Adolescent & women's health & nutrition

With 1.3 billion adolescents (aged 10–19) worldwide — more than 16% of the global population — meeting their nutritional needs is both urgent and essential.

Nutrition International works with governments, particularly ministries of health and education, and local partners in seven countries across Africa and Asia to create enabling policies and programs for adolescent nutrition.

Through gender-responsive nutrition education, we equip adolescent girls and boys with the knowledge, skills and resources they need to understand their own growth and development, and to realize the lifelong benefits of improved health and nutrition. We also work to prevent adolescent anaemia through weekly iron and folic acid supplementation (WIFAS), while also addressing the broader needs of adolescents through improved access to nutrition and health education, including topics such as physical activity, dietary diversity, balanced diets, menstrual health management, growth and development, and sexual and reproductive health.

With our support, 4.6 million adolescent girls received the full scheme of WIFAS in 2024, averting over 760,000 cases of anaemia. In Bangladesh, in the absence of a national health information platform, we developed and distributed new registers and reporting forms for WIFAS, while training teachers and school staff on their use. The data collected was regularly shared with district officials, enabling timely decisions and improved program delivery of this new program. In Ethiopia, following Nutrition International’s sustained support and advocacy, the WIFAS formulation containing 60 mg of elemental iron and 2.8 mg of folic acid was added to the country’s Essential Medicines List: an important milestone towards securing a sustainable and affordable national supply for adolescent girls. We also partnered with the Forum for African Women Educationalists in Senegal to design school-based interventions that contribute to addressing gender inequalities that impact health outcomes.

In response to increased hesitancy around supplementation for adolescents in some countries, we collaborated with the Harvard T.H. Chan School of Public Health to conduct a scoping review of food-based dietary guidelines in select countries to evaluate how effectively they meet the nutritional needs of adolescents, particularly for iron. The findings will help governments weigh the potential and limits of food- and supplement-based approaches to improve adolescent nutrition. Additionally, we continued to provide technical leadership by sharing evidence from Nutrition International’s adolescent nutrition programs at international forums and key global dialogues.

Looking ahead

Strengthening equity and expanding impact for adolescents.

Over the coming years, Nutrition International will prioritize increasing global, regional, national and local investments in adolescent nutrition. It is critical that adolescents are explicitly included in targets and commitments, with resources directed toward improving their nutrition and health. A central focus will be supporting governments to expand adolescent nutrition programming through a health-promoting schools’ approach.

In countries where adolescent nutrition programs are already at scale, we will focus on strengthening equity and impact. Similarly, where governments still rely on Nutrition International for WIFAS procurement and reporting, we will work to build ownership, capacity and investment, while also pursuing market-shaping opportunities to make adolescent-specific WIFAS more affordable and widely available. At the global level, we will continue to provide technical leadership, advance evidence-based action and ensure adolescents, especially girls, are meaningfully engaged in shaping programs, policies and advocacy.