"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" "6098","Labelling of foods with nutritional information","English","Other","","TUN","Tunisia","Tunisia","Urban|Rural|Peri-urban","planned","","","
Food labelling including nutritional information has been specified by a decree issued on September 2008 by the Ministry of Public Health, the Ministry of Trade and Handicrafts and the Ministry of Energy and Small and Medium Enterprises. Educate consumers to read food labels before buying in order to make healthy choice is an action included in the national strategy to combat obesity and promote healthy life. Ministry of public health and representatives from all relevant government institutions, and private sector are partners in this programme.
","WHO Global Nutrition Policy Review 2009-2010, Module 6, Id:195, Respondent: Pr Jalila EL ATI National Institute of Nutrition and Food Technology 11 rue Jebel Lakhdar - Bab Saadoun 6 1007 Tunis, Tunisie
","","","","","","","","","","","","","","","","","","","","","Not yet available.","Government","","Food labelling including nutritional information has been specified by a decree issued on September 2008 by the Ministry of Public Health, the Ministry of Trade and Handicrafts and the Ministry of Energy and Small and Medium Enterprises. Educate consumers to read food labels before buying in order to make healthy choice is an action included in the national strategy to combat obesity and promote healthy life. Ministry of public health and representatives from all relevant government institutions, and private sector are partners in this programme.
","WHO Global Nutrition Policy Review 2009-2010, Module 6, Id:195, Respondent: Pr Jalila EL ATI National Institute of Nutrition and Food Technology 11 rue Jebel Lakhdar - Bab Saadoun 6 1007 Tunis, Tunisie
","","","","","","","","","","","","","","","","","","","","","Not yet available.","Government","","Periodical deworming and weekly supplementation of iron was offered free of charge to more than 52 000 women in the province. The acceptance of the intervention and the nutritional outcomes were followed up. In March 2008 the programme was expanded to cover 250 000 and the management handed over to provincial authorities.
","Pasricha SR, et al. Baseline Iron Indices as Predictors of Hemoglobin Improvement in Anemic Vietnamese Women Receiving Weekly Iron-Folic Acid Supplementation and Deworming (2009). American Journal of Tropical Medicine and Hygiene 81;1114-9.
Phuc TQ, et al. Lessons learned from implementation of a demonstration program to reduce the burden of anemia and hookworm in women in Yen Bai Province, Viet Nam. (2009). BMC Public Health.; 9: 266.
Casey GJ, et al. Long-term weekly iron-folic acid and de-worming is associated with stabilised haemoglobin and increasing iron stores in non-pregnant women in Vietnam. (2010) PLoS ONE 5, e15691.
Casey GJ., et al. Weekly iron-folic acid supplementation with regular deworming is cost-effective in preventing anaemia in women of reproductive age in Vietnam PLoS ONE [in print]
","","","Health","Provincial Health Department","World Health Organization (WHO)","","","","","","","","","","Research/academia","University of Melbourne","","","","","80 000 USD/ year initially provided by the University of Melbourne, as a starting up (including training activities and development of education material) after the first years the Provincial Health Department covered the running cost. WHO donated the deworming drugs.","Research/academia","","University of Melbourne","Government","","Provincial Health Department","UN","World Health Organization (WHO)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","6084","Acute malnutrition","Iron and folic acid supplementation","","Folic acid|Iron","","Women of reproductive age (WRA)","15-45 years","Yen Bai province","Primary health care center","","Weekly iron-folic acid tablets; 200mg ferrous sulphaet/0.4 mg folic acid
Deworming every 4 months with one albendazole tablet (400 mg) in the first year and 6-monthly thereafter
","Anemia prevalence
","Periodical prevalence surveys and compliance monitoring by the research and training centre for community development.
","52000 (In March 2008 the programme was expanded to cover 250 000 and the management handed over to provincial authorities.)","missing","","STH infection 75%","(after 30 months) STH infection 22%","Vulnerable groups","","Intermittent iron and folic acid supplementation for menstruating women>>>Intermittent iron and folic acid supplementation for menstruating women>>http://www.who.int/elena/titles/iron_women","Adherence","Independent monitoring started early to be able to modify training and packaging","Financial resources","No solution","","","","","","","","","","","","","","","","","","","In March 2008 the programme was expanded to cover 250 000 and the management handed over to provincial authorities.
","English" "6085","Weekly iron and folic acid supplementation (WIFS)/de-worming program","English","Community/sub-national","","VNM","Viet Nam","Yen Bai, Vietnam","Rural","on-going","01-2006","","Periodical deworming and weekly supplementation of iron was offered free of charge to more than 52 000 women in the province. The acceptance of the intervention and the nutritional outcomes were followed up. In March 2008 the programme was expanded to cover 250 000 and the management handed over to provincial authorities.
","Pasricha SR, et al. Baseline Iron Indices as Predictors of Hemoglobin Improvement in Anemic Vietnamese Women Receiving Weekly Iron-Folic Acid Supplementation and Deworming (2009). American Journal of Tropical Medicine and Hygiene 81;1114-9.
Phuc TQ, et al. Lessons learned from implementation of a demonstration program to reduce the burden of anemia and hookworm in women in Yen Bai Province, Viet Nam. (2009). BMC Public Health.; 9: 266.
Casey GJ, et al. Long-term weekly iron-folic acid and de-worming is associated with stabilised haemoglobin and increasing iron stores in non-pregnant women in Vietnam. (2010) PLoS ONE 5, e15691.
Casey GJ., et al. Weekly iron-folic acid supplementation with regular deworming is cost-effective in preventing anaemia in women of reproductive age in Vietnam PLoS ONE [in print]
","","","Health","Provincial Health Department","World Health Organization (WHO)","","","","","","","","","","Research/academia","University of Melbourne","","","","","80 000 USD/ year initially provided by the University of Melbourne, as a starting up (including training activities and development of education material) after the first years the Provincial Health Department covered the running cost. WHO donated the deworming drugs.","Research/academia","","University of Melbourne","Government","","Provincial Health Department","UN","World Health Organization (WHO)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","8875","","Deworming","","","","Women of reproductive age (WRA)","15-45","Yen Bai ","Community-based","","","Hookworm prevalence
","","250000","missing","","","","Vulnerable groups","","Deworming to combat the health and nutritional impact of soil-transmitted helminths>>>Deworming to combat the health and nutritional impact of soil-transmitted helminths>>http://www.who.int/elena/titles/deworming","","","","","","","","","","","","","","","","","","","","","","","","English" "9119","Infant and Young Child Nutrition (IYCN) Project ","English","Multi-national","","ETH","Ethiopia","Ethiopia","Urban|Rural","completed","01-2010","01-2011","From January 2010 to December 2011, the Infant and Young Child Nutrition (IYCN) Project supported the Federal Ministry of Health (FMOH) and US President’s Emergency Plan for AIDS Relief (PEPFAR) partners in Ethiopia to improve maternal and child nutrition practices and increase HIV-free survival of children. Although Ethiopia has successfully integrated services for prevention of mother-to-child transmission (PMTCT) of HIV with antenatal care (ANC) services, many facility-based providers lack nutrition counseling skills and access to tools and materials to help them offer adequate support to mothers and children. The project worked with the Ethiopian government and partners to improve the quality of nutrition assessment, counseling, and support services in several communities in Addis, Oromia, and Amhara regions where the HIV prevalence rate is disproportionately high. This included developing behavior change communication tools and materials for health workers, health extension workers, and mothers’ support groups; updating the skills of agricultural extension workers to integrate nutrition education; and training health workers to better counsel mothers, particularly those who are HIV-positive, about optimal maternal, infant, and young child nutrition practices.
","Nutritional care and support for people living with HIV/AIDS was reported to the Global Nutrition Policy Review (GNPR) 2009-2010The FMOH has developed a four-pronged national strategy for PMTCT: primary prevention of HIV infection; prevention of unintended pregnancies among HIV-positive women; prevention of HIV transmission from infected women to their infants; and treatment, care, and support of HIVpositive women and their infants and families. All health centers have a system of identifying infants born to HIV-positive mothers as part of their PMTCT program. 11The following is a brief description of the flow of PMTCT services, commencing from a woman’s first visit for ANC:All women coming for ANC are routinely informed—individually or in a group—about the benefits of HIV testing for mothers and babies. During this process—known as providerinitiated HIV counseling and testing—mothers reserve the right to say “NO.” Those who say “YES” will be tested.Women with positive results are referred to MSG mentors, and ANC follow-up continues. Their partners will also be tested.MSG mentors counsel an HIV-positive woman and transfer her to the ART nurse for antiretroviral drugs.The ART nurse takes a CD4 count. If not eligible for treatment based on her count, the woman will commence treatment and ANC follow-up continues. If she is eligible for treatment based on her count, she will be put on complete antiretroviral prophylaxis that starts at 27 weeks of gestation.Follow-up continues and the mother is advised to deliver at a health facility.At delivery, the infant will be started on prophylaxis as an HIV-exposed infant.A dried blood sample will be taken from the infant for polymerase chain reaction (PCR) testing after 45 days.Follow-up continues until cessation of breastfeeding, with re-screening done six weeks later.
","CD4 countsPCR test for HIV status of iinfant
","","x","Highly HIV prevalent regions","","","","Vulnerable groups","","Infant feeding for the prevention of mother-to-child transmission of HIV>>>Infant feeding for the prevention of mother-to-child transmission of HIV>>http://www.who.int/elena/titles/hiv_infant_feeding","","","","","","","","","","","","","","","","","","","","","","","Aberash, a 33-year-old woman, was in the 36th week of her pregnancy at the time of this assessment. She was not married and had tested HIV positive. Since the time she had learned her HIV status, Aberash had been visiting the health center in Shashemene at least once every week—and sometimes more often. Her primary concern was transmitting HIV to her unborn baby. Sr Terunesh*, the nurse responsible for ANC services at the health center, had been counseling Aberash on a number of issues related to her well-being and that of the baby. These discussions usually included nutrition-related issues, specifically breastfeeding and its potential hazards. In addition to these counseling sessions, Sr Terunesh had connected Aberash with the MSG for continued support, counseling, and encouragement, both from the mentors and from other mothers in the group.* Not her real name.
","English" "9119","Infant and Young Child Nutrition (IYCN) Project ","English","Multi-national","","ETH","Ethiopia","Ethiopia","Urban|Rural","completed","01-2010","01-2011","From January 2010 to December 2011, the Infant and Young Child Nutrition (IYCN) Project supported the Federal Ministry of Health (FMOH) and US President’s Emergency Plan for AIDS Relief (PEPFAR) partners in Ethiopia to improve maternal and child nutrition practices and increase HIV-free survival of children. Although Ethiopia has successfully integrated services for prevention of mother-to-child transmission (PMTCT) of HIV with antenatal care (ANC) services, many facility-based providers lack nutrition counseling skills and access to tools and materials to help them offer adequate support to mothers and children. The project worked with the Ethiopian government and partners to improve the quality of nutrition assessment, counseling, and support services in several communities in Addis, Oromia, and Amhara regions where the HIV prevalence rate is disproportionately high. This included developing behavior change communication tools and materials for health workers, health extension workers, and mothers’ support groups; updating the skills of agricultural extension workers to integrate nutrition education; and training health workers to better counsel mothers, particularly those who are HIV-positive, about optimal maternal, infant, and young child nutrition practices.
","Behaviour change communication and/or counselling for improved complementary feeding was reported to the Global Nutrition Policy Review (GNPR) 2009-2010Trials for Improved Practices (TIPs) is a relatively new and innovative methodology for Ethiopia, especially its use in shaping critical strategies to improve IYCF behaviors. The standard approach to TIPs implementation involves three household visits. The purpose of the first visit is to learn about current household feeding practices. The second visit is a ―counseling visit,‖ which includes the negotiating of a new practice with the mother or caregiver for her to try. The third visit is a follow-up visit to check on the mother’s experience in implementing the recommended/negotiated new practice. This ―negotiation TIPs‖ is mainly used in maternal and infant feeding, and identifies the best choices among a number of different actions that could yield IYCF nutrition benefits.
","Urban garden household participationFoods most frequently consumedHouseholds consuming at least four different food groups on a daily basis
","","x","Two similar, poor, urban populations from two districts (Adama and Debra Zeit)","","","","Socio-economic status","","Complementary feeding>>>Complementary feeding>>http://www.who.int/elena/titles/complementary_feeding","","","","","","","","","","","","","","","","","","","","","","The results point to some specific areas that appear to be the most promising for improving complementary child feeding practices across the different age groups from 6 to 24 months:Improving the porridge/special food given to the child by adding different foods to enhance the quality and increase the energy density;Adding different mixtures to the porridge or giving different food combinations such as egg and potato;Adding fruits to the child’s diet, bearing in mind economic constraints that limit availability of fruit on a daily basis;Trying to introduce vegetables earlier, starting after six months and continuing (when mothers tried adding vegetables they found that their fears of ―doing harm‖ to the child were not justified); Increasing the amount of food provided in part by adding additional foods (fruits and vegetables); andUsing a separate bowl/plate for the child to facilitate monitoring the amount of food the child consumes.
","","English" "9119","Infant and Young Child Nutrition (IYCN) Project ","English","Multi-national","","ETH","Ethiopia","Ethiopia","Urban|Rural","completed","01-2010","01-2011","From January 2010 to December 2011, the Infant and Young Child Nutrition (IYCN) Project supported the Federal Ministry of Health (FMOH) and US President’s Emergency Plan for AIDS Relief (PEPFAR) partners in Ethiopia to improve maternal and child nutrition practices and increase HIV-free survival of children. Although Ethiopia has successfully integrated services for prevention of mother-to-child transmission (PMTCT) of HIV with antenatal care (ANC) services, many facility-based providers lack nutrition counseling skills and access to tools and materials to help them offer adequate support to mothers and children. The project worked with the Ethiopian government and partners to improve the quality of nutrition assessment, counseling, and support services in several communities in Addis, Oromia, and Amhara regions where the HIV prevalence rate is disproportionately high. This included developing behavior change communication tools and materials for health workers, health extension workers, and mothers’ support groups; updating the skills of agricultural extension workers to integrate nutrition education; and training health workers to better counsel mothers, particularly those who are HIV-positive, about optimal maternal, infant, and young child nutrition practices.
","Distribution of insecticide-treated bednets was reported to the Global Nutrition Policy Review (GNPR) 2009-2010
","","","","National coverage","","","","","","Insecticide-treated nets to prevent malaria and anaemia in pregnant women>>>Insecticide-treated nets to prevent malaria and anaemia in pregnant women>>http://www.who.int/elena/titles/bednets_malaria_pregnancy","","","","","","","","","","","","","","","","","","","","","","","","English" "9119","Infant and Young Child Nutrition (IYCN) Project ","English","Multi-national","","ETH","Ethiopia","Ethiopia","","","","","From January 2010 to December 2011, the Infant and Young Child Nutrition (IYCN) Project supported the Federal Ministry of Health (FMOH) and US President’s Emergency Plan for AIDS Relief (PEPFAR) partners in Ethiopia to improve maternal and child nutrition practices and increase HIV-free survival of children. Although Ethiopia has successfully integrated services for prevention of mother-to-child transmission (PMTCT) of HIV with antenatal care (ANC) services, many facility-based providers lack nutrition counseling skills and access to tools and materials to help them offer adequate support to mothers and children. The project worked with the Ethiopian government and partners to improve the quality of nutrition assessment, counseling, and support services in several communities in Addis, Oromia, and Amhara regions where the HIV prevalence rate is disproportionately high. This included developing behavior change communication tools and materials for health workers, health extension workers, and mothers’ support groups; updating the skills of agricultural extension workers to integrate nutrition education; and training health workers to better counsel mothers, particularly those who are HIV-positive, about optimal maternal, infant, and young child nutrition practices.
","Promotion of handwashing or hygiene interventions was reported to the Global Nutrition Policy Review (GNPR) 2009-2010
","","","","National coverage","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English" "9119","Infant and Young Child Nutrition (IYCN) Project ","English","Multi-national","","ETH","Ethiopia","Ethiopia","Urban|Rural","completed","01-2010","01-2011","From January 2010 to December 2011, the Infant and Young Child Nutrition (IYCN) Project supported the Federal Ministry of Health (FMOH) and US President’s Emergency Plan for AIDS Relief (PEPFAR) partners in Ethiopia to improve maternal and child nutrition practices and increase HIV-free survival of children. Although Ethiopia has successfully integrated services for prevention of mother-to-child transmission (PMTCT) of HIV with antenatal care (ANC) services, many facility-based providers lack nutrition counseling skills and access to tools and materials to help them offer adequate support to mothers and children. The project worked with the Ethiopian government and partners to improve the quality of nutrition assessment, counseling, and support services in several communities in Addis, Oromia, and Amhara regions where the HIV prevalence rate is disproportionately high. This included developing behavior change communication tools and materials for health workers, health extension workers, and mothers’ support groups; updating the skills of agricultural extension workers to integrate nutrition education; and training health workers to better counsel mothers, particularly those who are HIV-positive, about optimal maternal, infant, and young child nutrition practices.
","Maternal deworming in pregnancy was reported to the Global Nutrition Policy Review (GNPR) 2009-2010
","","","","National coverage","","","","","","Deworming to combat the health and nutritional impact of soil-transmitted helminths>>>Deworming to combat the health and nutritional impact of soil-transmitted helminths>>http://www.who.int/elena/titles/deworming","","","","","","","","","","","","","","","","","","","","","","","","English" "9119","Infant and Young Child Nutrition (IYCN) Project ","English","Multi-national","","ETH","Ethiopia","Ethiopia","","","","","From January 2010 to December 2011, the Infant and Young Child Nutrition (IYCN) Project supported the Federal Ministry of Health (FMOH) and US President’s Emergency Plan for AIDS Relief (PEPFAR) partners in Ethiopia to improve maternal and child nutrition practices and increase HIV-free survival of children. Although Ethiopia has successfully integrated services for prevention of mother-to-child transmission (PMTCT) of HIV with antenatal care (ANC) services, many facility-based providers lack nutrition counseling skills and access to tools and materials to help them offer adequate support to mothers and children. The project worked with the Ethiopian government and partners to improve the quality of nutrition assessment, counseling, and support services in several communities in Addis, Oromia, and Amhara regions where the HIV prevalence rate is disproportionately high. This included developing behavior change communication tools and materials for health workers, health extension workers, and mothers’ support groups; updating the skills of agricultural extension workers to integrate nutrition education; and training health workers to better counsel mothers, particularly those who are HIV-positive, about optimal maternal, infant, and young child nutrition practices.
","Preventive treatment of malaria in women was reported to the Global Nutrition Policy Review (GNPR) 2009-2010
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English" "9119","Infant and Young Child Nutrition (IYCN) Project ","English","Multi-national","","ETH","Ethiopia","Ethiopia","Urban|Rural","completed","01-2010","01-2011","From January 2010 to December 2011, the Infant and Young Child Nutrition (IYCN) Project supported the Federal Ministry of Health (FMOH) and US President’s Emergency Plan for AIDS Relief (PEPFAR) partners in Ethiopia to improve maternal and child nutrition practices and increase HIV-free survival of children. Although Ethiopia has successfully integrated services for prevention of mother-to-child transmission (PMTCT) of HIV with antenatal care (ANC) services, many facility-based providers lack nutrition counseling skills and access to tools and materials to help them offer adequate support to mothers and children. The project worked with the Ethiopian government and partners to improve the quality of nutrition assessment, counseling, and support services in several communities in Addis, Oromia, and Amhara regions where the HIV prevalence rate is disproportionately high. This included developing behavior change communication tools and materials for health workers, health extension workers, and mothers’ support groups; updating the skills of agricultural extension workers to integrate nutrition education; and training health workers to better counsel mothers, particularly those who are HIV-positive, about optimal maternal, infant, and young child nutrition practices.
","Promoting and implementation of delayed cord clamping was reported to the Global Nutrition Policy Review (GNPR) 2009-2010
","","","","National coverage","","","","","","Cord clamping for the prevention of iron deficiency anaemia in infants: optimal timing>>>Cord clamping for the prevention of iron deficiency anaemia in infants: optimal timing>>http://www.who.int/elena/titles/cord_clamping","","","","","","","","","","","","","","","","","","","","","","","","English" "9119","Infant and Young Child Nutrition (IYCN) Project ","English","Multi-national","","ETH","Ethiopia","Ethiopia","","","","","From January 2010 to December 2011, the Infant and Young Child Nutrition (IYCN) Project supported the Federal Ministry of Health (FMOH) and US President’s Emergency Plan for AIDS Relief (PEPFAR) partners in Ethiopia to improve maternal and child nutrition practices and increase HIV-free survival of children. Although Ethiopia has successfully integrated services for prevention of mother-to-child transmission (PMTCT) of HIV with antenatal care (ANC) services, many facility-based providers lack nutrition counseling skills and access to tools and materials to help them offer adequate support to mothers and children. The project worked with the Ethiopian government and partners to improve the quality of nutrition assessment, counseling, and support services in several communities in Addis, Oromia, and Amhara regions where the HIV prevalence rate is disproportionately high. This included developing behavior change communication tools and materials for health workers, health extension workers, and mothers’ support groups; updating the skills of agricultural extension workers to integrate nutrition education; and training health workers to better counsel mothers, particularly those who are HIV-positive, about optimal maternal, infant, and young child nutrition practices.
","From January 2010 to December 2011, the Infant and Young Child Nutrition (IYCN) Project supported the Federal Ministry of Health (FMOH) and US President’s Emergency Plan for AIDS Relief (PEPFAR) partners in Ethiopia to improve maternal and child nutrition practices and increase HIV-free survival of children. Although Ethiopia has successfully integrated services for prevention of mother-to-child transmission (PMTCT) of HIV with antenatal care (ANC) services, many facility-based providers lack nutrition counseling skills and access to tools and materials to help them offer adequate support to mothers and children. The project worked with the Ethiopian government and partners to improve the quality of nutrition assessment, counseling, and support services in several communities in Addis, Oromia, and Amhara regions where the HIV prevalence rate is disproportionately high. This included developing behavior change communication tools and materials for health workers, health extension workers, and mothers’ support groups; updating the skills of agricultural extension workers to integrate nutrition education; and training health workers to better counsel mothers, particularly those who are HIV-positive, about optimal maternal, infant, and young child nutrition practices.
","Deworming of children 0-2 years was reported to the Global Nutrition Policy Review (GNPR) 2009-2010
","","","","National coverage","","","","","","Deworming to combat the health and nutritional impact of soil-transmitted helminths>>>Deworming to combat the health and nutritional impact of soil-transmitted helminths>>http://www.who.int/elena/titles/deworming","","","","","","","","","","","","","","","","","","","","","","","","English" "9119","Infant and Young Child Nutrition (IYCN) Project ","English","Multi-national","","ETH","Ethiopia","Ethiopia","Urban|Rural","completed","01-2010","01-2011","From January 2010 to December 2011, the Infant and Young Child Nutrition (IYCN) Project supported the Federal Ministry of Health (FMOH) and US President’s Emergency Plan for AIDS Relief (PEPFAR) partners in Ethiopia to improve maternal and child nutrition practices and increase HIV-free survival of children. Although Ethiopia has successfully integrated services for prevention of mother-to-child transmission (PMTCT) of HIV with antenatal care (ANC) services, many facility-based providers lack nutrition counseling skills and access to tools and materials to help them offer adequate support to mothers and children. The project worked with the Ethiopian government and partners to improve the quality of nutrition assessment, counseling, and support services in several communities in Addis, Oromia, and Amhara regions where the HIV prevalence rate is disproportionately high. This included developing behavior change communication tools and materials for health workers, health extension workers, and mothers’ support groups; updating the skills of agricultural extension workers to integrate nutrition education; and training health workers to better counsel mothers, particularly those who are HIV-positive, about optimal maternal, infant, and young child nutrition practices.
","Management of MAM was reported to the Global Nutrition Policy Review (GNPR) 2009-2010. Protocol used: Emergency Nutrition Intervention Guideline, August 2004
","","","","National coverage","","","","","","eLENA titles related to prevention or treatment of moderate acute malnutrition in children>>>Supplementary feeding in community settings for promoting child growth>>http://www.who.int/elena/titles/child_growth|Food supplementation in children with moderate acute malnutrition>>http://www.who.int/elena/titles/food_children_mam","","","","","","","","","","","","","","","","","","","","","","","","English" "9119","Infant and Young Child Nutrition (IYCN) Project ","English","Multi-national","","ETH","Ethiopia","Ethiopia","","","","","From January 2010 to December 2011, the Infant and Young Child Nutrition (IYCN) Project supported the Federal Ministry of Health (FMOH) and US President’s Emergency Plan for AIDS Relief (PEPFAR) partners in Ethiopia to improve maternal and child nutrition practices and increase HIV-free survival of children. Although Ethiopia has successfully integrated services for prevention of mother-to-child transmission (PMTCT) of HIV with antenatal care (ANC) services, many facility-based providers lack nutrition counseling skills and access to tools and materials to help them offer adequate support to mothers and children. The project worked with the Ethiopian government and partners to improve the quality of nutrition assessment, counseling, and support services in several communities in Addis, Oromia, and Amhara regions where the HIV prevalence rate is disproportionately high. This included developing behavior change communication tools and materials for health workers, health extension workers, and mothers’ support groups; updating the skills of agricultural extension workers to integrate nutrition education; and training health workers to better counsel mothers, particularly those who are HIV-positive, about optimal maternal, infant, and young child nutrition practices.
","Management of SAM was reported to the Global Nutrition Policy Review (GNPR) 2009-2010. Protocol used: Protocol for The Management of Severe Acute Malnutrition, FMOH, March 2009
","","","","National coverage","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English" "9144","Infant and Young Child Nutrition (IYCN) Project ","English","Multi-national","","GHA","Ghana","Ghana","Urban|Rural","completed","01-2010","01-2011","In 2010 and 2011, the US Agency for International Development’s (USAID) Infant & Young Child Nutrition (IYCN) Project provided technical assistance to the Global Alliance for Improved Nutrition (GAIN) to promote appropriate complementary feeding practices and encourage increased use of high-quality, fortified complementary foods to curb malnutrition among children 6-23 months of age.
Working in nine districts of Ghana’s Brong Ahafo Region, the project used a social marketing approach to engage households and communities through radio spots, radio discussions with community health workers and community leaders, and use of social and behavior change communication materials. These behavior change techniques aimed to increase knowledge and application of appropriate complementary feeding practices among low-income households caring for young children.
","Behaviour change communication and/or counselling for improved complementary feeding was reported to the Global Nutrition Policy Review (GNPR) 2009-2010SamplingStudy participants were drawn from 45 communities in the nine project districts. The communities were selected based on the presence of mother support groups and church-based groups. In each district, purposeful sampling was used to select the female caregivers.1 The criterion used for selecting female respondents was that they were caregivers of children 6-24 months. Fathers2 of children 6-24 months, health workers, and community group leaders were selected using convenience sampling. Data collection methodsBoth qualitative and quantitative methods were used to conduct this study. Data were collected using a structured survey, in-depth interviews, and focus group discussions (FGDs) (see Appendix 2 for the study tools). Findings from all three sources were triangulated for the purpose of validation.Structured surveyEach study community was divided into six sub-areas, and one caregiver was selected from each sampled household within each sub-area, for a total of six participants per community.3Households in the cluster were numbered, and one was randomly selected. In a sampled household where there was more than one caregiver for the child aged 6-24 months, data collectors purposefully sampled for the interview one mother or caregiver who regularly fed the index child. In a situation where the selected caregiver had more than one child aged 6-24 months, the older one was selected as the index child. In-depth interviewsBased on the classification of health facilities in Brong Ahafo Region, we identified and selected four categories to use in the data collection exercise: district hospitals, clinics, health centers, and Community-Based Health Planning and Services compounds. In each district, five health workers were interviewed, including two health workers from the district hospital responsible for child welfare clinics (growth monitoring sessions) and one from each of the other three facility categories. Leaders of mother support groups and church-based groups at the community level whose activities could impact infant and young child feeding practices were also interviewed. In each district, five of these groups were randomly selected from a list of such groups within the district. Identification and sampling of the groups was done with the help of district-level health staff.
","From October 2010 to December 2011, the project:•Aired 855 radio spots with key messages on complementary feeding on Radio BAR, Omega FM, Success FM, Jerryson FM, Chris FM, Adarz FM, Star FM, and Royals FM. An additional 340 spots are scheduled to air in January 2012.Distributed 5,860 posters with key messages.Distributed 19,428 flyers with key messages.Trained 196 health workers and 137 community group leaders in appropriate complementary feeding practices and the use of BCC materials. Reached around 2,500 community group members with appropriate complementary feeding messages through trained group leaders.
","","45 communities in 9 selected districts in Brong- Ahafo region","45 communities in 9 selected districts in Brong- Ahafo region (","","Initiation of complementary feeding; Frequency of feeding; Feeding a variety of foods to children 6-24 months; Knowledge of three food groups; Caregivers who followed the World Health Organization’s (WHO) recommended practice of starting complementary foods at 6 months; Caregivers who gave fortified complementary foods to their children aged 6 to 9 months two or more times per day; Caregivers who gave their children aged 6 to 9 months porridge thick enough to stay on a spoon.","","Socio-economic status","","Complementary feeding>>>Complementary feeding>>http://www.who.int/elena/titles/complementary_feeding","","","","","","","","","","","","","","","","","","","","","","Engaging District Health Management Teams is integral to success. IYCN and partners engaged district heads early in the process. As a result, they demonstrated strong support for the activities and they are poised to monitor the community-level activities to ensure effective rollout, dissemination, and distribution of BCC materials.Partnerships can help to expand reach. By collaborating with the BCS Project and leveraging a national behavior change communication campaign, the project was able to expand reach of the complementary feeding messages. Although the social marketing strategy targets the Brong Ahafo region, radio spots and BCC materials will be spread across the country as part of the Healthy Eating for Good Life campaign. Local partners at the district level, such as World Vision Ghana, also carried messages into districts outside of the project’s target area.Job-aids are necessary in communicating behavior change messages. Health workers in the target districts welcomed posters and leaflets that contained key messages and were grateful for them. It certainly made work easier for them. Since the orientations, community workers have displayed posters on walls in vantage points in all the communities and caregivers discussed the contents of the leaflets at community meetings.
","In addition to breastmilk, we give local dishes like palm nut soup with soya beans, banku and groundnut soup, fufu with soup, kontomire [cocoyam leaf] with soya beans, and fish soup. We also give them oranges and pineapple — FGD with women Sunyani West District.At weighing, we are taught how to dress the child, breastfeeding, cleanliness, sleeping under mosquito nets, and family planning, how to feed the child. — FGDs with women Jaman South and Sunyani West Districts“I learned a lot of things here. You see my son likes the breastmilk and the only other thing he will eat is porridge; so I am going to read this leaflet so that it will guide me on what to feed him. You see he is my firstborn so his health is important to me.” —Nursing mother“This project is a good start of what we want to see in the community; that the caregiver is empowered to be in charge of the health and good development of their children. What I would also like to see is strengthening the skills and competencies of the health providers so that [they] would be able to help caregivers do appropriate feeding especially for the children under two years.” —Mrs. Wilhelmina Okwabi, Deputy Director of Health Services (Nutrition)“I was part of the data collection process and listening to the preliminary results gives me a sense of ownership; also the results show what is happening in the district and it shows us the work we are doing in the districts. We’ve learnt a lot here. We are going back to educate the mothers on what they are not doing well and encourage them to continue the good feeding practices.” —Technical officer, Vivian Dapaah District“We are thinking of ending malnutrition in children in line with Millennium Development Goal 4. If we don’t feed them well we cannot achieve this. That is why this [IYCN] project is very important and timely for the Regional Health Directorate.” —WS Supiimeh, Regional Health Promoter
","English" "9144","Infant and Young Child Nutrition (IYCN) Project ","English","Multi-national","","GHA","Ghana","Ghana","","","","","In 2010 and 2011, the US Agency for International Development’s (USAID) Infant & Young Child Nutrition (IYCN) Project provided technical assistance to the Global Alliance for Improved Nutrition (GAIN) to promote appropriate complementary feeding practices and encourage increased use of high-quality, fortified complementary foods to curb malnutrition among children 6-23 months of age.
Working in nine districts of Ghana’s Brong Ahafo Region, the project used a social marketing approach to engage households and communities through radio spots, radio discussions with community health workers and community leaders, and use of social and behavior change communication materials. These behavior change techniques aimed to increase knowledge and application of appropriate complementary feeding practices among low-income households caring for young children.
","Nutritional care and support for people living with HIV/AIDS was reported to the Global Nutrition Policy Review (GNPR) 2009-2010
","","","","National coverage","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English" "9144","Infant and Young Child Nutrition (IYCN) Project ","English","Multi-national","","GHA","Ghana","Ghana","","","","","In 2010 and 2011, the US Agency for International Development’s (USAID) Infant & Young Child Nutrition (IYCN) Project provided technical assistance to the Global Alliance for Improved Nutrition (GAIN) to promote appropriate complementary feeding practices and encourage increased use of high-quality, fortified complementary foods to curb malnutrition among children 6-23 months of age.
Working in nine districts of Ghana’s Brong Ahafo Region, the project used a social marketing approach to engage households and communities through radio spots, radio discussions with community health workers and community leaders, and use of social and behavior change communication materials. These behavior change techniques aimed to increase knowledge and application of appropriate complementary feeding practices among low-income households caring for young children.
","In 2010 and 2011, the US Agency for International Development’s (USAID) Infant & Young Child Nutrition (IYCN) Project provided technical assistance to the Global Alliance for Improved Nutrition (GAIN) to promote appropriate complementary feeding practices and encourage increased use of high-quality, fortified complementary foods to curb malnutrition among children 6-23 months of age.
Working in nine districts of Ghana’s Brong Ahafo Region, the project used a social marketing approach to engage households and communities through radio spots, radio discussions with community health workers and community leaders, and use of social and behavior change communication materials. These behavior change techniques aimed to increase knowledge and application of appropriate complementary feeding practices among low-income households caring for young children.
","In 2010 and 2011, the US Agency for International Development’s (USAID) Infant & Young Child Nutrition (IYCN) Project provided technical assistance to the Global Alliance for Improved Nutrition (GAIN) to promote appropriate complementary feeding practices and encourage increased use of high-quality, fortified complementary foods to curb malnutrition among children 6-23 months of age.
Working in nine districts of Ghana’s Brong Ahafo Region, the project used a social marketing approach to engage households and communities through radio spots, radio discussions with community health workers and community leaders, and use of social and behavior change communication materials. These behavior change techniques aimed to increase knowledge and application of appropriate complementary feeding practices among low-income households caring for young children.
","Distribution of insecticide-treated bednets was reported to the Global Nutrition Policy Review (GNPR) 2009-2010
","","","","National coverage","","","","","","Insecticide-treated nets to prevent malaria and anaemia in pregnant women>>>Insecticide-treated nets to prevent malaria and anaemia in pregnant women>>http://www.who.int/elena/titles/bednets_malaria_pregnancy","","","","","","","","","","","","","","","","","","","","","","","","English" "9144","Infant and Young Child Nutrition (IYCN) Project ","English","Multi-national","","GHA","Ghana","Ghana","Urban|Rural","completed","01-2010","01-2011","In 2010 and 2011, the US Agency for International Development’s (USAID) Infant & Young Child Nutrition (IYCN) Project provided technical assistance to the Global Alliance for Improved Nutrition (GAIN) to promote appropriate complementary feeding practices and encourage increased use of high-quality, fortified complementary foods to curb malnutrition among children 6-23 months of age.
Working in nine districts of Ghana’s Brong Ahafo Region, the project used a social marketing approach to engage households and communities through radio spots, radio discussions with community health workers and community leaders, and use of social and behavior change communication materials. These behavior change techniques aimed to increase knowledge and application of appropriate complementary feeding practices among low-income households caring for young children.
","Deworming of children 0-2 years was reported to the Global Nutrition Policy Review (GNPR) 2009-2010
","","","","National coverage","","","","","","Deworming to combat the health and nutritional impact of soil-transmitted helminths>>>Deworming to combat the health and nutritional impact of soil-transmitted helminths>>http://www.who.int/elena/titles/deworming","","","","","","","","","","","","","","","","","","","","","","","","English" "9144","Infant and Young Child Nutrition (IYCN) Project ","English","Multi-national","","GHA","Ghana","Ghana","Urban|Rural","completed","01-2010","01-2011","In 2010 and 2011, the US Agency for International Development’s (USAID) Infant & Young Child Nutrition (IYCN) Project provided technical assistance to the Global Alliance for Improved Nutrition (GAIN) to promote appropriate complementary feeding practices and encourage increased use of high-quality, fortified complementary foods to curb malnutrition among children 6-23 months of age.
Working in nine districts of Ghana’s Brong Ahafo Region, the project used a social marketing approach to engage households and communities through radio spots, radio discussions with community health workers and community leaders, and use of social and behavior change communication materials. These behavior change techniques aimed to increase knowledge and application of appropriate complementary feeding practices among low-income households caring for young children.
","Maternal deworming in pregnancy was reported to the Global Nutrition Policy Review (GNPR) 2009-2010
","","","","National coverage","","","","","","Deworming to combat the health and nutritional impact of soil-transmitted helminths>>>Deworming to combat the health and nutritional impact of soil-transmitted helminths>>http://www.who.int/elena/titles/deworming","","","","","","","","","","","","","","","","","","","","","","","","English" "9144","Infant and Young Child Nutrition (IYCN) Project ","English","Multi-national","","GHA","Ghana","Ghana","","","","","In 2010 and 2011, the US Agency for International Development’s (USAID) Infant & Young Child Nutrition (IYCN) Project provided technical assistance to the Global Alliance for Improved Nutrition (GAIN) to promote appropriate complementary feeding practices and encourage increased use of high-quality, fortified complementary foods to curb malnutrition among children 6-23 months of age.
Working in nine districts of Ghana’s Brong Ahafo Region, the project used a social marketing approach to engage households and communities through radio spots, radio discussions with community health workers and community leaders, and use of social and behavior change communication materials. These behavior change techniques aimed to increase knowledge and application of appropriate complementary feeding practices among low-income households caring for young children.
","Preventive treatment of malaria in women was reported to the Global Nutrition Policy Review (GNPR) 2009-2010
","","","","National coverage","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English" "9144","Infant and Young Child Nutrition (IYCN) Project ","English","Multi-national","","GHA","Ghana","Ghana","Urban|Rural","completed","01-2010","01-2011","In 2010 and 2011, the US Agency for International Development’s (USAID) Infant & Young Child Nutrition (IYCN) Project provided technical assistance to the Global Alliance for Improved Nutrition (GAIN) to promote appropriate complementary feeding practices and encourage increased use of high-quality, fortified complementary foods to curb malnutrition among children 6-23 months of age.
Working in nine districts of Ghana’s Brong Ahafo Region, the project used a social marketing approach to engage households and communities through radio spots, radio discussions with community health workers and community leaders, and use of social and behavior change communication materials. These behavior change techniques aimed to increase knowledge and application of appropriate complementary feeding practices among low-income households caring for young children.
","Distribution of complementary foods was reported to the Global Nutrition Policy Review (GNPR) 2009-2010
","","","","National coverage","","","","","","eLENA titles related to prevention or treatment of moderate acute malnutrition in children>>>Supplementary feeding in community settings for promoting child growth>>http://www.who.int/elena/titles/child_growth|Food supplementation in children with moderate acute malnutrition>>http://www.who.int/elena/titles/food_children_mam","","","","","","","","","","","","","","","","","","","","","","","","English" "9241","Infant and Young Child Nutrition (IYCN) Project ","English","Multi-national","","KEN","Kenya","Kenya","Urban|Rural","completed","01-2006","01-2011","The US Agency for International Development’s (USAID) Infant & Young Child Nutrition (IYCN) Project built support within communities and households for improving the way mothers in Kenya feed their infants, young children, and themselves. The IYCN Project collaborated with the government of Kenya and USAID-funded partners to conduct an assessment of infant feeding practices in Kenya’s Western and Eastern Provinces, which informed several national strategies and programs. The project also completed a literature review and a formative assessment on engaging fathers and grandmothers in infant and young child nutrition. Findings informed the design of an evaluation to test the effectiveness of interventions that engage fathers and grandmothers to improve and support mothers’ dietary and infant and young child feeding practices. To complement these efforts, IYCN partnered with the USAID-supported AIDS, Population and Health Integrated Assistance (APHIA) II and APHIAplus Projects to increase support for optimal infant feeding practices at the facility level and in the community
","Nutritional care and support for people living with HIV/AIDS was reported to the Global Nutrition Policy Review (GNPR) 2009-2010Study preparation and data collectionDue to the post-election violence that occurred in Kenya in January and February 2008, initiation of this study was postponed from its original start date of January 2008 to May 2008 to ensure the safety of the field team. The study team for Western Province included one field supervisor and four research assistants who were fluent in the local Luhya and Swahili languages. The study team for Eastern Province included one field supervisor and four research assistants who were fluent in Kamba, Swahili, and Kikuyu. A data analyst was also hired to enter and clean data in real time, as well as to assist with data analysis. Study procedural training was held with the entire study team, led by Dr. Kiersten Israel-Ballard and Ms. Margaret Waithaka, May 19–23, 2008. This included pretesting the data collection tools, revising all translations as needed, and piloting them in multiple languages at a local clinic. The study launch was on May 26 for Eastern Province, with field support from Dr. Israel-Ballard, and June 2 for Western Province, with field support from Ms. Waithaka. The data collection tools utilized in this study are available upon request.Study populations and proceduresThis cross-sectional study was designed to collect formative research data in a descriptive manner. This study took place at APHIA II (AIDS, Population and Health Integrated Assistance [USAID-funded program]) affiliated sites in the Kakamega, Vihiga, Hamisi, and Bungoma Districts of Western Province and in the Kitui, Makueni, Kibwezi, Machakos, Mwala, Yatta, Mwingi, and Mbooni Districts of Eastern Province. These regions were selected to include food-secure areas of Western Province and food-insecure areas of Eastern Province. Data collection occurred between May and September 2008. According to the 2007 Kenya AIDS Indicator Survey, Eastern Province had an HIV prevalence of 4.7 and Western Province of 5.1.This study was composed of a convenience sample of quantitative in-depth interviews, brief post-counseling exit interviews, and counseling session observations. A total of 386 women older than 18 years of age were recruited. In-depth interviews were conducted with 285 women (137 in Eastern Province, 148 in Western Province). Women known to be HIV positive were recruited from PMTCT clinics, comprehensive care centers, and postnatal wards at local clinics and referral hospitals, as well as from support groups affiliated with the health centers. Inclusion criteria included being HIV infected, having an infant <18 months of age, and having stopped breastfeeding between 1 week to 6 months prior to participation. Survey questions focused on the period over which breastfeeding cessation took place, including the age of the infant, liquids and foods fed during this period and their associated costs and availability, infant illness, breast health, general challenges, as well as a 24-hour dietary recall to capture current infant feeding practices and challenges. Infant weight and mid-upper arm circumference (MUAC) were measured to capture current nutritional status.Post-counseling exit interviews were conducted with 80 women (50 in Eastern Province, 30 in Western Province) who had not participated in the cross-sectional survey. The difference in sample size between provinces was due to clinic staffing shortages, resulting in the lack Kenya Infant Feeding Assessment 5 of individual postnatal counseling in Western Province; group PMTCT counseling was more commonly practised Women known to be HIV positive were recruited upon leaving an antenatal or postnatal PMTCT counseling session at a health facility. Inclusion criteria included being HIV positive, being pregnant, or having an infant <12 months of age. Counseling session observations occurred 22 times with different women and in various clinics (9 in Eastern Province, 13 in Western Province). Inclusion criteria included being HIV positive, being pregnant, or having an infant <12 months of age. In Eastern Province, four of these observations were antenatal and five were postnatal; in Western Province nine were antenatal and four were postnatal. Antenatal mothers were recruited in the antenatal care (ANC) clinic in the PMTCT section. Postnatal mothers were recruited in the comprehensive care center or in the maternal and child health (MCH) ward. Three observations were of ANC group counseling sessions rather than individual sessions; two in Western, one in Eastern. The observer used a check list to indicate whether a specified topic had been covered during the session. Although recruitment criteria were inclusive of both antenatal and postnatal mothers with infants under 12 months of age, most (n = 8) of the mothers interviewed postnatally had infants of only 1 month of age, while one mother had a 3-month-old and another had a 9-month-old infant, thus limiting the infant age ranges. All clients who met the recruitment criteria and consented to join the study during the recruitment period were recruited. To ensure eligibility and guardianship of the infant we required identification documents prior to enrollment. Additionally, 11 local stakeholders, including district and provincial nutritionists and nursing officers from Nairobi and Eastern and Western Provinces, were informally interviewed to gather their perceptions and attitudes toward infant feeding in the context of HIV in their communities.
","Weightfor-age (WFA) z-score,Upper-arm-circumference-for-age z-scoreMUACcount of the number of morbidities (0 to 5) the infant experienced during or subsequent to weaning, chosen from a list of five morbidities (respiratory symptoms, diarrhea, dehydration symptoms, fever, and refusal to eat)
","To monitor the progress of infant feeding and HIV activities, IYCN provided reporting tools which included a form to help APHIA II Western-supported PMTCT counselors accurately report on their facility-based activities in a standardized way, and to provide an opportunity to share successes and challenges; an observation checklist to provide structured feedback to facility-based counselors to improve their counseling and facilitation skills; and a reporting form for community-based workers to report on infant feeding activities. Subsequently, several PMTCT and HIV partners adopted the tools for use in their programs.
","*","Western and Eastern Province","","","","Vulnerable groups","","Infant feeding for the prevention of mother-to-child transmission of HIV>>>Infant feeding for the prevention of mother-to-child transmission of HIV>>http://www.who.int/elena/titles/hiv_infant_feeding","","","","","","","","","","","","","","","","","","","","","","Confirming our post-counseling exit interview findings, we observed that few counselors discussed safe water as part of their AFASS assessment. Yet, this is a crucial factor for decision-making in this study population given that the most common water sources cited among mothers interviewed were rivers, dams, or open ponds. We also noted that the costs of replacement feeding were rarely mentioned. Interestingly, we observed more emphasis placed on risks from replacement feeding than on those from breastfeeding during ANC, but the opposite emphasis during postnatal visits, perhaps due to the perceived fear of infecting an otherwise healthy-looking infant. Regardless of when the counseling takes place, an accurate representation of risks and benefits associated with all infant feeding options needs to be conveyed to mothers. It was reassuring to note that most counseling sessions included discussion around how to stop breastfeeding, including mentioning that cessation should not occur until 6 months and that AFASS criteria should be in place, and providing an explanation of how a mother should physically stop breastfeeding (i.e., reduce number of breastfeeds per day) and how long the transition should take. However, as with the exit interviews, few mentioned manual expression to prevent breast pathologies. Although complementary foods were often discussed, mothers needed more detailed information on Kenya Infant Feeding Assessment 28 timing, frequency, quantity, diversity, and appropriate local foods to be able to optimally feed their infants. Although infants were often weighed, their growth progress was rarely discussed with the mother. Effective growth monitoring should also include growth promotion, which includes dialogue with the mother in order to identify and address problem areas before they lead to growth faltering or malnutrition.
","“I feel that those who fully understand/grasp the counseling are most likely to exclusively breastfeed.” - District Nursing Officer Western Province“If you take a mother through one-on-one counseling, most will then exclusively breastfeed successfully.” - District Nursing OfficerWestern Province
","English" "9241","Infant and Young Child Nutrition (IYCN) Project ","English","Multi-national","","KEN","Kenya","Kenya","","","","","The US Agency for International Development’s (USAID) Infant & Young Child Nutrition (IYCN) Project built support within communities and households for improving the way mothers in Kenya feed their infants, young children, and themselves. The IYCN Project collaborated with the government of Kenya and USAID-funded partners to conduct an assessment of infant feeding practices in Kenya’s Western and Eastern Provinces, which informed several national strategies and programs. The project also completed a literature review and a formative assessment on engaging fathers and grandmothers in infant and young child nutrition. Findings informed the design of an evaluation to test the effectiveness of interventions that engage fathers and grandmothers to improve and support mothers’ dietary and infant and young child feeding practices. To complement these efforts, IYCN partnered with the USAID-supported AIDS, Population and Health Integrated Assistance (APHIA) II and APHIAplus Projects to increase support for optimal infant feeding practices at the facility level and in the community
","The US Agency for International Development’s (USAID) Infant & Young Child Nutrition (IYCN) Project built support within communities and households for improving the way mothers in Kenya feed their infants, young children, and themselves. The IYCN Project collaborated with the government of Kenya and USAID-funded partners to conduct an assessment of infant feeding practices in Kenya’s Western and Eastern Provinces, which informed several national strategies and programs. The project also completed a literature review and a formative assessment on engaging fathers and grandmothers in infant and young child nutrition. Findings informed the design of an evaluation to test the effectiveness of interventions that engage fathers and grandmothers to improve and support mothers’ dietary and infant and young child feeding practices. To complement these efforts, IYCN partnered with the USAID-supported AIDS, Population and Health Integrated Assistance (APHIA) II and APHIAplus Projects to increase support for optimal infant feeding practices at the facility level and in the community
","Deworming of children 0-2 years was reported to the Global Nutrition Policy Review (GNPR) 2009-2010
","","","","National coverage","","","","","","Deworming to combat the health and nutritional impact of soil-transmitted helminths>>>Deworming to combat the health and nutritional impact of soil-transmitted helminths>>http://www.who.int/elena/titles/deworming","","","","","","","","","","","","","","","","","","","","","","","","English" "9241","Infant and Young Child Nutrition (IYCN) Project ","English","Multi-national","","KEN","Kenya","Kenya","Urban|Rural","completed","01-2006","01-2011","The US Agency for International Development’s (USAID) Infant & Young Child Nutrition (IYCN) Project built support within communities and households for improving the way mothers in Kenya feed their infants, young children, and themselves. The IYCN Project collaborated with the government of Kenya and USAID-funded partners to conduct an assessment of infant feeding practices in Kenya’s Western and Eastern Provinces, which informed several national strategies and programs. The project also completed a literature review and a formative assessment on engaging fathers and grandmothers in infant and young child nutrition. Findings informed the design of an evaluation to test the effectiveness of interventions that engage fathers and grandmothers to improve and support mothers’ dietary and infant and young child feeding practices. To complement these efforts, IYCN partnered with the USAID-supported AIDS, Population and Health Integrated Assistance (APHIA) II and APHIAplus Projects to increase support for optimal infant feeding practices at the facility level and in the community
","Distribution of insecticide-treated bednets was reported to the Global Nutrition Policy Review (GNPR) 2009-2010
","","","","National coverage","","","","","","Insecticide-treated nets to prevent malaria and anaemia in pregnant women>>>Insecticide-treated nets to prevent malaria and anaemia in pregnant women>>http://www.who.int/elena/titles/bednets_malaria_pregnancy","","","","","","","","","","","","","","","","","","","","","","","","English" "9241","Infant and Young Child Nutrition (IYCN) Project ","English","Multi-national","","KEN","Kenya","Kenya","","","","","The US Agency for International Development’s (USAID) Infant & Young Child Nutrition (IYCN) Project built support within communities and households for improving the way mothers in Kenya feed their infants, young children, and themselves. The IYCN Project collaborated with the government of Kenya and USAID-funded partners to conduct an assessment of infant feeding practices in Kenya’s Western and Eastern Provinces, which informed several national strategies and programs. The project also completed a literature review and a formative assessment on engaging fathers and grandmothers in infant and young child nutrition. Findings informed the design of an evaluation to test the effectiveness of interventions that engage fathers and grandmothers to improve and support mothers’ dietary and infant and young child feeding practices. To complement these efforts, IYCN partnered with the USAID-supported AIDS, Population and Health Integrated Assistance (APHIA) II and APHIAplus Projects to increase support for optimal infant feeding practices at the facility level and in the community
","The US Agency for International Development’s (USAID) Infant & Young Child Nutrition (IYCN) Project built support within communities and households for improving the way mothers in Kenya feed their infants, young children, and themselves. The IYCN Project collaborated with the government of Kenya and USAID-funded partners to conduct an assessment of infant feeding practices in Kenya’s Western and Eastern Provinces, which informed several national strategies and programs. The project also completed a literature review and a formative assessment on engaging fathers and grandmothers in infant and young child nutrition. Findings informed the design of an evaluation to test the effectiveness of interventions that engage fathers and grandmothers to improve and support mothers’ dietary and infant and young child feeding practices. To complement these efforts, IYCN partnered with the USAID-supported AIDS, Population and Health Integrated Assistance (APHIA) II and APHIAplus Projects to increase support for optimal infant feeding practices at the facility level and in the community
","Maternal deworming in pregnancy was reported to the Global Nutrition Policy Review (GNPR) 2009-2010
","","","","National coverage","","","","","","Deworming to combat the health and nutritional impact of soil-transmitted helminths>>>Deworming to combat the health and nutritional impact of soil-transmitted helminths>>http://www.who.int/elena/titles/deworming","","","","","","","","","","","","","","","","","","","","","","","","English" "9241","Infant and Young Child Nutrition (IYCN) Project ","English","Multi-national","","KEN","Kenya","Kenya","","","","","The US Agency for International Development’s (USAID) Infant & Young Child Nutrition (IYCN) Project built support within communities and households for improving the way mothers in Kenya feed their infants, young children, and themselves. The IYCN Project collaborated with the government of Kenya and USAID-funded partners to conduct an assessment of infant feeding practices in Kenya’s Western and Eastern Provinces, which informed several national strategies and programs. The project also completed a literature review and a formative assessment on engaging fathers and grandmothers in infant and young child nutrition. Findings informed the design of an evaluation to test the effectiveness of interventions that engage fathers and grandmothers to improve and support mothers’ dietary and infant and young child feeding practices. To complement these efforts, IYCN partnered with the USAID-supported AIDS, Population and Health Integrated Assistance (APHIA) II and APHIAplus Projects to increase support for optimal infant feeding practices at the facility level and in the community
","Preventive treatment of malaria in women was reported to the Global Nutrition Policy Review (GNPR) 2009-2010
","","","","National coverage","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English" "9241","Infant and Young Child Nutrition (IYCN) Project ","English","Multi-national","","KEN","Kenya","Kenya","","","","","The US Agency for International Development’s (USAID) Infant & Young Child Nutrition (IYCN) Project built support within communities and households for improving the way mothers in Kenya feed their infants, young children, and themselves. The IYCN Project collaborated with the government of Kenya and USAID-funded partners to conduct an assessment of infant feeding practices in Kenya’s Western and Eastern Provinces, which informed several national strategies and programs. The project also completed a literature review and a formative assessment on engaging fathers and grandmothers in infant and young child nutrition. Findings informed the design of an evaluation to test the effectiveness of interventions that engage fathers and grandmothers to improve and support mothers’ dietary and infant and young child feeding practices. To complement these efforts, IYCN partnered with the USAID-supported AIDS, Population and Health Integrated Assistance (APHIA) II and APHIAplus Projects to increase support for optimal infant feeding practices at the facility level and in the community
","The US Agency for International Development’s (USAID) Infant & Young Child Nutrition (IYCN) Project built support within communities and households for improving the way mothers in Kenya feed their infants, young children, and themselves. The IYCN Project collaborated with the government of Kenya and USAID-funded partners to conduct an assessment of infant feeding practices in Kenya’s Western and Eastern Provinces, which informed several national strategies and programs. The project also completed a literature review and a formative assessment on engaging fathers and grandmothers in infant and young child nutrition. Findings informed the design of an evaluation to test the effectiveness of interventions that engage fathers and grandmothers to improve and support mothers’ dietary and infant and young child feeding practices. To complement these efforts, IYCN partnered with the USAID-supported AIDS, Population and Health Integrated Assistance (APHIA) II and APHIAplus Projects to increase support for optimal infant feeding practices at the facility level and in the community
","Management of MAM was reported to the Global Nutrition Policy Review (GNPR) 2009-2010. Protocol used: IMAM
","","","","National coverage","","","","","","eLENA titles related to prevention or treatment of moderate acute malnutrition in children>>>Supplementary feeding in community settings for promoting child growth>>http://www.who.int/elena/titles/child_growth|Food supplementation in children with moderate acute malnutrition>>http://www.who.int/elena/titles/food_children_mam","","","","","","","","","","","","","","","","","","","","","","","","English" "9241","Infant and Young Child Nutrition (IYCN) Project ","English","Multi-national","","KEN","Kenya","Kenya","","","","","The US Agency for International Development’s (USAID) Infant & Young Child Nutrition (IYCN) Project built support within communities and households for improving the way mothers in Kenya feed their infants, young children, and themselves. The IYCN Project collaborated with the government of Kenya and USAID-funded partners to conduct an assessment of infant feeding practices in Kenya’s Western and Eastern Provinces, which informed several national strategies and programs. The project also completed a literature review and a formative assessment on engaging fathers and grandmothers in infant and young child nutrition. Findings informed the design of an evaluation to test the effectiveness of interventions that engage fathers and grandmothers to improve and support mothers’ dietary and infant and young child feeding practices. To complement these efforts, IYCN partnered with the USAID-supported AIDS, Population and Health Integrated Assistance (APHIA) II and APHIAplus Projects to increase support for optimal infant feeding practices at the facility level and in the community
","Management of SAM was reported to the Global Nutrition Policy Review (GNPR) 2009-2010. Protocol used: intergrated management of acute Malnutrition
","","","","National coverage","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English" "9451","Infant and Young Child Nutrition (IYCN) Project ","English","Multi-national","","NGA","Nigeria","Nigeria","Urban|Rural","completed","01-2009","01-2011","IYCN worked with the FMOH, other relevant government ministries, UNICEF, WHO, and the many partners implementing OVC and HIV/AIDS programs in Nigeria with funding from the President’s Emergency Plan for AIDS Relief (PEPFAR) to improve the nutritional status of children less than two years of age and their mothers. The project placed special emphasis on increasing the chance that children born to HIV-positivemothers live healthy lives free from HIV. Efforts focused on improving the enabling environment for nutrition programs by reviewing and updating policy guidelines and training manuals and building the capacity of health workers.
From 2009 to 2011, the US Agency for International Development’s (USAID) Infant & Young Child Nutrition (IYCN) Project supported the government of Nigeria’s efforts to reduce maternal and child undernutrition and improve the HIV-free survival of infants and young children. IYCN provided technical assistance to the Federal Ministry of Health (FMOH), the Federal Ministry of Women’s Affairs and Social Development, and other partners to review, update, and disseminate nutrition policies and guidelines, train health care workers in the Federal Capital Territory (FCT) and its surrounding area councils, and enhance behavior change interventions targeting HIV-positive mothers and HIV-exposed children.
The project also supported a quality improvement approach to strengthen nutrition assessment, counseling, and support (NACS) services at prevention of mother-to-child transmission of HIV and orphans and vulnerable children service sites in the FCT. As a result of IYCN’s role in Nigeria, the country adopted the World Health Organization’s (WHO) most recent recommendations on infant feeding within the context of HIV, and updated national guidelines were distributed to nutrition stakeholders across the country.
","STUDY DESIGNThe study consisted of an assessment using qualitative methodology. Within the focal area of FCT, four Area Councils were selected. First, the Area Councils were divided into urban/rural groups. Within each group, the “lucky dip” technique was used to pick two Area Councils. Within each selected Area Council, two urban and two rural communities were selected. Data collection was done at the health facility level. Health workers at the health facilities served as contact persons and mobilizers for respondents. In-depth interviews (IDIs) were conducted with key individuals in each of the communities, including traditional leaders, opinion leaders, community health workers, and community health volunteers. Focus group discussions (FGDs) were held amongst primary caregivers (mothers) of children under six months of age, primary caregivers of children between 6 and 24 months, grandmothers of under-24-month-olds, and fathers with children under 24 months of age.DATA COLLECTIONData collection instruments were developed for the target groups of the study. The instruments were pre-tested, on the basis of which some moderations were made. A methodology workshop was held to train the field officers and assistants a day before field work began. The training took place in the IYCN office in Asokoro, Abuja. During the training sessions, field assistants were taken through each instrument, and possible interpretations debated and agreed upon. Role-play sessions were also conducted. The workshop was facilitated by Dr Afolabi in conjunction with the principal investigator, Dr R. A. Okunola. Data were later collected at the different sites in FCT, coordinated by the principal consultant. Health officials of Area Councils to be visited were informed some days before the arrival of the study team, and necessary mobilizations were done. On arrival, courtesy calls were made to the traditional head and permission formally obtained for entrance into the community. Afterwards, the team proceeded to the health facility, where the various interviews and discussion sessions took place. Each FGD session was facilitated by a moderator and a note-taker while the sessions were tape-recorded. The collected data were transcribed and translated into English for the purpose of analysis.
","*
","","*","2 communities in 4 area councils of the Federal Capital Territory, Abuja","","","","Vulnerable groups","","Infant feeding for the prevention of mother-to-child transmission of HIV>>>Infant feeding for the prevention of mother-to-child transmission of HIV>>http://www.who.int/elena/titles/hiv_infant_feeding","","","","","","","","","","","","","","","","","","","","","","Working closely with the government is necessary to achieve sustainability beyond the life of the project. We have involved stakeholders from the government at all stages of planning and implementation of project activities. This has enabled government ownership of our activities, materials, and products, thereby ensuring their continued implementation after project closeout.Effective collaboration with key stakeholders is integral to success. We involved nutrition, PMTCT, and OVC partners from the beginning, ensuring they wereincluded in all stakeholder meetings and collaborating with them on program implementation.Integrating materials for health facilities and communities ensures consistent messages for caregivers. We found that developing the facility and community-based materials concurrently resulted in consistency of key messages for caregivers and helped establish a two-way referral system between facility-based health workers and community workers and volunteers.A cascade training approach can help programs with limited resources reach more health providers. We found that training master trainers at the national and state levels and engaging with a wide variety of partners to leverage resources helps to reach a wider group of health providers.
","“IYCN is the organization we recognize for nutrition in this country. Anything concerning nutrition we assign it to IYCN and listen to what they tell us and bring it back to stakeholders, review it and adopt it. Most of the time it involves a lot of technical discussion [with IYCN].”—Oby Okwuonu, Assistant Director, Orphans and Vulnerable Children Unit, Federal Ministry of Women’s Affairs and Social Development“This program is different because the focus is on the community. Health workers are trained to involve community counselors. This allows them tobe closer to the community.”—Aishatu Amiwe Zango, State Nutrition Officer and Trainer, Jigawa“Despite having a limited budget, IYCN has been able to reach a broad audience by integrating important infant feeding messages into government-owned documents that will reach many levels through cascade training.”—Dr. Bamidele Omotola, UNICEF
","English" "9451","Infant and Young Child Nutrition (IYCN) Project ","English","Multi-national","","NGA","Nigeria","Nigeria","Urban|Rural","completed","01-2009","01-2011","IYCN worked with the FMOH, other relevant government ministries, UNICEF, WHO, and the many partners implementing OVC and HIV/AIDS programs in Nigeria with funding from the President’s Emergency Plan for AIDS Relief (PEPFAR) to improve the nutritional status of children less than two years of age and their mothers. The project placed special emphasis on increasing the chance that children born to HIV-positivemothers live healthy lives free from HIV. Efforts focused on improving the enabling environment for nutrition programs by reviewing and updating policy guidelines and training manuals and building the capacity of health workers.
From 2009 to 2011, the US Agency for International Development’s (USAID) Infant & Young Child Nutrition (IYCN) Project supported the government of Nigeria’s efforts to reduce maternal and child undernutrition and improve the HIV-free survival of infants and young children. IYCN provided technical assistance to the Federal Ministry of Health (FMOH), the Federal Ministry of Women’s Affairs and Social Development, and other partners to review, update, and disseminate nutrition policies and guidelines, train health care workers in the Federal Capital Territory (FCT) and its surrounding area councils, and enhance behavior change interventions targeting HIV-positive mothers and HIV-exposed children.
The project also supported a quality improvement approach to strengthen nutrition assessment, counseling, and support (NACS) services at prevention of mother-to-child transmission of HIV and orphans and vulnerable children service sites in the FCT. As a result of IYCN’s role in Nigeria, the country adopted the World Health Organization’s (WHO) most recent recommendations on infant feeding within the context of HIV, and updated national guidelines were distributed to nutrition stakeholders across the country.
","STUDY DESIGNThe study consisted of an assessment using qualitative methodology. Within the focal area of FCT, four Area Councils were selected. First, the Area Councils were divided into urban/rural groups. Within each group, the “lucky dip” technique was used to pick two Area Councils. Within each selected Area Council, two urban and two rural communities were selected. Data collection was done at the health facility level. Health workers at the health facilities served as contact persons and mobilizers for respondents. In-depth interviews (IDIs) were conducted with key individuals in each of the communities, including traditional leaders, opinion leaders, community health workers, and community health volunteers. Focus group discussions (FGDs) were held amongst primary caregivers (mothers) of children under six months of age, primary caregivers of children between 6 and 24 months, grandmothers of under-24-month-olds, and fathers with children under 24 months of age.DATA COLLECTIONData collection instruments were developed for the target groups of the study. The instruments were pre-tested, on the basis of which some moderations were made. A methodology workshop was held to train the field officers and assistants a day before field work began. The training took place in the IYCN office in Asokoro, Abuja. During the training sessions, field assistants were taken through each instrument, and possible interpretations debated and agreed upon. Role-play sessions were also conducted. The workshop was facilitated by Dr Afolabi in conjunction with the principal investigator, Dr R. A. Okunola. Data were later collected at the different sites in FCT, coordinated by the principal consultant. Health officials of Area Councils to be visited were informed some days before the arrival of the study team, and necessary mobilizations were done. On arrival, courtesy calls were made to the traditional head and permission formally obtained for entrance into the community. Afterwards, the team proceeded to the health facility, where the various interviews and discussion sessions took place. Each FGD session was facilitated by a moderator and a note-taker while the sessions were tape-recorded. The collected data were transcribed and translated into English for the purpose of analysis.
","*
","","*","2 communities in 4 area councils of the Federal Capital Territory, Abuja","","","","Vulnerable groups","","Infant feeding for the prevention of mother-to-child transmission of HIV>>>Infant feeding for the prevention of mother-to-child transmission of HIV>>http://www.who.int/elena/titles/hiv_infant_feeding","","","","","","","","","","","","","","","","","","","","","","Working closely with the government is necessary to achieve sustainability beyond the life of the project. We have involved stakeholders from the government at all stages of planning and implementation of project activities. This has enabled government ownership of our activities, materials, and products, thereby ensuring their continued implementation after project closeout.Effective collaboration with key stakeholders is integral to success. We involved nutrition, PMTCT, and OVC partners from the beginning, ensuring they wereincluded in all stakeholder meetings and collaborating with them on program implementation.Integrating materials for health facilities and communities ensures consistent messages for caregivers. We found that developing the facility and community-based materials concurrently resulted in consistency of key messages for caregivers and helped establish a two-way referral system between facility-based health workers and community workers and volunteers.A cascade training approach can help programs with limited resources reach more health providers. We found that training master trainers at the national and state levels and engaging with a wide variety of partners to leverage resources helps to reach a wider group of health providers.
","“IYCN is the organization we recognize for nutrition in this country. Anything concerning nutrition we assign it to IYCN and listen to what they tell us and bring it back to stakeholders, review it and adopt it. Most of the time it involves a lot of technical discussion [with IYCN].”—Oby Okwuonu, Assistant Director, Orphans and Vulnerable Children Unit, Federal Ministry of Women’s Affairs and Social Development“This program is different because the focus is on the community. Health workers are trained to involve community counselors. This allows them tobe closer to the community.”—Aishatu Amiwe Zango, State Nutrition Officer and Trainer, Jigawa“Despite having a limited budget, IYCN has been able to reach a broad audience by integrating important infant feeding messages into government-owned documents that will reach many levels through cascade training.”—Dr. Bamidele Omotola, UNICEF
","English" "9451","Infant and Young Child Nutrition (IYCN) Project ","English","Multi-national","","NGA","Nigeria","Nigeria","Urban|Rural|Peri-urban","completed","","","IYCN worked with the FMOH, other relevant government ministries, UNICEF, WHO, and the many partners implementing OVC and HIV/AIDS programs in Nigeria with funding from the President’s Emergency Plan for AIDS Relief (PEPFAR) to improve the nutritional status of children less than two years of age and their mothers. The project placed special emphasis on increasing the chance that children born to HIV-positivemothers live healthy lives free from HIV. Efforts focused on improving the enabling environment for nutrition programs by reviewing and updating policy guidelines and training manuals and building the capacity of health workers.
From 2009 to 2011, the US Agency for International Development’s (USAID) Infant & Young Child Nutrition (IYCN) Project supported the government of Nigeria’s efforts to reduce maternal and child undernutrition and improve the HIV-free survival of infants and young children. IYCN provided technical assistance to the Federal Ministry of Health (FMOH), the Federal Ministry of Women’s Affairs and Social Development, and other partners to review, update, and disseminate nutrition policies and guidelines, train health care workers in the Federal Capital Territory (FCT) and its surrounding area councils, and enhance behavior change interventions targeting HIV-positive mothers and HIV-exposed children.
The project also supported a quality improvement approach to strengthen nutrition assessment, counseling, and support (NACS) services at prevention of mother-to-child transmission of HIV and orphans and vulnerable children service sites in the FCT. As a result of IYCN’s role in Nigeria, the country adopted the World Health Organization’s (WHO) most recent recommendations on infant feeding within the context of HIV, and updated national guidelines were distributed to nutrition stakeholders across the country.
","Behaviour change communication and/or counselling for improved complementary feeding was reported to the Global Nutrition Policy Review (GNPR) 2009-2010
","*
","","*","National coverage","","","","Vulnerable groups","","","","","","","","","","","","","","","","","","","","","","","","","","English" "9451","Infant and Young Child Nutrition (IYCN) Project ","English","Multi-national","","NGA","Nigeria","Nigeria","","","","","IYCN worked with the FMOH, other relevant government ministries, UNICEF, WHO, and the many partners implementing OVC and HIV/AIDS programs in Nigeria with funding from the President’s Emergency Plan for AIDS Relief (PEPFAR) to improve the nutritional status of children less than two years of age and their mothers. The project placed special emphasis on increasing the chance that children born to HIV-positivemothers live healthy lives free from HIV. Efforts focused on improving the enabling environment for nutrition programs by reviewing and updating policy guidelines and training manuals and building the capacity of health workers.
From 2009 to 2011, the US Agency for International Development’s (USAID) Infant & Young Child Nutrition (IYCN) Project supported the government of Nigeria’s efforts to reduce maternal and child undernutrition and improve the HIV-free survival of infants and young children. IYCN provided technical assistance to the Federal Ministry of Health (FMOH), the Federal Ministry of Women’s Affairs and Social Development, and other partners to review, update, and disseminate nutrition policies and guidelines, train health care workers in the Federal Capital Territory (FCT) and its surrounding area councils, and enhance behavior change interventions targeting HIV-positive mothers and HIV-exposed children.
The project also supported a quality improvement approach to strengthen nutrition assessment, counseling, and support (NACS) services at prevention of mother-to-child transmission of HIV and orphans and vulnerable children service sites in the FCT. As a result of IYCN’s role in Nigeria, the country adopted the World Health Organization’s (WHO) most recent recommendations on infant feeding within the context of HIV, and updated national guidelines were distributed to nutrition stakeholders across the country.
","IYCN worked with the FMOH, other relevant government ministries, UNICEF, WHO, and the many partners implementing OVC and HIV/AIDS programs in Nigeria with funding from the President’s Emergency Plan for AIDS Relief (PEPFAR) to improve the nutritional status of children less than two years of age and their mothers. The project placed special emphasis on increasing the chance that children born to HIV-positivemothers live healthy lives free from HIV. Efforts focused on improving the enabling environment for nutrition programs by reviewing and updating policy guidelines and training manuals and building the capacity of health workers.
From 2009 to 2011, the US Agency for International Development’s (USAID) Infant & Young Child Nutrition (IYCN) Project supported the government of Nigeria’s efforts to reduce maternal and child undernutrition and improve the HIV-free survival of infants and young children. IYCN provided technical assistance to the Federal Ministry of Health (FMOH), the Federal Ministry of Women’s Affairs and Social Development, and other partners to review, update, and disseminate nutrition policies and guidelines, train health care workers in the Federal Capital Territory (FCT) and its surrounding area councils, and enhance behavior change interventions targeting HIV-positive mothers and HIV-exposed children.
The project also supported a quality improvement approach to strengthen nutrition assessment, counseling, and support (NACS) services at prevention of mother-to-child transmission of HIV and orphans and vulnerable children service sites in the FCT. As a result of IYCN’s role in Nigeria, the country adopted the World Health Organization’s (WHO) most recent recommendations on infant feeding within the context of HIV, and updated national guidelines were distributed to nutrition stakeholders across the country.
","IYCN worked with the FMOH, other relevant government ministries, UNICEF, WHO, and the many partners implementing OVC and HIV/AIDS programs in Nigeria with funding from the President’s Emergency Plan for AIDS Relief (PEPFAR) to improve the nutritional status of children less than two years of age and their mothers. The project placed special emphasis on increasing the chance that children born to HIV-positivemothers live healthy lives free from HIV. Efforts focused on improving the enabling environment for nutrition programs by reviewing and updating policy guidelines and training manuals and building the capacity of health workers.
From 2009 to 2011, the US Agency for International Development’s (USAID) Infant & Young Child Nutrition (IYCN) Project supported the government of Nigeria’s efforts to reduce maternal and child undernutrition and improve the HIV-free survival of infants and young children. IYCN provided technical assistance to the Federal Ministry of Health (FMOH), the Federal Ministry of Women’s Affairs and Social Development, and other partners to review, update, and disseminate nutrition policies and guidelines, train health care workers in the Federal Capital Territory (FCT) and its surrounding area councils, and enhance behavior change interventions targeting HIV-positive mothers and HIV-exposed children.
The project also supported a quality improvement approach to strengthen nutrition assessment, counseling, and support (NACS) services at prevention of mother-to-child transmission of HIV and orphans and vulnerable children service sites in the FCT. As a result of IYCN’s role in Nigeria, the country adopted the World Health Organization’s (WHO) most recent recommendations on infant feeding within the context of HIV, and updated national guidelines were distributed to nutrition stakeholders across the country.
","Nutritional care and support for people living with HIV/AIDS was reported to the Global Nutrition Policy Review (GNPR) 2009-2010
","","","","National coverage","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English" "9451","Infant and Young Child Nutrition (IYCN) Project ","English","Multi-national","","NGA","Nigeria","Nigeria","","","","","IYCN worked with the FMOH, other relevant government ministries, UNICEF, WHO, and the many partners implementing OVC and HIV/AIDS programs in Nigeria with funding from the President’s Emergency Plan for AIDS Relief (PEPFAR) to improve the nutritional status of children less than two years of age and their mothers. The project placed special emphasis on increasing the chance that children born to HIV-positivemothers live healthy lives free from HIV. Efforts focused on improving the enabling environment for nutrition programs by reviewing and updating policy guidelines and training manuals and building the capacity of health workers.
From 2009 to 2011, the US Agency for International Development’s (USAID) Infant & Young Child Nutrition (IYCN) Project supported the government of Nigeria’s efforts to reduce maternal and child undernutrition and improve the HIV-free survival of infants and young children. IYCN provided technical assistance to the Federal Ministry of Health (FMOH), the Federal Ministry of Women’s Affairs and Social Development, and other partners to review, update, and disseminate nutrition policies and guidelines, train health care workers in the Federal Capital Territory (FCT) and its surrounding area councils, and enhance behavior change interventions targeting HIV-positive mothers and HIV-exposed children.
The project also supported a quality improvement approach to strengthen nutrition assessment, counseling, and support (NACS) services at prevention of mother-to-child transmission of HIV and orphans and vulnerable children service sites in the FCT. As a result of IYCN’s role in Nigeria, the country adopted the World Health Organization’s (WHO) most recent recommendations on infant feeding within the context of HIV, and updated national guidelines were distributed to nutrition stakeholders across the country.
","Preventive treatment of malaria in women was reported to the Global Nutrition Policy Review (GNPR) 2009-2010
","","","","National coverage","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English" "9451","Infant and Young Child Nutrition (IYCN) Project ","English","Multi-national","","NGA","Nigeria","Nigeria","Urban|Rural","completed","01-2009","01-2011","IYCN worked with the FMOH, other relevant government ministries, UNICEF, WHO, and the many partners implementing OVC and HIV/AIDS programs in Nigeria with funding from the President’s Emergency Plan for AIDS Relief (PEPFAR) to improve the nutritional status of children less than two years of age and their mothers. The project placed special emphasis on increasing the chance that children born to HIV-positivemothers live healthy lives free from HIV. Efforts focused on improving the enabling environment for nutrition programs by reviewing and updating policy guidelines and training manuals and building the capacity of health workers.
From 2009 to 2011, the US Agency for International Development’s (USAID) Infant & Young Child Nutrition (IYCN) Project supported the government of Nigeria’s efforts to reduce maternal and child undernutrition and improve the HIV-free survival of infants and young children. IYCN provided technical assistance to the Federal Ministry of Health (FMOH), the Federal Ministry of Women’s Affairs and Social Development, and other partners to review, update, and disseminate nutrition policies and guidelines, train health care workers in the Federal Capital Territory (FCT) and its surrounding area councils, and enhance behavior change interventions targeting HIV-positive mothers and HIV-exposed children.
The project also supported a quality improvement approach to strengthen nutrition assessment, counseling, and support (NACS) services at prevention of mother-to-child transmission of HIV and orphans and vulnerable children service sites in the FCT. As a result of IYCN’s role in Nigeria, the country adopted the World Health Organization’s (WHO) most recent recommendations on infant feeding within the context of HIV, and updated national guidelines were distributed to nutrition stakeholders across the country.
","Distribution of insecticide-treated bednets was reported to the Global Nutrition Policy Review (GNPR) 2009-2010
","","","","National coverage","","","","","","Insecticide-treated nets to prevent malaria and anaemia in pregnant women>>>Insecticide-treated nets to prevent malaria and anaemia in pregnant women>>http://www.who.int/elena/titles/bednets_malaria_pregnancy","","","","","","","","","","","","","","","","","","","","","","","","English" "9451","Infant and Young Child Nutrition (IYCN) Project ","English","Multi-national","","NGA","Nigeria","Nigeria","Urban|Rural","completed","01-2009","01-2011","IYCN worked with the FMOH, other relevant government ministries, UNICEF, WHO, and the many partners implementing OVC and HIV/AIDS programs in Nigeria with funding from the President’s Emergency Plan for AIDS Relief (PEPFAR) to improve the nutritional status of children less than two years of age and their mothers. The project placed special emphasis on increasing the chance that children born to HIV-positivemothers live healthy lives free from HIV. Efforts focused on improving the enabling environment for nutrition programs by reviewing and updating policy guidelines and training manuals and building the capacity of health workers.
From 2009 to 2011, the US Agency for International Development’s (USAID) Infant & Young Child Nutrition (IYCN) Project supported the government of Nigeria’s efforts to reduce maternal and child undernutrition and improve the HIV-free survival of infants and young children. IYCN provided technical assistance to the Federal Ministry of Health (FMOH), the Federal Ministry of Women’s Affairs and Social Development, and other partners to review, update, and disseminate nutrition policies and guidelines, train health care workers in the Federal Capital Territory (FCT) and its surrounding area councils, and enhance behavior change interventions targeting HIV-positive mothers and HIV-exposed children.
The project also supported a quality improvement approach to strengthen nutrition assessment, counseling, and support (NACS) services at prevention of mother-to-child transmission of HIV and orphans and vulnerable children service sites in the FCT. As a result of IYCN’s role in Nigeria, the country adopted the World Health Organization’s (WHO) most recent recommendations on infant feeding within the context of HIV, and updated national guidelines were distributed to nutrition stakeholders across the country.
","Deworming of children 0-2 years was reported to the Global Nutrition Policy Review (GNPR) 2009-2010
","","","","","","","","","","Deworming to combat the health and nutritional impact of soil-transmitted helminths>>>Deworming to combat the health and nutritional impact of soil-transmitted helminths>>http://www.who.int/elena/titles/deworming","","","","","","","","","","","","","","","","","","","","","","","","English" "9451","Infant and Young Child Nutrition (IYCN) Project ","English","Multi-national","","NGA","Nigeria","Nigeria","","","","","IYCN worked with the FMOH, other relevant government ministries, UNICEF, WHO, and the many partners implementing OVC and HIV/AIDS programs in Nigeria with funding from the President’s Emergency Plan for AIDS Relief (PEPFAR) to improve the nutritional status of children less than two years of age and their mothers. The project placed special emphasis on increasing the chance that children born to HIV-positivemothers live healthy lives free from HIV. Efforts focused on improving the enabling environment for nutrition programs by reviewing and updating policy guidelines and training manuals and building the capacity of health workers.
From 2009 to 2011, the US Agency for International Development’s (USAID) Infant & Young Child Nutrition (IYCN) Project supported the government of Nigeria’s efforts to reduce maternal and child undernutrition and improve the HIV-free survival of infants and young children. IYCN provided technical assistance to the Federal Ministry of Health (FMOH), the Federal Ministry of Women’s Affairs and Social Development, and other partners to review, update, and disseminate nutrition policies and guidelines, train health care workers in the Federal Capital Territory (FCT) and its surrounding area councils, and enhance behavior change interventions targeting HIV-positive mothers and HIV-exposed children.
The project also supported a quality improvement approach to strengthen nutrition assessment, counseling, and support (NACS) services at prevention of mother-to-child transmission of HIV and orphans and vulnerable children service sites in the FCT. As a result of IYCN’s role in Nigeria, the country adopted the World Health Organization’s (WHO) most recent recommendations on infant feeding within the context of HIV, and updated national guidelines were distributed to nutrition stakeholders across the country.
","Management of SAM was reported to the Global Nutrition Policy Review (GNPR) 2009-2010. Protocol used: For now we dont have national protocol but we conduct trainings on the management of SAM using WHO Guidelines.
","","","","National coverage","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English" "9691","Infant and Young Child Nutrition (IYCN) Project ","English","Multi-national","","ZAF","South Africa","South Africa","Urban|Rural|Peri-urban","completed","01-2009","01-2011","South Africa’s HIV burden is the greatest in the world. From 2009 to 2011, the US Agency for International Development’s (USAID) Infant & Young Child Nutrition Project worked to prevent HIV from reaching the next generation and to improve the nutritional status of mothers and children. The project informed a new set of national guidelines on infant and young child feeding in the context of HIV, and with national and international partners, identified opportunities for integrating nutrition assessment, counseling, and support services into programs focusing on prevention of mother-to-child transmission (PMTCT) of HIV. The project also worked in one district to mobilize communities and local government to integrate nutrition activities into community development plans. All of the project’s efforts have contributed to strengthening programs that seek to improve the nutrition of infants and young children, pregnant and lactating women, and orphans and vulnerable children (OVC), particularly populations at risk of contracting HIV.
","Nutritional care and support for people living with HIV/AIDS was reported to the Global Nutrition Policy Review (GNPR) 2009-2010In Eastern Cape Province, IYCN supported PATH’s efforts to improve the quality, availability, and uptake of PMTCT services by strengthening under-resourced PMTCT sites and mobilizing communities to increase the uptake of those services. To prevent malnutrition and ensure HIVfree survival of children, IYCN contributed to integrating infant and young child feeding activities into PMTCT interventions. Specifically, the project helped develop atraining package for lay counselors and community health workers and supported the training of 100 community health workers on infant and young child feeding. In addition, the project assisted the provincial health department to develop tools for surveying facility-based nutritionservices.By adapting a regional, community-based planning tool for use locally, IYCN worked with private-sector partner, J & J Trust, South Africa’s Ekurhuleni Municipality, and Ward 86 within the municipality’s Nigel District to conduct a pilot program that integrated nutrition interventions into economic and community development planning. This model approach can be scaled up throughout the district and beyond to enhance awareness of the nutritional status of young children and dietary and feeding practices that can improve their health. Through this approach, IYCN trained community volunteers to engage the community in nutrition activities. The community response was overwhelming, and community leaders included nutrition activities in development plans. These new activities included establishing a support group for pregnant and lactating mothers and their parents and initiating an awareness campaign on available structures to support lactation.
","x
","","x","x","","","","Vulnerable groups","","Infant feeding for the prevention of mother-to-child transmission of HIV>>>Infant feeding for the prevention of mother-to-child transmission of HIV>>http://www.who.int/elena/titles/hiv_infant_feeding","","","","","","","","","","","","","","","","","","","","","","The use of existing structures and processes made planning community nutrition activities and allocating resources feasible. The community in Ward 86 continues to implement nutrition activities based on their community development plans. Although the project did not fund the implementation of these activities, community leaders were able to leverage existing structures and resources.Engagement with communities revealed that people are aware of nutrition and related issues, but that technical support is needed to develop creative behavior change interventions. It is possible to build better linkages between the community and health services by engaging the municipal planning system.
","“I have seen the level of interest in nutrition in the community increase, and now ward members are empowered to influence the development plans of the municipality and the district to prioritize support for nutrition.”— Benny Sikhakhane, IYCN Project consultant
","English" "9691","Infant and Young Child Nutrition (IYCN) Project ","English","Multi-national","","ZAF","South Africa","South Africa","Urban|Rural|Peri-urban","completed","01-2009","01-2011","South Africa’s HIV burden is the greatest in the world. From 2009 to 2011, the US Agency for International Development’s (USAID) Infant & Young Child Nutrition Project worked to prevent HIV from reaching the next generation and to improve the nutritional status of mothers and children. The project informed a new set of national guidelines on infant and young child feeding in the context of HIV, and with national and international partners, identified opportunities for integrating nutrition assessment, counseling, and support services into programs focusing on prevention of mother-to-child transmission (PMTCT) of HIV. The project also worked in one district to mobilize communities and local government to integrate nutrition activities into community development plans. All of the project’s efforts have contributed to strengthening programs that seek to improve the nutrition of infants and young children, pregnant and lactating women, and orphans and vulnerable children (OVC), particularly populations at risk of contracting HIV.
","Distribution of complementary foods was reported to the Global Nutrition Policy Review (GNPR) 2009-2010
","","","","","","","","","","eLENA titles related to prevention or treatment of moderate acute malnutrition in children>>>Supplementary feeding in community settings for promoting child growth>>http://www.who.int/elena/titles/child_growth|Food supplementation in children with moderate acute malnutrition>>http://www.who.int/elena/titles/food_children_mam","","","","","","","","","","","","","","","","","","","","","","","","English" "9691","Infant and Young Child Nutrition (IYCN) Project ","English","Multi-national","","ZAF","South Africa","South Africa","Urban|Rural|Peri-urban","completed","01-2009","01-2011","South Africa’s HIV burden is the greatest in the world. From 2009 to 2011, the US Agency for International Development’s (USAID) Infant & Young Child Nutrition Project worked to prevent HIV from reaching the next generation and to improve the nutritional status of mothers and children. The project informed a new set of national guidelines on infant and young child feeding in the context of HIV, and with national and international partners, identified opportunities for integrating nutrition assessment, counseling, and support services into programs focusing on prevention of mother-to-child transmission (PMTCT) of HIV. The project also worked in one district to mobilize communities and local government to integrate nutrition activities into community development plans. All of the project’s efforts have contributed to strengthening programs that seek to improve the nutrition of infants and young children, pregnant and lactating women, and orphans and vulnerable children (OVC), particularly populations at risk of contracting HIV.
","Maternal deworming in pregnancy was reported to the Global Nutrition Policy Review (GNPR) 2009-2010
","","","","","","","","","","Deworming to combat the health and nutritional impact of soil-transmitted helminths>>>Deworming to combat the health and nutritional impact of soil-transmitted helminths>>http://www.who.int/elena/titles/deworming","","","","","","","","","","","","","","","","","","","","","","","","English" "9691","Infant and Young Child Nutrition (IYCN) Project ","English","Multi-national","","ZAF","South Africa","South Africa","Urban|Rural|Peri-urban","completed","01-2009","01-2011","South Africa’s HIV burden is the greatest in the world. From 2009 to 2011, the US Agency for International Development’s (USAID) Infant & Young Child Nutrition Project worked to prevent HIV from reaching the next generation and to improve the nutritional status of mothers and children. The project informed a new set of national guidelines on infant and young child feeding in the context of HIV, and with national and international partners, identified opportunities for integrating nutrition assessment, counseling, and support services into programs focusing on prevention of mother-to-child transmission (PMTCT) of HIV. The project also worked in one district to mobilize communities and local government to integrate nutrition activities into community development plans. All of the project’s efforts have contributed to strengthening programs that seek to improve the nutrition of infants and young children, pregnant and lactating women, and orphans and vulnerable children (OVC), particularly populations at risk of contracting HIV.
","Management of MAM was reported to the Global Nutrition Policy Review (GNPR) 2009-2010
","","","","National coverage","","","","","","eLENA titles related to prevention or treatment of moderate acute malnutrition in children>>>Supplementary feeding in community settings for promoting child growth>>http://www.who.int/elena/titles/child_growth|Food supplementation in children with moderate acute malnutrition>>http://www.who.int/elena/titles/food_children_mam","","","","","","","","","","","","","","","","","","","","","","","","English" "9691","Infant and Young Child Nutrition (IYCN) Project ","English","Multi-national","","ZAF","South Africa","South Africa","","","","","South Africa’s HIV burden is the greatest in the world. From 2009 to 2011, the US Agency for International Development’s (USAID) Infant & Young Child Nutrition Project worked to prevent HIV from reaching the next generation and to improve the nutritional status of mothers and children. The project informed a new set of national guidelines on infant and young child feeding in the context of HIV, and with national and international partners, identified opportunities for integrating nutrition assessment, counseling, and support services into programs focusing on prevention of mother-to-child transmission (PMTCT) of HIV. The project also worked in one district to mobilize communities and local government to integrate nutrition activities into community development plans. All of the project’s efforts have contributed to strengthening programs that seek to improve the nutrition of infants and young children, pregnant and lactating women, and orphans and vulnerable children (OVC), particularly populations at risk of contracting HIV.
","Management of SAM was reported to the Global Nutrition Policy Review (GNPR) 2009-2010
","","","","National coverage","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English" "9691","Infant and Young Child Nutrition (IYCN) Project ","English","Multi-national","","ZAF","South Africa","South Africa","","","","","South Africa’s HIV burden is the greatest in the world. From 2009 to 2011, the US Agency for International Development’s (USAID) Infant & Young Child Nutrition Project worked to prevent HIV from reaching the next generation and to improve the nutritional status of mothers and children. The project informed a new set of national guidelines on infant and young child feeding in the context of HIV, and with national and international partners, identified opportunities for integrating nutrition assessment, counseling, and support services into programs focusing on prevention of mother-to-child transmission (PMTCT) of HIV. The project also worked in one district to mobilize communities and local government to integrate nutrition activities into community development plans. All of the project’s efforts have contributed to strengthening programs that seek to improve the nutrition of infants and young children, pregnant and lactating women, and orphans and vulnerable children (OVC), particularly populations at risk of contracting HIV.
","South Africa’s HIV burden is the greatest in the world. From 2009 to 2011, the US Agency for International Development’s (USAID) Infant & Young Child Nutrition Project worked to prevent HIV from reaching the next generation and to improve the nutritional status of mothers and children. The project informed a new set of national guidelines on infant and young child feeding in the context of HIV, and with national and international partners, identified opportunities for integrating nutrition assessment, counseling, and support services into programs focusing on prevention of mother-to-child transmission (PMTCT) of HIV. The project also worked in one district to mobilize communities and local government to integrate nutrition activities into community development plans. All of the project’s efforts have contributed to strengthening programs that seek to improve the nutrition of infants and young children, pregnant and lactating women, and orphans and vulnerable children (OVC), particularly populations at risk of contracting HIV.
","Deworming of children 0-2 years was reported to the Global Nutrition Policy Review (GNPR) 2009-2010
","","","","National coverage","","","","","","Deworming to combat the health and nutritional impact of soil-transmitted helminths>>>Deworming to combat the health and nutritional impact of soil-transmitted helminths>>http://www.who.int/elena/titles/deworming","","","","","","","","","","","","","","","","","","","","","","","","English" "9691","Infant and Young Child Nutrition (IYCN) Project ","English","Multi-national","","ZAF","South Africa","South Africa","","","","","South Africa’s HIV burden is the greatest in the world. From 2009 to 2011, the US Agency for International Development’s (USAID) Infant & Young Child Nutrition Project worked to prevent HIV from reaching the next generation and to improve the nutritional status of mothers and children. The project informed a new set of national guidelines on infant and young child feeding in the context of HIV, and with national and international partners, identified opportunities for integrating nutrition assessment, counseling, and support services into programs focusing on prevention of mother-to-child transmission (PMTCT) of HIV. The project also worked in one district to mobilize communities and local government to integrate nutrition activities into community development plans. All of the project’s efforts have contributed to strengthening programs that seek to improve the nutrition of infants and young children, pregnant and lactating women, and orphans and vulnerable children (OVC), particularly populations at risk of contracting HIV.
","South Africa’s HIV burden is the greatest in the world. From 2009 to 2011, the US Agency for International Development’s (USAID) Infant & Young Child Nutrition Project worked to prevent HIV from reaching the next generation and to improve the nutritional status of mothers and children. The project informed a new set of national guidelines on infant and young child feeding in the context of HIV, and with national and international partners, identified opportunities for integrating nutrition assessment, counseling, and support services into programs focusing on prevention of mother-to-child transmission (PMTCT) of HIV. The project also worked in one district to mobilize communities and local government to integrate nutrition activities into community development plans. All of the project’s efforts have contributed to strengthening programs that seek to improve the nutrition of infants and young children, pregnant and lactating women, and orphans and vulnerable children (OVC), particularly populations at risk of contracting HIV.
","Providing maternal supplements of balanced energy and protein was reported to the Global Nutrition Policy Review (GNPR) 2009-2010
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English" "9691","Infant and Young Child Nutrition (IYCN) Project ","English","Multi-national","","ZAF","South Africa","South Africa","","","","","South Africa’s HIV burden is the greatest in the world. From 2009 to 2011, the US Agency for International Development’s (USAID) Infant & Young Child Nutrition Project worked to prevent HIV from reaching the next generation and to improve the nutritional status of mothers and children. The project informed a new set of national guidelines on infant and young child feeding in the context of HIV, and with national and international partners, identified opportunities for integrating nutrition assessment, counseling, and support services into programs focusing on prevention of mother-to-child transmission (PMTCT) of HIV. The project also worked in one district to mobilize communities and local government to integrate nutrition activities into community development plans. All of the project’s efforts have contributed to strengthening programs that seek to improve the nutrition of infants and young children, pregnant and lactating women, and orphans and vulnerable children (OVC), particularly populations at risk of contracting HIV.
","South Africa’s HIV burden is the greatest in the world. From 2009 to 2011, the US Agency for International Development’s (USAID) Infant & Young Child Nutrition Project worked to prevent HIV from reaching the next generation and to improve the nutritional status of mothers and children. The project informed a new set of national guidelines on infant and young child feeding in the context of HIV, and with national and international partners, identified opportunities for integrating nutrition assessment, counseling, and support services into programs focusing on prevention of mother-to-child transmission (PMTCT) of HIV. The project also worked in one district to mobilize communities and local government to integrate nutrition activities into community development plans. All of the project’s efforts have contributed to strengthening programs that seek to improve the nutrition of infants and young children, pregnant and lactating women, and orphans and vulnerable children (OVC), particularly populations at risk of contracting HIV.
","Distribution of insecticide-treated bednets was reported to the Global Nutrition Policy Review (GNPR) 2009-2010
","","","","","","","","","","Insecticide-treated nets to prevent malaria and anaemia in pregnant women>>>Insecticide-treated nets to prevent malaria and anaemia in pregnant women>>http://www.who.int/elena/titles/bednets_malaria_pregnancy","","","","","","","","","","","","","","","","","","","","","","","","English" "9703","Infant and Young Child Nutrition (IYCN) Project ","English","Multi-national","","ZMB","Zambia","Zambia","Urban|Rural","completed","01-2008","01-2011","For the past three years, the US Agency for International Development’s (USAID) Infant & Young Child Nutrition (IYCN) Project has supported the Ministry of Health and the National Food and Nutrition Commission to strengthen policies, programs, and health systems to improve the nutrition—and thereby prolong the lives— of mothers and their children younger than 2 years of age, including those affected by HIV. IYCN has collaborated with a wide range of partners to support mothers in adopting healthy feeding practices and to ensure a better future for Zambian communities and families.
The project focused on strengthening nutrition interventions within prevention of mother-to-child transmission of HIV programs and child health services and conducting supportive community-based activities. Since 2008, when the project began, health workers and community health volunteers in several districts have developed the skills and knowledge to help mothers improve nutrition for themselves and their babies. Formative research on maternal nutrition and child feeding practices has enabled stakeholders to understand beliefs and behaviors that contribute to poor nutrition. Structures are now in place for assessing the quality and consistency of health worker counseling. Additionally, messages to encourage changes in the way mothers feed their children have been disseminated through mass media.
","","8152","","","","","","","","","","","","","","Research/academia","University Research Co., LL C.","Private sector","The Manoff Group","","","","Bilateral and donor agencies and lenders","","Nutritional care and support for people living with HIV/AIDS was reported to the Global Nutrition Policy Review (GNPR) 2009-2010IYCN took a comprehensive approach to addressing nutrition assessment, counseling, and support in Zambia by working with stakeholders at the national, district, provincial, and community levels to assess needs, enhance national policies, build the capacity of health providers, implement behavior change communication strategies, strengthen monitoring and evaluation systems, and identify and share good practices. Here is a snapshot of the project’s key activities and accomplishments.
","x
","","x","National coverage","","","","Vulnerable groups","","Infant feeding for the prevention of mother-to-child transmission of HIV>>>Infant feeding for the prevention of mother-to-child transmission of HIV>>http://www.who.int/elena/titles/hiv_infant_feeding","","","","","","","","","","","","","","","","","","","","","","Taking a comprehensive approach to addressing nutrition assessment, counseling, and support will help ensure a continuum of care and prevent nutritionally vulnerable mothers and children from falling through the cracks.Building the capacity of provincial teams as trainers is an efficient and cost-effective way to increase the number of trained infant feeding counselors.Community health volunteers can fill a key role in counseling and supporting mothers at health facilities, where health workers are often overwhelmed. When trained, volunteers can provide high-quality infantand young child feeding counseling for mothers.Building upon existing resources available in health facilities and communities can ensure government support and sustainability.
","“With IYCN’s support, we have been able to meet our objective of conducting high-quality training workshops for more health workers in our own province.” —Sydney Kambobe, Eastern Province Nutrition Specialist“Now I conduct cooking demonstrations to teach mothers to mix some of the nutritious local foods to give to the child. We pound meat and add it to the porridge.” —Lucy, Community health volunteer“I didn’t know that I could use the foods from my garden to make more nutritious meals for my child.” —Mother in Kabwe
","English" "9703","Infant and Young Child Nutrition (IYCN) Project ","English","Multi-national","","ZMB","Zambia","Zambia","Urban|Rural","completed","01-2008","01-2011","For the past three years, the US Agency for International Development’s (USAID) Infant & Young Child Nutrition (IYCN) Project has supported the Ministry of Health and the National Food and Nutrition Commission to strengthen policies, programs, and health systems to improve the nutrition—and thereby prolong the lives— of mothers and their children younger than 2 years of age, including those affected by HIV. IYCN has collaborated with a wide range of partners to support mothers in adopting healthy feeding practices and to ensure a better future for Zambian communities and families.
The project focused on strengthening nutrition interventions within prevention of mother-to-child transmission of HIV programs and child health services and conducting supportive community-based activities. Since 2008, when the project began, health workers and community health volunteers in several districts have developed the skills and knowledge to help mothers improve nutrition for themselves and their babies. Formative research on maternal nutrition and child feeding practices has enabled stakeholders to understand beliefs and behaviors that contribute to poor nutrition. Structures are now in place for assessing the quality and consistency of health worker counseling. Additionally, messages to encourage changes in the way mothers feed their children have been disseminated through mass media.
","","8152","","","","","","","","","","","","","","Research/academia","University Research Co., LL C.","Private sector","The Manoff Group","","","","Bilateral and donor agencies and lenders","","Providing maternal supplements of balanced energy and protein was reported to the Global Nutrition Policy Review (GNPR) 2009-2010
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English" "9703","Infant and Young Child Nutrition (IYCN) Project ","English","Multi-national","","ZMB","Zambia","Zambia","Urban|Rural","completed","01-2008","01-2011","For the past three years, the US Agency for International Development’s (USAID) Infant & Young Child Nutrition (IYCN) Project has supported the Ministry of Health and the National Food and Nutrition Commission to strengthen policies, programs, and health systems to improve the nutrition—and thereby prolong the lives— of mothers and their children younger than 2 years of age, including those affected by HIV. IYCN has collaborated with a wide range of partners to support mothers in adopting healthy feeding practices and to ensure a better future for Zambian communities and families.
The project focused on strengthening nutrition interventions within prevention of mother-to-child transmission of HIV programs and child health services and conducting supportive community-based activities. Since 2008, when the project began, health workers and community health volunteers in several districts have developed the skills and knowledge to help mothers improve nutrition for themselves and their babies. Formative research on maternal nutrition and child feeding practices has enabled stakeholders to understand beliefs and behaviors that contribute to poor nutrition. Structures are now in place for assessing the quality and consistency of health worker counseling. Additionally, messages to encourage changes in the way mothers feed their children have been disseminated through mass media.
","","8152","","","","","","","","","","","","","","Research/academia","University Research Co., LL C.","Private sector","The Manoff Group","","","","Bilateral and donor agencies and lenders","","Distribution of complementary foods was reported to the Global Nutrition Policy Review (GNPR) 2009-2010
","","","","National coverage","","","","","","eLENA titles related to prevention or treatment of moderate acute malnutrition in children>>>Supplementary feeding in community settings for promoting child growth>>http://www.who.int/elena/titles/child_growth|Food supplementation in children with moderate acute malnutrition>>http://www.who.int/elena/titles/food_children_mam","","","","","","","","","","","","","","","","","","","","","","","","English" "9703","Infant and Young Child Nutrition (IYCN) Project ","English","Multi-national","","ZMB","Zambia","Zambia","Urban|Rural","completed","01-2008","01-2011","For the past three years, the US Agency for International Development’s (USAID) Infant & Young Child Nutrition (IYCN) Project has supported the Ministry of Health and the National Food and Nutrition Commission to strengthen policies, programs, and health systems to improve the nutrition—and thereby prolong the lives— of mothers and their children younger than 2 years of age, including those affected by HIV. IYCN has collaborated with a wide range of partners to support mothers in adopting healthy feeding practices and to ensure a better future for Zambian communities and families.
The project focused on strengthening nutrition interventions within prevention of mother-to-child transmission of HIV programs and child health services and conducting supportive community-based activities. Since 2008, when the project began, health workers and community health volunteers in several districts have developed the skills and knowledge to help mothers improve nutrition for themselves and their babies. Formative research on maternal nutrition and child feeding practices has enabled stakeholders to understand beliefs and behaviors that contribute to poor nutrition. Structures are now in place for assessing the quality and consistency of health worker counseling. Additionally, messages to encourage changes in the way mothers feed their children have been disseminated through mass media.
","","8152","","","","","","","","","","","","","","Research/academia","University Research Co., LL C.","Private sector","The Manoff Group","","","","Bilateral and donor agencies and lenders","","Distribution of insecticide-treated bednets was reported to the Global Nutrition Policy Review (GNPR) 2009-2010
","","","","National coverage","","","","","","Insecticide-treated nets to prevent malaria and anaemia in pregnant women>>>Insecticide-treated nets to prevent malaria and anaemia in pregnant women>>http://www.who.int/elena/titles/bednets_malaria_pregnancy","","","","","","","","","","","","","","","","","","","","","","","","English" "9703","Infant and Young Child Nutrition (IYCN) Project ","English","Multi-national","","ZMB","Zambia","Zambia","","","","","For the past three years, the US Agency for International Development’s (USAID) Infant & Young Child Nutrition (IYCN) Project has supported the Ministry of Health and the National Food and Nutrition Commission to strengthen policies, programs, and health systems to improve the nutrition—and thereby prolong the lives— of mothers and their children younger than 2 years of age, including those affected by HIV. IYCN has collaborated with a wide range of partners to support mothers in adopting healthy feeding practices and to ensure a better future for Zambian communities and families.
The project focused on strengthening nutrition interventions within prevention of mother-to-child transmission of HIV programs and child health services and conducting supportive community-based activities. Since 2008, when the project began, health workers and community health volunteers in several districts have developed the skills and knowledge to help mothers improve nutrition for themselves and their babies. Formative research on maternal nutrition and child feeding practices has enabled stakeholders to understand beliefs and behaviors that contribute to poor nutrition. Structures are now in place for assessing the quality and consistency of health worker counseling. Additionally, messages to encourage changes in the way mothers feed their children have been disseminated through mass media.
","","8152","","","","","","","","","","","","","","Research/academia","University Research Co., LL C.","Private sector","The Manoff Group","","","","Bilateral and donor agencies and lenders","","For the past three years, the US Agency for International Development’s (USAID) Infant & Young Child Nutrition (IYCN) Project has supported the Ministry of Health and the National Food and Nutrition Commission to strengthen policies, programs, and health systems to improve the nutrition—and thereby prolong the lives— of mothers and their children younger than 2 years of age, including those affected by HIV. IYCN has collaborated with a wide range of partners to support mothers in adopting healthy feeding practices and to ensure a better future for Zambian communities and families.
The project focused on strengthening nutrition interventions within prevention of mother-to-child transmission of HIV programs and child health services and conducting supportive community-based activities. Since 2008, when the project began, health workers and community health volunteers in several districts have developed the skills and knowledge to help mothers improve nutrition for themselves and their babies. Formative research on maternal nutrition and child feeding practices has enabled stakeholders to understand beliefs and behaviors that contribute to poor nutrition. Structures are now in place for assessing the quality and consistency of health worker counseling. Additionally, messages to encourage changes in the way mothers feed their children have been disseminated through mass media.
","","8152","","","","","","","","","","","","","","Research/academia","University Research Co., LL C.","Private sector","The Manoff Group","","","","Bilateral and donor agencies and lenders","","For the past three years, the US Agency for International Development’s (USAID) Infant & Young Child Nutrition (IYCN) Project has supported the Ministry of Health and the National Food and Nutrition Commission to strengthen policies, programs, and health systems to improve the nutrition—and thereby prolong the lives— of mothers and their children younger than 2 years of age, including those affected by HIV. IYCN has collaborated with a wide range of partners to support mothers in adopting healthy feeding practices and to ensure a better future for Zambian communities and families.
The project focused on strengthening nutrition interventions within prevention of mother-to-child transmission of HIV programs and child health services and conducting supportive community-based activities. Since 2008, when the project began, health workers and community health volunteers in several districts have developed the skills and knowledge to help mothers improve nutrition for themselves and their babies. Formative research on maternal nutrition and child feeding practices has enabled stakeholders to understand beliefs and behaviors that contribute to poor nutrition. Structures are now in place for assessing the quality and consistency of health worker counseling. Additionally, messages to encourage changes in the way mothers feed their children have been disseminated through mass media.
","","8152","","","","","","","","","","","","","","Research/academia","University Research Co., LL C.","Private sector","The Manoff Group","","","","Bilateral and donor agencies and lenders","","Maternal deworming in pregnancy was reported to the Global Nutrition Policy Review (GNPR) 2009-2010
","","","","National coverage","","","","","","Deworming to combat the health and nutritional impact of soil-transmitted helminths>>>Deworming to combat the health and nutritional impact of soil-transmitted helminths>>http://www.who.int/elena/titles/deworming","","","","","","","","","","","","","","","","","","","","","","","","English" "9703","Infant and Young Child Nutrition (IYCN) Project ","English","Multi-national","","ZMB","Zambia","Zambia","","","","","For the past three years, the US Agency for International Development’s (USAID) Infant & Young Child Nutrition (IYCN) Project has supported the Ministry of Health and the National Food and Nutrition Commission to strengthen policies, programs, and health systems to improve the nutrition—and thereby prolong the lives— of mothers and their children younger than 2 years of age, including those affected by HIV. IYCN has collaborated with a wide range of partners to support mothers in adopting healthy feeding practices and to ensure a better future for Zambian communities and families.
The project focused on strengthening nutrition interventions within prevention of mother-to-child transmission of HIV programs and child health services and conducting supportive community-based activities. Since 2008, when the project began, health workers and community health volunteers in several districts have developed the skills and knowledge to help mothers improve nutrition for themselves and their babies. Formative research on maternal nutrition and child feeding practices has enabled stakeholders to understand beliefs and behaviors that contribute to poor nutrition. Structures are now in place for assessing the quality and consistency of health worker counseling. Additionally, messages to encourage changes in the way mothers feed their children have been disseminated through mass media.
","","8152","","","","","","","","","","","","","","Research/academia","University Research Co., LL C.","Private sector","The Manoff Group","","","","Bilateral and donor agencies and lenders","","Preventive treatment of malaria in women was reported to the Global Nutrition Policy Review (GNPR) 2009-2010
","","","","National coverage","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English" "9703","Infant and Young Child Nutrition (IYCN) Project ","English","Multi-national","","ZMB","Zambia","Zambia","","","","","For the past three years, the US Agency for International Development’s (USAID) Infant & Young Child Nutrition (IYCN) Project has supported the Ministry of Health and the National Food and Nutrition Commission to strengthen policies, programs, and health systems to improve the nutrition—and thereby prolong the lives— of mothers and their children younger than 2 years of age, including those affected by HIV. IYCN has collaborated with a wide range of partners to support mothers in adopting healthy feeding practices and to ensure a better future for Zambian communities and families.
The project focused on strengthening nutrition interventions within prevention of mother-to-child transmission of HIV programs and child health services and conducting supportive community-based activities. Since 2008, when the project began, health workers and community health volunteers in several districts have developed the skills and knowledge to help mothers improve nutrition for themselves and their babies. Formative research on maternal nutrition and child feeding practices has enabled stakeholders to understand beliefs and behaviors that contribute to poor nutrition. Structures are now in place for assessing the quality and consistency of health worker counseling. Additionally, messages to encourage changes in the way mothers feed their children have been disseminated through mass media.
","","8152","","","","","","","","","","","","","","Research/academia","University Research Co., LL C.","Private sector","The Manoff Group","","","","Bilateral and donor agencies and lenders","","For the past three years, the US Agency for International Development’s (USAID) Infant & Young Child Nutrition (IYCN) Project has supported the Ministry of Health and the National Food and Nutrition Commission to strengthen policies, programs, and health systems to improve the nutrition—and thereby prolong the lives— of mothers and their children younger than 2 years of age, including those affected by HIV. IYCN has collaborated with a wide range of partners to support mothers in adopting healthy feeding practices and to ensure a better future for Zambian communities and families.
The project focused on strengthening nutrition interventions within prevention of mother-to-child transmission of HIV programs and child health services and conducting supportive community-based activities. Since 2008, when the project began, health workers and community health volunteers in several districts have developed the skills and knowledge to help mothers improve nutrition for themselves and their babies. Formative research on maternal nutrition and child feeding practices has enabled stakeholders to understand beliefs and behaviors that contribute to poor nutrition. Structures are now in place for assessing the quality and consistency of health worker counseling. Additionally, messages to encourage changes in the way mothers feed their children have been disseminated through mass media.
","","8152","","","","","","","","","","","","","","Research/academia","University Research Co., LL C.","Private sector","The Manoff Group","","","","Bilateral and donor agencies and lenders","","Deworming of children 0-2 years was reported to the Global Nutrition Policy Review (GNPR) 2009-2010
","","","","National coverage","","","","","","Deworming to combat the health and nutritional impact of soil-transmitted helminths>>>Deworming to combat the health and nutritional impact of soil-transmitted helminths>>http://www.who.int/elena/titles/deworming","","","","","","","","","","","","","","","","","","","","","","","","English" "11464","Improving Maternal, Newborn and Child Nutrition in Northern Nigeria","English","Community/sub-national","","NGA","Nigeria","Kebbi, Nigeria|Katsina State, Nigeria|Jigawa State, Nigeria|Zamfara, Nigeria|Yobe, Nigeria","Rural|Peri-urban","on-going","01-2011","01-2017","One million children under five die every year in Nigeria, 35% of them due to causes attributed to malnutrition. This makes Nigeria one of the six countries that accounts for half of all child deaths from malnutrition worldwide. In the north, half of all children under five are stunted, and one in five suffers from acute malnutrition. This has profound implications for health and for human development, and presents a major obstacle to attainment of Millennium Development Goals in the country and globally. To date, the Nigerian government has not provided the necessary leadership or response to the crisis. Coupled with this, is a weak and fragmented health system which is unable to provide the most basic, cost-effective services for the prevention and management of common health problems. Primary health care level remains the weakest link in effective health delivery.
The programme will deliver a number of evidence-based, highly cost-effective direct interventions for the prevention and treatment of malnutrition, including community-based management of acute malnutrition (CMAM), vitamin A supplementation and deworming, and promotion of improved infant and young child feeding (IYCF) practices. The scaled up delivery will be used to raise the political profile of undernutrition in Nigeria and leverage government to coordinate and fund nutrition programmes. Independent operational research will examine the wider determinants and structural barriers of undernutrition. Impact evaluation will measure progress, quality and advise on critical elements required for a sustainable strategy.
A UNICEF and an INGO consortium of Save the Children (SC UK) and Action Against Hunger / Action Against Hunger (AAH/ACF) will deliver the interventions. Operational research and impact evaluation will be conducted by independent nutrition researchers and evaluation experts.
Results: This programme will reduce the incidence and prevalence of undernutrition in children under five across selected Northern States with high rates of undernutrition: Kebbi, Katsina, Jigawa, Zamfara, and Yobe. By 2017, DFID will improve the nutritional status of 6.2 million children under five in northern Nigeria. At least 140,000 children with severe acute malnutrition will receive treatment. The programme will contribute to National targets of reducing underweight and stunting by 20% (absolute reduction) and exclusive breast feeding rates will increase by 15% in the selected five northern states.
It is anticipated that the programme advocacy component will have some impact on improved government commitment and health system strengthening. Delivering services through government facilities, primary health care workers and community-led interventions will embed a culture of government ownership. Additionally, the design places high importance on support for government policies and strategic planning.
Irrespective of long term, systemic changes there is a strong economic and efficacy argument for DFID investment in nutrition. The direct nutrition interventions delivered through the health sector are evidence-based, cost effective and present a key opportunity for achievement of MDGs (1,4,5).
","http://projects.dfid.gov.uk/project.aspx?Project=201874
","7944|7943","","","","United Nations Children's Fund (UNICEF)","","","","","","","","","","","","","","Other","Operational research and impact evaluation will be conducted by independent nutrition researchers and evaluation experts","Project budget: £50 millionBudget spent to Date: £11,090,293","Bilateral and donor agencies and lenders","Department of International Development (DFID)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","11461","","Management of severe acute malnutrition","","","","Preschool-age children (Pre-SAC)|SAM child|Stunted child","Children under 5 years","Selected Northern States with high rates of undernutrition: Kebbi, Katsina, Jigawa, Zamfara, and Yobe. ","Primary health care center","","
","
One million children under five die every year in Nigeria, 35% of them due to causes attributed to malnutrition. This makes Nigeria one of the six countries that accounts for half of all child deaths from malnutrition worldwide. In the north, half of all children under five are stunted, and one in five suffers from acute malnutrition. This has profound implications for health and for human development, and presents a major obstacle to attainment of Millennium Development Goals in the country and globally. To date, the Nigerian government has not provided the necessary leadership or response to the crisis. Coupled with this, is a weak and fragmented health system which is unable to provide the most basic, cost-effective services for the prevention and management of common health problems. Primary health care level remains the weakest link in effective health delivery.
The programme will deliver a number of evidence-based, highly cost-effective direct interventions for the prevention and treatment of malnutrition, including community-based management of acute malnutrition (CMAM), vitamin A supplementation and deworming, and promotion of improved infant and young child feeding (IYCF) practices. The scaled up delivery will be used to raise the political profile of undernutrition in Nigeria and leverage government to coordinate and fund nutrition programmes. Independent operational research will examine the wider determinants and structural barriers of undernutrition. Impact evaluation will measure progress, quality and advise on critical elements required for a sustainable strategy.
A UNICEF and an INGO consortium of Save the Children (SC UK) and Action Against Hunger / Action Against Hunger (AAH/ACF) will deliver the interventions. Operational research and impact evaluation will be conducted by independent nutrition researchers and evaluation experts.
Results: This programme will reduce the incidence and prevalence of undernutrition in children under five across selected Northern States with high rates of undernutrition: Kebbi, Katsina, Jigawa, Zamfara, and Yobe. By 2017, DFID will improve the nutritional status of 6.2 million children under five in northern Nigeria. At least 140,000 children with severe acute malnutrition will receive treatment. The programme will contribute to National targets of reducing underweight and stunting by 20% (absolute reduction) and exclusive breast feeding rates will increase by 15% in the selected five northern states.
It is anticipated that the programme advocacy component will have some impact on improved government commitment and health system strengthening. Delivering services through government facilities, primary health care workers and community-led interventions will embed a culture of government ownership. Additionally, the design places high importance on support for government policies and strategic planning.
Irrespective of long term, systemic changes there is a strong economic and efficacy argument for DFID investment in nutrition. The direct nutrition interventions delivered through the health sector are evidence-based, cost effective and present a key opportunity for achievement of MDGs (1,4,5).
","http://projects.dfid.gov.uk/project.aspx?Project=201874
","7944|7943","","","","United Nations Children's Fund (UNICEF)","","","","","","","","","","","","","","Other","Operational research and impact evaluation will be conducted by independent nutrition researchers and evaluation experts","Project budget: £50 millionBudget spent to Date: £11,090,293","Bilateral and donor agencies and lenders","Department of International Development (DFID)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","11462","","Breastfeeding promotion and/or counselling","Infant and Young Child Feeding","","","Infants and young children|Lactating women (LW)","Infants and young children below 2 years","Selected Northern States with high rates of undernutrition: Kebbi, Katsina, Jigawa, Zamfara, and Yobe.","Community-based|Primary health care center","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "11464","Improving Maternal, Newborn and Child Nutrition in Northern Nigeria","English","Community/sub-national","","NGA","Nigeria","Kebbi, Nigeria|Katsina State, Nigeria|Jigawa State, Nigeria|Zamfara, Nigeria|Yobe, Nigeria","Rural|Peri-urban","on-going","01-2011","01-2017","One million children under five die every year in Nigeria, 35% of them due to causes attributed to malnutrition. This makes Nigeria one of the six countries that accounts for half of all child deaths from malnutrition worldwide. In the north, half of all children under five are stunted, and one in five suffers from acute malnutrition. This has profound implications for health and for human development, and presents a major obstacle to attainment of Millennium Development Goals in the country and globally. To date, the Nigerian government has not provided the necessary leadership or response to the crisis. Coupled with this, is a weak and fragmented health system which is unable to provide the most basic, cost-effective services for the prevention and management of common health problems. Primary health care level remains the weakest link in effective health delivery.
The programme will deliver a number of evidence-based, highly cost-effective direct interventions for the prevention and treatment of malnutrition, including community-based management of acute malnutrition (CMAM), vitamin A supplementation and deworming, and promotion of improved infant and young child feeding (IYCF) practices. The scaled up delivery will be used to raise the political profile of undernutrition in Nigeria and leverage government to coordinate and fund nutrition programmes. Independent operational research will examine the wider determinants and structural barriers of undernutrition. Impact evaluation will measure progress, quality and advise on critical elements required for a sustainable strategy.
A UNICEF and an INGO consortium of Save the Children (SC UK) and Action Against Hunger / Action Against Hunger (AAH/ACF) will deliver the interventions. Operational research and impact evaluation will be conducted by independent nutrition researchers and evaluation experts.
Results: This programme will reduce the incidence and prevalence of undernutrition in children under five across selected Northern States with high rates of undernutrition: Kebbi, Katsina, Jigawa, Zamfara, and Yobe. By 2017, DFID will improve the nutritional status of 6.2 million children under five in northern Nigeria. At least 140,000 children with severe acute malnutrition will receive treatment. The programme will contribute to National targets of reducing underweight and stunting by 20% (absolute reduction) and exclusive breast feeding rates will increase by 15% in the selected five northern states.
It is anticipated that the programme advocacy component will have some impact on improved government commitment and health system strengthening. Delivering services through government facilities, primary health care workers and community-led interventions will embed a culture of government ownership. Additionally, the design places high importance on support for government policies and strategic planning.
Irrespective of long term, systemic changes there is a strong economic and efficacy argument for DFID investment in nutrition. The direct nutrition interventions delivered through the health sector are evidence-based, cost effective and present a key opportunity for achievement of MDGs (1,4,5).
","http://projects.dfid.gov.uk/project.aspx?Project=201874
","7944|7943","","","","United Nations Children's Fund (UNICEF)","","","","","","","","","","","","","","Other","Operational research and impact evaluation will be conducted by independent nutrition researchers and evaluation experts","Project budget: £50 millionBudget spent to Date: £11,090,293","Bilateral and donor agencies and lenders","Department of International Development (DFID)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","11463","","Deworming","Micronutrients and Deworming","","","Preschool-age children (Pre-SAC)","Children under 5 years","Selected Northern States with high rates of undernutrition: Kebbi, Katsina, Jigawa, Zamfara, and Yobe.","Hospital/clinic|Primary health care center","","","
.
","
Impact, outcome and output indicators will be monitored throughout the lifetime of the programme. Data will be obtained through programme monitoring tools and through routine surveillance instruments such as the Demographic Health Survey. An independent impact evaluation will be embedded within delivery. This will assess the overall effectiveness, cost efficiency and equity of the programme.
","6.2 million children under five in northern Nigeria","6.2 million children under five in 5 states of northern Nigeria","","","","Vulnerable groups","","Deworming to combat the health and nutritional impact of soil-transmitted helminths>>>Deworming to combat the health and nutritional impact of soil-transmitted helminths>>http://www.who.int/elena/titles/deworming","","","","","","","","","","","","","","","","","","","","","","","","English" "11480","A2Z: The USAID Micronutrient and Child Blindness ","English","Multi-national","","UGA","Uganda","Kampala, Central Region, Uganda|Hoima, Western Region, Uganda|Bushenyi, Western Region, Uganda|Kitgum, Northern Region, Uganda|Lira, Northern Region, Uganda ","Urban|Rural|Peri-urban","completed","01-2005","01-2011","
A2Z: The USAID Micronutrient and Child Blindness Project consolidates, builds, and expands on USAID's long-term investment in micronutrients, child survival, and nutrition. A2Z takes proven interventions to scale, introduces innovation, expands services, and builds sustainable programs to increase the use of key micronutrient and blindness interventions to improve child and maternal health. With work in vitamin A supplementation of children, newborn vitamin A, food fortification, maternal and child anemia control, monitoring and evaluation, and health systems strengthening, A2Z's focus countries have included Bangladesh, Cambodia, the East, Central and Southern Africa region, India, Nepal, Philippines, Tanzania, Uganda and West Bank.
The objectives of A2Z’s program in Uganda are to support increased vitamin A supplementation coverage in selected districts, expand coverage of fortified foods, improve coverage and adherence to anemia protocols for pregnant women, and support development of guidelines to include zinc in diarrhea case management for young children.
","A2Z supports Uganda’s national Child Days Plus (CDP) program for vitamin A and deworming each year at national and district levels. The project is collaborating with the Neglected Tropical Diseases program to train community medicine distributors to administer vitamin A supplements to children 6-59 months old, assist target districts in the development of guidelines, share best practices for planning of Child Days Plus, and conduct regional Child Days Plus feedback and planning meetings in collaboration with UNICEF. The project also supports data collection and supervision activities as part of the national health management information system.
",".
","","some districts","","","","","Vulnerable groups","","Vitamin A supplementation in neonates>>>Vitamin A supplementation in neonates>>http://www.who.int/elena/titles/vitamina_neonatal","","","","","","","","","","","","","","","","","","","","","","","","English" "11480","A2Z: The USAID Micronutrient and Child Blindness ","English","Multi-national","","UGA","Uganda","Kampala, Central Region, Uganda|Hoima, Western Region, Uganda|Bushenyi, Western Region, Uganda|Kitgum, Northern Region, Uganda|Lira, Northern Region, Uganda ","Urban|Rural|Peri-urban","completed","01-2005","01-2011","A2Z: The USAID Micronutrient and Child Blindness Project consolidates, builds, and expands on USAID's long-term investment in micronutrients, child survival, and nutrition. A2Z takes proven interventions to scale, introduces innovation, expands services, and builds sustainable programs to increase the use of key micronutrient and blindness interventions to improve child and maternal health. With work in vitamin A supplementation of children, newborn vitamin A, food fortification, maternal and child anemia control, monitoring and evaluation, and health systems strengthening, A2Z's focus countries have included Bangladesh, Cambodia, the East, Central and Southern Africa region, India, Nepal, Philippines, Tanzania, Uganda and West Bank.
The objectives of A2Z’s program in Uganda are to support increased vitamin A supplementation coverage in selected districts, expand coverage of fortified foods, improve coverage and adherence to anemia protocols for pregnant women, and support development of guidelines to include zinc in diarrhea case management for young children.
","A2Z provides technical inputs to a wheat and maize flour fortification program supported by the Global Alliance for Improved Nutrition (GAIN). A2Z is also strengthening existing fortification programs in such as areas as inspection and monitoring of iodized salt and vitamin A fortified oil. The country routinely supervises factories, importation sites, and retail stores. Most of the salt in the country complies with iodization regulation, and more than 95 percent of the oil available at retail stores appears to be fortified with adequate vitamin A content. Wheat flour samples are also periodically analyzed for their iron content. A food and nutrition consumption survey is underway in collaboration with Makerere University, the National Working Group in Food Fortification, and GAIN to determine the suitability and potential benefit of the food fortification policies of the country. As part of advocacy and planning support, A2Z is assisting in cost studies of oil and sugar fortification.
","A2Z is also strengthening existing fortification programs in such as areas as inspection and monitoring of iodized salt and vitamin A fortified oil.
","more than 95 percent of the oil available at retail stores appears to be fortified ","","","","","Other","Universal salt iodization, vitamin A fortification of all oils","Iodization of salt>>>Iodization of salt>>http://www.who.int/elena/titles/salt_iodization","","","","","","","","","","","","","","","","","","","","","","","","English" "11480","A2Z: The USAID Micronutrient and Child Blindness ","English","Multi-national","","UGA","Uganda","Kampala, Central Region, Uganda|Hoima, Western Region, Uganda|Bushenyi, Western Region, Uganda|Kitgum, Northern Region, Uganda|Lira, Northern Region, Uganda ","Urban|Rural|Peri-urban","completed","01-2005","01-2011","A2Z: The USAID Micronutrient and Child Blindness Project consolidates, builds, and expands on USAID's long-term investment in micronutrients, child survival, and nutrition. A2Z takes proven interventions to scale, introduces innovation, expands services, and builds sustainable programs to increase the use of key micronutrient and blindness interventions to improve child and maternal health. With work in vitamin A supplementation of children, newborn vitamin A, food fortification, maternal and child anemia control, monitoring and evaluation, and health systems strengthening, A2Z's focus countries have included Bangladesh, Cambodia, the East, Central and Southern Africa region, India, Nepal, Philippines, Tanzania, Uganda and West Bank.
The objectives of A2Z’s program in Uganda are to support increased vitamin A supplementation coverage in selected districts, expand coverage of fortified foods, improve coverage and adherence to anemia protocols for pregnant women, and support development of guidelines to include zinc in diarrhea case management for young children.
","A2Z works at national and district levels to help implement national guidelines on the prevention and control of maternal anemia. The intervention package includes reduction of malaria, deworming, and improved iron intake. Efforts are underway to revitalize maternal anemia reduction activities by positioning it as a key maternal mortality reduction approach. The project is systematically addressing bottlenecks such as low health worker knowledge and motivation and generally low community awareness (especially among mothers) on the dangers of anemia. Another bottleneck—poor logistics management with frequent stock outs of iron—was examined as part of an assessment of the availability of micronutrient supplements and medicines for use in micronutrient programs. The assessment was conducted in Uganda by A2Z in collaboration with MSH/RPM+.
","maternal anaemia
maternal mortality
","","","","","","","Sex","","Deworming to combat the health and nutritional impact of soil-transmitted helminths>>>Deworming to combat the health and nutritional impact of soil-transmitted helminths>>http://www.who.int/elena/titles/deworming","","","","","","","","","","","","","","","","","","","","","","","","English" "11480","A2Z: The USAID Micronutrient and Child Blindness ","English","Multi-national","","UGA","Uganda","Kampala, Central Region, Uganda|Hoima, Western Region, Uganda|Bushenyi, Western Region, Uganda|Kitgum, Northern Region, Uganda|Lira, Northern Region, Uganda ","Urban|Rural|Peri-urban","completed","01-2005","01-2011","A2Z: The USAID Micronutrient and Child Blindness Project consolidates, builds, and expands on USAID's long-term investment in micronutrients, child survival, and nutrition. A2Z takes proven interventions to scale, introduces innovation, expands services, and builds sustainable programs to increase the use of key micronutrient and blindness interventions to improve child and maternal health. With work in vitamin A supplementation of children, newborn vitamin A, food fortification, maternal and child anemia control, monitoring and evaluation, and health systems strengthening, A2Z's focus countries have included Bangladesh, Cambodia, the East, Central and Southern Africa region, India, Nepal, Philippines, Tanzania, Uganda and West Bank.
The objectives of A2Z’s program in Uganda are to support increased vitamin A supplementation coverage in selected districts, expand coverage of fortified foods, improve coverage and adherence to anemia protocols for pregnant women, and support development of guidelines to include zinc in diarrhea case management for young children.
","A2Z provided assistance to the MOH in reviewing the plan for revitalization of oral rehydration therapy and advocated for the inclusion of zinc as an adjunct therapy for diarrhea treatment. Zinc therapy as part of diarrhea management was accepted as national treatment in December 2006.
","diarreal cases
","","","","","","","Vulnerable groups","","Zinc supplementation in the management of diarrhoea>>>Zinc supplementation in the management of diarrhoea>>http://www.who.int/elena/titles/zinc_diarrhoea","","","","","","","","","","","","","","","","","","","","","","","","English" "11499","Food by Prescription","English","Community/sub-national","","ETH","Ethiopia","Addis Ababa, Ethiopia|Amhara, Ethiopia|Dire Dawa, Ethiopia|Harari, Ethiopia|Oromia, Ethiopia|Southern Nations, Nationalities, and People's Region, Ethiopia|Tigray, Ethiopia","Urban|Rural|Peri-urban","on-going","01-2009","01-2013","
For pre-antiretroviral treatment and antiretroviral treatment patients, clinical malnutrition is a risk factor for HIV and mortality. Malnutrition can also negatively impact birth outcomes among HIV-positive women. As HIV infection progresses, challenges to maintenance of adequate nutritional status—mal-absorption of nutrients, hyper-metabolism, etc.—increase and can adversely affect adherence to and effectiveness of drug treatments.
Food by Prescription provides food and nutritional support to malnourished HIV+ individuals in the form of therapeutic and supplementary feeding at health facility levels. The project serves severely malnourished people living with HIV/AIDS, HIV+ pregnant women, HIV+ women in their first six months post-partum, their infants, and orphans and vulnerable children. To ensure the program’s success, USAID works with the Ethiopian Ministry of Health and HIV/AIDS Prevention and Control Office, as well as the Food and Nutrition Technical Assistance (FANTA) project. Food by Prescription serves as a critical component of PEPFAR, a broader effort to strengthen integration of nutrition into HIV services. In order to reduce the cost associated with importation of nutrients and food commodities, the project will also collaborate with the public and private sector to explore the possibility of local production for some of the required food commodities.
Expected Results:
Two qualitative data collection rounds were included, with the following objectives:
a) Adherence and compliance: The objective of the first was to elaborate and contextualize the findings of the quantitative impact study, by exploring ration utilization and participant perceptions of the costs and benefits of participation in the FBP program. It sought to validate the assumption that participants were receiving and consuming the rations prescribed as per the program protocol and to identify the constraining factors and solutions for improved participant adherence. This component of the study also addressed issues of service provider participation, and the barriers and constraints to delivery that may have impacted the effects of the program on individuals.
b) Default and non-response: While the first qualitative study sought to identify constraints to adherence from a group of “successful” participants, a second study was designed to investigate the experience of “unsuccessful” participants, aiming to identify possible limitations to adherence among individuals who either defaulted from the program or failed to respond to the intervention.
The objective of the second qualitative study was to understand in greater depth the range of reasons for default among FBP program participants, as well as the range of reasons for poor weight gain among other participants.
The study was designed as a quasi-experimental effectiveness evaluation, with a comparison group of clinics selected from a geographic area similar to those in which the intervention was being evaluated. Originally, the study was designed to reflect the existence of a food support program being implemented by WFP in limited urban areas for households containing individuals with HIV. As the WFP program was providing a household ration to participant households, there was a concern that the measured impact of the FBP program could be biased by the presence or absence of the WFP program.
Therefore, the study sample was stratified to include three cohorts of participants who were followed longitudinally: two groups of adult PLHIV meeting FBP enrollment criteria in ART clinics at selected health facilities, one from sites offering both the FBP program and the WFP program, and another from sites offering FBP only. Participants from these two groups were recruited for the study at the time when they enrolled in the FBP program. The third group, a comparison group, was composed of FBP-eligible adults recruited from FBP Phase II sites, i.e., where the program had not yet been rolled out but would do so during Year Two of the program.
However, after the FBP program and the impact study had commenced, the WFP program was phased out. Despite this, the three study groups were maintained, with the idea that the two treatment groups could be pooled eventually if the baseline characteristics of the two did not differ significantly.
","The components were counselling for breastfeeding and complementary feeding; vitamin A campaigns; iron in pregnancy; hygiene, sanitation and deworming for kindergartens; growth monitoring; and nutrition products for malnourished children.
","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. Part II also describes findings from cash transfer programmes. This summary of PEM Contro, Programme is retrieved from the ENA Part II where PEM Control Programme 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/
","","","","","","","","","","","","","","","","","","","","","By 2005 an estimated 100 000 CHNWs (nutrition collaborators) were in place for an intensity of approximately 1 CHNW per 70 households, i.e. 75:1000 households. Resource intensity was about US$ 0.70/household per year, excluding district and commune costs.","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","23136","","Breastfeeding promotion and/or counselling","","","","Lactating women (LW)|Pregnant women (PW)","","","Community-based","","","Underweight
","Repeated surveys and from 1999–2005 data from the weighing programme. The portion of the recent nutrition improvement that can be ascribed to the PEM Control Programme has not been evaluated. A small-scale trial indicated minor effects on child anthropometry.
","","Covering 100% of communes with more than 10 000 health stations ","","","Population sustained rate in underweight reduction was about 1.5–2.0 ppt/year from 1994–1998. ","","","","","","","","","","","","","","","","","","","","","","","","","","","English" "23137","The Protein-Energy Malnutrition (PEM) Control Programme ","English","Large scale programmes","","VNM","Viet Nam","","","on-going","01-1994","","The components were counselling for breastfeeding and complementary feeding; vitamin A campaigns; iron in pregnancy; hygiene, sanitation and deworming for kindergartens; growth monitoring; and nutrition products for malnourished children.
","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. Part II also describes findings from cash transfer programmes. This summary of PEM Contro, Programme is retrieved from the ENA Part II where PEM Control Programme 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/
","","","","","","","","","","","","","","","","","","","","","By 2005 an estimated 100 000 CHNWs (nutrition collaborators) were in place for an intensity of approximately 1 CHNW per 70 households, i.e. 75:1000 households. Resource intensity was about US$ 0.70/household per year, excluding district and commune costs.","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","23138","","Complementary feeding promotion and/or counselling","","","","Infants and young children","","","Community-based","","","Underweight
","Repeated surveys and from 1999–2005 data from the weighing programme. The portion of the recent nutrition improvement that can be ascribed to the PEM Control Programme has not been evaluated. A small-scale trial indicated minor effects on child anthropometry.
","","Covering 100% of communes with more than 10 000 health stations ","","","Population sustained rate in underweight reduction was about 1.5–2.0 ppt/year from 1994–1998. ","","","","","","","","","","","","","","","","","","","","","","","","","","","English" "23137","The Protein-Energy Malnutrition (PEM) Control Programme ","English","Large scale programmes","","VNM","Viet Nam","","","on-going","01-1994","","The components were counselling for breastfeeding and complementary feeding; vitamin A campaigns; iron in pregnancy; hygiene, sanitation and deworming for kindergartens; growth monitoring; and nutrition products for malnourished children.
","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. Part II also describes findings from cash transfer programmes. This summary of PEM Contro, Programme is retrieved from the ENA Part II where PEM Control Programme 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/
","","","","","","","","","","","","","","","","","","","","","By 2005 an estimated 100 000 CHNWs (nutrition collaborators) were in place for an intensity of approximately 1 CHNW per 70 households, i.e. 75:1000 households. Resource intensity was about US$ 0.70/household per year, excluding district and commune costs.","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","23139","","Iron supplementation","","Iron","","Pregnant women (PW)","","","Community-based","","","Underweight
","Repeated surveys and from 1999–2005 data from the weighing programme. The portion of the recent nutrition improvement that can be ascribed to the PEM Control Programme has not been evaluated. A small-scale trial indicated minor effects on child anthropometry.
","","Covering 100% of communes with more than 10 000 health stations ","","","Population sustained rate in underweight reduction was about 1.5–2.0 ppt/year from 1994–1998. ","","","","","","","","","","","","","","","","","","","","","","","","","","","English" "23137","The Protein-Energy Malnutrition (PEM) Control Programme ","English","Large scale programmes","","VNM","Viet Nam","","","on-going","01-1994","","The components were counselling for breastfeeding and complementary feeding; vitamin A campaigns; iron in pregnancy; hygiene, sanitation and deworming for kindergartens; growth monitoring; and nutrition products for malnourished children.
","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. Part II also describes findings from cash transfer programmes. This summary of PEM Contro, Programme is retrieved from the ENA Part II where PEM Control Programme 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/
","","","","","","","","","","","","","","","","","","","","","By 2005 an estimated 100 000 CHNWs (nutrition collaborators) were in place for an intensity of approximately 1 CHNW per 70 households, i.e. 75:1000 households. Resource intensity was about US$ 0.70/household per year, excluding district and commune costs.","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","23140","","Food distribution/supplementation for prevention of acute malnutrition","","","","","","","Community-based","","","Underweight
","Repeated surveys and from 1999–2005 data from the weighing programme. The portion of the recent nutrition improvement that can be ascribed to the PEM Control Programme has not been evaluated. A small-scale trial indicated minor effects on child anthropometry.
","","Covering 100% of communes with more than 10 000 health stations ","","","Population sustained rate in underweight reduction was about 1.5–2.0 ppt/year from 1994–1998. ","","","","","","","","","","","","","","","","","","","","","","","","","","","English" "23137","The Protein-Energy Malnutrition (PEM) Control Programme ","English","Large scale programmes","","VNM","Viet Nam","","","on-going","01-1994","","The components were counselling for breastfeeding and complementary feeding; vitamin A campaigns; iron in pregnancy; hygiene, sanitation and deworming for kindergartens; growth monitoring; and nutrition products for malnourished children.
","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. Part II also describes findings from cash transfer programmes. This summary of PEM Contro, Programme is retrieved from the ENA Part II where PEM Control Programme 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/
","","","","","","","","","","","","","","","","","","","","","By 2005 an estimated 100 000 CHNWs (nutrition collaborators) were in place for an intensity of approximately 1 CHNW per 70 households, i.e. 75:1000 households. Resource intensity was about US$ 0.70/household per year, excluding district and commune costs.","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","23141","","Growth monitoring and promotion","","","","","","","Community-based","","","Underweight
","Repeated surveys and from 1999–2005 data from the weighing programme. The portion of the recent nutrition improvement that can be ascribed to the PEM Control Programme has not been evaluated. A small-scale trial indicated minor effects on child anthropometry.
","","Covering 100% of communes with more than 10 000 health stations ","","","Population sustained rate in underweight reduction was about 1.5–2.0 ppt/year from 1994–1998. ","","","","","","","","","","","","","","","","","","","","","","","","","","","English" "23137","The Protein-Energy Malnutrition (PEM) Control Programme ","English","Large scale programmes","","VNM","Viet Nam","","","on-going","01-1994","","The components were counselling for breastfeeding and complementary feeding; vitamin A campaigns; iron in pregnancy; hygiene, sanitation and deworming for kindergartens; growth monitoring; and nutrition products for malnourished children.
","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. Part II also describes findings from cash transfer programmes. This summary of PEM Contro, Programme is retrieved from the ENA Part II where PEM Control Programme 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/
","","","","","","","","","","","","","","","","","","","","","By 2005 an estimated 100 000 CHNWs (nutrition collaborators) were in place for an intensity of approximately 1 CHNW per 70 households, i.e. 75:1000 households. Resource intensity was about US$ 0.70/household per year, excluding district and commune costs.","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","23142","","Deworming","","","","Preschool-age children (Pre-SAC)","","","Community-based","","","Underweight
","Repeated surveys and from 1999–2005 data from the weighing programme. The portion of the recent nutrition improvement that can be ascribed to the PEM Control Programme has not been evaluated. A small-scale trial indicated minor effects on child anthropometry.
","","Covering 100% of communes with more than 10 000 health stations ","","","Population sustained rate in underweight reduction was about 1.5–2.0 ppt/year from 1994–1998. ","","","","","","","","","","","","","","","","","","","","","","","","","","","English" "23137","The Protein-Energy Malnutrition (PEM) Control Programme ","English","Large scale programmes","","VNM","Viet Nam","","","on-going","01-1994","","The components were counselling for breastfeeding and complementary feeding; vitamin A campaigns; iron in pregnancy; hygiene, sanitation and deworming for kindergartens; growth monitoring; and nutrition products for malnourished children.
","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. Part II also describes findings from cash transfer programmes. This summary of PEM Contro, Programme is retrieved from the ENA Part II where PEM Control Programme 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/
","","","","","","","","","","","","","","","","","","","","","By 2005 an estimated 100 000 CHNWs (nutrition collaborators) were in place for an intensity of approximately 1 CHNW per 70 households, i.e. 75:1000 households. Resource intensity was about US$ 0.70/household per year, excluding district and commune costs.","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","23143","","Promotion of improved hygiene practices including handwashing","","","","","","","Community-based","","","","","","Covering 100% of communes with more than 10 000 health stations ","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English" "23437","The Protein-Energy Malnutrition (PEM) Control Programme ","English","National"," ","VNM","Viet Nam","Viet Nam","","on-going","","","The components were counselling for breastfeeding and complementary feeding; vitamin A campaigns; iron in pregnancy; hygiene, sanitation and deworming for kindergartens; growth monitoring; and nutrition products for malnourished children.
","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 PEM Contro, Programme is retrieved from the ENA Part II where PEM Control Programme 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/
","","","","","","","","","","","","","","","","","","","","","By 2005 an estimated 100 000 CHNWs (nutrition collaborators) were in place for an intensity of approximately 1 CHNW per 70 households, i.e. 75:1000 households. Resource intensity was about US$ 0.70/household per year, excluding district and commune costs.","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","23436","Breastfeeding","Breastfeeding promotion and/or counselling","","","","Lactating women (LW)|Pregnant women (PW)","","","Community-based","","","Underweight
","Repeated surveys and from 1999–2005 data from the weighing programme. The portion of the recent nutrition improvement that can be ascribed to the PEM Control Programme has not been evaluated. A small-scale trial indicated minor effects on child anthropometry.
","","Covering 100% of communes with more than 10 000 health stations ","","","Population sustained rate in underweight reduction was about 1.5–2.0 ppt/year from 1994–1998.
","","","","","","","","","","","","","","","","","","","","","","","","","","","English" "23437","The Protein-Energy Malnutrition (PEM) Control Programme ","English","National"," ","VNM","Viet Nam","Viet Nam","","on-going","","","The components were counselling for breastfeeding and complementary feeding; vitamin A campaigns; iron in pregnancy; hygiene, sanitation and deworming for kindergartens; growth monitoring; and nutrition products for malnourished children.
","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 PEM Contro, Programme is retrieved from the ENA Part II where PEM Control Programme 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/
","","","","","","","","","","","","","","","","","","","","","By 2005 an estimated 100 000 CHNWs (nutrition collaborators) were in place for an intensity of approximately 1 CHNW per 70 households, i.e. 75:1000 households. Resource intensity was about US$ 0.70/household per year, excluding district and commune costs.","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","23438","","Complementary feeding promotion and/or counselling","","","","Infants and young children","","","Community-based","","","Underweight
","Repeated surveys and from 1999–2005 data from the weighing programme. The portion of the recent nutrition improvement that can be ascribed to the PEM Control Programme has not been evaluated. A small-scale trial indicated minor effects on child anthropometry.
","","Covering 100% of communes with more than 10 000 health stations ","","","Population sustained rate in underweight reduction was about 1.5–2.0 ppt/year from 1994–1998.
","","","","","","","","","","","","","","","","","","","","","","","","","","","English" "23437","The Protein-Energy Malnutrition (PEM) Control Programme ","English","National"," ","VNM","Viet Nam","Viet Nam","","on-going","","","The components were counselling for breastfeeding and complementary feeding; vitamin A campaigns; iron in pregnancy; hygiene, sanitation and deworming for kindergartens; growth monitoring; and nutrition products for malnourished children.
","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 PEM Contro, Programme is retrieved from the ENA Part II where PEM Control Programme 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/
","","","","","","","","","","","","","","","","","","","","","By 2005 an estimated 100 000 CHNWs (nutrition collaborators) were in place for an intensity of approximately 1 CHNW per 70 households, i.e. 75:1000 households. Resource intensity was about US$ 0.70/household per year, excluding district and commune costs.","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","23439","","Iron supplementation","","Iron","","Pregnant women (PW)","","","Community-based","","","Underweight
","Repeated surveys and from 1999–2005 data from the weighing programme. The portion of the recent nutrition improvement that can be ascribed to the PEM Control Programme has not been evaluated. A small-scale trial indicated minor effects on child anthropometry.
","","Covering 100% of communes with more than 10 000 health stations ","","","Population sustained rate in underweight reduction was about 1.5–2.0 ppt/year from 1994–1998. ","","","","","","","","","","","","","","","","","","","","","","","","","","","English" "23437","The Protein-Energy Malnutrition (PEM) Control Programme ","English","National"," ","VNM","Viet Nam","Viet Nam","","on-going","","","The components were counselling for breastfeeding and complementary feeding; vitamin A campaigns; iron in pregnancy; hygiene, sanitation and deworming for kindergartens; growth monitoring; and nutrition products for malnourished children.
","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 PEM Contro, Programme is retrieved from the ENA Part II where PEM Control Programme 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/
","","","","","","","","","","","","","","","","","","","","","By 2005 an estimated 100 000 CHNWs (nutrition collaborators) were in place for an intensity of approximately 1 CHNW per 70 households, i.e. 75:1000 households. Resource intensity was about US$ 0.70/household per year, excluding district and commune costs.","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","23440","","Food distribution/supplementation for prevention of acute malnutrition","","","","","","","Community-based","","","Underweight
","Repeated surveys and from 1999–2005 data from the weighing programme. The portion of the recent nutrition improvement that can be ascribed to the PEM Control Programme has not been evaluated. A small-scale trial indicated minor effects on child anthropometry.
","","Covering 100% of communes with more than 10 000 health stations ","","","Population sustained rate in underweight reduction was about 1.5–2.0 ppt/year from 1994–1998. ","","","","","","","","","","","","","","","","","","","","","","","","","","","English" "23437","The Protein-Energy Malnutrition (PEM) Control Programme ","English","National"," ","VNM","Viet Nam","Viet Nam","","on-going","","","The components were counselling for breastfeeding and complementary feeding; vitamin A campaigns; iron in pregnancy; hygiene, sanitation and deworming for kindergartens; growth monitoring; and nutrition products for malnourished children.
","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 PEM Contro, Programme is retrieved from the ENA Part II where PEM Control Programme 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/
","","","","","","","","","","","","","","","","","","","","","By 2005 an estimated 100 000 CHNWs (nutrition collaborators) were in place for an intensity of approximately 1 CHNW per 70 households, i.e. 75:1000 households. Resource intensity was about US$ 0.70/household per year, excluding district and commune costs.","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","23441","","Growth monitoring and promotion","","","","","","","Community-based","","","Underweight
","Repeated surveys and from 1999–2005 data from the weighing programme. The portion of the recent nutrition improvement that can be ascribed to the PEM Control Programme has not been evaluated. A small-scale trial indicated minor effects on child anthropometry.
","","Covering 100% of communes with more than 10 000 health stations ","","","Population sustained rate in underweight reduction was about 1.5–2.0 ppt/year from 1994–1998. ","","","","","","","","","","","","","","","","","","","","","","","","","","","English" "23437","The Protein-Energy Malnutrition (PEM) Control Programme ","English","National"," ","VNM","Viet Nam","Viet Nam","","on-going","","","The components were counselling for breastfeeding and complementary feeding; vitamin A campaigns; iron in pregnancy; hygiene, sanitation and deworming for kindergartens; growth monitoring; and nutrition products for malnourished children.
","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 PEM Contro, Programme is retrieved from the ENA Part II where PEM Control Programme 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/
","","","","","","","","","","","","","","","","","","","","","By 2005 an estimated 100 000 CHNWs (nutrition collaborators) were in place for an intensity of approximately 1 CHNW per 70 households, i.e. 75:1000 households. Resource intensity was about US$ 0.70/household per year, excluding district and commune costs.","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","23442","","Deworming","","","","Preschool-age children (Pre-SAC)","","","Community-based","","","Underweight
","Repeated surveys and from 1999–2005 data from the weighing programme. The portion of the recent nutrition improvement that can be ascribed to the PEM Control Programme has not been evaluated. A small-scale trial indicated minor effects on child anthropometry.
","","Covering 100% of communes with more than 10 000 health stations ","","","Population sustained rate in underweight reduction was about 1.5–2.0 ppt/year from 1994–1998. ","","","","","","","","","","","","","","","","","","","","","","","","","","","English" "23437","The Protein-Energy Malnutrition (PEM) Control Programme ","English","National"," ","VNM","Viet Nam","Viet Nam","","on-going","","","The components were counselling for breastfeeding and complementary feeding; vitamin A campaigns; iron in pregnancy; hygiene, sanitation and deworming for kindergartens; growth monitoring; and nutrition products for malnourished children.
","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 PEM Contro, Programme is retrieved from the ENA Part II where PEM Control Programme 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/
","","","","","","","","","","","","","","","","","","","","","By 2005 an estimated 100 000 CHNWs (nutrition collaborators) were in place for an intensity of approximately 1 CHNW per 70 households, i.e. 75:1000 households. Resource intensity was about US$ 0.70/household per year, excluding district and commune costs.","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","23443","","Promotion of improved hygiene practices including handwashing","","","","","","","Community-based","","","","","","Covering 100% of communes with more than 10 000 health stations ","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English" "24602","Nutrition International - Deworming Adolescents, WASH and Nutrition (DAWN)","English","Community/sub-national","","BGD","Bangladesh","Rajshahi|Chapai Nawabganj|Joypurhat|Sirajganj","","","","","DAWN is an innovative partnership among the Ministry of Education and Ministry of Health and Family Welfare of the Government of Bangladesh (GoB) and Nutrition International. The immediate aim of this project is to demonstrate the effectiveness and scalability of using the secondary school platform to deliver iron-folic acid (IFA) within a package of services including soil-transmitted helminth (STH) treatment, WASH interventions, and behavior change interventions, to improve the nutrition and health status of adolescent girls in secondary schools in selected districts in Bangladesh. The lessons learned from this program model and costing data will then inform policy recommendations regarding future scale up for investment by GoB and its investment partners. Johnson & Johnson is the provider of deworming treatment through their global technical partner, Children Without Worms (CWW).
The primary objectives of the project are:
This project will conclude in March 2020.
","DAWN is an innovative partnership among the Ministry of Education and Ministry of Health and Family Welfare of the Government of Bangladesh (GoB) and Nutrition International. The immediate aim of this project is to demonstrate the effectiveness and scalability of using the secondary school platform to deliver iron-folic acid (IFA) within a package of services including soil-transmitted helminth (STH) treatment, WASH interventions, and behavior change interventions, to improve the nutrition and health status of adolescent girls in secondary schools in selected districts in Bangladesh. The lessons learned from this program model and costing data will then inform policy recommendations regarding future scale up for investment by GoB and its investment partners. Johnson & Johnson is the provider of deworming treatment through their global technical partner, Children Without Worms (CWW).
The primary objectives of the project are:
This project will conclude in March 2020.
","DAWN is an innovative partnership among the Ministry of Education and Ministry of Health and Family Welfare of the Government of Bangladesh (GoB) and Nutrition International. The immediate aim of this project is to demonstrate the effectiveness and scalability of using the secondary school platform to deliver iron-folic acid (IFA) within a package of services including soil-transmitted helminth (STH) treatment, WASH interventions, and behavior change interventions, to improve the nutrition and health status of adolescent girls in secondary schools in selected districts in Bangladesh. The lessons learned from this program model and costing data will then inform policy recommendations regarding future scale up for investment by GoB and its investment partners. Johnson & Johnson is the provider of deworming treatment through their global technical partner, Children Without Worms (CWW).
The primary objectives of the project are:
This project will conclude in March 2020.
","The EOS/Targeted Supplementary Feeding (TSF) programme began in 2004 as a pilot, and quickly scaled up to cover 6.8 million children in 365 drought-prone woredas. In 2005/6, the programme was expanded through the EEOS, which covers additional woredas with a reduced package of only vitamin A supplementation and deworming. National coverage by EOS and EEOS has expanded to reach around 95% of children under 5. In 2008, the programme covered 163 food-insecure woredas.
Under the Health Extention Programme (HEP) the EOS programme is currently phasing out and being replaced by Community Health Days. These events will offer the same inputs as EOS but will move away from the regionally-supported biannual mobilizations and instead be carried out quarterly, supported by the district health structures and Health Extention Workers (HEWs)
Children 6-59 months of age were screened using mid-upper arm circumference (MUAC) cutoff 12.0 cm.
","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 EOS/EEOS is retrieved from the ENA Part II where EOS/EEOS 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$ 43 million.Estimated cost of US$ 1.14 per child (with measles vaccination, US$ 0,57 without).","UN","United Nations Children's Fund (UNICEF)","The EOS/Targeted Supplementary Feeding (TSF) programme began in 2004 as a pilot, and quickly scaled up to cover 6.8 million children in 365 drought-prone woredas. In 2005/6, the programme was expanded through the EEOS, which covers additional woredas with a reduced package of only vitamin A supplementation and deworming. National coverage by EOS and EEOS has expanded to reach around 95% of children under 5. In 2008, the programme covered 163 food-insecure woredas.
Under the Health Extention Programme (HEP) the EOS programme is currently phasing out and being replaced by Community Health Days. These events will offer the same inputs as EOS but will move away from the regionally-supported biannual mobilizations and instead be carried out quarterly, supported by the district health structures and Health Extention Workers (HEWs)
Children 6-59 months of age were screened using mid-upper arm circumference (MUAC) cutoff 12.0 cm.
","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 EOS/EEOS is retrieved from the ENA Part II where EOS/EEOS 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$ 43 million.Estimated cost of US$ 1.14 per child (with measles vaccination, US$ 0,57 without).","UN","United Nations Children's Fund (UNICEF)","Measles vaccination
","","","","2.9 million children 6–59 months in 163 food insecure Woredas","","","","Vulnerable groups","","","","","","","","","","","","","","","","","","","","","","","","","","English" "23315","Enhanced Outreach Strategy/Extended Enhanced Outreach Strategy (EOS/EEOS)","English","Large scale programmes","","ETH","Ethiopia","","","on-going","","","The EOS/Targeted Supplementary Feeding (TSF) programme began in 2004 as a pilot, and quickly scaled up to cover 6.8 million children in 365 drought-prone woredas. In 2005/6, the programme was expanded through the EEOS, which covers additional woredas with a reduced package of only vitamin A supplementation and deworming. National coverage by EOS and EEOS has expanded to reach around 95% of children under 5. In 2008, the programme covered 163 food-insecure woredas.
Under the Health Extention Programme (HEP) the EOS programme is currently phasing out and being replaced by Community Health Days. These events will offer the same inputs as EOS but will move away from the regionally-supported biannual mobilizations and instead be carried out quarterly, supported by the district health structures and Health Extention Workers (HEWs)
Children 6-59 months of age were screened using mid-upper arm circumference (MUAC) cutoff 12.0 cm.
","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 EOS/EEOS is retrieved from the ENA Part II where EOS/EEOS 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$ 43 million.Estimated cost of US$ 1.14 per child (with measles vaccination, US$ 0,57 without).","UN","United Nations Children's Fund (UNICEF)","Insecticide-treated bednets in malarial areas
","","","","2.9 million children 6–59 months in 163 food insecure Woredas","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English" "23315","Enhanced Outreach Strategy/Extended Enhanced Outreach Strategy (EOS/EEOS)","English","Large scale programmes","","ETH","Ethiopia","","","on-going","","","The EOS/Targeted Supplementary Feeding (TSF) programme began in 2004 as a pilot, and quickly scaled up to cover 6.8 million children in 365 drought-prone woredas. In 2005/6, the programme was expanded through the EEOS, which covers additional woredas with a reduced package of only vitamin A supplementation and deworming. National coverage by EOS and EEOS has expanded to reach around 95% of children under 5. In 2008, the programme covered 163 food-insecure woredas.
Under the Health Extention Programme (HEP) the EOS programme is currently phasing out and being replaced by Community Health Days. These events will offer the same inputs as EOS but will move away from the regionally-supported biannual mobilizations and instead be carried out quarterly, supported by the district health structures and Health Extention Workers (HEWs)
Children 6-59 months of age were screened using mid-upper arm circumference (MUAC) cutoff 12.0 cm.
","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 EOS/EEOS is retrieved from the ENA Part II where EOS/EEOS 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$ 43 million.Estimated cost of US$ 1.14 per child (with measles vaccination, US$ 0,57 without).","UN","United Nations Children's Fund (UNICEF)","The EOS/Targeted Supplementary Feeding (TSF) programme began in 2004 as a pilot, and quickly scaled up to cover 6.8 million children in 365 drought-prone woredas. In 2005/6, the programme was expanded through the EEOS, which covers additional woredas with a reduced package of only vitamin A supplementation and deworming. National coverage by EOS and EEOS has expanded to reach around 95% of children under 5. In 2008, the programme covered 163 food-insecure woredas.
Under the Health Extention Programme (HEP) the EOS programme is currently phasing out and being replaced by Community Health Days. These events will offer the same inputs as EOS but will move away from the regionally-supported biannual mobilizations and instead be carried out quarterly, supported by the district health structures and Health Extention Workers (HEWs)
Children 6-59 months of age were screened using mid-upper arm circumference (MUAC) cutoff 12.0 cm.
","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 EOS/EEOS is retrieved from the ENA Part II where EOS/EEOS 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$ 43 million.Estimated cost of US$ 1.14 per child (with measles vaccination, US$ 0,57 without).","UN","United Nations Children's Fund (UNICEF)","Moderately malnourished children 6 - 59 months, and moderately malnoursihed pregnant or lactating women, are referred to Targeted Supplementary Feeding (TSF) for 3-month supplementary food rations
","","","","720 000 children 6-59 months and 420 000 pregnant or lactating women ","","","","Vulnerable groups","","","","","","","","","","","","","","","","","","","","","","","","","","English" "23322","National Nutrition Programme/Community-based Nutrition (NNP/CBN)","English","Large scale programmes","","ETH","Ethiopia","","","on-going","","","The Government of Ethiopia launched the National Nutrition Programme (NNP) in 2008. NNP has many relevant components to reduce the magnitude of malnutrition in Ethiopia by reorienting the focus away from emergency and food security interventions and mainstreaming nutrition into community-based health and development programmes. Key nutrition activities of the NNP include:
1. Health Extension Programme (HEP): The core strategy for universal primary health service coverage. It aims to improve family health status through disease prevention and control at the community level
2. Promotion of Essential Nutrition Actions
3. Therapeutic Feeding Programme (TFP): Children with complicated SAM receive care through therapeutic feeding units, and children with uncomplicated SAM are managed in the community through Outpatient Therapeutic Programmes (OTP) at decentralized sites. There are more than 5000 OTP sites across 200 woredas.
4. Enhanced Outreach Strategy (EOS)/ Extended Enhanced Outreach Strategy (EEOS) and Targeted Supplementary Feeding (TSF).
5. Community-based Nutrition (CBN). The CBN was launched in 2008 and will expand to cover 35% of Ethiopia’s total population (228 woredas). CBN is focused on children under two and uses monthly growth monitoring and promotion to involve families and community members in assessing health and nutrition-related problems, analysing causes of these problems, taking action and monitoring progress.
Quarterly screening for acute malnutrition through Community Health Days
Referral of severely underweight children to Therapeutic Feeding Programme (TFPs) and/or Targeted Supplementary Feeding (TSFs) as required;
","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/CBN is retrieved from the ENA Part II where NNP/CBN 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/
","","","","","","","","","","","","","","","","","","","","","CBN: Intensity of Community health workers (CHWs) is about 1:23 children, estimated as 0,2 Full-time equivalents (FTE), i.e. 86:1000 households. Per capita costs are not available.HEP: Government of Ethiopia aimed for a ratio of 1 health extension worker (HEW):2500 persons, and 1 health post:5000 persons. Government of Ethiopia spending on health is only 7.5% of the total government budget,and total per capita public health expenditure was US$ 3.00 in 2008, below the target expenditure of US$ 4.80 per capita estimated for full implementation of the HEP.","UN","Other","Multi-donor support","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","23321","","Growth monitoring and promotion","","","","Adolescents|Infants and young children|Lactating women (LW)|Pregnant women (PW)|Preschool-age children (Pre-SAC)","","","Community-based","","Monthly growth monitoring and promotion to involve families and community members in assessing health and nutrition-related problems,
","Underweight
","Initial analysis of routine programme data from 1.5 million under-2 children weighed in 4 regions showed a decline in underweight from 30% in January 2009 to 20% in March 2010
","86 % of woredas","Population coverage in target areas (now approximately 250/640 woredas (districts)) is approximately 40%","","","Participants' initial rate of underweight reduction: 8.0 ppt/year. Participants’ sustained rate of underweight reduction: 5.0 ppt/year, with estimated 40% coverage this gives a sustained population rate of 2.0 ppt/year.
","","","","","","","","","","","","","","","","","","","","","","","","","","","English" "23322","National Nutrition Programme/Community-based Nutrition (NNP/CBN)","English","Large scale programmes","","ETH","Ethiopia","","","on-going","","","The Government of Ethiopia launched the National Nutrition Programme (NNP) in 2008. NNP has many relevant components to reduce the magnitude of malnutrition in Ethiopia by reorienting the focus away from emergency and food security interventions and mainstreaming nutrition into community-based health and development programmes. Key nutrition activities of the NNP include:
1. Health Extension Programme (HEP): The core strategy for universal primary health service coverage. It aims to improve family health status through disease prevention and control at the community level
2. Promotion of Essential Nutrition Actions
3. Therapeutic Feeding Programme (TFP): Children with complicated SAM receive care through therapeutic feeding units, and children with uncomplicated SAM are managed in the community through Outpatient Therapeutic Programmes (OTP) at decentralized sites. There are more than 5000 OTP sites across 200 woredas.
4. Enhanced Outreach Strategy (EOS)/ Extended Enhanced Outreach Strategy (EEOS) and Targeted Supplementary Feeding (TSF).
5. Community-based Nutrition (CBN). The CBN was launched in 2008 and will expand to cover 35% of Ethiopia’s total population (228 woredas). CBN is focused on children under two and uses monthly growth monitoring and promotion to involve families and community members in assessing health and nutrition-related problems, analysing causes of these problems, taking action and monitoring progress.
Quarterly screening for acute malnutrition through Community Health Days
Referral of severely underweight children to Therapeutic Feeding Programme (TFPs) and/or Targeted Supplementary Feeding (TSFs) as required;
","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/CBN is retrieved from the ENA Part II where NNP/CBN 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/
","","","","","","","","","","","","","","","","","","","","","CBN: Intensity of Community health workers (CHWs) is about 1:23 children, estimated as 0,2 Full-time equivalents (FTE), i.e. 86:1000 households. Per capita costs are not available.HEP: Government of Ethiopia aimed for a ratio of 1 health extension worker (HEW):2500 persons, and 1 health post:5000 persons. Government of Ethiopia spending on health is only 7.5% of the total government budget,and total per capita public health expenditure was US$ 3.00 in 2008, below the target expenditure of US$ 4.80 per capita estimated for full implementation of the HEP.","UN","Other","Multi-donor support","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","23324","","Vitamin A supplementation","","Vitamin A","","Adolescents|Infants and young children|Lactating women (LW)|Pregnant women (PW)|Preschool-age children (Pre-SAC)","","","Community-based","","Biannual vitamin A supplementation
","Underweight
","Initial analysis of routine programme data from 1.5 million under-2 children weighed in 4 regions showed a decline in underweight from 30% in January 2009 to 20% in March 2010
","86 % of wordeas","Population coverage in target areas (now approximately 250/640 woredas (districts)) is approximately 40%","","","Participants' initial rate of underweight reduction: 8.0 ppt/year. Participants’ sustained rate of underweight reduction: 5.0 ppt/year, with estimated 40% coverage this gives a sustained population rate of 2.0 ppt/year.
","","","","","","","","","","","","","","","","","","","","","","","","","","","English" "23322","National Nutrition Programme/Community-based Nutrition (NNP/CBN)","English","Large scale programmes","","ETH","Ethiopia","","","on-going","","","The Government of Ethiopia launched the National Nutrition Programme (NNP) in 2008. NNP has many relevant components to reduce the magnitude of malnutrition in Ethiopia by reorienting the focus away from emergency and food security interventions and mainstreaming nutrition into community-based health and development programmes. Key nutrition activities of the NNP include:
1. Health Extension Programme (HEP): The core strategy for universal primary health service coverage. It aims to improve family health status through disease prevention and control at the community level
2. Promotion of Essential Nutrition Actions
3. Therapeutic Feeding Programme (TFP): Children with complicated SAM receive care through therapeutic feeding units, and children with uncomplicated SAM are managed in the community through Outpatient Therapeutic Programmes (OTP) at decentralized sites. There are more than 5000 OTP sites across 200 woredas.
4. Enhanced Outreach Strategy (EOS)/ Extended Enhanced Outreach Strategy (EEOS) and Targeted Supplementary Feeding (TSF).
5. Community-based Nutrition (CBN). The CBN was launched in 2008 and will expand to cover 35% of Ethiopia’s total population (228 woredas). CBN is focused on children under two and uses monthly growth monitoring and promotion to involve families and community members in assessing health and nutrition-related problems, analysing causes of these problems, taking action and monitoring progress.
Quarterly screening for acute malnutrition through Community Health Days
Referral of severely underweight children to Therapeutic Feeding Programme (TFPs) and/or Targeted Supplementary Feeding (TSFs) as required;
","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/CBN is retrieved from the ENA Part II where NNP/CBN 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/
","","","","","","","","","","","","","","","","","","","","","CBN: Intensity of Community health workers (CHWs) is about 1:23 children, estimated as 0,2 Full-time equivalents (FTE), i.e. 86:1000 households. Per capita costs are not available.HEP: Government of Ethiopia aimed for a ratio of 1 health extension worker (HEW):2500 persons, and 1 health post:5000 persons. Government of Ethiopia spending on health is only 7.5% of the total government budget,and total per capita public health expenditure was US$ 3.00 in 2008, below the target expenditure of US$ 4.80 per capita estimated for full implementation of the HEP.","UN","Other","Multi-donor support","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","23325","","Deworming","","","","Infants and young children|Preschool-age children (Pre-SAC)","","","Community-based","","","Underweight
","Initial analysis of routine programme data from 1.5 million under-2 children weighed in 4 regions showed a decline in underweight from 30% in January 2009 to 20% in March 2010
","86 % of wordeas","Population coverage in target areas (now approximately 250/640 woredas (districts)) is approximately 40%","","","Participants' initial rate of underweight reduction: 8.0 ppt/year. Participants’ sustained rate of underweight reduction: 5.0 ppt/year, with estimated 40% coverage this gives a sustained population rate of 2.0 ppt/year.
","","","","","","","","","","","","","","","","","","","","","","","","","","","English" "23322","National Nutrition Programme/Community-based Nutrition (NNP/CBN)","English","Large scale programmes","","ETH","Ethiopia","","","on-going","","","The Government of Ethiopia launched the National Nutrition Programme (NNP) in 2008. NNP has many relevant components to reduce the magnitude of malnutrition in Ethiopia by reorienting the focus away from emergency and food security interventions and mainstreaming nutrition into community-based health and development programmes. Key nutrition activities of the NNP include:
1. Health Extension Programme (HEP): The core strategy for universal primary health service coverage. It aims to improve family health status through disease prevention and control at the community level
2. Promotion of Essential Nutrition Actions
3. Therapeutic Feeding Programme (TFP): Children with complicated SAM receive care through therapeutic feeding units, and children with uncomplicated SAM are managed in the community through Outpatient Therapeutic Programmes (OTP) at decentralized sites. There are more than 5000 OTP sites across 200 woredas.
4. Enhanced Outreach Strategy (EOS)/ Extended Enhanced Outreach Strategy (EEOS) and Targeted Supplementary Feeding (TSF).
5. Community-based Nutrition (CBN). The CBN was launched in 2008 and will expand to cover 35% of Ethiopia’s total population (228 woredas). CBN is focused on children under two and uses monthly growth monitoring and promotion to involve families and community members in assessing health and nutrition-related problems, analysing causes of these problems, taking action and monitoring progress.
Quarterly screening for acute malnutrition through Community Health Days
Referral of severely underweight children to Therapeutic Feeding Programme (TFPs) and/or Targeted Supplementary Feeding (TSFs) as required;
","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/CBN is retrieved from the ENA Part II where NNP/CBN 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/
","","","","","","","","","","","","","","","","","","","","","CBN: Intensity of Community health workers (CHWs) is about 1:23 children, estimated as 0,2 Full-time equivalents (FTE), i.e. 86:1000 households. Per capita costs are not available.HEP: Government of Ethiopia aimed for a ratio of 1 health extension worker (HEW):2500 persons, and 1 health post:5000 persons. Government of Ethiopia spending on health is only 7.5% of the total government budget,and total per capita public health expenditure was US$ 3.00 in 2008, below the target expenditure of US$ 4.80 per capita estimated for full implementation of the HEP.","UN","Other","Multi-donor support","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","23326","","Breastfeeding promotion and/or counselling","","","","Lactating women (LW)|Pregnant women (PW)","Mothers of children under two","","Community-based","","","Underweight
","Initial analysis of routine programme data from 1.5 million under-2 children weighed in 4 regions showed a decline in underweight from 30% in January 2009 to 20% in March 2010
","86 % of wordeas","Population coverage in target areas (now approximately 250/640 woredas (districts)) is approximately 40%","","","Participants' initial rate of underweight reduction: 8.0 ppt/year. Participants’ sustained rate of underweight reduction: 5.0 ppt/year, with estimated 40% coverage this gives a sustained population rate of 2.0 ppt/year
","","","","","","","","","","","","","","","","","","","","","","","","","","","English" "23322","National Nutrition Programme/Community-based Nutrition (NNP/CBN)","English","Large scale programmes","","ETH","Ethiopia","","","on-going","","","The Government of Ethiopia launched the National Nutrition Programme (NNP) in 2008. NNP has many relevant components to reduce the magnitude of malnutrition in Ethiopia by reorienting the focus away from emergency and food security interventions and mainstreaming nutrition into community-based health and development programmes. Key nutrition activities of the NNP include:
1. Health Extension Programme (HEP): The core strategy for universal primary health service coverage. It aims to improve family health status through disease prevention and control at the community level
2. Promotion of Essential Nutrition Actions
3. Therapeutic Feeding Programme (TFP): Children with complicated SAM receive care through therapeutic feeding units, and children with uncomplicated SAM are managed in the community through Outpatient Therapeutic Programmes (OTP) at decentralized sites. There are more than 5000 OTP sites across 200 woredas.
4. Enhanced Outreach Strategy (EOS)/ Extended Enhanced Outreach Strategy (EEOS) and Targeted Supplementary Feeding (TSF).
5. Community-based Nutrition (CBN). The CBN was launched in 2008 and will expand to cover 35% of Ethiopia’s total population (228 woredas). CBN is focused on children under two and uses monthly growth monitoring and promotion to involve families and community members in assessing health and nutrition-related problems, analysing causes of these problems, taking action and monitoring progress.
Quarterly screening for acute malnutrition through Community Health Days
Referral of severely underweight children to Therapeutic Feeding Programme (TFPs) and/or Targeted Supplementary Feeding (TSFs) as required;
","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/CBN is retrieved from the ENA Part II where NNP/CBN 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/
","","","","","","","","","","","","","","","","","","","","","CBN: Intensity of Community health workers (CHWs) is about 1:23 children, estimated as 0,2 Full-time equivalents (FTE), i.e. 86:1000 households. Per capita costs are not available.HEP: Government of Ethiopia aimed for a ratio of 1 health extension worker (HEW):2500 persons, and 1 health post:5000 persons. Government of Ethiopia spending on health is only 7.5% of the total government budget,and total per capita public health expenditure was US$ 3.00 in 2008, below the target expenditure of US$ 4.80 per capita estimated for full implementation of the HEP.","UN","Other","Multi-donor support","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","23327","","Food distribution/supplementation for prevention of acute malnutrition","","","","Infants and young children|Preschool-age children (Pre-SAC)","","","Community-based","","Internal provision supplementary feeding for severely underweight children.
","Underweight
","Initial analysis of routine programme data from 1.5 million under-2 children weighed in 4 regions showed a decline in underweight from 30% in January 2009 to 20% in March 2010
","86 % of wordeas","Population coverage in target areas (now approximately 250/640 woredas (districts)) is approximately 40%","","","Participants' initial rate of underweight reduction: 8.0 ppt/year. Participants’ sustained rate of underweight reduction: 5.0 ppt/year, with estimated 40% coverage this gives a sustained population rate of 2.0 ppt/year.
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