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FEEDING HANDS TRUST CENTRE (FHTC)
Community-Based Nutritional Intervention Project (CBNIP)
forvulnerable groups.
A REQUEST FOR FUNDING SUBMITTED TO THE BILL AND MELINDA
GATES
FOUNDATION.
PREPARED BY
EZE CHINWE [2008680918]
DEPARTMENT OF PUBLIC HEALTH TECHNOLOGY
SCHOOL OF HEALTH TECHNOLOGY
FEDERAL UNIVERSITY OF TECHNOLOGY OWERRI
LECTURER: PROFF. ABANOBI
SEPT 2011
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EXECUTIVE SUMMARY
The World Health Organization defines malnutrition as "the
cellular
imbalance between supply of nutrients and energy and the body's
demand for them
to ensure growth, maintenance, and specific functions. (Becker
et al 1999)Women
and young children are the most adversely affected groups ; one
quarter to one half
of women of child-bearing age in Africa and south Asia are
underweight, which
contributes to the number of low birth weight infants born
annually. Malnutritionis globally the most important risk factor
for illness and death, contributing to more
than half of deaths in children worldwide; child malnutrition
was associated with
54% of deaths in children in developing countries in 2001 (the
United Nations
Special Reporter on the Right to Food for 2000 to March 2008.)
Malnutrition is a
widespread health problem among infants and young children. Many
babies are
born underweight, often because their mothers suffer from
malnutrition. Studies
have shown that many Nigerian children experience a slowdown in
growth
following weaning, when their diet suddenly shifts from
high-protein, high-energy
mothers milk to predominantly starchy foods (Carney &
Andersen, 1996)
According to the United Nations Childrens Fund (UNICEF),
malnutrition
contributes to the deaths of more than 6 million children under
age five each year.
ABOUT FHTC
FHTC is a nonprofit based (NGO) with a passion for the
vulnerable segment of
the country, pregnant and lactating mothers including children
under five years of
age in Nigeria, plagued with nutrition challenges in Nigeria.
Although our chapter
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operates on a low budget, we take seriously our mission to
improve the quality of
life for all Nigerian citizens affected by malnutrition. Since
our establishment in
1993, we have participated as stakeholders and advocates
throughout the countrys
health care system. Our volunteers participated in the national
war against
hunger while our staff distributed educational materials at this
event.
Similarly, FHTC initiated and established balanced and
nutritional health
programs that are measured and informative in nature. We work
closely with other
nutritional health organizations and members of our Board of
Directors
comprised of consumers, family members and professionals hold
prominent
positions in both the state and the federal health care
systems.
We also organize various educational services including our
weekly Family-to-
Family sessions. We train students in Safe Motherhood,
immunizations, nutrition-
health education growth monitoring, and in health care systems;
we will assist
participating students to disseminate this new information and
throughout their
college communities; and, at the same time, we will call upon
these students to
support us in our advocacy efforts.
Owerri Municipal as Imo states capital and as a city currently
restructuring its
social services provides the ideal venue for launching this
campus advocacy
program. Students will be able to work for change both at the
national and the local
levels. We will provide student volunteers with experience and
direction to begin
professional careers in public health, and we fully expect many
of our alumni to
become responsible, informed adults active in improving the lot
of women and
children in Nigeria who are malnourished.
Initially, we will start-up groups at four universities over a
three-semester period.
With continuing funding, we wish to establish permanent, largely
self-sufficient
student groups at all the tertiary institutions in Owerri. As
part of a grass-roots
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association with many local affiliates FHTC will also present
this project as a
model to our numerous sister organizations. FHTC has long relied
upon volunteers
to accomplish a great deal with limited resources. We are
currently seeking N10,
000,000 in seed money to launch this initiative over its first
eighteen-month period.
Our fundraising process is just beginning, so no funds have been
committed to
date. We hope to secure this entire amount, or any portion of
it, from The Bill and
Melinda Foundation. The Feeding Hands Trust Centre is
respectfully requesting a
grant in the tune of N10, 000,000 for our Community-Based
Nutritional
Intervention Project (CBNIP). The Community-Based Nutritional
Intervention
Project will allow us to carry out a two-year program to
determine if our center can
effectively combat the nutritional challenges faced by pregnant
and lactating
mothers including children under five years of age in
Nigeria.
Our organization's identity and mission
The feeding Hands Trust Centre is a nonprofit based (NGO) with a
passion for the
vulnerable segment of the country, pregnant and lactating
mothers including
children under five years of age in Nigeria, plagued with
nutrition challenges. Our
mission is to fully eradicate hunger and nutritional
deficiencies in Nigeria through
the following avenues:
1. Investing in closing critical knowledge gaps in areas that
have impededadvancement in the past and in strengthening global and
country level
support for nutrition as a priority global health and
development issue.
2. Fight micronutrient deficiencies in Nigeria, addressing
vitamin and mineraldeficiency.
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3. Develop, implement, and monitor innovative, culturally
appropriate, andcost-effective programs in areas in Nigeria where
deficiency is most
prevalent.
4. Ensuring that interventions must be multi-sectoral and
integrate food, health,hygiene, sanitation and care.
5. Establishing Community Health Programmes, which offer health
andnutrition services like Safe Motherhood, immunizations,
nutrition-health
education and growth monitoring.
Proposed programs' title, purpose, and target population
The Feeding Hands Trust Centre desires a partnership with the
Bill and Melinda
Gates Foundation to address nutritional needs. We aim to
accelerate global
progress toward reducing under nutrition by catalyzing the
scale-up of fortified
foods and best practices in infant and young child feeding and
supporting the
development of novel approaches, such as biofortification of
staple crops. To
support this scale-up, we are investing in closing critical
knowledge gaps in areas
that have impeded advancement in improving the nutritional
status of both mother
and child, with an emphasis on pregnancy, breastfeeding and the
first vulnerable
years of life. Rising attention and funding for nutrition have
helped to decrease
malnutrition worldwide. Promotion of breastfeeding, vitamin and
mineral
supplementation, and advances in food fortification continue to
show increasing
impact on peoples lives and improve their health. The FHT centre
helps those
affected by the food and financial crises, focusing efforts
particularly on pregnant
and lactating women and children under age 5.
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Specific need that will be addressed and the objectives to be
achieved
1. promotion of exclusive breastfeeding through Breastfeeding on
demandthat is as often as the child wants, day and
night
No use of bottles, teats or pacifiers improving breastfeeding
outcomes for mothers and infants Providing interventions that
promote initiation, duration, and
exclusivity of breastfeeding in term infants (>37 weeks).
2. Giving nutritional input and distributing food that meets the
needs ofspecific groups such as pregnant women and children. This
entails:
Vitamin A supplementation for young children, focusing on
incorporating other
micronutrients such as vitamin B12, vitamin E, and calcium into
their diets . Also
ensuring
commercial fortification, Number of health facilities with
supplements in store Essential vitamins are on the national
essential drug list in areas where there
is a known risk of MND
Monitor the delivery of supplements to assess coverage and
protect againstdeficiencies and excessive intakes
3. Adequate and timely complementary feeding through the use of
fortifiedcomplementary foods.
4. iron and folic acid supplementation for pregnant women
through Adequate food intake during pregnancy and lactation
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Adequate nutrient and micronutrient intake during pregnancy
andlactation (fortified food commodities if necessary)
Reduction of malaria infection in pregnant women in endemic
areas Reduction of hookworm infection in pregnant women in endemic
areas Unrestricted access to drinking water Nutrition counseling
Birth spacing of three years or longer
5. Health Awareness and Behavior: The program provides nutrition
education,growth monitoring, and micronutrient fortified foods to
children aged 4 to
23 months, malnourished children aged 2 to 4 years of age,
pregnant and
lactating women by encouraging poor families to access
education, health,
and nutrition services, delivering an integrated package of
lowcost and high
impact essential nutritional and health interventions. It will
focus on four
essential family practices:
Exclusive breastfeeding, hand washing with soap, the use of
insecticide
treated bed net and the use of oral rehydration solution for
diarrhea
Project importance
Nutrition status is actually deteriorating in some countries,
many of them in Africa,
where the lethal combination of HIV and under nutrition is
strong and mutually
reinforcing. Continuing to implement and increase proven
approaches to reducing
malnutrition will be essential in reversing this trend. Progress
in reducing hunger
and malnutrition is easily eroded by increasing food prices and
economic
downturns.
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1. This project will greatly reduce micronutrient deficiencies
throughpopulation-based strategies inculcating promotion of healthy
behaviors such
as breastfeeding, and long-term investments and prioritization
of nutrition by
countries.
2. CBNIP will ensure an adequate consistent and dependable
supply of energyand nutrients through sources that are affordable
and socio-culturally
acceptable to the target population at all times.
3. Ultimately food security should translate to an active
healthy life for everyindividual. For this to take place the
nutritionally adequate diet should be
biologically utilized so that adequate performance is maintained
in growth,
resistance or recovery from disease, pregnancy, lactation and or
physical
work.
What the project will accomplish by the end of the time period
specified
1. Commercially fortified foods are likely to reach increasing
numbers ofpeople at risk of deficiency, at a decreasing marginal
cost.
2. To accelerate the uptake of fortification in developing in
Nigeria, we willbe supporting public-private partnerships that
emphasize policymakers,
regulators, and commercial producers working together to
develop
evidence-based programs.
3. reach universal coverage of salt iodization, in partnership
with the UnitedNations Childrens Fund (UNICEF)
4. Establish the effectiveness of fortification programs,
particularly of ironand vitamin A.
5. accelerate the scale-up of multiple-fortified food product by
creatingdemand among consumers
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6. Establish a national vitamin and mineral procurement fund
that isdesigned to improve the availability and reduce the cost of
vitamin and
mineral premix used in Nigeria.
7. Establishment of dietary diversification which will increase
themicronutrient density of staple crops, sustain ably alleviate
hidden
hunger.
8. Establishment of exclusive breastfeeding in the country.Thank
you for your consideration of our request. We are available to
answer
any questions you might have, as well as to learn whether there
is a possibility of
meeting with you to discuss the merits of our proposal. Should
you have any
questions in the interim, please feel free to contact our
Director of Development, at
the above address.
Sincerely,
Eze chinwe,
Program Officer
FEEDING HANDS TRUST CENTRE
