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.

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 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.

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.

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.

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.

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.

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.

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.

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.