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September 14, 2022
2021 Technical Assistance
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[post_content] => Nutrition International provides high-level strategic technical assistance in the functional areas of nutrition governance, financing, and data for decision-making to national and regional governments, development banks, and other partners. Strategic technical assistance Working to advance the effective scale-up of nutrition interventions, and national nutrition programs. Through the Banking on Nutrition partnership, we have been providing technical assistance to the African Development Bank since 2019 to build institutional capacity and knowledge on the design and implementation of nutrition-smart projects, and to track progress in the investments across five different sectors: agriculture, education, health, social protection, and water, sanitation and hygiene. These efforts helped to progress the Bank’s goal of contributing to a 40% reduction in stunting across Africa and helped inspire the its Nutrition for Growth commitment of US $1.35 billion for nutrition-smart investments between 2021 and 2025.
In Kenya, we worked with 12 county governments to draft, budget and launch their own nutrition action plans and investment cases. These have served as a roadmap and monitoring tool for county-specific nutrition programs, an advocacy and resource mobilization tool, and a guide for stakeholders on where they can direct their support.
Similarly, we provided technical assistance to strengthen the multisectoral coordination capacity of the Bangladesh National Nutrition Council and Ethiopia’s Seqota Declaration Federal Program Delivery Unit.
Looking ahead
Extending our high-level technical assistance.
We are increasingly extending our high-level technical assistance support to the leading regional organizations in both Asia and Africa to bring nutrition to the forefront in development funding and investment and ensure nutrition program can be effectively integrated into new sectors. We continue to deepen relationships with national governments to provide the technical assistance they need to strengthen nutrition programming and coordination.
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[post_content] => Our 30 years of experience working hand in hand with governments and partners allowed us to swiftly adapt to global challenges such as the COVID-19 pandemic, supply chain disruptions and price shocks to continue delivering quality technical assistance and nutrition leadership across Asia and Africa. 30 years of impact Three decades of better nutrition globally. Nutrition International is a global nutrition organization headquartered in Ottawa, Canada. Since 1992, we have grown to become a world-class leader in delivering high-impact, low-cost nutrition interventions. Our 30 years of experience, expertise and dedication have allowed us to reach millions of people with better nutrition year after year.
Our commitment to results helped us navigate the challenges of the past year to keep delivering quality nutrition programming despite the ongoing COVID-19 pandemic, increasing commodity costs and supply chain disruptions as well as new and continuing conflicts around the world and in the countries in which we work.
Our past has made us stronger and guides us as we continue to work towards a future where everyone, everywhere is free from malnutrition.
Letter from the Board Chair Leading the charge on nutrition. Good nutrition is the foundation of development. It supports overall health and growth as well as learning and education, all of which allow people to reach their full potential whether at school, work or in their community. Every facet of every life is, in some way, impacted by having or not having the right nutrition at the right time.
For 30 years, Nutrition International has been helping build a better world by increasing people’s access to the nutrition they need, when they need it. What began as the Micronutrient Initiative, a small secretariat created by Canada, has grown to become a global powerhouse of nutrition action – delivering essential nutrition interventions, contributing valuable data and evidence to the global community, and leading advocacy efforts at every level to increase prioritization and investment.
Nutrition International’s approach of working hand in hand with local governments as an expert ally has resulted in sustainable improvements to people’s nutrition around the world and led to advancements in health, equality and human capital.
Our Investment Case By 2030, we aim to transform the lives of one billion people by improving their nutritional status. COVID-19 continued to have a tremendous impact on our work, as new waves and closures interrupted programs and demanded new ways of thinking. Despite the challenges we faced through the pandemic, we remain on track to meet or exceed most of the targets laid out in our six-year Strategic Plan and Investment Case, which launched in 2018.
As we pass the midway point of our strategy, we are examining and re-evaluating the way forward as we adapt to the ever-changing new normal. The lessons we have learned over the past two years – and our 30 years of experience and growth – will guide us as we begin the development of our next investment case, which will carry us through the sprint to reach our 2030 goal.
Regardless of changing obstacles and approaches, we remain committed to our mission of building a world where everyone, everywhere is free from malnutrition and able to reach their full potential.
Country Highlights Making an impact in our core countries. In our 10 core countries across Africa and Asia, we support programming from the national to local level, working with governments and partners across sectors to implement policies, build the knowledge base, and deliver quality nutrition interventions.
Here are just a few highlights from our work:
Bangladesh
We support government efforts and health workers on the ground to strengthen nutrition programs, especially for women, children and adolescent girls. Some key highlights from this year include:
- In June 2021, the Iodized Salt Bill was passed into law, the culmination of Nutrition International’s longstanding advocacy and technical assistance efforts with the Government of Bangladesh.
- Nutrition International developed five public service announcements on adolescent nutrition that were broadcast by the government across all national TV channels and other media outlets, reaching millions of adolescents.
- Nutrition International district coordinators visited 594 new mothers in their homes and conducted 6,741 virtual monitoring and in-person visits to health facilities to support maternal and newborn health and nutrition programming.
Ethiopia
We are collaborating with partners, including governments, schools and local organizations, to increase access and build understanding about the importance of nutrition, for women, girls and communities. Some key highlights from this year include:
- More than 285,000 girls and boys received gender-sensitive nutrition education at school.
- For the first time since the start of the COVID-19 pandemic, Pregnant Women Conferences returned, reaching 18,183 pregnant women and other social influencers with messaging on maternal and newborn health and nutrition care.
- With support from the Bill & Melinda Gates Foundation, we launched a project to test double-fortified salt with iodine and folic acid and introduce it to the marketplace, helping to reduce the prevalence of neural tube defects.
India
India has been severely affected by COVID-19, leading to a sharp decline in the delivery of critical health and nutrition services. We worked with government and partners to continue to deliver quality nutrition programs and new projects for the entire population, especially women, girls and children. Some key highlights from this year include:
- Nutrition International’s Adolescent Nutrition and Anaemia online course was adapted into the Indian Institute for Public Health’s Maternal, Infant, Child and Adolescent Nutrition e-learning course.
- Our delivery support reached an additional 13,488,826 children under five with two doses of vitamin A.
- We began an implementation research project to increase coverage, access and adherence to iron folic acid and calcium supplements during pregnancy and postpartum.
Indonesia
We support government to strengthen nutrition policies and improve nutrition programs to help improve the nutritional status of the population. Some key highlights from this year include:
- Our advocacy efforts led to the Government of Indonesia instating a new standard for wheat flour fortification, meaning more than 133 million additional people had access to wheat flour fortified with iron.
- More than 1,500 frontline workers, teachers and adolescent girls received training to strengthen their knowledge and skills on the weekly iron and folic acid supplementation program.
- In partnership with the Ministry of Health, we launched the Adolescent Nutrition and Anaemia course in Bahasa to help health and nutrition program planners and implementers to design national and local evidence-based programs to improve nutrition in Indonesia.
Kenya
We are working with national and county governments to improve policies and mobilize more resources for nutrition programming, to ensure everyone, especially women, girls and children, have access to the nutrition they need. Some key highlights from this year include:
- Newly activated community health volunteers played a significant role in boosting vitamin A coverage, achieving higher than 80% coverage in nine of the 10 counties supported by Nutrition International.
- We provided customized technical assistance to 56 milling companies, providing training on food safety and fortification, leading to a 10% improvement in adequately fortified flour.
- We launched an implementation research study in Vihiga County to explore whether promoting the supply of zinc and low-osmolarity oral rehydration salts co-packs through the private sector can increase not only care-seeking for childhood diarrhoea through increased access to treatment, but also demand.
Nigeria
Working with 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 mainstream gender into the behaviour change intervention strategy in seven states, aimed at addressing norms, barriers and practices that limit access and decision-making power of girls and women around healthcare.
- Nearly two million pregnant women were reached with iron and folic acid.
- More than 238,000 caregivers were reached with information on prevention and management of childhood diarrhoea.
Pakistan
Together with governments and global partners, we are leading the charge on fortification and nutrition programming to ensure everyone, especially women, girls and children, has access. Some key highlights from this year include:
- Four districts established Kangaroo Mother Care (KMC) Committees to ensure smooth implementation of the newly established KMC wards.
- Our delivery support reached an additional 12,147,211 children under five with two doses of vitamin A.
- Our continued advocacy efforts contributed to the passing of laws mandating fortification of edible oil and wheat flour in the provinces of Sindh, Khyber Pakhtunkhwa and Balochistan.
Philippines
We support national and subnational governments to deliver effective maternal and newborn health and nutrition programming. Some key highlights from this year include:
- The Barangay First 1,000 Days National Program was scaled up to 1,086 program sites, exceeding the targeted 800 sites.
- The Barangay First 1,000 Days training module was digitized and adopted by the government for nationwide training of health workers and facilitators. The e-module is currently being hosted as part of the government’s e-learning resources.
- We hosted a high-level subnational webinar on technical assistance for prioritization and integration of nutrition into local planning networks.
Senegal and the Sahel
We work with governments and partners to reach adolescents with improved nutrition and support nutrition policies and programs that benefit the general population. Some key highlights from this year include:
- The findings of the sex- and gender-based analysis were disseminated to government partners and other stakeholders.
- All 45 targeted sub-regional micro plans across four regions were implemented to guide quality control processes for iodized salt production.
- We supported the resumption of the Adolescent Health and Nutrition program, which was disrupted by the pandemic in 2020, helping to expand the program to regions covering 77% of the adolescent population.
Tanzania
We support governments to improve policies and deliver quality programs to ensure the right nutrition gets to those in need, especially pregnant women, adolescent girls and children. Some key highlights from this year include:
- We revised and developed a gender-responsive national strategy to guide nutrition stakeholders in designing, implementing, monitoring and evaluating nutrition social behaviour change communication and behaviour change intervention strategies.
- We provided five modern iodization machines and supported the Tanzania Food and Nutrition Center in sensitizing the Regional and Council Health Management Teams about the importance of their use.
- We provided technical and financial support for the development and launch of the second National Maternal Nutrition Action Plan.
Financial Highlights
Program Interventions 2022
March 31, 2022 (in U.S. dollars)
Vitamin A
$Â 26,223,435
Women and Adolescents’ Nutrition
4,004,432
Universal Salt Iodization
2,878,355
Zinc and ORS
3,877,608
Infant and Young Child Nutrition
799,339
Research and Quality Assurance
3,274,148
Maternal and Newborn Health and Nutrition
6,352,396
Global Advocacy
1,142,260
Food Fortification
3,018,674
Integrated Nutrition Programs
696,894
Technical Assistance Mechanism
2,810,328
Total
55,077,869
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.
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[post_content] => Nutrition International is committed to improving gender equality outcomes in our work. We have developed guidance documents, supported learning of key nutrition stakeholders, and continue to reflect on lessons learned and ways to improve.
In 2020-2021, Nutrition International, through our Nutrition Technical Assistance Mechanism’s Technical Assistance for Nutrition (TAN) project funded with UK aid from the UK government, conducted two exercises to assess the impact of technical assistance on gender equality: an external Progress Assessment (November 2020 – May 2021) and a Gender Equality Assessment (July 2020 – May 2021).
Below is a summary of the findings and recommendations from these assessments. By sharing these learnings, we hope to improve the way gender equality is meaningfully considered in technical assistance.
Achieving gender equality results through technical assistance
The external Progress Assessments (PAs) were conducted on nine technical assistance assignments in Bangladesh, Ethiopia, Kenya, Mozambique and Pakistan to identify the longer-term benefits of technical assistance for sustaining government leadership on nutrition. The PAs assessed eight outcomes, including a review of the impact of technical assistance on gender equality.
The PA reports indicate that mainstreaming gender equality in technical assistance has contributed to improving gender equality in four ways:
Increased stakeholder awareness on gender issues related to nutrition.
- In Kenya, stakeholders reported an increased awareness of issues that needed to be addressed as part of the action plan to improve nutrition in the county, such as the underlying causes of teenage pregnancies.
- In Pakistan’s Punjab province, technical assistance-facilitated gender discussions with sectoral partners resulted in the agricultural sector committing to target women for kitchen gardens and poultry inputs, while the water, sanitation and hygiene (WASH) team prioritized girls’ schools for the provision of WASH facilities to reduce incidences of diarrhoea and other diseases among young girls, helping to improve their nutrition.
- In Bangladesh, gender mainstreaming training conducted during the technical assistance contributed to greater inclusion of gender-sensitive indicators in sectoral workplans based on the national nutrition monitoring and evaluation (M&E) framework.
- In Ethiopia, the technical support to strengthening the National Nutrition Plan M&E framework increased the participation of the Ministry of Women, Children and Youth in trainings and resulted in enhanced capacity of their staff.
- Developing a gender equality results framework at the project or program level can provide conceptual clarity and a roadmap for the anticipated contribution of technical assistance to gender equality and women’s empowerment.
- Recruiting gender specialists to technical assistance teams with geographic and/or sub-thematic expertise is often required to ensure adequate contributions toward reaching gender equality objectives. This is particularly required for particular technical assistance roles, like those that support nutrition costing, budgeting, and financial tracking, which require gender budgeting experts.
- Developing clear gender equality-focused objectives and deliverables in the terms of reference for technical assistance assignments can increase the likelihood that providers will pursue gender equality-focused results.
- Capitalizing on existing mechanisms, processes, tools, and lessons learned can help accelerate the achievement of results in future programs. In the case of the TAN project, a high-frequency low-dose approach (gender onboarding in the early weeks of technical assistance implementation with a follow-up midway through the cycle by gender equality advisors) has shown results in terms of providing strategies to technical assistance providers and ensuring a certain level of accountability to gender integration.
- Measure the gender equality impact of technical assistance through robust mechanisms.
These efforts helped to progress the Bank’s goal of contributing to a 40% reduction in stunting across Africa and helped inspire the its Nutrition for Growth commitment of US $1.35 billion for nutrition-smart investments between 2021 and 2025.
In Kenya, we worked with 12 county governments to draft, budget and launch their own nutrition action plans and investment cases. These have served as a roadmap and monitoring tool for county-specific nutrition programs, an advocacy and resource mobilization tool, and a guide for stakeholders on where they can direct their support.
Similarly, we provided technical assistance to strengthen the multisectoral coordination capacity of the Bangladesh National Nutrition Council and Ethiopia’s Seqota Declaration Federal Program Delivery Unit.
Looking ahead
Extending our high-level technical assistance.
We are increasingly extending our high-level technical assistance support to the leading regional organizations in both Asia and Africa to bring nutrition to the forefront in development funding and investment and ensure nutrition program can be effectively integrated into new sectors. We continue to deepen relationships with national governments to provide the technical assistance they need to strengthen nutrition programming and coordination.
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