"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" "6074","National nutrition & physical activity action plan","English","National","","QAT","Qatar","Doha, Qatar|Al Wakrah, Qatar|Lusail, Ad Dawhah, Qatar","Urban","on-going","04-2011","04-2016","
The national nutrition and physical activity action plan is comprehensive plan of action that contain eight area of actions:
ᅠ
","","","","Urban planning","","","","","","","","","","","","Research/academia","Qatar University & Rand","","","","","","Government","Health","","Government","Education and research","","Government","Sport","","Government","Urban planning","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","6073","Maternal, infant and young child nutrition","Breastfeeding promotion and/or counselling","","","","Women of reproductive age (WRA)","","Doha","Hospital/clinic|Media|Primary health care center","","Regular counselling during antenatal care clinic; establish a friendly baby hospital initiatives; develop a clear guidelines for breast feeding in Qatar in collaboration with WHO/EMRO","Number of health sectors applying breastfeeding programs. Percent of infants exclusively breastfed for the first 6 months of life. Percent of children with continued breastfeeding for up to 1 year.","Regular monitoring of the process through collecting data from the well baby clinic regarding feeding practices; develop a research regarding KAP about breast feeding in Qatar in collaboration with academic institution.","","","","","","","","","Staff skills/training","","","","","","","","","","","","","","","","","","","","Lacking awareness about importance of breast feeding","","","English" "6074","National nutrition & physical activity action plan","English","National","","QAT","Qatar","Doha, Qatar|Al Wakrah, Qatar|Lusail, Ad Dawhah, Qatar","Urban","on-going","04-2011","04-2016","The national nutrition and physical activity action plan is comprehensive plan of action that contain eight area of actions:
ᅠ
","","","","Urban planning","","","","","","","","","","","","Research/academia","Qatar University & Rand","","","","","","Government","Health","","Government","Education and research","","Government","Sport","","Government","Urban planning","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","6075","","Complementary feeding promotion and/or counselling","","","","Lactating women (LW)","","Doha","Hospital/clinic|Media|Primary health care center","","Regular counselling in well baby clinic to women by a nutritionist; distribute educational materials in ante-natal care clinic & well baby clinic; establish working group education in primary health care & women clubs","Number of nutritionists available per primary health care center. Percent of mothers referred to nutrition counseling during pregnancy.percentage of children growing within the 50 percentile.","Regular monitoring of the process through collecting data from the well baby clinic regarding feeding practices; develop a research regarding KAP about breast feeding in Qatar in collaboration with academic institution.","","","","","","","","Complementary feeding>>>Complementary feeding>>http://www.who.int/elena/titles/complementary_feeding","Insufficient staff","Recruit more nutritionists in PHC","Staff skills/training","Training of the staff working in well baby clinic on how to counsel the women","","","","","","","","","","","","","","","","","","","","English" "6074","National nutrition & physical activity action plan","English","National","","QAT","Qatar","Doha, Qatar|Al Wakrah, Qatar|Lusail, Ad Dawhah, Qatar","Urban","on-going","04-2011","04-2016","The national nutrition and physical activity action plan is comprehensive plan of action that contain eight area of actions:
ᅠ
","","","","Urban planning","","","","","","","","","","","","Research/academia","Qatar University & Rand","","","","","","Government","Health","","Government","Education and research","","Government","Sport","","Government","Urban planning","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","6076","Overweight and diet-related NCDs","Nutrition education and counselling","","","","All population groups","","Doha","Community-based|Hospital/clinic|Kindergarten/school|Media|Primary health care center","","Comprehensive media campaign about healthy nutrition by all media channels; regular screening of population in PHC and provide appropriate counselling for high risk group; awarness through school sitting about healthy nutriton appropriate counselling in hospitals and clinics for special cases by expert nutritionists or dietitions.","Formative research on public knowledge about the importance of healthy eating. Social marketing campaign conducted. Number of media channels involved in the campaign out of total available.","Through different types of research","","","","","","Vulnerable groups|Sex|Socio-economic status","","","Insufficient staff","","Staff skills/training","","","","","","","","","","","","","","","","","","","expert Health communication companies to lead the media awareness campaign","","English" "6074","National nutrition & physical activity action plan","English","National","","QAT","Qatar","Doha, Qatar|Al Wakrah, Qatar|Lusail, Ad Dawhah, Qatar","Urban","on-going","04-2011","04-2016","The national nutrition and physical activity action plan is comprehensive plan of action that contain eight area of actions:
ᅠ
","","","","Urban planning","","","","","","","","","","","","Research/academia","Qatar University & Rand","","","","","","Government","Health","","Government","Education and research","","Government","Sport","","Government","Urban planning","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","6077","Overweight and diet-related NCDs","Nutrition education and counselling","","","","School age children (SAC)","from 3 to 18 years old","Doha","Kindergarten/school","","Introduce nutrition in school curriculum","Percentages of schools that introduce the curriculm.","Review the schools curriculum","","","N/A","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English" "6074","National nutrition & physical activity action plan","English","National","","QAT","Qatar","Doha, Qatar|Al Wakrah, Qatar|Lusail, Ad Dawhah, Qatar","Urban","on-going","04-2011","04-2016","The national nutrition and physical activity action plan is comprehensive plan of action that contain eight area of actions:
ᅠ
","","","","Urban planning","","","","","","","","","","","","Research/academia","Qatar University & Rand","","","","","","Government","Health","","Government","Education and research","","Government","Sport","","Government","Urban planning","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","6078","Overweight and diet-related NCDs","Promotion of fruit and vegetable intake","","","","All population groups","","Doha","Commercial|Community-based|Media","","Provide more fruit & vegetables in the schools, universities & work places cafeteria; comprehensive media campaign through all channels; increase advertisments regarding healthy meals; start food labelling of menus in restaurants","","STEPwise survey conducted. National nutrition surveillance system established.","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English" "6074","National nutrition & physical activity action plan","English","National","","QAT","Qatar","Doha, Qatar|Al Wakrah, Qatar|Lusail, Ad Dawhah, Qatar","Urban","on-going","04-2011","04-2016","The national nutrition and physical activity action plan is comprehensive plan of action that contain eight area of actions:
ᅠ
","","","","Urban planning","","","","","","","","","","","","Research/academia","Qatar University & Rand","","","","","","Government","Health","","Government","Education and research","","Government","Sport","","Government","Urban planning","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","6079","Overweight and diet-related NCDs","Promotion of reduced fat intake (total, saturated, trans)","","","","All population groups","","Doha","Community-based|Kindergarten/school|Media","","Percentages of schools that introduce the curriculm; comprehensive media campaign; food labelling introduce a policy regarding banning of trans fat.","Declare of the policy; number of media campaigns; introduce food labelling","Implement the policy; STEPwise survey; nutrition survey","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English" "6074","National nutrition & physical activity action plan","English","National","","QAT","Qatar","Doha, Qatar|Al Wakrah, Qatar|Lusail, Ad Dawhah, Qatar","Urban","on-going","04-2011","04-2016","The national nutrition and physical activity action plan is comprehensive plan of action that contain eight area of actions:
ᅠ
","","","","Urban planning","","","","","","","","","","","","Research/academia","Qatar University & Rand","","","","","","Government","Health","","Government","Education and research","","Government","Sport","","Government","Urban planning","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","6080","Overweight and diet-related NCDs","Salt reduction","","","","All population groups","","Doha","Commercial|Media","","Policy to stop high salted products; comprehensive media campaign; food labelling
","Declare the policy; decrease the prevelance of high blood pressure
","Implement the policy; STEPwise survey; nutrition survey
",".",".","","","","Other","","eLENA titles related to sodium reduction>>>Reducing sodium intake to control blood pressure in children>>http://www.who.int/elena/titles/sodium_bp_children|Reducing sodium intake to reduce blood pressure and risk of cardiovascular diseases in adults>>http://www.who.int/elena/titles/sodium_cvd_adults","","","","","","","","","","","","","","","","","","","","","","","","English" "6074","National nutrition & physical activity action plan","English","National","","QAT","Qatar","Doha, Qatar|Al Wakrah, Qatar|Lusail, Ad Dawhah, Qatar","Urban","on-going","04-2011","04-2016","The national nutrition and physical activity action plan is comprehensive plan of action that contain eight area of actions:
ᅠ
","","","","Urban planning","","","","","","","","","","","","Research/academia","Qatar University & Rand","","","","","","Government","Health","","Government","Education and research","","Government","Sport","","Government","Urban planning","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","6081","","Growth monitoring and promotion","","","","Infants and young children","","Doha","Hospital/clinic|Kindergarten/school|Primary health care center","","By implementing the new growth monitoring chart","Number of trainings on growth monitoring and basic nutrition conducted.","Percentages of health care sectors implement the new growth monitoring chart","","","","","","","","","Staff skills/training","","","","","","","","","","","","","","","","","","","","","","","English" "6074","National nutrition & physical activity action plan","English","National","","QAT","Qatar","Doha, Qatar|Al Wakrah, Qatar|Lusail, Ad Dawhah, Qatar","Urban","on-going","04-2011","04-2016","The national nutrition and physical activity action plan is comprehensive plan of action that contain eight area of actions:
ᅠ
","","","","Urban planning","","","","","","","","","","","","Research/academia","Qatar University & Rand","","","","","","Government","Health","","Government","Education and research","","Government","Sport","","Government","Urban planning","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","6082","Overweight and diet-related NCDs","Implementation of legislation on marketing of unhealthy foods and beverages to children","","","","School age children (SAC)","","Doha","Community-based","","Introduce a policy","Establish the policy; percentages of schools providing healthy snacks","Regular monitoring of the snacks provided to children in the schools","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English" "6074","National nutrition & physical activity action plan","English","National","","QAT","Qatar","Doha, Qatar|Al Wakrah, Qatar|Lusail, Ad Dawhah, Qatar","Urban","on-going","04-2011","04-2016","The national nutrition and physical activity action plan is comprehensive plan of action that contain eight area of actions:
ᅠ
","","","","Urban planning","","","","","","","","","","","","Research/academia","Qatar University & Rand","","","","","","Government","Health","","Government","Education and research","","Government","Sport","","Government","Urban planning","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","6083","Overweight and diet-related NCDs","Labelling of food products","","","","All population groups","","Doha","Commercial","","introduce food labelling on both products & resturants level","Food labelling introduced; percentages of products labelled; percentages of resturants implemented","Collect data regarding all restaurants through Ministry of municipality; checking the products in supermarkets","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English" "6109","Promotion of healthy nutrition through media (e.g. TV, radio, newspapers, posters, websites)","English","National","","TUN","Tunisia","Tunisia","Urban|Rural|Peri-urban","on-going","01-1996","01-1996","Since the 70s, a daily radio programme has been implemented by the National Institute of Nutrition and Food Technology for nutrition education of the population (emission Dr. Hakim). Later, this programme has been strengthened by television spots, radio interviews, articles in newspapers .... Several other partners participating in this program, such as the National Institute of consumption or the consumer advocacy organization.
","WHO Global Nutrition Policy Review 2009-2010, Module 6, Id:194, Respondent: Pr Jalila EL ATI National Institute of Nutrition and Food Technology 11 rue Jebel Lakhdar - Bab Saadoun 6 1007 Tunis, Tunisie
","","","Nutrition council|Food and agriculture","National Institute of Nutrition and Food Technology","","","","","","","","","","","","","","","","","","Government","Health","http://www.gainhealth.org/countries
","","","","","","","","","","","","","","","","","Private sector","1 private-sector partner","","","","International NGOs","Global Alliance for Improved Nutrition (GAIN)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","14574","","Lipid-based nutrient supplementation","","Iodine|Iron|Zinc|Vitamin A|Vitamin D|B vitamins|Folic acid","","Preschool-age children (Pre-SAC)","Children 6-59 months","National population","","","Lipid-based Nutrient Supplement; Besides iodine, iron, folic acid, zinc and vitamins A, B and D, the lipid-based Nutrient Supplement contains additional micronutrients as per guidelines of the Technical Advisory Group on Home Fortification (http://hftag.gainhealth.org/products/lipid-based-nutrient-supplements-lns) and GAIN Nutritional Guidelines for Complementary Foods and Complementary Food Supplements (http://www.gainhealth.org/sites/www.gainhealth.org/files/GAIN%20IYCN%20guidelines%20formatted%20English%20-%20FINAL.pdf)","","","","","","","","","","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","","","","","","","","","","","","","","","","","","","","","","","","" "14575","GAIN Micro-Nutrient Supplementation","English","National","","AFG","Afghanistan","Afghanistan","","on-going","06-2012","05-2017","","http://www.gainhealth.org/countries
","","","","","","","","","","","","","","","","","Private sector","1 private-sector partner","","","","International NGOs","Global Alliance for Improved Nutrition (GAIN)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","14576","","Multiple micronutrients supplementation","","","","Infants and young children","Children 6-23 months","National population","","Hybrid market-based and public delivery, supported with a BCC campaign","Multi-nutrient Powder; Besides iodine, iron, folate, zinc and vitamins A, B and D, the multi-nutrient Powder contains additional micronutrients as per guidelines of the Technical Advisory Group on Home Fortification (http://hftag.gainhealth.org/products/micronutrient-powders-mnp) and GAIN Nutritional Guidelines for Complementary Foods and Complementary Food Supplements (http://www.gainhealth.org/sites/www.gainhealth.org/files/GAIN%20IYCN%20guidelines%20formatted%20English%20-%20FINAL.pdf)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "14575","GAIN Micro-Nutrient Supplementation","English","National","","AFG","Afghanistan","Afghanistan","","on-going","06-2012","05-2017","","http://www.gainhealth.org/countries
","","","","","","","","","","","","","","","","","Private sector","1 private-sector partner","","","","International NGOs","Global Alliance for Improved Nutrition (GAIN)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","14577","","Nutrition education and counselling","","","","Infants and young children","Children 6-23 months","National population","","","multi-nutrient Powder","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "14584","GAIN Micro-Nutrient Supplementation","English","National","","BGD","Bangladesh","Bangladesh","","on-going","01-2006","07-2013","","http://www.gainhealth.org/countries
","","","","","","","","","","","","","National NGOs","BRAC","","","Private sector","2 national private-sector partners","","","","International NGOs","Global Alliance for Improved Nutrition (GAIN)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","14583","","Multiple micronutrients supplementation","","","","Infants and young children","Children 6-23 months","National population","","Hybrid market-based and public delivery, supported with a BCC campaign","Multi-nutrient Powder (Pushtikona); Besides iodine, iron, folate, zinc and vitamins A, B and D, the multi-nutrient Powder contains additional micronutrients as per guidelines of the Technical Advisory Group on Home Fortification (http://hftag.gainhealth.org/products/micronutrient-powders-mnp) and GAIN Nutritional Guidelines for Complementary Foods and Complementary Food Supplements (http://www.gainhealth.org/sites/www.gainhealth.org/files/GAIN%20IYCN%20guidelines%20formatted%20English%20-%20FINAL.pdf)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "14584","GAIN Micro-Nutrient Supplementation","English","National","","BGD","Bangladesh","Bangladesh","","on-going","01-2006","07-2013","","http://www.gainhealth.org/countries
","","","","","","","","","","","","","National NGOs","BRAC","","","Private sector","2 national private-sector partners","","","","International NGOs","Global Alliance for Improved Nutrition (GAIN)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","14585","","Nutrition education and counselling","","","","Infants and young children","Children 6-23 months","National population","","","multi-nutrient Powder (Pushtikona)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "14628","GAIN Nutritious Foods for Mothers and Children","English","National","","IDN","Indonesia","Indonesia","Urban|Rural|Peri-urban","on-going","01-2012","01-2015","","http://www.gainhealth.org/countries
","","","","","","","","","","","","","National NGOs","SAVICA","Research/academia","London School of Hygiene and Tropical Medicine (Behavioural Change Campaign)","Private sector","1 national private-sector partner","","","","International NGOs","Global Alliance for Improved Nutrition (GAIN)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","14627","","Complementary food fortification","","Iodine|Iron|Zinc|Vitamin A|Vitamin D|B vitamins|Folic acid","","Infants and young children|Lactating women (LW)|Pregnant women (PW)","Children 6-59 months","National population","Commercial|Community-based","Hybrid market-based and public delivery, supported with a BCC campaign","Fortified Complementary Food and Fortified product for pregnant and lactating women; Besides iodine, iron, folic acid, zinc and vitamins A, B and D, the lipid-based Nutrient Supplement contains additional micronutrients as per guidelines of the Technical Advisory Group on Home Fortification (http://hftag.gainhealth.org/products/lipid-based-nutrient-supplements-lns) and GAIN Nutritional Guidelines for Complementary Foods and Complementary Food Supplements (http://www.gainhealth.org/sites/www.gainhealth.org/files/GAIN%20IYCN%20g...)
","n/a
","","n/a","n/a","","","","Socio-economic status","","Complementary feeding>>>Complementary feeding>>http://www.who.int/elena/titles/complementary_feeding","","","","","","","","","","","","","","","","","","","","","","","","English" "14628","GAIN Nutritious Foods for Mothers and Children","English","National","","IDN","Indonesia","Indonesia","Urban|Rural|Peri-urban","on-going","01-2012","01-2015","","http://www.gainhealth.org/countries
","","","","","","","","","","","","","National NGOs","SAVICA","Research/academia","London School of Hygiene and Tropical Medicine (Behavioural Change Campaign)","Private sector","1 national private-sector partner","","","","International NGOs","Global Alliance for Improved Nutrition (GAIN)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","14630","","Nutrition education and counselling","","","","Infants and young children|Lactating women (LW)|Pregnant women (PW)","Children 6-59 months","Indonesia","Community-based","Community-based + Primary health care center","Fortified Complementary Food and Fortified product for pregnant and lactating women
",".
","","","","","","","None","","","","","","","","","","","","","","","","","","","","","","","","","","English" "14655","GAIN Micro-Nutrient Supplementation","English","National","","KEN","Kenya","Kenya","","on-going","01-2012","01-2015","","http://www.gainhealth.org/countries
","","","","","","","","","","","","","","","","","Private sector","2 international private sector partners","","","","International NGOs","Global Alliance for Improved Nutrition (GAIN)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","14654","","Multiple micronutrients supplementation","","","","Infants and young children","Children 6-23 months","National population","","Hybrid market-based and public delivery, supported with a BCC campaign","multi-nutrient Powder; Besides iodine, iron, folate, zinc and vitamins A, B and D, the multi-nutrient Powder contains additional micronutrients as per guidelines of the Technical Advisory Group on Home Fortification (http://hftag.gainhealth.org/products/micronutrient-powders-mnp) and GAIN Nutritional Guidelines for Complementary Foods and Complementary Food Supplements (http://www.gainhealth.org/sites/www.gainhealth.org/files/GAIN%20IYCN%20guidelines%20formatted%20English%20-%20FINAL.pdf)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "14655","GAIN Micro-Nutrient Supplementation","English","National","","KEN","Kenya","Kenya","","on-going","01-2012","01-2015","","http://www.gainhealth.org/countries
","","","","","","","","","","","","","","","","","Private sector","2 international private sector partners","","","","International NGOs","Global Alliance for Improved Nutrition (GAIN)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","14656","","Nutrition education and counselling","","","","Infants and young children","Children 6-23 months","National population","","Hybrid market-based and public delivery, supported with a BCC campaign","multi-nutrient Powder","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "14658","GAIN Nutritious Foods for Mothers and Children","English","National","","KEN","Kenya","Kenya","","on-going","01-2009","01-2015","","http://www.gainhealth.org/countries
","","","","","","","","","","","","","","","","","Private sector","1 national private-sector partner","","","","International NGOs","Global Alliance for Improved Nutrition (GAIN)","","Bilateral and donor agencies and lenders","","Acumen Fund","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","14657","","Complementary food fortification","","Iodine|Iron|Zinc|Vitamin A|Vitamin D|B vitamins|Folic acid","","Infants and young children","Children 6-23 months","National population","Commercial","","Fortified Complementary Food (First Food); Besides iodine, iron, folic acid, zinc and vitamins A, B and D, the Fortified Complementary Foods contain additional micronutrients. GAIN advises its partners to formulate products according to the GAIN Nutritional Guidelines for Complementary Foods and Complementary Food Supplements:","","","","","","","","","","Complementary feeding>>>Complementary feeding>>http://www.who.int/elena/titles/complementary_feeding","","","","","","","","","","","","","","","","","","","","","","","","" "14658","GAIN Nutritious Foods for Mothers and Children","English","National","","KEN","Kenya","Kenya","","on-going","01-2009","01-2015","","http://www.gainhealth.org/countries
","","","","","","","","","","","","","","","","","Private sector","1 national private-sector partner","","","","International NGOs","Global Alliance for Improved Nutrition (GAIN)","","Bilateral and donor agencies and lenders","","Acumen Fund","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","14659","","Nutrition education and counselling","","","","Infants and young children","Children 6-23 months","National population","Other","Market-based delivery supported with a BCC campaign","Fortified Complementary Food (First Food)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "17804","Community-based Management of Acute Malnutrition (CMAM) Programme in Niger ","English","National","","NER","Niger","Zinder, Niger|Maradi, Niger|Niamey, Niger|Tillabéry, Niger|Tahoua, Niger","Urban|Rural","on-going","07-2005","","The Community-Based Management of Acute Malnutrition (CMAM) is one of World Vision’s core project models in nutrition. The CMAM approach enables community volunteers to identify and initiate treatment by referring children with acute malnutrition before they become seriously ill. Caregivers provide treatment for the majority of children with severe acute malnutrition (SAM) in the home using Ready-to-Use-Therapeutic Foods (RUTF) and receiving routine medical care at a local health facility. When necessary, severely malnourished children who have medical complications or lack an appetite are referred to in-patient facilities for more intensive treatment. CMAM programs also work to integrate treatment with a variety of other longer-term interventions such as Nutrition Education, Infant and Young Child Feeding and Food Security. These interventions are designed to reduce the incidence of malnutrition and improve public health and food security in a sustainable manner.
There are four key components to the CMAM approach: Community Mobilisation, Supplementary Feeding Program (SFP), Outpatient Therapeutic Program (OTP), and Stabilisation Centre/In-patient Care (SC). On the most part, World Vision does not set up Stabilisation Centres but instead works closely with existing local health institutions or medical NGOs to provide these services.
World Vision has been operational in Niger for almost two decades – implementing a wide range of long-term development activities across the country. Their work is structured alongside the model of comprehensive area development programs (known internally as ADPs). Each ADP has a Health & Nutrition component which seeks to deliver support through (while simultaneously strengthening) local health structures. In July 2005 and as a result of the 2005 food crisis in Niger that year, World Vision launched a community-based management of acute malnutrition (CMAM) program based on the National Protocol for the Management of Acute Malnutrition. At that time, contacts were made with Valid International – aimed at establishing a partnership for an effective and quality delivery of the CMAM program. An institutional agreement between World Vision and Valid International was reached in July 2006, thus paving the way for the provision of technical support to the Niger CTC (now called CMAM) program.
As a part of the national nutrition strategy, WV is currently implementing CMAM in many decentralized government health centers throughout the country, with the support of partner NGOs (ex. Medecins Sans Frontieres). From the onset of CMAM program implementation, It has been integrated within the Ministry of Health structures such as the CSIs (Integrated Health Centers) with regular trainings of MOH health staff at national, regional and CSI levels based on the most revised version of the National Protocol, ultimately leading to the final version (i.e. Protocole Nationale de prise en Charge de la Malnutrition. MOH Publique/UNICEF/OMS. Juin 2009).
","Evaluation of World Vision Niger Emergency Nutrition Programme, Tillaberi and Niamey Regions (Jul 2010 - Jul 2011), Bernadette Feeney, Technical Advisor, Valid International.
Evaluation Semi-Quantitative de l’Accessibilité et de la Couverture (SQUEAC) CSI appuyés par World Vision ADP de Kornaka West, Gobir Yamma, Chadakori et Goulbi Kaba Région de Maradi, République du Niger, (22 mars au 15 avril, 2011), Allie Norris, Consultante Mobilisation, Valid International.
Rapport De La Mobilisation Sociale Dans Le Cadre Du Redémarrage des Activités Du Programme De World Vision de Prise en charge Communautaire de la Malnutrition Aiguë Régions de Zinder, Maradi et Tillabéri, Niger (13 Juin au 8 Juillet, 2010), Allie Norris et Gabriele Walz Techniciennes de Mobilisation Sociale, Valid International.
Formation sur la “Prise en charge Communautaire de la Malnutrition Aiguë” (PCMA) ADP de Zinder & de Tillabéri (20 juin au 19 juillet, 2010); ADP de Maradi (20 Juin au 8 Juillet, 2010), Lionella Fieschi, Consultante PCMA et Bernadette Feeneey, Valid International.
Evaluation Finale Du Programme CTC Dans La Région De Zinder World Vision, Niger (06 au 18 Juin, 2008), El Hadji Issakha Diop, CTC Advisor, Valid International.
Rapport De L’enquête De Couverture Du Projet CTC Exécuté Par World Vision ADPs De Kassama, DTk Et Gamou Région De Zinder Niger (Avril- Mai, 2007), Lionella Fieschi, Consultante CTC, Valid International.
Programme CTC de World Vision dans la région de Zinder, Niger : Evaluation à mi- parcours (11- 18 Mai, 2007), El Hadji Issakha Diop, Consultant CTC, Valid International.
Visite au programme CTC Région de Zinder (WV Niger), (13 – 24 Février, 2007) Montse Saboya, Valid International.
Mobilisation Communautaire Visite Technique au Programme de CTC Zinder, Niger, (20 février – 2 mars, 2007), Saul Guerrero & Nyauma Nyasani, Consultants de développement communautaire et social, Valid International.
Community Mobilisation aspects of the World Vision CTC Programme, Zinder Region, Niger (Aug 4 - 18, 2006), Saul Guerrero, Valid International.
Assessment for CTC World Vision in Niger (Jul - Aug, 2006), Valid International.
Community-based Management of Acute Malnutrition Model: http://www.wvi.org/nutrition/project-models/cmam
","","","Health","Gouvernement du Niger et la Direction Departementale de la Sante Publique et la Direction de la Nutrition (DN/MSP)","","","","","","","","","","","","","","","","","Currency: US Dollars (USD)Purposes: Salaries & Benefits; Supplies & Materials; Travel & Transportation; Training & Consulting; Monitoring & Evaluation; Occupancy; Communications; Equipment.Action: Covers all actions","International NGOs","World Vision International","World Vision is a global Christian relief, development and advocacy organisation dedicated to working with children, families and communities to overcome poverty and injustice. http://www.wvi.org (WV Canada, WV US, WV Taiwan, WV UK, WV New Zealand, WV Germany, and WV Switzerland are support offices)","Bilateral and donor agencies and lenders","","The Disasters Emergency Committee (DEC) brings 14 leading UK aid charities together in times of crisis: Action Aid, Age International, British Red Cross, CAFOD, Care International, Christian Aid, Concern Worldwide, Islamic Relief, Merlin, Oxfam, Plan UK, Save the Children, Tearfund and World Vision; all collectively raising money to reach those in need quickly. http://www.dec.org.uk/about-dec","UN","World Food Programme (WFP)","The World Food Programme (WFP) is the United Nations' frontline agency in the fight against hunger. It responds to emergencies, saving lives by getting food to the hungry fast, and it also works to help prevent hunger in the future. http://www.wfp.org (The WFP provides WVN direct supply of food for SFP in different CSI).","UN","United Nations Children's Fund (UNICEF)","The United Nations Children's Fund (UNICEF) is the main UN organization defending, promoting and protecting children's rights. UNICEF works to improve the social and economic conditions of children by increasing children's access to health care, safe drinking water, food, and education; protecting children from violence and abuse; and providing emergency relief after disasters. http://www.unicef.org","Bilateral and donor agencies and lenders","Canadian International Development Agency (CIDA)","The Canadian International Development Agency (CIDA) is Canada's lead agency for development assistance. http://www.acdi-cida.gc.ca/home","Bilateral and donor agencies and lenders","US Agency for International Development (USAID)","The United States Agency for International Development (USAID) is the United States federal government agency primarily responsible for administering civilian foreign aid. http://www.usaid.gov (The fund is provided through the Office of U.S. Foreign Disaster Assistance (OFDA))","Bilateral and donor agencies and lenders","Australian Agency for International Development (AUSAID)","The Australian Agency for International Development (AusAID) is the Australian Government agency responsible for managing Australia's overseas aid programme. http://www.ausaid.gov.au/Pages/home.aspx","Bilateral and donor agencies and lenders","Swedish International Development Cooperation Agency (SIDA)","The Swedish International Development Cooperation Agency (Sida) is a government organization under the Swedish Foreign Ministry responsible for administering approximately half of Sweden's budget for development aid. http://www.sida.se/English/","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","17803","","Management of severe acute malnutrition","","","","Preschool-age children (Pre-SAC)|SAM child","6-59 months","5 regions (Zinder, Maradi, Niamey, Tillabéri, Tahoua)","Community-based","","World Vision works with communities through Area Development Programs (ADPs) that have been identified and implemented based on a series of development criteria. The ADPs serve as the basic intervention unit of the WV's multi-sectoral programs/projects (e.g. in education, water and sanitation, health, income-generating activities and sponsorship of children etc.), but the geographical areas of the ADPs do not necessarily align with administrative boundaries of the country. The whole ADP and program management structure is geared toward long-term development programming, into which the nutritional activities/programs such as Community-based Management of Acute Malnutrition (CMAM) are integrated.
Since July/August 2005, WV Niger has been implementing and supporting the following four components of a CMAM program:
All programmatic activities are implemented through the local health structures and systems and their respective catchment areas. The majority of the OTP and SFP activities are implemented in the Integrated Health Centers (CSI) but in order to achieve greater coverage and to bring supplementary facilities closer to communities, WV has also implemented the programs in Health Posts (CS) which are satellites of CSI. Most OTP take place together with SFP in CSI but few are located in CS as well. The OTP activities, including the provision of Ready-to-Use Therapeutic Food (Plumpy Nut) and the systematic treatments are conducted on a weekly basis, whereas the SFP activities, including the distribution of Fortified Blended Food (Premix with CSB (Corn Soya Based), oil, sugar) for MAM children and moderately malnourished PLWs are carried out bi-monthly basis. The numbers of OTP and SFP sites and staff per ADP differ depending on the target population size and needs.
The technical (nutrition related) and managerial structure of WV in Niger (WVN) includes two nutrition coordinators (East and West) and six regional nutrition supervisor mangers (one per region) who coordinate and harmonize nutritional activities through the different locations. All of them are supported by a relief-nutrition country manager based in Niamey. In each ADP, there is also a health-nutrition manager who is responsible for overseeing ADP related health and nutrition programs and staff. As the national health system is WV's principle partner, WVN staff always work in partnership/collaboration with Ministry of Health (MOH) staff. Currently, WVN staff mainly act as technical facilitators and help with the general management of the program activities such as site organization, training of the community volunteers who help during distributions, channeling food and medical supplies coming from UNICEF and WFP, and program monitoring. Depending on the ADP, there is also either one or two nurses who provides support to the MOH staff in the field.
","
OTP Outcome
Cured % (#)
> 75%
Died % (#)
< 10%
Defaulted % (#)
< 15%
Non-recovered % (#)
Regions
Reporting Period: 2010
Maradi (June-Dec)
74.5 (1540)
0.7 (14)
6.9 (143)
17.9 (371)
Niamey (Aug-Dec)
83.3 (445)
0.4 (2)
3.6 (19)
12.7 (68)
Tahoua (Aug-Dec)
86.6 (453)
1.0 (5)
10.3 (54)
2.1 (11)
Tillaberi (Jan-Dec)
86.4 (912)
1.5 (16)
11.0 (116)
1.1 (12)
Zinder (Jan-Dec)
83.6 (799)
4.3 (41)
10.0 (96)
2.1 (20)
Reporting Period: Jan - Dec, 2011
Maradi
93.5 (4510)
0.3 (16)
4.9 (235)
1.3 (62)
Niamey
NA
NA
NA
NA
Tahoua
84.2 (1054)
0.8 (10)
5.8 (72)
9.3 (116)
Tillaberi
85.5 (1484)
1.6 (27)
10.8 (187)
2.1 (37)
Zinder
94.8 (1803)
0.5 (9)
3.2 (61)
1.5 (29)
Reporting Period: Jan - Dec, 2012
Maradi
97.7 (2651)
0.1 (3)
1.5 (41)
0.7 (18)
Niamey
86.9 (839)
0.3 (3)
5.4 (52)
7.5 (72)
Tahoua
84.7 (762)
1.6 (14)
10.4 (94)
3.3 (30)
Tillaberi
89.1 (886)
1.7 (17)
8.4 (83)
0.8 (8)
Zinder
98.8 (4200)
0.3 (12)
0.1 (6)
0.8 (32)
Reporting Period: 2013
Maradi (Jan-Apr)
94.6 (546)
0.5 (3)
3.3 (19)
1.6 (9)
Niamey (Jan-May)
70.1 (129)
0.0 (0)
18.5 (34)
11.4 (21)
Tahoua (Jan-May)
92.7 (281)
0.0 (0)
4.6 (14)
2.6 (8)
Tillaberi (Jan-Mar)
95.8 (46)
0.0 (0)
4.2 (2)
0.0 (0)
Zinder (Jan-May)
99.6 (1254)
0.2 (3)
0.1 (1)
0.1 (1)
","
Ongoing monitoring and evaluation of CMAM programs is essential for ensuring program targets are being reached. As of Spring 2010, WV is using a consolidated online database management system for CMAM programs. The system is a positive transformation from the existing Excel spreadsheets (template provided by Valid International) that were used during the first few years of WV CMAM programming by National Offices. A simple and systematic data management system allows multi-level program managers to easily retrieve CMAM data and make quick and accurate decisions based on the data that is available to them. In the early days of WV CMAM implementation, prompt access the Excel database was limited to the field staff throughout the year. However, WV’s online CMAM system aims to facilitate this overall data recovery process for WV Staff located in the National, Regional and Support Offices, and Global Health Centre, as well. The online system is carefully designed to be user friendly and applicable for WV staffs across partnership. Staff members are provided with password protected login identification and can access the different online pages that are relevant to their job responsibilities. In this way, they are able to input their monthly tally sheets, generate clear reports, predict future trends (including resources), provide timely input to all internal/external requests and access raw data sheets for further analysis. Furthermore, the quantitative indicators and data collection tools closely align themselves with what has been developed and used by different MOH, facilitating a simple integrating with existing administrative systems and standards in a particular country. All WV CMAM indicators and data collection tools have been standardized to complement the existing myriad of MOH and National Office requirements, as well as the International benchmarks (e.g. SPHERE). In addition to these standard indicators, the CMAM database also includes WV contextual data (e.g. # Registered Children, # Orphans & Vulnerable Children) that is mandatory with the Partnership’s Integrated Program Management.
","ADP Name Total Population; 6-59 months Kornaka West 68,165; 15,261 Gobir Yamma 56,032; 12,934 Ouallam 572,377; 188,745 Simiri 186,528; 76,805 ","Zinder: April-May 2007, point coverage = 21.4% and period coverage = 36.1%. ","","Sept - Oct, 2005: National GAM 15.3%, SAM 1.8%; Zinder GAM 16.1%, SAM 1.2%.Sept, 2006: Maradi GAM 8.2%, SAM 0.8%, U5M 1.3/10,000. Oct - Nov, 2006: National GAM 10.3%, SAM 1.4%, U5M 1.08/10,000, Exclusive breastfeeding 2.2%, Complementary feeding (6-9mos) 78.4%; Zinder GAM 9.7%, SAM 1.7%; Maradi GAM 6.8%, SAM 0.6%; Tahoua GAM 12.5%, SAM 1.1%; Tillaberi GAM 11.2%, SAM 1.9%; Niamey GAM 9.2%; SAM 0.5%. June, 2007: National GAM 11.2%, SAM 1%, U5M 0.71/10,000; Tillaberi GAM 11.2%Oct - Nov, 2007: National GAM 11.0%, SAM 0.8%, U5M 1.81/10,000, Exclusive breastfeeding 9.0%, Complementary feeding (6-9mos) 78.4%; Zinder GAM 11.7%, SAM 1.0%, U5M 3.55/10,000, EB 9.7%, CF 68.2%; Maradi GAM 10.7%, SAM 0.8%, U5M 0.83/10,000, EB 7.6%, CF 73.9%; Tahoua GAM 13.1%, SAM 0.4%, U5M 1.62/10,000, EB 15.7%, CF 89.7%; Tillaberi GAM 7.9%, SAM 1.0%, U5M 3.14/10,000, EB 1.6%, CF 63.5%; Niamey GAM 9.9%, SAM 0.9%, U5M 1.57/10,000, EB 17.1%, CF 40.6%. June-July, 2008: National GAM 10.7%, SAM 0.8%, U5M 1.53/10,000; Zinder GAM 15.7%, SAM 1.9%, U5M 2.13/10,000; Maradi GAM 9.9%, SAM 1.0%, U5M 1.79/10,000; Tahoua GAM 8.4%, SAM 0.6%, U5M 1.67/10,000; Tillaberi GAM 10.1%, SAM 0.1%, U5M 1.11/10,000; Niamey GAM 6.8%, SAM 0.9%, U5M 0.34/10,000. May-June, 2010: National GAM 16.7%, SAM 3.2%; Maradi GAM 19.7%, SAM 3.9%; Zinder GAM 17.8%, SAM 3.6%; Tillaberi GAM 14.8%, SAM 2.7%. June, 2009: National GAM 12.3%, SAM 2.3%.Oct, 2010: Maradi GAM 15.5%, SAM 4.3% MAY, 2013:TILLABERRI GAM 13.3%, SAM 3.1%ZINDER GAM 11.7%, SAM 2.3%MARADI GAM 16.3%, SAM 3.0%TAHOUA GAM 13.1%, SAM 2.3%NIAMEY GAM 11.0%, 1.6%","See above","Vulnerable groups","","Treatment of dehydration in children with severe acute malnutrition>>>Treatment of dehydration in children with severe acute malnutrition>>http://www.who.int/elena/titles/dehydration_sam","Supplies","Problem: There had been some difficulties in ensuring a consistent supply of RUTF. The nutritional commodities for the treatment of SAM are supplied via UNICEF through the MOH supply structure. But there were some challenges due to logistical and organisational issues, including the local/global availability of RUTF. Solution: WV established a buffer stock to resolve the issue. ","Supplies","Problem: A lack of consistent supply of medicines to the CSIs risks the increase in morbidity and mortality from illnesses such as pneumonia and malaria which are major causes of mortality in malnourished children. The care of children under the age of five are free in Niger. However, there are frequent shortage in medicinal supply. Because of the exemption of the fee and the system of cost recovery are in place, in principle UNICEF does not provide for the medicines for activities related to CMAM program although some spot supplies are available they are often inadequate. Solution: WVN is, already involved in the provision of medicines through the activities of ADP and, in case of need, the support will be intensified during this period of crisis. In addition to the routine medicines used for the treatment of the children admitted in the OTP, it would be important that WVN also considers to provide, in the event of rupture, the medicines needed to treat the pathologies associated with malnutrition.","Staff skills/training","Problem: When CTC/CMAM was launched in Niger in 2005/2006, the national/international capacity available for CTC/CMAM implementation was very limited, resulting in a low quality program.Solution: WV developed an Instituational Agreement with Valid International to build their capacity in the overall management of acute malnutrition.","Staff retention","Problem: Due to the erratic funding cycles associated with CMAM programming, it was very difficult to retain staff (Community Mobilization volunteers, MOH staff and WV Staff) when funding cycles terminate. Furthermore, there are difficulties retaining volunteers and keeping them motivated to continue their activities.Solution: WVN established permanent positions, embedded within their ADP and National management structures, for ongoing CMAM program support, including during funding disruptions. Furthermore, WVN can help improve sustainability of the self governing of CSIs and management of volunteers by building capacity of the village health committees (COGES) as an ongoing development commitment. ","Insufficient staff"," Problem: In order to respond to the increased case load of SAM, the capacity of MOH (e.g. staff at CSIs) had to be increased. Solution: Rather than placing WV staff to manage the increased caseload, WV provided training and on-going support to strengthen volunteer capacity to manage SFP which will reduce workload of the health staff in the CSI thereby enabling them to address the more severe cases of malnutrition. This strategy appeared to be very effective in helping the MOH to cope with the case load. For Example: In three of the four CSIs sampled, it was found that the volunteers managed SFP completely thus relieving the existing CSI staff to manage SAM cases. ","","","","","","","","","","","","","Zeinaba Abdoulahi lost her second child five years ago at the age of 4; his death is still a source of grief for this young Nigerien mother. Earlier this year, her fourth child, Tinoumoune, was close to death. The eight-month old girl was dehydrated and losing weight. After treating her with traditional herbal remedies, Tinoumoune continued to become physically weaker and weaker and had a fever for eight days. Zeinaba says “My child was between life and death. She was fading away. I had not a droplet of hope.” Zeinaba bundled her daughter on her back and left early in the morning to walk the seven kilometres from her village to the closest health centre, which runs a community-based management of acute malnutrition (CMAM) programme supported by World Vision. Tinoumoune was diagnosed with severe acute malnutrition and admitted to the nutrition programme, where she was treated with ready-to-use therapeutic food. “In two weeks, she regained weight and became stronger and healthier. I’m very happy.” explains Zeinaba. The family has been spared the grief of a second lost child.
©2010 Ann Birch/World Vision ©2010 Gebregziabher Hadera/World
Mma Halima is a CMAM community volunteer in Niger. She started in this role after caring for her own malnourished son until he graduated from World Vision's CMAM programme. Mma Halima screens and refers malnourished children in her nomadic community and provides health and nutrition education. She describes the ripple effect of her son's rehabilitation through CMAM: ""Now in my community all the mothers are using mosquito nets and our children are not getting sick as before. Now I have only two malnourished children in my community. It is impressive.""
","English" "17804","Community-based Management of Acute Malnutrition (CMAM) Programme in Niger ","English","National","","NER","Niger","Zinder, Niger|Maradi, Niger|Niamey, Niger|Tillabéry, Niger|Tahoua, Niger","Urban|Rural","on-going","07-2005","","The Community-Based Management of Acute Malnutrition (CMAM) is one of World Vision’s core project models in nutrition. The CMAM approach enables community volunteers to identify and initiate treatment by referring children with acute malnutrition before they become seriously ill. Caregivers provide treatment for the majority of children with severe acute malnutrition (SAM) in the home using Ready-to-Use-Therapeutic Foods (RUTF) and receiving routine medical care at a local health facility. When necessary, severely malnourished children who have medical complications or lack an appetite are referred to in-patient facilities for more intensive treatment. CMAM programs also work to integrate treatment with a variety of other longer-term interventions such as Nutrition Education, Infant and Young Child Feeding and Food Security. These interventions are designed to reduce the incidence of malnutrition and improve public health and food security in a sustainable manner.
There are four key components to the CMAM approach: Community Mobilisation, Supplementary Feeding Program (SFP), Outpatient Therapeutic Program (OTP), and Stabilisation Centre/In-patient Care (SC). On the most part, World Vision does not set up Stabilisation Centres but instead works closely with existing local health institutions or medical NGOs to provide these services.
World Vision has been operational in Niger for almost two decades – implementing a wide range of long-term development activities across the country. Their work is structured alongside the model of comprehensive area development programs (known internally as ADPs). Each ADP has a Health & Nutrition component which seeks to deliver support through (while simultaneously strengthening) local health structures. In July 2005 and as a result of the 2005 food crisis in Niger that year, World Vision launched a community-based management of acute malnutrition (CMAM) program based on the National Protocol for the Management of Acute Malnutrition. At that time, contacts were made with Valid International – aimed at establishing a partnership for an effective and quality delivery of the CMAM program. An institutional agreement between World Vision and Valid International was reached in July 2006, thus paving the way for the provision of technical support to the Niger CTC (now called CMAM) program.
As a part of the national nutrition strategy, WV is currently implementing CMAM in many decentralized government health centers throughout the country, with the support of partner NGOs (ex. Medecins Sans Frontieres). From the onset of CMAM program implementation, It has been integrated within the Ministry of Health structures such as the CSIs (Integrated Health Centers) with regular trainings of MOH health staff at national, regional and CSI levels based on the most revised version of the National Protocol, ultimately leading to the final version (i.e. Protocole Nationale de prise en Charge de la Malnutrition. MOH Publique/UNICEF/OMS. Juin 2009).
","Evaluation of World Vision Niger Emergency Nutrition Programme, Tillaberi and Niamey Regions (Jul 2010 - Jul 2011), Bernadette Feeney, Technical Advisor, Valid International.
Evaluation Semi-Quantitative de l’Accessibilité et de la Couverture (SQUEAC) CSI appuyés par World Vision ADP de Kornaka West, Gobir Yamma, Chadakori et Goulbi Kaba Région de Maradi, République du Niger, (22 mars au 15 avril, 2011), Allie Norris, Consultante Mobilisation, Valid International.
Rapport De La Mobilisation Sociale Dans Le Cadre Du Redémarrage des Activités Du Programme De World Vision de Prise en charge Communautaire de la Malnutrition Aiguë Régions de Zinder, Maradi et Tillabéri, Niger (13 Juin au 8 Juillet, 2010), Allie Norris et Gabriele Walz Techniciennes de Mobilisation Sociale, Valid International.
Formation sur la “Prise en charge Communautaire de la Malnutrition Aiguë” (PCMA) ADP de Zinder & de Tillabéri (20 juin au 19 juillet, 2010); ADP de Maradi (20 Juin au 8 Juillet, 2010), Lionella Fieschi, Consultante PCMA et Bernadette Feeneey, Valid International.
Evaluation Finale Du Programme CTC Dans La Région De Zinder World Vision, Niger (06 au 18 Juin, 2008), El Hadji Issakha Diop, CTC Advisor, Valid International.
Rapport De L’enquête De Couverture Du Projet CTC Exécuté Par World Vision ADPs De Kassama, DTk Et Gamou Région De Zinder Niger (Avril- Mai, 2007), Lionella Fieschi, Consultante CTC, Valid International.
Programme CTC de World Vision dans la région de Zinder, Niger : Evaluation à mi- parcours (11- 18 Mai, 2007), El Hadji Issakha Diop, Consultant CTC, Valid International.
Visite au programme CTC Région de Zinder (WV Niger), (13 – 24 Février, 2007) Montse Saboya, Valid International.
Mobilisation Communautaire Visite Technique au Programme de CTC Zinder, Niger, (20 février – 2 mars, 2007), Saul Guerrero & Nyauma Nyasani, Consultants de développement communautaire et social, Valid International.
Community Mobilisation aspects of the World Vision CTC Programme, Zinder Region, Niger (Aug 4 - 18, 2006), Saul Guerrero, Valid International.
Assessment for CTC World Vision in Niger (Jul - Aug, 2006), Valid International.
Community-based Management of Acute Malnutrition Model: http://www.wvi.org/nutrition/project-models/cmam
","","","Health","Gouvernement du Niger et la Direction Departementale de la Sante Publique et la Direction de la Nutrition (DN/MSP)","","","","","","","","","","","","","","","","","Currency: US Dollars (USD)Purposes: Salaries & Benefits; Supplies & Materials; Travel & Transportation; Training & Consulting; Monitoring & Evaluation; Occupancy; Communications; Equipment.Action: Covers all actions","International NGOs","World Vision International","World Vision is a global Christian relief, development and advocacy organisation dedicated to working with children, families and communities to overcome poverty and injustice. http://www.wvi.org (WV Canada, WV US, WV Taiwan, WV UK, WV New Zealand, WV Germany, and WV Switzerland are support offices)","Bilateral and donor agencies and lenders","","The Disasters Emergency Committee (DEC) brings 14 leading UK aid charities together in times of crisis: Action Aid, Age International, British Red Cross, CAFOD, Care International, Christian Aid, Concern Worldwide, Islamic Relief, Merlin, Oxfam, Plan UK, Save the Children, Tearfund and World Vision; all collectively raising money to reach those in need quickly. http://www.dec.org.uk/about-dec","UN","World Food Programme (WFP)","The World Food Programme (WFP) is the United Nations' frontline agency in the fight against hunger. It responds to emergencies, saving lives by getting food to the hungry fast, and it also works to help prevent hunger in the future. http://www.wfp.org (The WFP provides WVN direct supply of food for SFP in different CSI).","UN","United Nations Children's Fund (UNICEF)","The United Nations Children's Fund (UNICEF) is the main UN organization defending, promoting and protecting children's rights. UNICEF works to improve the social and economic conditions of children by increasing children's access to health care, safe drinking water, food, and education; protecting children from violence and abuse; and providing emergency relief after disasters. http://www.unicef.org","Bilateral and donor agencies and lenders","Canadian International Development Agency (CIDA)","The Canadian International Development Agency (CIDA) is Canada's lead agency for development assistance. http://www.acdi-cida.gc.ca/home","Bilateral and donor agencies and lenders","US Agency for International Development (USAID)","The United States Agency for International Development (USAID) is the United States federal government agency primarily responsible for administering civilian foreign aid. http://www.usaid.gov (The fund is provided through the Office of U.S. Foreign Disaster Assistance (OFDA))","Bilateral and donor agencies and lenders","Australian Agency for International Development (AUSAID)","The Australian Agency for International Development (AusAID) is the Australian Government agency responsible for managing Australia's overseas aid programme. http://www.ausaid.gov.au/Pages/home.aspx","Bilateral and donor agencies and lenders","Swedish International Development Cooperation Agency (SIDA)","The Swedish International Development Cooperation Agency (Sida) is a government organization under the Swedish Foreign Ministry responsible for administering approximately half of Sweden's budget for development aid. http://www.sida.se/English/","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","17821","","Management of moderate malnutrition","","","","MAM child|Preschool-age children (Pre-SAC)","6 - 59 months","5 regions (Zinder, Maradi, Niamey, Tillabéri, Tahoua)","Community-based","","World Vision works with communities through Area Development Programs (ADPs) that have been identified and implemented based on a series of development criteria. The ADPs serve as the basic intervention unit of the WV's multi-sectoral programs/projects (e.g. in education, water and sanitation, health, income-generating activities and sponsorship of children etc.), but the geographical areas of the ADPs do not necessarily align with administrative boundaries of the country. The whole ADP and program management structure is geared toward long-term development programming, into which the nutritional activities/programs such as Community-based Management of Acute Malnutrition (CMAM) are integrated.
Since July/August 2005, WV Niger has been implementing and supporting the following four components of a CMAM program:
All programmatic activities are implemented through the local health structures and systems and their respective catchment areas. The majority of the OTP and SFP activities are implemented in the Integrated Health Centers (CSI) but in order to achieve greater coverage and to bring supplementary facilities closer to communities, WV has also implemented the programs in Health Posts (CS) which are satellites of CSI. Most OTP take place together with SFP in CSI but few are located in CS as well. The OTP activities, including the provision of Ready-to-Use Therapeutic Food (Plumpy Nut) and the systematic treatments are conducted on a weekly basis, whereas the SFP activities, including the distribution of Fortified Blended Food (CSB (Corn Soya Based), oil, sugar) for MAM children and moderately malnourished PLWs are carried out bi-monthly basis. The numbers of OTP and SFP sites and staff per ADP differ depending on the target population size and needs.
The technical (nutrition related) and managerial structure of WV in Niger (WVN) includes two nutrition coordinators (East and West) and six regional nutrition supervisor mangers (one per region) who coordinate and harmonize nutritional activities through the different locations. All of them are supported by a relief-nutrition country manager based in Niamey. In each ADP, there is also a health-nutrition manager who is responsible for overseeing ADP related health and nutrition programs and staff. As the national health system is WV's principle partner, WVN staff always work in partnership/collaboration with Ministry of Health (MOH) staff. Currently, WVN staff mainly act as technical facilitators and help with the general management of the program activities such as site organization, training of the community volunteers who help during distributions, channeling food and medical supplies coming from UNICEF and WFP, and program monitoring. Depending on the ADP, there is also either one or two nurses who provides support to the MOH staff in the field.
","SFP Outcome
Cured % (#)
> 75%
Died % (#)
< 3%
Defaulted % (#)
< 15%
Non-recovered % (#)
Regions
Reporting Period: 2010
Maradi (Sept-Dec)
88.5 (491)
0.4 (2)
8.6 (48)
2.5 (14)
Niamey (Jan-Dec)
88.6 (194)
0.0 (0)
1.4 (3)
10.0 (22)
Tahoua (Aug-Dec)
86.4 (248)
0.0 (0)
13.6 (39)
0.0 (0)
Tillaberi (June-Dec)
88.4 (501)
0.7 (4)
10.2 (58)
0.7 (4)
Zinder (Jan-Dec)
90.8 (640)
2.6 (18)
5.4 (38)
1.3 (9)
Reporting Period: Jan - Dec, 2011
Maradi
97.0 (7069)
0.0 (3)
2.2 (162)
0.7 (51)
Niamey
85.8 (1949)
0.2 (5)
7.7 (175)
6.3 (143)
Tahoua
92.1 (1413)
0.0 (0)
6.3 (96)
1.6 (25)
Tillaberi
93.7 (4413)
0.2 (9)
5.1 (242)
0.9 (44)
Zinder
95.6 (4825)
0.4 (18)
2.4 (119)
1.7 (84)
Reporting Period: Jan - Dec, 2012
Maradi
99.0 (9559)
0.0 (0)
0.4 (38)
0.6 (54)
Niamey
81.3 (1886)
0.0 (0)
10.0 (233)
8.7 (201)
Tahoua
90.1 (984)
0.2 (2)
7.7 (84)
2.0 (22)
Tillaberi
88.7 (2065)
0.2 (4)
9.7 (226)
1.4 (33)
Zinder
94.9 (5508)
0.1 (3)
2.6 (148)
2.5 (143)
Reporting Period: 2013
Maradi (Jan-Apr)
97.1 (1501)
0.1 (1)
2.7 (42)
0.1 (2)
Niamey (Jan-Apr)
73.9 (241)
0.0 (0)
18.7 (61)
7.4 (24)
Tahoua (Jan-May)
88.7 (344)
0.0 (0)
9.0 (35)
2.3 (9)
Tillaberi
NA
NA
NA
NA
Zinder (Jan-May)
99.7 (2910)
0.0 (0)
0.2 (6)
0.1 (2)
","Ongoing monitoring and evaluation of CMAM programs is essential for ensuring program targets are being reached. As of Spring 2010, WV is using a consolidated online database management system for CMAM programs. The system is a positive transformation from the existing Excel spreadsheets (template provided by Valid International) that were used during the first few years of WV CMAM programming by National Offices. A simple and systematic data management system allows multi-level program managers to easily retrieve CMAM data and make quick and accurate decisions based on the data that is available to them. In the early days of WV CMAM implementation, prompt access the Excel database was limited to the field staff throughout the year. However, WV’s online CMAM system aims to facilitate this overall data recovery process for WV Staff located in the National, Regional and Support Offices, and Global Health Centre, as well. The online system is carefully designed to be user friendly and applicable for WV staffs across partnership. Staff members are provided with password protected login identification and can access the different online pages that are relevant to their job responsibilities. In this way, they are able to input their monthly tally sheets, generate clear reports, predict future trends (including resources), provide timely input to all internal/external requests and access raw data sheets for further analysis. Furthermore, the quantitative indicators and data collection tools closely align themselves with what has been developed and used by different MOH, facilitating a simple integrating with existing administrative systems and standards in a particular country. All WV CMAM indicators and data collection tools have been standardized to complement the existing myriad of MOH and National Office requirements, as well as the International benchmarks (e.g. SPHERE). In addition to these standard indicators, the CMAM database also includes WV contextual data (e.g. # Registered Children, # Orphans & Vulnerable Children) that is mandatory with the Partnership’s Integrated Program Management.
","ADP Name Total Population; 6-59 months Kornaka West 68,165; 15,261 Gobir Yamma 56,032; 12,934 Ouallam 572,377; 188,745 Simiri 186,528; 76,805","Zinder: April-May 2007, point coverage = 28.5% and period coverage = 49.0%.","","Sept - Oct, 2005: National GAM 15.3%, SAM 1.8%; Zinder GAM 16.1%, SAM 1.2%.Sept, 2006: Maradi GAM 8.2%, SAM 0.8%, U5M 1.3/10,000. Oct - Nov, 2006: National GAM 10.3%, SAM 1.4%, U5M 1.08/10,000, Exclusive breastfeeding 2.2%, Complementary feeding (6-9mos) 78.4%; Zinder GAM 9.7%, SAM 1.7%; Maradi GAM 6.8%, SAM 0.6%; Tahoua GAM 12.5%, SAM 1.1%; Tillaberi GAM 11.2%, SAM 1.9%; Niamey GAM 9.2%; SAM 0.5%. June, 2007: National GAM 11.2%, SAM 1%, U5M 0.71/10,000; Tillaberi GAM 11.2%Oct - Nov, 2007: National GAM 11.0%, SAM 0.8%, U5M 1.81/10,000, Exclusive breastfeeding 9.0%, Complementary feeding (6-9mos) 78.4%; Zinder GAM 11.7%, SAM 1.0%, U5M 3.55/10,000, EB 9.7%, CF 68.2%; Maradi GAM 10.7%, SAM 0.8%, U5M 0.83/10,000, EB 7.6%, CF 73.9%; Tahoua GAM 13.1%, SAM 0.4%, U5M 1.62/10,000, EB 15.7%, CF 89.7%; Tillaberi GAM 7.9%, SAM 1.0%, U5M 3.14/10,000, EB 1.6%, CF 63.5%; Niamey GAM 9.9%, SAM 0.9%, U5M 1.57/10,000, EB 17.1%, CF 40.6%. June-July, 2008: National GAM 10.7%, SAM 0.8%, U5M 1.53/10,000; Zinder GAM 15.7%, SAM 1.9%, U5M 2.13/10,000; Maradi GAM 9.9%, SAM 1.0%, U5M 1.79/10,000; Tahoua GAM 8.4%, SAM 0.6%, U5M 1.67/10,000; Tillaberi GAM 10.1%, SAM 0.1%, U5M 1.11/10,000; Niamey GAM 6.8%, SAM 0.9%, U5M 0.34/10,000. May-June, 2010: National GAM 16.7%, SAM 3.2%; Maradi GAM 19.7%, SAM 3.9%; Zinder GAM 17.8%, SAM 3.6%; Tillaberi GAM 14.8%, SAM 2.7%. June, 2009: National GAM 12.3%, SAM 2.3%.Oct, 2010: Maradi GAM 15.5%, SAM 4.3% ","See above","Vulnerable groups","","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","Supplies","Problem: The lack of a consistent supply of nutritional commodities for SFP has put children suffering from MAM at an increased risk for relapse, non-response, deterioration in status (into SAM) and defaulting. This lack of consistency has also negatively affected the credibility of the SFP program within the community. In turn, this has reduced the overall number of caregivers accessing the SFP services and thus has become a barrier to access.Solution: Contingency planning by the Food Commodity Department and logistics within WV to avoid stock shortage. For example add an extra percentage onto projected estimations each month in order to always have stock in place. ","Communication","Problem: The lack of clarity over the use of RUSF (Ready-to-Use Supplementary Food) and the target group has introduced increased risks for MAM cases in more vulnerable age groups. These cases were not being treated properly, thereby reducing effectiveness of the SFP program. Solution: Clarification with written protocols on the use of RUSF and other nutritional commodities for MAM and the target groups should be made available in the CSIs. It is also essential that there is community sensitization/awareness in the CSI catchment communities on the MAM aspect of CMAM.","External factors","Problem - Conflicting admission criteria: Community Volunteers (Femmes Relais) screen children for MAM in the communities using MUAC. However, upon arrival to the CSI/CS, the same children are admitted into the program on the basis of W/H criteria (outlined in National Protocol). Due to the discrepancies between W/H and MUAC screening, children are rejected from the program. This can reduce the effectiveness of community mobilization because of the problem of rejection.Solution: In order to increase coverage of the program a mass screening was carried out in the 5 regions covered by WV. Over 40,000 children were screened which resulted in a subsequent increase in the SFP admission. ","External factors","Problem: Distance as a barrier to access. Some of the CSI are located very far from the communities that they are serving. Solution: Expand MAM treatment (i.e. SFP) to Health Posts (CS) in order to reduce distance travelled for beneficiaries thus helping to improve the program accessibility as well as reducing the work load in CSIs (however the program capacity must be assured before decentralising these services to health posts).","Staff skills/training","Problem: When CTC/CMAM was launched in Niger in 2005/2006, the national/international capacity available for CTC/CMAM implementation was very limited, resulting in a low quality program. Solution: WV developed an Institutional Agreement with Valid International to build their capacity in the overall management of acute malnutrition.","Staff retention","Problem: Due to the erratic funding cycles associated with CMAM programming, it was very difficult to retain staff (Community Mobilization volunteers, MOH staff and WV Staff) when funding cycles terminate. Furthermore, there are difficulties retaining volunteers and keeping them motivated to continue their activities. Solution: WVN established permanent positions, embedded within their ADP and National management structures, for ongoing CMAM program support, including during funding disruptions. Furthermore, WVN can help improve sustainability of the self governing of CSIs and management of volunteers by building capacity of the village health committees (COGES) as an ongoing development commitment. ","Insufficient staff","Problem: In order to respond to the increased case load of SAM, the capacity of MOH (e.g. staff at CSIs) had to be increased. Solution: Rather than placing WV staff to manage the increased caseload, WV provided training and on-going support to strengthen volunteer capacity to manage SFP which will reduce workload of the health staff in the CSI thereby enabling them to address the more severe cases of malnutrition. This strategy appeared to be very effective in helping the MOH to cope with the case load. For Example: In three of the four CSIs sampled, it was found that the volunteers managed SFP completely thus relieving the existing CSI staff to manage SAM cases. ","","","","","","","","","","English" "17804","Community-based Management of Acute Malnutrition (CMAM) Programme in Niger ","English","National","","NER","Niger","Zinder, Niger|Maradi, Niger|Niamey, Niger|Tillabéry, Niger|Tahoua, Niger","Urban|Rural","on-going","01-2005","","The Community-Based Management of Acute Malnutrition (CMAM) is one of World Vision’s core project models in nutrition. The CMAM approach enables community volunteers to identify and initiate treatment by referring children with acute malnutrition before they become seriously ill. Caregivers provide treatment for the majority of children with severe acute malnutrition (SAM) in the home using Ready-to-Use-Therapeutic Foods (RUTF) and receiving routine medical care at a local health facility. When necessary, severely malnourished children who have medical complications or lack an appetite are referred to in-patient facilities for more intensive treatment. CMAM programs also work to integrate treatment with a variety of other longer-term interventions such as Nutrition Education, Infant and Young Child Feeding and Food Security. These interventions are designed to reduce the incidence of malnutrition and improve public health and food security in a sustainable manner.
There are four key components to the CMAM approach: Community Mobilisation, Supplementary Feeding Program (SFP), Outpatient Therapeutic Program (OTP), and Stabilisation Centre/In-patient Care (SC). On the most part, World Vision does not set up Stabilisation Centres but instead works closely with existing local health institutions or medical NGOs to provide these services.
World Vision has been operational in Niger for almost two decades – implementing a wide range of long-term development activities across the country. Their work is structured alongside the model of comprehensive area development programs (known internally as ADPs). Each ADP has a Health & Nutrition component which seeks to deliver support through (while simultaneously strengthening) local health structures. In July 2005 and as a result of the 2005 food crisis in Niger that year, World Vision launched a community-based management of acute malnutrition (CMAM) program based on the National Protocol for the Management of Acute Malnutrition. At that time, contacts were made with Valid International – aimed at establishing a partnership for an effective and quality delivery of the CMAM program. An institutional agreement between World Vision and Valid International was reached in July 2006, thus paving the way for the provision of technical support to the Niger CTC (now called CMAM) program.
As a part of the national nutrition strategy, WV is currently implementing CMAM in many decentralized government health centers throughout the country, with the support of partner NGOs (ex. Medecins Sans Frontieres). From the onset of CMAM program implementation, It has been integrated within the Ministry of Health structures such as the CSIs (Integrated Health Centers) with regular trainings of MOH health staff at national, regional and CSI levels based on the most revised version of the National Protocol, ultimately leading to the final version (i.e. Protocole Nationale de prise en Charge de la Malnutrition. MOH Publique/UNICEF/OMS. Juin 2009).
","Evaluation of World Vision Niger Emergency Nutrition Programme, Tillaberi and Niamey Regions (Jul 2010 - Jul 2011), Bernadette Feeney, Technical Advisor, Valid International.
Evaluation Semi-Quantitative de l’Accessibilité et de la Couverture (SQUEAC) CSI appuyés par World Vision ADP de Kornaka West, Gobir Yamma, Chadakori et Goulbi Kaba Région de Maradi, République du Niger, (22 mars au 15 avril, 2011), Allie Norris, Consultante Mobilisation, Valid International.
Rapport De La Mobilisation Sociale Dans Le Cadre Du Redémarrage des Activités Du Programme De World Vision de Prise en charge Communautaire de la Malnutrition Aiguë Régions de Zinder, Maradi et Tillabéri, Niger (13 Juin au 8 Juillet, 2010), Allie Norris et Gabriele Walz Techniciennes de Mobilisation Sociale, Valid International.
Formation sur la “Prise en charge Communautaire de la Malnutrition Aiguë” (PCMA) ADP de Zinder & de Tillabéri (20 juin au 19 juillet, 2010); ADP de Maradi (20 Juin au 8 Juillet, 2010), Lionella Fieschi, Consultante PCMA et Bernadette Feeneey, Valid International.
Evaluation Finale Du Programme CTC Dans La Région De Zinder World Vision, Niger (06 au 18 Juin, 2008), El Hadji Issakha Diop, CTC Advisor, Valid International.
Rapport De L’enquête De Couverture Du Projet CTC Exécuté Par World Vision ADPs De Kassama, DTk Et Gamou Région De Zinder Niger (Avril- Mai, 2007), Lionella Fieschi, Consultante CTC, Valid International.
Programme CTC de World Vision dans la région de Zinder, Niger : Evaluation à mi- parcours (11- 18 Mai, 2007), El Hadji Issakha Diop, Consultant CTC, Valid International.
Visite au programme CTC Région de Zinder (WV Niger), (13 – 24 Février, 2007) Montse Saboya, Valid International.
Mobilisation Communautaire Visite Technique au Programme de CTC Zinder, Niger, (20 février – 2 mars, 2007), Saul Guerrero & Nyauma Nyasani, Consultants de développement communautaire et social, Valid International.
Community Mobilisation aspects of the World Vision CTC Programme, Zinder Region, Niger (Aug 4 - 18, 2006), Saul Guerrero, Valid International.
Assessment for CTC World Vision in Niger (Jul - Aug, 2006), Valid International.
Community-based Management of Acute Malnutrition Model: http://www.wvi.org/nutrition/project-models/cmam
","","","Health","Gouvernement du Niger et la Direction Departementale de la Sante Publique et la Direction de la Nutrition (DN/MSP)","","","","","","","","","","","","","","","","","Currency: US Dollars (USD)Purposes: Salaries & Benefits; Supplies & Materials; Travel & Transportation; Training & Consulting; Monitoring & Evaluation; Occupancy; Communications; Equipment.Action: Covers all actions","International NGOs","World Vision International","World Vision is a global Christian relief, development and advocacy organisation dedicated to working with children, families and communities to overcome poverty and injustice. http://www.wvi.org (WV Canada, WV US, WV Taiwan, WV UK, WV New Zealand, WV Germany, and WV Switzerland are support offices)","Bilateral and donor agencies and lenders","","The Disasters Emergency Committee (DEC) brings 14 leading UK aid charities together in times of crisis: Action Aid, Age International, British Red Cross, CAFOD, Care International, Christian Aid, Concern Worldwide, Islamic Relief, Merlin, Oxfam, Plan UK, Save the Children, Tearfund and World Vision; all collectively raising money to reach those in need quickly. http://www.dec.org.uk/about-dec","UN","World Food Programme (WFP)","The World Food Programme (WFP) is the United Nations' frontline agency in the fight against hunger. It responds to emergencies, saving lives by getting food to the hungry fast, and it also works to help prevent hunger in the future. http://www.wfp.org (The WFP provides WVN direct supply of food for SFP in different CSI).","UN","United Nations Children's Fund (UNICEF)","The United Nations Children's Fund (UNICEF) is the main UN organization defending, promoting and protecting children's rights. UNICEF works to improve the social and economic conditions of children by increasing children's access to health care, safe drinking water, food, and education; protecting children from violence and abuse; and providing emergency relief after disasters. http://www.unicef.org","Bilateral and donor agencies and lenders","Canadian International Development Agency (CIDA)","The Canadian International Development Agency (CIDA) is Canada's lead agency for development assistance. http://www.acdi-cida.gc.ca/home","Bilateral and donor agencies and lenders","US Agency for International Development (USAID)","The United States Agency for International Development (USAID) is the United States federal government agency primarily responsible for administering civilian foreign aid. http://www.usaid.gov (The fund is provided through the Office of U.S. Foreign Disaster Assistance (OFDA))","Bilateral and donor agencies and lenders","Australian Agency for International Development (AUSAID)","The Australian Agency for International Development (AusAID) is the Australian Government agency responsible for managing Australia's overseas aid programme. http://www.ausaid.gov.au/Pages/home.aspx","Bilateral and donor agencies and lenders","Swedish International Development Cooperation Agency (SIDA)","The Swedish International Development Cooperation Agency (Sida) is a government organization under the Swedish Foreign Ministry responsible for administering approximately half of Sweden's budget for development aid. http://www.sida.se/English/","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","17823","","Food distribution/supplementation for prevention of acute malnutrition","","","","Lactating women (LW)|Pregnant women (PW)|Pregnant/lactating women with HIV/AIDS","","Zinder, Maradi, Niamey, Tahoua","Community-based","","World Vision works with communities through Area Development Programs (ADPs) that have been identified and implemented based on a series of development criteria. The ADPs serve as the basic intervention unit of the WV's multi-sectoral programs/projects (e.g. in education, water and sanitation, health, income-generating activities and sponsorship of children etc.), but the geographical areas of the ADPs do not necessarily align with administrative boundaries of the country. The whole ADP and program management structure is geared toward long-term development programming, into which the nutritional activities/programs such as Community-based Management of Acute Malnutrition (CMAM) are integrated.
Since July/August 2005, WV Niger has been implementing and supporting the following four components of a CMAM program:
All programmatic activities are implemented through the local health structures and systems and their respective catchment areas. The majority of the OTP and SFP activities are implemented in the Integrated Health Centers (CSI) but in order to achieve greater coverage and to bring supplementary facilities closer to communities, WV has also implemented the programs in Health Posts (CS) which are satellites of CSI. Most OTP take place together with SFP in CSI but few are located in CS as well. The OTP activities, including the provision of Ready-to-Use Therapeutic Food (Plumpy Nut) and the systematic treatments are conducted on a weekly basis, whereas the SFP activities, including the distribution of Fortified Blended Food (Premix with CSB (Corn Soya Based), oil, sugar) for MAM children and moderately malnourished PLWs are carried out bi-monthly basis. The numbers of OTP and SFP sites and staff per ADP differ depending on the target population size and needs.
The technical (nutrition related) and managerial structure of WV in Niger (WVN) includes two nutrition coordinators (East and West) and six regional nutrition supervisor mangers (one per region) who coordinate and harmonize nutritional activities through the different locations. All of them are supported by a relief-nutrition country manager based in Niamey. In each ADP, there is also a health-nutrition manager who is responsible for overseeing ADP related health and nutrition programs and staff. As the national health system is WV's principle partner, WVN staff always work in partnership/collaboration with Ministry of Health (MOH) staff. Currently, WVN staff mainly act as technical facilitators and help with the general management of the program activities such as site organization, training of the community volunteers who help during distributions, channeling food and medical supplies coming from UNICEF and WFP, and program monitoring. Depending on the ADP, there is also either one or two nurses who provides support to the MOH staff in the field.
","
The Community-Based Management of Acute Malnutrition (CMAM) is one of World Vision’s core project models in nutrition. The CMAM approach enables community volunteers to identify and initiate treatment by referring children with acute malnutrition before they become seriously ill. Caregivers provide treatment for the majority of children with severe acute malnutrition (SAM) in the home using Ready-to-Use-Therapeutic Foods (RUTF) and receiving routine medical care at a local health facility. When necessary, severely malnourished children who have medical complications or lack an appetite are referred to in-patient facilities for more intensive treatment. CMAM programs also work to integrate treatment with a variety of other longer-term interventions such as Nutrition Education, Infant and Young Child Feeding and Food Security. These interventions are designed to reduce the incidence of malnutrition and improve public health and food security in a sustainable manner.
There are four key components to the CMAM approach: Community Mobilisation, Supplementary Feeding Program (SFP), Outpatient Therapeutic Program (OTP), and Stabilisation Centre/In-patient Care (SC). On the most part, World Vision does not set up Stabilisation Centres but instead works closely with existing local health institutions or medical NGOs to provide these services.
World Vision has been operational in Niger for almost two decades – implementing a wide range of long-term development activities across the country. Their work is structured alongside the model of comprehensive area development programs (known internally as ADPs). Each ADP has a Health & Nutrition component which seeks to deliver support through (while simultaneously strengthening) local health structures. In July 2005 and as a result of the 2005 food crisis in Niger that year, World Vision launched a community-based management of acute malnutrition (CMAM) program based on the National Protocol for the Management of Acute Malnutrition. At that time, contacts were made with Valid International – aimed at establishing a partnership for an effective and quality delivery of the CMAM program. An institutional agreement between World Vision and Valid International was reached in July 2006, thus paving the way for the provision of technical support to the Niger CTC (now called CMAM) program.
As a part of the national nutrition strategy, WV is currently implementing CMAM in many decentralized government health centers throughout the country, with the support of partner NGOs (ex. Medecins Sans Frontieres). From the onset of CMAM program implementation, It has been integrated within the Ministry of Health structures such as the CSIs (Integrated Health Centers) with regular trainings of MOH health staff at national, regional and CSI levels based on the most revised version of the National Protocol, ultimately leading to the final version (i.e. Protocole Nationale de prise en Charge de la Malnutrition. MOH Publique/UNICEF/OMS. Juin 2009).
","Evaluation of World Vision Niger Emergency Nutrition Programme, Tillaberi and Niamey Regions (Jul 2010 - Jul 2011), Bernadette Feeney, Technical Advisor, Valid International.
Evaluation Semi-Quantitative de l’Accessibilité et de la Couverture (SQUEAC) CSI appuyés par World Vision ADP de Kornaka West, Gobir Yamma, Chadakori et Goulbi Kaba Région de Maradi, République du Niger, (22 mars au 15 avril, 2011), Allie Norris, Consultante Mobilisation, Valid International.
Rapport De La Mobilisation Sociale Dans Le Cadre Du Redémarrage des Activités Du Programme De World Vision de Prise en charge Communautaire de la Malnutrition Aiguë Régions de Zinder, Maradi et Tillabéri, Niger (13 Juin au 8 Juillet, 2010), Allie Norris et Gabriele Walz Techniciennes de Mobilisation Sociale, Valid International.
Formation sur la “Prise en charge Communautaire de la Malnutrition Aiguë” (PCMA) ADP de Zinder & de Tillabéri (20 juin au 19 juillet, 2010); ADP de Maradi (20 Juin au 8 Juillet, 2010), Lionella Fieschi, Consultante PCMA et Bernadette Feeneey, Valid International.
Evaluation Finale Du Programme CTC Dans La Région De Zinder World Vision, Niger (06 au 18 Juin, 2008), El Hadji Issakha Diop, CTC Advisor, Valid International.
Rapport De L’enquête De Couverture Du Projet CTC Exécuté Par World Vision ADPs De Kassama, DTk Et Gamou Région De Zinder Niger (Avril- Mai, 2007), Lionella Fieschi, Consultante CTC, Valid International.
Programme CTC de World Vision dans la région de Zinder, Niger : Evaluation à mi- parcours (11- 18 Mai, 2007), El Hadji Issakha Diop, Consultant CTC, Valid International.
Visite au programme CTC Région de Zinder (WV Niger), (13 – 24 Février, 2007) Montse Saboya, Valid International.
Mobilisation Communautaire Visite Technique au Programme de CTC Zinder, Niger, (20 février – 2 mars, 2007), Saul Guerrero & Nyauma Nyasani, Consultants de développement communautaire et social, Valid International.
Community Mobilisation aspects of the World Vision CTC Programme, Zinder Region, Niger (Aug 4 - 18, 2006), Saul Guerrero, Valid International.
Assessment for CTC World Vision in Niger (Jul - Aug, 2006), Valid International.
Community-based Management of Acute Malnutrition Model: http://www.wvi.org/nutrition/project-models/cmam
","","","Health","Gouvernement du Niger et la Direction Departementale de la Sante Publique et la Direction de la Nutrition (DN/MSP)","","","","","","","","","","","","","","","","","Currency: US Dollars (USD)Purposes: Salaries & Benefits; Supplies & Materials; Travel & Transportation; Training & Consulting; Monitoring & Evaluation; Occupancy; Communications; Equipment.Action: Covers all actions","International NGOs","World Vision International","World Vision is a global Christian relief, development and advocacy organisation dedicated to working with children, families and communities to overcome poverty and injustice. http://www.wvi.org (WV Canada, WV US, WV Taiwan, WV UK, WV New Zealand, WV Germany, and WV Switzerland are support offices)","Bilateral and donor agencies and lenders","","The Disasters Emergency Committee (DEC) brings 14 leading UK aid charities together in times of crisis: Action Aid, Age International, British Red Cross, CAFOD, Care International, Christian Aid, Concern Worldwide, Islamic Relief, Merlin, Oxfam, Plan UK, Save the Children, Tearfund and World Vision; all collectively raising money to reach those in need quickly. http://www.dec.org.uk/about-dec","UN","World Food Programme (WFP)","The World Food Programme (WFP) is the United Nations' frontline agency in the fight against hunger. It responds to emergencies, saving lives by getting food to the hungry fast, and it also works to help prevent hunger in the future. http://www.wfp.org (The WFP provides WVN direct supply of food for SFP in different CSI).","UN","United Nations Children's Fund (UNICEF)","The United Nations Children's Fund (UNICEF) is the main UN organization defending, promoting and protecting children's rights. UNICEF works to improve the social and economic conditions of children by increasing children's access to health care, safe drinking water, food, and education; protecting children from violence and abuse; and providing emergency relief after disasters. http://www.unicef.org","Bilateral and donor agencies and lenders","Canadian International Development Agency (CIDA)","The Canadian International Development Agency (CIDA) is Canada's lead agency for development assistance. http://www.acdi-cida.gc.ca/home","Bilateral and donor agencies and lenders","US Agency for International Development (USAID)","The United States Agency for International Development (USAID) is the United States federal government agency primarily responsible for administering civilian foreign aid. http://www.usaid.gov (The fund is provided through the Office of U.S. Foreign Disaster Assistance (OFDA))","Bilateral and donor agencies and lenders","Australian Agency for International Development (AUSAID)","The Australian Agency for International Development (AusAID) is the Australian Government agency responsible for managing Australia's overseas aid programme. http://www.ausaid.gov.au/Pages/home.aspx","Bilateral and donor agencies and lenders","Swedish International Development Cooperation Agency (SIDA)","The Swedish International Development Cooperation Agency (Sida) is a government organization under the Swedish Foreign Ministry responsible for administering approximately half of Sweden's budget for development aid. http://www.sida.se/English/","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","17824","","Nutrition education and counselling","","","","Adolescents|Adult men and women|Elderly|Family ( living in same household)|Females|Lactating women (LW)|Males|Non-pregnant women (NPW)|Non-pregnant, non-lactating women (NPNLW)|Pregnant women (PW)|Pregnant/lactating women with HIV/AIDS|Women of reproductive age (WRA)","","5 regions (Zinder, Maradi, Niamey, Tillabéri, Tahoua)","Community-based","","Once the main components of the CMAM programme (e.g. OTP and SFP) have been well implemented in the existing MOH and community structures, a focus was given to address the negative behavioural and adaptive issues around IYCF in order to prevent further malnutrition. Depending on the priorities and funding availability, some ADPs were able to integrate IYCF activities in the CMAM. These included carrying out weekly health and nutrition session on CMAM days at the CSIs (Health Centers) and reactivating PD Hearth approach to develop menus using new types of locally available foods for complementary feeding promotion. Additional objectives of IYCF included strengthening existing nutrition systems and capacity building through training of health workers and community volunteers on IYCF and carrying out a baseline survey on IYCF and quarterly monitoring of changes in behaviour (e.g. EBF rates, diversity of food groups in complementary feeding). However, apart from the weekly nutrition education sessions at the CSIs, some of the activities did not translate into action at the community level. For example, the training of national WV staff on IYCF did not cascade down to the community level with community volunteers and also did not translated into activities or development of monitoring tools at community level. Additionally, no baseline IYCF information was available and quarterly monitoring data had not been collected or was unavailable at community level.
NB: This program was funded for a year therefore continuation of the activities beyond the funding period is likely be sporadic as it will depend on various factors including staff and volunteer capacity and motivation.
","For Tillaberi and Niamey regions in July 2010-July 2011:
Nutrition education (incl. IYCF): Target 24,700; Achieved (by the 3rd quarter) 14,234
Number and percentage of infants 0-6 mos who are exclusively breastfed: Target 310 (10%); Achieved N/A
Number and percentage of children aged 6-24 mos who receive foods daily from 4 or more food groups: Target 3045 (40%); Achieved N/A
","Due to a lack of monitoring and reporting it was not possible to report on Infant and Young Child Feeding activities apart from nutrition education sessions at the health centers even if these activities had been occurring in an informal manner in the communities. But it appears that these activities had been strengthened and expanded towards the end of the programme cycle.
","See outcome indicator section","NA","","Sept - Oct, 2005: National GAM 15.3%, SAM 1.8%; Zinder GAM 16.1%, SAM 1.2%.Sept, 2006: Maradi GAM 8.2%, SAM 0.8%, U5M 1.3/10,000. Oct - Nov, 2006: National GAM 10.3%, SAM 1.4%, U5M 1.08/10,000, Exclusive breastfeeding 2.2%, Complementary feeding (6-9mos) 78.4%; Zinder GAM 9.7%, SAM 1.7%; Maradi GAM 6.8%, SAM 0.6%; Tahoua GAM 12.5%, SAM 1.1%; Tillaberi GAM 11.2%, SAM 1.9%; Niamey GAM 9.2%; SAM 0.5%. June, 2007: National GAM 11.2%, SAM 1%, U5M 0.71/10,000; Tillaberi GAM 11.2%Oct - Nov, 2007: National GAM 11.0%, SAM 0.8%, U5M 1.81/10,000, Exclusive breastfeeding 9.0%, Complementary feeding (6-9mos) 78.4%; Zinder GAM 11.7%, SAM 1.0%, U5M 3.55/10,000, EB 9.7%, CF 68.2%; Maradi GAM 10.7%, SAM 0.8%, U5M 0.83/10,000, EB 7.6%, CF 73.9%; Tahoua GAM 13.1%, SAM 0.4%, U5M 1.62/10,000, EB 15.7%, CF 89.7%; Tillaberi GAM 7.9%, SAM 1.0%, U5M 3.14/10,000, EB 1.6%, CF 63.5%; Niamey GAM 9.9%, SAM 0.9%, U5M 1.57/10,000, EB 17.1%, CF 40.6%. June-July, 2008: National GAM 10.7%, SAM 0.8%, U5M 1.53/10,000; Zinder GAM 15.7%, SAM 1.9%, U5M 2.13/10,000; Maradi GAM 9.9%, SAM 1.0%, U5M 1.79/10,000; Tahoua GAM 8.4%, SAM 0.6%, U5M 1.67/10,000; Tillaberi GAM 10.1%, SAM 0.1%, U5M 1.11/10,000; Niamey GAM 6.8%, SAM 0.9%, U5M 0.34/10,000. May-June, 2010: National GAM 16.7%, SAM 3.2%; Maradi GAM 19.7%, SAM 3.9%; Zinder GAM 17.8%, SAM 3.6%; Tillaberi GAM 14.8%, SAM 2.7%. June, 2009: National GAM 12.3%, SAM 2.3%.Oct, 2010: Maradi GAM 15.5%, SAM 4.3% ","Same as above","Vulnerable groups","","","Management","","","","","","","","","","","","","","","","","","","","","WV Niger’s implementation of IYCF activities into the ongoing CMAM program started late in the program period. Due to the high resource (human & financial) intensity of implementing a CMAM program, it was not feasible to introduce IYCF activities until the latter program stages. At the beginning of the program, the MOH staff were trained in providing nutrition education sessions at CSIs on OTP/SFP days which included IYCF messages. Later on, national WV staff were trained on IYCF with the aim that they would cascade this training to the ADP level and then to the community level. However, the training did not continue to the community level (with community volunteers) until near end of the program period.
To strengthen IYCF component of CMAM including monitoring activities, the following activities are recommended:
1. Recruit community mobilisers at ADP level who will work with district Community Focal Points, WV ADP and National Community Mobiliser. The lack of WV community mobilisers at ADP level to work alongside the Nutrition Coordinators has risked a delay in training community volunteers and may have also prevented the implementation of community mobilization activities including IYCF activities and monitoring of these activities.
2. Ensure women are represented in nutrition programs. During the IYCF investigation the 50/50 presence of women as interviewers for the IYCF investigation ensured better access to women and thus the provision of more rigorous information regarding IYCF practices.
3. Develop monitoring tools for IYCF. E.g. How many IYCF sessions held and how many participated?
4. Carry out a representative and statistically significant baseline and final IYCF survey – for EBF rates and diversity of food groups.
","","English" "23111","Barangay Integrated Development Approach for Nutrition Improvement (BIDANI)","English","Large scale programmes","","PHL","Philippines","","","completed","01-1978","01-1989","The Barangay Integrated Development Approach for Nutrition Improvement (BIDANI) programme ran in the Philippines from 1978 to 1989
","WHO (2013) Essential Nutrition Actions – Improving maternal, newborn, infant and young child health and nutrition, which provides a compact of WHO guidance on nutrition interventions targeting the first 1000 days of life. Part I presents the interventions currently recommended by WHO, summarizes the rationale and the evidence, and describes the actions require to implement them. Part II provides an analysis of community-based interventions aimed at improving nutrition and indicates how effective interventions can be delivered in an integrated fashion. It shows how the essential nutrition actions described in the first part have been implemented in large-scale programmes in various settings, what the outcomes have been, and to examine the evidence for attribution of changes in nutritional outcomes to programme activities. This summary of BIDANI is retrieved from the ENA Part II where BIDANI 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$ 2/child per year","UN","United Nations Children's Fund (UNICEF)","Internal provision supplementary feeding
","Weight-for-age z-score (WAZ)
","Although the programme showed positive impact on weight for age, implementation was found to be a consistent restraint
","","70 % coverage of children under 5 years","","","There was a reduction in underweight from 28.3% (1983) to 18.7% (1985) (3.2 ppt/year). ","","","","","","","","","","","","","","","","","","","","","","","","","","","English" "23111","Barangay Integrated Development Approach for Nutrition Improvement (BIDANI)","English","Large scale programmes","","PHL","Philippines","","","completed","01-1978","01-1989","The Barangay Integrated Development Approach for Nutrition Improvement (BIDANI) programme ran in the Philippines from 1978 to 1989
","WHO (2013) Essential Nutrition Actions – Improving maternal, newborn, infant and young child health and nutrition, which provides a compact of WHO guidance on nutrition interventions targeting the first 1000 days of life. Part I presents the interventions currently recommended by WHO, summarizes the rationale and the evidence, and describes the actions require to implement them. Part II provides an analysis of community-based interventions aimed at improving nutrition and indicates how effective interventions can be delivered in an integrated fashion. It shows how the essential nutrition actions described in the first part have been implemented in large-scale programmes in various settings, what the outcomes have been, and to examine the evidence for attribution of changes in nutritional outcomes to programme activities. This summary of BIDANI is retrieved from the ENA Part II where BIDANI 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$ 2/child per year","UN","United Nations Children's Fund (UNICEF)","Weight-for-age z-score (WAZ)
","Although the programme showed positive impact on weight for age, implementation was found to be a consistent restraint
","","70 % coverage of children under 5 years","","","There was a reduction in underweight from 28.3% (1983) to 18.7% (1985) (3.2 ppt/year). ","","","","","","","","","","","","","","","","","","","","","","","","","","","English" "23111","Barangay Integrated Development Approach for Nutrition Improvement (BIDANI)","English","Large scale programmes","","PHL","Philippines","","","completed","01-1978","01-1989","The Barangay Integrated Development Approach for Nutrition Improvement (BIDANI) programme ran in the Philippines from 1978 to 1989
","WHO (2013) Essential Nutrition Actions – Improving maternal, newborn, infant and young child health and nutrition, which provides a compact of WHO guidance on nutrition interventions targeting the first 1000 days of life. Part I presents the interventions currently recommended by WHO, summarizes the rationale and the evidence, and describes the actions require to implement them. Part II provides an analysis of community-based interventions aimed at improving nutrition and indicates how effective interventions can be delivered in an integrated fashion. It shows how the essential nutrition actions described in the first part have been implemented in large-scale programmes in various settings, what the outcomes have been, and to examine the evidence for attribution of changes in nutritional outcomes to programme activities. This summary of BIDANI is retrieved from the ENA Part II where BIDANI 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$ 2/child per year","UN","United Nations Children's Fund (UNICEF)","Weight-for-age z-score (WAZ)
","Although the programme showed positive impact on weight for age, implementation was found to be a consistent restraint
","","70 % coverage of children under 5 years","","","There was a reduction in underweight from 28.3% (1983) to 18.7% (1985) (3.2 ppt/year). ","","","","","","","","","","","","","","","","","","","","","","","","","","","English" "23111","Barangay Integrated Development Approach for Nutrition Improvement (BIDANI)","English","Large scale programmes","","PHL","Philippines","","","completed","01-1978","01-1989","The Barangay Integrated Development Approach for Nutrition Improvement (BIDANI) programme ran in the Philippines from 1978 to 1989
","WHO (2013) Essential Nutrition Actions – Improving maternal, newborn, infant and young child health and nutrition, which provides a compact of WHO guidance on nutrition interventions targeting the first 1000 days of life. Part I presents the interventions currently recommended by WHO, summarizes the rationale and the evidence, and describes the actions require to implement them. Part II provides an analysis of community-based interventions aimed at improving nutrition and indicates how effective interventions can be delivered in an integrated fashion. It shows how the essential nutrition actions described in the first part have been implemented in large-scale programmes in various settings, what the outcomes have been, and to examine the evidence for attribution of changes in nutritional outcomes to programme activities. This summary of BIDANI is retrieved from the ENA Part II where BIDANI 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$ 2/child per year","UN","United Nations Children's Fund (UNICEF)","Although the programme showed positive impact on weight for age, implementation was found to be a consistent restraint
","","70 % coverage of children under 5 years","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English" "23111","Barangay Integrated Development Approach for Nutrition Improvement (BIDANI)","English","Large scale programmes","","PHL","Philippines","","","completed","","01-1970","The Barangay Integrated Development Approach for Nutrition Improvement (BIDANI) programme ran in the Philippines from 1978 to 1989
","WHO (2013) Essential Nutrition Actions – Improving maternal, newborn, infant and young child health and nutrition, which provides a compact of WHO guidance on nutrition interventions targeting the first 1000 days of life. Part I presents the interventions currently recommended by WHO, summarizes the rationale and the evidence, and describes the actions require to implement them. Part II provides an analysis of community-based interventions aimed at improving nutrition and indicates how effective interventions can be delivered in an integrated fashion. It shows how the essential nutrition actions described in the first part have been implemented in large-scale programmes in various settings, what the outcomes have been, and to examine the evidence for attribution of changes in nutritional outcomes to programme activities. This summary of BIDANI is retrieved from the ENA Part II where BIDANI 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$ 2/child per year","UN","United Nations Children's Fund (UNICEF)","Internal provision supplementary feeding
","Weight-for-age z-score (WAZ)
","Although the programme showed positive impact on weight for age, implementation was found to be a consistent restraint
","","70 % coverage of children under 5 years","","","There was a reduction in underweight from 28.3% (1983) to 18.7% (1985) (3.2 ppt/year).
","","","","","","","","","","","","","","","","","","","","","","","","","","","English" "23111","Barangay Integrated Development Approach for Nutrition Improvement (BIDANI)","English","Large scale programmes","","PHL","Philippines","","","completed","","01-1970","The Barangay Integrated Development Approach for Nutrition Improvement (BIDANI) programme ran in the Philippines from 1978 to 1989
","WHO (2013) Essential Nutrition Actions – Improving maternal, newborn, infant and young child health and nutrition, which provides a compact of WHO guidance on nutrition interventions targeting the first 1000 days of life. Part I presents the interventions currently recommended by WHO, summarizes the rationale and the evidence, and describes the actions require to implement them. Part II provides an analysis of community-based interventions aimed at improving nutrition and indicates how effective interventions can be delivered in an integrated fashion. It shows how the essential nutrition actions described in the first part have been implemented in large-scale programmes in various settings, what the outcomes have been, and to examine the evidence for attribution of changes in nutritional outcomes to programme activities. This summary of BIDANI is retrieved from the ENA Part II where BIDANI 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$ 2/child per year","UN","United Nations Children's Fund (UNICEF)","Weight-for-age z-score (WAZ)
","Although the programme showed positive impact on weight for age, implementation was found to be a consistent restraint
","","70 % coverage of children under 5 years","","","There was a reduction in underweight from 28.3% (1983) to 18.7% (1985) (3.2 ppt/year).
","","","","","","","","","","","","","","","","","","","","","","","","","","","English" "23111","Barangay Integrated Development Approach for Nutrition Improvement (BIDANI)","English","Large scale programmes","","PHL","Philippines","","","completed","","01-1970","The Barangay Integrated Development Approach for Nutrition Improvement (BIDANI) programme ran in the Philippines from 1978 to 1989
","WHO (2013) Essential Nutrition Actions – Improving maternal, newborn, infant and young child health and nutrition, which provides a compact of WHO guidance on nutrition interventions targeting the first 1000 days of life. Part I presents the interventions currently recommended by WHO, summarizes the rationale and the evidence, and describes the actions require to implement them. Part II provides an analysis of community-based interventions aimed at improving nutrition and indicates how effective interventions can be delivered in an integrated fashion. It shows how the essential nutrition actions described in the first part have been implemented in large-scale programmes in various settings, what the outcomes have been, and to examine the evidence for attribution of changes in nutritional outcomes to programme activities. This summary of BIDANI is retrieved from the ENA Part II where BIDANI 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$ 2/child per year","UN","United Nations Children's Fund (UNICEF)","Weight-for-age z-score (WAZ)
","Although the programme showed positive impact on weight for age, implementation was found to be a consistent restraint
","","70 % coverage of children under 5 years","","","There was a reduction in underweight from 28.3% (1983) to 18.7% (1985) (3.2 ppt/year).
","","","","","","","","","","","","","","","","","","","","","","","","","","","English" "23111","Barangay Integrated Development Approach for Nutrition Improvement (BIDANI)","English","Large scale programmes","","PHL","Philippines","","","completed","","01-1970","The Barangay Integrated Development Approach for Nutrition Improvement (BIDANI) programme ran in the Philippines from 1978 to 1989
","WHO (2013) Essential Nutrition Actions – Improving maternal, newborn, infant and young child health and nutrition, which provides a compact of WHO guidance on nutrition interventions targeting the first 1000 days of life. Part I presents the interventions currently recommended by WHO, summarizes the rationale and the evidence, and describes the actions require to implement them. Part II provides an analysis of community-based interventions aimed at improving nutrition and indicates how effective interventions can be delivered in an integrated fashion. It shows how the essential nutrition actions described in the first part have been implemented in large-scale programmes in various settings, what the outcomes have been, and to examine the evidence for attribution of changes in nutritional outcomes to programme activities. This summary of BIDANI is retrieved from the ENA Part II where BIDANI 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$ 2/child per year","UN","United Nations Children's Fund (UNICEF)","Although the programme showed positive impact on weight for age, implementation was found to be a consistent restraint
","","70 % coverage of children under 5 years","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English" "23121","Community Nutrition Program (CNP)","English","Large scale programmes","","SEN","Senegal","","Urban|Peri-urban","completed","01-1995","01-2001","The Community Nutrition Program (CNP) ran from 1995 – 2001. Services were provided at community nutrition centres (CNC) in target areas in poor urban and peri-urban areas.
The programmes objectives were to: halt further deterioration in the nutritional status of the most vulnerable groups (children under three and PLW) in targeted poor urban neighbourhoods; provide potable water to under-serviced neighbourhoods targeted under the nutrition programme; and enhance household food security among the poor urban population and in targeted poor rural areas during critical periods of vulnerability.
","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 CNP is retrieved from the ENA Part II where CNP 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/
","","","","","","","","","","","","","National NGOs","AGETIP; Other local NGOs","","","","","","","Intensity of Community health workers (CHWs) was about 1:124 households, i.e. 80:1000 households. Resource intensity was approximately US$ 40/household per year based on 6 months of participation for children.","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","23120","","Growth monitoring and promotion","","","","Infants and young children|Preschool-age children (Pre-SAC)","Children below 3 years","","Community-based","","","Underweight
","","","Coverage of approximately 20 % of children under 3 years. ","","","Population sustained rate of underweight reduction: 2,2 ppt/year","Vulnerable groups","","","","","","","","","","","","","","","","","","","","","","","","","","English" "23121","Community Nutrition Program (CNP)","English","Large scale programmes","","SEN","Senegal","","Urban|Peri-urban","completed","01-1995","01-2001","The Community Nutrition Program (CNP) ran from 1995 – 2001. Services were provided at community nutrition centres (CNC) in target areas in poor urban and peri-urban areas.
The programmes objectives were to: halt further deterioration in the nutritional status of the most vulnerable groups (children under three and PLW) in targeted poor urban neighbourhoods; provide potable water to under-serviced neighbourhoods targeted under the nutrition programme; and enhance household food security among the poor urban population and in targeted poor rural areas during critical periods of vulnerability.
","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 CNP is retrieved from the ENA Part II where CNP 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/
","","","","","","","","","","","","","National NGOs","AGETIP; Other local NGOs","","","","","","","Intensity of Community health workers (CHWs) was about 1:124 households, i.e. 80:1000 households. Resource intensity was approximately US$ 40/household per year based on 6 months of participation for children.","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","23122","","Food distribution/supplementation for prevention of acute malnutrition","","","","Infants and young children|Lactating women (LW)|Pregnant women (PW)|Preschool-age children (Pre-SAC)","Children below 3 years","","Community-based","","Internal provision supplementary feeding
","Underweight
","","","Coverage of approximately 20 % of children under 3 years. ","","","Population sustained rate of underweight reduction: 2,2 ppt/year","Vulnerable groups","","","","","","","","","","","","","","","","","","","","","","","","","","English" "23121","Community Nutrition Program (CNP)","English","Large scale programmes","","SEN","Senegal","","Urban|Peri-urban","completed","01-1995","01-2001","The Community Nutrition Program (CNP) ran from 1995 – 2001. Services were provided at community nutrition centres (CNC) in target areas in poor urban and peri-urban areas.
The programmes objectives were to: halt further deterioration in the nutritional status of the most vulnerable groups (children under three and PLW) in targeted poor urban neighbourhoods; provide potable water to under-serviced neighbourhoods targeted under the nutrition programme; and enhance household food security among the poor urban population and in targeted poor rural areas during critical periods of vulnerability.
","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 CNP is retrieved from the ENA Part II where CNP 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/
","","","","","","","","","","","","","National NGOs","AGETIP; Other local NGOs","","","","","","","Intensity of Community health workers (CHWs) was about 1:124 households, i.e. 80:1000 households. Resource intensity was approximately US$ 40/household per year based on 6 months of participation for children.","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","23123","","Nutrition education and counselling","","","","Lactating women (LW)|Pregnant women (PW)","","","Community-based","","","Underweight
","","","Coverage of approximately 20 % of children under 3 years. ","","","Population sustained rate of underweight reduction: 2,2 ppt/year","Vulnerable groups","","","","","","","","","","","","","","","","","","","","","","","","","","English" "23121","Community Nutrition Program (CNP)","English","Large scale programmes","","SEN","Senegal","","Urban|Peri-urban","completed","","01-1970","The Community Nutrition Program (CNP) ran from 1995 – 2001. Services were provided at community nutrition centres (CNC) in target areas in poor urban and peri-urban areas.
The programmes objectives were to: halt further deterioration in the nutritional status of the most vulnerable groups (children under three and PLW) in targeted poor urban neighbourhoods; provide potable water to under-serviced neighbourhoods targeted under the nutrition programme; and enhance household food security among the poor urban population and in targeted poor rural areas during critical periods of vulnerability.
","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 CNP is retrieved from the ENA Part II where CNP 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/
","","","","","","","","","","","","","National NGOs","AGETIP; Other local NGOs","","","","","","","Intensity of Community health workers (CHWs) was about 1:124 households, i.e. 80:1000 households. Resource intensity was approximately US$ 40/household per year based on 6 months of participation for children.","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","23410","","Growth monitoring and promotion","","","","Infants and young children|Preschool-age children (Pre-SAC)","Children below 3 years","","Community-based","","","Underweight
","","","Coverage of approximately 20 % of children under 3 years. ","","","Population sustained rate of underweight reduction: 2,2 ppt/year
","Vulnerable groups","","","","","","","","","","","","","","","","","","","","","","","","","","English" "23121","Community Nutrition Program (CNP)","English","Large scale programmes","","SEN","Senegal","","Urban|Peri-urban","completed","","01-1970","The Community Nutrition Program (CNP) ran from 1995 – 2001. Services were provided at community nutrition centres (CNC) in target areas in poor urban and peri-urban areas.
The programmes objectives were to: halt further deterioration in the nutritional status of the most vulnerable groups (children under three and PLW) in targeted poor urban neighbourhoods; provide potable water to under-serviced neighbourhoods targeted under the nutrition programme; and enhance household food security among the poor urban population and in targeted poor rural areas during critical periods of vulnerability.
","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 CNP is retrieved from the ENA Part II where CNP 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/
","","","","","","","","","","","","","National NGOs","AGETIP; Other local NGOs","","","","","","","Intensity of Community health workers (CHWs) was about 1:124 households, i.e. 80:1000 households. Resource intensity was approximately US$ 40/household per year based on 6 months of participation for children.","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","23411","","Food distribution/supplementation for prevention of acute malnutrition","","","","Infants and young children|Lactating women (LW)|Pregnant women (PW)|Preschool-age children (Pre-SAC)","Children below 3 years","","Community-based","","Internal provision supplementary feeding
","Underweight
","","","Coverage of approximately 20 % of children under 3 years. ","","","Population sustained rate of underweight reduction: 2,2 ppt/year
","Vulnerable groups","","","","","","","","","","","","","","","","","","","","","","","","","","English" "23121","Community Nutrition Program (CNP)","English","Large scale programmes","","SEN","Senegal","","Urban|Peri-urban","completed","","01-1970","The Community Nutrition Program (CNP) ran from 1995 – 2001. Services were provided at community nutrition centres (CNC) in target areas in poor urban and peri-urban areas.
The programmes objectives were to: halt further deterioration in the nutritional status of the most vulnerable groups (children under three and PLW) in targeted poor urban neighbourhoods; provide potable water to under-serviced neighbourhoods targeted under the nutrition programme; and enhance household food security among the poor urban population and in targeted poor rural areas during critical periods of vulnerability.
","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 CNP is retrieved from the ENA Part II where CNP 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/
","","","","","","","","","","","","","National NGOs","AGETIP; Other local NGOs","","","","","","","Intensity of Community health workers (CHWs) was about 1:124 households, i.e. 80:1000 households. Resource intensity was approximately US$ 40/household per year based on 6 months of participation for children.","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","23412","","Nutrition education and counselling","","","","Lactating women (LW)|Pregnant women (PW)","","","Community-based","","","Underweight
","","","Coverage of approximately 20 % of children under 3 years. ","","","Population sustained rate of underweight reduction: 2,2 ppt/year
","Vulnerable groups","","","","","","","","","","","","","","","","","","","","","","","","","","English" "23147","Third Community Health and Nutrition Project (CHN 3)","English","Large scale programmes","","IDN","Indonesia","","Urban|Rural|Peri-urban","completed","","2001","CHN 3 focused on capacity building, health information systems, education and service delivery in a province-based model in five provinces.
","WHO (2013) Essential Nutrition Actions – Improving maternal, newborn, infant and young child health and nutrition, which provides a compact of WHO guidance on nutrition interventions targeting the first 1000 days of life. Part I presents the interventions currently recommended by WHO, summarizes the rationale and the evidence, and describes the actions require to implement them. Part II provides an analysis of community-based interventions aimed at improving nutrition and indicates how effective interventions can be delivered in an integrated fashion. It shows how the essential nutrition actions described in the first part have been implemented in large-scale programmes in various settings, what the outcomes have been, and to examine the evidence for attribution of changes in nutritional outcomes to programme activities. Additionally, there is a section describing findings from cash transfer programmes. This summary of CHN 3 is retrieved from the ENA Part II where CHN 3 is one of 32 large-scale community-based programs that has been reviewed in detail and evaluated.
http://www.who.int/nutrition/publications/infantfeeding/essential_nutrition_actions/en/
","","","","","","","","","","","","","","","","","","","","","US$ 3.6 million investment by the World Bank. US$ 0.6 million by the Government of Indonesia.","Bilateral and donor agencies and lenders","The World Bank","Government of Indonesia","Government","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","23144","","Food distribution/supplementation for prevention of acute malnutrition","","","","Infants and young children|Preschool-age children (Pre-SAC)","","Five provinces in Indonesia","Community-based","","Internal provision supplementary feeding
","Weight-for-age z-score (WAZ)
","From 1989 to 2003 underweight (<-2 SD WAZ) decreased from 37.5% to 27.5% (0.71 ppt/year) despite the financial crisis of the early 1990s. This decrease may be partially attributed to a reduction in birth-rate in the lowest quintile of the population.
","Five provinces in Indonesia","Five provinces in Indonesia","","","","None","","","","","","","","","","","","","","","","","","","","","","","","Attempts to decentralize health interventions to the provincial level with CHN3 faced challenges of implementation and monitoring. Lack of baseline and surveillance data made effectiveness of these projects difficult to define.
","","English" "23147","Third Community Health and Nutrition Project (CHN 3)","English","Large scale programmes","","IDN","Indonesia","","Urban|Rural|Peri-urban","completed","","2001","CHN 3 focused on capacity building, health information systems, education and service delivery in a province-based model in five provinces.
","WHO (2013) Essential Nutrition Actions – Improving maternal, newborn, infant and young child health and nutrition, which provides a compact of WHO guidance on nutrition interventions targeting the first 1000 days of life. Part I presents the interventions currently recommended by WHO, summarizes the rationale and the evidence, and describes the actions require to implement them. Part II provides an analysis of community-based interventions aimed at improving nutrition and indicates how effective interventions can be delivered in an integrated fashion. It shows how the essential nutrition actions described in the first part have been implemented in large-scale programmes in various settings, what the outcomes have been, and to examine the evidence for attribution of changes in nutritional outcomes to programme activities. Additionally, there is a section describing findings from cash transfer programmes. This summary of CHN 3 is retrieved from the ENA Part II where CHN 3 is one of 32 large-scale community-based programs that has been reviewed in detail and evaluated.
http://www.who.int/nutrition/publications/infantfeeding/essential_nutrition_actions/en/
","","","","","","","","","","","","","","","","","","","","","US$ 3.6 million investment by the World Bank. US$ 0.6 million by the Government of Indonesia.","Bilateral and donor agencies and lenders","The World Bank","Government of Indonesia","Government","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","23145","","Growth monitoring and promotion","","","","Infants and young children|Preschool-age children (Pre-SAC)","","Five provinces in Indonesia","Community-based","","","Weight-for-age z-score (WAZ)
","From 1989 to 2003 underweight (<-2 SD WAZ) decreased from 37.5% to 27.5% (0.71 ppt/year) despite the financial crisis of the early 1990s. This decrease may be partially attributed to a reduction in birth-rate in the lowest quintile of the population
","Five provinces in Indonesia","Five provinces in Indonesia","","","","None","","","","","","","","","","","","","","","","","","","","","","","","Attempts to decentralize health interventions to the provincial level with CHN3 faced challenges of implementation and monitoring. Lack of baseline and surveillance data made effectiveness of these projects difficult to define.
","","English" "23147","Third Community Health and Nutrition Project (CHN 3)","English","Large scale programmes","","IDN","Indonesia","","Urban|Rural|Peri-urban","completed","","2001","CHN 3 focused on capacity building, health information systems, education and service delivery in a province-based model in five provinces.
","WHO (2013) Essential Nutrition Actions – Improving maternal, newborn, infant and young child health and nutrition, which provides a compact of WHO guidance on nutrition interventions targeting the first 1000 days of life. Part I presents the interventions currently recommended by WHO, summarizes the rationale and the evidence, and describes the actions require to implement them. Part II provides an analysis of community-based interventions aimed at improving nutrition and indicates how effective interventions can be delivered in an integrated fashion. It shows how the essential nutrition actions described in the first part have been implemented in large-scale programmes in various settings, what the outcomes have been, and to examine the evidence for attribution of changes in nutritional outcomes to programme activities. Additionally, there is a section describing findings from cash transfer programmes. This summary of CHN 3 is retrieved from the ENA Part II where CHN 3 is one of 32 large-scale community-based programs that has been reviewed in detail and evaluated.
http://www.who.int/nutrition/publications/infantfeeding/essential_nutrition_actions/en/
","","","","","","","","","","","","","","","","","","","","","US$ 3.6 million investment by the World Bank. US$ 0.6 million by the Government of Indonesia.","Bilateral and donor agencies and lenders","The World Bank","Government of Indonesia","Government","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","23146","","Nutrition education and counselling","","","","Lactating women (LW)|Pregnant women (PW)","","Five provinces in Indonesia","Community-based","","","Weight-for-age z-score (WAZ)
","From 1989 to 2003 underweight (<-2 SD WAZ) decreased from 37.5% to 27.5% (0.71 ppt/year) despite the financial crisis of the early 1990s. This decrease may be partially attributed to a reduction in birth-rate in the lowest quintile of the population.
","Five provinces in Indonesia","Five provinces in Indonesia","","","","None","","","","","","","","","","","","","","","","","","","","","","","","Attempts to decentralize health interventions to the provincial level with CHN3 faced challenges of implementation and monitoring. Lack of baseline and surveillance data made effectiveness of these projects difficult to define.
","","English" "23299","Bolsa Alimentacão (BA)","English","Large scale programmes","","BRA","Brazil","","","completed","","01-1970","Bolsa Alimentacão (BA) was a conditional cash transfer programme that ran from 2001 - 03. Families with pregnant or lactating women and/or children less than 7 years of age with a monthly per capita income below US$ 42 received US$ 7 per child monthly, for up to 3 children. Conditions for receipt of the transfer included regular pre- and postnatal care, growth monitoring, immunization, and participation in nutrition education seminars. In 2003 BA merged with several programmes to form the current Bolsa Familia Programme (BFP).
","
WHO (2013) Essential Nutrition Actions – Improving maternal, newborn, infant and young child health and nutrition, which provides a compact of WHO guidance on nutrition interventions targeting the first 1000 days of life. Part I presents the interventions currently recommended by WHO, summarizes the rationale and the evidence, and describes the actions require to implement them. Part II provides an analysis of community-based interventions aimed at improving nutrition and indicates how effective interventions can be delivered in an integrated fashion. It shows how the essential nutrition actions described in the first part have been implemented in large-scale programmes in various settings, what the outcomes have been, and to examine the evidence for attribution of changes in nutritional outcomes to programme activities. This summary of Bolsa Alimentacão is retrieved from the ENA Part II where Bolsa Alimentacão is one of 32 large-scale community-based programs that has been reviewed in detail and evaluated.
http://www.who.int/nutrition/publications/infantfeeding/essential_nutrit...
","","","Health","Ministry of Health ","","","","","","","","","","","","","","","","","Families with pregnant or lactating women and/or children less than 7 years of age with a monthly per capita income below US$ 42 received US$ 7 per child monthly. Resource intensity: US$ 84/hd/year","Bilateral and donor agencies and lenders","The World Bank","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","23298","","Conditional cash transfer","","","","Family ( living in same household)","Families with pregnant or lactating women and/or children less than 7 years of age with a monthly per capita income below US$ 42","","Community-based","","Families who met the inclusion criteria received US$ 7 per child monthly, for up to 3 children.
","Height-for-age z-score (HAZ)
Weight-for-age z-score (WAZ)
","Initial evaluation data from Bolsa Alimentacão showed worsening height-for-age z-scores (HAZ) and weight-for-age z-scores (WAZ) for beneficiaries compared to non-beneficiaries, though results were not statistically significant. This result was despite a reported increase in food consumption, which may have been due to beneficiary mothers assuming they would be ineligible for benefits if children were healthy.
","","1.5 million persons (about 1% of the population)","","","","Vulnerable groups","","","","","","","","","","","","","","","","","","","","","","","","","","English" "23299","Bolsa Alimentacão (BA)","English","Large scale programmes","","BRA","Brazil","","","completed","","01-1970","Bolsa Alimentacão (BA) was a conditional cash transfer programme that ran from 2001 - 03. Families with pregnant or lactating women and/or children less than 7 years of age with a monthly per capita income below US$ 42 received US$ 7 per child monthly, for up to 3 children. Conditions for receipt of the transfer included regular pre- and postnatal care, growth monitoring, immunization, and participation in nutrition education seminars. In 2003 BA merged with several programmes to form the current Bolsa Familia Programme (BFP).
","
WHO (2013) Essential Nutrition Actions – Improving maternal, newborn, infant and young child health and nutrition, which provides a compact of WHO guidance on nutrition interventions targeting the first 1000 days of life. Part I presents the interventions currently recommended by WHO, summarizes the rationale and the evidence, and describes the actions require to implement them. Part II provides an analysis of community-based interventions aimed at improving nutrition and indicates how effective interventions can be delivered in an integrated fashion. It shows how the essential nutrition actions described in the first part have been implemented in large-scale programmes in various settings, what the outcomes have been, and to examine the evidence for attribution of changes in nutritional outcomes to programme activities. This summary of Bolsa Alimentacão is retrieved from the ENA Part II where Bolsa Alimentacão is one of 32 large-scale community-based programs that has been reviewed in detail and evaluated.
http://www.who.int/nutrition/publications/infantfeeding/essential_nutrit...
","","","Health","Ministry of Health ","","","","","","","","","","","","","","","","","Families with pregnant or lactating women and/or children less than 7 years of age with a monthly per capita income below US$ 42 received US$ 7 per child monthly. Resource intensity: US$ 84/hd/year","Bilateral and donor agencies and lenders","The World Bank","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","23300","","Growth monitoring and promotion","","","","Infants and young children|Preschool-age children (Pre-SAC)|School age children (SAC)","Children below 7 years of age","","Community-based","","Regular growth monitoring
","Height-for-age z-score (HAZ)
Weight-for-age z-score (WAZ)
","Initial evaluation data from Bolsa Alimentacão showed worsening height-for-age z-scores (HAZ) and weight-for-age z-scores (WAZ) for beneficiaries compared to non-beneficiaries, though results were not statistically significant. This result was despite a reported increase in food consumption, which may have been due to beneficiary mothers assuming they would be ineligible for benefits if children were healthy.
","","1.5 million persons (about 1% of the population)","","","","Vulnerable groups","","","","","","","","","","","","","","","","","","","","","","","","","","English" "23299","Bolsa Alimentacão (BA)","English","Large scale programmes","","BRA","Brazil","","","completed","","01-1970","Bolsa Alimentacão (BA) was a conditional cash transfer programme that ran from 2001 - 03. Families with pregnant or lactating women and/or children less than 7 years of age with a monthly per capita income below US$ 42 received US$ 7 per child monthly, for up to 3 children. Conditions for receipt of the transfer included regular pre- and postnatal care, growth monitoring, immunization, and participation in nutrition education seminars. In 2003 BA merged with several programmes to form the current Bolsa Familia Programme (BFP).
","
WHO (2013) Essential Nutrition Actions – Improving maternal, newborn, infant and young child health and nutrition, which provides a compact of WHO guidance on nutrition interventions targeting the first 1000 days of life. Part I presents the interventions currently recommended by WHO, summarizes the rationale and the evidence, and describes the actions require to implement them. Part II provides an analysis of community-based interventions aimed at improving nutrition and indicates how effective interventions can be delivered in an integrated fashion. It shows how the essential nutrition actions described in the first part have been implemented in large-scale programmes in various settings, what the outcomes have been, and to examine the evidence for attribution of changes in nutritional outcomes to programme activities. This summary of Bolsa Alimentacão is retrieved from the ENA Part II where Bolsa Alimentacão is one of 32 large-scale community-based programs that has been reviewed in detail and evaluated.
http://www.who.int/nutrition/publications/infantfeeding/essential_nutrit...
","","","Health","Ministry of Health ","","","","","","","","","","","","","","","","","Families with pregnant or lactating women and/or children less than 7 years of age with a monthly per capita income below US$ 42 received US$ 7 per child monthly. Resource intensity: US$ 84/hd/year","Bilateral and donor agencies and lenders","The World Bank","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","23301","","Nutrition education and counselling","","","","Family ( living in same household)|Lactating women (LW)|Pregnant women (PW)","amilies with pregnant or lactating women and/or children less than 7 years of age with a monthly per capita income below US$ 42","","Community-based","","Regular participation in nutritio-education seminars
","Height-for-age z-score (HAZ)
Weight-for-age z-score (WAZ)
","Initial evaluation data from Bolsa Alimentacão showed worsening height-for-age z-scores (HAZ) and weight-for-age z-scores (WAZ) for beneficiaries compared to non-beneficiaries, though results were not statistically significant. This result was despite a reported increase in food consumption, which may have been due to beneficiary mothers assuming they would be ineligible for benefits if children were healthy.
","","1.5 million persons (about 1% of the population)","","","","Vulnerable groups","","","","","","","","","","","","","","","","","","","","","","","","","","English" "23299","Bolsa Alimentacão (BA)","English","Large scale programmes","","BRA","Brazil","","","completed","","01-1970","Bolsa Alimentacão (BA) was a conditional cash transfer programme that ran from 2001 - 03. Families with pregnant or lactating women and/or children less than 7 years of age with a monthly per capita income below US$ 42 received US$ 7 per child monthly, for up to 3 children. Conditions for receipt of the transfer included regular pre- and postnatal care, growth monitoring, immunization, and participation in nutrition education seminars. In 2003 BA merged with several programmes to form the current Bolsa Familia Programme (BFP).
","
WHO (2013) Essential Nutrition Actions – Improving maternal, newborn, infant and young child health and nutrition, which provides a compact of WHO guidance on nutrition interventions targeting the first 1000 days of life. Part I presents the interventions currently recommended by WHO, summarizes the rationale and the evidence, and describes the actions require to implement them. Part II provides an analysis of community-based interventions aimed at improving nutrition and indicates how effective interventions can be delivered in an integrated fashion. It shows how the essential nutrition actions described in the first part have been implemented in large-scale programmes in various settings, what the outcomes have been, and to examine the evidence for attribution of changes in nutritional outcomes to programme activities. This summary of Bolsa Alimentacão is retrieved from the ENA Part II where Bolsa Alimentacão is one of 32 large-scale community-based programs that has been reviewed in detail and evaluated.
http://www.who.int/nutrition/publications/infantfeeding/essential_nutrit...
","","","Health","Ministry of Health ","","","","","","","","","","","","","","","","","Families with pregnant or lactating women and/or children less than 7 years of age with a monthly per capita income below US$ 42 received US$ 7 per child monthly. Resource intensity: US$ 84/hd/year","Bilateral and donor agencies and lenders","The World Bank","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","23302","","Vaccination","","","","Family ( living in same household)","Families with pregnant or lactating women and/or children less than 7 years of age with a monthly per capita income below US$ 42","","Community-based","","","","","","1.5 million persons (about 1% of the population)","","","","Vulnerable groups","","","","","","","","","","","","","","","","","","","","","","","","","","English" "23304","Bolsa Familia Programme (BFP)","English","Large scale programmes","","BRA","Brazil","","","on-going","","","Bolsa Familia Programme (BFP) is an ongoing conditional cash programme where families with pregnant and lactating mothers and/or children less than 7 years of age, with monthly per capita income ceilings of US$ 57 (moderately poor) and US$ 29 (extremely poor), receive monthly cash transfers range from US$ 7–US$ 45 per family depending upon eligibility as determined by monthly per capita income. Conditions for receipt of the transfer included regular pre- and postnatal care, growth monitoring, immunization, and participation in nutrition education seminars. BFP coverag in 2006 was approximately 100% of the poor and 25% of the total Brazilian population.
","
WHO (2013) Essential Nutrition Actions – Improving maternal, newborn, infant and young child health and nutrition, which provides a compact of WHO guidance on nutrition interventions targeting the first 1000 days of life. Part I presents the interventions currently recommended by WHO, summarizes the rationale and the evidence, and describes the actions require to implement them. Part II provides an analysis of community-based interventions aimed at improving nutrition and indicates how effective interventions can be delivered in an integrated fashion. It shows how the essential nutrition actions described in the first part have been implemented in large-scale programmes in various settings, what the outcomes have been, and to examine the evidence for attribution of changes in nutritional outcomes to programme activities. This summary of BFP is retrieved from the ENA Part II where BFP is one of 32 large-scale community-based programs that has been reviewed in detail and evaluated.
http://www.who.int/nutrition/publications/infantfeeding/essential_nutrit...
","","","","","","","","","","","","","","","","","","","","","US$ 84-540/hd/year.Public expenditure for the BFP in 2005 was US$ 3.2 billion, equivalent to 0.36% of GDP. World Bank support for the programme was about US$ 562 million from 2003–2009, or approximately US$ 93.7 million/year(Monthly cash transfers range from US$ 7–US$ 45 per family depending upon eligibility as determined by monthly per capita income)","Bilateral and donor agencies and lenders","The World Bank","","Government","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","23303","","Conditional cash transfer","","","","Family ( living in same household)","Families with pregnant and lactating mothers and children less than 7 years of age with monthly per capita income ceilings of US$ 57 (moderately poor) and US$ 29 (extremely poor).","","Community-based","","Monthly cash transfers range from US$ 7–US$ 45 per family depending upon eligibility as determined by monthly per capita income ceilings of US$ 57 (moderately poor) and US$ 29 (extremely poor).
","Height-for-age z-score (HAZ)
","Evaluation data from the BFP is limited, but a positive impact has been reported; stunting among beneficiary children aged 6–11 months was 3.3 ppt lower (2 versus 5.3) than nonbeneficiary children. However, the results are questionable due to selection bias. Study results may also be limited (especially for children aged 12–36 months) by supply-side constraints restricting health services, irregular growth monitoring despite the conditionality, and lack of information on timing of enrollment.
","","in 2006 was 11.1 million families (46 million persons), approximately 100% of the poor and 25% of the total Brazilian population.","","","","Vulnerable groups","","","","","","","","","","","","","","","","","","","","","","","","","","English" "23304","Bolsa Familia Programme (BFP)","English","Large scale programmes","","BRA","Brazil","","","on-going","","","Bolsa Familia Programme (BFP) is an ongoing conditional cash programme where families with pregnant and lactating mothers and/or children less than 7 years of age, with monthly per capita income ceilings of US$ 57 (moderately poor) and US$ 29 (extremely poor), receive monthly cash transfers range from US$ 7–US$ 45 per family depending upon eligibility as determined by monthly per capita income. Conditions for receipt of the transfer included regular pre- and postnatal care, growth monitoring, immunization, and participation in nutrition education seminars. BFP coverag in 2006 was approximately 100% of the poor and 25% of the total Brazilian population.
","
WHO (2013) Essential Nutrition Actions – Improving maternal, newborn, infant and young child health and nutrition, which provides a compact of WHO guidance on nutrition interventions targeting the first 1000 days of life. Part I presents the interventions currently recommended by WHO, summarizes the rationale and the evidence, and describes the actions require to implement them. Part II provides an analysis of community-based interventions aimed at improving nutrition and indicates how effective interventions can be delivered in an integrated fashion. It shows how the essential nutrition actions described in the first part have been implemented in large-scale programmes in various settings, what the outcomes have been, and to examine the evidence for attribution of changes in nutritional outcomes to programme activities. This summary of BFP is retrieved from the ENA Part II where BFP is one of 32 large-scale community-based programs that has been reviewed in detail and evaluated.
http://www.who.int/nutrition/publications/infantfeeding/essential_nutrit...
","","","","","","","","","","","","","","","","","","","","","US$ 84-540/hd/year.Public expenditure for the BFP in 2005 was US$ 3.2 billion, equivalent to 0.36% of GDP. World Bank support for the programme was about US$ 562 million from 2003–2009, or approximately US$ 93.7 million/year(Monthly cash transfers range from US$ 7–US$ 45 per family depending upon eligibility as determined by monthly per capita income)","Bilateral and donor agencies and lenders","The World Bank","","Government","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","23305","","Growth monitoring and promotion","","","","Infants and young children|Preschool-age children (Pre-SAC)|School age children (SAC)","Children below 7 years of age","","Community-based","","Regular growth monitoring in order to receive cash transfer
","Height-for-age z-score (HAZ)
","Evaluation data from the BFP is limited, but a positive impact has been reported; stunting among beneficiary children aged 6–11 months was 3.3 ppt lower (2 versus 5.3) than nonbeneficiary children. However, the results are questionable due to selection bias. Study results may also be limited (especially for children aged 12–36 months) by supply-side constraints restricting health services, irregular growth monitoring despite the conditionality, and lack of information on timing of enrollment.
","","11.1 million families (46 million persons), approximately 100% of the poor and 25% of the total Brazilian population","","","","Vulnerable groups","","","","","","","","","","","","","","","","","","","","","","","","","","English" "23304","Bolsa Familia Programme (BFP)","English","Large scale programmes","","BRA","Brazil","","","on-going","","","Bolsa Familia Programme (BFP) is an ongoing conditional cash programme where families with pregnant and lactating mothers and/or children less than 7 years of age, with monthly per capita income ceilings of US$ 57 (moderately poor) and US$ 29 (extremely poor), receive monthly cash transfers range from US$ 7–US$ 45 per family depending upon eligibility as determined by monthly per capita income. Conditions for receipt of the transfer included regular pre- and postnatal care, growth monitoring, immunization, and participation in nutrition education seminars. BFP coverag in 2006 was approximately 100% of the poor and 25% of the total Brazilian population.
","
WHO (2013) Essential Nutrition Actions – Improving maternal, newborn, infant and young child health and nutrition, which provides a compact of WHO guidance on nutrition interventions targeting the first 1000 days of life. Part I presents the interventions currently recommended by WHO, summarizes the rationale and the evidence, and describes the actions require to implement them. Part II provides an analysis of community-based interventions aimed at improving nutrition and indicates how effective interventions can be delivered in an integrated fashion. It shows how the essential nutrition actions described in the first part have been implemented in large-scale programmes in various settings, what the outcomes have been, and to examine the evidence for attribution of changes in nutritional outcomes to programme activities. This summary of BFP is retrieved from the ENA Part II where BFP is one of 32 large-scale community-based programs that has been reviewed in detail and evaluated.
http://www.who.int/nutrition/publications/infantfeeding/essential_nutrit...
","","","","","","","","","","","","","","","","","","","","","US$ 84-540/hd/year.Public expenditure for the BFP in 2005 was US$ 3.2 billion, equivalent to 0.36% of GDP. World Bank support for the programme was about US$ 562 million from 2003–2009, or approximately US$ 93.7 million/year(Monthly cash transfers range from US$ 7–US$ 45 per family depending upon eligibility as determined by monthly per capita income)","Bilateral and donor agencies and lenders","The World Bank","","Government","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","23306","","Nutrition education and counselling","","","","Lactating women (LW)|Pregnant women (PW)","Caretakers of children below the age of 7","","Community-based","","Regular participation in nutrition education seminars
","Height-for-age z-score (HAZ)
","Evaluation data from the BFP is limited, but a positive impact has been reported; stunting among beneficiary children aged 6–11 months was 3.3 ppt lower (2 versus 5.3) than nonbeneficiary children. However, the results are questionable due to selection bias. Study results may also be limited (especially for children aged 12–36 months) by supply-side constraints restricting health services, irregular growth monitoring despite the conditionality, and lack of information on timing of enrollment.
","","11.1 million families (46 million persons), approximately 100% of the poor and 25% of the total Brazilian population","","","","Vulnerable groups","","","","","","","","","","","","","","","","","","","","","","","","","","English" "23304","Bolsa Familia Programme (BFP)","English","Large scale programmes","","BRA","Brazil","","","on-going","","","Bolsa Familia Programme (BFP) is an ongoing conditional cash programme where families with pregnant and lactating mothers and/or children less than 7 years of age, with monthly per capita income ceilings of US$ 57 (moderately poor) and US$ 29 (extremely poor), receive monthly cash transfers range from US$ 7–US$ 45 per family depending upon eligibility as determined by monthly per capita income. Conditions for receipt of the transfer included regular pre- and postnatal care, growth monitoring, immunization, and participation in nutrition education seminars. BFP coverag in 2006 was approximately 100% of the poor and 25% of the total Brazilian population.
","
WHO (2013) Essential Nutrition Actions – Improving maternal, newborn, infant and young child health and nutrition, which provides a compact of WHO guidance on nutrition interventions targeting the first 1000 days of life. Part I presents the interventions currently recommended by WHO, summarizes the rationale and the evidence, and describes the actions require to implement them. Part II provides an analysis of community-based interventions aimed at improving nutrition and indicates how effective interventions can be delivered in an integrated fashion. It shows how the essential nutrition actions described in the first part have been implemented in large-scale programmes in various settings, what the outcomes have been, and to examine the evidence for attribution of changes in nutritional outcomes to programme activities. This summary of BFP is retrieved from the ENA Part II where BFP is one of 32 large-scale community-based programs that has been reviewed in detail and evaluated.
http://www.who.int/nutrition/publications/infantfeeding/essential_nutrit...
","","","","","","","","","","","","","","","","","","","","","US$ 84-540/hd/year.Public expenditure for the BFP in 2005 was US$ 3.2 billion, equivalent to 0.36% of GDP. World Bank support for the programme was about US$ 562 million from 2003–2009, or approximately US$ 93.7 million/year(Monthly cash transfers range from US$ 7–US$ 45 per family depending upon eligibility as determined by monthly per capita income)","Bilateral and donor agencies and lenders","The World Bank","","Government","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","23307","","Vaccination","","","","Family ( living in same household)","Families with pregnant and lactating mothers and children less than 7 years of age with monthly per capita income ceilings of US$ 57 (moderately poor) and US$ 29 (extremely poor).","","Community-based","","","","","","11.1 million families (46 million persons), approximately 100% of the poor and 25% of the total Brazilian population","","","","Vulnerable groups","","","","","","","","","","","","","","","","","","","","","","","","","","English" "23330","National Nutrition Program (NNP)","English","Large scale programmes","","BGD","Bangladesh","","","completed","","01-1970","The NNP was a follow-up of the The Bangladesh Integrated Nutrition Programme ((BINP) - which was completed in 2002). The implementation of the NNP started in 2004.
","WHO (2013) Essential Nutrition Actions – Improving maternal, newborn, infant and young child health and nutrition, which provides a compact of WHO guidance on nutrition interventions targeting the first 1000 days of life. Part I presents the interventions currently recommended by WHO, summarizes the rationale and the evidence, and describes the actions require to implement them. Part II provides an analysis of community-based interventions aimed at improving nutrition and indicates how effective interventions can be delivered in an integrated fashion. It shows how the essential nutrition actions described in the first part have been implemented in large-scale programmes in various settings, what the outcomes have been, and to examine the evidence for attribution of changes in nutritional outcomes to programme activities. This summary of NNP is retrieved from the ENA Part II where NNP is one of 32 large-scale community-based programs that has been reviewed in detail and evaluated.
http://www.who.int/nutrition/publications/infantfeeding/essential_nutrition_actions/en/
","","","Health","","","","","","","","","","","","","","","","","","","Bilateral and donor agencies and lenders","The World Bank","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","23329","","Growth monitoring and promotion","","","","Infants and young children|Preschool-age children (Pre-SAC)|School age children (SAC)","Children below 6 years","","Community-based","","","","The NNP had implementation problems; the baseline survey was delayed and the end survey never conducted. Thus, no estimate of effect is available.
","Intended coverage: 105/464 thanas","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English" "23330","National Nutrition Program (NNP)","English","Large scale programmes","","BGD","Bangladesh","","","completed","","01-1970","The NNP was a follow-up of the The Bangladesh Integrated Nutrition Programme ((BINP) - which was completed in 2002). The implementation of the NNP started in 2004.
","WHO (2013) Essential Nutrition Actions – Improving maternal, newborn, infant and young child health and nutrition, which provides a compact of WHO guidance on nutrition interventions targeting the first 1000 days of life. Part I presents the interventions currently recommended by WHO, summarizes the rationale and the evidence, and describes the actions require to implement them. Part II provides an analysis of community-based interventions aimed at improving nutrition and indicates how effective interventions can be delivered in an integrated fashion. It shows how the essential nutrition actions described in the first part have been implemented in large-scale programmes in various settings, what the outcomes have been, and to examine the evidence for attribution of changes in nutritional outcomes to programme activities. This summary of NNP is retrieved from the ENA Part II where NNP is one of 32 large-scale community-based programs that has been reviewed in detail and evaluated.
http://www.who.int/nutrition/publications/infantfeeding/essential_nutrition_actions/en/
","","","Health","","","","","","","","","","","","","","","","","","","Bilateral and donor agencies and lenders","The World Bank","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","23331","","Food distribution/supplementation for prevention of acute malnutrition","","","","Infants and young children|Lactating women (LW)|Pregnant women (PW)|Preschool-age children (Pre-SAC)|School age children (SAC)","Children below 6 years","","Community-based","","Internal provision supplementary feeding
","","NNP had implementation problems; the baseline survey was delayed and the end survey never conducted. Thus, no estimate of effect is available.
","Intended coverage: 105/464 thanas","","","","","Other","","","","","","","","","","","","","","","","","","","","","","","","","","English" "23330","National Nutrition Program (NNP)","English","Large scale programmes","","BGD","Bangladesh","","","completed","","01-1970","The NNP was a follow-up of the The Bangladesh Integrated Nutrition Programme ((BINP) - which was completed in 2002). The implementation of the NNP started in 2004.
","WHO (2013) Essential Nutrition Actions – Improving maternal, newborn, infant and young child health and nutrition, which provides a compact of WHO guidance on nutrition interventions targeting the first 1000 days of life. Part I presents the interventions currently recommended by WHO, summarizes the rationale and the evidence, and describes the actions require to implement them. Part II provides an analysis of community-based interventions aimed at improving nutrition and indicates how effective interventions can be delivered in an integrated fashion. It shows how the essential nutrition actions described in the first part have been implemented in large-scale programmes in various settings, what the outcomes have been, and to examine the evidence for attribution of changes in nutritional outcomes to programme activities. This summary of NNP is retrieved from the ENA Part II where NNP is one of 32 large-scale community-based programs that has been reviewed in detail and evaluated.
http://www.who.int/nutrition/publications/infantfeeding/essential_nutrition_actions/en/
","","","Health","","","","","","","","","","","","","","","","","","","Bilateral and donor agencies and lenders","The World Bank","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","23332","","Nutrition education and counselling","","","","Lactating women (LW)|Pregnant women (PW)","","","Community-based","","","","NNP had implementation problems; the baseline survey was delayed and the end survey never conducted. Thus, no estimate of effect is available.
","Intended coverage: 105/464 thanas","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English" "23344","Tamil Nadu Integrated Nutrition Project I (TINP I)","English","Large scale programmes","","IND","India","Tamil Nadu","Rural","completed","","01-1970","The Tamil Nadu Integrated Nutrition Project I (TINP I) ran from 1980 to 1989.
","WHO (2013) Essential Nutrition Actions – Improving maternal, newborn, infant and young child health and nutrition, which provides a compact of WHO guidance on nutrition interventions targeting the first 1000 days of life. Part I presents the interventions currently recommended by WHO, summarizes the rationale and the evidence, and describes the actions require to implement them. Part II provides an analysis of community-based interventions aimed at improving nutrition and indicates how effective interventions can be delivered in an integrated fashion. It shows how the essential nutrition actions described in the first part have been implemented in large-scale programmes in various settings, what the outcomes have been, and to examine the evidence for attribution of changes in nutritional outcomes to programme activities. This summary of TINP Iis retrieved from the ENA Part II where TINP I is one of 32 large-scale community-based programs that has been reviewed in detail and evaluated.
http://www.who.int/nutrition/publications/infantfeeding/essential_nutrition_actions/en/
","","","","","","","","","","","","","","","","","","","","","Community health workers (CHWs) for TINP I was reported as 1:150 households, or 40;1000 households. Resource intensity was previously estimated as US$ 9,50/household per year. ","Bilateral and donor agencies and lenders","The World Bank","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","23343","","Growth monitoring and promotion","","","","Infants and young children|Preschool-age children (Pre-SAC)|School age children (SAC)","","","Community-based","","","Underweight
","Among TINP participants, there was an approximate 1.25 to 2.40 ppt/ year decline in underweight prevalence. In TINP areas, there was an approximate 0.83 to 1.12 ppt/year decline in underweight prevalence as compared with non-TINP areas where an approximate 0.26 to 1.12 ppt/year decrease in underweight prevalence was observed. The estimated underlying trend for the whole of India during this time was a 0.7 ppt/year decrease in underweight prevalence. Thus an estimated one quarter to one half of the decrease in underweight prevalence is attributable to the project.
","","Approximately 46 % coverage by ares (173/373 rural blocks in 11 districts). ","","","","","","","","","","","","","","","","","","","","","","","","","","","","
The Tamil Nadu Integrated Nutrition Project I (TINP I) ran from 1980 to 1989.
","WHO (2013) Essential Nutrition Actions – Improving maternal, newborn, infant and young child health and nutrition, which provides a compact of WHO guidance on nutrition interventions targeting the first 1000 days of life. Part I presents the interventions currently recommended by WHO, summarizes the rationale and the evidence, and describes the actions require to implement them. Part II provides an analysis of community-based interventions aimed at improving nutrition and indicates how effective interventions can be delivered in an integrated fashion. It shows how the essential nutrition actions described in the first part have been implemented in large-scale programmes in various settings, what the outcomes have been, and to examine the evidence for attribution of changes in nutritional outcomes to programme activities. This summary of TINP Iis retrieved from the ENA Part II where TINP I is one of 32 large-scale community-based programs that has been reviewed in detail and evaluated.
http://www.who.int/nutrition/publications/infantfeeding/essential_nutrition_actions/en/
","","","","","","","","","","","","","","","","","","","","","Community health workers (CHWs) for TINP I was reported as 1:150 households, or 40;1000 households. Resource intensity was previously estimated as US$ 9,50/household per year. ","Bilateral and donor agencies and lenders","The World Bank","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","23345","","Food distribution/supplementation for prevention of acute malnutrition","","","","Infants and young children|Preschool-age children (Pre-SAC)|School age children (SAC)","","","Community-based","","Internal provision supplementary feeding
","Underweight
","Among TINP participants, there was an approximate 1.25 to 2.40 ppt/ year decline in underweight prevalence. In TINP areas, there was an approximate 0.83 to 1.12 ppt/year decline in underweight prevalence as compared with non-TINP areas where an approximate 0.26 to 1.12 ppt/year decrease in underweight prevalence was observed. The estimated underlying trend for the whole of India during this time was a 0.7 ppt/year decrease in underweight prevalence. Thus an estimated one quarter to one half of the decrease in underweight prevalence is attributable to the project.
","","approximately 46 % coverage by areas (173/373 rural blocks in 11 districts)","","","","","","","","","","","","","","","","","","","","","","","","","","","","There are important issues related to data sources. Data on residents in TINP and non- TINP areas (rather than on TINP participants) come from the National Nutrition Monitoring Bureau (NNMB) while data on TINP participants comes from programme monitoring records. NNMB estimates are from an 11-year period (1979–1990) while TINP estimates are from an 8-year period (1982–1990). Furthermore, NNMB surveys consistently produce higher estimated underweight prevalence than TINP surveys because NNMB surveys cover entire areas rather than only programme participants. This may reveal differences between participants and non-participants.
","","English" "23344","Tamil Nadu Integrated Nutrition Project I (TINP I)","English","Large scale programmes","","IND","India","Tamil Nadu","Rural","completed","","01-1970","The Tamil Nadu Integrated Nutrition Project I (TINP I) ran from 1980 to 1989.
","WHO (2013) Essential Nutrition Actions – Improving maternal, newborn, infant and young child health and nutrition, which provides a compact of WHO guidance on nutrition interventions targeting the first 1000 days of life. Part I presents the interventions currently recommended by WHO, summarizes the rationale and the evidence, and describes the actions require to implement them. Part II provides an analysis of community-based interventions aimed at improving nutrition and indicates how effective interventions can be delivered in an integrated fashion. It shows how the essential nutrition actions described in the first part have been implemented in large-scale programmes in various settings, what the outcomes have been, and to examine the evidence for attribution of changes in nutritional outcomes to programme activities. This summary of TINP Iis retrieved from the ENA Part II where TINP I is one of 32 large-scale community-based programs that has been reviewed in detail and evaluated.
http://www.who.int/nutrition/publications/infantfeeding/essential_nutrition_actions/en/
","","","","","","","","","","","","","","","","","","","","","Community health workers (CHWs) for TINP I was reported as 1:150 households, or 40;1000 households. Resource intensity was previously estimated as US$ 9,50/household per year. ","Bilateral and donor agencies and lenders","The World Bank","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","23346","","Nutrition education and counselling","","","","","","","Community-based","","","Underweight
","Among TINP participants, there was an approximate 1.25 to 2.40 ppt/ year decline in underweight prevalence. In TINP areas, there was an approximate 0.83 to 1.12 ppt/year decline in underweight prevalence as compared with non-TINP areas where an approximate 0.26 to 1.12 ppt/year decrease in underweight prevalence was observed. The estimated underlying trend for the whole of India during this time was a 0.7 ppt/year decrease in underweight prevalence. Thus an estimated one quarter to one half of the decrease in underweight prevalence is attributable to the project.
","","approximately 46 % coverage by areas (173/373 rural blocks in 11 districts)","","","","","","","","","","","","","","","","","","","","","","","","","","","","There are important issues related to data sources. Data on residents in TINP and non- TINP areas (rather than on TINP participants) come from the National Nutrition Monitoring Bureau (NNMB) while data on TINP participants comes from programme monitoring records. NNMB estimates are from an 11-year period (1979–1990) while TINP estimates are from an 8-year period (1982–1990). Furthermore, NNMB surveys consistently produce higher estimated underweight prevalence than TINP surveys because NNMB surveys cover entire areas rather than only programme participants. This may reveal differences between participants and non-participants.
","","English" "23344","Tamil Nadu Integrated Nutrition Project I (TINP I)","English","Large scale programmes","","IND","India","Tamil Nadu","Rural","completed","","01-1970","The Tamil Nadu Integrated Nutrition Project I (TINP I) ran from 1980 to 1989.
","WHO (2013) Essential Nutrition Actions – Improving maternal, newborn, infant and young child health and nutrition, which provides a compact of WHO guidance on nutrition interventions targeting the first 1000 days of life. Part I presents the interventions currently recommended by WHO, summarizes the rationale and the evidence, and describes the actions require to implement them. Part II provides an analysis of community-based interventions aimed at improving nutrition and indicates how effective interventions can be delivered in an integrated fashion. It shows how the essential nutrition actions described in the first part have been implemented in large-scale programmes in various settings, what the outcomes have been, and to examine the evidence for attribution of changes in nutritional outcomes to programme activities. This summary of TINP Iis retrieved from the ENA Part II where TINP I is one of 32 large-scale community-based programs that has been reviewed in detail and evaluated.
http://www.who.int/nutrition/publications/infantfeeding/essential_nutrition_actions/en/
","","","","","","","","","","","","","","","","","","","","","Community health workers (CHWs) for TINP I was reported as 1:150 households, or 40;1000 households. Resource intensity was previously estimated as US$ 9,50/household per year. ","Bilateral and donor agencies and lenders","The World Bank","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","23347","","Vitamin A supplementation","","Vitamin A","","Infants and young children|Preschool-age children (Pre-SAC)|School age children (SAC)","","","Community-based","","","Underweight
","Among TINP participants, there was an approximate 1.25 to 2.40 ppt/ year decline in underweight prevalence. In TINP areas, there was an approximate 0.83 to 1.12 ppt/year decline in underweight prevalence as compared with non-TINP areas where an approximate 0.26 to 1.12 ppt/year decrease in underweight prevalence was observed. The estimated underlying trend for the whole of India during this time was a 0.7 ppt/year decrease in underweight prevalence. Thus an estimated one quarter to one half of the decrease in underweight prevalence is attributable to the project.
","","approximately 46 % coverage by areas (173/373 rural blocks in 11 districts)","","","","","","","","","","","","","","","","","","","","","","","","","","","","There are important issues related to data sources. Data on residents in TINP and non- TINP areas (rather than on TINP participants) come from the National Nutrition Monitoring Bureau (NNMB) while data on TINP participants comes from programme monitoring records. NNMB estimates are from an 11-year period (1979–1990) while TINP estimates are from an 8-year period (1982–1990). Furthermore, NNMB surveys consistently produce higher estimated underweight prevalence than TINP surveys because NNMB surveys cover entire areas rather than only programme participants. This may reveal differences between participants and non-participants.
","","English" "23363","Family Nutrition Improvement programme (UPGK)","English","Large scale programmes","","IDN","Indonesia","","","completed","","01-1970","The Family Nutrition Improvement programme (UPGK), also known as the Posyandu (weighing post) programme, started around 1979 and expanded to national coverage, continuing until constrained by an economic crisis in the late 1990s. The UPGK (centred on Posyandus) projects were based on the strategy of consistent monthly weight gain in healthy children targeting children under five and their mothers. The activities included weighing, education, micronutrient supplementation and supplementary feeding in combination with other health interventions through weighing posts managed by community leaders and volunteers
","WHO (2013) Essential Nutrition Actions – Improving maternal, newborn, infant and young child health and nutrition, which provides a compact of WHO guidance on nutrition interventions targeting the first 1000 days of life. Part I presents the interventions currently recommended by WHO, summarizes the rationale and the evidence, and describes the actions require to implement them. Part II provides an analysis of community-based interventions aimed at improving nutrition and indicates how effective interventions can be delivered in an integrated fashion. It shows how the essential nutrition actions described in the first part have been implemented in large-scale programmes in various settings, what the outcomes have been, and to examine the evidence for attribution of changes in nutritional outcomes to programme activities. This summary of UPGK is retrieved from the ENA Part II where UPGK is one of 32 large-scale community-based programs that has been reviewed in detail and evaluated.
","","","","","","","","","","","","","","","","","","","","","The cost per beneficiary was US$ 2 for weighing-screening and US$ 11 per beneficiary for weighing-feeding. Recurrent costs, which may be seen as those needed for sustained activities, were estimated at approximately US$ 1/household per year, but may not include all local costs. The number of children per posyandu (weighing post) was about 60. 4 community health and nutrition workers (CHNWs) per posyandu, this gives 66 CHNWs/1000.","Bilateral and donor agencies and lenders","The World Bank","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","23362","","Growth monitoring and promotion","","","","Infants and young children|Lactating women (LW)|Pregnant women (PW)|Preschool-age children (Pre-SAC)|School age children (SAC)","","","Community-based","","","Protein-energy malnutrition
Underweight
","Both process and impact evaluations were performed on UPGK.
","","Approximately 90% by area. (58000/65000 villages). Coverage reached 80 % of the population under 5 years ","","","The level of severe protein-energy malnutrition declined from 3%–5% to 1%. The reduction in underweight ascribed to UPGK activities based on previous research was approximately 1.0 ppt/year","","","","","","","","","","","","","","","","","","","","","","","","","Inclusion of too many other health issues may have diluted the nutrition interventions). Other evaluation results indicate high programme access and initial coverage above 80% but reduced active participation over time. A lack of baseline data makes impact difficult to assess.
CHNWs had limited training (3 days) and high turnover, and on evaluation only a small percentage was able to provide meaningful counselling.
","","English" "23363","Family Nutrition Improvement programme (UPGK)","English","Large scale programmes","","IDN","Indonesia","","","completed","","01-1970","The Family Nutrition Improvement programme (UPGK), also known as the Posyandu (weighing post) programme, started around 1979 and expanded to national coverage, continuing until constrained by an economic crisis in the late 1990s. The UPGK (centred on Posyandus) projects were based on the strategy of consistent monthly weight gain in healthy children targeting children under five and their mothers. The activities included weighing, education, micronutrient supplementation and supplementary feeding in combination with other health interventions through weighing posts managed by community leaders and volunteers
","WHO (2013) Essential Nutrition Actions – Improving maternal, newborn, infant and young child health and nutrition, which provides a compact of WHO guidance on nutrition interventions targeting the first 1000 days of life. Part I presents the interventions currently recommended by WHO, summarizes the rationale and the evidence, and describes the actions require to implement them. Part II provides an analysis of community-based interventions aimed at improving nutrition and indicates how effective interventions can be delivered in an integrated fashion. It shows how the essential nutrition actions described in the first part have been implemented in large-scale programmes in various settings, what the outcomes have been, and to examine the evidence for attribution of changes in nutritional outcomes to programme activities. This summary of UPGK is retrieved from the ENA Part II where UPGK is one of 32 large-scale community-based programs that has been reviewed in detail and evaluated.
","","","","","","","","","","","","","","","","","","","","","The cost per beneficiary was US$ 2 for weighing-screening and US$ 11 per beneficiary for weighing-feeding. Recurrent costs, which may be seen as those needed for sustained activities, were estimated at approximately US$ 1/household per year, but may not include all local costs. The number of children per posyandu (weighing post) was about 60. 4 community health and nutrition workers (CHNWs) per posyandu, this gives 66 CHNWs/1000.","Bilateral and donor agencies and lenders","The World Bank","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","23364","","Nutrition education and counselling","","","","Lactating women (LW)|Pregnant women (PW)","","","Community-based","","","Protein-energy malnutrition
Underweight
","Both process and impact evaluations were performed on UPGK
","","Approximately 90% by area. (58000/65000 villages). Coverage reached 80 % of the population under 5 years ","","","The level of severe protein-energy malnutrition declined from 3%–5% to 1%. The reduction in underweight ascribed to UPGK activities based on previous research was approximately 1.0 ppt/year","","","","","","","","","","","","","","","","","","","","","","","","","Inclusion of too many other health issues may have diluted the nutrition interventions). Other evaluation results indicate high programme access and initial coverage above 80% but reduced active participation over time. A lack of baseline data makes impact difficult to assess.
CHNWs had limited training (3 days) and high turnover, and on evaluation only a small percentage was able to provide meaningful counselling
","","English" "23363","Family Nutrition Improvement programme (UPGK)","English","Large scale programmes","","IDN","Indonesia","","","completed","","01-1970","The Family Nutrition Improvement programme (UPGK), also known as the Posyandu (weighing post) programme, started around 1979 and expanded to national coverage, continuing until constrained by an economic crisis in the late 1990s. The UPGK (centred on Posyandus) projects were based on the strategy of consistent monthly weight gain in healthy children targeting children under five and their mothers. The activities included weighing, education, micronutrient supplementation and supplementary feeding in combination with other health interventions through weighing posts managed by community leaders and volunteers
","WHO (2013) Essential Nutrition Actions – Improving maternal, newborn, infant and young child health and nutrition, which provides a compact of WHO guidance on nutrition interventions targeting the first 1000 days of life. Part I presents the interventions currently recommended by WHO, summarizes the rationale and the evidence, and describes the actions require to implement them. Part II provides an analysis of community-based interventions aimed at improving nutrition and indicates how effective interventions can be delivered in an integrated fashion. It shows how the essential nutrition actions described in the first part have been implemented in large-scale programmes in various settings, what the outcomes have been, and to examine the evidence for attribution of changes in nutritional outcomes to programme activities. This summary of UPGK is retrieved from the ENA Part II where UPGK is one of 32 large-scale community-based programs that has been reviewed in detail and evaluated.
","","","","","","","","","","","","","","","","","","","","","The cost per beneficiary was US$ 2 for weighing-screening and US$ 11 per beneficiary for weighing-feeding. Recurrent costs, which may be seen as those needed for sustained activities, were estimated at approximately US$ 1/household per year, but may not include all local costs. The number of children per posyandu (weighing post) was about 60. 4 community health and nutrition workers (CHNWs) per posyandu, this gives 66 CHNWs/1000.","Bilateral and donor agencies and lenders","The World Bank","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","23365","","Food distribution/supplementation for prevention of acute malnutrition","","","","Infants and young children|Lactating women (LW)|Pregnant women (PW)|Preschool-age children (Pre-SAC)|School age children (SAC)","","","Community-based","","Internal provision supplementary feeding
","Protein-energy malnutrition
Underweight
","Both process and impact evaluations were performed on UPGK.
","","Approximately 90% by area. (58000/65000 villages). Coverage reached 80 % of the population under 5 years ","","","The level of severe protein-energy malnutrition declined from 3%–5% to 1%. The reduction in underweight ascribed to UPGK activities based on previous research was approximately 1.0 ppt/year","","","","","","","","","","","","","","","","","","","","","","","","","Inclusion of too many other health issues may have diluted the nutrition interventions). Other evaluation results indicate high programme access and initial coverage above 80% but reduced active participation over time. A lack of baseline data makes impact difficult to assess.
CHNWs had limited training (3 days) and high turnover, and on evaluation only a small percentage was able to provide meaningful counselling.
","","English" "23368","Third Community Health and Nutrition Project (CHN3)","English","Large scale programmes","","IDN","Indonesia","","","completed","","01-1970","CHN3 picked up where UPGK left off. CHN3 focused on capacity building, health information systems, education and service delivery in a province-based model in five provinces.
","WHO (2013) Essential Nutrition Actions – Improving maternal, newborn, infant and young child health and nutrition, which provides a compact of WHO guidance on nutrition interventions targeting the first 1000 days of life. Part I presents the interventions currently recommended by WHO, summarizes the rationale and the evidence, and describes the actions require to implement them. Part II provides an analysis of community-based interventions aimed at improving nutrition and indicates how effective interventions can be delivered in an integrated fashion. It shows how the essential nutrition actions described in the first part have been implemented in large-scale programmes in various settings, what the outcomes have been, and to examine the evidence for attribution of changes in nutritional outcomes to programme activities. This summary of CHN3 is retrieved from the ENA Part II where CHN3 is one of 32 large-scale community-based programs that has been reviewed in detail and evaluated.
http://www.who.int/nutrition/publications/infantfeeding/essential_nutrition_actions/en/
","","","","","","","","","","","","","","","","","","","","","US$ 3.6 million investment by the World Bank. US$ 0.6 million investment by the Government of Indonesia","Bilateral and donor agencies and lenders","The World Bank","Government of Indonesia","Government","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","23367","","Growth monitoring and promotion","","","","Infants and young children|Preschool-age children (Pre-SAC)","Children below 5 years","","Community-based","","","
Weight-for-age z-score (WAZ)
","A World Bank evaluation of the project determined that design made the project difficult to supervise and that poor monitoring and evaluation of performance made assessment of project effectiveness difficult to determine
","","Focus on five provinces","","","From 1989 to 2003 underweight (<-2 SD WAZ) decreased from 37.5% to 27.5% (0.71 ppt/year) despite the financial crisis of the early 1990s. This decrease may be partially attributed to a reduction in birthrate in the lowest quintile of the population.","","","","","","","","","","","","","","","","","","","","","","","","","
Attempts to decentralize health interventions to the provincial level with CHN3 faced challenges of implementation and monitoring. Lack of baseline and surveillance data made effectiveness of these projects difficult to define.
","","English" "23368","Third Community Health and Nutrition Project (CHN3)","English","Large scale programmes","","IDN","Indonesia","","","completed","","01-1970","CHN3 picked up where UPGK left off. CHN3 focused on capacity building, health information systems, education and service delivery in a province-based model in five provinces.
","WHO (2013) Essential Nutrition Actions – Improving maternal, newborn, infant and young child health and nutrition, which provides a compact of WHO guidance on nutrition interventions targeting the first 1000 days of life. Part I presents the interventions currently recommended by WHO, summarizes the rationale and the evidence, and describes the actions require to implement them. Part II provides an analysis of community-based interventions aimed at improving nutrition and indicates how effective interventions can be delivered in an integrated fashion. It shows how the essential nutrition actions described in the first part have been implemented in large-scale programmes in various settings, what the outcomes have been, and to examine the evidence for attribution of changes in nutritional outcomes to programme activities. This summary of CHN3 is retrieved from the ENA Part II where CHN3 is one of 32 large-scale community-based programs that has been reviewed in detail and evaluated.
http://www.who.int/nutrition/publications/infantfeeding/essential_nutrition_actions/en/
","","","","","","","","","","","","","","","","","","","","","US$ 3.6 million investment by the World Bank. US$ 0.6 million investment by the Government of Indonesia","Bilateral and donor agencies and lenders","The World Bank","Government of Indonesia","Government","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","23369","","Nutrition education and counselling","","","","Lactating women (LW)|Pregnant women (PW)","","","Community-based","","","
Weight-for-age z-score (WAZ)
","A World Bank evaluation of the project determined that design made the project difficult to supervise and that poor monitoring and evaluation of performance made assessment of project effectiveness difficult to determine
","","Focus on five provinces","","","From 1989 to 2003 underweight (<-2 SD WAZ) decreased from 37.5% to 27.5% (0.71 ppt/year) despite the financial crisis of the early 1990s. This decrease may be partially attributed to a reduction in birthrate in the lowest quintile of the population.","","","","","","","","","","","","","","","","","","","","","","","","","Attempts to decentralize health interventions to the provincial level with CHN3 faced challenges of implementation and monitoring. Lack of baseline and surveillance data made effectiveness of these projects difficult to define.
","","English" "23368","Third Community Health and Nutrition Project (CHN3)","English","Large scale programmes","","IDN","Indonesia","","","completed","","01-1970","CHN3 picked up where UPGK left off. CHN3 focused on capacity building, health information systems, education and service delivery in a province-based model in five provinces.
","WHO (2013) Essential Nutrition Actions – Improving maternal, newborn, infant and young child health and nutrition, which provides a compact of WHO guidance on nutrition interventions targeting the first 1000 days of life. Part I presents the interventions currently recommended by WHO, summarizes the rationale and the evidence, and describes the actions require to implement them. Part II provides an analysis of community-based interventions aimed at improving nutrition and indicates how effective interventions can be delivered in an integrated fashion. It shows how the essential nutrition actions described in the first part have been implemented in large-scale programmes in various settings, what the outcomes have been, and to examine the evidence for attribution of changes in nutritional outcomes to programme activities. This summary of CHN3 is retrieved from the ENA Part II where CHN3 is one of 32 large-scale community-based programs that has been reviewed in detail and evaluated.
http://www.who.int/nutrition/publications/infantfeeding/essential_nutrition_actions/en/
","","","","","","","","","","","","","","","","","","","","","US$ 3.6 million investment by the World Bank. US$ 0.6 million investment by the Government of Indonesia","Bilateral and donor agencies and lenders","The World Bank","Government of Indonesia","Government","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","23370","","Food distribution/supplementation for prevention of acute malnutrition","","","","Infants and young children|Lactating women (LW)|Pregnant women (PW)|Preschool-age children (Pre-SAC)|School age children (SAC)","","","Community-based","","
Internal provision supplemetary feeding
","Weight-for-age z-score (WAZ)
","A World Bank evaluation of the project determined that design made the project difficult to supervise and that poor monitoring and evaluation of performance made assessment of project effectiveness difficult to determine
","","Focus on five provinces","","","From 1989 to 2003 underweight (<-2 SD WAZ) decreased from 37.5% to 27.5% (0.71 ppt/year) despite the financial crisis of the early 1990s. This decrease may be partially attributed to a reduction in birthrate in the lowest quintile of the population.","","","","","","","","","","","","","","","","","","","","","","","","","Attempts to decentralize health interventions to the provincial level with CHN3 faced challenges of implementation and monitoring. Lack of baseline and surveillance data made effectiveness of these projects difficult to define
","","English" "23382","Oportunidades","English","Large scale programmes","","MEX","Mexico","","Urban|Rural","on-going","","","Oportunidades (known as Progresa from 1997–2002) is a conditional cash transfer (CCT) programme in operation at the time of writing. It was initiated in rural areas and expanded to include urban areas beginning in 2002, although approximately 70% of programme participants reside in rural areas. Targeting for Oportunidades is based on both geography, through identification of localities with high marginality indices, and socioeconomic status, through proxy means testing. Approximately 60 % of households in the bottom decile of per capita expenditures are participants, suggesting effective targeting of the poorest.
","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 Oportunidades is retrieved from the ENA Part II where Oportunidades is one of 32 large-scale community-based programs that has been reviewed in detail and evaluated.
http://www.who.int/nutrition/publications/infantfeeding/essential_nutrition_actions/en/
The health and nutrition transfer component of Oportunidades is US$ 15/household per month, about 20% of average monthly household expenditures. Receipt of transfer is conditional upon regular health visits for all children in which growth monitoring is included, pre- and postnatal care for women, and adult (greater than 15 years of age) participation in health and nutrition education sessions.
","Height-for-age z-score (HAZ)
Weight-for-age z-score (WAZ)
","Multiple evaluations of Oportunidades have been conducted with data demonstrating significant improvements in nutritional outcomes.
","","5 million families, approximately 20 % of the population","","","Increase in height in children 0–6 months of 1.1 cm (26.4 cm versus 25.3 cm) in programme beneficiaries compared to a control group. In rural children ages 12–24 months, a significant increase in mean hemoglobin of 0.37 g/dl was found after 12 months in the programme; 11.12 g/dl in the treatment group compared to 10.75 g/dl in the controls. Corresponding anaemia prevalence among beneficiary children was 44.3% compared to 54.9% among control children, a significant 10.6 ppt decrease. Even with improvement, nearly half of beneficiary children were still anaemic.","Vulnerable groups","","","","","","","","","","","","","","","","","","","","","","","","","","English" "23382","Oportunidades","English","Large scale programmes","","MEX","Mexico","","Urban|Rural","on-going","","","Oportunidades (known as Progresa from 1997–2002) is a conditional cash transfer (CCT) programme in operation at the time of writing. It was initiated in rural areas and expanded to include urban areas beginning in 2002, although approximately 70% of programme participants reside in rural areas. Targeting for Oportunidades is based on both geography, through identification of localities with high marginality indices, and socioeconomic status, through proxy means testing. Approximately 60 % of households in the bottom decile of per capita expenditures are participants, suggesting effective targeting of the poorest.
","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 Oportunidades is retrieved from the ENA Part II where Oportunidades 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/
Regular health visits for all children in which growth monitoring is included
","Height-for-age z-score (HAZ)
Weight-for-age z-score (WAZ)
","Multiple evaluations of Oportunidades have been conducted with data demonstrating significant improvements in nutritional outcomes.
","","5 million families, approximately 20 % of the population","","","Increase in height in children 0–6 months of 1.1 cm (26.4 cm versus 25.3 cm) in programme beneficiaries compared to a control group","Vulnerable groups","","","","","","","","","","","","","","","","","","","","","","","","","","English" "23382","Oportunidades","English","Large scale programmes","","MEX","Mexico","","Urban|Rural","on-going","","","Oportunidades (known as Progresa from 1997–2002) is a conditional cash transfer (CCT) programme in operation at the time of writing. It was initiated in rural areas and expanded to include urban areas beginning in 2002, although approximately 70% of programme participants reside in rural areas. Targeting for Oportunidades is based on both geography, through identification of localities with high marginality indices, and socioeconomic status, through proxy means testing. Approximately 60 % of households in the bottom decile of per capita expenditures are participants, suggesting effective targeting of the poorest.
","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 Oportunidades is retrieved from the ENA Part II where Oportunidades 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/
Adult (greater than 15 years of age) participation in health and nutrition education sessions
","Height-for-age z-score (HAZ)
Weight-for-age z-score (WAZ)
","Multiple evaluations of Oportunidades have been conducted with data demonstrating significant improvements in nutritional outcomes.
","","5 million families, approximately 20 % of the population","","","Increase in height in children 0–6 months of 1.1 cm (26.4 cm versus 25.3 cm) in programme beneficiaries compared to a control group (35). In rural children ages 12–24 months, a significant increase in mean hemoglobin of 0.37 g/dl was found after 12 months in the programme; 11.12 g/dl in the treatment group compared to 10.75 g/dl in the controls. Corresponding anaemia prevalence among beneficiary children was 44.3% compared to 54.9% among control children, a significant 10.6 ppt decrease. Even with improvement, nearly half of beneficiary children were still anaemic","Vulnerable groups","","","","","","","","","","","","","","","","","","","","","","","","","","English" "23382","Oportunidades","English","Large scale programmes","","MEX","Mexico","","Urban|Rural","on-going","","","Oportunidades (known as Progresa from 1997–2002) is a conditional cash transfer (CCT) programme in operation at the time of writing. It was initiated in rural areas and expanded to include urban areas beginning in 2002, although approximately 70% of programme participants reside in rural areas. Targeting for Oportunidades is based on both geography, through identification of localities with high marginality indices, and socioeconomic status, through proxy means testing. Approximately 60 % of households in the bottom decile of per capita expenditures are participants, suggesting effective targeting of the poorest.
","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 Oportunidades is retrieved from the ENA Part II where Oportunidades is one of 32 large-scale community-based programs that has been reviewed in detail and evaluated.
http://www.who.int/nutrition/publications/infantfeeding/essential_nutrition_actions/en/
The nutrition supplement is intended to provide 20% of daily caloric and 100% of daily micronutrient requirements.
","Height-for-age z-score (HAZ)
Weight-for-age z-score (WAZ)
","Multiple evaluations of Oportunidades have been conducted with data demonstrating significant improvements in nutritional outcomes.
","","5 million families, approximately 20 % of the population","","","An increase in height in children 0–6 months of 1.1 cm (26.4 cm versus 25.3 cm) in programme beneficiaries compared to a control group. In rural children ages 12–24 months, a significant increase in mean hemoglobin of 0.37 g/dl was found after 12 months in the programme; 11.12 g/dl in the treatment group compared to 10.75 g/dl in the controls. Corresponding anaemia prevalence among beneficiary children was 44.3% compared to 54.9% among control children, a significant 10.6 ppt decrease. Even with improvement, nearly half of beneficiary children were still anaemic.","Vulnerable groups","","","","","","","","","","","","","","","","","","","","","","","","","","English" "23382","Oportunidades","English","Large scale programmes","","MEX","Mexico","","Urban|Rural","on-going","","","Oportunidades (known as Progresa from 1997–2002) is a conditional cash transfer (CCT) programme in operation at the time of writing. It was initiated in rural areas and expanded to include urban areas beginning in 2002, although approximately 70% of programme participants reside in rural areas. Targeting for Oportunidades is based on both geography, through identification of localities with high marginality indices, and socioeconomic status, through proxy means testing. Approximately 60 % of households in the bottom decile of per capita expenditures are participants, suggesting effective targeting of the poorest.
","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 Oportunidades is retrieved from the ENA Part II where Oportunidades 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/
Mean haemoglobin
Anemia prevalence
","Multiple evaluations of Oportunidades have been conducted with data demonstrating significant improvements in nutritional outcomes.
","","5 million families, approximately 20 % of the population","","","In rural children ages 12–24 months, a significant increase in mean hemoglobin of 0.37 g/dl was found after 12 months in the programme; 11.12 g/dl in the treatment group compared to 10.75 g/dl in the controls. Corresponding anaemia prevalence among beneficiary children was 44.3% compared to 54.9% among control children, a significant 10.6 ppt decrease. Even with improvement, nearly half of beneficiary children were still anaemic","Vulnerable groups","","","","","","","","","","","","","","","","","","","","","","","","","","English" "23389","Red de Proteccion Social Program (RPS)","English","Community/sub-national","","NIC","Nicaragua","nicaragua","","completed","","01-1970","The Red de Protección Social Programme (RPS) ran from 2000–2005. It was a small-scale CCT programme. Both geographical and household targeting was used for implementation in departments and municipalities with high rates of extreme poverty.
","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 RPS is retrieved from the ENA Part II where RPS I is one of 32 large-scale community-based programs that has been reviewed in detail and evaluated.
http://www.who.int/nutrition/publications/infantfeeding/essential_nutrition_actions/en/
","","","","","","","","","","","","","","","","","","","","","Total funding was US$ 38 million.RPS participants received a nutrition/food security transfer equivalent to US$ 18/month","Bilateral and donor agencies and lenders","Inter American Development Bank","Government of Nicaragua ","Government","","","Bilateral and donor agencies and lenders","The World Bank","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","23388","","Conditional cash transfer","","","","Infants and young children|Preschool-age children (Pre-SAC)","Children below 5 years","","Community-based","","RPS participants received a nutrition/food security transfer equivalent to US$ 18/month upon confirmation that conditions were met. The transfer was equivalent to approximately 18% average monthly household expenditure. Conditions for receipt of the transfer included: monthly growth monitoring for children less than 24 months (every other month for children ages 2–5 years), participation in nutrition and health education sessions on topics such as breastfeeding, hygiene and feeding practices, regular vaccinations for children, and routine care for pregnant women. Antiparasitic medications and iron supplements were also provided.
","Height-for-age z-score (HAZ)
Weight-for-age z-score (WAZ)
","","","165 000 persons (approximately 3 % of the population)","","","An increase in HAZ of 0.17 was reported for beneficiary children and stunting decreased in RPS versus control groups by 5.5 ppt. A significant change in underweight was also reported; it decreased in RPS areas (13.7% to 9.8%) while it increased in control areas (14.3% to 16.6%). ","Vulnerable groups","","","","","","","","","","","","","","","","","","","","","","","","","","English" "23389","Red de Proteccion Social Program (RPS)","English","Community/sub-national","","NIC","Nicaragua","nicaragua","","completed","","01-1970","The Red de Protección Social Programme (RPS) ran from 2000–2005. It was a small-scale CCT programme. Both geographical and household targeting was used for implementation in departments and municipalities with high rates of extreme poverty.
","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 RPS is retrieved from the ENA Part II where RPS I is one of 32 large-scale community-based programs that has been reviewed in detail and evaluated.
http://www.who.int/nutrition/publications/infantfeeding/essential_nutrition_actions/en/
","","","","","","","","","","","","","","","","","","","","","Total funding was US$ 38 million.RPS participants received a nutrition/food security transfer equivalent to US$ 18/month","Bilateral and donor agencies and lenders","Inter American Development Bank","Government of Nicaragua ","Government","","","Bilateral and donor agencies and lenders","The World Bank","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","23390","","Growth monitoring and promotion","","","","Infants and young children|Preschool-age children (Pre-SAC)","Children below 5 years","","Community-based","","Monthly growth monitoring for children less than 24 months (every other month for children ages 2–5 years)
","","Height-for-age z-score (HAZ)
Weight-for-age z-score (WAZ)
","","165 000 persons (approximately 3 % of the population)","","","An increase in HAZ of 0.17 was reported for beneficiary children and stunting decreased in RPS versus control groups by 5.5 ppt. A significant change in underweight was also reported; it decreased in RPS areas (13.7% to 9.8%) while it increased in control areas (14.3% to 16.6%).","","","","","","","","","","","","","","","","","","","","","","","","","","","English" "23389","Red de Proteccion Social Program (RPS)","English","Community/sub-national","","NIC","Nicaragua","nicaragua","","completed","","01-1970","The Red de Protección Social Programme (RPS) ran from 2000–2005. It was a small-scale CCT programme. Both geographical and household targeting was used for implementation in departments and municipalities with high rates of extreme poverty.
","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 RPS is retrieved from the ENA Part II where RPS I is one of 32 large-scale community-based programs that has been reviewed in detail and evaluated.
http://www.who.int/nutrition/publications/infantfeeding/essential_nutrition_actions/en/
","","","","","","","","","","","","","","","","","","","","","Total funding was US$ 38 million.RPS participants received a nutrition/food security transfer equivalent to US$ 18/month","Bilateral and donor agencies and lenders","Inter American Development Bank","Government of Nicaragua ","Government","","","Bilateral and donor agencies and lenders","The World Bank","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","23391","","Breastfeeding promotion and/or counselling","","","","Lactating women (LW)|Pregnant women (PW)","Mothers of children under two","","Community-based","","Participation in nutrition and health education on breastfeeding in order to receive ransfer
","Height-for-age z-score (HAZ)
Weight-for-age z-score (WAZ)
","","","165 000 persons (approximately 3 % of the population)","","","An increase in HAZ of 0.17 was reported for beneficiary children and stunting decreased in RPS versus control groups by 5.5 ppt. A significant change in underweight was also reported; it decreased in RPS areas (13.7% to 9.8%) while it increased in control areas (14.3% to 16.6%).","Vulnerable groups","","","","","","","","","","","","","","","","","","","","","","","","","","English" "23389","Red de Proteccion Social Program (RPS)","English","Community/sub-national","","NIC","Nicaragua","nicaragua","","completed","","01-1970","The Red de Protección Social Programme (RPS) ran from 2000–2005. It was a small-scale CCT programme. Both geographical and household targeting was used for implementation in departments and municipalities with high rates of extreme poverty.
","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 RPS is retrieved from the ENA Part II where RPS I is one of 32 large-scale community-based programs that has been reviewed in detail and evaluated.
http://www.who.int/nutrition/publications/infantfeeding/essential_nutrition_actions/en/
","","","","","","","","","","","","","","","","","","","","","Total funding was US$ 38 million.RPS participants received a nutrition/food security transfer equivalent to US$ 18/month","Bilateral and donor agencies and lenders","Inter American Development Bank","Government of Nicaragua ","Government","","","Bilateral and donor agencies and lenders","The World Bank","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","23392","","Complementary feeding promotion and/or counselling","","","","Infants and young children","Mothers of children under two years of age","","Community-based","","Height-for-age z-score (HAZ)
Weight-for-age z-score (WAZ)
","","","165 000 persons (approximately 3 % of the population)","","","An increase in HAZ of 0.17 was reported for beneficiary children and stunting decreased in RPS versus control groups by 5.5 ppt. A significant change in underweight was also reported; it decreased in RPS areas (13.7% to 9.8%) while it increased in control areas (14.3% to 16.6%). ","Vulnerable groups","","","","","","","","","","","","","","","","","","","","","","","","","","English" "23389","Red de Proteccion Social Program (RPS)","English","Community/sub-national","","NIC","Nicaragua","nicaragua","","completed","","01-1970","The Red de Protección Social Programme (RPS) ran from 2000–2005. It was a small-scale CCT programme. Both geographical and household targeting was used for implementation in departments and municipalities with high rates of extreme poverty.
","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 RPS is retrieved from the ENA Part II where RPS I is one of 32 large-scale community-based programs that has been reviewed in detail and evaluated.
http://www.who.int/nutrition/publications/infantfeeding/essential_nutrition_actions/en/
","","","","","","","","","","","","","","","","","","","","","Total funding was US$ 38 million.RPS participants received a nutrition/food security transfer equivalent to US$ 18/month","Bilateral and donor agencies and lenders","Inter American Development Bank","Government of Nicaragua ","Government","","","Bilateral and donor agencies and lenders","The World Bank","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","23393","","Promotion of improved hygiene practices including handwashing","","","","Women of reproductive age (WRA)","","","Community-based","","The Red de Protección Social Programme (RPS) ran from 2000–2005. It was a small-scale CCT programme. Both geographical and household targeting was used for implementation in departments and municipalities with high rates of extreme poverty.
","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 RPS is retrieved from the ENA Part II where RPS I is one of 32 large-scale community-based programs that has been reviewed in detail and evaluated.
http://www.who.int/nutrition/publications/infantfeeding/essential_nutrition_actions/en/
","","","","","","","","","","","","","","","","","","","","","Total funding was US$ 38 million.RPS participants received a nutrition/food security transfer equivalent to US$ 18/month","Bilateral and donor agencies and lenders","Inter American Development Bank","Government of Nicaragua ","Government","","","Bilateral and donor agencies and lenders","The World Bank","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","23394","","Iron supplementation","","Iron","","Infants and young children|Preschool-age children (Pre-SAC)","Children below 5 years","","Community-based","","","","","","165 000 persons (approximately 3 % of the population)","","","","Vulnerable groups","","","","","","","","","","","","","","","","","","","","","","","","","","English" "23389","Red de Proteccion Social Program (RPS)","English","Community/sub-national","","NIC","Nicaragua","nicaragua","","completed","","01-1970","The Red de Protección Social Programme (RPS) ran from 2000–2005. It was a small-scale CCT programme. Both geographical and household targeting was used for implementation in departments and municipalities with high rates of extreme poverty.
","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 RPS is retrieved from the ENA Part II where RPS I is one of 32 large-scale community-based programs that has been reviewed in detail and evaluated.
http://www.who.int/nutrition/publications/infantfeeding/essential_nutrition_actions/en/
","","","","","","","","","","","","","","","","","","","","","Total funding was US$ 38 million.RPS participants received a nutrition/food security transfer equivalent to US$ 18/month","Bilateral and donor agencies and lenders","Inter American Development Bank","Government of Nicaragua ","Government","","","Bilateral and donor agencies and lenders","The World Bank","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","23395","","Nutrition education and counselling","","","","Women of reproductive age (WRA)","Mothers of children under five years of age","","Community-based","","Participation in nutrition and health education sessions in order to receive conditional cash transfer
","Height-for-age z-score (HAZ)
Weight-for-age z-score (WAZ)
","","","165 000 persons (approximately 3 % of the population)","","","An increase in HAZ of 0.17 was reported for beneficiary children and stunting decreased in RPS versus control groups by 5.5 ppt. A significant change in underweight was also reported; it decreased in RPS areas (13.7% to 9.8%) while it increased in control areas (14.3% to 16.6%). ","Vulnerable groups","","","","","","","","","","","","","","","","","","","","","","","","","","English" "24614","Nutrition International - Springster","English","Large scale programmes","","IDN","Indonesia","","","","","","Girls in Indonesia as young as 12 are using mobile phones as a gateway for education, economic empowerment and communication. Springster is a fast-growing digital platform with a total global audience of 30 million users in 66 countries. It has the potential to reach adolescent girls on a large scale with compelling information on nutrition themes.
This is a 2-year initiative (August 2017-July 2019) to harness the huge popularity of mobile phones among adolescent girls in Indonesia to significantly improve the agency of girls and in doing so improve their knowledge of nutrition and key nutrition practices.
This is achieved by producing nutrition specific, sensitive and integrated content to be posted on the Springster Indonesia platform. In parallel, the site’s reach and engagement with adolescent girls is increased by developing new technological features on the site and promoting the site through marketing activities.
In Indonesia Springster has been used by 1.75 million girls. By May 2019, Springster Indonesia aims to increase its reach to 2.8 million female unique users and its female registered users to 90,000. Ultimately, the desired impact is to have improved agency of adolescent girls to increase their nutrition knowledge, attitude and practices. This program is being evaluated by an external organization.
This intervention is being implemented in partnership with Percolate Galactic and Praekelt. Org. This project began in August 2017 and will conclude in July 2019.
","Girls in Indonesia as young as 12 are using mobile phones as a gateway for education, economic empowerment and communication. Springster is a fast-growing digital platform with a total global audience of 30 million users in 66 countries. It has the potential to reach adolescent girls on a large scale with compelling information on nutrition themes.
This is a 2-year initiative (August 2017-July 2019) to harness the huge popularity of mobile phones among adolescent girls in Indonesia to significantly improve the agency of girls and in doing so improve their knowledge of nutrition and key nutrition practices.
This is achieved by producing nutrition specific, sensitive and integrated content to be posted on the Springster Indonesia platform. In parallel, the site’s reach and engagement with adolescent girls is increased by developing new technological features on the site and promoting the site through marketing activities.
In Indonesia Springster has been used by 1.75 million girls. By May 2019, Springster Indonesia aims to increase its reach to 2.8 million female unique users and its female registered users to 90,000. Ultimately, the desired impact is to have improved agency of adolescent girls to increase their nutrition knowledge, attitude and practices. This program is being evaluated by an external organization.
This intervention is being implemented in partnership with Percolate Galactic and Praekelt. Org. This project began in August 2017 and will conclude in July 2019.
","Girls in Indonesia as young as 12 are using mobile phones as a gateway for education, economic empowerment and communication. Springster is a fast-growing digital platform with a total global audience of 30 million users in 66 countries. It has the potential to reach adolescent girls on a large scale with compelling information on nutrition themes.
This is a 2-year initiative (August 2017-July 2019) to harness the huge popularity of mobile phones among adolescent girls in Indonesia to significantly improve the agency of girls and in doing so improve their knowledge of nutrition and key nutrition practices.
This is achieved by producing nutrition specific, sensitive and integrated content to be posted on the Springster Indonesia platform. In parallel, the site’s reach and engagement with adolescent girls is increased by developing new technological features on the site and promoting the site through marketing activities.
In Indonesia Springster has been used by 1.75 million girls. By May 2019, Springster Indonesia aims to increase its reach to 2.8 million female unique users and its female registered users to 90,000. Ultimately, the desired impact is to have improved agency of adolescent girls to increase their nutrition knowledge, attitude and practices. This program is being evaluated by an external organization.
This intervention is being implemented in partnership with Percolate Galactic and Praekelt. Org. This project began in August 2017 and will conclude in July 2019.
","Girls in Indonesia as young as 12 are using mobile phones as a gateway for education, economic empowerment and communication. Springster is a fast-growing digital platform with a total global audience of 30 million users in 66 countries. It has the potential to reach adolescent girls on a large scale with compelling information on nutrition themes.
This is a 2-year initiative (August 2017-July 2019) to harness the huge popularity of mobile phones among adolescent girls in Indonesia to significantly improve the agency of girls and in doing so improve their knowledge of nutrition and key nutrition practices.
This is achieved by producing nutrition specific, sensitive and integrated content to be posted on the Springster Indonesia platform. In parallel, the site’s reach and engagement with adolescent girls is increased by developing new technological features on the site and promoting the site through marketing activities.
In Indonesia Springster has been used by 1.75 million girls. By May 2019, Springster Indonesia aims to increase its reach to 2.8 million female unique users and its female registered users to 90,000. Ultimately, the desired impact is to have improved agency of adolescent girls to increase their nutrition knowledge, attitude and practices. This program is being evaluated by an external organization.
This intervention is being implemented in partnership with Percolate Galactic and Praekelt. Org. This project began in August 2017 and will conclude in July 2019.
","This investment, to The Power of Nutrition, will scale-up and institutionalize high-impact, evidence-based nutrition interventions nationwide in support of the Government of Ethiopia’s (GoE) National Nutrition Program (NNP) II. Through payment for results, this investment will incentivize health system performance in maternal and child health and nutrition and also directly support critical technical assistance and capacity building activities. It is estimated that this investment, as part of a package of strengthened maternal and child health and nutrition services, will contribute to reach approximately 13 million women and children. As well, the delivery of twice-yearly Vitamin A supplementation, 90+ IFA supplements in pregnancy, and education about improved nutrition care and feeding practices will be strengthened.
This intervention is being implemented in partnership with the Government of Ethiopia, Power of Nutrition and The World Bank. This project began in April 2017 and is being funded until August 2020.
","For more information:
","","","Other","Government of Ethiopia","","","Nutrition International","Power of Nutrition","The World Bank","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","26003","","Nutrition education and counselling","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English" "24606","Nutrition International - Power of Nutrition - Achieving Maternal and Child Nutrition Results in Ethiopia ","English","National","","ETH","Ethiopia","","","","","","This investment, to The Power of Nutrition, will scale-up and institutionalize high-impact, evidence-based nutrition interventions nationwide in support of the Government of Ethiopia’s (GoE) National Nutrition Program (NNP) II. Through payment for results, this investment will incentivize health system performance in maternal and child health and nutrition and also directly support critical technical assistance and capacity building activities. It is estimated that this investment, as part of a package of strengthened maternal and child health and nutrition services, will contribute to reach approximately 13 million women and children. As well, the delivery of twice-yearly Vitamin A supplementation, 90+ IFA supplements in pregnancy, and education about improved nutrition care and feeding practices will be strengthened.
This intervention is being implemented in partnership with the Government of Ethiopia, Power of Nutrition and The World Bank. This project began in April 2017 and is being funded until August 2020.
","For more information:
","","","Other","Government of Ethiopia","","","Nutrition International","Power of Nutrition","The World Bank","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","26004","","Vitamin A supplementation","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English" "24606","Nutrition International - Power of Nutrition - Achieving Maternal and Child Nutrition Results in Ethiopia ","English","National","","ETH","Ethiopia","","","","","","This investment, to The Power of Nutrition, will scale-up and institutionalize high-impact, evidence-based nutrition interventions nationwide in support of the Government of Ethiopia’s (GoE) National Nutrition Program (NNP) II. Through payment for results, this investment will incentivize health system performance in maternal and child health and nutrition and also directly support critical technical assistance and capacity building activities. It is estimated that this investment, as part of a package of strengthened maternal and child health and nutrition services, will contribute to reach approximately 13 million women and children. As well, the delivery of twice-yearly Vitamin A supplementation, 90+ IFA supplements in pregnancy, and education about improved nutrition care and feeding practices will be strengthened.
This intervention is being implemented in partnership with the Government of Ethiopia, Power of Nutrition and The World Bank. This project began in April 2017 and is being funded until August 2020.
","For more information:
","","","Other","Government of Ethiopia","","","Nutrition International","Power of Nutrition","The World Bank","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","26005","","Iron and folic acid supplementation","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English" "24605","Nutrition International - World Association of Girl Guides and Girl Scouts (WAGGGS) Nutrition Program","English","Multi-national","","BGD|MDG|PHL|LKA|TZA","Bangladesh|Madagascar|Philippines|Sri Lanka|United Republic of Tanzania","","","","","","WAGGGS is the largest voluntary organization for girls and young women globally, representing 10 million members in 146 countries. WAGGGS is developing a three-phase nutrition program consisting of knowledge-building, advocacy and enabling access to WIFA (Weekly Iron Folic Acid) supplements where needed.
The program will be adapted to the local contexts, yet suitable for global scale up through the Girl Guiding and Girl Scouting movement. The program will be piloted over a 27-month period through the existing Girl Guide networks in member states.
This program is being implemented in Bangladesh, Madagascar, Philippines, Sri Lanka and Tanzania in partnership with the following WAGGGS Member Organisations -The Bangladesh Girl Guides Association, Skotisma Zazavavy Eto Madagasikara, Girl Scouts of the Philippines, The Sri Lanka Girl Guides Association, and The Tanzania Girl Guides Association.
Partners began working on this project in December 2016. Implementation began in June 2017 and will continue until March 2020.
","For more information:
","","","","","","","Nutrition International","","","","","","","","","","Private sector","World Association of Girl Guides and Girl Scouts (WAGGGS)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","25999","","Iron and folic acid supplementation","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English" "24605","Nutrition International - World Association of Girl Guides and Girl Scouts (WAGGGS) Nutrition Program","English","Multi-national","","BGD|MDG|PHL|LKA|TZA","Bangladesh|Madagascar|Philippines|Sri Lanka|United Republic of Tanzania","","","","","","WAGGGS is the largest voluntary organization for girls and young women globally, representing 10 million members in 146 countries. WAGGGS is developing a three-phase nutrition program consisting of knowledge-building, advocacy and enabling access to WIFA (Weekly Iron Folic Acid) supplements where needed.
The program will be adapted to the local contexts, yet suitable for global scale up through the Girl Guiding and Girl Scouting movement. The program will be piloted over a 27-month period through the existing Girl Guide networks in member states.
This program is being implemented in Bangladesh, Madagascar, Philippines, Sri Lanka and Tanzania in partnership with the following WAGGGS Member Organisations -The Bangladesh Girl Guides Association, Skotisma Zazavavy Eto Madagasikara, Girl Scouts of the Philippines, The Sri Lanka Girl Guides Association, and The Tanzania Girl Guides Association.
Partners began working on this project in December 2016. Implementation began in June 2017 and will continue until March 2020.
","For more information:
","","","","","","","Nutrition International","","","","","","","","","","Private sector","World Association of Girl Guides and Girl Scouts (WAGGGS)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","26020","","Nutrition education and counselling","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","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 first 1000 days from conception to two years of age are critical to the health and development of a child. Adequate infant and young child nutrition (IYCN) is crucial for survival and long-term health and well-being. Approximately 45% of deaths of children under five years of age can be attributed to malnutrition [1], and are often associated with inappropriate feeding practices during the first years of life [2]. The first two years of life provide a critical window of opportunity for ensuring children’s appropriate growth and development through optimal feeding. Many countries experience a sharp increase in the prevalence of malnutrition for this age group.
NI supports countries to implement their IYCN program in line with WHO/UNICEF recommended IYCF practices. This includes the timely initiation of breastfeeding, exclusive breastfeeding to the age of six months, introduction of solid, semi-solid and soft foods at 6 months of age and continued breastfeeding until 24 months of age, recommended minimum meal frequency and dietary diversity. NI also supports recommended practices such as responsive feeding, hand washing with clean water and soap, and safe food preparation and storage.
Some of NI’s support to IYCN programs includes a Micronutrient Powder (MNP) component to alleviate micronutrient malnutrition.
In Ethiopia, NI is supporting the nutrition department of the Federal and Regional ministries of health to ensure that the promotion of optimal breast feeding and complementary feeding among infant and young children age 0-23 months is well integrated into the government’s comprehensive community-based nutrition (CCBN) program. The objective is to increase the quality, reach and coverage of the IYCN package of interventions delivered by the Health Extension Workers (HEWs) to caregivers of children 0-23 months of age by using the existing government health extension program (HEP). Specifically, NI is strengthening the capacity of woreda and health center staff, HEWs and selected model mothers to:
These activities, carried out in 92 woredas across six regions,are being implemented in partnership with the Ethiopian Ministry of Health at all levels, and five implementing NGOs (Relief society of Tigray, Amhara Development Association, Mothers and Children Multi - sectoral Development Organization in Oromia, Terepeza Development Association in SNNP; and Emory University in Afar and Benishangul Gumuz regions). NI support to IYCN in Ethiopia began in 2012 and is ongoing.
","[1] Black RE et al. Maternal and child undernutrition and overweight in low-income and middle-income countries. The Lancet. 2013; 382(9890):427-451
[2] Sankar MJ, et al. Optimal breastfeeding practices and infant and child mortality: a systematic review and meta-analysis. Acta Paediatr. 2015 Dec;104(467):3-13
For more information:
The first 1000 days from conception to two years of age are critical to the health and development of a child. Adequate infant and young child nutrition (IYCN) is crucial for survival and long-term health and well-being. Approximately 45% of deaths of children under five years of age can be attributed to malnutrition [1], and are often associated with inappropriate feeding practices during the first years of life [2]. The first two years of life provide a critical window of opportunity for ensuring children’s appropriate growth and development through optimal feeding. Many countries experience a sharp increase in the prevalence of malnutrition for this age group.
NI supports countries to implement their IYCN program in line with WHO/UNICEF recommended IYCF practices. This includes the timely initiation of breastfeeding, exclusive breastfeeding to the age of six months, introduction of solid, semi-solid and soft foods at 6 months of age and continued breastfeeding until 24 months of age, recommended minimum meal frequency and dietary diversity. NI also supports recommended practices such as responsive feeding, hand washing with clean water and soap, and safe food preparation and storage.
Some of NI’s support to IYCN programs includes a Micronutrient Powder (MNP) component to alleviate micronutrient malnutrition.
In Ethiopia, NI is supporting the nutrition department of the Federal and Regional ministries of health to ensure that the promotion of optimal breast feeding and complementary feeding among infant and young children age 0-23 months is well integrated into the government’s comprehensive community-based nutrition (CCBN) program. The objective is to increase the quality, reach and coverage of the IYCN package of interventions delivered by the Health Extension Workers (HEWs) to caregivers of children 0-23 months of age by using the existing government health extension program (HEP). Specifically, NI is strengthening the capacity of woreda and health center staff, HEWs and selected model mothers to:
These activities, carried out in 92 woredas across six regions,are being implemented in partnership with the Ethiopian Ministry of Health at all levels, and five implementing NGOs (Relief society of Tigray, Amhara Development Association, Mothers and Children Multi - sectoral Development Organization in Oromia, Terepeza Development Association in SNNP; and Emory University in Afar and Benishangul Gumuz regions). NI support to IYCN in Ethiopia began in 2012 and is ongoing.
","[1] Black RE et al. Maternal and child undernutrition and overweight in low-income and middle-income countries. The Lancet. 2013; 382(9890):427-451
[2] Sankar MJ, et al. Optimal breastfeeding practices and infant and child mortality: a systematic review and meta-analysis. Acta Paediatr. 2015 Dec;104(467):3-13
For more information:
The first 1000 days from conception to two years of age are critical to the health and development of a child. Adequate infant and young child nutrition (IYCN) is crucial for survival and long-term health and well-being. Approximately 45% of deaths of children under five years of age can be attributed to malnutrition [1], and are often associated with inappropriate feeding practices during the first years of life [2]. The first two years of life provide a critical window of opportunity for ensuring children’s appropriate growth and development through optimal feeding. Many countries experience a sharp increase in the prevalence of malnutrition for this age group.
NI supports countries to implement their IYCN program in line with WHO/UNICEF recommended IYCF practices. This includes the timely initiation of breastfeeding, exclusive breastfeeding to the age of six months, introduction of solid, semi-solid and soft foods at 6 months of age and continued breastfeeding until 24 months of age, recommended minimum meal frequency and dietary diversity. NI also supports recommended practices such as responsive feeding, hand washing with clean water and soap, and safe food preparation and storage.
Some of NI’s support to IYCN programs includes a Micronutrient Powder (MNP) component to alleviate micronutrient malnutrition.
In Ethiopia, NI is supporting the nutrition department of the Federal and Regional ministries of health to ensure that the promotion of optimal breast feeding and complementary feeding among infant and young children age 0-23 months is well integrated into the government’s comprehensive community-based nutrition (CCBN) program. The objective is to increase the quality, reach and coverage of the IYCN package of interventions delivered by the Health Extension Workers (HEWs) to caregivers of children 0-23 months of age by using the existing government health extension program (HEP). Specifically, NI is strengthening the capacity of woreda and health center staff, HEWs and selected model mothers to:
These activities, carried out in 92 woredas across six regions,are being implemented in partnership with the Ethiopian Ministry of Health at all levels, and five implementing NGOs (Relief society of Tigray, Amhara Development Association, Mothers and Children Multi - sectoral Development Organization in Oromia, Terepeza Development Association in SNNP; and Emory University in Afar and Benishangul Gumuz regions). NI support to IYCN in Ethiopia began in 2012 and is ongoing.
","[1] Black RE et al. Maternal and child undernutrition and overweight in low-income and middle-income countries. The Lancet. 2013; 382(9890):427-451
[2] Sankar MJ, et al. Optimal breastfeeding practices and infant and child mortality: a systematic review and meta-analysis. Acta Paediatr. 2015 Dec;104(467):3-13
For more information:
","","","Health","Ethiopian Ministry of Health","","","Nutrition International","","","","","","National NGOs","Relief society of Tigray, Amhara Development Association, Mothers and Children Multi-sectoral Development Organization in Oromia, Terepeza Development Association in SNNP","Research/academia","Emory University","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","26201","","Growth monitoring and promotion","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English"