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[post_content] => [caption id="attachment_12695" align="alignnone" width="1000"] CNAP launch in Busia County[/caption]
On November 18th, Busia County launched its County Nutrition Action Plan (CNAP) in the presence of the County Governor Sospeter Ojaamong’, Nutrition International President and CEO Joel Spicer, Nutrition International Africa Regional Director, Dr. Richard Pendame and Nutrition International Kenya Country Director, Martha Nyagaya.
In Busia County, undernutrition affects mainly women and children, especially during the first 1,000 days (from conception to a child’s second birthday) due to their high nutrient requirement. Stunting is the predominant form of malnutrition in the county, standing at 22%, while 9.5% and 2.2% of the children under five are underweight and wasted, respectively (Kenya Demographic Health Survey 2014). The CNAP aims to reduce the prevalence of stunting among children under five by 40%, childhood wasting to less than 5%, childhood underweight to less than 10% and improve the nutrition status of the general population.
The county has prioritized the improvement of food and nutrition security in its County Integrated Development Plan 2018-2022 (CIDP).
“This CNAP demonstrates the County government’s commitment to its vision of making Busia a healthy, productive and internationally competitive county,” said the Honourable Moses Mulomi, Deputy Governor of Busia County.
Ms. Nyagaya congratulated the county stakeholders for a job well done. “The development and launch of the Busia CNAP is a clear and powerful signal of the county's leadership to make nutrition a priority for a healthier population,” she said.
Adolescent girls from Busibwabo and St Joseph’s primary schools and Our Lady of Mercy Secondary School presented songs and poems to celebrate the positive impact of Nutrition International’s weekly iron and folic acid supplementation program, which gave them ‘wings to fly.’ A song by St. Joseph’s Primary School girls called on leaders and caregivers to "say yes to children and make the world a better place!" "Never again shall we suffer from anaemia!" was the message in a poem recited by adolescent girls from Busibwabo Primary School.
Mr. Spicer echoed the call by adolescent girls. “Women and girls have a right to good nutrition, in order to 'fly and touch the sky',” he said “They are key in breaking the intergenerational cycle of malnutrition. That is our focus at Nutrition International.”
Governor Ojaamong’ pledged his government’s support to implementation of the CNAP and allocation of resources to nutrition programs. “Through partner support, we now have our first roadmap towards good nutrition. This document will be utilized in resource mobilization. My government commits to work with Nutrition International and other partners in ensuring we achieve our goal of healthy people and healthy county,” he added.
The CNAP includes 10 key result areas, focused around three themes: nutrition-specific interventions, nutrition-sensitive interventions and enabling environment. The total cost of implementing the Busia CNAP for five years is estimated at Ksh2.1 billion.
Nutrition International has invested a total of Ksh7.2 million in Busia County to optimize the provision of gender-sensitive and responsive adolescent nutrition interventions through its Right Start (Anzilisha) initiative.
[post_title] => Busia County makes nutrition a priority for a healthier population
[post_excerpt] => In Busia County, undernutrition affects mainly women and children, especially during the first 1,000 days (from conception to a child’s second birthday) due to their high nutrient requirement.
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[post_content] => [caption id="attachment_12698" align="alignnone" width="1000"] CNAP launch in Vihiga County[/caption]
On November 19th, Vihiga County launched its County Nutrition Action Plan (CNAP) in the presence of County Governor Dr. Wilber Ottichilo, Head of Legal Affairs at Kenya’s Council of Governors Rosemary Njaramba, Nutrition International President and CEO Joel Spicer, Nutrition International Africa Regional Director Dr. Richard Pendame and Nutrition International Kenya Country Director Martha Nyagaya.
Vihiga County has a stunting rate of 23.5%, which is categorized as high according to WHO and UNICEF’s thresholds. A total of 2.6% of children under five are wasted and 4% are obese (Kenya Demographic Health Survey 2014). The CNAP aims to reduce the prevalence of stunting among children under five by 40%, childhood wasting to less than 5%, childhood underweight to less than 10% and increase dietary diversity by 90%.
Malnutrition accounts for more than half of deaths among children under five. Malnourished children, particularly those with severe acute malnutrition, have a higher risk of death from common childhood illnesses such as diarrhoea, pneumonia, and malaria. Non-breastfed infants and children have a seven-fold and five-fold greater risk of death from diarrhoeal diseases and respiratory tract infections, respectively. More than half of under-five deaths are due to diseases that are preventable and treatable through simple, affordable interventions. Strengthening health systems to provide such interventions to all children will save many young lives.
"As a county, we have given nutrition priority in the health sector,” remarked Dr. Ottichilo during a meeting with Mr. Spicer. The governor further noted that the county was entrenching nutrition issues beyond the political cycle by enshrining it in the county’s legal framework. This is expected to ensure adequate allocation of resources to nutrition programs. “We have recruited more nutritionists in our health facilities." The governor thanked Nutrition International for supporting 16 counties to develop CNAPs and urged the organization to embrace other counties for the benefit of nutrition programs countrywide.
Ms. Nyagaya termed the launch of Vihiga CNAP as a key milestone in addressing the problem of malnutrition in the county−and nationally.
In his remarks, Mr. Spicer lauded the momentum to scale up nutrition in Kenya. Nutrition International’s support of the development of the KNAP and CNAPs confirms the organization’s commitment to invest in counties. “We are excited that counties are willing to increase resources to nutrition. And we are excited to see multi-sectoral approaches to scale up nutrition in Vihiga County,” he said.
Testimonials by members of the Baba Anzilisha (father-to-father support) Group, a Nutrition International initiative to redefine gender roles in the fight against malnutrition, received praise from the county leaders. The Governor saluted the group. “We can see men willing to be with their spouses during pregnancy, delivery and care of babies. Men who are members of Anzilisha Group are our role models," he said.
The CNAP includes 10 key result areas, focused around three themes: nutrition-specific interventions, nutrition-sensitive interventions and enabling environment. The total cost of implementing Vihiga CNAP for the five years is estimated at Ksh1.6 billion.
Through its Right Start (Anzilisha) initiative, Nutrition International has invested KES 7,392,000.00 (March 2019 - March 2020) in Vihiga County with the aim of creating an enabling environment and improving provision and consumption of key maternal child health and nutrition services.
[post_title] => Vihiga County adopts multi-sectoral approach in nutrition
[post_excerpt] => On November 19th, Vihiga County launched its County Nutrition Action Plan (CNAP) in the presence of County Governor Dr. Wilber Ottichilo, Head of Legal Affairs at Kenya’s Council of Governors Rosemary Njaramba, Nutrition International President and CEO Joel Spicer, Nutrition International Africa Regional Director Dr. Richard Pendame and Nutrition International Kenya Country Director Martha Nyagaya.
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[caption id="attachment_2302" align="alignnone" width="1500"] Nandi County Nutrition Action Plan Launch[/caption]
On November 20th, Nandi County launched its County Nutrition Action Plan (CNAP) in the presence of County Governor Stephen Sang and Nutrition International President and CEO Joel Spicer, Nutrition International Africa Regional Director Dr. Richard Pendame and Nutrition International Kenya Country Director Martha Nyagaya. A representative from Kenya’s Nutrition and Dietetics Division, Betty Samburu, was also among the speakers.
Nandi County is among the counties with the highest levels of malnutrition in Kenya. According to the Kenya Demographic Health Survey 2014, the prevalence of stunting among children under five was 29.9%, way above the national level of 26%, wasting was at 4% while underweight was at 11%. The County Chief Executive Committee Member for Health, the Honourable Ruth Koech, said these figures “are unacceptable.” The CNAP targets the reduction of the prevalence of stunting among children under five by 40%, childhood wasting to less than 5%, childhood underweight to less than 10% and reduce malnutrition among older children and adolescents by 15%.
The CNAP provides a roadmap to the County Government and nutrition stakeholders to address and reverse the trends of the triple burden of malnutrition. This plan is aligned with the County Strategic Plan, the County Integrated Development Plan, the Annual Work Plan and the Kenya National Nutrition Action Plan.
Dr. Pendame challenged governments to prioritize nutrition, adding that nutrition should be anchored in the political and economic agenda of all governments. He thanked countries that had taken control of nutrition by developing multi-sectoral action plans. At the same time, Dr. Pendame cited nutrition initiatives by the African Union and Malabo Declaration as good examples of efforts to elevate the nutrition agenda in Africa.
In his remarks, Governor Sang announced that the county’s target was to “reduce all forms of malnutrition by 50% by 2023.” He thanked Nutrition International for supporting the priorities identified by the county, stating that his government had mainstreamed nutrition across departments such as agriculture, education, lands and settlement, and allocated resources to nutrition programs.
Through sustained advocacy campaigns, Nandi County leaders, including Members of County Assembly, have transformed negative cultural practices and taboos, by sensitizing residents to adopt good nutrition practices. “Nutrition has become a family agenda in Nandi County. We are on the right track. When you invest in nutrition it's a priceless investment and an investment for the future generations,” said Koech.
The Deputy County Governor Dr. Yulita Cheruiyot is engaging women in nutrition education and kitchen gardening through her ‘Korgei Arise’ initiative. “We want to be the source of champions in everything, including nutrition,” Dr. Cheruiyot remarked.
Mr. Spicer praised the county for accelerating nutrition programs. “We are witnessing a dream state of affairs in nutrition,” he said. He pledged Nutrition International’s support to counties to strengthen leadership and ownership of nutrition programs.
The CNAP includes 10 key result areas, focused around three themes: nutrition-specific interventions, nutrition-sensitive interventions and enabling environment. The total cost of implementing the Nandi CNAP for the five years is estimated at Ksh2.3 billion.
Through its Right Start (Anzilisha) initiative, Nutrition International has invested Ksh7 million in Nandi County in 2018-2019, with an aim of creating an enabling environment, improving provision and consumption of key maternal child health and nutrition services.
[post_title] => Nandi County, the source of nutrition champions
[post_excerpt] => On November 20th, Nandi County launched its County Nutrition Action Plan (CNAP) in the presence of County Governor Stephen Sang and Nutrition International President and CEO Joel Spicer, Nutrition International Africa Regional Director Dr. Richard Pendame and Nutrition International Kenya Country Director Martha Nyagaya. A representative from Kenya’s Nutrition and Dietetics Division, Betty Samburu, was also among the speakers.
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[post_content] => [caption id="attachment_12704" align="alignnone" width="1000"] Makueni County Nutrition Action Plan Launch[/caption]
On November 22nd, Makueni County launched its County Nutrition Action Plan (CNAP) in the presence of County Governor Prof Kivutha Kibwana, Nutrition International President and CEO Joel Spicer, Nutrition International Africa Regional Director Dr. Richard Pendame and Nutrition International Kenya Country Director Martha Nyagaya. Kenya’s Head of Nutrition and Dietetics Division, Veronica Kirogo, was also among the speakers.
According to the Kenya Demographic Health Survey 2014, the prevalence of stunting, wasting and underweight in Makueni County was 25.1%, 2.1% and 10.2% respectively. The Makueni CNAP targets the reduction of the prevalence of stunting among children under five years by 40%, childhood wasting to less than 5%, childhood underweight to less than 10%, and reduce malnutrition among older children and adolescent by 15%.
The County Chief Officer for Health Services, Dr. Patrick Kibwana, noted that to ensure effective and sustainable nutrition outcomes and health-related outcomes, the CNAP integrates gender-responsive interventions to address underlying and deep-rooted gender inequalities, socio-cultural and economic differences closely affecting improved food and nutrition security, and well-being of men and women across different ages and diversities in the county.
Chief officers from various departments highlighted how nutrition is integrated in their programs. Mr. Eliud Munyao, Chief Officer of Planning and Budget, was categorical that nutrition should not be seen as the purview of the Health Department alone. The county is steadily allocating budgets to nutrition programs in other departments in order to enable the Health Department to achieve its mandate and guarantee optimum nutrition in the county.
Governor Kibwana said the fight against malnutrition is a responsibility of all sectors. A comprehensive multi-sectoral action plan is the key to reverse malnutrition trends. He observed that the launch of the CNAP was the culmination of a strong partnership between his government, Nutrition International and other nutrition partners. He expressed confidence that the county would achieve the targets in the CNAP.
“Nutrition is the difference between fighting illness and surviving it,” remarked Ms. Nyagaya. “Malnutrition isn't just a problem, it's an urgent problem. We have the plan, the county leadership has the will. And where there is a will, there is a way.”
Ms. Kirogo reflected on the country’s malnutrition situation following the release of the Cost of Hunger in Africa (COHA) Kenya Study report. “In Kenya, we are condemning about 2 million stunted children to a future where they will not achieve their full potential. This is a red card that we need to act now!” she said.
Testimonials from community health volunteers (CHVs) addressed negative cultural practices that affect the involvement of men in maternal and childcare issues. Through training, Nutrition International has equipped CHVs in Makueni with adequate knowledge and information on maternal, newborn and child health and nutrition. CHVs conduct home visits and community barazas (meetings) to share knowledge and skills to groups such as lactating mothers.
The County First Lady, Her Excellency Nazi Kivutha, said she was happy the county was integrating nutrition into gender issues. “In the African context, a woman is key to good nutrition. Nutrition is a woman issue. If women get it right, the whole family gets it right,” the First Lady stated.
“We have to ask ourselves, who are we leaving behind? The next generation of Eliud Kipchoge or doctors or businesswomen and men?” said Mr. Spicer, adding that more than one out of four stunted children in Kenya is being left behind.
Ms. Kirogo was upbeat. “We are here today to witness this commitment and we are looking forward to increased budgetary allocation to nutrition in health department and other nutrition-sensitive sector departments to enable full implementation of CNAPs.”
The CNAP includes 10 key result areas, focused around three themes: nutrition-specific interventions, nutrition-sensitive interventions and enabling environment. The County Department of Health requires an investment worth Ksh1.26 billion for nutrition over the plan’s period.
Nutrition International has invested a total of Ksh6,997,500 in Makueni County this financial year, with an aim of creating an enabling environment and improving provision and consumption of key maternal child health and nutrition services through its Right Start (Anzilisha) initiative.
[post_title] => Makueni County on course to mainstream nutrition
[post_excerpt] => On November 22nd, Makueni County launched its County Nutrition Action Plan (CNAP) in the presence of County Governor Prof Kivutha Kibwana, Nutrition International President and CEO Joel Spicer, Nutrition International Africa Regional Director Dr. Richard Pendame and Nutrition International Kenya Country Director Martha Nyagaya. Kenya’s Head of Nutrition and Dietetics Division, Veronica Kirogo, was also among the speakers.
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[post_content] => [caption id="attachment_12704" align="alignnone" width="1000"] Makueni County Nutrition Action Plan Launch[/caption]
Nutrition International is currently supporting the development of County Nutrition Action Plans (CNAPs) in Kenya. Part of this support is provided under its Nutrition Technical Assistance Mechanism (NTEAM)'s Technical Assistance for Nutrition (TAN) project, funded with UK aid from the UK Government which compliments other Nutrition International resources including the SUN UNOPS funds and the Right Start grant under the country office.
This support for CNAPs builds strategically on previous Nutrition International's previous work under the TAN project in Kenya: an in-depth review of the Kenya 2012-2017 National Nutrition Action Plan, and the development of several components of the 2018-2022 National Nutrition Action Plan, namely it's costing, financial tracking mechanism, monitoring & evaluation framework and analysis of the enabling environment.
Nutrition International prioritized supporting seven counties to develop CNAPs: Elgeyo Marakwet, Kajiado, Makueni, Tharaka Nithi, Busia, Vihiga and Nandi. This support kicked off in July 2019 at inception meetings in Makueni and Elgeyo Marakwet, and in August in Tharaka Nithi County, Nandi, and Vihiga. Nutrition International was involved both as a lead and as a participant throughout the process; Nutrition International staff (from the TAN project and country office) participated in writing workshops, validation meetings, while technical assistance providers facilitated the meetings. Partners who financially supported some activities included NHPplus for Busia and Tharaka Nithi. For all meetings, partners were drawn from UNICEF, System Enhancement for Transformative Health (SETH), Academic Model Providing Access to Healthcare (AMPATH), World Vision and Baraton University. This was followed by two workshops, in Nakuru and Meru, that brought together the seven different counties, followed by several additional meetings and workshops where stakeholders were able to:
Engage in the joint formulation of CNAPs
Learn best practices in CNAP development
Learn about key medium-term health priorities for use in CNAP development
Understand the proposed CNAP development process including key steps, outline and roles and responsibilities
Draft a roadmap of key milestones for the CNAP 2018-2023 development process
The support Nutrition International provided to the CNAP development increased the support and engagement of stakeholders across sectors in the seven counties for nutrition. The meeting participants were drawn from different line ministries and sectors in the counties, including agriculture, education, social sector and nutrition partners implementing programs in the counties. These teams were led by the health department, as that is where nutrition is domiciled in the country. The process has so far achieved its objectives, and the CNAPs should help mobilize resources for nutrition and foster synergy across multiple sectors in support of improved nutrition. In November 2019, the CNAPs were launched in four of the seven counties; providing a platform for further discussions with county Governors (highest level of office holders at county level) to discuss financing and resourcing for implementation of the CNAPs. Nutrition International met with Governors to discuss to mobilizing resources for nutrition for implementation of the CNAPs.
Read more about the CNAP launches
[post_title] => Working Together to Develop Sub-national Nutrition Action Plans in Kenya
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[caption class="ni__story-caption ni__story-caption__wide" version="1.5" id="video" video_url="https://www.youtube.com/embed/_wRDg7NhVkQ?si=lSUrlhIYBGupNV_D" video_title="Video Player" caption="Peer support group promotes maternal and newborn health in Kenya"]
Meet Sherry Wamunyenga, mom of two and leader of her mother-to-mother support group.
In Kenya, mother-to-mother groups are designed to equip mothers and pregnant women with knowledge and skills to support healthy pregnancies, safe childbirth and optimal postnatal care. The groups are part of comprehension behaviour change intervention strategy and led by women in the locality who receive training from the county Ministry of Health in collaboration with Nutrition Internation.
As group leader, Sherry is responsible for recruiting new members to the group, facilitating meetings and sharing key messages to foster awareness and enhance care-seeking behaviours among members.
In 2019, Nutrition International provided technical and financial support to the County Government of Vihiga to develop its County Nutrition Action Plan. It is a five-year strategic roadmap to tackle county-specific nutrition issues. The plan identifies priority multi-sectoral nutrition intervention actions for each sector, defines targets for each intervention, provides a monitoring and accountability framework, and costing of interventions for budgeting.
Nutrition International supported 11 counties to finance County Nutrition Action Plans through domestic resource mobilization (DRM) to enable county ownership and sustainability. The success of mother-to-mother support groups is one example of this work.
Watch to learn more about how Sherry approaches her role and the efforts in place at the county level to meaningfully support maternal and newborn health and nutrition.
Learn more about Nutrition International's work in Kenya.
[post_title] => WATCH: Mother-to-mother support groups show the power of peer support
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[post_content] => Sherry Wamunyenga, a mother of two residing in Ebutanyi village, Vihiga in Kenya, was first introduced to her local mother-to-mother support group while pregnant with her first child. Now, several years later, Sherry has assumed the role of “lead mother” – the designated person who helps facilitate the group’s activities. She’s paying it forward by empowering other women in her community with the knowledge they need to embark on a positive pregnancy experience, setting the stage for a mom to have the support and know-how to take care of their own health and that of a newborn.
Mother-to-mother support groups are community-based initiatives that harness the power of peer support to equip mothers and pregnant women with knowledge and skills to ensure healthy pregnancies, safe childbirth and optimal postnatal care. Led by a “lead mother”, the group offers a safe haven where members are able to learn, share experiences and challenge societal myths surrounding motherhood and childcare.
[caption class="ni__story-caption ni__story-caption__wide" version="1.5" id="image_123" image_url="https://www.nutritionintl.org/wp-content/uploads/2024/03/Lead-mother-Sherry-Wamuyenga-leads-and-interacts-with-members-of-her-Mother-to-Mother-group.jpg" image_alt="A group of women listen to a presentation." caption="Mother-to-mother support groups leverage peer-to-peer influence to empower mothers and pregnant women with the knowledge and skills to promote healthy pregnancies, safe delivery and quality postnatal care."]
In Kenya, where preventable deaths among mothers and newborns still occur due to delayed interventions, these support networks emerge as lifelines, bridging gaps in access to timely care and accelerating maternal and newborn health and nutrition. The most recent Kenya Demographic Health Survey highlights a marginal improvement in the reduction of neonatal mortality rates, with a minor decrease from 22 to 21 deaths per 1,000 live births observed between 2014 and 2022. Additionally, maternal mortality remains a concern in Vihiga County, as indicated by the 2019 Kenya Population and Housing Census, which reported a ratio of 393 deaths per 100,000 live births attributed to pregnancy-related causes.
[caption class="ni__story-caption" version="1.5" id="image_456" image_url=" https://www.nutritionintl.org/wp-content/uploads/2024/03/DSC5746.jpg " image_alt=""The participants of the mother-to-mother support group listen to the lead mother." caption=" Sherry's mother-to-mother support group is made possible through Nutrition International’s partnership with the County Government of Vihiga, which leverages domestic resources to turn the strategic plans into impactful programs."]
Sherry’s mother-to-mother support group is supported through domestic funding from Nutrition International’s joint partnership agreement with the County Government of Vihiga. The partnership connects advocacy and nutrition financing efforts to build political will for nutrition, as well as mobilize increased resources and formulate policies and legislation to guide key nutrition interventions. Nutrition International supported the development of Vihiga County’s County Nutrition Action Plan (CNAP) – a five-year strategic roadmap to tackle county-specific nutrition issues.
“Nutrition International provides technical support so that counties can develop evidence-based nutrition action plans,” said Stephen Mwangi, Senior Program Officer, Maternal and Newborn Health and Nutrition, Nutrition International. “This is the basis upon which resource mobilization happens.” Each CNAP identifies prioritized interventions to achieve county-specific key objectives and estimates the cost of implementing these interventions. Subsequently, the interventions and activities are financed through the domestic resource mobilization model, where county governments and Nutrition International engage in a mutually agreed commitment to match funds, with each party contributing 50% of the program budget.
[caption class="ni__story-caption" version="1.5" id="image_789" image_url="https://www.nutritionintl.org/wp-content/uploads/2024/03/DSC5640.jpg" image_alt="A young child sitting on their mother's lap." caption="In addition to funding mother-to-mother support groups, the program also offers training sessions, educational resources and job aids, in line with Vihiga’s CNAP, which prioritizes the acceleration of maternal, infant and young child nutrition."]
“Nutrition is important to us because nutrition constitutes what life is,” said Hon. Wilber Ottichilo, Governor of Vihiga County, recognizing the pivotal role of timely quality nutrition in improving maternal and neonatal health outcomes. “If you want to deal with health matters in a prudent manner, nutrition should take the front stage. It’s nutrition that dictates the wellbeing and health of a human being.”
Vihiga’s CNAP outlined scaling up maternal, infant and young child nutrition through intensified advocacy, nutrition education, communication and social mobilization using community support groups to promote positive nutrition behaviours as a priority. Alongside funding mother-to-mother support groups, the program provides capacity building, including refresher training sessions, educational resources and job aids.
Sherry is responsible for recruiting new members to the group, facilitating meetings and sharing key messages to foster awareness and enhance care-seeking behaviours among members. She takes great pride in her role as “lead mother”, a position she assumed following rigorous training sessions supported by Nutrition International and the county. These sessions equipped her with a wealth of knowledge on fostering healthy habits from conception through the first 1,000 days.
[caption class="ni__story-caption ni__story-caption__wide" version="1.5" id="image_91011" image_url="https://www.nutritionintl.org/wp-content/uploads/2024/03/DSC5756.jpg" image_alt="A woman holds up a booklet to teach a group of people." caption="As the “lead mother”, Sherry facilitates the group’s activities and fosters an environment where members can share experiences and challenge myths surrounding motherhood and childcare."]
“I was so happy to teach other mothers what I had learned from the training and that is how I became their leader,” Sherry reflected. Beyond the initial training, she continues to receive ongoing support through coaching, mentorship and follow up training from healthcare workers at the community and facility level. This ensures that the support group’s activities and messages align with globally accepted recommendations for maternal infant and young child nutrition.
[caption class="ni__story-caption" version="1.5" id="image121314" image_url="https://www.nutritionintl.org/wp-content/uploads/2024/03/A-mother-goes-through-an-antenatalboocklet-during-a-Mother-to-Mother-group-session-led-by-Sherry-Wamuyenga.jpg" image_alt="A woman reads an informational pamphlet" caption="The Anzilisha booklet, which translates to “right start”, was cocreated by Nutrition International and the county government and outlines key standardized messages for mothers during the first 1,000 days."]
Guided by the Anzilisha, or Right Start booklet that outlines key messages for mothers during the first 1,000 days, Sherry and her fellow lead mothers work in tandem with community health volunteers to disseminate accurate and standardized information. Group members meet regularly to discuss various topics related to maternal and newborn child health and nutrition, including the importance of early and frequent antenatal care visits, iron and folic acid supplementation, delivery under a skilled birth attendant, exclusive breastfeeding and more.
The members and their families are experiencing positive changes at home. Guided by Sherry’s leadership, the mothers in her group have been cultivating and maintaining kitchen gardens to introduce an array of nutrient-rich vegetables into their family’s diet and support their children’s development. Emphasizing variety, group members reciprocally exchange their yield with each other to address any nutritional gaps. “This way everyone gets something. If someone gives me what I don’t have, I give them what they lack,” Sherry shared. Moreover, if a mother’s produce flourishes abundantly, she can sell the surplus yield and use the proceeds earned to purchase protein-rich foods to include in their family’s diet.
Taking personal responsibility for overseeing the progress of this community initiative, Sherry visits each mother’s home, ensuring not only the existence, but also the functionality of their kitchen gardens. “As their lead,” she asserted, “I need to know if they are well and if their children are well.”
Acknowledging the pivotal role men play as champions of gender equality, Sherry actively fosters an environment within her group where mothers are prompted to engage in open discussions about maternal health and nutrition matters with their partners. Reflecting on her personal experience, she shares how conveying the significance of male involvement to her own husband resulted in a notable shift – he began accompanying her to antenatal care visits and assumed additional household duties, such as cooking and cleaning. “That has helped the community,” she said. “When people see that Sherry was taken to the hospital by the baby’s father, they also try to go with their partners."
Susan Koli agrees. Currently seven months pregnant with her second child, she finds immense support in her husband, who faithfully accompanies her to her antenatal care visits at Emuhaya Sub-County Hospital in Vihiga County, emphasizing their joint commitment to a healthy pregnancy and safe delivery. For Susan, this shared experience has been invaluable, as it allows her husband to directly receive the same knowledge, empowering him to be an even more supportive partner. “It’s important to have my husband with me when going for antenatal care. He gives me the confidence to have him there and he can also provide encouragement,” she explained.
The program is delivering measurable results. “We have seen the frequency of women attending antenatal care in Kenya has gone up,” said Mwangi. “In the country, close to 90% of pregnant women are giving birth in health facilities.”
[caption class="ni__story-caption ni__story-caption__wide" version="1.5" id="image151617" image_url="https://www.nutritionintl.org/wp-content/uploads/2024/03/DSC5767.jpg" image_alt="Member's of the mother-to-mother support group stand in front of the Embasaba Chief's Office" caption="Group members and their families are experiencing positive changes at home and the latest Kenya Demographic Health Survey revealed improvements in the coverage of maternal and newborn health and nutrition interventions. "]
The 2022 Kenya Demographic Health survey revealed improvements in the coverage of maternal and newborn health and nutrition interventions. Over the years, the percentage of women receiving at least one antenatal care visit from a skilled health care provider has climbed steadily from 87% in 2003 to 98%. Similarly, attendance at antenatal care visits during the critical first trimester has increased from 10% in 2003 to an 29%. Equally encouraging is the rise in the proportion of women completing four or more antenatal care visits, increasing from 47% in 2008-09 to 66%.
Enhancing maternal and neonatal outcomes remains a priority for the County Government of Vihiga as the county works towards reducing the number of preventable deaths among mothers and young children. At the heart of the domestic resource mobilization initiative lies county ownership, a principle that not only demonstrates a long-term commitment to addressing local issues, but also fosters sustainability beyond the lifespan of external funding sources, driving change from within.
“We have established a nutrition coordination unit, meaning that this is now a permanent program within our county,” underscored Governor Ottichilo. “We are looking forward to continue working with Nutrition International and other partners, but when they are all gone, we will continue and we will not stop because we have put a solid foundation in place on which to operate forever.”
With Nutrition International’s support, Vihiga County will continue building the structures and required capacities essential for planning, implementing and monitoring maternal health and nutrition interventions long after development partners end their support.
As for Sherry, her determination to continue spreading awareness and knowledge within her community burns brighter than ever. “My greatest joy is seeing children and pregnant mothers healthy,” she said. “It motivates me to continue impacting them, giving them the strength to keep going. That’s what truly motivates me to be a lead mother for my group.”
[post_title] => Peer support promotes maternal and newborn health in Kenya
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[post_content] => As the pandemic triggered a global malnutrition crisis that jeopardizes an entire generation, we adapted our programs and worked to ensure governments, partners and donors leaned in on nutrition as part of the response. About Nutrition International We nourish people to nourish life. For nearly 30 years, we have focused on delivering low-cost, high-impact, nutrition interventions to people in need.
Working alongside governments as an expert ally, we combine deep technical expertise with a flexible approach, increasing impact without increasing complexity or cost. We serve as a force multiplier across the development ecosystem, using our unique combination of capabilities to help countries overcome barriers to scaling up nutrition, domestic resource mobilization as well as local government capacity and ownership. In more than 60 countries, primarily in Asia and Africa, Nutrition International nourishes people to nourish life.
Nutrition in the time of COVID-19 Ensuring nutrition is central to COVID-19 mitigation efforts. The COVID-19 pandemic upended the world, but it has been most devastating for the people Nutrition International exists to serve – those living in vulnerable situations and facing a growing list of daily challenges as they try to protect the people they love.
Even early on, we knew that COVID-19 would unleash a malnutrition crisis. We also knew its impacts could compromise the lives of millions of people in need and unwind decades of hard-won development gains. That’s why we ensured nutrition was central to all our COVID-19 mitigation efforts from day one.
We adapted our programs and worked to ensure governments, partners and donors knew that their COVID mitigation efforts had to include nutrition as part of each phase of their pandemic response.
This report highlights the work of our teams around the world over the past year. We haven’t yet seen the end of COVID and its impacts, but thanks to our expertise and the ongoing support of our donors and partnerships we have helped millions of people improve their nutrition, their health and their resilience – not only to this crisis but the next.
Our Investment Case By 2030, we aim to transform the lives of one billion people by improving their nutritional status. The pandemic only reinforces the need for this.
COVID-19 has unleashed a malnutrition crisis, which threatens to be more devastating than the pandemic itself and jeopardizes the future of an entire generation –and some of the most acute impacts will be felt more intensely by women and girls. Already more likely to be malnourished than men and boys, they are now least likely to be able to access the health and nutrition services they need.
Launched in 2018, our Strategic Plan, the first of two six-year plans to achieve that goal, details our approach, interventions and outcomes. The accompanying Investment Case, the first for a nutrition organization, will finance the scale-up of proven high-impact, low-cost nutrition interventions.
COVID-19 has presented a significant threat to this progress, but we are still on track to reach the health, human capital and economic targets by 2024. We also believe that Nutrition International’s work in the fight against malnutrition is more relevant than ever as COVID-19 strains economies, health systems, and pushes people living in poverty to the breaking point.
Country Highlights Making an impact in our core countries. Nutrition International has offices in 10 countries and works in more than 60 countries across Africa and Asia. See the highlights from our core countries.
Nutrition International worked with the government and other partners to deliver micronutrient supplements, fortified staple foods, and improved health and nutrition services, especially for women, children and girls. Some key highlights from this year include:
Provided technical assistance to the government to develop the national policy on adolescent nutrition and planning to initiate a scaled-up weekly iron folic acid supplementation program through in-school and community-based platforms.
Successfully advocated for the purchase and distribution of 45 million iron folic acid supplements to remedy supply gaps identified in some districts.
Conducted rapid situation assessment of approximately 5,000 community clinics to determine the impact of the pandemic on service delivery of antenatal care and iron folic acid. Provided advice and guidance on adaptions directly to healthcare workers through more than 16,000 telephone calls. Virtually monitored health facilities in all 26 districts and two city corporations.
Nutrition International worked with government and other partners to improve the nutritional status of women, girls and children through affordable and innovative programs and interventions. Some key highlights from this year include:
Provided technical assistance to the Ethiopia Food and Drug Administration to update monitoring and inspection tools following the revision of salt standards. Trained 55 food inspectors and their supervisors, focusing on iodine deficiency disorders through the universal salt iodization program, the national edible salt standard, and iodized salt inspection across the salt value chain.
Ensured safer pregnancies and healthier babies for over 58,500 additional pregnant women by providing 90 or more iron folic acid tablets during their pregnancy.
Provided technical assistance to the Ministry of Health to develop pre-service training quality assurance plan and ensured this included a child health illness management protocol in the Certification of Competency of health providers.
Supported the national government’s increase in coverage of zinc and low-osmolarity oral rehydration salt treatment in 88 new woredas.
Through key interventions, such as vitamin A supplementation, fortified salt, and iron and folic acid supplementation, Nutrition International helped to improve the health and nutrition of women, children and adolescent girls. Some key highlights from this year include:
Established a Centre of Excellence for maternal and newborn care at the Chandauli District hospital in Uttar Pradesh.
Conducted a health economic analysis that showed that 94 million anaemia case-years could be averted, and 284,000 disability-adjusted life years could be saved, through the fortification of rice in different SSNPs – which could reach 235 million women. In addition to the health benefits, this would translate into CAD 1.4 billion in savings to the health system over five years. The results of this analysis were used by the national government in the process that led its decision to make it mandatory for all rice provided through SSNPs to be fortified by 2024.Supported three states to conduct two rounds of vitamin A supplementation – covering 26.8 million children despite the constraints caused by COVID-19. This represents an additional 14.4 million children who will be better protected from preventable diseases and blindness.
Alongside the government, Nutrition International supported the development and implementation of nutrition interventions including VAS, fortified wheat flour, iodized salt, and iron folic acid supplementation. Some key highlights from this year include:
Protected 1.3 million newborns from iodine deficiency disorders by ensuring the adequate iodine status of their mothers through the USI program.
Delivered two doses of vitamin A to an additional 3.4 million children, protecting them from preventable diseases and blindness.
Trained 265 frontline health workers on WIFAS with gender-responsive nutrition education components as part of the Better Investment for Stunting Alleviation (BISA) project funded by the Power of Nutrition and in partnership with Save the Children.
Nutrition International worked with national and sub-national governments to support research, policy development and the implementation of low-cost, high-impact interventions. Some key highlights from this year include:
Launched performance-based, matched funding agreements with four counties, designed to leverage verifiable increases in domestic funding for high-impact nutrition interventions. Each of the counties will be contributing Ksh 36 million against Nutrition International’s contribution of Ksh 30 million for three years .
Provided technical assistance for the development of 11 county nutrition action plans, which are subnational plans with low-cost, high-impact priority nutrition activities.
Provided technical assistance for the development of county nutrition profiles and nutrition investment cases for advocacy efforts with governors and departments of finance at the county-level to ensure the local plans were funded.
Along with our partners, Nutrition International supported the government to ensure lifesaving and life-enhancing nutrition programming was available and accessible for those who needed it most. Some key highlights from this year include:
Conducted a study to update our behaviour change intervention strategy. Along with our partners, conducted a desk review and qualitative inquiry to explore pregnant women’s (including pregnant adolescents) and their influencers’ knowledge, attitudes and practices on antenatal care attendance and the consumption of iron folic acid supplements, as well as the gender and social norms facilitating or inhibiting desired behaviours. The findings are being used to update the strategy for iron folic acid supplementation in the target states.
Procured and donated 40,000 co-packs of zinc and oral rehydration salts to Sokoto which was sufficient to treat 40,000 episodes of diarrhoea in children.
In collaboration with UNICEF, and with permission from the National Primary Health Care Development Agency, trained all 37 state nutrition officers in the country on the GAVA operational guide for administration of vitamin A supplementation in the context of COVID-19, which resulted in a nationwide standardized approach for service delivery during the pandemic.
Together with national and provincial governments, Nutrition International focused on improving access to much needed micronutrients through supplementation and fortification to improve the health of women and children. Some key highlights from this year include:
Provided five thousand bottles of hand sanitizer and 144,000 masks to 4,000 frontline health workers and health care providers to facilitate their work and keep them safe during the COVID-19 pandemic and to sustain momentum for services in the field.
Translated three COVID-19 training modules into Urdu for localization and distributed to teachers, lady health workers and peer educators.
Elected as co-chair of Pakistan’s Nutrition Development Partners Forum. In this role we led the development of a policy brief, entitled “Nutrition in the COVID-19 context and beyond,” prioritizing nutrition in the government’s COVID-19 response, recovery and resilience plans.
Nutrition International worked with the government to strengthen the country’s health and nutrition programs, build the capacity of health workers, and improve nutrition, health and survival of women, girls and children. Some key highlights from this year include:
Enhanced gender-sensitive nutrition education guides and job aids with COVID-19-related messages for pregnant and lactating women, exclusive breastfeeding, and infant and young child nutrition covering the first 1,000 days initiative.
Advocated for the inclusion of nutrition as part of the ongoing COVID-19 emergency response, recovery, and rehabilitation efforts of Local Government Units, and the integration of the first 1,000 days in their sectoral plans and programs to improve nutrition and prioritize initiatives for households with nutritionally vulnerable members, such as pregnant and lactating mothers, children up to two years old, and the elderly. Examples of such initiatives included the distribution of COVID-19 emergency food and cash (“ayuda’) relief packages, the inclusion of first 1,000 days population in the Department of Social Welfare and Development’s social safety net programs and distribution of nutritious food packs.
Scaled-up the first 1,000 days program in 14 municipalities, which translated to approximately a 5% increase in coverage to 846 barangays.
Nutrition International worked with government and partners in Senegal, Mali, Burkina Faso and Niger to improve the lives of women and children through research, policy formulation and integrated nutrition programming. Some key highlights from this year include:
Over 15 million additional people reached with adequately iodized salt in Senegal and salt-importing countries, which included almost 3.72 million women of reproductive age, and 531,000 newborns who were protected from iodine deficiency disorders by ensuring the adequate iodine status of their mothers.
Provided at least 907,494 children with two doses of vitamin A in all regions of the country, 225,150 of whom were estimated as being an increase from previous campaigns, helping to protect them from preventable diseases and blindness.
97,000 people reached on social media platforms with a behaviour change initiative digital campaign on the impact of COVID-19 on school platforms and the prevention of COVID-19 in school settings.
Guided by the country’s National Multisectoral Nutrition Action Plan, Nutrition International worked with government to improve the health and nutrition of the population, particularly women, adolescent girls and children. Some key highlights from this year include:
Provided technical guidance and support to the Prime Minister’s Office to facilitate the development of the micronutrient component of the National Multisectoral Nutrition Action Plan (II). This included overseeing the development of the Micronutrient Thematic Area and the Common Results, Resources, and Accountability Framework..
Provided technical and financial support to the monitoring and supportive supervision of 1,632 targeted health facilities in 51 councils to ensure continued appropriate service provision, recording and reporting of vitamin A supplementation to children.
Provided technical assistance to the Ministry of Agriculture to develop the national biofortification guidelines.
Summary of consolidated expenses and financial position as of March 31, 2021.
Program interventions – Year ended March 31, 2021 (in U.S. dollars)
Vitamin A
$ 14,234,908
Adolescents’ and Women’s Nutrition
3,758,878
Universal Salt Iodization
2,405,953
Zinc and ORS
1,849,261
Infant and Young Child Nutrition
444,721
Research and Quality Assurance
1,550,968
Maternal and Newborn Health and Nutrition
4,536,013
Global Advocacy
1,107,572
Food Fortification
3,754,973
Integrated Nutrition Programs
5,287,754
Technical Assistance Mechanism
4,705,188
Total
43,636,189
Consolidated statement of financial position – March 31, 2021, with comparative information for 2020 (in U.S. dollars)
Item
2021
2020
Assets
Current Assets:
Cash
$ 16,244,255
$ 22,506,509
Short-term Investments (note 2)
20,666,465
—
Accounts Receivable
26,892,857
2,359,008
Prepaid Expenses
1,052,278
768,208
64,855,855
25,633,725
Investments (note 2)
2,362,429
—
Tangible capital and intangible assets (note 3)
633,124
936,072
$ 67,851,408
$ 26,569,797
Liabilities & Net Assets
Current Liabilities:
Accounts payable and accrued liabilities (note 4)
$ 9,384,341
$ 5,647,326
Deferred contributions (note 4)
45,111,602
13,271,102
54,495,943
18,918,428
Net Assets:
Unrestricted
13,107,143
8,613,988
Cumulative translation adjustment
248,322
(962,619)
13,355,465
7,651,369
Commitments (note 10)
$ 67,851,408
$ 26,569,797
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[post_content] => When Joy Elizabeth had her first baby, she put into personal practice what she had professionally coached many mothers through – within an hour of her son’s birth she started breastfeeding him, immediately establishing her newborn’s foundation to build lifelong immunity.
The importance of breastfeeding is deeply familiar to Joy, a nutritionist at Busia County Referral Hospital in Kenya. As part of her job, she has actively engaged with Nutrition International programming, participating in a training of trainers on the baby-friendly community initiative to promote breastfeeding. She has run trainings for other health workers, as well as sensitized community members and provided counselling for mothers on the importance of early and exclusive breastfeeding for the first six months, and continued breastfeeding for two years and beyond.
“The knowledge I acquired during implementation of the Nutrition International funded activities like training on maternal, infant and young child nutrition helped me a lot because I knew what to do. It gave me a desire to practice and I experienced how it feels to breastfeed exclusively,” Joy shared.
Exclusive breastfeeding for the first six months, followed by introducing complementary foods with continued breastfeeding for at least two years, provides babies with the nutrition needed to support optimal growth, build a strong immune system and boost brain development. The developmental window of 1,000 days – from conception to a child’s second birthday – has lasting consequences, impacting school performance with a correlation to a person’s future earning potential.
But the ability to exclusively breastfeed can be jeopardized if the right conditions are not in place to support a mother to do so, especially when she heads back to work.
“There is a need to scale up workplace support for breastfeeding with more and more women becoming economically active,” said Stephen Mwangi, Nutrition International’s Senior Program Officer in Kenya. Maternity leave in Kenya is currently three months, half of the recommended time to exclusively breastfeed. “Looking at data, nationally, exclusive breastfeeding rates are impressive within the first three months, but where we start to decline is from the fourth month. One of the contributing factors is the issue of women going back to work because they have a dual responsibility to earn a livelihood while ensuring they continue to exclusively breastfeed their babies. We need to make the workplace conducive to breastfeeding.”
In Kenya, Nutrition International works closely with county governments to integrate, finance and implement essential nutrition actions through the health system. A key part of this is investing in and supporting implementation of county nutrition action plans that prioritize breastfeeding and help strengthen health systems to make breastfeeding feasible for a working mom.
"It gave me a desire to practice and I experienced how it feels to breastfeed exclusively." - Joy Elizabeth, nutritionist and new mom
Joy had a network of support as she embarked on her breastfeeding journey. She recalled how her husband helped place their newborn in her arms and position his head so he could latch, as Joy had given birth by caesarean section and so had limited mobility. Her community also rallied around her, available to support with household chores, cooking and cleaning, and providing needed emotional support.
But even still, it was challenging to return to work halfway through the period she planned to exclusively breastfeed. “When maternity leave ended, I felt like crying because my baby was three months,” Joy shared.
Her colleagues at the county nutrition office, aware of the importance of newborn nutrition, helped ease the transition. The office created an environment where Joy was given the flexibility to express breastmilk and leave work to go home and care for her baby when needed. Her hours and workload were adjusted to make it more conducive for her as a new mother. When she needed to travel for work, she was able to bring her son with her. “My colleagues travelled with me and helped me with carrying the baby during the journey, caring for my son during the entire workshop period as well as providing me with counselling and encouraging me. I felt loved and well accommodated,” she said.
Joy was able to find a work-life balance that supported her desire to exclusively breastfeed. She also had the at-home support needed to make a successful transition.
"We need to make the workplace conducive to breastfeeding." - Stephen Mwangi, Senior Program Officer
Joy’s experience rests against the backdrop of a larger initiative currently happening in Kenya to mandate workplaces to provide lactation rooms. The 2019 Breastfeeding Mothers Bill closed its public consultation in July 2021. If passed, it would legally require workplaces to provide a private space for breastfeeding or to express breastmilk that will include storage facilities for safely storing milk. This bill builds on the existing Kenya Health Act, 2017, which also requires that an employer establishes a lactation station in the workplace and provides additional breaks for nursing employees.
Nutrition International is a strong advocate for policy changes that will institutionalize an enabling environment for breastfeeding. The hope is that the bill becoming law will drive enforcement so that lactation rooms become the norm. “I can say that Kenya has very comprehensive infant and young child policies. We have very conducive legislative pieces. The remaining work is to engage with government on enforcement,” said Mwangi. “We started discussions with the Ministry of Health so that laws give authority for more enforcement officers. Right now, it is restrictive to public health officers, but we would also like nutritionists to be included in supporting enforcement.”
Although Joy spoke of many positive accommodations after her maternity leave, the hospital where she works did not have a lactation room for staff. With the support of the county nutrition coordinator, Joy took the lead in changing that. She spoke to management and a room has been secured for this purpose. Plans are underway to have it equipped and soon it should be appropriately outfitted.
Nutrition International continues to work directly with government to strengthen county nutrition action plans to help turn policies and legislation into everyday practice.
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[post_content] => Conflict, climate change, economic downturns and the aftermath of the COVID-19 pandemic have threatened to undo years of hard-won development gains. Leveraging more than three decades of experience at the forefront of a global battle that has allowed us to redefine our impact using new delivery platforms, innovative technologies and financing models, and research and advocacy, as we forge ahead with the ultimate vision of ending all forms of malnutrition.
Download the Annual Report PDF From the President and CEO Welcome to Nutrition International’s 2022 annual report. 2022 was a tough year, with multiple global shocks that we are all too familiar with. What characterized our work as a team this year was seeing the nutrition opportunity within these crises.
The opportunity to engage with countries to understand the major obstacles they are facing in scaling up nutrition. The opportunity to build out our capabilities and strengthen our organization. And the opportunity to deepen our regional engagement and connect it more intentionally with national action.
This is a critical time. The world is facing many competing crises that risk diluting focus on the foundational importance of nutrition, and donor and country budgets are under heavy pressure. In recent years, there has been a strong emphasis on narratives about food, food security, starvation, hunger and treatment that have overshadowed the importance of nutrition, nutrition security and prevention. All of these are equally important, and yet we have lost focus on the most impactful pieces – on the evidence-based, low-cost, high-impact interventions that do the greatest good.
Country Highlights Creating lasting change in our core countries. Across Africa and Asia, we deliver comprehensive initiatives from the national to local level, collaborating with governments and partners across sectors to implement policies, expand the knowledge base, and provide quality nutrition interventions.
Here are just a few highlights from our work:
We support the government and other partners to deliver micronutrient supplements, adequately fortified staple foods and improved health and nutrition services, with a particular focus on women, children and girls. Some key highlights from this year include:
Nutrition International signed a memorandum of understanding with the Directorate of Secondary and Higher Education and we are collaborating to implement the WIFAS and nutrition education program in over 2,000 schools in 10 districts, reaching thousands of adolescents.
We contributed to the development and distribution of the National Vitamin A Plus Campaign (NVAC) Management Guidelines to government facilities nationwide. Subsequently, an NVAC e-learning platform was launched to build the capacity of key personnel, reducing the need for in-person training and its related costs.
Nutrition International district coordinators visited 3,153 new mothers in their homes and trained 2,671 field functionaries on data reporting and nutrition counselling to support maternal and newborn health and nutrition programming.
Ethiopia is grappling with its worst food crisis in decades due to prolonged drought, ongoing conflict and soaring food prices. We are collaborating with the government and other partners to implement impactful nutrition initiatives to improve the nutritional status of adolescent girls, women and newborns, and infants and young children. Some key highlights from this year include:
We developed capacity-building training materials at the regional, zonal and woreda levels on gender-transformative adolescent nutrition programming. Key themes of the training included, nutrition education, WIFAS, gender equality basics, menstrual health and hygiene, among others.
300,000 pregnant women attended at least one antenatal care visit within areas covered by Nutrition International, while 285,000 pregnant women in Nutrition International-supported woredas, received 90 or more iron and folic acid tablets.
In Nutrition International-supported areas, the Vitamin A Next Schedule Tracking Tool was piloted to improve data quality and allow health extension workers to track and identify children who are due for their next dose or those who missed their age-appropriate dose.
In India, essential health and nutrition services began to resume as COVID-19 cases declined. We continued to work alongside government ministries and partners to provide key nutrition interventions to address the country’s nutrition challenges and improve the health of the entire population, especially women, girls and children. Some key highlights from this year include:
Nutrition International signed a memorandum of understanding with the Department of Food, Civil Supplies and Consumer Affairs in Telangana for technical assistance to introduce and scale up fortified rice in the state.
Our delivery support reached an additional 1,400,000 million in-school and out-of-school adolescent girls with the recommended dose of WIFAS.
We are conducting two implementation research projects in selected districts to improve the awareness, consumption and adherence of iron and folic acid and calcium supplementation during pregnancy and postpartum and to demonstrate a model for improved nutrition services across the first 1,000 days.
We work closely with the government to ensure that nutrition policies are properly enforced and support nutrition interventions to improve the nutritional status of the population. Some key highlights from this year include:
Our advocacy efforts alongside technical and financial support led to the Ministry of Health incorporating a national serum retinol assessment into the Indonesia National Health Survey 2023, providing the first data on vitamin A deficiency in preschool-aged children since 1992.
189,000,000 additional people had access to adequately fortified wheat flour as a result of Nutrition International’s support.
In an effort to promote adolescent nutrition, Nutrition International hosted a hybrid event in West Java province that saw over one million school-going adolescent girls simultaneously consume one iron and folic acid tablet.
Working alongside both national and county governments, we aim to strengthen policies and secure increased resources for nutrition programming with the goal of ensuring equitable access to essential nutrition, particularly for women, girls and children. Some key highlights from this year include:
Nutrition International hosted the inaugural Cross County Learning Forum on Domestic Resource Mobilization for Nutrition and Health in Kenya, where 12 country governors signed a declaration to reinforce their joint commitment to ending malnutrition.
2,050 facility health care workers and 11,800 community health volunteers were sensitized on diarrhoea treatment with zinc and low-osmolarity oral rehydration salts.
We provided technical expertise and financial support to develop the Adolescent Nutrition Advocacy Strategy for the East Central and Southern Africa Health Community. The strategy aims to reduce anaemia, increase programming and advance advocacy efforts for adolescent nutrition.
Working in collaboration with our partners, we support the government to deliver quality nutrition programs and ensure they are available for those who need them. Some key highlights from this year include:
We partnered with the Society for Women Development and Empowerment in Nigeria to conduct a sex- and gender-based analysis to reveal the barriers and enablers of maternal and child health programs in six target states.
More than 90,000 bottles of multiple micronutrient supplementation (MMS) procured to support distribution to more than 45,000 pregnant women through MMS implementation research in Bauchi State.
93,396 caregivers reached with information on prevention and management of childhood diarrhoea at the community level.
Pakistan faces a severe malnutrition crisis, exacerbated by the 2022 floods that devastated a third of the country. As a key partner to the government and other global partners, we remain committed to improving child, adolescent and maternal malnutrition indicators through our nutrition programs. Some key highlights from this year include:
Nutrition International conducted multiple micronutrient supplementation (MMS) implementation research in Swabi district, Khyber Pakhtunkhwa to inform the scale up of MMS for pregnant women, ultimately enhancing health outcomes for women and their babies.
15,800 safe delivery kits and 2,000 hygiene kits donated to the provincial governments to ensure safe deliveries by skilled birth attendants amidst the devastating floods.
Nutrition International’s technical assistance led to the enactment of mandatory food fortification legislation in Khyber Pakhtunkhwa.
We work with governments and partners to improve women’s and children’s nutrition in Senegal and the high-burden countries of the Sahel. Some key highlights from this year include:
Nutrition International convened a three-day regional technical meeting, attended by more than 100 delegated from 16 countries, that focused on what is needed to achieve high coverage of vitamin A supplementation delivered through routine primary healthcare systems.
740,107 adolescents were reached with a behaviour change intervention digital campaign on adolescent nutrition.
We provided technical and financial assistance to the Ministry of Health for the development, implementation and progress review of 46 micro-plans and a regional salt quality control plan for effective and efficient quality control of iodized salt.
We supported the government to operationalize the country’s National Multisectoral Nutrition Action Plans to ensure the right nutrition gets to those in need, particularly women, adolescent girls and children. Some key highlights from this year include:
We conducted an assessment of the health system’s preparedness to integrate vitamin A supplementation into routine primary health care contact points — findings and recommendations have been submitted to the Ministry of Health for endorsement.
We supported the procurement of five modern iodization machines for local production and donated them to five salt producing councils to improve iodization capacity and boost commitment for iodine fortification.
Nutrition International provided technical guidance to the Tanzania Food and Nutrition Centre (TFNC) toward finalizing the roadmap for executing the National Accelerated Action and Investment Agenda in Adolescent Health and Well-being and sensitized TFNC officials to understand the importance of prioritizing adolescent nutrition.
About Nutrition International We nourish people to nourish life. Nutrition International has been a leader in the global fight against malnutrition for more than 30 years, reaching hundreds of millions of people with low-cost, high-impact nutrition interventions in more than 60 countries around the world.
Renowned for our world-class leadership in global nutrition, we adopt a no-missed opportunity approach, working directly with governments to strengthen their capacity, partnering with research institutions to improve guidance, and breaking down silos between different sectors to successfully integrate nutrition into non nutrition platforms. Serving as a force multiplier across the development ecosystem, our unique blend of capabilities empowers countries to overcome barriers to scaling up nutrition, domestic resource mobilization, as well as local capacity and ownership.
Nutrition International is headquartered in Ottawa, Canada with offices across Africa and Asia to oversee regional and country-level operations.
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[post_content] => [caption id="attachment_12695" align="alignnone" width="1000"] CNAP launch in Busia County[/caption]
On November 18th, Busia County launched its County Nutrition Action Plan (CNAP) in the presence of the County Governor Sospeter Ojaamong’, Nutrition International President and CEO Joel Spicer, Nutrition International Africa Regional Director, Dr. Richard Pendame and Nutrition International Kenya Country Director, Martha Nyagaya.
In Busia County, undernutrition affects mainly women and children, especially during the first 1,000 days (from conception to a child’s second birthday) due to their high nutrient requirement. Stunting is the predominant form of malnutrition in the county, standing at 22%, while 9.5% and 2.2% of the children under five are underweight and wasted, respectively (Kenya Demographic Health Survey 2014). The CNAP aims to reduce the prevalence of stunting among children under five by 40%, childhood wasting to less than 5%, childhood underweight to less than 10% and improve the nutrition status of the general population.
The county has prioritized the improvement of food and nutrition security in its County Integrated Development Plan 2018-2022 (CIDP).
“This CNAP demonstrates the County government’s commitment to its vision of making Busia a healthy, productive and internationally competitive county,” said the Honourable Moses Mulomi, Deputy Governor of Busia County.
Ms. Nyagaya congratulated the county stakeholders for a job well done. “The development and launch of the Busia CNAP is a clear and powerful signal of the county's leadership to make nutrition a priority for a healthier population,” she said.
Adolescent girls from Busibwabo and St Joseph’s primary schools and Our Lady of Mercy Secondary School presented songs and poems to celebrate the positive impact of Nutrition International’s weekly iron and folic acid supplementation program, which gave them ‘wings to fly.’ A song by St. Joseph’s Primary School girls called on leaders and caregivers to "say yes to children and make the world a better place!" "Never again shall we suffer from anaemia!" was the message in a poem recited by adolescent girls from Busibwabo Primary School.
Mr. Spicer echoed the call by adolescent girls. “Women and girls have a right to good nutrition, in order to 'fly and touch the sky',” he said “They are key in breaking the intergenerational cycle of malnutrition. That is our focus at Nutrition International.”
Governor Ojaamong’ pledged his government’s support to implementation of the CNAP and allocation of resources to nutrition programs. “Through partner support, we now have our first roadmap towards good nutrition. This document will be utilized in resource mobilization. My government commits to work with Nutrition International and other partners in ensuring we achieve our goal of healthy people and healthy county,” he added.
The CNAP includes 10 key result areas, focused around three themes: nutrition-specific interventions, nutrition-sensitive interventions and enabling environment. The total cost of implementing the Busia CNAP for five years is estimated at Ksh2.1 billion.
Nutrition International has invested a total of Ksh7.2 million in Busia County to optimize the provision of gender-sensitive and responsive adolescent nutrition interventions through its Right Start (Anzilisha) initiative.
[post_title] => Busia County makes nutrition a priority for a healthier population
[post_excerpt] => In Busia County, undernutrition affects mainly women and children, especially during the first 1,000 days (from conception to a child’s second birthday) due to their high nutrient requirement.
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