This paper presents the results of a community-based intervention in Ethiopia that was designed to provide locally-made complementary food to children 6-23 months using a bartering system. A process evaluation at 8 study sites was conducted to determine enablers and barriers for the scaling up of this intervention.
It was demonstrated that a strong political will, alignment of the intervention with national priorities and integration with the health care system were instrumental in scaling up this type of intervention. Scaling up strategies for nutrition interventions require sufficient time, thorough planning, and assessment of the community’s capacity to contribute human, financial, and material resources. Findings pertaining to the community-based bartering intervention are also discussed.