International Publications

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  • Bangladesh Farmer Nutrition School Cohort Study Technical Brief
    July, 2017 - To measure changes plausibly brought about by the farmer nutrition school (FNS) program when implemented at scale, this study surveyed a cohort of women who participated in the FNS curriculum beginning in November 2014. The study collected data from a cohort of 440 women in 38 upazilas and interviewed participant ...
  • 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 ...
  • Building Healthy Cities
    October, 2017 - This document highlights the work of JSI's Building Healthy Cities project. The USAID-funded initiative aims to embed a health equity lens into city policies, planning, and services while improving data flow for existing Smart Cities in India, Indonesia, and Vietnam. Health and Smart Cities planning are related; decisions about transport, ...
  • 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, ...
  • Ghana Farmer Field School Curriculum: Good Agronomic Practices for Groundnut Production
    August, 2017 - SPRING/Ghana developed this farmer field school (FFS) curriculum to improve farming practices and increase aflatoxin-safe groundnut crops for better household nutrition. It was originally developed for the Ghana Ministry of Food and Agriculture’s agricultural extension agents to work with groundnut farmers in Northern Ghana supported by SPRING. The project team ...
  • Haiti: Exploring Approaches to Building Capacity for Nutrition Assessment, Counseling, and Support Services
    August, 2015 - Given the need to strengthen nutrition services within health systems, the Strengthening Partnerships, Results, and Innovations in Nutrition Globally (SPRING) project has explored the advantages and disadvantages of two approaches that we use in Haiti for rolling out trainings on infant and young child feeding (IYCF) and nutrition assessment, counseling, ...
  • How Do Community Health Workers Contribute to Better Nutrition? Haiti
    October, 2016 - Community health workers (CHW) play a critical role in delivering evidence-based, cost-effective interventions that can improve nutrition outcomes. Information on the services that 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 ...
  • JSI Nutrition
    2017 - This brochure highlights JSI's work in nutrition, which spans the human lifecycle. JSI works across the continuum of care and through multi-sector engagement to improve nutrition outcomes around the world. This brochure highlights JSI's work in capacity building, community engagement, implementation and integration, and also provides project highlights. JSI, 2017. ...
  • Kyrgyz Republic Mother Support Groups: Three-Day Training of Facilitators - Trainers Facilitator Guide
    June, 2017 - The Baby Friendly Hospital Initiative (BFHI) in the Kyrgyz Republic engages hospitals to ensure an environment that supports women to initiate breastfeeding in a timely manner and promotes exclusive breastfeeding up to six months. Hospitals undergo a process of planning, training, and policy changes that lead to achieving 11 key ...
  • LEARN, DO, SHARE - Cultivating Better Nutrition Worldwide. Snapshots from SPRING, USAID’s Multi-Sectoral Nutrition Project, 2015–2016
    January, 2017 - These snapshots from our annual report take you on a journey, transporting you to the countries that SPRING serves and introducing you to the people whose lives SPRING touched in 2016. The report highlights accomplishments through personal stories. The SPRING project focuses on improving lives—especially in the first 1,000 days—by ...
  • Nutrition-sensitive agriculture programming: What SPRING has learned. Presentation by Heather Danton, IUNS 2017
    October, 2017 - This presentation was made at the IUNS 21st International Congress of Nutrition and highlights the lessons learned from nutrition programs implemented by the USAID-funded SPRING Project. The presentation highlights the results frameworks from Feed the Future and the SPRING Project, as well as SPRING's implementation model. The presentation was made ...
  • 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 Anemia in Ghana: The SPRING Approach and Lessons Learned
    September, 2017 - This brief describes SPRING’s investments in three areas of anemia programming in Ghana: 1) strengthening coordination and collaboration for anemia, 2) capacity building, and 3) community-level engagement. Within each section on these areas, we also highlight our experiences and the lessons learned through two core principles that guided our anemia ...
  • 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 Farmer Nutrition Schools: Multi-Sectoral Action, Durable Results
    September, 2017 - SPRING pioneered the farmer nutrition school approach in Bangladesh by innovatively combining the proven “farmer field school” and “essential nutrition actions” methods. Farmer nutrition schools enabled pregnant and lactating women and mothers with children under two to adopt improved nutrition and hygiene practices, and to improve production and consumption of ...
  • SPRING/Bangladesh Final Country Report
    July, 2017 - SPRING/Bangladesh 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 and their children through its farmer nutrition schools (FNS) approach, and nearly 6,500 FNS were established over this ...
  • SPRING/Bangladesh: Farmer Nutrition School Cohort Study
    July, 2017 - To measure changes plausibly brought about by the farmer nutrition school (FNS) program when implemented at scale, this study surveyed a cohort of women who participated in the FNS curriculum beginning in November 2014. The study collected data from a cohort of 440 women in 38 upazilas and interviewed participant ...
  • SPRING/Ghana: Engaging Communities to Improve Nutrition through the 1,000-Day Household Approach
    September, 2017 - SPRING’s work in Ghana (2014–2017) aimed to improve the health of 1,000-day households with pregnant women and/or children under 2 years of age. Using evidence-based practices, SPRING developed a multi-sectoral program to reduce stunting and anemia in 15 districts of the Upper East and Northern regions of Ghana. The project ...
  • SPRING/Ghana: Engaging Community Members to Adopt Effective WASH Practices for Nutrition
    August, 2017 - SPRING’s “WASH 1,000” strategy promotes focused, evidence-based water, sanitation, and hygiene (WASH) practices to eliminate common fecal-oral contamination pathways in children during the first 1,000 days after birth. The strategy takes an integrated, multi-sectoral approach, simultaneously delivering products, services, and information to households with pregnant and lactating women and those ...
  • SPRING/Ghana: Helping Health Workers and Caregivers Improve Nutrition through Multi-sectoral Programming
    August, 2017 - The leading causes of stunting and anemia are poor diets, especially low dietary diversity, and poor sanitation infrastructure and practices that lead to intestinal infections, which interfere with achieving and sustaining nutrition gains. To combat these problems, we identified behaviors across the nutrition, WASH, and agriculture sectors that—when synthesized into ...
  • SPRING/Ghana: Reducing Aflatoxin Risks as Part of a Multi-sectoral Approach to Nutrition
    August, 2017 - Food safety is an underlying driver of undernutrition. Unsafe foods lead to disease and chronic conditions that prevent the body from properly absorbing food nutrients SPRING/Ghana takes a multi-sectoral approach, simultaneously addressing both the direct and underlying causes of malnutrition. Groundnuts are a staple legume in the northern regions of ...
  • SPRING/Senegal Dynaset-setal: Material Didactique
    August, 2017 - Le manuel de formation en hygiène est conçu dans le cadre des stratégies du projet SPRING/USAID afin de dispenser d’une formation de base en hygiène, eau et assainissement à l’intention des cellules de suivi WASH. En effet, ces dernières ont été mises en place dans les communes et villages afin ...
  • SPRING/Senegal Manuel de formation sur le genre et la nutrition
    July, 2017 - To address issues of gender equality and women’s empowerment in nutrition and agriculture, we must recognize the role of women not only as producers and consumers of food but also as the individuals traditionally responsible for the nourishment and health of the household. This French training manual targets adult learners ...
  • SPRING/Sierra Leone: Entry Points for Nutrition in Feed the Future Value Chains
    June, 2017 - In February 2017, SPRING used rapid appraisal techniques to explore how value chains can be supported and leveraged to contribute to improvements nutrition for women and children in the first 1,000 days from pregnancy through two years of age (a critical window of opportunity). Specifically, we analyzed how each of ...
  • SPRING/Uganda: Fortifying National Efforts to Improve Nutrition for All
    September, 2017 - In Uganda, SPRING provides technical assistance and leadership at the national and district levels to help reduce stunting, micronutrient deficiencies, and anemia, particularly in children and women of childbearing age. This infographic provides highlights of the program at the national and district levels. JSI/SPRING Project. 2017. Download (PDF, 660 KB) ...
  • SPRING/Uganda: Mapping of Maize Millers: A Road Map to Scaling Up Maize Flour Fortification
    August, 2017 - The Government of Uganda has made considerable progress in advancing the food fortification agenda and developing food quality control systems. SPRING's goal was to establish baseline information on maize flour processing and the status of maize flour fortification in the different regions of Uganda. Mapping the maize millers was a ...
  • 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: 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: Six Key Actions to Reduce Anemia
    September, 2017 - Anemia is a widespread public health problem that few countries have been able to reduce in compliance with World Health Assembly goals. Anemia is characterized by a low concentration of hemoglobin in the blood and results in poor health and decreased economic development. For expectant mothers, serious maternal anemia increases ...
  • 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 Integrated 1,000-Day Household Approach in Ghana
    August, 2017 - In line with global programming, SPRING’s stunting and anemia reduction efforts focus on the segment of the lifecycle called the “first 1,000 days,” which encompasses pregnancy and the child’s first two years. This window of opportunity is the time to take action to prevent stunting in young children because it ...
  • 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" ...
  • The Women's Empowerment in Agriculture Index Results from SPRING/Bangladesh's Farmer Nutrition Schools: A Quantitative Study
    April, 2017 - In Bangladesh, The SPRING project has been using a multichannel integrated approach to tackling malnutrition along the nation’s coastal belt using both nutrition-specific and nutrition-sensitive interventions. This publication presents the findings from a study that explored the research question: Are SPRING Farmer Nutrition School (FNS) participants more empowered than those ...
  • Why WASH is crucial to nutrition programs. Presentation by Dr. Jennifer Nielsen, IUNS 2017.
    October, 2017 - Dr. Jennifer Nielsen, senior nutrition advisor for Helen Keller International, presented on "Why WASH is crucial to nutrition programs” on October 15th, 2017 at the JSI-sponsored satellite symposium entitled “Better Together: Lessons Learned from Multi-Sectoral Implementation of Nutrition Programs,” which was held at the IUNS 21st International Congress of Nutrition ...
  • Why is a multi-sectoral approach needed for nutrition, and why is it so hard to actually put it into practice?
    October, 2017 - This presentation was made at the IUNS 21st International Congress of Nutrition and highlights the lessons learned from multi-sectoral nutrition programs as well as the life-cycle approach to nutrition-specific programming. The presentation was made at the JSI-sponsored satellite symposium titled “Better Together: Lessons Learned from Multi-Sectoral Implementation of Nutrition Programs,” ...