"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" "11612","Feed the Future: The U.S. Government’s Global Hunger and Food Security Initiative","English","Multi-national","","MOZ","Mozambique","Zambezia Province|Nampula Province|Sofala Province|Manica Province","Rural","on-going","01-2011","12-2015","
Feed the Future, the U.S. Government’s global hunger and food security initiative, is establishing a lasting foundation for progress against global hunger. With a focus on smallholder farmers, particularly women, Feed the Future supports partner countries in developing their agriculture sectors to spur economic growth that increases incomes and reduces hunger, poverty, and undernutrition. Feed the Future efforts are driven by country-led priorities and rooted in partnership with donor organizations, the private sector, and civil society to enable long-term success. Feed the Future aims to assist millions of vulnerable women, children, and family members to escape hunger and poverty, while also reaching significant numbers of children with highly effective nutrition interventions to prevent stunting and child mortality.
Over the next five years in Mozambique, Feed the Future aims to help an estimated 207,000 vulnerable Mozambican women, children and family members—mostly smallholder farmers—escape hunger and poverty. More than 346,000 children will be reached with services to improve their nutrition and prevent stunting and child mortality. Significant numbers of additional rural populations will achieve improved income and nutritional status from strategic policy engagement and institutional investments.
The first set of core investments in USG/Mozambique‘s FTF strategy provides smallholders with links to input and output markets in selected value chains. The focus of this set of investments will be on oilseeds (sesame, groundnuts, and soybeans), cashews, and fruit (e.g., pineapple, mango and bananas). The main objective is inclusive agriculture sector growth, which FTF/Mozambique will achieve through increased and sustained agricultural productivity, expanded markets and trade, and increased private sector investment in agriculture and nutrition-related activities. Investment in these value chains will improve income opportunities for smallholders, increase access to nutritious foods, and facilitate competitiveness of small scale farmers in these value chains.
Oilseeds
This program will facilitate the development of long-term linkages between smallholders that produce groundnuts, sesame, and/or soybeans and input and output markets. This will include efforts to bring better farming practices and inputs to the farm level, as well as linking production to markets through aggregation and farmer organizations. Specific activities include:
Technical assistance and grants to farmer associations/ cooperatives and agro-service centers, to enable them to provide
Support to build mentoring business relationships between commercial and emerging farmers, which are farmers that overcame size and productivity constraints and farm sizes between10 and 50 hectares. These commercial farmers provide some or all of the following to the emerging farmers:
Using guidance from the January 2011, USAID Evaluation Policy, USAID/Mozambique will employ monitoring and evaluation (M & E) personnel to gather evidence of how FTF Mozambique projects are sustainably reducing poverty and hunger. USAID/Mozambique‘s Agriculture, Trade and Business Office (ATB) staff will be responsible for supervising M & E work. USG/Mozambique will monitor and evaluate overall FTF investments to ensure that they are achieving objectives and maximizing returns. Program activities must be tracked through periodic field visits by Mission staff and through ongoing monitoring and learning by implementing partners. USG/Mozambique‘s approach to M&E will consist of three components:
The integration of agriculture, nutrition, and health elements into a joint strategic plan provides a unique opportunity to innovate, document, and demonstrate best practices associated with a concurrent multi-sector investment model. Because the Mozambique FTF strategy will be supporting linkages among existing programs, USAID/Mozambique is well positioned to develop a model for harmonizing key agricultural and nutrition indicators relevant across areas of focus. Building on this collaboration, both the Health and Economic Growth teams will work together to integrate M & E systems and processes to track synergies and multiplier effects between the two sectors. The integration of the M & E function may take the form of harmonized M & E plans at the implementer level combined with joint monitoring by Mission, Economic Growth and Health team members.
Reliable and well-defined monitoring, reporting, and evaluation methods, roles, and communication channels result in:
A fully functioning M & E team and system further help to illustrate the Mission‘s value added to overall development not only to key stakeholders in the USG, but also to the Government of Mozambique and other development partners.
","Estimated 207,000 vulnerable Mozambican women, children and family members—mostly smallholder farmers—escape hunger and poverty.","Zambesia and Nampula Provinces","","FTF/Mozambique will use the following lead indicators to track progress in implementing this strategy.Reduction in the poverty prevalence rate in Zambezia and Nampula, disaggregated by sex; Reduction in the underweight prevalence rate of children under five years of age in Zambezia and Nampula.Further indicators will be chosen as appropriate, but are expected to include:Value of incremental sales (collected at farm-level) attributed to FTF implementation, disaggregated by sex of household; Prevalence of stunted children under five years of age.","FTF/Mozambique will use the following lead indicators to track progress in implementing this strategy.Reduction in the poverty prevalence rate in Zambezia and Nampula, disaggregated by sex; Reduction in the underweight prevalence rate of children under five years of age in Zambezia and Nampula.Further indicators will be chosen as appropriate, but are expected to include:Value of incremental sales (collected at farm-level) attributed to FTF implementation, disaggregated by sex of household; Prevalence of stunted children under five years of age.","Vulnerable groups","","","","","","","","","","","","","","","","","","","","","","","","","","English" "11612","Feed the Future: The U.S. Government’s Global Hunger and Food Security Initiative","English","Multi-national","","MOZ","Mozambique","Zambezia Province|Nampula Province|Sofala Province|Manica Province","Rural","on-going","01-2011","12-2015","Feed the Future, the U.S. Government’s global hunger and food security initiative, is establishing a lasting foundation for progress against global hunger. With a focus on smallholder farmers, particularly women, Feed the Future supports partner countries in developing their agriculture sectors to spur economic growth that increases incomes and reduces hunger, poverty, and undernutrition. Feed the Future efforts are driven by country-led priorities and rooted in partnership with donor organizations, the private sector, and civil society to enable long-term success. Feed the Future aims to assist millions of vulnerable women, children, and family members to escape hunger and poverty, while also reaching significant numbers of children with highly effective nutrition interventions to prevent stunting and child mortality.
Over the next five years in Mozambique, Feed the Future aims to help an estimated 207,000 vulnerable Mozambican women, children and family members—mostly smallholder farmers—escape hunger and poverty. More than 346,000 children will be reached with services to improve their nutrition and prevent stunting and child mortality. Significant numbers of additional rural populations will achieve improved income and nutritional status from strategic policy engagement and institutional investments.
The first set of core investments in USG/Mozambique‘s FTF strategy provides smallholders with links to input and output markets in selected value chains. The focus of this set of investments will be on oilseeds (sesame, groundnuts, and soybeans), cashews, and fruit (e.g., pineapple, mango and bananas). The main objective is inclusive agriculture sector growth, which FTF/Mozambique will achieve through increased and sustained agricultural productivity, expanded markets and trade, and increased private sector investment in agriculture and nutrition-related activities. Investment in these value chains will improve income opportunities for smallholders, increase access to nutritious foods, and facilitate competitiveness of small scale farmers in these value chains.
Cashews
This investment builds on USAID/Mozambique‘s history of successful cashew sector development. This experience includes USAID Title II support to nurseries in seedling production and distribution and DA support to the local cashew processing industry – the latter resulting in one of the most vibrant cashew processing sectors in Africa. Building on this track record, FTF will now invest in a major supply-side constraint: renewing the existing stock of cashew plants. Mozambique has the oldest population of cashew trees in Africa (some trees are more than 80 years old) and overall productivity is decreasing rapidly. Thus, our FTF investment in cashews focuses on the expansion of cashew nurseries to supply new cashew seedlings and to extend pruning and crafting practices for existing trees.
Specific activities include:
Technical assistance and grants to existing nurseries or other investors (e.g., cashew processors, entrepreneurs) to incentivize establishing nurseries and supply seedlings and extension (nurseries to offer a package of seedlings, and training in seedling maintenance, crafting, and pruning; farmers to pay for this service).
Technical assistance and support to farmer and community organizations for them to support smallholders in grafting, pruning, and seedling care monitoring, and pass on processor-financed incentive payments for tree care.
Using guidance from the January 2011, USAID Evaluation Policy, USAID/Mozambique will employ monitoring and evaluation (M & E) personnel to gather evidence of how FTF Mozambique projects are sustainably reducing poverty and hunger. USAID/Mozambique‘s Agriculture, Trade and Business Office (ATB) staff will be responsible for supervising M & E work. USG/Mozambique will monitor and evaluate overall FTF investments to ensure that they are achieving objectives and maximizing returns. Program activities must be tracked through periodic field visits by Mission staff and through ongoing monitoring and learning by implementing partners. USG/Mozambique‘s approach to M&E will consist of three components:
The integration of agriculture, nutrition, and health elements into a joint strategic plan provides a unique opportunity to innovate, document, and demonstrate best practices associated with a concurrent multi-sector investment model. Because the Mozambique FTF strategy will be supporting linkages among existing programs, USAID/Mozambique is well positioned to develop a model for harmonizing key agricultural and nutrition indicators relevant across areas of focus. Building on this collaboration, both the Health and Economic Growth teams will work together to integrate M & E systems and processes to track synergies and multiplier effects between the two sectors. The integration of the M & E function may take the form of harmonized M & E plans at the implementer level combined with joint monitoring by Mission, Economic Growth and Health team members.
Reliable and well-defined monitoring, reporting, and evaluation methods, roles, and communication channels result in:
A fully functioning M & E team and system further help to illustrate the Mission‘s value added to overall development not only to key stakeholders in the USG, but also to the Government of Mozambique and other development partners.
","Estimated 207,000 vulnerable Mozambican women, children and family members—mostly smallholder farmers—escape hunger and poverty.",".","","FTF/Mozambique will use the following lead indicators to track progress in implementing this strategy.Reduction in the poverty prevalence rate in Zambezia and Nampula, disaggregated by sex; Reduction in the underweight prevalence rate of children under five years of age in Zambezia and Nampula.Further indicators will be chosen as appropriate, but are expected to include:Value of incremental sales (collected at farm-level) attributed to FTF implementation, disaggregated by sex of household; Prevalence of stunted children under five years of age.","FTF/Mozambique will use the following lead indicators to track progress in implementing this strategy.Reduction in the poverty prevalence rate in Zambezia and Nampula, disaggregated by sex; Reduction in the underweight prevalence rate of children under five years of age in Zambezia and Nampula.Further indicators will be chosen as appropriate, but are expected to include:Value of incremental sales (collected at farm-level) attributed to FTF implementation, disaggregated by sex of household; Prevalence of stunted children under five years of age.","Vulnerable groups","","","","","","","","","","","","","","","","","","","","","","","","","","English" "11612","Feed the Future: The U.S. Government’s Global Hunger and Food Security Initiative","English","Multi-national","","MOZ","Mozambique","Zambezia Province|Nampula Province|Sofala Province|Manica Province","Rural","on-going","01-2011","12-2015","Feed the Future, the U.S. Government’s global hunger and food security initiative, is establishing a lasting foundation for progress against global hunger. With a focus on smallholder farmers, particularly women, Feed the Future supports partner countries in developing their agriculture sectors to spur economic growth that increases incomes and reduces hunger, poverty, and undernutrition. Feed the Future efforts are driven by country-led priorities and rooted in partnership with donor organizations, the private sector, and civil society to enable long-term success. Feed the Future aims to assist millions of vulnerable women, children, and family members to escape hunger and poverty, while also reaching significant numbers of children with highly effective nutrition interventions to prevent stunting and child mortality.
Over the next five years in Mozambique, Feed the Future aims to help an estimated 207,000 vulnerable Mozambican women, children and family members—mostly smallholder farmers—escape hunger and poverty. More than 346,000 children will be reached with services to improve their nutrition and prevent stunting and child mortality. Significant numbers of additional rural populations will achieve improved income and nutritional status from strategic policy engagement and institutional investments.
The first set of core investments in USG/Mozambique‘s FTF strategy provides smallholders with links to input and output markets in selected value chains. The focus of this set of investments will be on oilseeds (sesame, groundnuts, and soybeans), cashews, and fruit (e.g., pineapple, mango and bananas). The main objective is inclusive agriculture sector growth, which FTF/Mozambique will achieve through increased and sustained agricultural productivity, expanded markets and trade, and increased private sector investment in agriculture and nutrition-related activities. Investment in these value chains will improve income opportunities for smallholders, increase access to nutritious foods, and facilitate competitiveness of small scale farmers in these value chains.
Fruit
Fruit is farmed by more than a million households in the focus regions, but currently provides very limited income opportunities. FTF will primarily focus on improving the income potential of domestic fruit, by supporting the development of a domestic processing sector. The underlying hypothesis is that upon successful development of the domestic fruit sector, smallholders can play an increasing role in a viable export market (e.g. through outgrower schemes). Nutrition activities will be co-located to ensure improved consumption of fruits on a household level.
Specific activities include:
Using guidance from the January 2011, USAID Evaluation Policy, USAID/Mozambique will employ monitoring and evaluation (M & E) personnel to gather evidence of how FTF Mozambique projects are sustainably reducing poverty and hunger. USAID/Mozambique‘s Agriculture, Trade and Business Office (ATB) staff will be responsible for supervising M & E work. USG/Mozambique will monitor and evaluate overall FTF investments to ensure that they are achieving objectives and maximizing returns. Program activities must be tracked through periodic field visits by Mission staff and through ongoing monitoring and learning by implementing partners. USG/Mozambique‘s approach to M&E will consist of three components:
The integration of agriculture, nutrition, and health elements into a joint strategic plan provides a unique opportunity to innovate, document, and demonstrate best practices associated with a concurrent multi-sector investment model. Because the Mozambique FTF strategy will be supporting linkages among existing programs, USAID/Mozambique is well positioned to develop a model for harmonizing key agricultural and nutrition indicators relevant across areas of focus. Building on this collaboration, both the Health and Economic Growth teams will work together to integrate M & E systems and processes to track synergies and multiplier effects between the two sectors. The integration of the M & E function may take the form of harmonized M & E plans at the implementer level combined with joint monitoring by Mission, Economic Growth and Health team members.
Reliable and well-defined monitoring, reporting, and evaluation methods, roles, and communication channels result in:
A fully functioning M & E team and system further help to illustrate the Mission‘s value added to overall development not only to key stakeholders in the USG, but also to the Government of Mozambique and other development partners.
","Estimated 207,000 vulnerable Mozambican women, children and family members—mostly smallholder farmers—escape hunger and poverty.",".","","FTF/Mozambique will use the following lead indicators to track progress in implementing this strategy.Reduction in the poverty prevalence rate in Zambezia and Nampula, disaggregated by sex; Reduction in the underweight prevalence rate of children under five years of age in Zambezia and Nampula.Further indicators will be chosen as appropriate, but are expected to include:Value of incremental sales (collected at farm-level) attributed to FTF implementation, disaggregated by sex of household; Prevalence of stunted children under five years of age.","FTF/Mozambique will use the following lead indicators to track progress in implementing this strategy.Reduction in the poverty prevalence rate in Zambezia and Nampula, disaggregated by sex; Reduction in the underweight prevalence rate of children under five years of age in Zambezia and Nampula.Further indicators will be chosen as appropriate, but are expected to include:Value of incremental sales (collected at farm-level) attributed to FTF implementation, disaggregated by sex of household; Prevalence of stunted children under five years of age.","Vulnerable groups","","","","","","","","","","","","","","","","","","","","","","","","","","English" "11612","Feed the Future: The U.S. Government’s Global Hunger and Food Security Initiative","English","Multi-national","","MOZ","Mozambique","Zambezia Province|Nampula Province|Sofala Province|Manica Province","Rural","on-going","01-2011","12-2015","Feed the Future, the U.S. Government’s global hunger and food security initiative, is establishing a lasting foundation for progress against global hunger. With a focus on smallholder farmers, particularly women, Feed the Future supports partner countries in developing their agriculture sectors to spur economic growth that increases incomes and reduces hunger, poverty, and undernutrition. Feed the Future efforts are driven by country-led priorities and rooted in partnership with donor organizations, the private sector, and civil society to enable long-term success. Feed the Future aims to assist millions of vulnerable women, children, and family members to escape hunger and poverty, while also reaching significant numbers of children with highly effective nutrition interventions to prevent stunting and child mortality.
Over the next five years in Mozambique, Feed the Future aims to help an estimated 207,000 vulnerable Mozambican women, children and family members—mostly smallholder farmers—escape hunger and poverty. More than 346,000 children will be reached with services to improve their nutrition and prevent stunting and child mortality. Significant numbers of additional rural populations will achieve improved income and nutritional status from strategic policy engagement and institutional investments.
The second set of core investments will focus on scaling up the delivery of key nutrition interventions in the focus regions, acting on both the demand and supply side. On the demand side, FTF will invest in documenting and reinforcing improved nutrition behaviors through district and community based nutrition activities including growth monitoring and promotion (building on USAID Title II support in Zambezia and Nampula) and the promotion of optimal nutrition-related behaviors (building on PEPFAR infrastructure in Sofala and Manica). On the supply side, FTF will encourage the availability of nutritious foods through a Nutrition Challenge Fund.
Community-Based Nutrition Activities
FTF/Mozambique will address Mozambique‘s high undernutrition rates through a comprehensive, standard program of activities at the community level that includes growth monitoring, promotion of optimal infant and young child feeding practices, and dietary diversity and quality for pregnant and lactating women. Specific activities include:
","
Using guidance from the January 2011, USAID Evaluation Policy, USAID/Mozambique will employ monitoring and evaluation (M & E) personnel to gather evidence of how FTF Mozambique projects are sustainably reducing poverty and hunger. USAID/Mozambique‘s Agriculture, Trade and Business Office (ATB) staff will be responsible for supervising M & E work. USG/Mozambique will monitor and evaluate overall FTF investments to ensure that they are achieving objectives and maximizing returns. Program activities must be tracked through periodic field visits by Mission staff and through ongoing monitoring and learning by implementing partners. USG/Mozambique‘s approach to M&E will consist of three components:
The integration of agriculture, nutrition, and health elements into a joint strategic plan provides a unique opportunity to innovate, document, and demonstrate best practices associated with a concurrent multi-sector investment model. Because the Mozambique FTF strategy will be supporting linkages among existing programs, USAID/Mozambique is well positioned to develop a model for harmonizing key agricultural and nutrition indicators relevant across areas of focus. Building on this collaboration, both the Health and Economic Growth teams will work together to integrate M & E systems and processes to track synergies and multiplier effects between the two sectors. The integration of the M & E function may take the form of harmonized M & E plans at the implementer level combined with joint monitoring by Mission, Economic Growth and Health team members.
Reliable and well-defined monitoring, reporting, and evaluation methods, roles, and communication channels result in:
A fully functioning M & E team and system further help to illustrate the Mission‘s value added to overall development not only to key stakeholders in the USG, but also to the Government of Mozambique and other development partners.
","More than 346,000 children will be reached with services to improve their nutrition and prevent stunting and child mortality",".","","FTF/Mozambique will use the following lead indicators to track progress in implementing this strategy.Reduction in the poverty prevalence rate in Zambezia and Nampula, disaggregated by sex; Reduction in the underweight prevalence rate of children under five years of age in Zambezia and Nampula.Further indicators will be chosen as appropriate, but are expected to include:Value of incremental sales (collected at farm-level) attributed to FTF implementation, disaggregated by sex of household; Prevalence of stunted children under five years of age.","FTF/Mozambique will use the following lead indicators to track progress in implementing this strategy.Reduction in the poverty prevalence rate in Zambezia and Nampula, disaggregated by sex; Reduction in the underweight prevalence rate of children under five years of age in Zambezia and Nampula.Further indicators will be chosen as appropriate, but are expected to include:Value of incremental sales (collected at farm-level) attributed to FTF implementation, disaggregated by sex of household; Prevalence of stunted children under five years of age.","Vulnerable groups","","Complementary feeding>>>Complementary feeding>>http://www.who.int/elena/titles/complementary_feeding","","","","","","","","","","","","","","","","","","","","","","","","English" "11612","Feed the Future: The U.S. Government’s Global Hunger and Food Security Initiative","English","Multi-national","","MOZ","Mozambique","Zambezia Province|Nampula Province|Sofala Province|Manica Province","Rural","on-going","01-2011","12-2012","Feed the Future, the U.S. Government’s global hunger and food security initiative, is establishing a lasting foundation for progress against global hunger. With a focus on smallholder farmers, particularly women, Feed the Future supports partner countries in developing their agriculture sectors to spur economic growth that increases incomes and reduces hunger, poverty, and undernutrition. Feed the Future efforts are driven by country-led priorities and rooted in partnership with donor organizations, the private sector, and civil society to enable long-term success. Feed the Future aims to assist millions of vulnerable women, children, and family members to escape hunger and poverty, while also reaching significant numbers of children with highly effective nutrition interventions to prevent stunting and child mortality.
Over the next five years in Mozambique, Feed the Future aims to help an estimated 207,000 vulnerable Mozambican women, children and family members—mostly smallholder farmers—escape hunger and poverty. More than 346,000 children will be reached with services to improve their nutrition and prevent stunting and child mortality. Significant numbers of additional rural populations will achieve improved income and nutritional status from strategic policy engagement and institutional investments.
The second set of core investments will focus on scaling up the delivery of key nutrition interventions in the focus regions, acting on both the demand and supply side. On the demand side, FTF will invest in documenting and reinforcing improved nutrition behaviors through district and community based nutrition activities including growth monitoring and promotion (building on USAID Title II support in Zambezia and Nampula) and the promotion of optimal nutrition-related behaviors (building on PEPFAR infrastructure in Sofala and Manica). On the supply side, FTF will encourage the availability of nutritious foods through a Nutrition Challenge Fund.
Nutrition Challenge Fund
FTF Mozambique will also stimulate the supply of nutritious, diverse, and quality foods. FTF/Mozambique will do this through a Nutrition Challenge Fund: a competitive grant scheme that encourages innovations in agro-processing (e.g. fortification, food processing) that reach a large share of the vulnerable population to improve nutrition. The competitive grant will be available to the private sector or community organizations, who will be selected based primarily on impact, innovation, and sustainability of the business model. Other potential criteria for selection include financial leverage, number of suppliers and consumers reached, and synergies with USG programs. FTF/Mozambique plans to leverage at least as much funding as will be contributed, although the aspiration is to leverage double our funding. The grants will provide up-front financing and technical assistance to ensure a successful venture.
","Using guidance from the January 2011, USAID Evaluation Policy, USAID/Mozambique will employ monitoring and evaluation (M & E) personnel to gather evidence of how FTF Mozambique projects are sustainably reducing poverty and hunger. USAID/Mozambique‘s Agriculture, Trade and Business Office (ATB) staff will be responsible for supervising M & E work. USG/Mozambique will monitor and evaluate overall FTF investments to ensure that they are achieving objectives and maximizing returns. Program activities must be tracked through periodic field visits by Mission staff and through ongoing monitoring and learning by implementing partners. USG/Mozambique‘s approach to M&E will consist of three components:
The integration of agriculture, nutrition, and health elements into a joint strategic plan provides a unique opportunity to innovate, document, and demonstrate best practices associated with a concurrent multi-sector investment model. Because the Mozambique FTF strategy will be supporting linkages among existing programs, USAID/Mozambique is well positioned to develop a model for harmonizing key agricultural and nutrition indicators relevant across areas of focus. Building on this collaboration, both the Health and Economic Growth teams will work together to integrate M & E systems and processes to track synergies and multiplier effects between the two sectors. The integration of the M & E function may take the form of harmonized M & E plans at the implementer level combined with joint monitoring by Mission, Economic Growth and Health team members.
Reliable and well-defined monitoring, reporting, and evaluation methods, roles, and communication channels result in:
A fully functioning M & E team and system further help to illustrate the Mission‘s value added to overall development not only to key stakeholders in the USG, but also to the Government of Mozambique and other development partners.
","More than 346,000 children will be reached with services to improve their nutrition and prevent stunting and child mortality..",".","","FTF/Mozambique will use the following lead indicators to track progress in implementing this strategy.Reduction in the poverty prevalence rate in Zambezia and Nampula, disaggregated by sex; Reduction in the underweight prevalence rate of children under five years of age in Zambezia and Nampula.Further indicators will be chosen as appropriate, but are expected to include:Value of incremental sales (collected at farm-level) attributed to FTF implementation, disaggregated by sex of household; Prevalence of stunted children under five years of age.","FTF/Mozambique will use the following lead indicators to track progress in implementing this strategy.Reduction in the poverty prevalence rate in Zambezia and Nampula, disaggregated by sex; Reduction in the underweight prevalence rate of children under five years of age in Zambezia and Nampula.Further indicators will be chosen as appropriate, but are expected to include:Value of incremental sales (collected at farm-level) attributed to FTF implementation, disaggregated by sex of household; Prevalence of stunted children under five years of age.","Vulnerable groups","","","","","","","","","","","","","","","","","","","","","","","","","","English" "11612","Feed the Future: The U.S. Government’s Global Hunger and Food Security Initiative","English","Multi-national","","MOZ","Mozambique","Zambezia Province|Nampula Province|Sofala Province|Manica Province","Urban|Rural|Peri-urban","on-going","01-2011","12-2015","Feed the Future, the U.S. Government’s global hunger and food security initiative, is establishing a lasting foundation for progress against global hunger. With a focus on smallholder farmers, particularly women, Feed the Future supports partner countries in developing their agriculture sectors to spur economic growth that increases incomes and reduces hunger, poverty, and undernutrition. Feed the Future efforts are driven by country-led priorities and rooted in partnership with donor organizations, the private sector, and civil society to enable long-term success. Feed the Future aims to assist millions of vulnerable women, children, and family members to escape hunger and poverty, while also reaching significant numbers of children with highly effective nutrition interventions to prevent stunting and child mortality.
Over the next five years in Mozambique, Feed the Future aims to help an estimated 207,000 vulnerable Mozambican women, children and family members—mostly smallholder farmers—escape hunger and poverty. More than 346,000 children will be reached with services to improve their nutrition and prevent stunting and child mortality. Significant numbers of additional rural populations will achieve improved income and nutritional status from strategic policy engagement and institutional investments.
USG/Mozambique will support FTF objectives and program activities through cross-cutting investments in policy analysis and advocacy, as well as research and technology transfer.
Policy
Policy analysis and advocacy is targeted to support an accelerated CAADP process, business and trade policy reform (particularly in the fruit sector), an integrated policy agenda for agriculture and nutrition, and policy supporting growth monitoring and nutrition. Specific initiatives include:
","
Using guidance from the January 2011, USAID Evaluation Policy, USAID/Mozambique will employ monitoring and evaluation (M & E) personnel to gather evidence of how FTF Mozambique projects are sustainably reducing poverty and hunger. USAID/Mozambique‘s Agriculture, Trade and Business Office (ATB) staff will be responsible for supervising M & E work. USG/Mozambique will monitor and evaluate overall FTF investments to ensure that they are achieving objectives and maximizing returns. Program activities must be tracked through periodic field visits by Mission staff and through ongoing monitoring and learning by implementing partners. USG/Mozambique‘s approach to M&E will consist of three components:
The integration of agriculture, nutrition, and health elements into a joint strategic plan provides a unique opportunity to innovate, document, and demonstrate best practices associated with a concurrent multi-sector investment model. Because the Mozambique FTF strategy will be supporting linkages among existing programs, USAID/Mozambique is well positioned to develop a model for harmonizing key agricultural and nutrition indicators relevant across areas of focus. Building on this collaboration, both the Health and Economic Growth teams will work together to integrate M & E systems and processes to track synergies and multiplier effects between the two sectors. The integration of the M & E function may take the form of harmonized M & E plans at the implementer level combined with joint monitoring by Mission, Economic Growth and Health team members.
Reliable and well-defined monitoring, reporting, and evaluation methods, roles, and communication channels result in:
A fully functioning M & E team and system further help to illustrate the Mission‘s value added to overall development not only to key stakeholders in the USG, but also to the Government of Mozambique and other development partners.
","Feed the Future aims to help an estimated 207,000 vulnerable Mozambican women, children and family members—mostly smallholder farmers—escape hunger and poverty. More than 346,000 children will be reached with services to improve their nutrition",".","","FTF/Mozambique will use the following lead indicators to track progress in implementing this strategy.Reduction in the poverty prevalence rate in Zambezia and Nampula, disaggregated by sex; Reduction in the underweight prevalence rate of children under five years of age in Zambezia and Nampula.Further indicators will be chosen as appropriate, but are expected to include:Value of incremental sales (collected at farm-level) attributed to FTF implementation, disaggregated by sex of household; Prevalence of stunted children under five years of age.","FTF/Mozambique will use the following lead indicators to track progress in implementing this strategy.Reduction in the poverty prevalence rate in Zambezia and Nampula, disaggregated by sex; Reduction in the underweight prevalence rate of children under five years of age in Zambezia and Nampula.Further indicators will be chosen as appropriate, but are expected to include:Value of incremental sales (collected at farm-level) attributed to FTF implementation, disaggregated by sex of household; Prevalence of stunted children under five years of age.","Vulnerable groups","","","","","","","","","","","","","","","","","","","","","","","","","","English" "11612","Feed the Future: The U.S. Government’s Global Hunger and Food Security Initiative","English","Multi-national","","MOZ","Mozambique","Zambezia Province|Nampula Province|Sofala Province|Manica Province","Urban|Rural|Peri-urban","on-going","01-2011","12-2015","Feed the Future, the U.S. Government’s global hunger and food security initiative, is establishing a lasting foundation for progress against global hunger. With a focus on smallholder farmers, particularly women, Feed the Future supports partner countries in developing their agriculture sectors to spur economic growth that increases incomes and reduces hunger, poverty, and undernutrition. Feed the Future efforts are driven by country-led priorities and rooted in partnership with donor organizations, the private sector, and civil society to enable long-term success. Feed the Future aims to assist millions of vulnerable women, children, and family members to escape hunger and poverty, while also reaching significant numbers of children with highly effective nutrition interventions to prevent stunting and child mortality.
Over the next five years in Mozambique, Feed the Future aims to help an estimated 207,000 vulnerable Mozambican women, children and family members—mostly smallholder farmers—escape hunger and poverty. More than 346,000 children will be reached with services to improve their nutrition and prevent stunting and child mortality. Significant numbers of additional rural populations will achieve improved income and nutritional status from strategic policy engagement and institutional investments.
USG/Mozambique will support FTF objectives and program activities through cross-cutting investments in policy analysis and advocacy, as well as research and technology transfer.
Research and Technology Transfer
USG/Mozambique will leverage its comparative advantage in research and technology transfer, focusing support on the introduction and dissemination of new technologies. FTF/Mozambique will achieve this through support to the Mozambique Platform for Agricultural Research and Technology Innovation, which engages International Agricultural Research Centers (IARCs) and Brazil‘s national agricultural research enterprise (EMBRAPA). Main initiatives include:
Using guidance from the January 2011, USAID Evaluation Policy, USAID/Mozambique will employ monitoring and evaluation (M & E) personnel to gather evidence of how FTF Mozambique projects are sustainably reducing poverty and hunger. USAID/Mozambique‘s Agriculture, Trade and Business Office (ATB) staff will be responsible for supervising M & E work. USG/Mozambique will monitor and evaluate overall FTF investments to ensure that they are achieving objectives and maximizing returns. Program activities must be tracked through periodic field visits by Mission staff and through ongoing monitoring and learning by implementing partners. USG/Mozambique‘s approach to M&E will consist of three components:
The integration of agriculture, nutrition, and health elements into a joint strategic plan provides a unique opportunity to innovate, document, and demonstrate best practices associated with a concurrent multi-sector investment model. Because the Mozambique FTF strategy will be supporting linkages among existing programs, USAID/Mozambique is well positioned to develop a model for harmonizing key agricultural and nutrition indicators relevant across areas of focus. Building on this collaboration, both the Health and Economic Growth teams will work together to integrate M & E systems and processes to track synergies and multiplier effects between the two sectors. The integration of the M & E function may take the form of harmonized M & E plans at the implementer level combined with joint monitoring by Mission, Economic Growth and Health team members.
Reliable and well-defined monitoring, reporting, and evaluation methods, roles, and communication channels result in:
A fully functioning M & E team and system further help to illustrate the Mission‘s value added to overall development not only to key stakeholders in the USG, but also to the Government of Mozambique and other development partners.
","Feed the Future aims to help an estimated 207,000 vulnerable Mozambican women, children and family members—mostly smallholder farmers—escape hunger and poverty. More than 346,000 children will be reached with services to improve their nutrition",".","","FTF/Mozambique will use the following lead indicators to track progress in implementing this strategy.Reduction in the poverty prevalence rate in Zambezia and Nampula, disaggregated by sex; Reduction in the underweight prevalence rate of children under five years of age in Zambezia and Nampula.Further indicators will be chosen as appropriate, but are expected to include:Value of incremental sales (collected at farm-level) attributed to FTF implementation, disaggregated by sex of household; Prevalence of stunted children under five years of age.","FTF/Mozambique will use the following lead indicators to track progress in implementing this strategy.Reduction in the poverty prevalence rate in Zambezia and Nampula, disaggregated by sex; Reduction in the underweight prevalence rate of children under five years of age in Zambezia and Nampula.Further indicators will be chosen as appropriate, but are expected to include:Value of incremental sales (collected at farm-level) attributed to FTF implementation, disaggregated by sex of household; Prevalence of stunted children under five years of age.","Vulnerable groups","","","","","","","","","","","","","","","","","","","","","","","","","","English" "11612","Feed the Future: The U.S. Government’s Global Hunger and Food Security Initiative","English","Multi-national","","MOZ","Mozambique","Zambezia Province|Nampula Province|Sofala Province|Manica Province","Rural","on-going","01-2011","12-2015","Feed the Future, the U.S. Government’s global hunger and food security initiative, is establishing a lasting foundation for progress against global hunger. With a focus on smallholder farmers, particularly women, Feed the Future supports partner countries in developing their agriculture sectors to spur economic growth that increases incomes and reduces hunger, poverty, and undernutrition. Feed the Future efforts are driven by country-led priorities and rooted in partnership with donor organizations, the private sector, and civil society to enable long-term success. Feed the Future aims to assist millions of vulnerable women, children, and family members to escape hunger and poverty, while also reaching significant numbers of children with highly effective nutrition interventions to prevent stunting and child mortality.
Over the next five years in Mozambique, Feed the Future aims to help an estimated 207,000 vulnerable Mozambican women, children and family members—mostly smallholder farmers—escape hunger and poverty. More than 346,000 children will be reached with services to improve their nutrition and prevent stunting and child mortality. Significant numbers of additional rural populations will achieve improved income and nutritional status from strategic policy engagement and institutional investments.
Supporting women in agriculture and household nutrition is essential to the success of this strategy. Agriculture employs 90 percent of Mozambique‘s female labor force, and a quarter of all farming households are women-headed. Women are also the leaders on nutrition in the household. USG/Mozambique‘s FTF strategy supports women by:
Training women as trainers of other women in nutrition benefits and improved household processing of soybeans, orange fleshed sweet potato and cowpeas.
",".
","Using guidance from the January 2011, USAID Evaluation Policy, USAID/Mozambique will employ monitoring and evaluation (M & E) personnel to gather evidence of how FTF Mozambique projects are sustainably reducing poverty and hunger. USAID/Mozambique‘s Agriculture, Trade and Business Office (ATB) staff will be responsible for supervising M & E work. USG/Mozambique will monitor and evaluate overall FTF investments to ensure that they are achieving objectives and maximizing returns. Program activities must be tracked through periodic field visits by Mission staff and through ongoing monitoring and learning by implementing partners. USG/Mozambique‘s approach to M&E will consist of three components:
The integration of agriculture, nutrition, and health elements into a joint strategic plan provides a unique opportunity to innovate, document, and demonstrate best practices associated with a concurrent multi-sector investment model. Because the Mozambique FTF strategy will be supporting linkages among existing programs, USAID/Mozambique is well positioned to develop a model for harmonizing key agricultural and nutrition indicators relevant across areas of focus. Building on this collaboration, both the Health and Economic Growth teams will work together to integrate M & E systems and processes to track synergies and multiplier effects between the two sectors. The integration of the M & E function may take the form of harmonized M & E plans at the implementer level combined with joint monitoring by Mission, Economic Growth and Health team members.
Reliable and well-defined monitoring, reporting, and evaluation methods, roles, and communication channels result in:
A fully functioning M & E team and system further help to illustrate the Mission‘s value added to overall development not only to key stakeholders in the USG, but also to the Government of Mozambique and other development partners.
","estimated 207,000 vulnerable Mozambican women, children and family members—mostly smallholder farmers—escape hunger and poverty",".","","FTF/Mozambique will use the following lead indicators to track progress in implementing this strategy.Reduction in the poverty prevalence rate in Zambezia and Nampula, disaggregated by sex; Reduction in the underweight prevalence rate of children under five years of age in Zambezia and Nampula.Further indicators will be chosen as appropriate, but are expected to include:Value of incremental sales (collected at farm-level) attributed to FTF implementation, disaggregated by sex of household; Prevalence of stunted children under five years of age.","FTF/Mozambique will use the following lead indicators to track progress in implementing this strategy.Reduction in the poverty prevalence rate in Zambezia and Nampula, disaggregated by sex; Reduction in the underweight prevalence rate of children under five years of age in Zambezia and Nampula.Further indicators will be chosen as appropriate, but are expected to include:Value of incremental sales (collected at farm-level) attributed to FTF implementation, disaggregated by sex of household; Prevalence of stunted children under five years of age.","Sex","","","","","","","","","","","","","","","","","","","","","","","","","","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)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","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" "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" "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" "23334","The Bangladesh Integrated Nutrition Programme (BINP) ","English","Large scale programmes","","BGD","Bangladesh","","","completed","","01-1970","The Bangladesh Integrated Nutrition Project (BINP) represented the first large-scale government intervention in nutrition. The BINP operated from 1995 to 2002. By targeting pragnent and lactating women, as well as children under two years, the project's components included growth monitoring, internal provision of sepplementary feeding and nutrition education/councelling.
","WHO (2013) Essential Nutrition Actions – Improving maternal, newborn, infant and young child health and nutrition, whichprovides a compact of WHO guidance on nutrition interventions targeting the first 1,000 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 BINP is retrieved from Part II where BINP is one of 32 community-based large-scale programmes that has been reviewed in detail and evaluated.
http://www.who.int/nutrition/publications/infantfeeding/essential_nutrition_actions/en/
","","","Health","","","","","","","","","","National NGOs","","","","","","","","Intensity of community health and nutrition worker (CHNW) was reported as 1:200 children, i.e. about 5:100 households. Resource intensity was estimated at approximately US$ 18/household per year, including supplementary feeding.","Bilateral and donor agencies and lenders","The World Bank","Monthly growth monitoring and promotion (GMP) for children under two years of age and pregnant and lactating women (PLW)
","Height-for-age z score (HAZ), weight-for-age z score (WAZ), weight-for-height z score (WHZ)
","Various evaluations of BINP’s nutritional impact were conducted by both internal and external reviewers.
","","15% coverage by area",""," ","Participants' initial rate: 14,5 ppt/year change in underweight. Participants' sustained rate: 0,3 ppt/year change in underweight.
","","","","","","","","","","","","","","","","","","","","","","","","","Reasons for low effectiveness may include:
BINP itself was of low effectiveness and did not lead to a sustainable set of actions. In part this was due to the project design and inadequate intensity, and in part to complexities in implementation (institutional and otherwise)
","","English" "23334","The Bangladesh Integrated Nutrition Programme (BINP) ","English","Large scale programmes","","BGD","Bangladesh","","","completed","","01-1970","The Bangladesh Integrated Nutrition Project (BINP) represented the first large-scale government intervention in nutrition. The BINP operated from 1995 to 2002. By targeting pragnent and lactating women, as well as children under two years, the project's components included growth monitoring, internal provision of sepplementary feeding and nutrition education/councelling.
","WHO (2013) Essential Nutrition Actions – Improving maternal, newborn, infant and young child health and nutrition, whichprovides a compact of WHO guidance on nutrition interventions targeting the first 1,000 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 BINP is retrieved from Part II where BINP is one of 32 community-based large-scale programmes that has been reviewed in detail and evaluated.
http://www.who.int/nutrition/publications/infantfeeding/essential_nutrition_actions/en/
","","","Health","","","","","","","","","","National NGOs","","","","","","","","Intensity of community health and nutrition worker (CHNW) was reported as 1:200 children, i.e. about 5:100 households. Resource intensity was estimated at approximately US$ 18/household per year, including supplementary feeding.","Bilateral and donor agencies and lenders","The World Bank","Supplementary feeding (SF) of malnourished PLW and malnourished and growth-faltered children under 2 years of age.
","Height-for-age z score (HAZ), weight-for-age z score (WAZ), weight-for-height z score (WHZ).
","Various evaluations of BINP’s nutritional impact were conducted by both internal and external reviewers.
","","15% by area","","","Participants' initial reduction rate: 14.5 ppt/year change in underweight. Participants' sustained rate: 0.3 ppt/year change in underweight.
","","","","","","","","","","","","","","","","","","","","","","","","","Reasons for low effectiveness may include:
BINP itself was of low effectiveness and did not lead to a sustainable set of actions. In part this was due to the project design and inadequate intensity, and in part to complexities in implementation (institutional and otherwise).
","","English" "23334","The Bangladesh Integrated Nutrition Programme (BINP) ","English","Large scale programmes","","BGD","Bangladesh","","","completed","","01-1970","The Bangladesh Integrated Nutrition Project (BINP) represented the first large-scale government intervention in nutrition. The BINP operated from 1995 to 2002. By targeting pragnent and lactating women, as well as children under two years, the project's components included growth monitoring, internal provision of sepplementary feeding and nutrition education/councelling.
","WHO (2013) Essential Nutrition Actions – Improving maternal, newborn, infant and young child health and nutrition, whichprovides a compact of WHO guidance on nutrition interventions targeting the first 1,000 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 BINP is retrieved from Part II where BINP is one of 32 community-based large-scale programmes that has been reviewed in detail and evaluated.
http://www.who.int/nutrition/publications/infantfeeding/essential_nutrition_actions/en/
","","","Health","","","","","","","","","","National NGOs","","","","","","","","Intensity of community health and nutrition worker (CHNW) was reported as 1:200 children, i.e. about 5:100 households. Resource intensity was estimated at approximately US$ 18/household per year, including supplementary feeding.","Bilateral and donor agencies and lenders","The World Bank","Nutrition education for pregnant women, mothers of children under two, and adolescent girls
","Height-for-age z score (HAZ), weight-for-age z score (WAZ), weight-for-height z score (WHZ)
","Various evaluations of BINP’s nutritional impact were conducted by both internal and external reviewers.
","","15% by area","","","Participants' initial rate: 14,5 ppt/year change in underweight. Participants' sustained rate: 0,3 ppt/year change in underweight.
","","","","","","","","","","","","","","","","","","","","","","","","","Reasons for low effectiveness may include:
BINP itself was of low effectiveness and did not lead to a sustainable set of actions. In part this was due to the project design and inadequate intensity, and in part to complexities in implementation (institutional and otherwise).
","","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" "23116","Early Childhood Development (ECD) Project","English","Large scale programmes","","PHL","Philippines","","","completed","01-1998","01-2005","The intervention used Community health workers (CHWs) based in health centres and schools, as well as home visits.
The programme also included micronutrient supplementation and fortification
","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 ECD is retrieved from the ENA Part II where ECD 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...
","","","","","","","","","","","","","","","","","","","","","","Bilateral and donor agencies and lenders","The World Bank","Internal provision supplementary feeding
","Weight-for-age z-score (WAZ)
Weight-for-height z-score (WHZ)
Height-for-age z-score (HAZ)
","An evaluation concluded that there were positive results on acute malnutrition due to the feeding programme but negative impact on chronic malnutrition as addressed by the nutrition education and behaviour change omponents. The programme might have been more successful with better coordination of the CHWs.
","","86 % national coverage. Area coverage for feeding programmes reached 25/36 municipalities","","","From 2001 to 2003 in programme areas, underweight decreased 1.33 ppt/year and wasting decreased 1.56 ppt/year. No positive impact was found on stunting. From 1993 to 2003, prevalence of underweight for age declined from 28.3% to 20.7% (1.52 ppt/year).
","","","","","","","","","","","","","","","","","","","","","","","","","The ECD programme has had some significant effectiveness and could have potentially had even better results with improved implementation. The ECD programme showed positive evidence for the influence of community-based programmes on improved nutrition status with solid results in reducing prevalence of weight-for-height and wasting through feeding programmes. Long-term behaviour change was less effective due to poor coordination of CHWs.
","","English" "23116","Early Childhood Development (ECD) Project","English","Large scale programmes","","PHL","Philippines","","","completed","01-1998","01-2005","The intervention used Community health workers (CHWs) based in health centres and schools, as well as home visits.
The programme also included micronutrient supplementation and fortification
","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 ECD is retrieved from the ENA Part II where ECD 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...
","","","","","","","","","","","","","","","","","","","","","","Bilateral and donor agencies and lenders","The World Bank","Weight-for-age z-score (WAZ)
Weight-for-height z-score (WHZ)
Height-for-age z-score (HAZ)
","An evaluation concluded that there were positive results on acute malnutrition due to the feeding programme but negative impact on chronic malnutrition as addressed by the nutrition education and behaviour change omponents. The programme might have been more successful with better coordination of the CHWs.
","","86 % national coverage. ","","","From 2001 to 2003 in programme areas, underweight for age decreased 1.33 ppt/year and wasting decreased. 1.56 ppt/year. No positive impact was found on stunting. From 1993 to 2003, prevalence of underweight for age declined from 28.3% to 20.7% (1.52 ppt/year).
","","","","","","","","","","","","","","","","","","","","","","","","","The ECD programme has had some significant effectiveness and could have potentially had even better results with improved implementation. The ECD programme showed positive evidence for the influence of community-based programmes on improved nutrition status with solid results in reducing prevalence of weight-for-height and wasting through feeding programmes. Long-term behaviour change was less effective due to poor coordination of CHWs.
","","English" "23116","Early Childhood Development (ECD) Project","English","Large scale programmes","","PHL","Philippines","","","completed","01-1998","01-2005","The intervention used Community health workers (CHWs) based in health centres and schools, as well as home visits.
The programme also included micronutrient supplementation and fortification
","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 ECD is retrieved from the ENA Part II where ECD 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...
","","","","","","","","","","","","","","","","","","","","","","Bilateral and donor agencies and lenders","The World Bank","Weight-for-age z-score (WAZ)
Weight-for-height z-score (WHZ)
Height-for-age z-score (HAZ)
","An evaluation concluded that there were positive results on acute malnutrition due to the feeding programme but negative impact on chronic malnutrition as addressed by the nutrition education and behaviour change components. The programme might have been more successful with better coordination of the CHWs.
","","86% national coverage. Area coverage for nutrition education reached 36/36 municipalities","","","From 2001 to 2003 in programme areas, underweight for age decreased 1.33 ppt/year and wasting decreased. 1.56 ppt/year. No positive impact was found on stunting. From 1993 to 2003, prevalence of underweight for age declined from 28.3% to 20.7% (1.52 ppt/year).
","","","","","","","","","","","","","","","","","","","","","","","","","The ECD programme has had some significant effectiveness and could have potentially had even better results with improved implementation. The ECD programme showed positive evidence for the influence of community-based programmes on improved nutrition status with solid results in reducing prevalence of weight-for-height and wasting through feeding programmes. Long-term behaviour change was less effective due to poor coordination of CHWs.
","","English" "23116","Early Childhood Development (ECD) Project","English","Large scale programmes","","PHL","Philippines","","","completed","","01-1970","The intervention used Community health workers (CHWs) based in health centres and schools, as well as home visits.
The programme also included micronutrient supplementation and fortification
","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 ECD is retrieved from the ENA Part II where ECD 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...
","","","","","","","","","","","","","","","","","","","","","","Bilateral and donor agencies and lenders","The World Bank","Internal provision supplementary feeding
","Weight-for-age z-score (WAZ)
Weight-for-height z-score (WHZ)
Height-for-age z-score (HAZ)
","An evaluation concluded that there were positive results on acute malnutrition due to the feeding programme but negative impact on chronic malnutrition as addressed by the nutrition education and behaviour change omponents. The programme might have been more successful with better coordination of the CHWs.
","","86 % national coverage. Area coverage for feeding programmes reached 25/36 municipalities","","","From 2001 to 2003 in programme areas, underweight decreased 1.33 ppt/year and wasting decreased 1.56 ppt/year. No positive impact was found on stunting. From 1993 to 2003, prevalence of underweight for age declined from 28.3% to 20.7% (1.52 ppt/year).
","","","","","","","","","","","","","","","","","","","","","","","","","The ECD programme has had some significant effectiveness and could have potentially had even better results with improved implementation. The ECD programme showed positive evidence for the influence of community-based programmes on improved nutrition status with solid results in reducing prevalence of weight-for-height and wasting through feeding programmes. Long-term behaviour change was less effective due to poor coordination of CHWs.
","","English" "23116","Early Childhood Development (ECD) Project","English","Large scale programmes","","PHL","Philippines","","","completed","","01-1970","The intervention used Community health workers (CHWs) based in health centres and schools, as well as home visits.
The programme also included micronutrient supplementation and fortification
","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 ECD is retrieved from the ENA Part II where ECD 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...
","","","","","","","","","","","","","","","","","","","","","","Bilateral and donor agencies and lenders","The World Bank","Weight-for-age z-score (WAZ)
Weight-for-height z-score (WHZ)
Height-for-age z-score (HAZ)
","An evaluation concluded that there were positive results on acute malnutrition due to the feeding programme but negative impact on chronic malnutrition as addressed by the nutrition education and behaviour change omponents. The programme might have been more successful with better coordination of the CHWs.
","","86 % national coverage. ","","","From 2001 to 2003 in programme areas, underweight for age decreased 1.33 ppt/year and wasting decreased. 1.56 ppt/year. No positive impact was found on stunting. From 1993 to 2003, prevalence of underweight for age declined from 28.3% to 20.7% (1.52 ppt/year).
","","","","","","","","","","","","","","","","","","","","","","","","","The ECD programme has had some significant effectiveness and could have potentially had even better results with improved implementation. The ECD programme showed positive evidence for the influence of community-based programmes on improved nutrition status with solid results in reducing prevalence of weight-for-height and wasting through feeding programmes. Long-term behaviour change was less effective due to poor coordination of CHWs.
","","English" "23116","Early Childhood Development (ECD) Project","English","Large scale programmes","","PHL","Philippines","","","completed","","01-1970","The intervention used Community health workers (CHWs) based in health centres and schools, as well as home visits.
The programme also included micronutrient supplementation and fortification
","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 ECD is retrieved from the ENA Part II where ECD 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...
","","","","","","","","","","","","","","","","","","","","","","Bilateral and donor agencies and lenders","The World Bank","Weight-for-age z-score (WAZ)
Weight-for-height z-score (WHZ)
Height-for-age z-score (HAZ)
","An evaluation concluded that there were positive results on acute malnutrition due to the feeding programme but negative impact on chronic malnutrition as addressed by the nutrition education and behaviour change components. The programme might have been more successful with better coordination of the CHWs.
","","86% national coverage. Area coverage for nutrition education reached 36/36 municipalities","","","From 2001 to 2003 in programme areas, underweight for age decreased 1.33 ppt/year and wasting decreased. 1.56 ppt/year. No positive impact was found on stunting. From 1993 to 2003, prevalence of underweight for age declined from 28.3% to 20.7% (1.52 ppt/year).
","","","","","","","","","","","","","","","","","","","","","","","","","The ECD programme has had some significant effectiveness and could have potentially had even better results with improved implementation. The ECD programme showed positive evidence for the influence of community-based programmes on improved nutrition status with solid results in reducing prevalence of weight-for-height and wasting through feeding programmes. Long-term behaviour change was less effective due to poor coordination of CHWs.
","","English" "23355","Integrated Child Development Services Project I (ICDS I)","English","Large scale programmes","","IND","India","Andhra Pradesh|Orissa","","completed","","01-1970","ICDS activities carried out in Andhra Pradesh and Orissa between 1990 and 1997.
Referral of infants and young children and pregnant women as needed
","WHO (2013) Essential Nutrition Actions – Improving maternal, newborn, infant and young child health and nutrition, which provides a compact of WHO guidance on nutrition interventions targeting the first 1000 days of life. Part I presents the interventions currently recommended by WHO, summarizes the rationale and the evidence, and describes the actions require to implement them. Part II provides an analysis of community-based interventions aimed at improving nutrition and indicates how effective interventions can be delivered in an integrated fashion. It shows how the essential nutrition actions described in the first part have been implemented in large-scale programmes in various settings, what the outcomes have been, and to examine the evidence for attribution of changes in nutritional outcomes to programme activities. This summary of ICDS I is retrieved from the ENA Part II where ICDS I is one of 32 large-scale community-based programs that has been reviewed in detail and evaluated.
http://www.who.int/nutrition/publications/infantfeeding/essential_nutrition_actions/en/
","","","","","","","","","","","","","","","","","","","","","The intensity of community health and nutrition workers (CHNWs) , known as Anganwadi workers (ANWs) (estimated at 20 % of full-time equivalents) was 1:1000 persons, i.e. approximately 1:200 children or 10:1000 households.","Bilateral and donor agencies and lenders","The World Bank","Internal provision supplementary feeding
","Underweight
","While there are no definitive evaluations, most reports on ICDS 1 estimate that the change in underweight attributable to the programme was slight; the rate is plotted as 0,2 ppt/year.
","","Population coverage of approximately 2,5 %","","","","","","","","","","","","","","","","","","","","","","","","","","","","According to the World Bank, definitive judgments on the effectiveness of ICDS I cannot be made due to a lack of high-quality data. Measham & Chatterjee attribute the ineffectiveness of the project, particularly in Orissa, to issues related to proper implementation of programme activities:
1. inadequate coverage of children < 3 years
2. irregular food supply
3. poor nutrition education
4. inadequate health worker training
5. anganwadi work “overload”
6. poor linkages between ICDS and the health system.
","","English" "23355","Integrated Child Development Services Project I (ICDS I)","English","Large scale programmes","","IND","India","Andhra Pradesh|Orissa","","completed","","01-1970","ICDS activities carried out in Andhra Pradesh and Orissa between 1990 and 1997.
Referral of infants and young children and pregnant women as needed
","WHO (2013) Essential Nutrition Actions – Improving maternal, newborn, infant and young child health and nutrition, which provides a compact of WHO guidance on nutrition interventions targeting the first 1000 days of life. Part I presents the interventions currently recommended by WHO, summarizes the rationale and the evidence, and describes the actions require to implement them. Part II provides an analysis of community-based interventions aimed at improving nutrition and indicates how effective interventions can be delivered in an integrated fashion. It shows how the essential nutrition actions described in the first part have been implemented in large-scale programmes in various settings, what the outcomes have been, and to examine the evidence for attribution of changes in nutritional outcomes to programme activities. This summary of ICDS I is retrieved from the ENA Part II where ICDS I is one of 32 large-scale community-based programs that has been reviewed in detail and evaluated.
http://www.who.int/nutrition/publications/infantfeeding/essential_nutrition_actions/en/
","","","","","","","","","","","","","","","","","","","","","The intensity of community health and nutrition workers (CHNWs) , known as Anganwadi workers (ANWs) (estimated at 20 % of full-time equivalents) was 1:1000 persons, i.e. approximately 1:200 children or 10:1000 households.","Bilateral and donor agencies and lenders","The World Bank","Underweight
","While there are no definitive evaluations, most reports on ICDS 1 estimate that the change in underweight attributable to the programme was slight; the rate is plotted as 0,2 ppt/year.
","","Population coverage of approximately 2,5 %","","","","","","","","","","","","","","","","","","","","","","","","","","","","According to the World Bank, definitive judgments on the effectiveness of ICDS I cannot be made due to a lack of high-quality data. Measham & Chatterjee attribute the ineffectiveness of the project, particularly in Orissa, to issues related to proper implementation of programme activities:
1. inadequate coverage of children < 3 years
2. irregular food supply
3. poor nutrition education
4. inadequate health worker training
5. anganwadi work “overload”
6. poor linkages between ICDS and the health system.
","","English" "23359","Integrated Child Development Services Project II (ICDS II)","English","Large scale programmes","","IND","India","Madhya Pradesh|Bihar","","completed","","01-1970","ICDS II activities were carried out in Madhya Pradesh and Bihar between 1993 - 2001. Components of the programme were identical to those in ICDS I.
","WHO (2013) Essential Nutrition Actions – Improving maternal, newborn, infant and young child health and nutrition, which provides a compact of WHO guidance on nutrition interventions targeting the first 1000 days of life. Part I presents the interventions currently recommended by WHO, summarizes the rationale and the evidence, and describes the actions require to implement them. Part II provides an analysis of community-based interventions aimed at improving nutrition and indicates how effective interventions can be delivered in an integrated fashion. It shows how the essential nutrition actions described in the first part have been implemented in large-scale programmes in various settings, what the outcomes have been, and to examine the evidence for attribution of changes in nutritional outcomes to programme activities. This summary of ICDS II is retrieved from the ENA Part II where ICDS II is one of 32 large-scale community-based programs that has been reviewed in detail and evaluated.
http://www.who.int/nutrition/publications/infantfeeding/essential_nutrition_actions/en/
","","","","","","","","","","","","","","","","","","","","","","Bilateral and donor agencies and lenders","The World Bank","Underweight
","ICDS II was found to be unsuccessful in improving the nutritional status of children in Madhya Pradesh and Bihar. In Madhya Pradesh, there was found to be a 0.62 ppt/year increase in severe underweight prevalence and a 0.18 ppt/year increase in moderate underweight prevalence. In Bihar, a 0.93 ppt/year decrease in severe underweight prevalence and a 1.37 ppt/year decrease in moderate underweight prevalence were found.
","","","","","Participants' initial rate of underweight reduction: 3,2 ppt/year. Population sustained rate of underweight reduction: 0,05 ppt/year.
","","","","","","","","","","","","","","","","","","","","","","","","","","","English" "23359","Integrated Child Development Services Project II (ICDS II)","English","Large scale programmes","","IND","India","Madhya Pradesh|Bihar","","completed","","01-1970","ICDS II activities were carried out in Madhya Pradesh and Bihar between 1993 - 2001. Components of the programme were identical to those in ICDS I.
","WHO (2013) Essential Nutrition Actions – Improving maternal, newborn, infant and young child health and nutrition, which provides a compact of WHO guidance on nutrition interventions targeting the first 1000 days of life. Part I presents the interventions currently recommended by WHO, summarizes the rationale and the evidence, and describes the actions require to implement them. Part II provides an analysis of community-based interventions aimed at improving nutrition and indicates how effective interventions can be delivered in an integrated fashion. It shows how the essential nutrition actions described in the first part have been implemented in large-scale programmes in various settings, what the outcomes have been, and to examine the evidence for attribution of changes in nutritional outcomes to programme activities. This summary of ICDS II is retrieved from the ENA Part II where ICDS II is one of 32 large-scale community-based programs that has been reviewed in detail and evaluated.
http://www.who.int/nutrition/publications/infantfeeding/essential_nutrition_actions/en/
","","","","","","","","","","","","","","","","","","","","","","Bilateral and donor agencies and lenders","The World Bank","Underweight
","ICDS II was found to be unsuccessful in improving the nutritional status of children in Madhya Pradesh and Bihar. In Madhya Pradesh, there was found to be a 0.62 ppt/year increase in severe underweight prevalence and a 0.18 ppt/year increase in moderate underweight prevalence. In Bihar, a 0.93 ppt/year decrease in severe underweight prevalence and a 1.37 ppt/year decrease in moderate underweight prevalence were found.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English" "23377","Second Surveillance and Education for Schools and Communities on Food and General Nutrition (SEECALINE)","English","Large scale programmes","","MDG","Madagascar","","","completed","","01-1970","The SEECALINE (Second Surveillance and Education for Schools and Communities on Food and General Nutrition) programme began in 1999 and was gradually scaled-up until 2002. Upon completion of scale-up activities, there were 3600 project sites in half the districts in Madagascar. SEECALINE targeted communities with poorer nutritional status as sites for implementation. Thus, communities with the programme had higher baseline levels of malnutrition than communities that did not have the programme. A key feature is that services are contracted out and provided by local NGOs in the target area. The programme objective was to improve the nutritional status of children under three, PLW, and school-aged children.
The programme also included referral of children under 3 years of age.
","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 SEECALINE is retrieved from the ENA Part II where SEECALINE 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/
","","","","","","","","","","","","","","","","","","","","","Intensity of Community health workers(CHWs) was estimated at 1:125 households to 1:225 households, or 60:1000 households.Resource intensity was estimated at US$ 10/household per year.","Bilateral and donor agencies and lenders","The World Bank","Underweight
","Evaluated by the World Bank in two different ways, using both monitoring data to investigate improvements in nutritional status of child participants, and by using two nationally representative surveys to calculate the improvements in child nutritional status in programme areas rather than among programme participants.
","","Coverage rate of approximately 50 % of the population under 3 years in the target areas","","","The rate of underweight reduction was reported as 0,86-1,25 ppt/year, or approximately 1,1 ppt/year for the population sustained rate
","","","","","","","","","","","","","","","","","","","","","","","","","","","English" "23377","Second Surveillance and Education for Schools and Communities on Food and General Nutrition (SEECALINE)","English","Large scale programmes","","MDG","Madagascar","","","completed","","01-1970","The SEECALINE (Second Surveillance and Education for Schools and Communities on Food and General Nutrition) programme began in 1999 and was gradually scaled-up until 2002. Upon completion of scale-up activities, there were 3600 project sites in half the districts in Madagascar. SEECALINE targeted communities with poorer nutritional status as sites for implementation. Thus, communities with the programme had higher baseline levels of malnutrition than communities that did not have the programme. A key feature is that services are contracted out and provided by local NGOs in the target area. The programme objective was to improve the nutritional status of children under three, PLW, and school-aged children.
The programme also included referral of children under 3 years of age.
","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 SEECALINE is retrieved from the ENA Part II where SEECALINE 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/
","","","","","","","","","","","","","","","","","","","","","Intensity of Community health workers(CHWs) was estimated at 1:125 households to 1:225 households, or 60:1000 households.Resource intensity was estimated at US$ 10/household per year.","Bilateral and donor agencies and lenders","The World Bank","Underweight
","Evaluated by the World Bank in two different ways, using both monitoring data to investigate improvements in nutritional status of child participants, and by using two nationally representative surveys to calculate the improvements in child nutritional status in programme areas rather than among programme participants.
","","Coverage rate of approximately 50 % of the population under 3 years in the target areas","","","The rate of underweight reduction was reported as 0,86-1,25 ppt/year, or approximately 1,1 ppt/year for the population sustained rate
","","","","","","","","","","","","","","","","","","","","","","","","","","","English" "23377","Second Surveillance and Education for Schools and Communities on Food and General Nutrition (SEECALINE)","English","Large scale programmes","","MDG","Madagascar","","","completed","","01-1970","The SEECALINE (Second Surveillance and Education for Schools and Communities on Food and General Nutrition) programme began in 1999 and was gradually scaled-up until 2002. Upon completion of scale-up activities, there were 3600 project sites in half the districts in Madagascar. SEECALINE targeted communities with poorer nutritional status as sites for implementation. Thus, communities with the programme had higher baseline levels of malnutrition than communities that did not have the programme. A key feature is that services are contracted out and provided by local NGOs in the target area. The programme objective was to improve the nutritional status of children under three, PLW, and school-aged children.
The programme also included referral of children under 3 years of age.
","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 SEECALINE is retrieved from the ENA Part II where SEECALINE 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/
","","","","","","","","","","","","","","","","","","","","","Intensity of Community health workers(CHWs) was estimated at 1:125 households to 1:225 households, or 60:1000 households.Resource intensity was estimated at US$ 10/household per year.","Bilateral and donor agencies and lenders","The World Bank","Internal provision supplementary feeding
","Underweight
","Evaluated by the World Bank in two different ways, using both monitoring data to investigate improvements in nutritional status of child participants, and by using two nationally representative surveys to calculate the improvements in child nutritional status in programme areas rather than among programme participants.
","","Coverage rate of approximately 50 % of the population under 3 years in the target areas","","","The rate of underweight reduction was reported as 0,86-1,25 ppt/year, or approximately 1,1 ppt/year for the population sustained rate
","","","","","","","","","","","","","","","","","","","","","","","","","","","English" "23424","Child Survival and Development (CSD) Programme","English","Large scale programmes","","TZA","United Republic of Tanzania","tanzania","","completed","","01-1970","The Child Survival and Development (CSD) Programme was initiated in 1985 and ran until 1995.
The programme also included micronutrient supplementation.
","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 CSD is retrieved from the ENA Part II where CSD 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/
","","","","","","","","","","","","","","","","","","","","","Resource intensity of the CSD programme was US$ 2–US$ 3/child per year.","Bilateral and donor agencies and lenders","The World Bank","Underweight
","","The programme aimed for complete coverage","45% (9/20 regions), with approximately 12 million beneficiaries, 2 million of whom were children.","","","An initial reduction in malnutrition of about 8 ppt/year for 1–2 years, then a continued decrease of 1–2 ppt/year following the initial rapid decline.
","","","","","","","","","","","","","","","","","","","","","","","","","","","English" "23424","Child Survival and Development (CSD) Programme","English","Large scale programmes","","TZA","United Republic of Tanzania","tanzania","","completed","","01-1970","The Child Survival and Development (CSD) Programme was initiated in 1985 and ran until 1995.
The programme also included micronutrient supplementation.
","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 CSD is retrieved from the ENA Part II where CSD 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/
","","","","","","","","","","","","","","","","","","","","","Resource intensity of the CSD programme was US$ 2–US$ 3/child per year.","Bilateral and donor agencies and lenders","The World Bank","Underweight
","","The programme aimed for complete coverage","45% (9/20 regions), with approximately 12 million beneficiaries, 2 million of whom were children.","","","An initial reduction in malnutrition of about 8 ppt/year for 1–2 years, then a continued decrease of 1–2 ppt/year following the initial rapid decline.
","","","","","","","","","","","","","","","","","","","","","","","","","","","English"