"programme_id","programme_title","programme_language","programme_type","other_program","iso3code","country_name","program_location","area","status","start_date","end_date","brief_description","references","related_policy","new_policy","partner_gov","partner_government_details","partner_un","partner_un_details","partner_ngo","partner_ngo_details","partner_donors","partner_donors_details","partner_intergov","partner_intgov_details","partner_national_ngo","partner_nat_ngo_details","partner_research","partner_research_details","partner_private","partner_private_details","partner_other","partner_other_details","cost","fsector_0","fpartner_0","fdetails_0","fsector_1","fpartner_1","fdetails_1","fsector_2","fpartner_2","fdetails_2","fsector_3","fpartner_3","fdetails_3","fsector_4","fpartner_4","fdetails_4","fsector_5","fpartner_5","fdetails_5","fsector_6","fpartner_6","fdetails_6","fsector_7","fpartner_7","fdetails_7","fsector_8","fpartner_8","fdetails_8","fsector_9","fpartner_9","fdetails_9","fsector_10","fpartner_10","fdetails_10","fsector_11","fpartner_11","fdetails_11","fsector_12","fpartner_12","fdetails_12","fsector_13","fpartner_13","fdetails_13","fsector_14","fpartner_14","fdetails_14","fsector_15","fpartner_15","fdetails_15","fsector_16","fpartner_16","fdetails_16","fsector_17","fpartner_17","fdetails_17","fsector_18","fpartner_18","fdetails_18","fsector_19","fpartner_19","fdetails_19","fsector_20","fpartner_20","fdetails_20","fsector_21","fpartner_21","fdetails_21","fsector_22","fpartner_22","fdetails_22","fsector_23","fpartner_23","fdetails_23","fsector_24","fpartner_24","fdetails_24","fsector_25","fpartner_25","fdetails_25","fsector_26","fpartner_26","fdetails_26","fsector_27","fpartner_27","fdetails_27","fsector_28","fpartner_28","fdetails_28","fsector_29","fpartner_29","fdetails_29","fsector_30","fpartner_30","fdetails_30","fsector_31","fpartner_31","fdetails_31","fsector_32","fpartner_32","fdetails_32","fsector_33","fpartner_33","fdetails_33","fsector_34","fpartner_34","fdetails_34","fsector_35","fpartner_35","fdetails_35","fsector_36","fpartner_36","fdetails_36","fsector_37","fpartner_37","fdetails_37","fsector_38","fpartner_38","fdetails_38","fsector_39","fpartner_39","fdetails_39","fsector_40","fpartner_40","fdetails_40","fsector_41","fpartner_41","fdetails_41","fsector_42","fpartner_42","fdetails_42","fsector_43","fpartner_43","fdetails_43","fsector_44","fpartner_44","fdetails_44","fsector_45","fpartner_45","fdetails_45","fsector_46","fpartner_46","fdetails_46","fsector_47","fpartner_47","fdetails_47","fsector_48","fpartner_48","fdetails_48","fsector_49","fpartner_49","fdetails_49","action_id","theme","topic","new_topic","micronutrient","micronutrient_compound","target_group","age_group","place","delivery","other_delivery","dose_frequency","impact_indicators","me_system","target_pop","coverage_percent","coverage_type","baseline","post_intervention","social_det","social_other","elena_link","problem_0","solution_0","problem_1","solution_1","problem_2","solution_2","problem_3","solution_3","problem_4","solution_4","problem_5","solution_5","problem_6","solution_6","problem_7","solution_7","problem_8","solution_8","problem_9","solution_9","other_problems","other_lessons","personal_story","language"
"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"
"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"