"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" "23299","Bolsa Alimentacão (BA)","English","Large scale programmes","","BRA","Brazil","","","completed","","01-1970","
Bolsa Alimentacão (BA) was a conditional cash transfer programme that ran from 2001 - 03. Families with pregnant or lactating women and/or children less than 7 years of age with a monthly per capita income below US$ 42 received US$ 7 per child monthly, for up to 3 children. Conditions for receipt of the transfer included regular pre- and postnatal care, growth monitoring, immunization, and participation in nutrition education seminars. In 2003 BA merged with several programmes to form the current Bolsa Familia Programme (BFP).
","
WHO (2013) Essential Nutrition Actions – Improving maternal, newborn, infant and young child health and nutrition, which provides a compact of WHO guidance on nutrition interventions targeting the first 1000 days of life. Part I presents the interventions currently recommended by WHO, summarizes the rationale and the evidence, and describes the actions require to implement them. Part II provides an analysis of community-based interventions aimed at improving nutrition and indicates how effective interventions can be delivered in an integrated fashion. It shows how the essential nutrition actions described in the first part have been implemented in large-scale programmes in various settings, what the outcomes have been, and to examine the evidence for attribution of changes in nutritional outcomes to programme activities. This summary of Bolsa Alimentacão is retrieved from the ENA Part II where Bolsa Alimentacão is one of 32 large-scale community-based programs that has been reviewed in detail and evaluated.
http://www.who.int/nutrition/publications/infantfeeding/essential_nutrit...
","","","Health","Ministry of Health ","","","","","","","","","","","","","","","","","Families with pregnant or lactating women and/or children less than 7 years of age with a monthly per capita income below US$ 42 received US$ 7 per child monthly. Resource intensity: US$ 84/hd/year","Bilateral and donor agencies and lenders","The World Bank","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","23298","","Conditional cash transfer","","","","Family ( living in same household)","Families with pregnant or lactating women and/or children less than 7 years of age with a monthly per capita income below US$ 42","","Community-based","","Families who met the inclusion criteria received US$ 7 per child monthly, for up to 3 children.
","Height-for-age z-score (HAZ)
Weight-for-age z-score (WAZ)
","Initial evaluation data from Bolsa Alimentacão showed worsening height-for-age z-scores (HAZ) and weight-for-age z-scores (WAZ) for beneficiaries compared to non-beneficiaries, though results were not statistically significant. This result was despite a reported increase in food consumption, which may have been due to beneficiary mothers assuming they would be ineligible for benefits if children were healthy.
","","1.5 million persons (about 1% of the population)","","","","Vulnerable groups","","","","","","","","","","","","","","","","","","","","","","","","","","English" "23299","Bolsa Alimentacão (BA)","English","Large scale programmes","","BRA","Brazil","","","completed","","01-1970","Bolsa Alimentacão (BA) was a conditional cash transfer programme that ran from 2001 - 03. Families with pregnant or lactating women and/or children less than 7 years of age with a monthly per capita income below US$ 42 received US$ 7 per child monthly, for up to 3 children. Conditions for receipt of the transfer included regular pre- and postnatal care, growth monitoring, immunization, and participation in nutrition education seminars. In 2003 BA merged with several programmes to form the current Bolsa Familia Programme (BFP).
","
WHO (2013) Essential Nutrition Actions – Improving maternal, newborn, infant and young child health and nutrition, which provides a compact of WHO guidance on nutrition interventions targeting the first 1000 days of life. Part I presents the interventions currently recommended by WHO, summarizes the rationale and the evidence, and describes the actions require to implement them. Part II provides an analysis of community-based interventions aimed at improving nutrition and indicates how effective interventions can be delivered in an integrated fashion. It shows how the essential nutrition actions described in the first part have been implemented in large-scale programmes in various settings, what the outcomes have been, and to examine the evidence for attribution of changes in nutritional outcomes to programme activities. This summary of Bolsa Alimentacão is retrieved from the ENA Part II where Bolsa Alimentacão is one of 32 large-scale community-based programs that has been reviewed in detail and evaluated.
http://www.who.int/nutrition/publications/infantfeeding/essential_nutrit...
","","","Health","Ministry of Health ","","","","","","","","","","","","","","","","","Families with pregnant or lactating women and/or children less than 7 years of age with a monthly per capita income below US$ 42 received US$ 7 per child monthly. Resource intensity: US$ 84/hd/year","Bilateral and donor agencies and lenders","The World Bank","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","23300","","Growth monitoring and promotion","","","","Infants and young children|Preschool-age children (Pre-SAC)|School age children (SAC)","Children below 7 years of age","","Community-based","","Regular growth monitoring
","Height-for-age z-score (HAZ)
Weight-for-age z-score (WAZ)
","Initial evaluation data from Bolsa Alimentacão showed worsening height-for-age z-scores (HAZ) and weight-for-age z-scores (WAZ) for beneficiaries compared to non-beneficiaries, though results were not statistically significant. This result was despite a reported increase in food consumption, which may have been due to beneficiary mothers assuming they would be ineligible for benefits if children were healthy.
","","1.5 million persons (about 1% of the population)","","","","Vulnerable groups","","","","","","","","","","","","","","","","","","","","","","","","","","English" "23299","Bolsa Alimentacão (BA)","English","Large scale programmes","","BRA","Brazil","","","completed","","01-1970","Bolsa Alimentacão (BA) was a conditional cash transfer programme that ran from 2001 - 03. Families with pregnant or lactating women and/or children less than 7 years of age with a monthly per capita income below US$ 42 received US$ 7 per child monthly, for up to 3 children. Conditions for receipt of the transfer included regular pre- and postnatal care, growth monitoring, immunization, and participation in nutrition education seminars. In 2003 BA merged with several programmes to form the current Bolsa Familia Programme (BFP).
","
WHO (2013) Essential Nutrition Actions – Improving maternal, newborn, infant and young child health and nutrition, which provides a compact of WHO guidance on nutrition interventions targeting the first 1000 days of life. Part I presents the interventions currently recommended by WHO, summarizes the rationale and the evidence, and describes the actions require to implement them. Part II provides an analysis of community-based interventions aimed at improving nutrition and indicates how effective interventions can be delivered in an integrated fashion. It shows how the essential nutrition actions described in the first part have been implemented in large-scale programmes in various settings, what the outcomes have been, and to examine the evidence for attribution of changes in nutritional outcomes to programme activities. This summary of Bolsa Alimentacão is retrieved from the ENA Part II where Bolsa Alimentacão is one of 32 large-scale community-based programs that has been reviewed in detail and evaluated.
http://www.who.int/nutrition/publications/infantfeeding/essential_nutrit...
","","","Health","Ministry of Health ","","","","","","","","","","","","","","","","","Families with pregnant or lactating women and/or children less than 7 years of age with a monthly per capita income below US$ 42 received US$ 7 per child monthly. Resource intensity: US$ 84/hd/year","Bilateral and donor agencies and lenders","The World Bank","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","23301","","Nutrition education and counselling","","","","Family ( living in same household)|Lactating women (LW)|Pregnant women (PW)","amilies with pregnant or lactating women and/or children less than 7 years of age with a monthly per capita income below US$ 42","","Community-based","","Regular participation in nutritio-education seminars
","Height-for-age z-score (HAZ)
Weight-for-age z-score (WAZ)
","Initial evaluation data from Bolsa Alimentacão showed worsening height-for-age z-scores (HAZ) and weight-for-age z-scores (WAZ) for beneficiaries compared to non-beneficiaries, though results were not statistically significant. This result was despite a reported increase in food consumption, which may have been due to beneficiary mothers assuming they would be ineligible for benefits if children were healthy.
","","1.5 million persons (about 1% of the population)","","","","Vulnerable groups","","","","","","","","","","","","","","","","","","","","","","","","","","English" "23299","Bolsa Alimentacão (BA)","English","Large scale programmes","","BRA","Brazil","","","completed","","01-1970","Bolsa Alimentacão (BA) was a conditional cash transfer programme that ran from 2001 - 03. Families with pregnant or lactating women and/or children less than 7 years of age with a monthly per capita income below US$ 42 received US$ 7 per child monthly, for up to 3 children. Conditions for receipt of the transfer included regular pre- and postnatal care, growth monitoring, immunization, and participation in nutrition education seminars. In 2003 BA merged with several programmes to form the current Bolsa Familia Programme (BFP).
","
WHO (2013) Essential Nutrition Actions – Improving maternal, newborn, infant and young child health and nutrition, which provides a compact of WHO guidance on nutrition interventions targeting the first 1000 days of life. Part I presents the interventions currently recommended by WHO, summarizes the rationale and the evidence, and describes the actions require to implement them. Part II provides an analysis of community-based interventions aimed at improving nutrition and indicates how effective interventions can be delivered in an integrated fashion. It shows how the essential nutrition actions described in the first part have been implemented in large-scale programmes in various settings, what the outcomes have been, and to examine the evidence for attribution of changes in nutritional outcomes to programme activities. This summary of Bolsa Alimentacão is retrieved from the ENA Part II where Bolsa Alimentacão is one of 32 large-scale community-based programs that has been reviewed in detail and evaluated.
http://www.who.int/nutrition/publications/infantfeeding/essential_nutrit...
","","","Health","Ministry of Health ","","","","","","","","","","","","","","","","","Families with pregnant or lactating women and/or children less than 7 years of age with a monthly per capita income below US$ 42 received US$ 7 per child monthly. Resource intensity: US$ 84/hd/year","Bilateral and donor agencies and lenders","The World Bank","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","23302","","Vaccination","","","","Family ( living in same household)","Families with pregnant or lactating women and/or children less than 7 years of age with a monthly per capita income below US$ 42","","Community-based","","","","","","1.5 million persons (about 1% of the population)","","","","Vulnerable groups","","","","","","","","","","","","","","","","","","","","","","","","","","English" "23304","Bolsa Familia Programme (BFP)","English","Large scale programmes","","BRA","Brazil","","","on-going","","","Bolsa Familia Programme (BFP) is an ongoing conditional cash programme where families with pregnant and lactating mothers and/or children less than 7 years of age, with monthly per capita income ceilings of US$ 57 (moderately poor) and US$ 29 (extremely poor), receive monthly cash transfers range from US$ 7–US$ 45 per family depending upon eligibility as determined by monthly per capita income. Conditions for receipt of the transfer included regular pre- and postnatal care, growth monitoring, immunization, and participation in nutrition education seminars. BFP coverag in 2006 was approximately 100% of the poor and 25% of the total Brazilian population.
","
WHO (2013) Essential Nutrition Actions – Improving maternal, newborn, infant and young child health and nutrition, which provides a compact of WHO guidance on nutrition interventions targeting the first 1000 days of life. Part I presents the interventions currently recommended by WHO, summarizes the rationale and the evidence, and describes the actions require to implement them. Part II provides an analysis of community-based interventions aimed at improving nutrition and indicates how effective interventions can be delivered in an integrated fashion. It shows how the essential nutrition actions described in the first part have been implemented in large-scale programmes in various settings, what the outcomes have been, and to examine the evidence for attribution of changes in nutritional outcomes to programme activities. This summary of BFP is retrieved from the ENA Part II where BFP is one of 32 large-scale community-based programs that has been reviewed in detail and evaluated.
http://www.who.int/nutrition/publications/infantfeeding/essential_nutrit...
","","","","","","","","","","","","","","","","","","","","","US$ 84-540/hd/year.Public expenditure for the BFP in 2005 was US$ 3.2 billion, equivalent to 0.36% of GDP. World Bank support for the programme was about US$ 562 million from 2003–2009, or approximately US$ 93.7 million/year(Monthly cash transfers range from US$ 7–US$ 45 per family depending upon eligibility as determined by monthly per capita income)","Bilateral and donor agencies and lenders","The World Bank","","Government","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","23303","","Conditional cash transfer","","","","Family ( living in same household)","Families with pregnant and lactating mothers and children less than 7 years of age with monthly per capita income ceilings of US$ 57 (moderately poor) and US$ 29 (extremely poor).","","Community-based","","Monthly cash transfers range from US$ 7–US$ 45 per family depending upon eligibility as determined by monthly per capita income ceilings of US$ 57 (moderately poor) and US$ 29 (extremely poor).
","Height-for-age z-score (HAZ)
","Evaluation data from the BFP is limited, but a positive impact has been reported; stunting among beneficiary children aged 6–11 months was 3.3 ppt lower (2 versus 5.3) than nonbeneficiary children. However, the results are questionable due to selection bias. Study results may also be limited (especially for children aged 12–36 months) by supply-side constraints restricting health services, irregular growth monitoring despite the conditionality, and lack of information on timing of enrollment.
","","in 2006 was 11.1 million families (46 million persons), approximately 100% of the poor and 25% of the total Brazilian population.","","","","Vulnerable groups","","","","","","","","","","","","","","","","","","","","","","","","","","English" "23304","Bolsa Familia Programme (BFP)","English","Large scale programmes","","BRA","Brazil","","","on-going","","","Bolsa Familia Programme (BFP) is an ongoing conditional cash programme where families with pregnant and lactating mothers and/or children less than 7 years of age, with monthly per capita income ceilings of US$ 57 (moderately poor) and US$ 29 (extremely poor), receive monthly cash transfers range from US$ 7–US$ 45 per family depending upon eligibility as determined by monthly per capita income. Conditions for receipt of the transfer included regular pre- and postnatal care, growth monitoring, immunization, and participation in nutrition education seminars. BFP coverag in 2006 was approximately 100% of the poor and 25% of the total Brazilian population.
","
WHO (2013) Essential Nutrition Actions – Improving maternal, newborn, infant and young child health and nutrition, which provides a compact of WHO guidance on nutrition interventions targeting the first 1000 days of life. Part I presents the interventions currently recommended by WHO, summarizes the rationale and the evidence, and describes the actions require to implement them. Part II provides an analysis of community-based interventions aimed at improving nutrition and indicates how effective interventions can be delivered in an integrated fashion. It shows how the essential nutrition actions described in the first part have been implemented in large-scale programmes in various settings, what the outcomes have been, and to examine the evidence for attribution of changes in nutritional outcomes to programme activities. This summary of BFP is retrieved from the ENA Part II where BFP is one of 32 large-scale community-based programs that has been reviewed in detail and evaluated.
http://www.who.int/nutrition/publications/infantfeeding/essential_nutrit...
","","","","","","","","","","","","","","","","","","","","","US$ 84-540/hd/year.Public expenditure for the BFP in 2005 was US$ 3.2 billion, equivalent to 0.36% of GDP. World Bank support for the programme was about US$ 562 million from 2003–2009, or approximately US$ 93.7 million/year(Monthly cash transfers range from US$ 7–US$ 45 per family depending upon eligibility as determined by monthly per capita income)","Bilateral and donor agencies and lenders","The World Bank","","Government","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","23305","","Growth monitoring and promotion","","","","Infants and young children|Preschool-age children (Pre-SAC)|School age children (SAC)","Children below 7 years of age","","Community-based","","Regular growth monitoring in order to receive cash transfer
","Height-for-age z-score (HAZ)
","Evaluation data from the BFP is limited, but a positive impact has been reported; stunting among beneficiary children aged 6–11 months was 3.3 ppt lower (2 versus 5.3) than nonbeneficiary children. However, the results are questionable due to selection bias. Study results may also be limited (especially for children aged 12–36 months) by supply-side constraints restricting health services, irregular growth monitoring despite the conditionality, and lack of information on timing of enrollment.
","","11.1 million families (46 million persons), approximately 100% of the poor and 25% of the total Brazilian population","","","","Vulnerable groups","","","","","","","","","","","","","","","","","","","","","","","","","","English" "23304","Bolsa Familia Programme (BFP)","English","Large scale programmes","","BRA","Brazil","","","on-going","","","Bolsa Familia Programme (BFP) is an ongoing conditional cash programme where families with pregnant and lactating mothers and/or children less than 7 years of age, with monthly per capita income ceilings of US$ 57 (moderately poor) and US$ 29 (extremely poor), receive monthly cash transfers range from US$ 7–US$ 45 per family depending upon eligibility as determined by monthly per capita income. Conditions for receipt of the transfer included regular pre- and postnatal care, growth monitoring, immunization, and participation in nutrition education seminars. BFP coverag in 2006 was approximately 100% of the poor and 25% of the total Brazilian population.
","
WHO (2013) Essential Nutrition Actions – Improving maternal, newborn, infant and young child health and nutrition, which provides a compact of WHO guidance on nutrition interventions targeting the first 1000 days of life. Part I presents the interventions currently recommended by WHO, summarizes the rationale and the evidence, and describes the actions require to implement them. Part II provides an analysis of community-based interventions aimed at improving nutrition and indicates how effective interventions can be delivered in an integrated fashion. It shows how the essential nutrition actions described in the first part have been implemented in large-scale programmes in various settings, what the outcomes have been, and to examine the evidence for attribution of changes in nutritional outcomes to programme activities. This summary of BFP is retrieved from the ENA Part II where BFP is one of 32 large-scale community-based programs that has been reviewed in detail and evaluated.
http://www.who.int/nutrition/publications/infantfeeding/essential_nutrit...
","","","","","","","","","","","","","","","","","","","","","US$ 84-540/hd/year.Public expenditure for the BFP in 2005 was US$ 3.2 billion, equivalent to 0.36% of GDP. World Bank support for the programme was about US$ 562 million from 2003–2009, or approximately US$ 93.7 million/year(Monthly cash transfers range from US$ 7–US$ 45 per family depending upon eligibility as determined by monthly per capita income)","Bilateral and donor agencies and lenders","The World Bank","","Government","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","23306","","Nutrition education and counselling","","","","Lactating women (LW)|Pregnant women (PW)","Caretakers of children below the age of 7","","Community-based","","Regular participation in nutrition education seminars
","Height-for-age z-score (HAZ)
","Evaluation data from the BFP is limited, but a positive impact has been reported; stunting among beneficiary children aged 6–11 months was 3.3 ppt lower (2 versus 5.3) than nonbeneficiary children. However, the results are questionable due to selection bias. Study results may also be limited (especially for children aged 12–36 months) by supply-side constraints restricting health services, irregular growth monitoring despite the conditionality, and lack of information on timing of enrollment.
","","11.1 million families (46 million persons), approximately 100% of the poor and 25% of the total Brazilian population","","","","Vulnerable groups","","","","","","","","","","","","","","","","","","","","","","","","","","English" "23304","Bolsa Familia Programme (BFP)","English","Large scale programmes","","BRA","Brazil","","","on-going","","","Bolsa Familia Programme (BFP) is an ongoing conditional cash programme where families with pregnant and lactating mothers and/or children less than 7 years of age, with monthly per capita income ceilings of US$ 57 (moderately poor) and US$ 29 (extremely poor), receive monthly cash transfers range from US$ 7–US$ 45 per family depending upon eligibility as determined by monthly per capita income. Conditions for receipt of the transfer included regular pre- and postnatal care, growth monitoring, immunization, and participation in nutrition education seminars. BFP coverag in 2006 was approximately 100% of the poor and 25% of the total Brazilian population.
","
WHO (2013) Essential Nutrition Actions – Improving maternal, newborn, infant and young child health and nutrition, which provides a compact of WHO guidance on nutrition interventions targeting the first 1000 days of life. Part I presents the interventions currently recommended by WHO, summarizes the rationale and the evidence, and describes the actions require to implement them. Part II provides an analysis of community-based interventions aimed at improving nutrition and indicates how effective interventions can be delivered in an integrated fashion. It shows how the essential nutrition actions described in the first part have been implemented in large-scale programmes in various settings, what the outcomes have been, and to examine the evidence for attribution of changes in nutritional outcomes to programme activities. This summary of BFP is retrieved from the ENA Part II where BFP is one of 32 large-scale community-based programs that has been reviewed in detail and evaluated.
http://www.who.int/nutrition/publications/infantfeeding/essential_nutrit...
","","","","","","","","","","","","","","","","","","","","","US$ 84-540/hd/year.Public expenditure for the BFP in 2005 was US$ 3.2 billion, equivalent to 0.36% of GDP. World Bank support for the programme was about US$ 562 million from 2003–2009, or approximately US$ 93.7 million/year(Monthly cash transfers range from US$ 7–US$ 45 per family depending upon eligibility as determined by monthly per capita income)","Bilateral and donor agencies and lenders","The World Bank","","Government","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","23307","","Vaccination","","","","Family ( living in same household)","Families with pregnant and lactating mothers and children less than 7 years of age with monthly per capita income ceilings of US$ 57 (moderately poor) and US$ 29 (extremely poor).","","Community-based","","","","","","11.1 million families (46 million persons), approximately 100% of the poor and 25% of the total Brazilian population","","","","Vulnerable groups","","","","","","","","","","","","","","","","","","","","","","","","","","English" "23330","National Nutrition Program (NNP)","English","Large scale programmes","","BGD","Bangladesh","","","completed","","01-1970","The NNP was a follow-up of the The Bangladesh Integrated Nutrition Programme ((BINP) - which was completed in 2002). The implementation of the NNP started in 2004.
","WHO (2013) Essential Nutrition Actions – Improving maternal, newborn, infant and young child health and nutrition, which provides a compact of WHO guidance on nutrition interventions targeting the first 1000 days of life. Part I presents the interventions currently recommended by WHO, summarizes the rationale and the evidence, and describes the actions require to implement them. Part II provides an analysis of community-based interventions aimed at improving nutrition and indicates how effective interventions can be delivered in an integrated fashion. It shows how the essential nutrition actions described in the first part have been implemented in large-scale programmes in various settings, what the outcomes have been, and to examine the evidence for attribution of changes in nutritional outcomes to programme activities. This summary of NNP is retrieved from the ENA Part II where NNP is one of 32 large-scale community-based programs that has been reviewed in detail and evaluated.
http://www.who.int/nutrition/publications/infantfeeding/essential_nutrition_actions/en/
","","","Health","","","","","","","","","","","","","","","","","","","Bilateral and donor agencies and lenders","The World Bank","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","23329","","Growth monitoring and promotion","","","","Infants and young children|Preschool-age children (Pre-SAC)|School age children (SAC)","Children below 6 years","","Community-based","","","","The NNP had implementation problems; the baseline survey was delayed and the end survey never conducted. Thus, no estimate of effect is available.
","Intended coverage: 105/464 thanas","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English" "23330","National Nutrition Program (NNP)","English","Large scale programmes","","BGD","Bangladesh","","","completed","","01-1970","The NNP was a follow-up of the The Bangladesh Integrated Nutrition Programme ((BINP) - which was completed in 2002). The implementation of the NNP started in 2004.
","WHO (2013) Essential Nutrition Actions – Improving maternal, newborn, infant and young child health and nutrition, which provides a compact of WHO guidance on nutrition interventions targeting the first 1000 days of life. Part I presents the interventions currently recommended by WHO, summarizes the rationale and the evidence, and describes the actions require to implement them. Part II provides an analysis of community-based interventions aimed at improving nutrition and indicates how effective interventions can be delivered in an integrated fashion. It shows how the essential nutrition actions described in the first part have been implemented in large-scale programmes in various settings, what the outcomes have been, and to examine the evidence for attribution of changes in nutritional outcomes to programme activities. This summary of NNP is retrieved from the ENA Part II where NNP is one of 32 large-scale community-based programs that has been reviewed in detail and evaluated.
http://www.who.int/nutrition/publications/infantfeeding/essential_nutrition_actions/en/
","","","Health","","","","","","","","","","","","","","","","","","","Bilateral and donor agencies and lenders","The World Bank","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","23331","","Food distribution/supplementation for prevention of acute malnutrition","","","","Infants and young children|Lactating women (LW)|Pregnant women (PW)|Preschool-age children (Pre-SAC)|School age children (SAC)","Children below 6 years","","Community-based","","Internal provision supplementary feeding
","","NNP had implementation problems; the baseline survey was delayed and the end survey never conducted. Thus, no estimate of effect is available.
","Intended coverage: 105/464 thanas","","","","","Other","","","","","","","","","","","","","","","","","","","","","","","","","","English" "23330","National Nutrition Program (NNP)","English","Large scale programmes","","BGD","Bangladesh","","","completed","","01-1970","The NNP was a follow-up of the The Bangladesh Integrated Nutrition Programme ((BINP) - which was completed in 2002). The implementation of the NNP started in 2004.
","WHO (2013) Essential Nutrition Actions – Improving maternal, newborn, infant and young child health and nutrition, which provides a compact of WHO guidance on nutrition interventions targeting the first 1000 days of life. Part I presents the interventions currently recommended by WHO, summarizes the rationale and the evidence, and describes the actions require to implement them. Part II provides an analysis of community-based interventions aimed at improving nutrition and indicates how effective interventions can be delivered in an integrated fashion. It shows how the essential nutrition actions described in the first part have been implemented in large-scale programmes in various settings, what the outcomes have been, and to examine the evidence for attribution of changes in nutritional outcomes to programme activities. This summary of NNP is retrieved from the ENA Part II where NNP is one of 32 large-scale community-based programs that has been reviewed in detail and evaluated.
http://www.who.int/nutrition/publications/infantfeeding/essential_nutrition_actions/en/
","","","Health","","","","","","","","","","","","","","","","","","","Bilateral and donor agencies and lenders","The World Bank","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","23332","","Nutrition education and counselling","","","","Lactating women (LW)|Pregnant women (PW)","","","Community-based","","","","NNP had implementation problems; the baseline survey was delayed and the end survey never conducted. Thus, no estimate of effect is available.
","Intended coverage: 105/464 thanas","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English" "23344","Tamil Nadu Integrated Nutrition Project I (TINP I)","English","Large scale programmes","","IND","India","Tamil Nadu","Rural","completed","","01-1970","The Tamil Nadu Integrated Nutrition Project I (TINP I) ran from 1980 to 1989.
","WHO (2013) Essential Nutrition Actions – Improving maternal, newborn, infant and young child health and nutrition, which provides a compact of WHO guidance on nutrition interventions targeting the first 1000 days of life. Part I presents the interventions currently recommended by WHO, summarizes the rationale and the evidence, and describes the actions require to implement them. Part II provides an analysis of community-based interventions aimed at improving nutrition and indicates how effective interventions can be delivered in an integrated fashion. It shows how the essential nutrition actions described in the first part have been implemented in large-scale programmes in various settings, what the outcomes have been, and to examine the evidence for attribution of changes in nutritional outcomes to programme activities. This summary of TINP Iis retrieved from the ENA Part II where TINP I is one of 32 large-scale community-based programs that has been reviewed in detail and evaluated.
http://www.who.int/nutrition/publications/infantfeeding/essential_nutrition_actions/en/
","","","","","","","","","","","","","","","","","","","","","Community health workers (CHWs) for TINP I was reported as 1:150 households, or 40;1000 households. Resource intensity was previously estimated as US$ 9,50/household per year. ","Bilateral and donor agencies and lenders","The World Bank","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","23343","","Growth monitoring and promotion","","","","Infants and young children|Preschool-age children (Pre-SAC)|School age children (SAC)","","","Community-based","","","Underweight
","Among TINP participants, there was an approximate 1.25 to 2.40 ppt/ year decline in underweight prevalence. In TINP areas, there was an approximate 0.83 to 1.12 ppt/year decline in underweight prevalence as compared with non-TINP areas where an approximate 0.26 to 1.12 ppt/year decrease in underweight prevalence was observed. The estimated underlying trend for the whole of India during this time was a 0.7 ppt/year decrease in underweight prevalence. Thus an estimated one quarter to one half of the decrease in underweight prevalence is attributable to the project.
","","Approximately 46 % coverage by ares (173/373 rural blocks in 11 districts). ","","","","","","","","","","","","","","","","","","","","","","","","","","","","
The Tamil Nadu Integrated Nutrition Project I (TINP I) ran from 1980 to 1989.
","WHO (2013) Essential Nutrition Actions – Improving maternal, newborn, infant and young child health and nutrition, which provides a compact of WHO guidance on nutrition interventions targeting the first 1000 days of life. Part I presents the interventions currently recommended by WHO, summarizes the rationale and the evidence, and describes the actions require to implement them. Part II provides an analysis of community-based interventions aimed at improving nutrition and indicates how effective interventions can be delivered in an integrated fashion. It shows how the essential nutrition actions described in the first part have been implemented in large-scale programmes in various settings, what the outcomes have been, and to examine the evidence for attribution of changes in nutritional outcomes to programme activities. This summary of TINP Iis retrieved from the ENA Part II where TINP I is one of 32 large-scale community-based programs that has been reviewed in detail and evaluated.
http://www.who.int/nutrition/publications/infantfeeding/essential_nutrition_actions/en/
","","","","","","","","","","","","","","","","","","","","","Community health workers (CHWs) for TINP I was reported as 1:150 households, or 40;1000 households. Resource intensity was previously estimated as US$ 9,50/household per year. ","Bilateral and donor agencies and lenders","The World Bank","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","23345","","Food distribution/supplementation for prevention of acute malnutrition","","","","Infants and young children|Preschool-age children (Pre-SAC)|School age children (SAC)","","","Community-based","","Internal provision supplementary feeding
","Underweight
","Among TINP participants, there was an approximate 1.25 to 2.40 ppt/ year decline in underweight prevalence. In TINP areas, there was an approximate 0.83 to 1.12 ppt/year decline in underweight prevalence as compared with non-TINP areas where an approximate 0.26 to 1.12 ppt/year decrease in underweight prevalence was observed. The estimated underlying trend for the whole of India during this time was a 0.7 ppt/year decrease in underweight prevalence. Thus an estimated one quarter to one half of the decrease in underweight prevalence is attributable to the project.
","","approximately 46 % coverage by areas (173/373 rural blocks in 11 districts)","","","","","","","","","","","","","","","","","","","","","","","","","","","","There are important issues related to data sources. Data on residents in TINP and non- TINP areas (rather than on TINP participants) come from the National Nutrition Monitoring Bureau (NNMB) while data on TINP participants comes from programme monitoring records. NNMB estimates are from an 11-year period (1979–1990) while TINP estimates are from an 8-year period (1982–1990). Furthermore, NNMB surveys consistently produce higher estimated underweight prevalence than TINP surveys because NNMB surveys cover entire areas rather than only programme participants. This may reveal differences between participants and non-participants.
","","English" "23344","Tamil Nadu Integrated Nutrition Project I (TINP I)","English","Large scale programmes","","IND","India","Tamil Nadu","Rural","completed","","01-1970","The Tamil Nadu Integrated Nutrition Project I (TINP I) ran from 1980 to 1989.
","WHO (2013) Essential Nutrition Actions – Improving maternal, newborn, infant and young child health and nutrition, which provides a compact of WHO guidance on nutrition interventions targeting the first 1000 days of life. Part I presents the interventions currently recommended by WHO, summarizes the rationale and the evidence, and describes the actions require to implement them. Part II provides an analysis of community-based interventions aimed at improving nutrition and indicates how effective interventions can be delivered in an integrated fashion. It shows how the essential nutrition actions described in the first part have been implemented in large-scale programmes in various settings, what the outcomes have been, and to examine the evidence for attribution of changes in nutritional outcomes to programme activities. This summary of TINP Iis retrieved from the ENA Part II where TINP I is one of 32 large-scale community-based programs that has been reviewed in detail and evaluated.
http://www.who.int/nutrition/publications/infantfeeding/essential_nutrition_actions/en/
","","","","","","","","","","","","","","","","","","","","","Community health workers (CHWs) for TINP I was reported as 1:150 households, or 40;1000 households. Resource intensity was previously estimated as US$ 9,50/household per year. ","Bilateral and donor agencies and lenders","The World Bank","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","23346","","Nutrition education and counselling","","","","","","","Community-based","","","Underweight
","Among TINP participants, there was an approximate 1.25 to 2.40 ppt/ year decline in underweight prevalence. In TINP areas, there was an approximate 0.83 to 1.12 ppt/year decline in underweight prevalence as compared with non-TINP areas where an approximate 0.26 to 1.12 ppt/year decrease in underweight prevalence was observed. The estimated underlying trend for the whole of India during this time was a 0.7 ppt/year decrease in underweight prevalence. Thus an estimated one quarter to one half of the decrease in underweight prevalence is attributable to the project.
","","approximately 46 % coverage by areas (173/373 rural blocks in 11 districts)","","","","","","","","","","","","","","","","","","","","","","","","","","","","There are important issues related to data sources. Data on residents in TINP and non- TINP areas (rather than on TINP participants) come from the National Nutrition Monitoring Bureau (NNMB) while data on TINP participants comes from programme monitoring records. NNMB estimates are from an 11-year period (1979–1990) while TINP estimates are from an 8-year period (1982–1990). Furthermore, NNMB surveys consistently produce higher estimated underweight prevalence than TINP surveys because NNMB surveys cover entire areas rather than only programme participants. This may reveal differences between participants and non-participants.
","","English" "23344","Tamil Nadu Integrated Nutrition Project I (TINP I)","English","Large scale programmes","","IND","India","Tamil Nadu","Rural","completed","","01-1970","The Tamil Nadu Integrated Nutrition Project I (TINP I) ran from 1980 to 1989.
","WHO (2013) Essential Nutrition Actions – Improving maternal, newborn, infant and young child health and nutrition, which provides a compact of WHO guidance on nutrition interventions targeting the first 1000 days of life. Part I presents the interventions currently recommended by WHO, summarizes the rationale and the evidence, and describes the actions require to implement them. Part II provides an analysis of community-based interventions aimed at improving nutrition and indicates how effective interventions can be delivered in an integrated fashion. It shows how the essential nutrition actions described in the first part have been implemented in large-scale programmes in various settings, what the outcomes have been, and to examine the evidence for attribution of changes in nutritional outcomes to programme activities. This summary of TINP Iis retrieved from the ENA Part II where TINP I is one of 32 large-scale community-based programs that has been reviewed in detail and evaluated.
http://www.who.int/nutrition/publications/infantfeeding/essential_nutrition_actions/en/
","","","","","","","","","","","","","","","","","","","","","Community health workers (CHWs) for TINP I was reported as 1:150 households, or 40;1000 households. Resource intensity was previously estimated as US$ 9,50/household per year. ","Bilateral and donor agencies and lenders","The World Bank","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","23347","","Vitamin A supplementation","","Vitamin A","","Infants and young children|Preschool-age children (Pre-SAC)|School age children (SAC)","","","Community-based","","","Underweight
","Among TINP participants, there was an approximate 1.25 to 2.40 ppt/ year decline in underweight prevalence. In TINP areas, there was an approximate 0.83 to 1.12 ppt/year decline in underweight prevalence as compared with non-TINP areas where an approximate 0.26 to 1.12 ppt/year decrease in underweight prevalence was observed. The estimated underlying trend for the whole of India during this time was a 0.7 ppt/year decrease in underweight prevalence. Thus an estimated one quarter to one half of the decrease in underweight prevalence is attributable to the project.
","","approximately 46 % coverage by areas (173/373 rural blocks in 11 districts)","","","","","","","","","","","","","","","","","","","","","","","","","","","","There are important issues related to data sources. Data on residents in TINP and non- TINP areas (rather than on TINP participants) come from the National Nutrition Monitoring Bureau (NNMB) while data on TINP participants comes from programme monitoring records. NNMB estimates are from an 11-year period (1979–1990) while TINP estimates are from an 8-year period (1982–1990). Furthermore, NNMB surveys consistently produce higher estimated underweight prevalence than TINP surveys because NNMB surveys cover entire areas rather than only programme participants. This may reveal differences between participants and non-participants.
","","English" "23363","Family Nutrition Improvement programme (UPGK)","English","Large scale programmes","","IDN","Indonesia","","","completed","","01-1970","The Family Nutrition Improvement programme (UPGK), also known as the Posyandu (weighing post) programme, started around 1979 and expanded to national coverage, continuing until constrained by an economic crisis in the late 1990s. The UPGK (centred on Posyandus) projects were based on the strategy of consistent monthly weight gain in healthy children targeting children under five and their mothers. The activities included weighing, education, micronutrient supplementation and supplementary feeding in combination with other health interventions through weighing posts managed by community leaders and volunteers
","WHO (2013) Essential Nutrition Actions – Improving maternal, newborn, infant and young child health and nutrition, which provides a compact of WHO guidance on nutrition interventions targeting the first 1000 days of life. Part I presents the interventions currently recommended by WHO, summarizes the rationale and the evidence, and describes the actions require to implement them. Part II provides an analysis of community-based interventions aimed at improving nutrition and indicates how effective interventions can be delivered in an integrated fashion. It shows how the essential nutrition actions described in the first part have been implemented in large-scale programmes in various settings, what the outcomes have been, and to examine the evidence for attribution of changes in nutritional outcomes to programme activities. This summary of UPGK is retrieved from the ENA Part II where UPGK is one of 32 large-scale community-based programs that has been reviewed in detail and evaluated.
","","","","","","","","","","","","","","","","","","","","","The cost per beneficiary was US$ 2 for weighing-screening and US$ 11 per beneficiary for weighing-feeding. Recurrent costs, which may be seen as those needed for sustained activities, were estimated at approximately US$ 1/household per year, but may not include all local costs. The number of children per posyandu (weighing post) was about 60. 4 community health and nutrition workers (CHNWs) per posyandu, this gives 66 CHNWs/1000.","Bilateral and donor agencies and lenders","The World Bank","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","23362","","Growth monitoring and promotion","","","","Infants and young children|Lactating women (LW)|Pregnant women (PW)|Preschool-age children (Pre-SAC)|School age children (SAC)","","","Community-based","","","Protein-energy malnutrition
Underweight
","Both process and impact evaluations were performed on UPGK.
","","Approximately 90% by area. (58000/65000 villages). Coverage reached 80 % of the population under 5 years ","","","The level of severe protein-energy malnutrition declined from 3%–5% to 1%. The reduction in underweight ascribed to UPGK activities based on previous research was approximately 1.0 ppt/year","","","","","","","","","","","","","","","","","","","","","","","","","Inclusion of too many other health issues may have diluted the nutrition interventions). Other evaluation results indicate high programme access and initial coverage above 80% but reduced active participation over time. A lack of baseline data makes impact difficult to assess.
CHNWs had limited training (3 days) and high turnover, and on evaluation only a small percentage was able to provide meaningful counselling.
","","English" "23363","Family Nutrition Improvement programme (UPGK)","English","Large scale programmes","","IDN","Indonesia","","","completed","","01-1970","The Family Nutrition Improvement programme (UPGK), also known as the Posyandu (weighing post) programme, started around 1979 and expanded to national coverage, continuing until constrained by an economic crisis in the late 1990s. The UPGK (centred on Posyandus) projects were based on the strategy of consistent monthly weight gain in healthy children targeting children under five and their mothers. The activities included weighing, education, micronutrient supplementation and supplementary feeding in combination with other health interventions through weighing posts managed by community leaders and volunteers
","WHO (2013) Essential Nutrition Actions – Improving maternal, newborn, infant and young child health and nutrition, which provides a compact of WHO guidance on nutrition interventions targeting the first 1000 days of life. Part I presents the interventions currently recommended by WHO, summarizes the rationale and the evidence, and describes the actions require to implement them. Part II provides an analysis of community-based interventions aimed at improving nutrition and indicates how effective interventions can be delivered in an integrated fashion. It shows how the essential nutrition actions described in the first part have been implemented in large-scale programmes in various settings, what the outcomes have been, and to examine the evidence for attribution of changes in nutritional outcomes to programme activities. This summary of UPGK is retrieved from the ENA Part II where UPGK is one of 32 large-scale community-based programs that has been reviewed in detail and evaluated.
","","","","","","","","","","","","","","","","","","","","","The cost per beneficiary was US$ 2 for weighing-screening and US$ 11 per beneficiary for weighing-feeding. Recurrent costs, which may be seen as those needed for sustained activities, were estimated at approximately US$ 1/household per year, but may not include all local costs. The number of children per posyandu (weighing post) was about 60. 4 community health and nutrition workers (CHNWs) per posyandu, this gives 66 CHNWs/1000.","Bilateral and donor agencies and lenders","The World Bank","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","23364","","Nutrition education and counselling","","","","Lactating women (LW)|Pregnant women (PW)","","","Community-based","","","Protein-energy malnutrition
Underweight
","Both process and impact evaluations were performed on UPGK
","","Approximately 90% by area. (58000/65000 villages). Coverage reached 80 % of the population under 5 years ","","","The level of severe protein-energy malnutrition declined from 3%–5% to 1%. The reduction in underweight ascribed to UPGK activities based on previous research was approximately 1.0 ppt/year","","","","","","","","","","","","","","","","","","","","","","","","","Inclusion of too many other health issues may have diluted the nutrition interventions). Other evaluation results indicate high programme access and initial coverage above 80% but reduced active participation over time. A lack of baseline data makes impact difficult to assess.
CHNWs had limited training (3 days) and high turnover, and on evaluation only a small percentage was able to provide meaningful counselling
","","English" "23363","Family Nutrition Improvement programme (UPGK)","English","Large scale programmes","","IDN","Indonesia","","","completed","","01-1970","The Family Nutrition Improvement programme (UPGK), also known as the Posyandu (weighing post) programme, started around 1979 and expanded to national coverage, continuing until constrained by an economic crisis in the late 1990s. The UPGK (centred on Posyandus) projects were based on the strategy of consistent monthly weight gain in healthy children targeting children under five and their mothers. The activities included weighing, education, micronutrient supplementation and supplementary feeding in combination with other health interventions through weighing posts managed by community leaders and volunteers
","WHO (2013) Essential Nutrition Actions – Improving maternal, newborn, infant and young child health and nutrition, which provides a compact of WHO guidance on nutrition interventions targeting the first 1000 days of life. Part I presents the interventions currently recommended by WHO, summarizes the rationale and the evidence, and describes the actions require to implement them. Part II provides an analysis of community-based interventions aimed at improving nutrition and indicates how effective interventions can be delivered in an integrated fashion. It shows how the essential nutrition actions described in the first part have been implemented in large-scale programmes in various settings, what the outcomes have been, and to examine the evidence for attribution of changes in nutritional outcomes to programme activities. This summary of UPGK is retrieved from the ENA Part II where UPGK is one of 32 large-scale community-based programs that has been reviewed in detail and evaluated.
","","","","","","","","","","","","","","","","","","","","","The cost per beneficiary was US$ 2 for weighing-screening and US$ 11 per beneficiary for weighing-feeding. Recurrent costs, which may be seen as those needed for sustained activities, were estimated at approximately US$ 1/household per year, but may not include all local costs. The number of children per posyandu (weighing post) was about 60. 4 community health and nutrition workers (CHNWs) per posyandu, this gives 66 CHNWs/1000.","Bilateral and donor agencies and lenders","The World Bank","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","23365","","Food distribution/supplementation for prevention of acute malnutrition","","","","Infants and young children|Lactating women (LW)|Pregnant women (PW)|Preschool-age children (Pre-SAC)|School age children (SAC)","","","Community-based","","Internal provision supplementary feeding
","Protein-energy malnutrition
Underweight
","Both process and impact evaluations were performed on UPGK.
","","Approximately 90% by area. (58000/65000 villages). Coverage reached 80 % of the population under 5 years ","","","The level of severe protein-energy malnutrition declined from 3%–5% to 1%. The reduction in underweight ascribed to UPGK activities based on previous research was approximately 1.0 ppt/year","","","","","","","","","","","","","","","","","","","","","","","","","Inclusion of too many other health issues may have diluted the nutrition interventions). Other evaluation results indicate high programme access and initial coverage above 80% but reduced active participation over time. A lack of baseline data makes impact difficult to assess.
CHNWs had limited training (3 days) and high turnover, and on evaluation only a small percentage was able to provide meaningful counselling.
","","English" "23368","Third Community Health and Nutrition Project (CHN3)","English","Large scale programmes","","IDN","Indonesia","","","completed","","01-1970","CHN3 picked up where UPGK left off. CHN3 focused on capacity building, health information systems, education and service delivery in a province-based model in five provinces.
","WHO (2013) Essential Nutrition Actions – Improving maternal, newborn, infant and young child health and nutrition, which provides a compact of WHO guidance on nutrition interventions targeting the first 1000 days of life. Part I presents the interventions currently recommended by WHO, summarizes the rationale and the evidence, and describes the actions require to implement them. Part II provides an analysis of community-based interventions aimed at improving nutrition and indicates how effective interventions can be delivered in an integrated fashion. It shows how the essential nutrition actions described in the first part have been implemented in large-scale programmes in various settings, what the outcomes have been, and to examine the evidence for attribution of changes in nutritional outcomes to programme activities. This summary of CHN3 is retrieved from the ENA Part II where CHN3 is one of 32 large-scale community-based programs that has been reviewed in detail and evaluated.
http://www.who.int/nutrition/publications/infantfeeding/essential_nutrition_actions/en/
","","","","","","","","","","","","","","","","","","","","","US$ 3.6 million investment by the World Bank. US$ 0.6 million investment by the Government of Indonesia","Bilateral and donor agencies and lenders","The World Bank","Government of Indonesia","Government","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","23367","","Growth monitoring and promotion","","","","Infants and young children|Preschool-age children (Pre-SAC)","Children below 5 years","","Community-based","","","
Weight-for-age z-score (WAZ)
","A World Bank evaluation of the project determined that design made the project difficult to supervise and that poor monitoring and evaluation of performance made assessment of project effectiveness difficult to determine
","","Focus on five provinces","","","From 1989 to 2003 underweight (<-2 SD WAZ) decreased from 37.5% to 27.5% (0.71 ppt/year) despite the financial crisis of the early 1990s. This decrease may be partially attributed to a reduction in birthrate in the lowest quintile of the population.","","","","","","","","","","","","","","","","","","","","","","","","","
Attempts to decentralize health interventions to the provincial level with CHN3 faced challenges of implementation and monitoring. Lack of baseline and surveillance data made effectiveness of these projects difficult to define.
","","English" "23368","Third Community Health and Nutrition Project (CHN3)","English","Large scale programmes","","IDN","Indonesia","","","completed","","01-1970","CHN3 picked up where UPGK left off. CHN3 focused on capacity building, health information systems, education and service delivery in a province-based model in five provinces.
","WHO (2013) Essential Nutrition Actions – Improving maternal, newborn, infant and young child health and nutrition, which provides a compact of WHO guidance on nutrition interventions targeting the first 1000 days of life. Part I presents the interventions currently recommended by WHO, summarizes the rationale and the evidence, and describes the actions require to implement them. Part II provides an analysis of community-based interventions aimed at improving nutrition and indicates how effective interventions can be delivered in an integrated fashion. It shows how the essential nutrition actions described in the first part have been implemented in large-scale programmes in various settings, what the outcomes have been, and to examine the evidence for attribution of changes in nutritional outcomes to programme activities. This summary of CHN3 is retrieved from the ENA Part II where CHN3 is one of 32 large-scale community-based programs that has been reviewed in detail and evaluated.
http://www.who.int/nutrition/publications/infantfeeding/essential_nutrition_actions/en/
","","","","","","","","","","","","","","","","","","","","","US$ 3.6 million investment by the World Bank. US$ 0.6 million investment by the Government of Indonesia","Bilateral and donor agencies and lenders","The World Bank","Government of Indonesia","Government","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","23369","","Nutrition education and counselling","","","","Lactating women (LW)|Pregnant women (PW)","","","Community-based","","","
Weight-for-age z-score (WAZ)
","A World Bank evaluation of the project determined that design made the project difficult to supervise and that poor monitoring and evaluation of performance made assessment of project effectiveness difficult to determine
","","Focus on five provinces","","","From 1989 to 2003 underweight (<-2 SD WAZ) decreased from 37.5% to 27.5% (0.71 ppt/year) despite the financial crisis of the early 1990s. This decrease may be partially attributed to a reduction in birthrate in the lowest quintile of the population.","","","","","","","","","","","","","","","","","","","","","","","","","Attempts to decentralize health interventions to the provincial level with CHN3 faced challenges of implementation and monitoring. Lack of baseline and surveillance data made effectiveness of these projects difficult to define.
","","English" "23368","Third Community Health and Nutrition Project (CHN3)","English","Large scale programmes","","IDN","Indonesia","","","completed","","01-1970","CHN3 picked up where UPGK left off. CHN3 focused on capacity building, health information systems, education and service delivery in a province-based model in five provinces.
","WHO (2013) Essential Nutrition Actions – Improving maternal, newborn, infant and young child health and nutrition, which provides a compact of WHO guidance on nutrition interventions targeting the first 1000 days of life. Part I presents the interventions currently recommended by WHO, summarizes the rationale and the evidence, and describes the actions require to implement them. Part II provides an analysis of community-based interventions aimed at improving nutrition and indicates how effective interventions can be delivered in an integrated fashion. It shows how the essential nutrition actions described in the first part have been implemented in large-scale programmes in various settings, what the outcomes have been, and to examine the evidence for attribution of changes in nutritional outcomes to programme activities. This summary of CHN3 is retrieved from the ENA Part II where CHN3 is one of 32 large-scale community-based programs that has been reviewed in detail and evaluated.
http://www.who.int/nutrition/publications/infantfeeding/essential_nutrition_actions/en/
","","","","","","","","","","","","","","","","","","","","","US$ 3.6 million investment by the World Bank. US$ 0.6 million investment by the Government of Indonesia","Bilateral and donor agencies and lenders","The World Bank","Government of Indonesia","Government","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","23370","","Food distribution/supplementation for prevention of acute malnutrition","","","","Infants and young children|Lactating women (LW)|Pregnant women (PW)|Preschool-age children (Pre-SAC)|School age children (SAC)","","","Community-based","","
Internal provision supplemetary feeding
","Weight-for-age z-score (WAZ)
","A World Bank evaluation of the project determined that design made the project difficult to supervise and that poor monitoring and evaluation of performance made assessment of project effectiveness difficult to determine
","","Focus on five provinces","","","From 1989 to 2003 underweight (<-2 SD WAZ) decreased from 37.5% to 27.5% (0.71 ppt/year) despite the financial crisis of the early 1990s. This decrease may be partially attributed to a reduction in birthrate in the lowest quintile of the population.","","","","","","","","","","","","","","","","","","","","","","","","","Attempts to decentralize health interventions to the provincial level with CHN3 faced challenges of implementation and monitoring. Lack of baseline and surveillance data made effectiveness of these projects difficult to define
","","English" "23355","Integrated Child Development Services Project I (ICDS I)","English","Large scale programmes","","IND","India","Andhra Pradesh|Orissa","","completed","","01-1970","ICDS activities carried out in Andhra Pradesh and Orissa between 1990 and 1997.
Referral of infants and young children and pregnant women as needed
","WHO (2013) Essential Nutrition Actions – Improving maternal, newborn, infant and young child health and nutrition, which provides a compact of WHO guidance on nutrition interventions targeting the first 1000 days of life. Part I presents the interventions currently recommended by WHO, summarizes the rationale and the evidence, and describes the actions require to implement them. Part II provides an analysis of community-based interventions aimed at improving nutrition and indicates how effective interventions can be delivered in an integrated fashion. It shows how the essential nutrition actions described in the first part have been implemented in large-scale programmes in various settings, what the outcomes have been, and to examine the evidence for attribution of changes in nutritional outcomes to programme activities. This summary of ICDS I is retrieved from the ENA Part II where ICDS I is one of 32 large-scale community-based programs that has been reviewed in detail and evaluated.
http://www.who.int/nutrition/publications/infantfeeding/essential_nutrition_actions/en/
","","","","","","","","","","","","","","","","","","","","","The intensity of community health and nutrition workers (CHNWs) , known as Anganwadi workers (ANWs) (estimated at 20 % of full-time equivalents) was 1:1000 persons, i.e. approximately 1:200 children or 10:1000 households.","Bilateral and donor agencies and lenders","The World Bank","Internal provision supplementary feeding
","Underweight
","While there are no definitive evaluations, most reports on ICDS 1 estimate that the change in underweight attributable to the programme was slight; the rate is plotted as 0,2 ppt/year.
","","Population coverage of approximately 2,5 %","","","","","","","","","","","","","","","","","","","","","","","","","","","","According to the World Bank, definitive judgments on the effectiveness of ICDS I cannot be made due to a lack of high-quality data. Measham & Chatterjee attribute the ineffectiveness of the project, particularly in Orissa, to issues related to proper implementation of programme activities:
1. inadequate coverage of children < 3 years
2. irregular food supply
3. poor nutrition education
4. inadequate health worker training
5. anganwadi work “overload”
6. poor linkages between ICDS and the health system.
","","English" "23355","Integrated Child Development Services Project I (ICDS I)","English","Large scale programmes","","IND","India","Andhra Pradesh|Orissa","","completed","","01-1970","ICDS activities carried out in Andhra Pradesh and Orissa between 1990 and 1997.
Referral of infants and young children and pregnant women as needed
","WHO (2013) Essential Nutrition Actions – Improving maternal, newborn, infant and young child health and nutrition, which provides a compact of WHO guidance on nutrition interventions targeting the first 1000 days of life. Part I presents the interventions currently recommended by WHO, summarizes the rationale and the evidence, and describes the actions require to implement them. Part II provides an analysis of community-based interventions aimed at improving nutrition and indicates how effective interventions can be delivered in an integrated fashion. It shows how the essential nutrition actions described in the first part have been implemented in large-scale programmes in various settings, what the outcomes have been, and to examine the evidence for attribution of changes in nutritional outcomes to programme activities. This summary of ICDS I is retrieved from the ENA Part II where ICDS I is one of 32 large-scale community-based programs that has been reviewed in detail and evaluated.
http://www.who.int/nutrition/publications/infantfeeding/essential_nutrition_actions/en/
","","","","","","","","","","","","","","","","","","","","","The intensity of community health and nutrition workers (CHNWs) , known as Anganwadi workers (ANWs) (estimated at 20 % of full-time equivalents) was 1:1000 persons, i.e. approximately 1:200 children or 10:1000 households.","Bilateral and donor agencies and lenders","The World Bank","Underweight
","While there are no definitive evaluations, most reports on ICDS 1 estimate that the change in underweight attributable to the programme was slight; the rate is plotted as 0,2 ppt/year.
","","Population coverage of approximately 2,5 %","","","","","","","","","","","","","","","","","","","","","","","","","","","","According to the World Bank, definitive judgments on the effectiveness of ICDS I cannot be made due to a lack of high-quality data. Measham & Chatterjee attribute the ineffectiveness of the project, particularly in Orissa, to issues related to proper implementation of programme activities:
1. inadequate coverage of children < 3 years
2. irregular food supply
3. poor nutrition education
4. inadequate health worker training
5. anganwadi work “overload”
6. poor linkages between ICDS and the health system.
","","English" "23359","Integrated Child Development Services Project II (ICDS II)","English","Large scale programmes","","IND","India","Madhya Pradesh|Bihar","","completed","","01-1970","ICDS II activities were carried out in Madhya Pradesh and Bihar between 1993 - 2001. Components of the programme were identical to those in ICDS I.
","WHO (2013) Essential Nutrition Actions – Improving maternal, newborn, infant and young child health and nutrition, which provides a compact of WHO guidance on nutrition interventions targeting the first 1000 days of life. Part I presents the interventions currently recommended by WHO, summarizes the rationale and the evidence, and describes the actions require to implement them. Part II provides an analysis of community-based interventions aimed at improving nutrition and indicates how effective interventions can be delivered in an integrated fashion. It shows how the essential nutrition actions described in the first part have been implemented in large-scale programmes in various settings, what the outcomes have been, and to examine the evidence for attribution of changes in nutritional outcomes to programme activities. This summary of ICDS II is retrieved from the ENA Part II where ICDS II is one of 32 large-scale community-based programs that has been reviewed in detail and evaluated.
http://www.who.int/nutrition/publications/infantfeeding/essential_nutrition_actions/en/
","","","","","","","","","","","","","","","","","","","","","","Bilateral and donor agencies and lenders","The World Bank","Underweight
","ICDS II was found to be unsuccessful in improving the nutritional status of children in Madhya Pradesh and Bihar. In Madhya Pradesh, there was found to be a 0.62 ppt/year increase in severe underweight prevalence and a 0.18 ppt/year increase in moderate underweight prevalence. In Bihar, a 0.93 ppt/year decrease in severe underweight prevalence and a 1.37 ppt/year decrease in moderate underweight prevalence were found.
","","","","","Participants' initial rate of underweight reduction: 3,2 ppt/year. Population sustained rate of underweight reduction: 0,05 ppt/year.
","","","","","","","","","","","","","","","","","","","","","","","","","","","English" "23359","Integrated Child Development Services Project II (ICDS II)","English","Large scale programmes","","IND","India","Madhya Pradesh|Bihar","","completed","","01-1970","ICDS II activities were carried out in Madhya Pradesh and Bihar between 1993 - 2001. Components of the programme were identical to those in ICDS I.
","WHO (2013) Essential Nutrition Actions – Improving maternal, newborn, infant and young child health and nutrition, which provides a compact of WHO guidance on nutrition interventions targeting the first 1000 days of life. Part I presents the interventions currently recommended by WHO, summarizes the rationale and the evidence, and describes the actions require to implement them. Part II provides an analysis of community-based interventions aimed at improving nutrition and indicates how effective interventions can be delivered in an integrated fashion. It shows how the essential nutrition actions described in the first part have been implemented in large-scale programmes in various settings, what the outcomes have been, and to examine the evidence for attribution of changes in nutritional outcomes to programme activities. This summary of ICDS II is retrieved from the ENA Part II where ICDS II is one of 32 large-scale community-based programs that has been reviewed in detail and evaluated.
http://www.who.int/nutrition/publications/infantfeeding/essential_nutrition_actions/en/
","","","","","","","","","","","","","","","","","","","","","","Bilateral and donor agencies and lenders","The World Bank","Underweight
","ICDS II was found to be unsuccessful in improving the nutritional status of children in Madhya Pradesh and Bihar. In Madhya Pradesh, there was found to be a 0.62 ppt/year increase in severe underweight prevalence and a 0.18 ppt/year increase in moderate underweight prevalence. In Bihar, a 0.93 ppt/year decrease in severe underweight prevalence and a 1.37 ppt/year decrease in moderate underweight prevalence were found.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English"