International Publications

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  • Bangladesh: Final Country Report, SPRING Project
    June, 2017 - This document highlights the five years of the SPRING Project in Bangladesh. SPRING implemented an innovative, scalable, and sustainable community-based, multi-channel, integrated nutrition program between April 2012 and June 2017. During this five-year period, the project reached more than 125,000 pregnant and lactating women (PLW) and their children through its ...
  • Engaging Government Agriculture Staff to Promote Nutrition at the Community Level
    March, 2017 - High-impact nutrition practices cannot be adopted and sustained by a given population simply by increasing knowledge or awareness. Many complex and contextual factors influence everyday decisions to consider, try, adopt and/or reject, and ultimately internalize and sustain a given behavior. The SPRING project in Bangladesh partners with government health and ...
  • Engaging Government Health Staff to Promote Nutrition at the Community Level - A Retrospective Analysis from Bangladesh
    September, 2016 - Evidence shows that populations do not adopt and sustain high-impact nutrition and hygiene practices solely as a result of increased knowledge and awareness (Bhutta et al. 2008 and Bhutta et al. 2013). Social science research has proven that many complex and contextual factors influence everyday decisions to consider, test, adopt, ...
  • Essential Nutrition Actions (ENA) Key Practices: Action Plan Brochure
    December, 2016 - Communicating the most accurate information is key to the health and nutrition of mothers, expectant mothers, and young infants. This brochure,developed for use in Ghana, can be useful for healthcare practitioners advising mothers on the best practices for breastfeeding and managing the dietary and nutritional needs of themselves and their ...
  • How Do Community Health Workers Contribute to Better Nutrition? Afghanistan
    2016 - Information on the services that community health workers (CHW) provide is necessary to advocate for change in training, management, and supervision systems related to the delivery of nutrition services by CHWs, but the diversity and magnitude of community health programs in a country can make it hard to find. In ...
  • How Do Community Health Workers Contribute to Better Nutrition? Haiti
    2016 - Information on the services that community health workers (CHW) provide is necessary to advocate for change in training, management, and supervision systems related to the delivery of nutrition services by CHWs, but the diversity and magnitude of community health programs in a country can make it hard to find. In ...
  • How Do Community Health Workers Contribute to Better Nutrition? India
    2016 - Information on the services that community health workers (CHW) provide is necessary to advocate for change in training, management, and supervision systems related to the delivery of nutrition services by CHWs, but the diversity and magnitude of community health programs in a country can make it hard to find. In ...
  • How one project created a complex electronic beneficiary registration and distribution system using off-the-shelf tools
    December, 2016 - Managing beneficiary registration and verification as well as tracking cash and mobile money distributions requires a complex set of workflows. This presentation is useful for health practitioners who aim to utilize existing tools and resources to develop an integrated operational/logistical and management information system. Leona Rosenblum, JSI. 2016. Download (PDF, ...
  • Integrated Family Health Program Annual Report 2015
    December, 2015 - This annual report highlights the accomplishments of the Integrated Family Health Program from October 1, 2014 to September 30, 2015. During the reporting year, the routine data collected from the 300 woredas supported by the project indicated that around 4.5 million couple years of protection (CYP) was generated of which ...
  • Integrated Family Health Program Final Report
    December, 2016 - This final report covers the period from 2008 to 2016. The Integrated Family Health Project (IFHP) improved health behaviors and increased access to quality health services in more than 300 woredas in Ethiopia. By improving delivery and uptake of critical maternal and newborn health services, IFHP helped avert nearly 65,000 ...
  • RING - Strengthening the Enabling Environment for a Multisectoral Response to Undernutrition
    December, 2016 - The implementation approach of the Resiliency in Northern Ghana (RING) project works with the active participation of the Government of Ghana. The goal of this collaboration is to build resilient systems that are better prepared to identify and address nutrition and livelihoods needs. This webinar presentation outlines the foundations of ...
  • Raising the Status and Quality of Nutrition Services Within Government Systems
    March, 2017 - Nearly half of all deaths in children under five are attributable to undernutrition. Three million lives are lost each year to it (UNICEF 2016). Undernutrition not only increases the frequency and severity of common infections and the risk of dying from them, but it also has long-term consequences on growth ...
  • Reducing Malnutrition through Farmer Nutrition Schools: Key Elements for Implementation Based on the SPRING Experience in Bangladesh
    August, 2016 - Farmer nutrition schools (FNS) improve food security, empower women, and create social and behavior change for better nutrition. In early 2012, the USAID asked the Strengthening Partnerships, Results, and Innovations in Nutrition Globally (SPRING) project to develop an approach for improving nutrition and food security that could be quickly scaled ...
  • SPRING Ghana Landscape Analysis of Anemia and Anemia Programming
    April, 2016 - This landscape analysis used multiple strategies to capture the current situation in Ghana with respect to anemia and anemia-related policies and programs. The analysis compiled data from two national surveys—the 2008 and 2014 Ghana Demographic and Health Surveys (GDHS). In addition, a systematic review of published and gray literature was ...
  • SPRING Literature Review on Pumpkin in Sierra Leone
    October, 2016 - Pumpkins have various nutritional and medicinal properties. This review looks at 39 journal papers about pumpkins in Sierra Leone. Articles were categorized by agriculture and botany, storing, and processing the fruit, nutritional properties of pumpkin (generally and for weaning), medicinal properties of pumpkin (treatment of cancer, diabetes, tapeworm, and depression), ...
  • SPRING: 10 Keys to Developing a Culture of Better Information Use
    April, 2017 - This poster looks at the importance of information and how it’s used for accountability and reporting, for program improvement, and contributing to the global evidence base. The poster also highlights the SPRING project’s monitoring, evaluation, research, and learning (MERL) function, as well as 10 keys to developing a culture of ...
  • SPRING: Assessment of SPRING-supported Implementation of Infant and Young Child Feeding in Nigeria
    March, 2017 - Undernutrition affects all income levels and geographic zones of Nigeria. In the 2013 Demographic and Health Survey in Nigeria, 37 percent of children under 5 years old were stunted, 29 percent were underweight, and 18 percent were wasted (National Population Commission and ICF International 2014). Stunting, or low height for ...
  • SPRING: Barriers and Enablers to the Consumption of Pumpkin and Fish in Tonkolili, Sierra Leone - Poster
    December, 2016 - SPRING/Sierra Leone conducted four barrier analysis surveys to identify factors that motivate or discourage consumption of pumpkin and fish by pregnant women and children 6-23 months old in Tonkolili District. Results will be used to develop social and behavior change communication materials to increase dietary diversity and promote the importance ...
  • SPRING: Developing Effective Messages for Better Nutrition and Hygiene in Tonkolili: The TIPS Method
    December, 2016 - SPRING/Sierra Leone used Trials of Improved Practices (TIPs) to select improved water, sanitation, and hygiene, and nutrition behaviors in consultation with household members. By focusing on what people do rather than what they know or believe, TIPs provides an in-depth understanding of families’ preferences and capabilities, and the barriers and ...
  • SPRING: Enplane Survey Results of Nutrition Assessment, Counseling, and Support (NACS) Services in Health Facilities Supported by SPRING/Uganda
    April, 2017 - In Uganda, the SPRING project's primary goal was to contribute to the reduction of stunting and anemia in children and women of childbearing age. The project provided technical assistance and leadership at the national level to implement activities and policies related to large-scale food fortification—via industrial fortification and micronutrient powders—to ...
  • SPRING: Evaluation of the Community Infant and Young Child Feeding Counselling Package in Nigeria: Nutrition Prioritization
    November, 2016 - The negative effects of malnutrition on productivity, cognitive ability, and health status are not always obvious. Furthermore, because of the multi-sectoral determinants of nutrition, improving nutritional status is often viewed as “everyone’s problem but no one’s responsibility” (IDS 2008; Lapping et al. 2012). To succeed in sustainably scaling up nutrition ...
  • SPRING: Evaluation of the Community Infant and Young Child Feeding Counselling Package in Nigeria: Women's Empowerment
    November, 2016 - Women’s empowerment and gender equity are globally recognized as essential for sustainable development. Not only is women’s empowerment crucial for women’s human rights, but a growing evidence base suggests that empowering women improves nutrition outcomes for both mothers and their children. One review estimates that improvements in women’s status and ...
  • SPRING: Making Climate-Smart Agriculture Work for Nutrition
    May, 2017 - The SPRING project has helped USAID and its partners design, implement, and monitor agriculture activities for better nutrition since 2011. In late 2016, SPRING managed a global review of Feed the Future, the U.S. Government’s global hunger and food security initiative, whose activities affect nutrition through three primary impact pathways: ...
  • SPRING: Operationalizing Multi-sectoral Coordination and Collaboration for Improved Nutrition
    November, 2016 - Reducing undernutrition requires a commitment from multiple sectors, yet documentation on how to collaborate across sectors to reach global goals is scant. Through a three-country assessment and literature review in Guatemala, Bangladesh, and Rwanda, SPRING investigated approaches to multisectoral collaboration for nutrition. This paper highlights lessons that USAID and its ...
  • SPRING: Opportunities for Integrating Nutrition into Agricultural Information Systems in Northern Ghana
    February, 2017 - An increasing number of agricultural projects and activities are working to meet nutrition-related objectives. Through an in-country review of key actors, mechanisms, and content areas, along with a review of relevant literature, SPRING documented information systems used in Northern Ghana to adopt and scale up new agricultural technologies and production ...
  • SPRING: The Father Factor - How Community Video Encourages Male Involvement for Better Nutrition and Hygiene Behaviors in Niger
    May, 2017 - Previous studies that explored interventions aimed at improving maternal, infant, and young child nutrition (MIYCN) behaviors primarily focused on the mothers of young children. Interest is growing in understanding how nutrition practices can be supported by involving other household members who provide social support and influence these practices, specifically mothers-in-law ...
  • SPRING: The Women’s Empowerment in Agriculture Index Results from SPRING/Bangladesh’s Farmer Nutrition Schools
    April, 2017 - SSPRING/Bangladesh implements a multichannel integrated approach to tackling malnutrition along the nation’s coastal belt using both nutrition-specific and nutrition-sensitive interventions. With the Essential Nutrition Actions and Essential Hygiene Actions (ENA/EHA) as the technical foundation of its work, SPRING/Bangladesh has developed a variety of interventions, grounded in existing evidence-based approaches, to ...
  • SPRING: Toward Shared Goals: Building Multi-Sectoral Coordination for Nutrition in Uganda and Nepal
    2016 - This brief reviews some of the global guidance regarding multi-sectoral coordination, shares what we have learned from stakeholders in Nepal and Uganda regarding current capacities and experiences with multi-sectoral coordination, and conclude with recommendations for strengthening and overcoming barriers to effective coordination. This brief is part a series of "interim" ...