Process evaluation report: program delivery of an integrated home fortification project in the Amhara and Tigray regions of Ethiopia

The burden of anaemia and malnutrition among children in Ethiopia is high. According to nationally representative survey data, 40.1% of children under the age of 5 are stunted, 8.9% are wasted, and 44.2% of children 6–59 months of age in Ethiopia are anaemic. To address these issues, the Global Alliance for Improved Nutrition (GAIN), in partnership with Concern Worldwide and with funding from the Netherlands, is supporting the Federal Ministry of Health (FMOH) to implement the Integrated Home Fortification project, which aims to improve complementary feeding practices through the delivery of a micronutrient powder (MNP) and behaviour change communication messages to approximately 71,000 children 6–23 months in six woredas in Ethiopia’s Amhara region through the public health system. 

The main purpose of the IHF project was to inform the FMOH about successes and challenges of integrating MNP delivery into existing health services and IYC feeding activities. Several activities were designed to generate evidence to be used to improve project's impact and to track its progress in doing so. This report presents the results of an evaluation using program impact pathway analysis approach to understand factors affecting program delivery and adherence to recommendations regarding MNP. 

Two additional reports accompany this report:

  1. a report of results of a population-based baseline and endline survey results which includes quantitative estimates of program outcomes and
  2. a report of results on factors that affected program delivery and adherence to DESTA recommendations based on focused ethnographic study (FES) interviews with caregivers who participated in the program.

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