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Nutrition Operations Research
Fig
hti
ng
Hu
ng
er W
orl
dw
ide
WFP/G
eorg
ina G
oodw
in
WFP Nutrition Operations Research
The World Food Programme’s new Nutrition Policy (2017-2021)
emphasizes the importance of evidence-based, cost-effective
interventions for nutrition to achieve Sustainable Development
Goal 2: Zero Hunger. As a technical partner to governments,
donors, civil society organizations and communities in a wide
variety of food and nutrition programmes, WFP uses and
contributes to evidence in various ways. We draw on existing data
and analytical tools to design well-tailored programmes and
support an improved policy environment for nutrition. We
undertake new research to identify appropriate and effective
context-specific approaches aligned with national policies and
strategies. Finally, we place a strong emphasis on robust
monitoring and evaluation, as well as sharing of findings with
governments and other partners, to improve the global nutrition
evidence base.
This document offers a few recent examples of success in WFP’s
nutrition operations research. For further information, please
contact [email protected].
Bangladesh: Scaling Up Rice Fortification
There is strong evidence that fortification can address micronutrient
deficiencies, thereby improving nutrition. This ongoing project in
Bangladesh aims to build on that evidence by providing fortified rice
through the government’s national social safety net system, and
establishing a commercial market for fortified rice. WFP and the
Bangladesh Rural Advancement Committee (BRAC) are conducting
research on technical feasibility and effectiveness. The results of the 2013
consumer acceptability study showed that the majority of participants
accepted fortified rice and were willing to purchase it in markets.
Donor:
Royal DSM
Example Publication:
Bangladesh Rural Advancement Committee. Acceptability of Fortified Rice
by Participants of Government Social Safety Net Programmes. 2014.
WFP/W
ahid
Adnan
Indonesia: Cost of the Diet
In 2011-2012, WFP and the Government of Indonesia conducted market
surveys and focus groups to understand food availability, price and
consumption in four provinces in order to estimate how much it costs a
household to buy a nutritious diet using locally available food. The study
found that although it is possible to purchase a nutritious diet in local
markets, most households could not afford to do so with the amount they
were currently spending on food. The results from additional recent
research in eight provinces, using 2016 food price data, are being used to
inform the design reform for the national social safety net program.
Donor:
WFP
Example Publication:
Baldi et al. Cost of the Diet (CotD) tool: First results from Indonesia and
applications for policy discussion on food and nutrition security. Food Nutr
Bull 2013;34(2):S35-42.
WFP/E
di Seyto
Malawi: Stunting Prevention Pilot
WFP is currently working with the Malawi Ministry of Health and other
partners to improve the nutritional status of children under 2. Behavior
change communications, specialized nutritious food and nutrition-sensitive
activities are being used to increase access to diverse diets as well as
water, sanitation and hygiene (WASH) and health services. Evaluations
conducted by Johns Hopkins University have shown high community
engagement and improvements in diet, weight and growth in children.
Donor:
Children’s Investment Fund Foundation
Example Publication:
The Scaling-Up Nutrition (SUN) movement stunting prevention program
‘Right Foods at the Right Time: Targeting Nutrition of Children under Two’
in Malawi. Special symposium at the ICN, Argentina, 2017. Abstract
available at http://www.icn2017.com.
WFP/M
ica J
enkin
s
Cambodia: Local Complementary Foods
WFP worked with the University of Copenhagen, the Institut de Recherche
pour le Développement and various national institutes in Cambodia on
research for the prevention of undernutrition which compared two
complementary foods, made using local ingredients, to both Super Cereal
and Super Cereal plus. The results indicate that supplementary food
products work better when they are fortified and contain animal source
foods. Further, small fish have potential as an affordable ingredient,
alternative to milk powder, which can improve the nutritional quality of
locally processed foods.
Donor:
Government of Denmark
Example Publication:
Skau et al. Effects of animal source food and micronutrient fortification
in complementary food products on body composition, iron status, and
linear growth: a randomized trial in Cambodia. Am J Clin Nutr 2015;101
(4):742-51.
WFP/D
avid
Longstr
eath
Niger: Prevention of Acute Malnutrition
Médecins Sans Frontières, Epicentre and WFP compared interventions for
preventing acute malnutrition using combinations of specialized nutritious
foods and cash. Incidences of moderate acute malnutrition (MAM) and
severe acute malnutrition (SAM) were considerably lower in the study arm
that combined food and cash compared to food or cash alone. These
results suggest that blanket distribution of nutritious foods to children
under 2, associated with targeted cash transfers to vulnerable households,
could be a cost-effective strategy for preventing malnutrition.
Donor:
Médecins Sans Frontières and WFP
Example Publication:
Langendorf et al. Preventing Acute Malnutrition among Young Children in
Crises: A Prospective Intervention Study in Niger. PLOS Med 2014;11
(9):e1001714.
WFP/C
agri
Ilb
an
Burkina Faso: Treatment of Acute Malnutrition
WFP worked with the national government, the Institute of Tropical
Medicine and Ghent University to conduct research comparing the
effectiveness of child-centered counselling and specialized nutritious foods
for treatment of moderate acute malnutrition (MAM). After three months,
recovery from MAM was significantly lower in the counselling group;
however, authors hypothesize that if caregiver attendance at health
facilities was higher, counselling could be an appropriate strategy for MAM
treatment.
Donor:
Global Alliance for Improved Nutrition (GAIN), Nutrition Third World, and
WFP
Example Publication:
Nikièma et al. Treating moderate acute malnutrition in first-line health
services: an effectiveness cluster-randomized trial in Burkina Faso. Am J of
Clin Nutr 2014;100(1):241-249.
WFP/R
ein
Skulleru
d
Dominican Republic: Anemia Reduction
The Government of the Dominican Republic and WFP worked together to
assess the impact of adding micronutrient powders, nutrition education
and growth monitoring to the national social protection programme
(known as Progresando con Solidaridad). A programme evaluation found
that anemia was reduced by 50 percent in children. The successful
implementation of this nutrition-sensitive social protection programme
provides key lessons for multiple country contexts.
Donor:
WFP
Example Publication:
Case Study: How the Government of the Dominican Republic Reduced
Anemia by 50% in Vulnerable Children, with support from WFP. 2015.
Available at http://www1.wfp.org.
WFP/A
leja
ndra
Leon
Somalia: Nutrition Causal Analysis
WFP and the Strengthening Nutrition Security (SNS) Consortium
conducted qualitative research to understand the probable, multiple causes
of acute malnutrition. The study confirmed that: prolonged insecurity has a
negative impact on livelihoods and nutrition; awareness of health and
nutrition is inadequate; and poor infant and young child feeding practices
and lack of water, sanitation and hygiene (WASH) facilities predispose
children to disease and malnutrition.
Donor:
DFID and WFP
Example Publication:
Strengthening Nutrition Security Consortium. Nutritional Causal Analysis
Study—South and Central Somalia. 2015. Available at http://reliefweb.int.
WFP/A
gro
n D
ragaj
Prin
ted: S
epte
mber 2
017 P
hoto
s, F
ront C
over: W
FP/M
ica Je
nkin
s ; B
ack C
over: W
FP/G
iulio
d’A
dam
o
For more information, contact: