as job aids for frontline workers.
- Provide technical assistance and financial support to low performing states to plan for and carry out the biannual Maternal Newborn and Child Health Week (MNCHW) at the state level in accordance with national guidelines.
NI's work is in partnership with the Government of Nigeria’s National Primary Health Care Development Agency, UNICEF, Catholic Relief Services (CRS) and Helen Keller International (HKI). Sub-nationally, while NI has supported up to 14 States at different times, NI currently supports 9 states including Bauchi, Gombe, Sokoto, Kano, Niger, Plateau and Kaduna in the north region and Cross-river, and Delta in the south. NI support to Nigeria's VAS program began in 2000 and is ongoing.
","[1] WHO. (2013). Micronutrient deficiencies. Retrieved from http://www.who.int/nutrition/topics/vad/en/
[2] Imdad A, Herzer, K, Mayo-Wilson E, Yakoob MY, Bhuta ZA. Vitamin A supplementation for preventing morbidity and mortality in children from 6 months to 5 years of age. Cochrane Database of Systematic Reviews 2010, Issue 12.
For more information:
","23587|14721|7944|7943","","Health","Government of Nigeria's National Primary Health Care Development Agency","United Nations Children's Fund (UNICEF)","","Catholic Relief Services|Helen Keller International (HKI)|Nutrition International","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","26188","","Vitamin A supplementation","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English"
"26196","Nutrition International - Infant and Young Child Nutrition - India","English","Community/sub-national","","IND","India","India","","","","","The first 1000 days from conception to two years of age are critical to the health and development of a child. Adequate infant and young child nutrition (IYCN) is crucial for survival and long-term health and well-being. Approximately 45% of deaths of children under five years of age can be attributed to malnutrition [1], and are often associated with inappropriate feeding practices during the first years of life [2]. The first two years of life provide a critical window of opportunity for ensuring children’s appropriate growth and development through optimal feeding. Many countries experience a sharp increase in the prevalence of malnutrition for this age group.
NI supports countries to implement their IYCN program in line with WHO/UNICEF recommended IYCF practices. This includes the timely initiation of breastfeeding, exclusive breastfeeding to the age of six months, introduction of solid, semi-solid and soft foods at 6 months of age and continued breastfeeding until 24 months of age, recommended minimum meal frequency and dietary diversity. NI also supports recommended practices such as responsive feeding, hand washing with clean water and soap, and safe food preparation and storage.
In India, NI’s approach to IYCN is to demonstrate a model for improved community IYCN practices in Uttar Pradesh and Gujarat. Specifically, NI aims to show the link between the prevention and treatment of child under-nutrition as a ‘continuum of care’. There are two areas of focus: (i) Appropriate IYCF practices to prevent children going into moderate acutre malnutrition (MAM) and severe acute malnutrition (SAM); and (ii) Ensuring treated children (who have ‘graduated’ from the different grades of malnutrition) do not sink back again into malnourishment. NI has a dedicated team that support activities that build the capacity of government service providers and managers; improve awareness through appropriate BCI; and improve reporting by strengthening monitoring and review through joint visits and meetings.
This project is being implemented sub-nationally in two districts: Basti, in the State of Uttar Pradesh (UP) and Dahod, in the State of Gujarat. These activities are being implemented with respective state governments. NI support to IYCN in India began in 2016 and is ongoing.
","[1] Black RE et al. Maternal and child undernutrition and overweight in low-income and middle-income countries. The Lancet. 2013; 382(9890):427-451
[2] Sankar MJ, et al. Optimal breastfeeding practices and infant and child mortality: a systematic review and meta-analysis. Acta Paediatr. 2015 Dec;104(467):3-13
For more information:
","","","Sub-national","State Governments of Uttar Pradesh and Gujarat","","","Nutrition International","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","26202","","Breastfeeding promotion and/or counselling","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English"
"26196","Nutrition International - Infant and Young Child Nutrition - India","English","Community/sub-national","","IND","India","India","","","","","The first 1000 days from conception to two years of age are critical to the health and development of a child. Adequate infant and young child nutrition (IYCN) is crucial for survival and long-term health and well-being. Approximately 45% of deaths of children under five years of age can be attributed to malnutrition [1], and are often associated with inappropriate feeding practices during the first years of life [2]. The first two years of life provide a critical window of opportunity for ensuring children’s appropriate growth and development through optimal feeding. Many countries experience a sharp increase in the prevalence of malnutrition for this age group.
NI supports countries to implement their IYCN program in line with WHO/UNICEF recommended IYCF practices. This includes the timely initiation of breastfeeding, exclusive breastfeeding to the age of six months, introduction of solid, semi-solid and soft foods at 6 months of age and continued breastfeeding until 24 months of age, recommended minimum meal frequency and dietary diversity. NI also supports recommended practices such as responsive feeding, hand washing with clean water and soap, and safe food preparation and storage.
In India, NI’s approach to IYCN is to demonstrate a model for improved community IYCN practices in Uttar Pradesh and Gujarat. Specifically, NI aims to show the link between the prevention and treatment of child under-nutrition as a ‘continuum of care’. There are two areas of focus: (i) Appropriate IYCF practices to prevent children going into moderate acutre malnutrition (MAM) and severe acute malnutrition (SAM); and (ii) Ensuring treated children (who have ‘graduated’ from the different grades of malnutrition) do not sink back again into malnourishment. NI has a dedicated team that support activities that build the capacity of government service providers and managers; improve awareness through appropriate BCI; and improve reporting by strengthening monitoring and review through joint visits and meetings.
This project is being implemented sub-nationally in two districts: Basti, in the State of Uttar Pradesh (UP) and Dahod, in the State of Gujarat. These activities are being implemented with respective state governments. NI support to IYCN in India began in 2016 and is ongoing.
","[1] Black RE et al. Maternal and child undernutrition and overweight in low-income and middle-income countries. The Lancet. 2013; 382(9890):427-451
[2] Sankar MJ, et al. Optimal breastfeeding practices and infant and child mortality: a systematic review and meta-analysis. Acta Paediatr. 2015 Dec;104(467):3-13
For more information:
","","","Sub-national","State Governments of Uttar Pradesh and Gujarat","","","Nutrition International","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","26203","","Complementary feeding promotion and/or counselling","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English"
"26193","Nutrition International - Infant and Young Child Nutrition - Tanzania","English","Community/sub-national","","TZA","United Republic of Tanzania","Tanzania","","","","","The first 1000 days from conception to two years of age are critical to the health and development of a child. Adequate infant and young child nutrition (IYCN) is crucial for survival and long-term health and well-being. Approximately 45% of deaths of children under five years of age can be attributed to malnutrition [1], and are often associated with inappropriate feeding practices during the first years of life [2]. The first two years of life provide a critical window of opportunity for ensuring children’s appropriate growth and development through optimal feeding. Many countries experience a sharp increase in the prevalence of malnutrition for this age group.
NI supports countries to implement their IYCN program in line with WHO/UNICEF recommended IYCF practices. This includes the timely initiation of breastfeeding, exclusive breastfeeding to the age of six months, introduction of solid, semi-solid and soft foods at 6 months of age and continued breastfeeding until 24 months of age, recommended minimum meal frequency and dietary diversity. NI also supports recommended practices such as responsive feeding, hand washing with clean water and soap, and safe food preparation and storage.
Some of NI’s support to IYCN programs includes a Micronutrient Powder (MNP) component.
The implementation of NI’s IYCN intervention in Tanzania builds on the ongoing government of Tanzania’s efforts to address nutrition as stipulated in the National Multisectoral Nutrition Action Plan (NMNAP), 2016- 2021. The IYCN component targets caregivers of children 0-23 months of age with counselling and other community-based activities that promote, protect and support exclusive breastfeeding and complementary feeding practices. NI’s IYCN intervention focuses on addressing the existing gaps in the quality of provision of services, program management including the use of data, and BCI and follows the 1000 days approach. In 2017, NI procured MNP sachets on behalf of the government and distributed them in 3 NI-supported districts in Mwanza through the health system.
These activities are being implemented in partnership with the Ministry of Health, Community Development, Gender, Elderly and Children (MOHCDGEC), within the MoH (Tanzania Food and Nutrition Centre, Medical Stores Department and Tanzania Food and Drug Authority), President’s Office, Regional Administration and Local Government, Local Government Authorities and AMREF Health Africa. These initiatives are being implemented sub-nationally in three districts in Mwanza Region (Nyamagana, Kwimba and Sengerema) and three districts in Simiyu region (Bariadi, Maswa and Meatu) NI support to IYCN in Tanzania began in 2016 and is ongoing.
","[1] Black RE et al. Maternal and child undernutrition and overweight in low-income and middle-income countries. The Lancet. 2013; 382(9890):427-451
[2] Sankar MJ, et al. Optimal breastfeeding practices and infant and child mortality: a systematic review and meta-analysis. Acta Paediatr. 2015 Dec;104(467):3-13
For more information:
","","","Health","","","","Nutrition International","AMREF Health Africa","","","","","","","","","","","","","Ministry of Health, Community Development, Gender, Elderly and Children; Tanzania Food and Nutrition Centre; Medical Stores Department and Tanzania Food and Drug Authority; President's Office, Regional Administration and Local Government; Local Government Authorities","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","26207","","Breastfeeding promotion and/or counselling","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English"
"26193","Nutrition International - Infant and Young Child Nutrition - Tanzania","English","Community/sub-national","","TZA","United Republic of Tanzania","Tanzania","","","","","The first 1000 days from conception to two years of age are critical to the health and development of a child. Adequate infant and young child nutrition (IYCN) is crucial for survival and long-term health and well-being. Approximately 45% of deaths of children under five years of age can be attributed to malnutrition [1], and are often associated with inappropriate feeding practices during the first years of life [2]. The first two years of life provide a critical window of opportunity for ensuring children’s appropriate growth and development through optimal feeding. Many countries experience a sharp increase in the prevalence of malnutrition for this age group.
NI supports countries to implement their IYCN program in line with WHO/UNICEF recommended IYCF practices. This includes the timely initiation of breastfeeding, exclusive breastfeeding to the age of six months, introduction of solid, semi-solid and soft foods at 6 months of age and continued breastfeeding until 24 months of age, recommended minimum meal frequency and dietary diversity. NI also supports recommended practices such as responsive feeding, hand washing with clean water and soap, and safe food preparation and storage.
Some of NI’s support to IYCN programs includes a Micronutrient Powder (MNP) component.
The implementation of NI’s IYCN intervention in Tanzania builds on the ongoing government of Tanzania’s efforts to address nutrition as stipulated in the National Multisectoral Nutrition Action Plan (NMNAP), 2016- 2021. The IYCN component targets caregivers of children 0-23 months of age with counselling and other community-based activities that promote, protect and support exclusive breastfeeding and complementary feeding practices. NI’s IYCN intervention focuses on addressing the existing gaps in the quality of provision of services, program management including the use of data, and BCI and follows the 1000 days approach. In 2017, NI procured MNP sachets on behalf of the government and distributed them in 3 NI-supported districts in Mwanza through the health system.
These activities are being implemented in partnership with the Ministry of Health, Community Development, Gender, Elderly and Children (MOHCDGEC), within the MoH (Tanzania Food and Nutrition Centre, Medical Stores Department and Tanzania Food and Drug Authority), President’s Office, Regional Administration and Local Government, Local Government Authorities and AMREF Health Africa. These initiatives are being implemented sub-nationally in three districts in Mwanza Region (Nyamagana, Kwimba and Sengerema) and three districts in Simiyu region (Bariadi, Maswa and Meatu) NI support to IYCN in Tanzania began in 2016 and is ongoing.
","[1] Black RE et al. Maternal and child undernutrition and overweight in low-income and middle-income countries. The Lancet. 2013; 382(9890):427-451
[2] Sankar MJ, et al. Optimal breastfeeding practices and infant and child mortality: a systematic review and meta-analysis. Acta Paediatr. 2015 Dec;104(467):3-13
For more information:
","","","Health","","","","Nutrition International","AMREF Health Africa","","","","","","","","","","","","","Ministry of Health, Community Development, Gender, Elderly and Children; Tanzania Food and Nutrition Centre; Medical Stores Department and Tanzania Food and Drug Authority; President's Office, Regional Administration and Local Government; Local Government Authorities","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","26208","","Complementary feeding promotion and/or counselling","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English"
"26193","Nutrition International - Infant and Young Child Nutrition - Tanzania","English","Community/sub-national","","TZA","United Republic of Tanzania","Tanzania","","","","","The first 1000 days from conception to two years of age are critical to the health and development of a child. Adequate infant and young child nutrition (IYCN) is crucial for survival and long-term health and well-being. Approximately 45% of deaths of children under five years of age can be attributed to malnutrition [1], and are often associated with inappropriate feeding practices during the first years of life [2]. The first two years of life provide a critical window of opportunity for ensuring children’s appropriate growth and development through optimal feeding. Many countries experience a sharp increase in the prevalence of malnutrition for this age group.
NI supports countries to implement their IYCN program in line with WHO/UNICEF recommended IYCF practices. This includes the timely initiation of breastfeeding, exclusive breastfeeding to the age of six months, introduction of solid, semi-solid and soft foods at 6 months of age and continued breastfeeding until 24 months of age, recommended minimum meal frequency and dietary diversity. NI also supports recommended practices such as responsive feeding, hand washing with clean water and soap, and safe food preparation and storage.
Some of NI’s support to IYCN programs includes a Micronutrient Powder (MNP) component.
The implementation of NI’s IYCN intervention in Tanzania builds on the ongoing government of Tanzania’s efforts to address nutrition as stipulated in the National Multisectoral Nutrition Action Plan (NMNAP), 2016- 2021. The IYCN component targets caregivers of children 0-23 months of age with counselling and other community-based activities that promote, protect and support exclusive breastfeeding and complementary feeding practices. NI’s IYCN intervention focuses on addressing the existing gaps in the quality of provision of services, program management including the use of data, and BCI and follows the 1000 days approach. In 2017, NI procured MNP sachets on behalf of the government and distributed them in 3 NI-supported districts in Mwanza through the health system.
These activities are being implemented in partnership with the Ministry of Health, Community Development, Gender, Elderly and Children (MOHCDGEC), within the MoH (Tanzania Food and Nutrition Centre, Medical Stores Department and Tanzania Food and Drug Authority), President’s Office, Regional Administration and Local Government, Local Government Authorities and AMREF Health Africa. These initiatives are being implemented sub-nationally in three districts in Mwanza Region (Nyamagana, Kwimba and Sengerema) and three districts in Simiyu region (Bariadi, Maswa and Meatu) NI support to IYCN in Tanzania began in 2016 and is ongoing.
","[1] Black RE et al. Maternal and child undernutrition and overweight in low-income and middle-income countries. The Lancet. 2013; 382(9890):427-451
[2] Sankar MJ, et al. Optimal breastfeeding practices and infant and child mortality: a systematic review and meta-analysis. Acta Paediatr. 2015 Dec;104(467):3-13
For more information:
","","","Health","","","","Nutrition International","AMREF Health Africa","","","","","","","","","","","","","Ministry of Health, Community Development, Gender, Elderly and Children; Tanzania Food and Nutrition Centre; Medical Stores Department and Tanzania Food and Drug Authority; President's Office, Regional Administration and Local Government; Local Government Authorities","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","26209","","Multiple micronutrients supplementation","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English"
"26194","Nutrition International - Infant and Young Child Nutrition - Philippines","English","Community/sub-national","","PHL","Philippines","Philippines","","","","","The first 1000 days from conception to two years of age are critical to the health and development of a child. Adequate infant and young child nutrition (IYCN) is crucial for survival and long-term health and well-being. Approximately 45% of deaths of children under five years of age can be attributed to malnutrition [1], and are often associated with inappropriate feeding practices during the first years of life [2]. The first two years of life provide a critical window of opportunity for ensuring children’s appropriate growth and development through optimal feeding. Many countries experience a sharp increase in the prevalence of malnutrition for this age group.
NI supports countries to implement their IYCN program in line with WHO/UNICEF recommended IYCF practices. This includes the timely initiation of breastfeeding, exclusive breastfeeding to the age of six months, introduction of solid, semi-solid and soft foods at 6 months of age and continued breastfeeding until 24 months of age, recommended minimum meal frequency and dietary diversity. NI also supports recommended practices such as responsive feeding, hand washing with clean water and soap, and safe food preparation and storage.
Some of NI’s support to IYCN programs includes a Micronutrient Powder (MNP) component.
NI’s approach to IYCN in the Philippines is to support the Department of Health’s (DOH) framework for the First 1000 days (F1KD) which delivers an integrated package of maternal, newborn and child health and nutrition (MNCHN) services at both the facility and community-level. The program is focused on promoting, protecting and supporting exclusive breastfeeding for infants 0-5 months and providing appropriate counselling for caregivers and their supporters on optimal complementary feeding, including MNPs for children 6-23 months. Key interventions include the following:
- Revision and/or updating of related DOH policies and guidelines.
- Capacity building of frontline health workers (midwives, volunteer community health workers) to deliver continuum of services in the F1KD.
- Establishment and operationalization of community based mother to mother (nutrition and breastfeeding) support groups.
- Enhancement of behavior change interventions.
- Tracking clients for case management (exclusive breastfeeding among 0-6 months old infants, consumption of MNP supplementation among children 6-23 months old, complementary feeding).
- Conduct monthly nutrition review meetings to monitor progress of service delivery and promote accountability for targeted nutrition outcomes.
- Formulation and issuance of local ordinances on F1KD to support institutionalization of services and ensure funding for recurrent costs of interventions.
This program is being implemented in partnership with the Family Health Office (FOH)-DOH, the National Nutrition Council (NNC), Regional Health Offices, Provincial Health Offices, Rural Health Units, Helen Keller International (HKI) and UNICEF. Activities are being implemented in 45 municipalities in six provinces (Antique, Bohol, Cebu, Iloilo, Camarines Norte and Zamboanga del Norte). NI support to IYCN in Philippines began in 2016 and is ongoing.
","[1] Black RE et al. Maternal and child undernutrition and overweight in low-income and middle-income countries. The Lancet. 2013; 382(9890):427-451
[2] Sankar MJ, et al. Optimal breastfeeding practices and infant and child mortality: a systematic review and meta-analysis. Acta Paediatr. 2015 Dec;104(467):3-13
For more information:
","","","Health","Family Health Office - Department of Health; The National Nutrition Council (NNC), Regional Health Offices; Provincial Health Offices; Rural Health Units","United Nations Children's Fund (UNICEF)","","Helen Keller International (HKI)|Nutrition International","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","26212","","Breastfeeding promotion and/or counselling","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English"
"26194","Nutrition International - Infant and Young Child Nutrition - Philippines","English","Community/sub-national","","PHL","Philippines","Philippines","","","","","The first 1000 days from conception to two years of age are critical to the health and development of a child. Adequate infant and young child nutrition (IYCN) is crucial for survival and long-term health and well-being. Approximately 45% of deaths of children under five years of age can be attributed to malnutrition [1], and are often associated with inappropriate feeding practices during the first years of life [2]. The first two years of life provide a critical window of opportunity for ensuring children’s appropriate growth and development through optimal feeding. Many countries experience a sharp increase in the prevalence of malnutrition for this age group.
NI supports countries to implement their IYCN program in line with WHO/UNICEF recommended IYCF practices. This includes the timely initiation of breastfeeding, exclusive breastfeeding to the age of six months, introduction of solid, semi-solid and soft foods at 6 months of age and continued breastfeeding until 24 months of age, recommended minimum meal frequency and dietary diversity. NI also supports recommended practices such as responsive feeding, hand washing with clean water and soap, and safe food preparation and storage.
Some of NI’s support to IYCN programs includes a Micronutrient Powder (MNP) component.
NI’s approach to IYCN in the Philippines is to support the Department of Health’s (DOH) framework for the First 1000 days (F1KD) which delivers an integrated package of maternal, newborn and child health and nutrition (MNCHN) services at both the facility and community-level. The program is focused on promoting, protecting and supporting exclusive breastfeeding for infants 0-5 months and providing appropriate counselling for caregivers and their supporters on optimal complementary feeding, including MNPs for children 6-23 months. Key interventions include the following:
- Revision and/or updating of related DOH policies and guidelines.
- Capacity building of frontline health workers (midwives, volunteer community health workers) to deliver continuum of services in the F1KD.
- Establishment and operationalization of community based mother to mother (nutrition and breastfeeding) support groups.
- Enhancement of behavior change interventions.
- Tracking clients for case management (exclusive breastfeeding among 0-6 months old infants, consumption of MNP supplementation among children 6-23 months old, complementary feeding).
- Conduct monthly nutrition review meetings to monitor progress of service delivery and promote accountability for targeted nutrition outcomes.
- Formulation and issuance of local ordinances on F1KD to support institutionalization of services and ensure funding for recurrent costs of interventions.
This program is being implemented in partnership with the Family Health Office (FOH)-DOH, the National Nutrition Council (NNC), Regional Health Offices, Provincial Health Offices, Rural Health Units, Helen Keller International (HKI) and UNICEF. Activities are being implemented in 45 municipalities in six provinces (Antique, Bohol, Cebu, Iloilo, Camarines Norte and Zamboanga del Norte). NI support to IYCN in Philippines began in 2016 and is ongoing.
","[1] Black RE et al. Maternal and child undernutrition and overweight in low-income and middle-income countries. The Lancet. 2013; 382(9890):427-451
[2] Sankar MJ, et al. Optimal breastfeeding practices and infant and child mortality: a systematic review and meta-analysis. Acta Paediatr. 2015 Dec;104(467):3-13
For more information:
","","","Health","Family Health Office - Department of Health; The National Nutrition Council (NNC), Regional Health Offices; Provincial Health Offices; Rural Health Units","United Nations Children's Fund (UNICEF)","","Helen Keller International (HKI)|Nutrition International","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","26213","","Complementary feeding promotion and/or counselling","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English"
"26194","Nutrition International - Infant and Young Child Nutrition - Philippines","English","Community/sub-national","","PHL","Philippines","Philippines","","","","","The first 1000 days from conception to two years of age are critical to the health and development of a child. Adequate infant and young child nutrition (IYCN) is crucial for survival and long-term health and well-being. Approximately 45% of deaths of children under five years of age can be attributed to malnutrition [1], and are often associated with inappropriate feeding practices during the first years of life [2]. The first two years of life provide a critical window of opportunity for ensuring children’s appropriate growth and development through optimal feeding. Many countries experience a sharp increase in the prevalence of malnutrition for this age group.
NI supports countries to implement their IYCN program in line with WHO/UNICEF recommended IYCF practices. This includes the timely initiation of breastfeeding, exclusive breastfeeding to the age of six months, introduction of solid, semi-solid and soft foods at 6 months of age and continued breastfeeding until 24 months of age, recommended minimum meal frequency and dietary diversity. NI also supports recommended practices such as responsive feeding, hand washing with clean water and soap, and safe food preparation and storage.
Some of NI’s support to IYCN programs includes a Micronutrient Powder (MNP) component.
NI’s approach to IYCN in the Philippines is to support the Department of Health’s (DOH) framework for the First 1000 days (F1KD) which delivers an integrated package of maternal, newborn and child health and nutrition (MNCHN) services at both the facility and community-level. The program is focused on promoting, protecting and supporting exclusive breastfeeding for infants 0-5 months and providing appropriate counselling for caregivers and their supporters on optimal complementary feeding, including MNPs for children 6-23 months. Key interventions include the following:
- Revision and/or updating of related DOH policies and guidelines.
- Capacity building of frontline health workers (midwives, volunteer community health workers) to deliver continuum of services in the F1KD.
- Establishment and operationalization of community based mother to mother (nutrition and breastfeeding) support groups.
- Enhancement of behavior change interventions.
- Tracking clients for case management (exclusive breastfeeding among 0-6 months old infants, consumption of MNP supplementation among children 6-23 months old, complementary feeding).
- Conduct monthly nutrition review meetings to monitor progress of service delivery and promote accountability for targeted nutrition outcomes.
- Formulation and issuance of local ordinances on F1KD to support institutionalization of services and ensure funding for recurrent costs of interventions.
This program is being implemented in partnership with the Family Health Office (FOH)-DOH, the National Nutrition Council (NNC), Regional Health Offices, Provincial Health Offices, Rural Health Units, Helen Keller International (HKI) and UNICEF. Activities are being implemented in 45 municipalities in six provinces (Antique, Bohol, Cebu, Iloilo, Camarines Norte and Zamboanga del Norte). NI support to IYCN in Philippines began in 2016 and is ongoing.
","[1] Black RE et al. Maternal and child undernutrition and overweight in low-income and middle-income countries. The Lancet. 2013; 382(9890):427-451
[2] Sankar MJ, et al. Optimal breastfeeding practices and infant and child mortality: a systematic review and meta-analysis. Acta Paediatr. 2015 Dec;104(467):3-13
For more information:
","","","Health","Family Health Office - Department of Health; The National Nutrition Council (NNC), Regional Health Offices; Provincial Health Offices; Rural Health Units","United Nations Children's Fund (UNICEF)","","Helen Keller International (HKI)|Nutrition International","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","26214","","Multiple micronutrients supplementation","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English"
"24648","Nutrition International - PINKK: Projet intégré de nutrition dans les régions de Kolda et de Kédougou","English","Community/sub-national","","SEN","Senegal","Kédougou|Kolda","","","","","In December 2015, Nutrition International officially launched the “Projet intégré de nutrition dans les régions de Kolda et de Kédougou”, also known as “PINKK”. This project is a collaboration built around an innovative, integrated and multifaceted approach to improving nutrition for Senegal's most vulnerable people. PINKK targets two high burden regions in Senegal, Kedougou (counties of Kedougou, Salemata and Saraya) and Kolda (counties of Kolda, Velingara and Medina Yero Foula).
The Integrated Nutrition Project for the Kolda and Kedougou Regions links health care, agriculture (including livestock) and business with the aim of improving nutritional health and food security for people in these regions, particularly for women and young children.
The key components of PINKK focus on the following:
- Strengthen capacities of community health care to deliver adequate child and maternal nutrition services.
- Promotion of good nutrition and health practices, including: Breastfeeding exclusively, adequate additional food supplied after 6 months of age, washing hands with soap, supplementing micronutrients in the diets of infants, adolescents and women, and psychological and emotional care for young children.
- Strengthen the capacity of household members targeting especially the women for increased access to financial services, as well as non-financial, to increase the opportunity of the most vulnerable to access to basic production factors for applying new health and nutrition knowledge and practices gained from the PINKK.
- Support local, enriched flour production by supporting capacity-building for women’s organizations, prioritizing local products, including corn, ground maize, cowpea, peanut and monkey bread powder.
- Strengthen capacities in communities and households for food security improvement, targeting: Horticultural production (vegetables), transforming local products, fruit tree production, and diversification activities, especially for small-scale livestock farming.
- Strengthen the capacity of local government structures to: Improve nutrition management issues in planning and programs, implement the means of coordination, and implement nutrition and food security programs in the Kolda and Kedougou regions.
Over the course of 5 years, the PINKK partnership will reach:
- 50,000 pregnant women and nursing mothers
- 115,000 children who are less than 5 years old, with 60,000 from 0 to 23 months old
- 30,000 households, especially farming households
PINKK, is a collaborative effort between Nutrition International, World Vision Senegal, World Vision Canada, Développement International Desjardins and the Government of Senegal's Cellule de Lutte Contre la Malnutrition (CLM).
","https://www.nutritionintl.org/in-the-world/africa/senegal-sahel/pinkk/
","14736|8773|8595|8593|8505|8365","","Other","Cellule de Lutte Contre la Malnutrition (CLM)","","","Nutrition International|World Vision International","World Vision SenegalWorld Vision Canada","","","","","","","","","Private sector","Développement International Desjardins","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","26305","","Complementary feeding promotion and/or counselling","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English"
"24648","Nutrition International - PINKK: Projet intégré de nutrition dans les régions de Kolda et de Kédougou","English","Community/sub-national","","SEN","Senegal","Kédougou|Kolda","","","","","In December 2015, Nutrition International officially launched the “Projet intégré de nutrition dans les régions de Kolda et de Kédougou”, also known as “PINKK”. This project is a collaboration built around an innovative, integrated and multifaceted approach to improving nutrition for Senegal's most vulnerable people. PINKK targets two high burden regions in Senegal, Kedougou (counties of Kedougou, Salemata and Saraya) and Kolda (counties of Kolda, Velingara and Medina Yero Foula).
The Integrated Nutrition Project for the Kolda and Kedougou Regions links health care, agriculture (including livestock) and business with the aim of improving nutritional health and food security for people in these regions, particularly for women and young children.
The key components of PINKK focus on the following:
- Strengthen capacities of community health care to deliver adequate child and maternal nutrition services.
- Promotion of good nutrition and health practices, including: Breastfeeding exclusively, adequate additional food supplied after 6 months of age, washing hands with soap, supplementing micronutrients in the diets of infants, adolescents and women, and psychological and emotional care for young children.
- Strengthen the capacity of household members targeting especially the women for increased access to financial services, as well as non-financial, to increase the opportunity of the most vulnerable to access to basic production factors for applying new health and nutrition knowledge and practices gained from the PINKK.
- Support local, enriched flour production by supporting capacity-building for women’s organizations, prioritizing local products, including corn, ground maize, cowpea, peanut and monkey bread powder.
- Strengthen capacities in communities and households for food security improvement, targeting: Horticultural production (vegetables), transforming local products, fruit tree production, and diversification activities, especially for small-scale livestock farming.
- Strengthen the capacity of local government structures to: Improve nutrition management issues in planning and programs, implement the means of coordination, and implement nutrition and food security programs in the Kolda and Kedougou regions.
Over the course of 5 years, the PINKK partnership will reach:
- 50,000 pregnant women and nursing mothers
- 115,000 children who are less than 5 years old, with 60,000 from 0 to 23 months old
- 30,000 households, especially farming households
PINKK, is a collaborative effort between Nutrition International, World Vision Senegal, World Vision Canada, Développement International Desjardins and the Government of Senegal's Cellule de Lutte Contre la Malnutrition (CLM).
","https://www.nutritionintl.org/in-the-world/africa/senegal-sahel/pinkk/
","14736|8773|8595|8593|8505|8365","","Other","Cellule de Lutte Contre la Malnutrition (CLM)","","","Nutrition International|World Vision International","World Vision SenegalWorld Vision Canada","","","","","","","","","Private sector","Développement International Desjardins","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","26306","","Breastfeeding promotion and/or counselling","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English"
"24648","Nutrition International - PINKK: Projet intégré de nutrition dans les régions de Kolda et de Kédougou","English","Community/sub-national","","SEN","Senegal","Kédougou|Kolda","","","","","In December 2015, Nutrition International officially launched the “Projet intégré de nutrition dans les régions de Kolda et de Kédougou”, also known as “PINKK”. This project is a collaboration built around an innovative, integrated and multifaceted approach to improving nutrition for Senegal's most vulnerable people. PINKK targets two high burden regions in Senegal, Kedougou (counties of Kedougou, Salemata and Saraya) and Kolda (counties of Kolda, Velingara and Medina Yero Foula).
The Integrated Nutrition Project for the Kolda and Kedougou Regions links health care, agriculture (including livestock) and business with the aim of improving nutritional health and food security for people in these regions, particularly for women and young children.
The key components of PINKK focus on the following:
- Strengthen capacities of community health care to deliver adequate child and maternal nutrition services.
- Promotion of good nutrition and health practices, including: Breastfeeding exclusively, adequate additional food supplied after 6 months of age, washing hands with soap, supplementing micronutrients in the diets of infants, adolescents and women, and psychological and emotional care for young children.
- Strengthen the capacity of household members targeting especially the women for increased access to financial services, as well as non-financial, to increase the opportunity of the most vulnerable to access to basic production factors for applying new health and nutrition knowledge and practices gained from the PINKK.
- Support local, enriched flour production by supporting capacity-building for women’s organizations, prioritizing local products, including corn, ground maize, cowpea, peanut and monkey bread powder.
- Strengthen capacities in communities and households for food security improvement, targeting: Horticultural production (vegetables), transforming local products, fruit tree production, and diversification activities, especially for small-scale livestock farming.
- Strengthen the capacity of local government structures to: Improve nutrition management issues in planning and programs, implement the means of coordination, and implement nutrition and food security programs in the Kolda and Kedougou regions.
Over the course of 5 years, the PINKK partnership will reach:
- 50,000 pregnant women and nursing mothers
- 115,000 children who are less than 5 years old, with 60,000 from 0 to 23 months old
- 30,000 households, especially farming households
PINKK, is a collaborative effort between Nutrition International, World Vision Senegal, World Vision Canada, Développement International Desjardins and the Government of Senegal's Cellule de Lutte Contre la Malnutrition (CLM).
","https://www.nutritionintl.org/in-the-world/africa/senegal-sahel/pinkk/
","14736|8773|8595|8593|8505|8365","","Other","Cellule de Lutte Contre la Malnutrition (CLM)","","","Nutrition International|World Vision International","World Vision SenegalWorld Vision Canada","","","","","","","","","Private sector","Développement International Desjardins","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","26307","","Promotion of healthy diets","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English"
"24648","Nutrition International - PINKK: Projet intégré de nutrition dans les régions de Kolda et de Kédougou","English","Community/sub-national","","SEN","Senegal","Kédougou|Kolda","","","","","In December 2015, Nutrition International officially launched the “Projet intégré de nutrition dans les régions de Kolda et de Kédougou”, also known as “PINKK”. This project is a collaboration built around an innovative, integrated and multifaceted approach to improving nutrition for Senegal's most vulnerable people. PINKK targets two high burden regions in Senegal, Kedougou (counties of Kedougou, Salemata and Saraya) and Kolda (counties of Kolda, Velingara and Medina Yero Foula).
The Integrated Nutrition Project for the Kolda and Kedougou Regions links health care, agriculture (including livestock) and business with the aim of improving nutritional health and food security for people in these regions, particularly for women and young children.
The key components of PINKK focus on the following:
- Strengthen capacities of community health care to deliver adequate child and maternal nutrition services.
- Promotion of good nutrition and health practices, including: Breastfeeding exclusively, adequate additional food supplied after 6 months of age, washing hands with soap, supplementing micronutrients in the diets of infants, adolescents and women, and psychological and emotional care for young children.
- Strengthen the capacity of household members targeting especially the women for increased access to financial services, as well as non-financial, to increase the opportunity of the most vulnerable to access to basic production factors for applying new health and nutrition knowledge and practices gained from the PINKK.
- Support local, enriched flour production by supporting capacity-building for women’s organizations, prioritizing local products, including corn, ground maize, cowpea, peanut and monkey bread powder.
- Strengthen capacities in communities and households for food security improvement, targeting: Horticultural production (vegetables), transforming local products, fruit tree production, and diversification activities, especially for small-scale livestock farming.
- Strengthen the capacity of local government structures to: Improve nutrition management issues in planning and programs, implement the means of coordination, and implement nutrition and food security programs in the Kolda and Kedougou regions.
Over the course of 5 years, the PINKK partnership will reach:
- 50,000 pregnant women and nursing mothers
- 115,000 children who are less than 5 years old, with 60,000 from 0 to 23 months old
- 30,000 households, especially farming households
PINKK, is a collaborative effort between Nutrition International, World Vision Senegal, World Vision Canada, Développement International Desjardins and the Government of Senegal's Cellule de Lutte Contre la Malnutrition (CLM).
","https://www.nutritionintl.org/in-the-world/africa/senegal-sahel/pinkk/
","14736|8773|8595|8593|8505|8365","","Other","Cellule de Lutte Contre la Malnutrition (CLM)","","","Nutrition International|World Vision International","World Vision SenegalWorld Vision Canada","","","","","","","","","Private sector","Développement International Desjardins","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","26308","","Promotion of improved hygiene practices including handwashing","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English"
"26250","Nutrition International - India - Maternal Newborn Health and Nutrition (MNHN) Program ","English","Community/sub-national","","IND","India","India","","","","","Pregnancy and the postnatal period are critical times for ensuring the health and wellbeing of women and their children. Anaemia during pregnancy is common and can have serious consequences for both mother and child, including increased risk of low birthweight and preterm birth, as well as maternal and perinatal mortality.[1&2] Iron deficiency is a major cause of anaemia among pregnant women.[3] Iron requirements increase substantially during pregnancy and it is difficult to meet these needs with food alone. Based on evidence of reduced risk of anaemia, iron deficiency and other adverse outcomes including having a low birthweight baby, WHO recommends daily iron and folic acid (IFA) supplementation throughout pregnancy.[4] This is in addition to a series of other recommendations for nutrition interventions as part of antenatal care for a positive pregnancy experience and other important maternal and child outcomes.[4]
Optimal care and feeding of newborns helps ensure babies survive and sets the stage for healthy growth and development. For example, initiating breastfeeding within the first hour of life, as recommended by WHO[5&6], increases the likelihood of exclusive breastfeeding and reduces the chance of newborn illness or death [7]. The newborn period, which is the first 28 days of life, is the most vulnerable time in a child’s life, and accounts for almost half (46%) of the total deaths in children under five years of age [8]. Fortunately, many of these deaths are preventable through evidence-informed, low-cost care, such as supporting mothers to start breastfeeding soon after birth, which can be delivered even in resource-limited settings.
Nutrition International works in collaboration with government and other partners to improve maternal and newborn health and nutrition (MNHN) through enhancing the provision, quality and integration of health and nutrition services and empowering women and their families to seek care and adopt healthy behaviours.
Nutrition International contributes to improving MNHN in India by:
- Collaborating with state government in Gujarat and Uttar Pradesh to improve maternal and newborn care services, including the package of care under the India Newborn Action Plan (with emphasis on neonatal resuscitation, optimal timing of cord clamping, timely initiation of breastfeeding, prevention of hypothermia, vitamin K, and kangaroo mother care), as well as maternal antenatal care (including IFA and calcium supplementation and nutrition counselling, completion of full ANC, identification and follow-up of high risk pregnancy, promotion of institutional delivery) and postnatal care for mother and baby.
- Promoting an enabling environment through advocacy with key decision-makers for commitment to MNHN.
- Providing technical assistance.
- Supporting facility assessments and planning for improving the capacity of facilities to provide care for pregnant women and newborns.
- Capacity-building of health care managers and service providers at facility and community levels, through training and mentoring/supportive supervision.
- Developing and implementing a behavior change communication strategy.
- Supporting program monitoring and assessment, and use of this information to inform decision-making.
This work is in partnership with state government in Gujarat and Uttar Pradesh. This project supports implementation in three districts in Gujarat (Vadodara, Panchmahal and Dahod) and two districts in Uttar Pradesh (Gorakhpur and Basti). NI has supported MNHN programming in India since 2015 and support is ongoing.
Although this section describes MNHN, wherever possible, Nutrition International’s work in India follows a comprehensive and integrated approach, with a strong focus on the first 1000 days, from pregnancy through 2 years of age.
","- Allen, L. H. (2000). Anemia and iron deficiency: Effects on pregnancy outcome. The American Journal of Clinical Nutrition,71(5). doi:10.1093/ajcn/71.5.1280s
- Black, R. E., Victora, C. G., Walker, S. P., Bhutta, Z. A., Christian, P., Onis, M. D., . . . Uauy, R. (2013). Maternal and child undernutrition and overweight in low-income and middle-income countries. The Lancet,382(9890), 427-451. doi:10.1016/s0140-6736(13)60937-x
- WHO. The global prevalence of anaemia in 2011. Geneva: World Health Organization; 2015.
- WHO. (2016). WHO recommendations on antenatal care for a positive pregnancy experience. (Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/250796/9789241549912-eng...
- WHO. (2017). Protecting, promoting and supporting breastfeeding in facilities providing maternity and newborn services: Guideline(Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/259386/9789241550086-eng...
- WHO. (2018). WHO recommendations: Intrapartum care for a positive childbirth experience(Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/260178/9789241550215-eng...
- NEOVITA Study Group. (2016). Timing of initiation, patterns of breastfeeding, and infant survival: Prospective analysis of pooled data from three randomised trials. The Lancet Global Health,4(4). doi:10.1016/s2214-109x(16)00040-1
- United Nations Inter-agency Group for Child Mortality Estimation (UN IGME), ‘Levels & Trends in Child Mortality: Report 2017, Estimates Developed by the UN Inter-agency Group for Child Mortality Estimation’, United Nations Children’s Fund, New York, 2017.
For more information:
","","","Sub-national","State government in Gujarat and Uttar Pradesh","","","Nutrition International","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","26264","","Iron and folic acid supplementation","","","","Pregnant women (PW)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English"
"26250","Nutrition International - India - Maternal Newborn Health and Nutrition (MNHN) Program ","English","Community/sub-national","","IND","India","India","","","","","Pregnancy and the postnatal period are critical times for ensuring the health and wellbeing of women and their children. Anaemia during pregnancy is common and can have serious consequences for both mother and child, including increased risk of low birthweight and preterm birth, as well as maternal and perinatal mortality.[1&2] Iron deficiency is a major cause of anaemia among pregnant women.[3] Iron requirements increase substantially during pregnancy and it is difficult to meet these needs with food alone. Based on evidence of reduced risk of anaemia, iron deficiency and other adverse outcomes including having a low birthweight baby, WHO recommends daily iron and folic acid (IFA) supplementation throughout pregnancy.[4] This is in addition to a series of other recommendations for nutrition interventions as part of antenatal care for a positive pregnancy experience and other important maternal and child outcomes.[4]
Optimal care and feeding of newborns helps ensure babies survive and sets the stage for healthy growth and development. For example, initiating breastfeeding within the first hour of life, as recommended by WHO[5&6], increases the likelihood of exclusive breastfeeding and reduces the chance of newborn illness or death [7]. The newborn period, which is the first 28 days of life, is the most vulnerable time in a child’s life, and accounts for almost half (46%) of the total deaths in children under five years of age [8]. Fortunately, many of these deaths are preventable through evidence-informed, low-cost care, such as supporting mothers to start breastfeeding soon after birth, which can be delivered even in resource-limited settings.
Nutrition International works in collaboration with government and other partners to improve maternal and newborn health and nutrition (MNHN) through enhancing the provision, quality and integration of health and nutrition services and empowering women and their families to seek care and adopt healthy behaviours.
Nutrition International contributes to improving MNHN in India by:
- Collaborating with state government in Gujarat and Uttar Pradesh to improve maternal and newborn care services, including the package of care under the India Newborn Action Plan (with emphasis on neonatal resuscitation, optimal timing of cord clamping, timely initiation of breastfeeding, prevention of hypothermia, vitamin K, and kangaroo mother care), as well as maternal antenatal care (including IFA and calcium supplementation and nutrition counselling, completion of full ANC, identification and follow-up of high risk pregnancy, promotion of institutional delivery) and postnatal care for mother and baby.
- Promoting an enabling environment through advocacy with key decision-makers for commitment to MNHN.
- Providing technical assistance.
- Supporting facility assessments and planning for improving the capacity of facilities to provide care for pregnant women and newborns.
- Capacity-building of health care managers and service providers at facility and community levels, through training and mentoring/supportive supervision.
- Developing and implementing a behavior change communication strategy.
- Supporting program monitoring and assessment, and use of this information to inform decision-making.
This work is in partnership with state government in Gujarat and Uttar Pradesh. This project supports implementation in three districts in Gujarat (Vadodara, Panchmahal and Dahod) and two districts in Uttar Pradesh (Gorakhpur and Basti). NI has supported MNHN programming in India since 2015 and support is ongoing.
Although this section describes MNHN, wherever possible, Nutrition International’s work in India follows a comprehensive and integrated approach, with a strong focus on the first 1000 days, from pregnancy through 2 years of age.
","- Allen, L. H. (2000). Anemia and iron deficiency: Effects on pregnancy outcome. The American Journal of Clinical Nutrition,71(5). doi:10.1093/ajcn/71.5.1280s
- Black, R. E., Victora, C. G., Walker, S. P., Bhutta, Z. A., Christian, P., Onis, M. D., . . . Uauy, R. (2013). Maternal and child undernutrition and overweight in low-income and middle-income countries. The Lancet,382(9890), 427-451. doi:10.1016/s0140-6736(13)60937-x
- WHO. The global prevalence of anaemia in 2011. Geneva: World Health Organization; 2015.
- WHO. (2016). WHO recommendations on antenatal care for a positive pregnancy experience. (Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/250796/9789241549912-eng...
- WHO. (2017). Protecting, promoting and supporting breastfeeding in facilities providing maternity and newborn services: Guideline(Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/259386/9789241550086-eng...
- WHO. (2018). WHO recommendations: Intrapartum care for a positive childbirth experience(Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/260178/9789241550215-eng...
- NEOVITA Study Group. (2016). Timing of initiation, patterns of breastfeeding, and infant survival: Prospective analysis of pooled data from three randomised trials. The Lancet Global Health,4(4). doi:10.1016/s2214-109x(16)00040-1
- United Nations Inter-agency Group for Child Mortality Estimation (UN IGME), ‘Levels & Trends in Child Mortality: Report 2017, Estimates Developed by the UN Inter-agency Group for Child Mortality Estimation’, United Nations Children’s Fund, New York, 2017.
For more information:
","","","Sub-national","State government in Gujarat and Uttar Pradesh","","","Nutrition International","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","26314","","Breastfeeding promotion and/or counselling","","","","Lactating women (LW)|Pregnant women (PW)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English"
"26250","Nutrition International - India - Maternal Newborn Health and Nutrition (MNHN) Program ","English","Community/sub-national","","IND","India","India","","","","","Pregnancy and the postnatal period are critical times for ensuring the health and wellbeing of women and their children. Anaemia during pregnancy is common and can have serious consequences for both mother and child, including increased risk of low birthweight and preterm birth, as well as maternal and perinatal mortality.[1&2] Iron deficiency is a major cause of anaemia among pregnant women.[3] Iron requirements increase substantially during pregnancy and it is difficult to meet these needs with food alone. Based on evidence of reduced risk of anaemia, iron deficiency and other adverse outcomes including having a low birthweight baby, WHO recommends daily iron and folic acid (IFA) supplementation throughout pregnancy.[4] This is in addition to a series of other recommendations for nutrition interventions as part of antenatal care for a positive pregnancy experience and other important maternal and child outcomes.[4]
Optimal care and feeding of newborns helps ensure babies survive and sets the stage for healthy growth and development. For example, initiating breastfeeding within the first hour of life, as recommended by WHO[5&6], increases the likelihood of exclusive breastfeeding and reduces the chance of newborn illness or death [7]. The newborn period, which is the first 28 days of life, is the most vulnerable time in a child’s life, and accounts for almost half (46%) of the total deaths in children under five years of age [8]. Fortunately, many of these deaths are preventable through evidence-informed, low-cost care, such as supporting mothers to start breastfeeding soon after birth, which can be delivered even in resource-limited settings.
Nutrition International works in collaboration with government and other partners to improve maternal and newborn health and nutrition (MNHN) through enhancing the provision, quality and integration of health and nutrition services and empowering women and their families to seek care and adopt healthy behaviours.
Nutrition International contributes to improving MNHN in India by:
- Collaborating with state government in Gujarat and Uttar Pradesh to improve maternal and newborn care services, including the package of care under the India Newborn Action Plan (with emphasis on neonatal resuscitation, optimal timing of cord clamping, timely initiation of breastfeeding, prevention of hypothermia, vitamin K, and kangaroo mother care), as well as maternal antenatal care (including IFA and calcium supplementation and nutrition counselling, completion of full ANC, identification and follow-up of high risk pregnancy, promotion of institutional delivery) and postnatal care for mother and baby.
- Promoting an enabling environment through advocacy with key decision-makers for commitment to MNHN.
- Providing technical assistance.
- Supporting facility assessments and planning for improving the capacity of facilities to provide care for pregnant women and newborns.
- Capacity-building of health care managers and service providers at facility and community levels, through training and mentoring/supportive supervision.
- Developing and implementing a behavior change communication strategy.
- Supporting program monitoring and assessment, and use of this information to inform decision-making.
This work is in partnership with state government in Gujarat and Uttar Pradesh. This project supports implementation in three districts in Gujarat (Vadodara, Panchmahal and Dahod) and two districts in Uttar Pradesh (Gorakhpur and Basti). NI has supported MNHN programming in India since 2015 and support is ongoing.
Although this section describes MNHN, wherever possible, Nutrition International’s work in India follows a comprehensive and integrated approach, with a strong focus on the first 1000 days, from pregnancy through 2 years of age.
","- Allen, L. H. (2000). Anemia and iron deficiency: Effects on pregnancy outcome. The American Journal of Clinical Nutrition,71(5). doi:10.1093/ajcn/71.5.1280s
- Black, R. E., Victora, C. G., Walker, S. P., Bhutta, Z. A., Christian, P., Onis, M. D., . . . Uauy, R. (2013). Maternal and child undernutrition and overweight in low-income and middle-income countries. The Lancet,382(9890), 427-451. doi:10.1016/s0140-6736(13)60937-x
- WHO. The global prevalence of anaemia in 2011. Geneva: World Health Organization; 2015.
- WHO. (2016). WHO recommendations on antenatal care for a positive pregnancy experience. (Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/250796/9789241549912-eng...
- WHO. (2017). Protecting, promoting and supporting breastfeeding in facilities providing maternity and newborn services: Guideline(Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/259386/9789241550086-eng...
- WHO. (2018). WHO recommendations: Intrapartum care for a positive childbirth experience(Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/260178/9789241550215-eng...
- NEOVITA Study Group. (2016). Timing of initiation, patterns of breastfeeding, and infant survival: Prospective analysis of pooled data from three randomised trials. The Lancet Global Health,4(4). doi:10.1016/s2214-109x(16)00040-1
- United Nations Inter-agency Group for Child Mortality Estimation (UN IGME), ‘Levels & Trends in Child Mortality: Report 2017, Estimates Developed by the UN Inter-agency Group for Child Mortality Estimation’, United Nations Children’s Fund, New York, 2017.
For more information:
","","","Sub-national","State government in Gujarat and Uttar Pradesh","","","Nutrition International","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","26315","","Nutrition education and counselling","","","","Lactating women (LW)|Pregnant women (PW)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English"
"26250","Nutrition International - India - Maternal Newborn Health and Nutrition (MNHN) Program ","English","Community/sub-national","","IND","India","India","","","","","Pregnancy and the postnatal period are critical times for ensuring the health and wellbeing of women and their children. Anaemia during pregnancy is common and can have serious consequences for both mother and child, including increased risk of low birthweight and preterm birth, as well as maternal and perinatal mortality.[1&2] Iron deficiency is a major cause of anaemia among pregnant women.[3] Iron requirements increase substantially during pregnancy and it is difficult to meet these needs with food alone. Based on evidence of reduced risk of anaemia, iron deficiency and other adverse outcomes including having a low birthweight baby, WHO recommends daily iron and folic acid (IFA) supplementation throughout pregnancy.[4] This is in addition to a series of other recommendations for nutrition interventions as part of antenatal care for a positive pregnancy experience and other important maternal and child outcomes.[4]
Optimal care and feeding of newborns helps ensure babies survive and sets the stage for healthy growth and development. For example, initiating breastfeeding within the first hour of life, as recommended by WHO[5&6], increases the likelihood of exclusive breastfeeding and reduces the chance of newborn illness or death [7]. The newborn period, which is the first 28 days of life, is the most vulnerable time in a child’s life, and accounts for almost half (46%) of the total deaths in children under five years of age [8]. Fortunately, many of these deaths are preventable through evidence-informed, low-cost care, such as supporting mothers to start breastfeeding soon after birth, which can be delivered even in resource-limited settings.
Nutrition International works in collaboration with government and other partners to improve maternal and newborn health and nutrition (MNHN) through enhancing the provision, quality and integration of health and nutrition services and empowering women and their families to seek care and adopt healthy behaviours.
Nutrition International contributes to improving MNHN in India by:
- Collaborating with state government in Gujarat and Uttar Pradesh to improve maternal and newborn care services, including the package of care under the India Newborn Action Plan (with emphasis on neonatal resuscitation, optimal timing of cord clamping, timely initiation of breastfeeding, prevention of hypothermia, vitamin K, and kangaroo mother care), as well as maternal antenatal care (including IFA and calcium supplementation and nutrition counselling, completion of full ANC, identification and follow-up of high risk pregnancy, promotion of institutional delivery) and postnatal care for mother and baby.
- Promoting an enabling environment through advocacy with key decision-makers for commitment to MNHN.
- Providing technical assistance.
- Supporting facility assessments and planning for improving the capacity of facilities to provide care for pregnant women and newborns.
- Capacity-building of health care managers and service providers at facility and community levels, through training and mentoring/supportive supervision.
- Developing and implementing a behavior change communication strategy.
- Supporting program monitoring and assessment, and use of this information to inform decision-making.
This work is in partnership with state government in Gujarat and Uttar Pradesh. This project supports implementation in three districts in Gujarat (Vadodara, Panchmahal and Dahod) and two districts in Uttar Pradesh (Gorakhpur and Basti). NI has supported MNHN programming in India since 2015 and support is ongoing.
Although this section describes MNHN, wherever possible, Nutrition International’s work in India follows a comprehensive and integrated approach, with a strong focus on the first 1000 days, from pregnancy through 2 years of age.
","- Allen, L. H. (2000). Anemia and iron deficiency: Effects on pregnancy outcome. The American Journal of Clinical Nutrition,71(5). doi:10.1093/ajcn/71.5.1280s
- Black, R. E., Victora, C. G., Walker, S. P., Bhutta, Z. A., Christian, P., Onis, M. D., . . . Uauy, R. (2013). Maternal and child undernutrition and overweight in low-income and middle-income countries. The Lancet,382(9890), 427-451. doi:10.1016/s0140-6736(13)60937-x
- WHO. The global prevalence of anaemia in 2011. Geneva: World Health Organization; 2015.
- WHO. (2016). WHO recommendations on antenatal care for a positive pregnancy experience. (Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/250796/9789241549912-eng...
- WHO. (2017). Protecting, promoting and supporting breastfeeding in facilities providing maternity and newborn services: Guideline(Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/259386/9789241550086-eng...
- WHO. (2018). WHO recommendations: Intrapartum care for a positive childbirth experience(Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/260178/9789241550215-eng...
- NEOVITA Study Group. (2016). Timing of initiation, patterns of breastfeeding, and infant survival: Prospective analysis of pooled data from three randomised trials. The Lancet Global Health,4(4). doi:10.1016/s2214-109x(16)00040-1
- United Nations Inter-agency Group for Child Mortality Estimation (UN IGME), ‘Levels & Trends in Child Mortality: Report 2017, Estimates Developed by the UN Inter-agency Group for Child Mortality Estimation’, United Nations Children’s Fund, New York, 2017.
For more information:
","","","Sub-national","State government in Gujarat and Uttar Pradesh","","","Nutrition International","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","26316","","Care of LBW infants","","","","Newborns (up to 28 days of age)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English"
"26250","Nutrition International - India - Maternal Newborn Health and Nutrition (MNHN) Program ","English","Community/sub-national","","IND","India","India","","","","","Pregnancy and the postnatal period are critical times for ensuring the health and wellbeing of women and their children. Anaemia during pregnancy is common and can have serious consequences for both mother and child, including increased risk of low birthweight and preterm birth, as well as maternal and perinatal mortality.[1&2] Iron deficiency is a major cause of anaemia among pregnant women.[3] Iron requirements increase substantially during pregnancy and it is difficult to meet these needs with food alone. Based on evidence of reduced risk of anaemia, iron deficiency and other adverse outcomes including having a low birthweight baby, WHO recommends daily iron and folic acid (IFA) supplementation throughout pregnancy.[4] This is in addition to a series of other recommendations for nutrition interventions as part of antenatal care for a positive pregnancy experience and other important maternal and child outcomes.[4]
Optimal care and feeding of newborns helps ensure babies survive and sets the stage for healthy growth and development. For example, initiating breastfeeding within the first hour of life, as recommended by WHO[5&6], increases the likelihood of exclusive breastfeeding and reduces the chance of newborn illness or death [7]. The newborn period, which is the first 28 days of life, is the most vulnerable time in a child’s life, and accounts for almost half (46%) of the total deaths in children under five years of age [8]. Fortunately, many of these deaths are preventable through evidence-informed, low-cost care, such as supporting mothers to start breastfeeding soon after birth, which can be delivered even in resource-limited settings.
Nutrition International works in collaboration with government and other partners to improve maternal and newborn health and nutrition (MNHN) through enhancing the provision, quality and integration of health and nutrition services and empowering women and their families to seek care and adopt healthy behaviours.
Nutrition International contributes to improving MNHN in India by:
- Collaborating with state government in Gujarat and Uttar Pradesh to improve maternal and newborn care services, including the package of care under the India Newborn Action Plan (with emphasis on neonatal resuscitation, optimal timing of cord clamping, timely initiation of breastfeeding, prevention of hypothermia, vitamin K, and kangaroo mother care), as well as maternal antenatal care (including IFA and calcium supplementation and nutrition counselling, completion of full ANC, identification and follow-up of high risk pregnancy, promotion of institutional delivery) and postnatal care for mother and baby.
- Promoting an enabling environment through advocacy with key decision-makers for commitment to MNHN.
- Providing technical assistance.
- Supporting facility assessments and planning for improving the capacity of facilities to provide care for pregnant women and newborns.
- Capacity-building of health care managers and service providers at facility and community levels, through training and mentoring/supportive supervision.
- Developing and implementing a behavior change communication strategy.
- Supporting program monitoring and assessment, and use of this information to inform decision-making.
This work is in partnership with state government in Gujarat and Uttar Pradesh. This project supports implementation in three districts in Gujarat (Vadodara, Panchmahal and Dahod) and two districts in Uttar Pradesh (Gorakhpur and Basti). NI has supported MNHN programming in India since 2015 and support is ongoing.
Although this section describes MNHN, wherever possible, Nutrition International’s work in India follows a comprehensive and integrated approach, with a strong focus on the first 1000 days, from pregnancy through 2 years of age.
","- Allen, L. H. (2000). Anemia and iron deficiency: Effects on pregnancy outcome. The American Journal of Clinical Nutrition,71(5). doi:10.1093/ajcn/71.5.1280s
- Black, R. E., Victora, C. G., Walker, S. P., Bhutta, Z. A., Christian, P., Onis, M. D., . . . Uauy, R. (2013). Maternal and child undernutrition and overweight in low-income and middle-income countries. The Lancet,382(9890), 427-451. doi:10.1016/s0140-6736(13)60937-x
- WHO. The global prevalence of anaemia in 2011. Geneva: World Health Organization; 2015.
- WHO. (2016). WHO recommendations on antenatal care for a positive pregnancy experience. (Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/250796/9789241549912-eng...
- WHO. (2017). Protecting, promoting and supporting breastfeeding in facilities providing maternity and newborn services: Guideline(Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/259386/9789241550086-eng...
- WHO. (2018). WHO recommendations: Intrapartum care for a positive childbirth experience(Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/260178/9789241550215-eng...
- NEOVITA Study Group. (2016). Timing of initiation, patterns of breastfeeding, and infant survival: Prospective analysis of pooled data from three randomised trials. The Lancet Global Health,4(4). doi:10.1016/s2214-109x(16)00040-1
- United Nations Inter-agency Group for Child Mortality Estimation (UN IGME), ‘Levels & Trends in Child Mortality: Report 2017, Estimates Developed by the UN Inter-agency Group for Child Mortality Estimation’, United Nations Children’s Fund, New York, 2017.
For more information:
","","","Sub-national","State government in Gujarat and Uttar Pradesh","","","Nutrition International","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","26317","","Feeding of LBW infants","","","","Newborns (up to 28 days of age)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English"
"26252","Nutrition International - Pakistan - Maternal Newborn Health and Nutrition (MNHN) Program","English","Community/sub-national","","PAK","Pakistan","Pakistan","","","","","Pregnancy and the postnatal period are critical times for ensuring the health and wellbeing of women and their children. Anaemia during pregnancy is common and can have serious consequences for both mother and child, including increased risk of low birthweight and preterm birth, as well as maternal and perinatal mortality.[1&2] Iron deficiency is a major cause of anaemia among pregnant women.[3] Iron requirements increase substantially during pregnancy and it is difficult to meet these needs with food alone. Based on evidence of reduced risk of anaemia, iron deficiency and other adverse outcomes including having a low birthweight baby, WHO recommends daily iron and folic acid (IFA) supplementation throughout pregnancy.[4] This is in addition to a series of other recommendations for nutrition interventions as part of antenatal care for a positive pregnancy experience and other important maternal and child outcomes.[4]
Optimal care and feeding of newborns helps ensure babies survive and sets the stage for healthy growth and development. For example, initiating breastfeeding within the first hour of life, as recommended by WHO[5&6], increases the likelihood of exclusive breastfeeding and reduces the chance of newborn illness or death [7]. The newborn period, which is the first 28 days of life, is the most vulnerable time in a child’s life, and accounts for almost half (46%) of the total deaths in children under five years of age [8]. Fortunately, many of these deaths are preventable through evidence-informed, low-cost care, such as supporting mothers to start breastfeeding soon after birth, which can be delivered even in resource-limited settings.
Nutrition International works in collaboration with government and other partners to improve maternal and newborn health and nutrition (MNHN) through enhancing the provision, quality and integration of health and nutrition services and empowering women and their families to seek care and adopt healthy behaviours.
Nutrition International's (NI) support to MNHN programming in Pakistan began in 2015. Since then, NI has contributed to improving MNHN in Pakistan by:
- Increasing access to antenatal care (ANC) quality and attendance as well as a package of care for women and newborns at delivery and in the postnatal period.
- Reducing the risk of anaemia among pregnant women by supporting the provision of and adherence to iron and folic acid supplements.
- Supporting the government in demonstrating an integrated multipronged program model for implementing community outreach health and nutrition interventions.
- Supporting the identification and referral of pregnant women and children 6-23 months of age with malnutrition.
- Promoting an enabling environment through advocacy among key decision-makers for commitment to MNHN.
- Providing technical assistance for scaling up best practices.
- Supporting procurement and supply chain strengthening.
- Capacity-building of health care managers, midwives, and service providers at facility and community levels, through training and mentoring/supportive supervision.
- Developing and implementing a behavior change communication materials and tools.
- Supporting the establishment of KMC centers in hospitals.
- Supporting program monitoring and assessment, and use of this information to inform decision-making.
This work is in partnership with the Ministry of National Health Services, Regulations and Coordination, Provincial Director General Health Services (DGHS), and Departments of Health Integrated Maternal, Newborn, Child Health and Nutrition Program (IRMNCH & NP). The program is being implemented in three districts Lodhran, Jamshoro and Swabi across the three provinces Punajb, Sindh and Khyber Pakhtunkhwa, respectively.
Although this section describes MNHN, wherever possible, Nutrition International’s work in Pakistan follows a comprehensive and integrated approach, with a strong focus on the first 1000 days, from pregnancy through 2 years of age.
","- Allen, L. H. (2000). Anemia and iron deficiency: Effects on pregnancy outcome. The American Journal of Clinical Nutrition,71(5). doi:10.1093/ajcn/71.5.1280s
- Black, R. E., Victora, C. G., Walker, S. P., Bhutta, Z. A., Christian, P., Onis, M. D., . . . Uauy, R. (2013). Maternal and child undernutrition and overweight in low-income and middle-income countries. The Lancet,382(9890), 427-451. doi:10.1016/s0140-6736(13)60937-x
- WHO. The global prevalence of anaemia in 2011. Geneva: World Health Organization; 2015.
- WHO. (2016). WHO recommendations on antenatal care for a positive pregnancy experience. (Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/250796/9789241549912-eng...
- WHO. (2017). Protecting, promoting and supporting breastfeeding in facilities providing maternity and newborn services: Guideline(Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/259386/9789241550086-eng...
- WHO. (2018). WHO recommendations: Intrapartum care for a positive childbirth experience(Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/260178/9789241550215-eng...
- NEOVITA Study Group. (2016). Timing of initiation, patterns of breastfeeding, and infant survival: Prospective analysis of pooled data from three randomised trials. The Lancet Global Health,4(4). doi:10.1016/s2214-109x(16)00040-1
- United Nations Inter-agency Group for Child Mortality Estimation (UN IGME), ‘Levels & Trends in Child Mortality: Report 2017, Estimates Developed by the UN Inter-agency Group for Child Mortality Estimation’, United Nations Children’s Fund, New York, 2017.
For more information:
","","","Health","Ministry of National Health Services, Regulations and Coordination, Provincial Director General Health Services (DGHS), and Departments of Health Integrated Maternal, Newborn, Child Health and Nutrition Program (IRMNCH & NP)","","","Nutrition International","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","26262","","Iron and folic acid supplementation","","","","Pregnant women (PW)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English"
"26252","Nutrition International - Pakistan - Maternal Newborn Health and Nutrition (MNHN) Program","English","Community/sub-national","","PAK","Pakistan","Pakistan","","","","","Pregnancy and the postnatal period are critical times for ensuring the health and wellbeing of women and their children. Anaemia during pregnancy is common and can have serious consequences for both mother and child, including increased risk of low birthweight and preterm birth, as well as maternal and perinatal mortality.[1&2] Iron deficiency is a major cause of anaemia among pregnant women.[3] Iron requirements increase substantially during pregnancy and it is difficult to meet these needs with food alone. Based on evidence of reduced risk of anaemia, iron deficiency and other adverse outcomes including having a low birthweight baby, WHO recommends daily iron and folic acid (IFA) supplementation throughout pregnancy.[4] This is in addition to a series of other recommendations for nutrition interventions as part of antenatal care for a positive pregnancy experience and other important maternal and child outcomes.[4]
Optimal care and feeding of newborns helps ensure babies survive and sets the stage for healthy growth and development. For example, initiating breastfeeding within the first hour of life, as recommended by WHO[5&6], increases the likelihood of exclusive breastfeeding and reduces the chance of newborn illness or death [7]. The newborn period, which is the first 28 days of life, is the most vulnerable time in a child’s life, and accounts for almost half (46%) of the total deaths in children under five years of age [8]. Fortunately, many of these deaths are preventable through evidence-informed, low-cost care, such as supporting mothers to start breastfeeding soon after birth, which can be delivered even in resource-limited settings.
Nutrition International works in collaboration with government and other partners to improve maternal and newborn health and nutrition (MNHN) through enhancing the provision, quality and integration of health and nutrition services and empowering women and their families to seek care and adopt healthy behaviours.
Nutrition International's (NI) support to MNHN programming in Pakistan began in 2015. Since then, NI has contributed to improving MNHN in Pakistan by:
- Increasing access to antenatal care (ANC) quality and attendance as well as a package of care for women and newborns at delivery and in the postnatal period.
- Reducing the risk of anaemia among pregnant women by supporting the provision of and adherence to iron and folic acid supplements.
- Supporting the government in demonstrating an integrated multipronged program model for implementing community outreach health and nutrition interventions.
- Supporting the identification and referral of pregnant women and children 6-23 months of age with malnutrition.
- Promoting an enabling environment through advocacy among key decision-makers for commitment to MNHN.
- Providing technical assistance for scaling up best practices.
- Supporting procurement and supply chain strengthening.
- Capacity-building of health care managers, midwives, and service providers at facility and community levels, through training and mentoring/supportive supervision.
- Developing and implementing a behavior change communication materials and tools.
- Supporting the establishment of KMC centers in hospitals.
- Supporting program monitoring and assessment, and use of this information to inform decision-making.
This work is in partnership with the Ministry of National Health Services, Regulations and Coordination, Provincial Director General Health Services (DGHS), and Departments of Health Integrated Maternal, Newborn, Child Health and Nutrition Program (IRMNCH & NP). The program is being implemented in three districts Lodhran, Jamshoro and Swabi across the three provinces Punajb, Sindh and Khyber Pakhtunkhwa, respectively.
Although this section describes MNHN, wherever possible, Nutrition International’s work in Pakistan follows a comprehensive and integrated approach, with a strong focus on the first 1000 days, from pregnancy through 2 years of age.
","- Allen, L. H. (2000). Anemia and iron deficiency: Effects on pregnancy outcome. The American Journal of Clinical Nutrition,71(5). doi:10.1093/ajcn/71.5.1280s
- Black, R. E., Victora, C. G., Walker, S. P., Bhutta, Z. A., Christian, P., Onis, M. D., . . . Uauy, R. (2013). Maternal and child undernutrition and overweight in low-income and middle-income countries. The Lancet,382(9890), 427-451. doi:10.1016/s0140-6736(13)60937-x
- WHO. The global prevalence of anaemia in 2011. Geneva: World Health Organization; 2015.
- WHO. (2016). WHO recommendations on antenatal care for a positive pregnancy experience. (Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/250796/9789241549912-eng...
- WHO. (2017). Protecting, promoting and supporting breastfeeding in facilities providing maternity and newborn services: Guideline(Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/259386/9789241550086-eng...
- WHO. (2018). WHO recommendations: Intrapartum care for a positive childbirth experience(Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/260178/9789241550215-eng...
- NEOVITA Study Group. (2016). Timing of initiation, patterns of breastfeeding, and infant survival: Prospective analysis of pooled data from three randomised trials. The Lancet Global Health,4(4). doi:10.1016/s2214-109x(16)00040-1
- United Nations Inter-agency Group for Child Mortality Estimation (UN IGME), ‘Levels & Trends in Child Mortality: Report 2017, Estimates Developed by the UN Inter-agency Group for Child Mortality Estimation’, United Nations Children’s Fund, New York, 2017.
For more information:
","","","Health","Ministry of National Health Services, Regulations and Coordination, Provincial Director General Health Services (DGHS), and Departments of Health Integrated Maternal, Newborn, Child Health and Nutrition Program (IRMNCH & NP)","","","Nutrition International","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","26318","","Breastfeeding promotion and/or counselling","","","","Lactating women (LW)|Pregnant women (PW)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English"
"26252","Nutrition International - Pakistan - Maternal Newborn Health and Nutrition (MNHN) Program","English","Community/sub-national","","PAK","Pakistan","Pakistan","","","","","Pregnancy and the postnatal period are critical times for ensuring the health and wellbeing of women and their children. Anaemia during pregnancy is common and can have serious consequences for both mother and child, including increased risk of low birthweight and preterm birth, as well as maternal and perinatal mortality.[1&2] Iron deficiency is a major cause of anaemia among pregnant women.[3] Iron requirements increase substantially during pregnancy and it is difficult to meet these needs with food alone. Based on evidence of reduced risk of anaemia, iron deficiency and other adverse outcomes including having a low birthweight baby, WHO recommends daily iron and folic acid (IFA) supplementation throughout pregnancy.[4] This is in addition to a series of other recommendations for nutrition interventions as part of antenatal care for a positive pregnancy experience and other important maternal and child outcomes.[4]
Optimal care and feeding of newborns helps ensure babies survive and sets the stage for healthy growth and development. For example, initiating breastfeeding within the first hour of life, as recommended by WHO[5&6], increases the likelihood of exclusive breastfeeding and reduces the chance of newborn illness or death [7]. The newborn period, which is the first 28 days of life, is the most vulnerable time in a child’s life, and accounts for almost half (46%) of the total deaths in children under five years of age [8]. Fortunately, many of these deaths are preventable through evidence-informed, low-cost care, such as supporting mothers to start breastfeeding soon after birth, which can be delivered even in resource-limited settings.
Nutrition International works in collaboration with government and other partners to improve maternal and newborn health and nutrition (MNHN) through enhancing the provision, quality and integration of health and nutrition services and empowering women and their families to seek care and adopt healthy behaviours.
Nutrition International's (NI) support to MNHN programming in Pakistan began in 2015. Since then, NI has contributed to improving MNHN in Pakistan by:
- Increasing access to antenatal care (ANC) quality and attendance as well as a package of care for women and newborns at delivery and in the postnatal period.
- Reducing the risk of anaemia among pregnant women by supporting the provision of and adherence to iron and folic acid supplements.
- Supporting the government in demonstrating an integrated multipronged program model for implementing community outreach health and nutrition interventions.
- Supporting the identification and referral of pregnant women and children 6-23 months of age with malnutrition.
- Promoting an enabling environment through advocacy among key decision-makers for commitment to MNHN.
- Providing technical assistance for scaling up best practices.
- Supporting procurement and supply chain strengthening.
- Capacity-building of health care managers, midwives, and service providers at facility and community levels, through training and mentoring/supportive supervision.
- Developing and implementing a behavior change communication materials and tools.
- Supporting the establishment of KMC centers in hospitals.
- Supporting program monitoring and assessment, and use of this information to inform decision-making.
This work is in partnership with the Ministry of National Health Services, Regulations and Coordination, Provincial Director General Health Services (DGHS), and Departments of Health Integrated Maternal, Newborn, Child Health and Nutrition Program (IRMNCH & NP). The program is being implemented in three districts Lodhran, Jamshoro and Swabi across the three provinces Punajb, Sindh and Khyber Pakhtunkhwa, respectively.
Although this section describes MNHN, wherever possible, Nutrition International’s work in Pakistan follows a comprehensive and integrated approach, with a strong focus on the first 1000 days, from pregnancy through 2 years of age.
","- Allen, L. H. (2000). Anemia and iron deficiency: Effects on pregnancy outcome. The American Journal of Clinical Nutrition,71(5). doi:10.1093/ajcn/71.5.1280s
- Black, R. E., Victora, C. G., Walker, S. P., Bhutta, Z. A., Christian, P., Onis, M. D., . . . Uauy, R. (2013). Maternal and child undernutrition and overweight in low-income and middle-income countries. The Lancet,382(9890), 427-451. doi:10.1016/s0140-6736(13)60937-x
- WHO. The global prevalence of anaemia in 2011. Geneva: World Health Organization; 2015.
- WHO. (2016). WHO recommendations on antenatal care for a positive pregnancy experience. (Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/250796/9789241549912-eng...
- WHO. (2017). Protecting, promoting and supporting breastfeeding in facilities providing maternity and newborn services: Guideline(Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/259386/9789241550086-eng...
- WHO. (2018). WHO recommendations: Intrapartum care for a positive childbirth experience(Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/260178/9789241550215-eng...
- NEOVITA Study Group. (2016). Timing of initiation, patterns of breastfeeding, and infant survival: Prospective analysis of pooled data from three randomised trials. The Lancet Global Health,4(4). doi:10.1016/s2214-109x(16)00040-1
- United Nations Inter-agency Group for Child Mortality Estimation (UN IGME), ‘Levels & Trends in Child Mortality: Report 2017, Estimates Developed by the UN Inter-agency Group for Child Mortality Estimation’, United Nations Children’s Fund, New York, 2017.
For more information:
","","","Health","Ministry of National Health Services, Regulations and Coordination, Provincial Director General Health Services (DGHS), and Departments of Health Integrated Maternal, Newborn, Child Health and Nutrition Program (IRMNCH & NP)","","","Nutrition International","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","26319","","Nutrition education and counselling","","","","Lactating women (LW)|Pregnant women (PW)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English"
"26252","Nutrition International - Pakistan - Maternal Newborn Health and Nutrition (MNHN) Program","English","Community/sub-national","","PAK","Pakistan","Pakistan","","","","","Pregnancy and the postnatal period are critical times for ensuring the health and wellbeing of women and their children. Anaemia during pregnancy is common and can have serious consequences for both mother and child, including increased risk of low birthweight and preterm birth, as well as maternal and perinatal mortality.[1&2] Iron deficiency is a major cause of anaemia among pregnant women.[3] Iron requirements increase substantially during pregnancy and it is difficult to meet these needs with food alone. Based on evidence of reduced risk of anaemia, iron deficiency and other adverse outcomes including having a low birthweight baby, WHO recommends daily iron and folic acid (IFA) supplementation throughout pregnancy.[4] This is in addition to a series of other recommendations for nutrition interventions as part of antenatal care for a positive pregnancy experience and other important maternal and child outcomes.[4]
Optimal care and feeding of newborns helps ensure babies survive and sets the stage for healthy growth and development. For example, initiating breastfeeding within the first hour of life, as recommended by WHO[5&6], increases the likelihood of exclusive breastfeeding and reduces the chance of newborn illness or death [7]. The newborn period, which is the first 28 days of life, is the most vulnerable time in a child’s life, and accounts for almost half (46%) of the total deaths in children under five years of age [8]. Fortunately, many of these deaths are preventable through evidence-informed, low-cost care, such as supporting mothers to start breastfeeding soon after birth, which can be delivered even in resource-limited settings.
Nutrition International works in collaboration with government and other partners to improve maternal and newborn health and nutrition (MNHN) through enhancing the provision, quality and integration of health and nutrition services and empowering women and their families to seek care and adopt healthy behaviours.
Nutrition International's (NI) support to MNHN programming in Pakistan began in 2015. Since then, NI has contributed to improving MNHN in Pakistan by:
- Increasing access to antenatal care (ANC) quality and attendance as well as a package of care for women and newborns at delivery and in the postnatal period.
- Reducing the risk of anaemia among pregnant women by supporting the provision of and adherence to iron and folic acid supplements.
- Supporting the government in demonstrating an integrated multipronged program model for implementing community outreach health and nutrition interventions.
- Supporting the identification and referral of pregnant women and children 6-23 months of age with malnutrition.
- Promoting an enabling environment through advocacy among key decision-makers for commitment to MNHN.
- Providing technical assistance for scaling up best practices.
- Supporting procurement and supply chain strengthening.
- Capacity-building of health care managers, midwives, and service providers at facility and community levels, through training and mentoring/supportive supervision.
- Developing and implementing a behavior change communication materials and tools.
- Supporting the establishment of KMC centers in hospitals.
- Supporting program monitoring and assessment, and use of this information to inform decision-making.
This work is in partnership with the Ministry of National Health Services, Regulations and Coordination, Provincial Director General Health Services (DGHS), and Departments of Health Integrated Maternal, Newborn, Child Health and Nutrition Program (IRMNCH & NP). The program is being implemented in three districts Lodhran, Jamshoro and Swabi across the three provinces Punajb, Sindh and Khyber Pakhtunkhwa, respectively.
Although this section describes MNHN, wherever possible, Nutrition International’s work in Pakistan follows a comprehensive and integrated approach, with a strong focus on the first 1000 days, from pregnancy through 2 years of age.
","- Allen, L. H. (2000). Anemia and iron deficiency: Effects on pregnancy outcome. The American Journal of Clinical Nutrition,71(5). doi:10.1093/ajcn/71.5.1280s
- Black, R. E., Victora, C. G., Walker, S. P., Bhutta, Z. A., Christian, P., Onis, M. D., . . . Uauy, R. (2013). Maternal and child undernutrition and overweight in low-income and middle-income countries. The Lancet,382(9890), 427-451. doi:10.1016/s0140-6736(13)60937-x
- WHO. The global prevalence of anaemia in 2011. Geneva: World Health Organization; 2015.
- WHO. (2016). WHO recommendations on antenatal care for a positive pregnancy experience. (Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/250796/9789241549912-eng...
- WHO. (2017). Protecting, promoting and supporting breastfeeding in facilities providing maternity and newborn services: Guideline(Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/259386/9789241550086-eng...
- WHO. (2018). WHO recommendations: Intrapartum care for a positive childbirth experience(Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/260178/9789241550215-eng...
- NEOVITA Study Group. (2016). Timing of initiation, patterns of breastfeeding, and infant survival: Prospective analysis of pooled data from three randomised trials. The Lancet Global Health,4(4). doi:10.1016/s2214-109x(16)00040-1
- United Nations Inter-agency Group for Child Mortality Estimation (UN IGME), ‘Levels & Trends in Child Mortality: Report 2017, Estimates Developed by the UN Inter-agency Group for Child Mortality Estimation’, United Nations Children’s Fund, New York, 2017.
For more information:
","","","Health","Ministry of National Health Services, Regulations and Coordination, Provincial Director General Health Services (DGHS), and Departments of Health Integrated Maternal, Newborn, Child Health and Nutrition Program (IRMNCH & NP)","","","Nutrition International","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","26320","","Care of LBW infants","","","","Newborns (up to 28 days of age)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English"
"26252","Nutrition International - Pakistan - Maternal Newborn Health and Nutrition (MNHN) Program","English","Community/sub-national","","PAK","Pakistan","Pakistan","","","","","Pregnancy and the postnatal period are critical times for ensuring the health and wellbeing of women and their children. Anaemia during pregnancy is common and can have serious consequences for both mother and child, including increased risk of low birthweight and preterm birth, as well as maternal and perinatal mortality.[1&2] Iron deficiency is a major cause of anaemia among pregnant women.[3] Iron requirements increase substantially during pregnancy and it is difficult to meet these needs with food alone. Based on evidence of reduced risk of anaemia, iron deficiency and other adverse outcomes including having a low birthweight baby, WHO recommends daily iron and folic acid (IFA) supplementation throughout pregnancy.[4] This is in addition to a series of other recommendations for nutrition interventions as part of antenatal care for a positive pregnancy experience and other important maternal and child outcomes.[4]
Optimal care and feeding of newborns helps ensure babies survive and sets the stage for healthy growth and development. For example, initiating breastfeeding within the first hour of life, as recommended by WHO[5&6], increases the likelihood of exclusive breastfeeding and reduces the chance of newborn illness or death [7]. The newborn period, which is the first 28 days of life, is the most vulnerable time in a child’s life, and accounts for almost half (46%) of the total deaths in children under five years of age [8]. Fortunately, many of these deaths are preventable through evidence-informed, low-cost care, such as supporting mothers to start breastfeeding soon after birth, which can be delivered even in resource-limited settings.
Nutrition International works in collaboration with government and other partners to improve maternal and newborn health and nutrition (MNHN) through enhancing the provision, quality and integration of health and nutrition services and empowering women and their families to seek care and adopt healthy behaviours.
Nutrition International's (NI) support to MNHN programming in Pakistan began in 2015. Since then, NI has contributed to improving MNHN in Pakistan by:
- Increasing access to antenatal care (ANC) quality and attendance as well as a package of care for women and newborns at delivery and in the postnatal period.
- Reducing the risk of anaemia among pregnant women by supporting the provision of and adherence to iron and folic acid supplements.
- Supporting the government in demonstrating an integrated multipronged program model for implementing community outreach health and nutrition interventions.
- Supporting the identification and referral of pregnant women and children 6-23 months of age with malnutrition.
- Promoting an enabling environment through advocacy among key decision-makers for commitment to MNHN.
- Providing technical assistance for scaling up best practices.
- Supporting procurement and supply chain strengthening.
- Capacity-building of health care managers, midwives, and service providers at facility and community levels, through training and mentoring/supportive supervision.
- Developing and implementing a behavior change communication materials and tools.
- Supporting the establishment of KMC centers in hospitals.
- Supporting program monitoring and assessment, and use of this information to inform decision-making.
This work is in partnership with the Ministry of National Health Services, Regulations and Coordination, Provincial Director General Health Services (DGHS), and Departments of Health Integrated Maternal, Newborn, Child Health and Nutrition Program (IRMNCH & NP). The program is being implemented in three districts Lodhran, Jamshoro and Swabi across the three provinces Punajb, Sindh and Khyber Pakhtunkhwa, respectively.
Although this section describes MNHN, wherever possible, Nutrition International’s work in Pakistan follows a comprehensive and integrated approach, with a strong focus on the first 1000 days, from pregnancy through 2 years of age.
","- Allen, L. H. (2000). Anemia and iron deficiency: Effects on pregnancy outcome. The American Journal of Clinical Nutrition,71(5). doi:10.1093/ajcn/71.5.1280s
- Black, R. E., Victora, C. G., Walker, S. P., Bhutta, Z. A., Christian, P., Onis, M. D., . . . Uauy, R. (2013). Maternal and child undernutrition and overweight in low-income and middle-income countries. The Lancet,382(9890), 427-451. doi:10.1016/s0140-6736(13)60937-x
- WHO. The global prevalence of anaemia in 2011. Geneva: World Health Organization; 2015.
- WHO. (2016). WHO recommendations on antenatal care for a positive pregnancy experience. (Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/250796/9789241549912-eng...
- WHO. (2017). Protecting, promoting and supporting breastfeeding in facilities providing maternity and newborn services: Guideline(Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/259386/9789241550086-eng...
- WHO. (2018). WHO recommendations: Intrapartum care for a positive childbirth experience(Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/260178/9789241550215-eng...
- NEOVITA Study Group. (2016). Timing of initiation, patterns of breastfeeding, and infant survival: Prospective analysis of pooled data from three randomised trials. The Lancet Global Health,4(4). doi:10.1016/s2214-109x(16)00040-1
- United Nations Inter-agency Group for Child Mortality Estimation (UN IGME), ‘Levels & Trends in Child Mortality: Report 2017, Estimates Developed by the UN Inter-agency Group for Child Mortality Estimation’, United Nations Children’s Fund, New York, 2017.
For more information:
","","","Health","Ministry of National Health Services, Regulations and Coordination, Provincial Director General Health Services (DGHS), and Departments of Health Integrated Maternal, Newborn, Child Health and Nutrition Program (IRMNCH & NP)","","","Nutrition International","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","26321","","Feeding of LBW infants","","","","Newborns (up to 28 days of age)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English"
"25762","Nutrition International - Ethiopia - Maternal Newborn Health and Nutrition (MNHN) Program","English","Community/sub-national","","ETH","Ethiopia","Ethiopia","","","","","Pregnancy and the postnatal period are critical times for ensuring the health and wellbeing of women and their children. Anaemia during pregnancy is common and can have serious consequences for both mother and child, including increased risk of low birthweight and preterm birth, as well as maternal and perinatal mortality.[1&2] Iron deficiency is a major cause of anaemia among pregnant women.[3] Iron requirements increase substantially during pregnancy and it is difficult to meet these needs with food alone. Based on evidence of reduced risk of anaemia, iron deficiency and other adverse outcomes including having a low birthweight baby, WHO recommends daily iron and folic acid (IFA) supplementation throughout pregnancy.[4] This is in addition to a series of other recommendations for nutrition interventions as part of antenatal care for a positive pregnancy experience and other important maternal and child outcomes.[4]
Optimal care and feeding of newborns helps ensure babies survive and sets the stage for healthy growth and development. For example, initiating breastfeeding within the first hour of life, as recommended by WHO[5&6], increases the likelihood of exclusive breastfeeding and reduces the chance of newborn illness or death [7]. The newborn period, which is the first 28 days of life, is the most vulnerable time in a child’s life, and accounts for almost half (46%) of the total deaths in children under five years of age [8]. Fortunately, many of these deaths are preventable through evidence-informed, low-cost care, such as supporting mothers to start breastfeeding soon after birth, which can be delivered even in resource-limited settings.
Nutrition International works in collaboration with government and other partners to improve maternal and newborn health and nutrition (MNHN) through enhancing the provision, quality and integration of health and nutrition services and empowering women and their families to seek care and adopt healthy behaviours.
Nutrition International contributes to improving MNHN in Ethiopia by:
- Collaborating with the Ministry of Health and other partners to support a MNHN care package that aims to increase antenatal care (ANC) quality and attendance, provision and consumption of IFA supplements in pregnancy, and newborn and postnatal care.
- Promoting an enabling environment through advocacy among key decision-makers for commitment to MNHN.
- Providing technical and financial support to the Regional Health Bureaus (RHBs) for implementation in the four agrarian regions where the primary health structure is used to promote and provide MNHN care, and to Emory University’s MaNHEP project to support the RHBs of Afar and Benishangul Gumuz regions where the MNHN care package is promoted through a community-based approach.
- Contributing to improving the coverage and quality of MNHN care services provided by Primary Health Care Units through a collaborative Quality Improvement Approach.
- Building the capacity of front line health workers through training, supportive supervision and provision of job aids.
- Developing and implementing an evidence-informed MNHN behavior change intervention strategy, which focuses on strengthening community-based platforms for engaging and communicating with pregnant women and their influencers about MNHN.
- Supporting program monitoring and assessment, and use of this information to inform decision-making.
This work is in partnership with the Ethiopian Ministry of Health at federal and regional levels, the Pharmaceutical Fund Supply Agency, UNICEF and Emory University. This project includes national level technical assistance and supports implementation sub-nationally, in 200 woredas in 6 regions (in the two pastoralist regions of Afar (11 woredas) and Benishangul Gumuz (4 woredas) and the following four agrarian regions: Tigray region (16 woredas), Amahra region (45 woredas), Oromia region (64 woredas) and South Nation Nationality People (SNNP) region (60 woredas)). NI has supported MNHN programming in Ethiopia since 2011 and continues to do so.
Although this section describes MNHN, wherever possible, Nutrition International’s work in Ethiopia follows a comprehensive and integrated approach, with a strong focus on the first 1000 days, from pregnancy through 2 years of age.
","- Allen, L. H. (2000). Anemia and iron deficiency: Effects on pregnancy outcome. The American Journal of Clinical Nutrition,71(5). doi:10.1093/ajcn/71.5.1280s
- Black, R. E., Victora, C. G., Walker, S. P., Bhutta, Z. A., Christian, P., Onis, M. D., . . . Uauy, R. (2013). Maternal and child undernutrition and overweight in low-income and middle-income countries. The Lancet,382(9890), 427-451. doi:10.1016/s0140-6736(13)60937-x
- WHO. The global prevalence of anaemia in 2011. Geneva: World Health Organization; 2015.
- WHO. (2016). WHO recommendations on antenatal care for a positive pregnancy experience. (Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/250796/9789241549912-eng...
- WHO. (2017). Protecting, promoting and supporting breastfeeding in facilities providing maternity and newborn services: Guideline(Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/259386/9789241550086-eng...
- WHO. (2018). WHO recommendations: Intrapartum care for a positive childbirth experience(Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/260178/9789241550215-eng...
- NEOVITA Study Group. (2016). Timing of initiation, patterns of breastfeeding, and infant survival: Prospective analysis of pooled data from three randomised trials. The Lancet Global Health,4(4). doi:10.1016/s2214-109x(16)00040-1
- United Nations Inter-agency Group for Child Mortality Estimation (UN IGME), ‘Levels & Trends in Child Mortality: Report 2017, Estimates Developed by the UN Inter-agency Group for Child Mortality Estimation’, United Nations Children’s Fund, New York, 2017.
For more information:
","","","Health","Ethiopian Ministry of Health at federal and regional levelsThe Pharmaceutical Fund Supply Agency","United Nations High Commissioner for Refugees (UNHCR)","","Nutrition International","","","","","","","","Research/academia","Emory University","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","26260","","Iron and folic acid supplementation","","","","Pregnant women (PW)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English"
"25762","Nutrition International - Ethiopia - Maternal Newborn Health and Nutrition (MNHN) Program","English","Community/sub-national","","ETH","Ethiopia","Ethiopia","","","","","Pregnancy and the postnatal period are critical times for ensuring the health and wellbeing of women and their children. Anaemia during pregnancy is common and can have serious consequences for both mother and child, including increased risk of low birthweight and preterm birth, as well as maternal and perinatal mortality.[1&2] Iron deficiency is a major cause of anaemia among pregnant women.[3] Iron requirements increase substantially during pregnancy and it is difficult to meet these needs with food alone. Based on evidence of reduced risk of anaemia, iron deficiency and other adverse outcomes including having a low birthweight baby, WHO recommends daily iron and folic acid (IFA) supplementation throughout pregnancy.[4] This is in addition to a series of other recommendations for nutrition interventions as part of antenatal care for a positive pregnancy experience and other important maternal and child outcomes.[4]
Optimal care and feeding of newborns helps ensure babies survive and sets the stage for healthy growth and development. For example, initiating breastfeeding within the first hour of life, as recommended by WHO[5&6], increases the likelihood of exclusive breastfeeding and reduces the chance of newborn illness or death [7]. The newborn period, which is the first 28 days of life, is the most vulnerable time in a child’s life, and accounts for almost half (46%) of the total deaths in children under five years of age [8]. Fortunately, many of these deaths are preventable through evidence-informed, low-cost care, such as supporting mothers to start breastfeeding soon after birth, which can be delivered even in resource-limited settings.
Nutrition International works in collaboration with government and other partners to improve maternal and newborn health and nutrition (MNHN) through enhancing the provision, quality and integration of health and nutrition services and empowering women and their families to seek care and adopt healthy behaviours.
Nutrition International contributes to improving MNHN in Ethiopia by:
- Collaborating with the Ministry of Health and other partners to support a MNHN care package that aims to increase antenatal care (ANC) quality and attendance, provision and consumption of IFA supplements in pregnancy, and newborn and postnatal care.
- Promoting an enabling environment through advocacy among key decision-makers for commitment to MNHN.
- Providing technical and financial support to the Regional Health Bureaus (RHBs) for implementation in the four agrarian regions where the primary health structure is used to promote and provide MNHN care, and to Emory University’s MaNHEP project to support the RHBs of Afar and Benishangul Gumuz regions where the MNHN care package is promoted through a community-based approach.
- Contributing to improving the coverage and quality of MNHN care services provided by Primary Health Care Units through a collaborative Quality Improvement Approach.
- Building the capacity of front line health workers through training, supportive supervision and provision of job aids.
- Developing and implementing an evidence-informed MNHN behavior change intervention strategy, which focuses on strengthening community-based platforms for engaging and communicating with pregnant women and their influencers about MNHN.
- Supporting program monitoring and assessment, and use of this information to inform decision-making.
This work is in partnership with the Ethiopian Ministry of Health at federal and regional levels, the Pharmaceutical Fund Supply Agency, UNICEF and Emory University. This project includes national level technical assistance and supports implementation sub-nationally, in 200 woredas in 6 regions (in the two pastoralist regions of Afar (11 woredas) and Benishangul Gumuz (4 woredas) and the following four agrarian regions: Tigray region (16 woredas), Amahra region (45 woredas), Oromia region (64 woredas) and South Nation Nationality People (SNNP) region (60 woredas)). NI has supported MNHN programming in Ethiopia since 2011 and continues to do so.
Although this section describes MNHN, wherever possible, Nutrition International’s work in Ethiopia follows a comprehensive and integrated approach, with a strong focus on the first 1000 days, from pregnancy through 2 years of age.
","- Allen, L. H. (2000). Anemia and iron deficiency: Effects on pregnancy outcome. The American Journal of Clinical Nutrition,71(5). doi:10.1093/ajcn/71.5.1280s
- Black, R. E., Victora, C. G., Walker, S. P., Bhutta, Z. A., Christian, P., Onis, M. D., . . . Uauy, R. (2013). Maternal and child undernutrition and overweight in low-income and middle-income countries. The Lancet,382(9890), 427-451. doi:10.1016/s0140-6736(13)60937-x
- WHO. The global prevalence of anaemia in 2011. Geneva: World Health Organization; 2015.
- WHO. (2016). WHO recommendations on antenatal care for a positive pregnancy experience. (Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/250796/9789241549912-eng...
- WHO. (2017). Protecting, promoting and supporting breastfeeding in facilities providing maternity and newborn services: Guideline(Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/259386/9789241550086-eng...
- WHO. (2018). WHO recommendations: Intrapartum care for a positive childbirth experience(Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/260178/9789241550215-eng...
- NEOVITA Study Group. (2016). Timing of initiation, patterns of breastfeeding, and infant survival: Prospective analysis of pooled data from three randomised trials. The Lancet Global Health,4(4). doi:10.1016/s2214-109x(16)00040-1
- United Nations Inter-agency Group for Child Mortality Estimation (UN IGME), ‘Levels & Trends in Child Mortality: Report 2017, Estimates Developed by the UN Inter-agency Group for Child Mortality Estimation’, United Nations Children’s Fund, New York, 2017.
For more information:
","","","Health","Ethiopian Ministry of Health at federal and regional levelsThe Pharmaceutical Fund Supply Agency","United Nations High Commissioner for Refugees (UNHCR)","","Nutrition International","","","","","","","","Research/academia","Emory University","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","26323","","Breastfeeding promotion and/or counselling","","","","Lactating women (LW)|Pregnant women (PW)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English"
"25762","Nutrition International - Ethiopia - Maternal Newborn Health and Nutrition (MNHN) Program","English","Community/sub-national","","ETH","Ethiopia","Ethiopia","","","","","Pregnancy and the postnatal period are critical times for ensuring the health and wellbeing of women and their children. Anaemia during pregnancy is common and can have serious consequences for both mother and child, including increased risk of low birthweight and preterm birth, as well as maternal and perinatal mortality.[1&2] Iron deficiency is a major cause of anaemia among pregnant women.[3] Iron requirements increase substantially during pregnancy and it is difficult to meet these needs with food alone. Based on evidence of reduced risk of anaemia, iron deficiency and other adverse outcomes including having a low birthweight baby, WHO recommends daily iron and folic acid (IFA) supplementation throughout pregnancy.[4] This is in addition to a series of other recommendations for nutrition interventions as part of antenatal care for a positive pregnancy experience and other important maternal and child outcomes.[4]
Optimal care and feeding of newborns helps ensure babies survive and sets the stage for healthy growth and development. For example, initiating breastfeeding within the first hour of life, as recommended by WHO[5&6], increases the likelihood of exclusive breastfeeding and reduces the chance of newborn illness or death [7]. The newborn period, which is the first 28 days of life, is the most vulnerable time in a child’s life, and accounts for almost half (46%) of the total deaths in children under five years of age [8]. Fortunately, many of these deaths are preventable through evidence-informed, low-cost care, such as supporting mothers to start breastfeeding soon after birth, which can be delivered even in resource-limited settings.
Nutrition International works in collaboration with government and other partners to improve maternal and newborn health and nutrition (MNHN) through enhancing the provision, quality and integration of health and nutrition services and empowering women and their families to seek care and adopt healthy behaviours.
Nutrition International contributes to improving MNHN in Ethiopia by:
- Collaborating with the Ministry of Health and other partners to support a MNHN care package that aims to increase antenatal care (ANC) quality and attendance, provision and consumption of IFA supplements in pregnancy, and newborn and postnatal care.
- Promoting an enabling environment through advocacy among key decision-makers for commitment to MNHN.
- Providing technical and financial support to the Regional Health Bureaus (RHBs) for implementation in the four agrarian regions where the primary health structure is used to promote and provide MNHN care, and to Emory University’s MaNHEP project to support the RHBs of Afar and Benishangul Gumuz regions where the MNHN care package is promoted through a community-based approach.
- Contributing to improving the coverage and quality of MNHN care services provided by Primary Health Care Units through a collaborative Quality Improvement Approach.
- Building the capacity of front line health workers through training, supportive supervision and provision of job aids.
- Developing and implementing an evidence-informed MNHN behavior change intervention strategy, which focuses on strengthening community-based platforms for engaging and communicating with pregnant women and their influencers about MNHN.
- Supporting program monitoring and assessment, and use of this information to inform decision-making.
This work is in partnership with the Ethiopian Ministry of Health at federal and regional levels, the Pharmaceutical Fund Supply Agency, UNICEF and Emory University. This project includes national level technical assistance and supports implementation sub-nationally, in 200 woredas in 6 regions (in the two pastoralist regions of Afar (11 woredas) and Benishangul Gumuz (4 woredas) and the following four agrarian regions: Tigray region (16 woredas), Amahra region (45 woredas), Oromia region (64 woredas) and South Nation Nationality People (SNNP) region (60 woredas)). NI has supported MNHN programming in Ethiopia since 2011 and continues to do so.
Although this section describes MNHN, wherever possible, Nutrition International’s work in Ethiopia follows a comprehensive and integrated approach, with a strong focus on the first 1000 days, from pregnancy through 2 years of age.
","- Allen, L. H. (2000). Anemia and iron deficiency: Effects on pregnancy outcome. The American Journal of Clinical Nutrition,71(5). doi:10.1093/ajcn/71.5.1280s
- Black, R. E., Victora, C. G., Walker, S. P., Bhutta, Z. A., Christian, P., Onis, M. D., . . . Uauy, R. (2013). Maternal and child undernutrition and overweight in low-income and middle-income countries. The Lancet,382(9890), 427-451. doi:10.1016/s0140-6736(13)60937-x
- WHO. The global prevalence of anaemia in 2011. Geneva: World Health Organization; 2015.
- WHO. (2016). WHO recommendations on antenatal care for a positive pregnancy experience. (Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/250796/9789241549912-eng...
- WHO. (2017). Protecting, promoting and supporting breastfeeding in facilities providing maternity and newborn services: Guideline(Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/259386/9789241550086-eng...
- WHO. (2018). WHO recommendations: Intrapartum care for a positive childbirth experience(Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/260178/9789241550215-eng...
- NEOVITA Study Group. (2016). Timing of initiation, patterns of breastfeeding, and infant survival: Prospective analysis of pooled data from three randomised trials. The Lancet Global Health,4(4). doi:10.1016/s2214-109x(16)00040-1
- United Nations Inter-agency Group for Child Mortality Estimation (UN IGME), ‘Levels & Trends in Child Mortality: Report 2017, Estimates Developed by the UN Inter-agency Group for Child Mortality Estimation’, United Nations Children’s Fund, New York, 2017.
For more information:
","","","Health","Ethiopian Ministry of Health at federal and regional levelsThe Pharmaceutical Fund Supply Agency","United Nations High Commissioner for Refugees (UNHCR)","","Nutrition International","","","","","","","","Research/academia","Emory University","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","26324","","Nutrition education and counselling","","","","Lactating women (LW)|Pregnant women (PW)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English"
"25761","Nutrition International - Tanzania - Maternal Newborn Health and Nutrition (MNHN) Program","English","Community/sub-national","","TZA","United Republic of Tanzania","Tanzania","","","","","Pregnancy and the postnatal period are critical times for ensuring the health and wellbeing of women and their children. Anaemia during pregnancy is common and can have serious consequences for both mother and child, including increased risk of low birthweight and preterm birth, as well as maternal and perinatal mortality.[1&2] Iron deficiency is a major cause of anaemia among pregnant women.[3] Iron requirements increase substantially during pregnancy and it is difficult to meet these needs with food alone. Based on evidence of reduced risk of anaemia, iron deficiency and other adverse outcomes including having a low birthweight baby, WHO recommends daily iron and folic acid (IFA) supplementation throughout pregnancy.[4] This is in addition to a series of other recommendations for nutrition interventions as part of antenatal care for a positive pregnancy experience and other important maternal and child outcomes.[4]
Optimal care and feeding of newborns helps ensure babies survive and sets the stage for healthy growth and development. For example, initiating breastfeeding within the first hour of life, as recommended by WHO[5&6], increases the likelihood of exclusive breastfeeding and reduces the chance of newborn illness or death [7]. The newborn period, which is the first 28 days of life, is the most vulnerable time in a child’s life, and accounts for almost half (46%) of the total deaths in children under five years of age [8]. Fortunately, many of these deaths are preventable through evidence-informed, low-cost care, such as supporting mothers to start breastfeeding soon after birth, which can be delivered even in resource-limited settings.
Nutrition International works in collaboration with government and other partners to improve maternal and newborn health and nutrition (MNHN) through enhancing the provision, quality and integration of health and nutrition services and empowering women and their families to seek care and adopt healthy behaviours.
Nutrition International contributes to improving MNHN in Tanzania by:
- Collaborating with the Ministry of Health, Community Development, Gender, Elderly and Children (MOHCDGEC) to increase antenatal care (ANC) quality and attendance and the provision and consumption of IFA supplements, as well as a package of care for women and newborns at delivery and in the postnatal period.
- Promoting an enabling environment through advocacy among key decision-makers for commitment to MNHN.
- Providing technical assistance.
- Capacity-building of health care workers, through training, supportive supervision and provision of job aids.
- Developing and implementing a behavior change communication strategy.
- Supporting program monitoring and assessment, and use of this information to inform decision-making.
This work is in partnership with MOHCDGEC (including the Tanzania Food and Nutrition Centre, Medical Stores Department and Tanzania Food and Drug Authority), the President’s Office, Regional Administration and Local Government, Local Government Authorities, and Amref Health Africa. This project supports implementation in districts in Mwanza Region (Nyamagana, Kwimba, Sengerema and Buchosa) and four districts in Simiyu region (Bariadi District Council, Bariadi Town Council, Maswa and Meatu). NI has supported MNHN programming in Tanzania since 2016 and continues to do so.
Although this section describes MNHN, wherever possible, Nutrition International’s work in Tanzania follows a comprehensive and integrated approach, with a strong focus on the first 1000 days, from pregnancy through 2 years of age.
","- Allen, L. H. (2000). Anemia and iron deficiency: Effects on pregnancy outcome. The American Journal of Clinical Nutrition,71(5). doi:10.1093/ajcn/71.5.1280s
- Black, R. E., Victora, C. G., Walker, S. P., Bhutta, Z. A., Christian, P., Onis, M. D., . . . Uauy, R. (2013). Maternal and child undernutrition and overweight in low-income and middle-income countries. The Lancet,382(9890), 427-451. doi:10.1016/s0140-6736(13)60937-x
- WHO. The global prevalence of anaemia in 2011. Geneva: World Health Organization; 2015.
- WHO. (2016). WHO recommendations on antenatal care for a positive pregnancy experience. (Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/250796/9789241549912-eng...
- WHO. (2017). Protecting, promoting and supporting breastfeeding in facilities providing maternity and newborn services: Guideline(Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/259386/9789241550086-eng...
- WHO. (2018). WHO recommendations: Intrapartum care for a positive childbirth experience(Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/260178/9789241550215-eng...
- NEOVITA Study Group. (2016). Timing of initiation, patterns of breastfeeding, and infant survival: Prospective analysis of pooled data from three randomised trials. The Lancet Global Health,4(4). doi:10.1016/s2214-109x(16)00040-1
- United Nations Inter-agency Group for Child Mortality Estimation (UN IGME), ‘Levels & Trends in Child Mortality: Report 2017, Estimates Developed by the UN Inter-agency Group for Child Mortality Estimation’, United Nations Children’s Fund, New York, 2017.
For more information:
","","","Cabinet/Presidency|Health|Sub-national","Ministry of Health, Community Development, Gender, Elderly and Children, (MOHCDGEC)Regional Administration and Local GovernmentLocal Government Authorities","","","Nutrition International|Other","Amref Health Africa","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","26261","","Iron and folic acid supplementation","","","","Pregnant women (PW)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English"
"25761","Nutrition International - Tanzania - Maternal Newborn Health and Nutrition (MNHN) Program","English","Community/sub-national","","TZA","United Republic of Tanzania","Tanzania","","","","","Pregnancy and the postnatal period are critical times for ensuring the health and wellbeing of women and their children. Anaemia during pregnancy is common and can have serious consequences for both mother and child, including increased risk of low birthweight and preterm birth, as well as maternal and perinatal mortality.[1&2] Iron deficiency is a major cause of anaemia among pregnant women.[3] Iron requirements increase substantially during pregnancy and it is difficult to meet these needs with food alone. Based on evidence of reduced risk of anaemia, iron deficiency and other adverse outcomes including having a low birthweight baby, WHO recommends daily iron and folic acid (IFA) supplementation throughout pregnancy.[4] This is in addition to a series of other recommendations for nutrition interventions as part of antenatal care for a positive pregnancy experience and other important maternal and child outcomes.[4]
Optimal care and feeding of newborns helps ensure babies survive and sets the stage for healthy growth and development. For example, initiating breastfeeding within the first hour of life, as recommended by WHO[5&6], increases the likelihood of exclusive breastfeeding and reduces the chance of newborn illness or death [7]. The newborn period, which is the first 28 days of life, is the most vulnerable time in a child’s life, and accounts for almost half (46%) of the total deaths in children under five years of age [8]. Fortunately, many of these deaths are preventable through evidence-informed, low-cost care, such as supporting mothers to start breastfeeding soon after birth, which can be delivered even in resource-limited settings.
Nutrition International works in collaboration with government and other partners to improve maternal and newborn health and nutrition (MNHN) through enhancing the provision, quality and integration of health and nutrition services and empowering women and their families to seek care and adopt healthy behaviours.
Nutrition International contributes to improving MNHN in Tanzania by:
- Collaborating with the Ministry of Health, Community Development, Gender, Elderly and Children (MOHCDGEC) to increase antenatal care (ANC) quality and attendance and the provision and consumption of IFA supplements, as well as a package of care for women and newborns at delivery and in the postnatal period.
- Promoting an enabling environment through advocacy among key decision-makers for commitment to MNHN.
- Providing technical assistance.
- Capacity-building of health care workers, through training, supportive supervision and provision of job aids.
- Developing and implementing a behavior change communication strategy.
- Supporting program monitoring and assessment, and use of this information to inform decision-making.
This work is in partnership with MOHCDGEC (including the Tanzania Food and Nutrition Centre, Medical Stores Department and Tanzania Food and Drug Authority), the President’s Office, Regional Administration and Local Government, Local Government Authorities, and Amref Health Africa. This project supports implementation in districts in Mwanza Region (Nyamagana, Kwimba, Sengerema and Buchosa) and four districts in Simiyu region (Bariadi District Council, Bariadi Town Council, Maswa and Meatu). NI has supported MNHN programming in Tanzania since 2016 and continues to do so.
Although this section describes MNHN, wherever possible, Nutrition International’s work in Tanzania follows a comprehensive and integrated approach, with a strong focus on the first 1000 days, from pregnancy through 2 years of age.
","- Allen, L. H. (2000). Anemia and iron deficiency: Effects on pregnancy outcome. The American Journal of Clinical Nutrition,71(5). doi:10.1093/ajcn/71.5.1280s
- Black, R. E., Victora, C. G., Walker, S. P., Bhutta, Z. A., Christian, P., Onis, M. D., . . . Uauy, R. (2013). Maternal and child undernutrition and overweight in low-income and middle-income countries. The Lancet,382(9890), 427-451. doi:10.1016/s0140-6736(13)60937-x
- WHO. The global prevalence of anaemia in 2011. Geneva: World Health Organization; 2015.
- WHO. (2016). WHO recommendations on antenatal care for a positive pregnancy experience. (Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/250796/9789241549912-eng...
- WHO. (2017). Protecting, promoting and supporting breastfeeding in facilities providing maternity and newborn services: Guideline(Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/259386/9789241550086-eng...
- WHO. (2018). WHO recommendations: Intrapartum care for a positive childbirth experience(Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/260178/9789241550215-eng...
- NEOVITA Study Group. (2016). Timing of initiation, patterns of breastfeeding, and infant survival: Prospective analysis of pooled data from three randomised trials. The Lancet Global Health,4(4). doi:10.1016/s2214-109x(16)00040-1
- United Nations Inter-agency Group for Child Mortality Estimation (UN IGME), ‘Levels & Trends in Child Mortality: Report 2017, Estimates Developed by the UN Inter-agency Group for Child Mortality Estimation’, United Nations Children’s Fund, New York, 2017.
For more information:
","","","Cabinet/Presidency|Health|Sub-national","Ministry of Health, Community Development, Gender, Elderly and Children, (MOHCDGEC)Regional Administration and Local GovernmentLocal Government Authorities","","","Nutrition International|Other","Amref Health Africa","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","26325","","Breastfeeding promotion and/or counselling","","","","Lactating women (LW)|Pregnant women (PW)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English"
"25761","Nutrition International - Tanzania - Maternal Newborn Health and Nutrition (MNHN) Program","English","Community/sub-national","","TZA","United Republic of Tanzania","Tanzania","","","","","Pregnancy and the postnatal period are critical times for ensuring the health and wellbeing of women and their children. Anaemia during pregnancy is common and can have serious consequences for both mother and child, including increased risk of low birthweight and preterm birth, as well as maternal and perinatal mortality.[1&2] Iron deficiency is a major cause of anaemia among pregnant women.[3] Iron requirements increase substantially during pregnancy and it is difficult to meet these needs with food alone. Based on evidence of reduced risk of anaemia, iron deficiency and other adverse outcomes including having a low birthweight baby, WHO recommends daily iron and folic acid (IFA) supplementation throughout pregnancy.[4] This is in addition to a series of other recommendations for nutrition interventions as part of antenatal care for a positive pregnancy experience and other important maternal and child outcomes.[4]
Optimal care and feeding of newborns helps ensure babies survive and sets the stage for healthy growth and development. For example, initiating breastfeeding within the first hour of life, as recommended by WHO[5&6], increases the likelihood of exclusive breastfeeding and reduces the chance of newborn illness or death [7]. The newborn period, which is the first 28 days of life, is the most vulnerable time in a child’s life, and accounts for almost half (46%) of the total deaths in children under five years of age [8]. Fortunately, many of these deaths are preventable through evidence-informed, low-cost care, such as supporting mothers to start breastfeeding soon after birth, which can be delivered even in resource-limited settings.
Nutrition International works in collaboration with government and other partners to improve maternal and newborn health and nutrition (MNHN) through enhancing the provision, quality and integration of health and nutrition services and empowering women and their families to seek care and adopt healthy behaviours.
Nutrition International contributes to improving MNHN in Tanzania by:
- Collaborating with the Ministry of Health, Community Development, Gender, Elderly and Children (MOHCDGEC) to increase antenatal care (ANC) quality and attendance and the provision and consumption of IFA supplements, as well as a package of care for women and newborns at delivery and in the postnatal period.
- Promoting an enabling environment through advocacy among key decision-makers for commitment to MNHN.
- Providing technical assistance.
- Capacity-building of health care workers, through training, supportive supervision and provision of job aids.
- Developing and implementing a behavior change communication strategy.
- Supporting program monitoring and assessment, and use of this information to inform decision-making.
This work is in partnership with MOHCDGEC (including the Tanzania Food and Nutrition Centre, Medical Stores Department and Tanzania Food and Drug Authority), the President’s Office, Regional Administration and Local Government, Local Government Authorities, and Amref Health Africa. This project supports implementation in districts in Mwanza Region (Nyamagana, Kwimba, Sengerema and Buchosa) and four districts in Simiyu region (Bariadi District Council, Bariadi Town Council, Maswa and Meatu). NI has supported MNHN programming in Tanzania since 2016 and continues to do so.
Although this section describes MNHN, wherever possible, Nutrition International’s work in Tanzania follows a comprehensive and integrated approach, with a strong focus on the first 1000 days, from pregnancy through 2 years of age.
","- Allen, L. H. (2000). Anemia and iron deficiency: Effects on pregnancy outcome. The American Journal of Clinical Nutrition,71(5). doi:10.1093/ajcn/71.5.1280s
- Black, R. E., Victora, C. G., Walker, S. P., Bhutta, Z. A., Christian, P., Onis, M. D., . . . Uauy, R. (2013). Maternal and child undernutrition and overweight in low-income and middle-income countries. The Lancet,382(9890), 427-451. doi:10.1016/s0140-6736(13)60937-x
- WHO. The global prevalence of anaemia in 2011. Geneva: World Health Organization; 2015.
- WHO. (2016). WHO recommendations on antenatal care for a positive pregnancy experience. (Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/250796/9789241549912-eng...
- WHO. (2017). Protecting, promoting and supporting breastfeeding in facilities providing maternity and newborn services: Guideline(Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/259386/9789241550086-eng...
- WHO. (2018). WHO recommendations: Intrapartum care for a positive childbirth experience(Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/260178/9789241550215-eng...
- NEOVITA Study Group. (2016). Timing of initiation, patterns of breastfeeding, and infant survival: Prospective analysis of pooled data from three randomised trials. The Lancet Global Health,4(4). doi:10.1016/s2214-109x(16)00040-1
- United Nations Inter-agency Group for Child Mortality Estimation (UN IGME), ‘Levels & Trends in Child Mortality: Report 2017, Estimates Developed by the UN Inter-agency Group for Child Mortality Estimation’, United Nations Children’s Fund, New York, 2017.
For more information:
","","","Cabinet/Presidency|Health|Sub-national","Ministry of Health, Community Development, Gender, Elderly and Children, (MOHCDGEC)Regional Administration and Local GovernmentLocal Government Authorities","","","Nutrition International|Other","Amref Health Africa","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","26326","","Nutrition education and counselling","","","","Lactating women (LW)|Pregnant women (PW)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English"
"26247","Nutrition International - Nigeria - Maternal Nutrition Program ","English","Community/sub-national","","NGA","Nigeria","Nigeria","","","","","Pregnancy and the postnatal period are critical times for ensuring the health and wellbeing of women and their children. Anaemia during pregnancy is common and can have serious consequences for both mother and child, including increased risk of low birthweight and preterm birth, as well as maternal and perinatal mortality.[1&2] Iron deficiency is a major cause of anaemia among pregnant women.[3] Iron requirements increase substantially during pregnancy and it is difficult to meet these needs with food alone. Based on evidence of reduced risk of anaemia, iron deficiency and other adverse outcomes including having a low birthweight baby, WHO recommends daily iron and folic acid (IFA) supplementation throughout pregnancy, together with appropriate nutrition counselling.[4] This is in addition to a series of other recommendations for nutrition interventions as part of antenatal care for a positive pregnancy experience and other important maternal and child outcomes.[4]
Nutrition International works in collaboration with government and other partners to improve maternal nutrition through enhancing the provision, quality and integration of health and nutrition services and empowering women and their families to seek care and adopt healthy behaviours.
Nutrition International contributes to improving Maternal Nutrition in Nigeria by:
- Collaborating with the Federal Ministry of Health and State Ministries of Health to increase the quality of antenatal care (ANC), including nutrition counseling, and the provision and consumption of IFA supplements in pregnancy.
- Working closely with our implementing partners (PLAN Nigeria and UNICEF Nigeria) to strengthen routine health systems (i.e. move away from campaign-based distribution of IFA) and strengthen supply chains through technical assistance at the State level.
- Promoting an enabling environment through advocacy among key decision-makers for commitment to Maternal Nutrition, including for ensuring an adequate supply of quality IFA supplements at all levels and increased coordination, as well as increasing access to ANC for hard-to-reach women in the North of the country.
- Developing and implementing a behavior change communication strategy, including strengthening community-based platforms for reaching pregnant and postnatal women; as well as targeting males and community leaders on the importance of ANC and IFA.
- Supporting program monitoring and assessment, and use of this information to inform decision-making.
This work is in partnership with the Federal Ministry of Health, State Ministries of Health (Sokoto, Kebbi, Zamfara and Katsina states), PLAN Nigeria and UNICEF Nigeria. NI has supported Maternal Nutrition programming in Nigeria since 2015 and support is ongoing.
","- Allen, L. H. (2000). Anemia and iron deficiency: Effects on pregnancy outcome. The American Journal of Clinical Nutrition,71(5). doi:10.1093/ajcn/71.5.1280s
- Black, R. E., Victora, C. G., Walker, S. P., Bhutta, Z. A., Christian, P., Onis, M. D., . . . Uauy, R. (2013). Maternal and child undernutrition and overweight in low-income and middle-income countries. The Lancet,382(9890), 427-451. doi:10.1016/s0140-6736(13)60937-x
- WHO. The global prevalence of anaemia in 2011. Geneva: World Health Organization; 2015.
- WHO. (2016). WHO recommendations on antenatal care for a positive pregnancy experience. (Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/250796/9789241549912-eng...
For more information:
","","","Health","Federal Ministry of Health and State Ministries of Health","United Nations Children's Fund (UNICEF)","UNICEF Nigeria","Nutrition International|Plan International","Plan Nigeria","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","26254","","Iron and folic acid supplementation","","","","Pregnant women (PW)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English"
"26247","Nutrition International - Nigeria - Maternal Nutrition Program ","English","Community/sub-national","","NGA","Nigeria","Nigeria","","","","","Pregnancy and the postnatal period are critical times for ensuring the health and wellbeing of women and their children. Anaemia during pregnancy is common and can have serious consequences for both mother and child, including increased risk of low birthweight and preterm birth, as well as maternal and perinatal mortality.[1&2] Iron deficiency is a major cause of anaemia among pregnant women.[3] Iron requirements increase substantially during pregnancy and it is difficult to meet these needs with food alone. Based on evidence of reduced risk of anaemia, iron deficiency and other adverse outcomes including having a low birthweight baby, WHO recommends daily iron and folic acid (IFA) supplementation throughout pregnancy, together with appropriate nutrition counselling.[4] This is in addition to a series of other recommendations for nutrition interventions as part of antenatal care for a positive pregnancy experience and other important maternal and child outcomes.[4]
Nutrition International works in collaboration with government and other partners to improve maternal nutrition through enhancing the provision, quality and integration of health and nutrition services and empowering women and their families to seek care and adopt healthy behaviours.
Nutrition International contributes to improving Maternal Nutrition in Nigeria by:
- Collaborating with the Federal Ministry of Health and State Ministries of Health to increase the quality of antenatal care (ANC), including nutrition counseling, and the provision and consumption of IFA supplements in pregnancy.
- Working closely with our implementing partners (PLAN Nigeria and UNICEF Nigeria) to strengthen routine health systems (i.e. move away from campaign-based distribution of IFA) and strengthen supply chains through technical assistance at the State level.
- Promoting an enabling environment through advocacy among key decision-makers for commitment to Maternal Nutrition, including for ensuring an adequate supply of quality IFA supplements at all levels and increased coordination, as well as increasing access to ANC for hard-to-reach women in the North of the country.
- Developing and implementing a behavior change communication strategy, including strengthening community-based platforms for reaching pregnant and postnatal women; as well as targeting males and community leaders on the importance of ANC and IFA.
- Supporting program monitoring and assessment, and use of this information to inform decision-making.
This work is in partnership with the Federal Ministry of Health, State Ministries of Health (Sokoto, Kebbi, Zamfara and Katsina states), PLAN Nigeria and UNICEF Nigeria. NI has supported Maternal Nutrition programming in Nigeria since 2015 and support is ongoing.
","- Allen, L. H. (2000). Anemia and iron deficiency: Effects on pregnancy outcome. The American Journal of Clinical Nutrition,71(5). doi:10.1093/ajcn/71.5.1280s
- Black, R. E., Victora, C. G., Walker, S. P., Bhutta, Z. A., Christian, P., Onis, M. D., . . . Uauy, R. (2013). Maternal and child undernutrition and overweight in low-income and middle-income countries. The Lancet,382(9890), 427-451. doi:10.1016/s0140-6736(13)60937-x
- WHO. The global prevalence of anaemia in 2011. Geneva: World Health Organization; 2015.
- WHO. (2016). WHO recommendations on antenatal care for a positive pregnancy experience. (Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/250796/9789241549912-eng...
For more information:
","","","Health","Federal Ministry of Health and State Ministries of Health","United Nations Children's Fund (UNICEF)","UNICEF Nigeria","Nutrition International|Plan International","Plan Nigeria","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","26327","","Nutrition education and counselling","","","","Pregnant women (PW)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English"
"25775","Nutrition International - Philippines - Maternal Nutrition Program ","English","Community/sub-national","","PHL","Philippines","Philippines","","","","","Pregnancy and the postnatal period are critical times for ensuring the health and wellbeing of women and their children. Anaemia during pregnancy is common and can have serious consequences for both mother and child, including increased risk of low birthweight and preterm birth, as well as maternal and perinatal mortality.[1&2] Iron deficiency is a major cause of anaemia among pregnant women.[3] Iron requirements increase substantially during pregnancy and it is difficult to meet these needs with food alone. Based on evidence of reduced risk of anaemia, iron deficiency and other adverse outcomes including having a low birthweight baby, WHO recommends daily iron and folic acid (IFA) supplementation throughout pregnancy, together with appropriate nutrition counselling.[4] This is in addition to a series of other recommendations for nutrition interventions as part of antenatal care for a positive pregnancy experience and other important maternal and child outcomes.[4]
Nutrition International contributes to improving Maternal Nutrition in the Philippines by:
- Providing support to the Department of Health’s (DOH) framework for the First 1000 Days (F1KD) which delivers an integrated package of maternal newborn and child health and nutrition (MNCHN), and improving delivery of quality antenatal care (ANC), including nutrition counseling, and provision and consumption of at least 180 IFA supplements during pregnancy.
- Promoting an enabling environment through advocacy among key decision-makers at the national level and supported at the local level by formulation and passage of local ordinances for continued commitment to MNCHN, including ensuring adequate supply of IFA supplements at all levels.
- Supporting the revision and/or update of related DOH policies and guidelines on the nutrition of the women of reproductive age (WRA) including pregnant and lactating mothers, and the Manual of Operations on Micronutrient Supplementation.
- Building Capacity of frontline workers (midwives and community health and nutrition volunteers) to deliver continuum of services in the F1KD, with focus on IFA supplementation.
- Supporting the establishment and operationalization of community-based mother to mother support groups composed of pregnant women and mothers with children 0-23 months.
- Enhancing Behaviour Change Interventions.
- Supporting the development and implementation of a system to track adherence to IFA supplementation.
- Supporting conducting of monthly nutrition review meetings to monitor progress of service delivery and promote accountability for targeted nutrition outcomes.
This work is implemented in partnership with DOH-Family Health Office (FHO) and National Nutrition Council (NNC), the health and nutrition offices at the regional, provincial and municipal levels, Helen Keller International and UNICEF in 45 municipalities in seven provinces of Antique, Bohol, Camarines Norte, Cebu, Iloilo and Zamboanga del Norte. NI support to Maternal Nutrition programming in the Philippines began in 2016 and is ongoing.
","- Allen, L. H. (2000). Anemia and iron deficiency: Effects on pregnancy outcome. The American Journal of Clinical Nutrition,71(5). doi:10.1093/ajcn/71.5.1280s
- Black, R. E., Victora, C. G., Walker, S. P., Bhutta, Z. A., Christian, P., Onis, M. D., . . . Uauy, R. (2013). Maternal and child undernutrition and overweight in low-income and middle-income countries. The Lancet,382(9890), 427-451. doi:10.1016/s0140-6736(13)60937-x
- WHO. The global prevalence of anaemia in 2011. Geneva: World Health Organization; 2015.
- WHO. (2016). WHO recommendations on antenatal care for a positive pregnancy experience. (Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/250796/9789241549912-eng...
For more information:
","","","Health|Sub-national","DOH-Family Health Office (FHO);National Nutrition Council (NNC);Provincial and Municipal Health and Nutrition Offices;Rural Health Units","United Nations Children's Fund (UNICEF)","","Helen Keller International (HKI)|Nutrition International","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","26253","","Iron and folic acid supplementation","","","","Pregnant women (PW)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English"
"25775","Nutrition International - Philippines - Maternal Nutrition Program ","English","Community/sub-national","","PHL","Philippines","Philippines","","","","","Pregnancy and the postnatal period are critical times for ensuring the health and wellbeing of women and their children. Anaemia during pregnancy is common and can have serious consequences for both mother and child, including increased risk of low birthweight and preterm birth, as well as maternal and perinatal mortality.[1&2] Iron deficiency is a major cause of anaemia among pregnant women.[3] Iron requirements increase substantially during pregnancy and it is difficult to meet these needs with food alone. Based on evidence of reduced risk of anaemia, iron deficiency and other adverse outcomes including having a low birthweight baby, WHO recommends daily iron and folic acid (IFA) supplementation throughout pregnancy, together with appropriate nutrition counselling.[4] This is in addition to a series of other recommendations for nutrition interventions as part of antenatal care for a positive pregnancy experience and other important maternal and child outcomes.[4]
Nutrition International contributes to improving Maternal Nutrition in the Philippines by:
- Providing support to the Department of Health’s (DOH) framework for the First 1000 Days (F1KD) which delivers an integrated package of maternal newborn and child health and nutrition (MNCHN), and improving delivery of quality antenatal care (ANC), including nutrition counseling, and provision and consumption of at least 180 IFA supplements during pregnancy.
- Promoting an enabling environment through advocacy among key decision-makers at the national level and supported at the local level by formulation and passage of local ordinances for continued commitment to MNCHN, including ensuring adequate supply of IFA supplements at all levels.
- Supporting the revision and/or update of related DOH policies and guidelines on the nutrition of the women of reproductive age (WRA) including pregnant and lactating mothers, and the Manual of Operations on Micronutrient Supplementation.
- Building Capacity of frontline workers (midwives and community health and nutrition volunteers) to deliver continuum of services in the F1KD, with focus on IFA supplementation.
- Supporting the establishment and operationalization of community-based mother to mother support groups composed of pregnant women and mothers with children 0-23 months.
- Enhancing Behaviour Change Interventions.
- Supporting the development and implementation of a system to track adherence to IFA supplementation.
- Supporting conducting of monthly nutrition review meetings to monitor progress of service delivery and promote accountability for targeted nutrition outcomes.
This work is implemented in partnership with DOH-Family Health Office (FHO) and National Nutrition Council (NNC), the health and nutrition offices at the regional, provincial and municipal levels, Helen Keller International and UNICEF in 45 municipalities in seven provinces of Antique, Bohol, Camarines Norte, Cebu, Iloilo and Zamboanga del Norte. NI support to Maternal Nutrition programming in the Philippines began in 2016 and is ongoing.
","- Allen, L. H. (2000). Anemia and iron deficiency: Effects on pregnancy outcome. The American Journal of Clinical Nutrition,71(5). doi:10.1093/ajcn/71.5.1280s
- Black, R. E., Victora, C. G., Walker, S. P., Bhutta, Z. A., Christian, P., Onis, M. D., . . . Uauy, R. (2013). Maternal and child undernutrition and overweight in low-income and middle-income countries. The Lancet,382(9890), 427-451. doi:10.1016/s0140-6736(13)60937-x
- WHO. The global prevalence of anaemia in 2011. Geneva: World Health Organization; 2015.
- WHO. (2016). WHO recommendations on antenatal care for a positive pregnancy experience. (Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/250796/9789241549912-eng...
For more information:
","","","Health|Sub-national","DOH-Family Health Office (FHO);National Nutrition Council (NNC);Provincial and Municipal Health and Nutrition Offices;Rural Health Units","United Nations Children's Fund (UNICEF)","","Helen Keller International (HKI)|Nutrition International","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","26328","","Nutrition education and counselling","","","","Pregnant women (PW)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English"
"26249","Nutrition International - Bangladesh - Maternal Nutrition Program ","English","Community/sub-national","","BGD","Bangladesh","Bangladesh","","","","","Pregnancy and the postnatal period are critical times for ensuring the health and wellbeing of women and their children. Anaemia during pregnancy is common and can have serious consequences for both mother and child, including increased risk of low birthweight and preterm birth, as well as maternal and perinatal mortality.[1&2] Iron deficiency is a major cause of anaemia among pregnant women.[3] Iron requirements increase substantially during pregnancy and it is difficult to meet these needs with food alone. Based on evidence of reduced risk of anaemia, iron deficiency and other adverse outcomes including having a low birthweight baby, WHO recommends daily iron and folic acid (IFA) supplementation throughout pregnancy, together with appropriate nutrition counselling.[4] This is in addition to a series of other recommendations for nutrition interventions as part of antenatal care for a positive pregnancy experience and other important maternal and child outcomes.[4]
Nutrition International works in collaboration with government and other partners to improve maternal nutrition through enhancing the provision, quality and integration of health and nutrition services and empowering women and their families to seek care and adopt healthy behaviours.
Nutrition International contributes to improving Maternal Nutrition in Bangladesh by:
- Collaborating with the government of Bangladesh, the Institute of Public Health Nutrition, the Directorate General of Health Services, and the Ministry of Health and Family Welfare to scale up Maternal Health and Nutrition activities after a successful NI demonstration project in four districts in 2014, to an additional ten districts to date.
- Promoting an enabling environment through advocacy among key decision-makers for commitment to Maternal Nutrition.
- Providing technical assistance for scaling up best practices
- Supporting procurement and supply chain strengthening, as well as closing critical supply gaps
- Rolling out an urban Maternal Health and Nutrition pilot program in slum areas of north Dhaka
- Capacity-building of health care managers and service providers at facility and community levels, through training and mentoring/supportive supervision.
- Developing and implementing a behavior change communication strategy.
This work is in partnership with the Government of Bangladesh, the Institute of Public Health Nutrition, the Directorate General of Health Services, and the Ministry of Health and Family Welfare. The urban pilot program is in partnership with The Dhaka North City Corporation and Concerned Women for Family Development. The program builds on NI’s successful demonstration project in four districts from 2011-2014. NI has scaled up the program model to four new districts in 2015 (Jessore, Gaibandha, Barisal and Jamalpur), to a further six districts in 2016 (Sirajgonj, Sherpur, Bogra, Noakhali, Kishoregonj, and Sunamgoni).
","- Allen, L. H. (2000). Anemia and iron deficiency: Effects on pregnancy outcome. The American Journal of Clinical Nutrition,71(5). doi:10.1093/ajcn/71.5.1280s
- Black, R. E., Victora, C. G., Walker, S. P., Bhutta, Z. A., Christian, P., Onis, M. D., . . . Uauy, R. (2013). Maternal and child undernutrition and overweight in low-income and middle-income countries. The Lancet,382(9890), 427-451. doi:10.1016/s0140-6736(13)60937-x
- WHO. The global prevalence of anaemia in 2011. Geneva: World Health Organization; 2015.
- WHO. (2016). WHO recommendations on antenatal care for a positive pregnancy experience. (Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/250796/9789241549912-eng...
For more information:
","","","Health","Government of Bangladesh: The Institute of Public Health Nutrition, The Directorate General of Health Services, and The Ministry of Health and Family Welfare; The Dhaka North City Corporation","","","Nutrition International","","","","","","National NGOs","Concerned Women for Family Development - Bangladesh","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","26255","","Iron and folic acid supplementation","","","","Pregnant women (PW)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English"
"26249","Nutrition International - Bangladesh - Maternal Nutrition Program ","English","Community/sub-national","","BGD","Bangladesh","Bangladesh","","","","","Pregnancy and the postnatal period are critical times for ensuring the health and wellbeing of women and their children. Anaemia during pregnancy is common and can have serious consequences for both mother and child, including increased risk of low birthweight and preterm birth, as well as maternal and perinatal mortality.[1&2] Iron deficiency is a major cause of anaemia among pregnant women.[3] Iron requirements increase substantially during pregnancy and it is difficult to meet these needs with food alone. Based on evidence of reduced risk of anaemia, iron deficiency and other adverse outcomes including having a low birthweight baby, WHO recommends daily iron and folic acid (IFA) supplementation throughout pregnancy, together with appropriate nutrition counselling.[4] This is in addition to a series of other recommendations for nutrition interventions as part of antenatal care for a positive pregnancy experience and other important maternal and child outcomes.[4]
Nutrition International works in collaboration with government and other partners to improve maternal nutrition through enhancing the provision, quality and integration of health and nutrition services and empowering women and their families to seek care and adopt healthy behaviours.
Nutrition International contributes to improving Maternal Nutrition in Bangladesh by:
- Collaborating with the government of Bangladesh, the Institute of Public Health Nutrition, the Directorate General of Health Services, and the Ministry of Health and Family Welfare to scale up Maternal Health and Nutrition activities after a successful NI demonstration project in four districts in 2014, to an additional ten districts to date.
- Promoting an enabling environment through advocacy among key decision-makers for commitment to Maternal Nutrition.
- Providing technical assistance for scaling up best practices
- Supporting procurement and supply chain strengthening, as well as closing critical supply gaps
- Rolling out an urban Maternal Health and Nutrition pilot program in slum areas of north Dhaka
- Capacity-building of health care managers and service providers at facility and community levels, through training and mentoring/supportive supervision.
- Developing and implementing a behavior change communication strategy.
This work is in partnership with the Government of Bangladesh, the Institute of Public Health Nutrition, the Directorate General of Health Services, and the Ministry of Health and Family Welfare. The urban pilot program is in partnership with The Dhaka North City Corporation and Concerned Women for Family Development. The program builds on NI’s successful demonstration project in four districts from 2011-2014. NI has scaled up the program model to four new districts in 2015 (Jessore, Gaibandha, Barisal and Jamalpur), to a further six districts in 2016 (Sirajgonj, Sherpur, Bogra, Noakhali, Kishoregonj, and Sunamgoni).
","- Allen, L. H. (2000). Anemia and iron deficiency: Effects on pregnancy outcome. The American Journal of Clinical Nutrition,71(5). doi:10.1093/ajcn/71.5.1280s
- Black, R. E., Victora, C. G., Walker, S. P., Bhutta, Z. A., Christian, P., Onis, M. D., . . . Uauy, R. (2013). Maternal and child undernutrition and overweight in low-income and middle-income countries. The Lancet,382(9890), 427-451. doi:10.1016/s0140-6736(13)60937-x
- WHO. The global prevalence of anaemia in 2011. Geneva: World Health Organization; 2015.
- WHO. (2016). WHO recommendations on antenatal care for a positive pregnancy experience. (Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/250796/9789241549912-eng...
For more information:
","","","Health","Government of Bangladesh: The Institute of Public Health Nutrition, The Directorate General of Health Services, and The Ministry of Health and Family Welfare; The Dhaka North City Corporation","","","Nutrition International","","","","","","National NGOs","Concerned Women for Family Development - Bangladesh","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","26329","","Nutrition education and counselling","","","","Pregnant women (PW)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English"
"25779","Nutrition International - India - Maternal Nutrition Program ","English","Community/sub-national","","IND","India","India","","","","","Pregnancy and the postnatal period are critical times for ensuring the health and wellbeing of women and their children. Anaemia during pregnancy is common and can have serious consequences for both mother and child, including increased risk of low birthweight and preterm birth, as well as maternal and perinatal mortality.[1&2] Iron deficiency is a major cause of anaemia among pregnant women.[3] Iron requirements increase substantially during pregnancy and it is difficult to meet these needs with food alone. Based on evidence of reduced risk of anaemia, iron deficiency and other adverse outcomes including having a low birthweight baby, WHO recommends daily iron and folic acid (IFA) supplementation throughout pregnancy, together with appropriate nutrition counselling.[4] This is in addition to a series of other recommendations for nutrition interventions as part of antenatal care for a positive pregnancy experience and other important maternal and child outcomes.[4]
Nutrition International works in collaboration with government and other partners to improve maternal nutrition through enhancing the provision, quality and integration of health and nutrition services and empowering women and their families to seek care and adopt healthy behaviours.
Nutrition International contributes to improving Maternal Nutrition in India by:
- Collaborating with state government in Gujarat, Chhattisgarh and Madhya Pradesh to improve the coverage and consumption of IFA and calcium supplements among pregnant and lactating women.
- Supporting an enabling environment for implementing the National Iron Plus Initiative and the National Calcium Supplementation Guideline.
- Providing technical assistance.
- Supporting procurement and supply chain strengthening.
- Capacity-building of health care managers and service providers at facility and community levels, through training and mentoring/supportive supervision.
- Developing and implementing a behavior change communication materials.
- Supporting program monitoring and assessment, and use of this information to inform decision-making.
This work is in partnership with state government in Gujarat, Chhattisgrah and Madhya Pradesh and Gorakpur Environmental Action group (GEAG) and Centre for Integrated Development in MP, TRIOs Development Support Private Limited in Chhattisgarh, and Deepak Foundation in Gujarat. This project supports implementation in 9 districts in Gujarat, 9 districts in Chhattisgrah, and 8 districts in Madhya Pradesh.
","- Allen, L. H. (2000). Anemia and iron deficiency: Effects on pregnancy outcome. The American Journal of Clinical Nutrition,71(5). doi:10.1093/ajcn/71.5.1280s
- Black, R. E., Victora, C. G., Walker, S. P., Bhutta, Z. A., Christian, P., Onis, M. D., . . . Uauy, R. (2013). Maternal and child undernutrition and overweight in low-income and middle-income countries. The Lancet,382(9890), 427-451. doi:10.1016/s0140-6736(13)60937-x
- WHO. The global prevalence of anaemia in 2011. Geneva: World Health Organization; 2015.
- WHO. (2016). WHO recommendations on antenatal care for a positive pregnancy experience. (Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/250796/9789241549912-eng...
For more information:
","","","Sub-national","State government in Gujarat, Chhattisgrah and Madhya Pradesh","","","Nutrition International","","","","","","National NGOs","Gorakpur Environmental Action group; Centre for Integrated Development in Madhya Pradesh; Deepak Foundation in Gujarat","","","Private sector","TRIOs Development Support Private Limited in Chhattisgarh","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","26263","","Iron and folic acid supplementation","","","","Pregnant women (PW)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English"
"25779","Nutrition International - India - Maternal Nutrition Program ","English","Community/sub-national","","IND","India","India","","","","","Pregnancy and the postnatal period are critical times for ensuring the health and wellbeing of women and their children. Anaemia during pregnancy is common and can have serious consequences for both mother and child, including increased risk of low birthweight and preterm birth, as well as maternal and perinatal mortality.[1&2] Iron deficiency is a major cause of anaemia among pregnant women.[3] Iron requirements increase substantially during pregnancy and it is difficult to meet these needs with food alone. Based on evidence of reduced risk of anaemia, iron deficiency and other adverse outcomes including having a low birthweight baby, WHO recommends daily iron and folic acid (IFA) supplementation throughout pregnancy, together with appropriate nutrition counselling.[4] This is in addition to a series of other recommendations for nutrition interventions as part of antenatal care for a positive pregnancy experience and other important maternal and child outcomes.[4]
Nutrition International works in collaboration with government and other partners to improve maternal nutrition through enhancing the provision, quality and integration of health and nutrition services and empowering women and their families to seek care and adopt healthy behaviours.
Nutrition International contributes to improving Maternal Nutrition in India by:
- Collaborating with state government in Gujarat, Chhattisgarh and Madhya Pradesh to improve the coverage and consumption of IFA and calcium supplements among pregnant and lactating women.
- Supporting an enabling environment for implementing the National Iron Plus Initiative and the National Calcium Supplementation Guideline.
- Providing technical assistance.
- Supporting procurement and supply chain strengthening.
- Capacity-building of health care managers and service providers at facility and community levels, through training and mentoring/supportive supervision.
- Developing and implementing a behavior change communication materials.
- Supporting program monitoring and assessment, and use of this information to inform decision-making.
This work is in partnership with state government in Gujarat, Chhattisgrah and Madhya Pradesh and Gorakpur Environmental Action group (GEAG) and Centre for Integrated Development in MP, TRIOs Development Support Private Limited in Chhattisgarh, and Deepak Foundation in Gujarat. This project supports implementation in 9 districts in Gujarat, 9 districts in Chhattisgrah, and 8 districts in Madhya Pradesh.
","- Allen, L. H. (2000). Anemia and iron deficiency: Effects on pregnancy outcome. The American Journal of Clinical Nutrition,71(5). doi:10.1093/ajcn/71.5.1280s
- Black, R. E., Victora, C. G., Walker, S. P., Bhutta, Z. A., Christian, P., Onis, M. D., . . . Uauy, R. (2013). Maternal and child undernutrition and overweight in low-income and middle-income countries. The Lancet,382(9890), 427-451. doi:10.1016/s0140-6736(13)60937-x
- WHO. The global prevalence of anaemia in 2011. Geneva: World Health Organization; 2015.
- WHO. (2016). WHO recommendations on antenatal care for a positive pregnancy experience. (Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/250796/9789241549912-eng...
For more information:
","","","Sub-national","State government in Gujarat, Chhattisgrah and Madhya Pradesh","","","Nutrition International","","","","","","National NGOs","Gorakpur Environmental Action group; Centre for Integrated Development in Madhya Pradesh; Deepak Foundation in Gujarat","","","Private sector","TRIOs Development Support Private Limited in Chhattisgarh","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","26330","","Nutrition education and counselling","","","","Pregnant women (PW)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English"
"26248","Nutrition International - Indonesia - Maternal Nutrition Program ","English","Community/sub-national","","IDN","Indonesia","Indonesia","","","","","Pregnancy and the postnatal period are critical times for ensuring the health and wellbeing of women and their children. Anaemia during pregnancy is common and can have serious consequences for both mother and child, including increased risk of low birthweight and preterm birth, as well as maternal and perinatal mortality.[1&2] Iron deficiency is a major cause of anaemia among pregnant women.[3] Iron requirements increase substantially during pregnancy and it is difficult to meet these needs with food alone. Based on evidence of reduced risk of anaemia, iron deficiency and other adverse outcomes including having a low birthweight baby, WHO recommends daily iron and folic acid (IFA) supplementation throughout pregnancy, together with appropriate nutrition counselling.[4] This is in addition to a series of other recommendations for nutrition interventions as part of antenatal care for a positive pregnancy experience and other important maternal and child outcomes.[4]
Nutrition International works in collaboration with government and other partners to improve maternal nutrition through enhancing the provision, quality and integration of health and nutrition services and empowering women and their families to seek care and adopt healthy behaviours.
Nutrition International contributes to improving Maternal Nutrition in Indonesia by:
- Collaborating with the Directorate of Community Nutrition, Directorate of Health Promotion, Directorate of Maternal and Child Health, and the Directorate of Pharmacy under the Indonesian Ministry of Health at the national level; and the Provincial Health Offices and District Health Offices at the provincial and district levels, as well as UNICEF, to increase pregnant women’s adherence to daily supplementation of iron and folic acid (IFA) and ANC attendance.
- Promoting an enabling environment through advocacy among key decision-makers for commitment to Maternal Nutrition.
- Providing technical assistance for scaling up best practices.
- Strengthening the supply chain.
- Capacity-building of health care managers, midwives, and service providers at facility and community levels, through training and mentoring/supportive supervision.
- Developing and implementing a behavior change communication strategy.
- Supporting program monitoring and assessment, and use of this information to inform decision-making.
This program builds on NI’s successful demonstration project in two districts (Banten and West Java) from 2011-2014. The program has been scaled up to a further 77 districts, in 6 provinces, namely Banten, West Java, East Java, West Nusa Tengarra (WNT), East Nusa Tengarra (ENT) and Riau.
","- Allen, L. H. (2000). Anemia and iron deficiency: Effects on pregnancy outcome. The American Journal of Clinical Nutrition,71(5). doi:10.1093/ajcn/71.5.1280s
- Black, R. E., Victora, C. G., Walker, S. P., Bhutta, Z. A., Christian, P., Onis, M. D., . . . Uauy, R. (2013). Maternal and child undernutrition and overweight in low-income and middle-income countries. The Lancet,382(9890), 427-451. doi:10.1016/s0140-6736(13)60937-x
- WHO. The global prevalence of anaemia in 2011. Geneva: World Health Organization; 2015.
- WHO. (2016). WHO recommendations on antenatal care for a positive pregnancy experience. (Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/250796/9789241549912-eng...
For more information:
","","","Health","Indonesian Ministry of Health; Provincial Health Offices and District Health Offices","United Nations Children's Fund (UNICEF)","","Nutrition International","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","26256","","Iron and folic acid supplementation","","","","Pregnant women (PW)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English"
"26248","Nutrition International - Indonesia - Maternal Nutrition Program ","English","Community/sub-national","","IDN","Indonesia","Indonesia","","","","","Pregnancy and the postnatal period are critical times for ensuring the health and wellbeing of women and their children. Anaemia during pregnancy is common and can have serious consequences for both mother and child, including increased risk of low birthweight and preterm birth, as well as maternal and perinatal mortality.[1&2] Iron deficiency is a major cause of anaemia among pregnant women.[3] Iron requirements increase substantially during pregnancy and it is difficult to meet these needs with food alone. Based on evidence of reduced risk of anaemia, iron deficiency and other adverse outcomes including having a low birthweight baby, WHO recommends daily iron and folic acid (IFA) supplementation throughout pregnancy, together with appropriate nutrition counselling.[4] This is in addition to a series of other recommendations for nutrition interventions as part of antenatal care for a positive pregnancy experience and other important maternal and child outcomes.[4]
Nutrition International works in collaboration with government and other partners to improve maternal nutrition through enhancing the provision, quality and integration of health and nutrition services and empowering women and their families to seek care and adopt healthy behaviours.
Nutrition International contributes to improving Maternal Nutrition in Indonesia by:
- Collaborating with the Directorate of Community Nutrition, Directorate of Health Promotion, Directorate of Maternal and Child Health, and the Directorate of Pharmacy under the Indonesian Ministry of Health at the national level; and the Provincial Health Offices and District Health Offices at the provincial and district levels, as well as UNICEF, to increase pregnant women’s adherence to daily supplementation of iron and folic acid (IFA) and ANC attendance.
- Promoting an enabling environment through advocacy among key decision-makers for commitment to Maternal Nutrition.
- Providing technical assistance for scaling up best practices.
- Strengthening the supply chain.
- Capacity-building of health care managers, midwives, and service providers at facility and community levels, through training and mentoring/supportive supervision.
- Developing and implementing a behavior change communication strategy.
- Supporting program monitoring and assessment, and use of this information to inform decision-making.
This program builds on NI’s successful demonstration project in two districts (Banten and West Java) from 2011-2014. The program has been scaled up to a further 77 districts, in 6 provinces, namely Banten, West Java, East Java, West Nusa Tengarra (WNT), East Nusa Tengarra (ENT) and Riau.
","- Allen, L. H. (2000). Anemia and iron deficiency: Effects on pregnancy outcome. The American Journal of Clinical Nutrition,71(5). doi:10.1093/ajcn/71.5.1280s
- Black, R. E., Victora, C. G., Walker, S. P., Bhutta, Z. A., Christian, P., Onis, M. D., . . . Uauy, R. (2013). Maternal and child undernutrition and overweight in low-income and middle-income countries. The Lancet,382(9890), 427-451. doi:10.1016/s0140-6736(13)60937-x
- WHO. The global prevalence of anaemia in 2011. Geneva: World Health Organization; 2015.
- WHO. (2016). WHO recommendations on antenatal care for a positive pregnancy experience. (Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/250796/9789241549912-eng...
For more information:
","","","Health","Indonesian Ministry of Health; Provincial Health Offices and District Health Offices","United Nations Children's Fund (UNICEF)","","Nutrition International","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","26331","","Nutrition education and counselling","","","","Pregnant women (PW)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English"
"25760","Nutrition International - Kenya - Maternal Newborn Health and Nutrition (MNHN) Program","English","Community/sub-national","","KEN","Kenya","Kenya","","","","","Pregnancy and the postnatal period are critical times for ensuring the health and wellbeing of women and their children. Anaemia during pregnancy is common and can have serious consequences for both mother and child, including increased risk of low birthweight and preterm birth, as well as maternal and perinatal mortality.[1&2] Iron deficiency is a major cause of anaemia among pregnant women.[3] Iron requirements increase substantially during pregnancy and it is difficult to meet these needs with food alone. Based on evidence of reduced risk of anaemia, iron deficiency and other adverse outcomes including having a low birthweight baby, WHO recommends daily iron and folic acid (IFA) supplementation throughout pregnancy.[4] This is in addition to a series of other recommendations for nutrition interventions as part of antenatal care for a positive pregnancy experience and other important maternal and child outcomes.[4]
Optimal care and feeding of newborns helps ensure babies survive and sets the stage for healthy growth and development. For example, initiating breastfeeding within the first hour of life, as recommended by WHO[5&6], increases the likelihood of exclusive breastfeeding and reduces the chance of newborn illness or death [7]. The newborn period, which is the first 28 days of life, is the most vulnerable time in a child’s life, and accounts for almost half (46%) of the total deaths in children under five years of age [8]. Fortunately, many of these deaths are preventable through evidence-informed, low-cost care, such as supporting mothers to start breastfeeding soon after birth, which can be delivered even in resource-limited settings.
Nutrition International works in collaboration with government and other partners to improve maternal and newborn health and nutrition (MNHN) through enhancing the provision, quality and integration of health and nutrition services and empowering women and their families to seek care and adopt healthy behaviours.
Nutrition International contributes to improving MNHN in Kenya by:
- Collaborating with the National and County Ministries of Health and other partners to support a MNHN care package that aims to increase antenatal care (ANC) quality and attendance, provision and consumption of IFA supplements in pregnancy, and newborn and postnatal care.
- Promoting an enabling environment through advocacy among key decision-makers for commitment to MNHN.
- Providing technical assistance at national and county levels.
- Development and dissemination of tools for collecting and tracking important MNHN information.
- Development and dissemination of guidelines/training materials on different aspects on newborn care.
- Capacity building of front line health workers and volunteers, through training and provision of job aids.
- Supporting the establishment of KMC centers in hospitals.
- Development and implementation of a behavior change communication strategy, including through mass media, health facilities and community platforms.
- Support for procurement of key MNHN commodities (maternal IFA supplements and chlorhexidine for cord care).
- Supporting program monitoring and assessment, and use of this information to inform decision-making.
This work is in close partnership with the National and County Ministries of Health. Implementation has been supported in 21 counties including: Bomet, Busia, Kakamega, Bungoma, Kitui, Kwale, Laikipia, Nakuru, Nandi, Transnzoia, Vihiga, Kisumu, Homabay, Kilifi, Migori, Kericho, Narok, Machakos, Makueni, Uasin Gishu, and Kajiado. NI has supported MNHN programming in Kenya since 2011 and support is ongoing.
Although this section describes MNHN, wherever possible, Nutrition International’s work in Kenya follows a comprehensive and integrated approach, with a strong focus on the first 1000 days, from pregnancy through 2 years of age.
","- Allen, L. H. (2000). Anemia and iron deficiency: Effects on pregnancy outcome. The American Journal of Clinical Nutrition,71(5). doi:10.1093/ajcn/71.5.1280s
- Black, R. E., Victora, C. G., Walker, S. P., Bhutta, Z. A., Christian, P., Onis, M. D., . . . Uauy, R. (2013). Maternal and child undernutrition and overweight in low-income and middle-income countries. The Lancet,382(9890), 427-451. doi:10.1016/s0140-6736(13)60937-x
- WHO. The global prevalence of anaemia in 2011. Geneva: World Health Organization; 2015.
- WHO. (2016). WHO recommendations on antenatal care for a positive pregnancy experience. (Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/250796/9789241549912-eng...
- WHO. (2017). Protecting, promoting and supporting breastfeeding in facilities providing maternity and newborn services: Guideline(Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/259386/9789241550086-eng...
- WHO. (2018). WHO recommendations: Intrapartum care for a positive childbirth experience(Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/260178/9789241550215-eng...
- NEOVITA Study Group. (2016). Timing of initiation, patterns of breastfeeding, and infant survival: Prospective analysis of pooled data from three randomised trials. The Lancet Global Health,4(4). doi:10.1016/s2214-109x(16)00040-1
- United Nations Inter-agency Group for Child Mortality Estimation (UN IGME), ‘Levels & Trends in Child Mortality: Report 2017, Estimates Developed by the UN Inter-agency Group for Child Mortality Estimation’, United Nations Children’s Fund, New York, 2017.
For more information:
","","","Health","National and County Ministries of Health","","","Nutrition International","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","26257","","Iron and folic acid supplementation","","","","Pregnant women (PW)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English"
"25760","Nutrition International - Kenya - Maternal Newborn Health and Nutrition (MNHN) Program","English","Community/sub-national","","KEN","Kenya","Kenya","","","","","Pregnancy and the postnatal period are critical times for ensuring the health and wellbeing of women and their children. Anaemia during pregnancy is common and can have serious consequences for both mother and child, including increased risk of low birthweight and preterm birth, as well as maternal and perinatal mortality.[1&2] Iron deficiency is a major cause of anaemia among pregnant women.[3] Iron requirements increase substantially during pregnancy and it is difficult to meet these needs with food alone. Based on evidence of reduced risk of anaemia, iron deficiency and other adverse outcomes including having a low birthweight baby, WHO recommends daily iron and folic acid (IFA) supplementation throughout pregnancy.[4] This is in addition to a series of other recommendations for nutrition interventions as part of antenatal care for a positive pregnancy experience and other important maternal and child outcomes.[4]
Optimal care and feeding of newborns helps ensure babies survive and sets the stage for healthy growth and development. For example, initiating breastfeeding within the first hour of life, as recommended by WHO[5&6], increases the likelihood of exclusive breastfeeding and reduces the chance of newborn illness or death [7]. The newborn period, which is the first 28 days of life, is the most vulnerable time in a child’s life, and accounts for almost half (46%) of the total deaths in children under five years of age [8]. Fortunately, many of these deaths are preventable through evidence-informed, low-cost care, such as supporting mothers to start breastfeeding soon after birth, which can be delivered even in resource-limited settings.
Nutrition International works in collaboration with government and other partners to improve maternal and newborn health and nutrition (MNHN) through enhancing the provision, quality and integration of health and nutrition services and empowering women and their families to seek care and adopt healthy behaviours.
Nutrition International contributes to improving MNHN in Kenya by:
- Collaborating with the National and County Ministries of Health and other partners to support a MNHN care package that aims to increase antenatal care (ANC) quality and attendance, provision and consumption of IFA supplements in pregnancy, and newborn and postnatal care.
- Promoting an enabling environment through advocacy among key decision-makers for commitment to MNHN.
- Providing technical assistance at national and county levels.
- Development and dissemination of tools for collecting and tracking important MNHN information.
- Development and dissemination of guidelines/training materials on different aspects on newborn care.
- Capacity building of front line health workers and volunteers, through training and provision of job aids.
- Supporting the establishment of KMC centers in hospitals.
- Development and implementation of a behavior change communication strategy, including through mass media, health facilities and community platforms.
- Support for procurement of key MNHN commodities (maternal IFA supplements and chlorhexidine for cord care).
- Supporting program monitoring and assessment, and use of this information to inform decision-making.
This work is in close partnership with the National and County Ministries of Health. Implementation has been supported in 21 counties including: Bomet, Busia, Kakamega, Bungoma, Kitui, Kwale, Laikipia, Nakuru, Nandi, Transnzoia, Vihiga, Kisumu, Homabay, Kilifi, Migori, Kericho, Narok, Machakos, Makueni, Uasin Gishu, and Kajiado. NI has supported MNHN programming in Kenya since 2011 and support is ongoing.
Although this section describes MNHN, wherever possible, Nutrition International’s work in Kenya follows a comprehensive and integrated approach, with a strong focus on the first 1000 days, from pregnancy through 2 years of age.
","- Allen, L. H. (2000). Anemia and iron deficiency: Effects on pregnancy outcome. The American Journal of Clinical Nutrition,71(5). doi:10.1093/ajcn/71.5.1280s
- Black, R. E., Victora, C. G., Walker, S. P., Bhutta, Z. A., Christian, P., Onis, M. D., . . . Uauy, R. (2013). Maternal and child undernutrition and overweight in low-income and middle-income countries. The Lancet,382(9890), 427-451. doi:10.1016/s0140-6736(13)60937-x
- WHO. The global prevalence of anaemia in 2011. Geneva: World Health Organization; 2015.
- WHO. (2016). WHO recommendations on antenatal care for a positive pregnancy experience. (Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/250796/9789241549912-eng...
- WHO. (2017). Protecting, promoting and supporting breastfeeding in facilities providing maternity and newborn services: Guideline(Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/259386/9789241550086-eng...
- WHO. (2018). WHO recommendations: Intrapartum care for a positive childbirth experience(Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/260178/9789241550215-eng...
- NEOVITA Study Group. (2016). Timing of initiation, patterns of breastfeeding, and infant survival: Prospective analysis of pooled data from three randomised trials. The Lancet Global Health,4(4). doi:10.1016/s2214-109x(16)00040-1
- United Nations Inter-agency Group for Child Mortality Estimation (UN IGME), ‘Levels & Trends in Child Mortality: Report 2017, Estimates Developed by the UN Inter-agency Group for Child Mortality Estimation’, United Nations Children’s Fund, New York, 2017.
For more information:
","","","Health","National and County Ministries of Health","","","Nutrition International","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","26336","","Breastfeeding promotion and/or counselling","","","","Lactating women (LW)|Pregnant women (PW)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English"
"25760","Nutrition International - Kenya - Maternal Newborn Health and Nutrition (MNHN) Program","English","Community/sub-national","","KEN","Kenya","Kenya","","","","","Pregnancy and the postnatal period are critical times for ensuring the health and wellbeing of women and their children. Anaemia during pregnancy is common and can have serious consequences for both mother and child, including increased risk of low birthweight and preterm birth, as well as maternal and perinatal mortality.[1&2] Iron deficiency is a major cause of anaemia among pregnant women.[3] Iron requirements increase substantially during pregnancy and it is difficult to meet these needs with food alone. Based on evidence of reduced risk of anaemia, iron deficiency and other adverse outcomes including having a low birthweight baby, WHO recommends daily iron and folic acid (IFA) supplementation throughout pregnancy.[4] This is in addition to a series of other recommendations for nutrition interventions as part of antenatal care for a positive pregnancy experience and other important maternal and child outcomes.[4]
Optimal care and feeding of newborns helps ensure babies survive and sets the stage for healthy growth and development. For example, initiating breastfeeding within the first hour of life, as recommended by WHO[5&6], increases the likelihood of exclusive breastfeeding and reduces the chance of newborn illness or death [7]. The newborn period, which is the first 28 days of life, is the most vulnerable time in a child’s life, and accounts for almost half (46%) of the total deaths in children under five years of age [8]. Fortunately, many of these deaths are preventable through evidence-informed, low-cost care, such as supporting mothers to start breastfeeding soon after birth, which can be delivered even in resource-limited settings.
Nutrition International works in collaboration with government and other partners to improve maternal and newborn health and nutrition (MNHN) through enhancing the provision, quality and integration of health and nutrition services and empowering women and their families to seek care and adopt healthy behaviours.
Nutrition International contributes to improving MNHN in Kenya by:
- Collaborating with the National and County Ministries of Health and other partners to support a MNHN care package that aims to increase antenatal care (ANC) quality and attendance, provision and consumption of IFA supplements in pregnancy, and newborn and postnatal care.
- Promoting an enabling environment through advocacy among key decision-makers for commitment to MNHN.
- Providing technical assistance at national and county levels.
- Development and dissemination of tools for collecting and tracking important MNHN information.
- Development and dissemination of guidelines/training materials on different aspects on newborn care.
- Capacity building of front line health workers and volunteers, through training and provision of job aids.
- Supporting the establishment of KMC centers in hospitals.
- Development and implementation of a behavior change communication strategy, including through mass media, health facilities and community platforms.
- Support for procurement of key MNHN commodities (maternal IFA supplements and chlorhexidine for cord care).
- Supporting program monitoring and assessment, and use of this information to inform decision-making.
This work is in close partnership with the National and County Ministries of Health. Implementation has been supported in 21 counties including: Bomet, Busia, Kakamega, Bungoma, Kitui, Kwale, Laikipia, Nakuru, Nandi, Transnzoia, Vihiga, Kisumu, Homabay, Kilifi, Migori, Kericho, Narok, Machakos, Makueni, Uasin Gishu, and Kajiado. NI has supported MNHN programming in Kenya since 2011 and support is ongoing.
Although this section describes MNHN, wherever possible, Nutrition International’s work in Kenya follows a comprehensive and integrated approach, with a strong focus on the first 1000 days, from pregnancy through 2 years of age.
","- Allen, L. H. (2000). Anemia and iron deficiency: Effects on pregnancy outcome. The American Journal of Clinical Nutrition,71(5). doi:10.1093/ajcn/71.5.1280s
- Black, R. E., Victora, C. G., Walker, S. P., Bhutta, Z. A., Christian, P., Onis, M. D., . . . Uauy, R. (2013). Maternal and child undernutrition and overweight in low-income and middle-income countries. The Lancet,382(9890), 427-451. doi:10.1016/s0140-6736(13)60937-x
- WHO. The global prevalence of anaemia in 2011. Geneva: World Health Organization; 2015.
- WHO. (2016). WHO recommendations on antenatal care for a positive pregnancy experience. (Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/250796/9789241549912-eng...
- WHO. (2017). Protecting, promoting and supporting breastfeeding in facilities providing maternity and newborn services: Guideline(Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/259386/9789241550086-eng...
- WHO. (2018). WHO recommendations: Intrapartum care for a positive childbirth experience(Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/260178/9789241550215-eng...
- NEOVITA Study Group. (2016). Timing of initiation, patterns of breastfeeding, and infant survival: Prospective analysis of pooled data from three randomised trials. The Lancet Global Health,4(4). doi:10.1016/s2214-109x(16)00040-1
- United Nations Inter-agency Group for Child Mortality Estimation (UN IGME), ‘Levels & Trends in Child Mortality: Report 2017, Estimates Developed by the UN Inter-agency Group for Child Mortality Estimation’, United Nations Children’s Fund, New York, 2017.
For more information:
","","","Health","National and County Ministries of Health","","","Nutrition International","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","26337","","Nutrition education and counselling","","","","Lactating women (LW)|Pregnant women (PW)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English"
"25760","Nutrition International - Kenya - Maternal Newborn Health and Nutrition (MNHN) Program","English","Community/sub-national","","KEN","Kenya","Kenya","","","","","Pregnancy and the postnatal period are critical times for ensuring the health and wellbeing of women and their children. Anaemia during pregnancy is common and can have serious consequences for both mother and child, including increased risk of low birthweight and preterm birth, as well as maternal and perinatal mortality.[1&2] Iron deficiency is a major cause of anaemia among pregnant women.[3] Iron requirements increase substantially during pregnancy and it is difficult to meet these needs with food alone. Based on evidence of reduced risk of anaemia, iron deficiency and other adverse outcomes including having a low birthweight baby, WHO recommends daily iron and folic acid (IFA) supplementation throughout pregnancy.[4] This is in addition to a series of other recommendations for nutrition interventions as part of antenatal care for a positive pregnancy experience and other important maternal and child outcomes.[4]
Optimal care and feeding of newborns helps ensure babies survive and sets the stage for healthy growth and development. For example, initiating breastfeeding within the first hour of life, as recommended by WHO[5&6], increases the likelihood of exclusive breastfeeding and reduces the chance of newborn illness or death [7]. The newborn period, which is the first 28 days of life, is the most vulnerable time in a child’s life, and accounts for almost half (46%) of the total deaths in children under five years of age [8]. Fortunately, many of these deaths are preventable through evidence-informed, low-cost care, such as supporting mothers to start breastfeeding soon after birth, which can be delivered even in resource-limited settings.
Nutrition International works in collaboration with government and other partners to improve maternal and newborn health and nutrition (MNHN) through enhancing the provision, quality and integration of health and nutrition services and empowering women and their families to seek care and adopt healthy behaviours.
Nutrition International contributes to improving MNHN in Kenya by:
- Collaborating with the National and County Ministries of Health and other partners to support a MNHN care package that aims to increase antenatal care (ANC) quality and attendance, provision and consumption of IFA supplements in pregnancy, and newborn and postnatal care.
- Promoting an enabling environment through advocacy among key decision-makers for commitment to MNHN.
- Providing technical assistance at national and county levels.
- Development and dissemination of tools for collecting and tracking important MNHN information.
- Development and dissemination of guidelines/training materials on different aspects on newborn care.
- Capacity building of front line health workers and volunteers, through training and provision of job aids.
- Supporting the establishment of KMC centers in hospitals.
- Development and implementation of a behavior change communication strategy, including through mass media, health facilities and community platforms.
- Support for procurement of key MNHN commodities (maternal IFA supplements and chlorhexidine for cord care).
- Supporting program monitoring and assessment, and use of this information to inform decision-making.
This work is in close partnership with the National and County Ministries of Health. Implementation has been supported in 21 counties including: Bomet, Busia, Kakamega, Bungoma, Kitui, Kwale, Laikipia, Nakuru, Nandi, Transnzoia, Vihiga, Kisumu, Homabay, Kilifi, Migori, Kericho, Narok, Machakos, Makueni, Uasin Gishu, and Kajiado. NI has supported MNHN programming in Kenya since 2011 and support is ongoing.
Although this section describes MNHN, wherever possible, Nutrition International’s work in Kenya follows a comprehensive and integrated approach, with a strong focus on the first 1000 days, from pregnancy through 2 years of age.
","- Allen, L. H. (2000). Anemia and iron deficiency: Effects on pregnancy outcome. The American Journal of Clinical Nutrition,71(5). doi:10.1093/ajcn/71.5.1280s
- Black, R. E., Victora, C. G., Walker, S. P., Bhutta, Z. A., Christian, P., Onis, M. D., . . . Uauy, R. (2013). Maternal and child undernutrition and overweight in low-income and middle-income countries. The Lancet,382(9890), 427-451. doi:10.1016/s0140-6736(13)60937-x
- WHO. The global prevalence of anaemia in 2011. Geneva: World Health Organization; 2015.
- WHO. (2016). WHO recommendations on antenatal care for a positive pregnancy experience. (Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/250796/9789241549912-eng...
- WHO. (2017). Protecting, promoting and supporting breastfeeding in facilities providing maternity and newborn services: Guideline(Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/259386/9789241550086-eng...
- WHO. (2018). WHO recommendations: Intrapartum care for a positive childbirth experience(Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/260178/9789241550215-eng...
- NEOVITA Study Group. (2016). Timing of initiation, patterns of breastfeeding, and infant survival: Prospective analysis of pooled data from three randomised trials. The Lancet Global Health,4(4). doi:10.1016/s2214-109x(16)00040-1
- United Nations Inter-agency Group for Child Mortality Estimation (UN IGME), ‘Levels & Trends in Child Mortality: Report 2017, Estimates Developed by the UN Inter-agency Group for Child Mortality Estimation’, United Nations Children’s Fund, New York, 2017.
For more information:
","","","Health","National and County Ministries of Health","","","Nutrition International","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","26338","","Care of LBW infants","","","","Newborns (up to 28 days of age)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English"
"25760","Nutrition International - Kenya - Maternal Newborn Health and Nutrition (MNHN) Program","English","Community/sub-national","","KEN","Kenya","Kenya","","","","","Pregnancy and the postnatal period are critical times for ensuring the health and wellbeing of women and their children. Anaemia during pregnancy is common and can have serious consequences for both mother and child, including increased risk of low birthweight and preterm birth, as well as maternal and perinatal mortality.[1&2] Iron deficiency is a major cause of anaemia among pregnant women.[3] Iron requirements increase substantially during pregnancy and it is difficult to meet these needs with food alone. Based on evidence of reduced risk of anaemia, iron deficiency and other adverse outcomes including having a low birthweight baby, WHO recommends daily iron and folic acid (IFA) supplementation throughout pregnancy.[4] This is in addition to a series of other recommendations for nutrition interventions as part of antenatal care for a positive pregnancy experience and other important maternal and child outcomes.[4]
Optimal care and feeding of newborns helps ensure babies survive and sets the stage for healthy growth and development. For example, initiating breastfeeding within the first hour of life, as recommended by WHO[5&6], increases the likelihood of exclusive breastfeeding and reduces the chance of newborn illness or death [7]. The newborn period, which is the first 28 days of life, is the most vulnerable time in a child’s life, and accounts for almost half (46%) of the total deaths in children under five years of age [8]. Fortunately, many of these deaths are preventable through evidence-informed, low-cost care, such as supporting mothers to start breastfeeding soon after birth, which can be delivered even in resource-limited settings.
Nutrition International works in collaboration with government and other partners to improve maternal and newborn health and nutrition (MNHN) through enhancing the provision, quality and integration of health and nutrition services and empowering women and their families to seek care and adopt healthy behaviours.
Nutrition International contributes to improving MNHN in Kenya by:
- Collaborating with the National and County Ministries of Health and other partners to support a MNHN care package that aims to increase antenatal care (ANC) quality and attendance, provision and consumption of IFA supplements in pregnancy, and newborn and postnatal care.
- Promoting an enabling environment through advocacy among key decision-makers for commitment to MNHN.
- Providing technical assistance at national and county levels.
- Development and dissemination of tools for collecting and tracking important MNHN information.
- Development and dissemination of guidelines/training materials on different aspects on newborn care.
- Capacity building of front line health workers and volunteers, through training and provision of job aids.
- Supporting the establishment of KMC centers in hospitals.
- Development and implementation of a behavior change communication strategy, including through mass media, health facilities and community platforms.
- Support for procurement of key MNHN commodities (maternal IFA supplements and chlorhexidine for cord care).
- Supporting program monitoring and assessment, and use of this information to inform decision-making.
This work is in close partnership with the National and County Ministries of Health. Implementation has been supported in 21 counties including: Bomet, Busia, Kakamega, Bungoma, Kitui, Kwale, Laikipia, Nakuru, Nandi, Transnzoia, Vihiga, Kisumu, Homabay, Kilifi, Migori, Kericho, Narok, Machakos, Makueni, Uasin Gishu, and Kajiado. NI has supported MNHN programming in Kenya since 2011 and support is ongoing.
Although this section describes MNHN, wherever possible, Nutrition International’s work in Kenya follows a comprehensive and integrated approach, with a strong focus on the first 1000 days, from pregnancy through 2 years of age.
","- Allen, L. H. (2000). Anemia and iron deficiency: Effects on pregnancy outcome. The American Journal of Clinical Nutrition,71(5). doi:10.1093/ajcn/71.5.1280s
- Black, R. E., Victora, C. G., Walker, S. P., Bhutta, Z. A., Christian, P., Onis, M. D., . . . Uauy, R. (2013). Maternal and child undernutrition and overweight in low-income and middle-income countries. The Lancet,382(9890), 427-451. doi:10.1016/s0140-6736(13)60937-x
- WHO. The global prevalence of anaemia in 2011. Geneva: World Health Organization; 2015.
- WHO. (2016). WHO recommendations on antenatal care for a positive pregnancy experience. (Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/250796/9789241549912-eng...
- WHO. (2017). Protecting, promoting and supporting breastfeeding in facilities providing maternity and newborn services: Guideline(Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/259386/9789241550086-eng...
- WHO. (2018). WHO recommendations: Intrapartum care for a positive childbirth experience(Rep.). doi:http://apps.who.int/iris/bitstream/handle/10665/260178/9789241550215-eng...
- NEOVITA Study Group. (2016). Timing of initiation, patterns of breastfeeding, and infant survival: Prospective analysis of pooled data from three randomised trials. The Lancet Global Health,4(4). doi:10.1016/s2214-109x(16)00040-1
- United Nations Inter-agency Group for Child Mortality Estimation (UN IGME), ‘Levels & Trends in Child Mortality: Report 2017, Estimates Developed by the UN Inter-agency Group for Child Mortality Estimation’, United Nations Children’s Fund, New York, 2017.
For more information:
","","","Health","National and County Ministries of Health","","","Nutrition International","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","26339","","Feeding of LBW infants","","","","Newborns (up to 28 days of age)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English"