Fortification impact studies
Numerous studies point to the impact that fortification programs have on the micronutrient status of key populations such as women of reproductive age and children.
JK Das et al., 2013
In terms of the impact our specific programs have on the nutritional status of the population, we leverage already-existing countrywide surveys that are conducted on a regular basis in order to avoid duplicative efforts. By analyzing change in key biomarkers before and after implementation and by controlling for various factors, we can imply impact. Such surveys may be national micronutrient surveys, national Demographic and Health Surveys (DHS), and / or the often-used Multiple Indicator Cluster Surveys (MICS).
In-country PHC staff provide desk-side support to Ministries in the design and implementation of these studies, ensuring that appropriate fortification-specific questions are included. The identification of appropriate indicators is critical in this process and chosen based on the % of the Estimated Average Requirement (EAR) provided as additional intake through the fortification program.
Independent non-profit evaluator reports
Opportunities at the Organizational and Country Level
Several factors at both the organizational level and the country level have helped to facilitate program success.
Data driven approach
- Systematic framework used throughout programming to guide fortification design and determine effectiveness
Sustained, in-country support
- Focused guidance for 3-5 years (or more) via a “Country Coordinator” model building local capacity until owned and operated by the government
Comprehensive staff training
- Rigorous micronutrient and fortification training throughout the year for PHC staff using internally designed training modules
Innovative on-line hiring
- Allows for a cost-effective hiring process that brought in competitive global applicants
Flexibility to focus on unique, country program needs and challenges
- Generation of tools to address contextual problems with the potential to scale globally
NGO status / structure
- Allows for nibble approach and flexibility in programming
- Facilitates access to pro bono business and modeling expertise
- Strong industry commitment to begin fortification
- Regional progress, which builds competition and facilities trade issues
- Agreement among all in-country stakeholders that fortification should be prioritized
- Creation of national agenda led by government
- National laboratory commitment to build and maintain a testing regime
Management and leadership
- Strong direction from high level Ministry
- In-country champions within the government driving the program at the management level