Building Operational Capacity for Successful Implementation of HOME Fortification: Academic Institutional Support for MNP Implementation

Abstract

Objectives: Many countries are expressing interest in implementing Home Fortification programmes using Micronutrient Powders (MNP) because of their proven effectiveness and low cost. A gap exists, however, between evidence based guidelines for practical implementation. Therefore our objective was to make technical support globally accessible and build operational capacity for successful implementation of MNP. Methods: As an academic institution and project group we have identified gaps, partners, research needs, and evaluated and streamlined existing guidelines for the implementation of MNP. We developed and field-tested tools for formative research to guide the design of MNP interventions integrated into IYCF and other programmes in Rwanda, Zambia, Cameroon, Laos, Sierra Leone, and Mali. Communication and training strategies and materials were developed, utilized, and continuously improved by our teams in multiple countries followed by comprehensive reporting and recommendations. Results: Broad contextual experience was built and made available to governments in implementing countries, organizational partners, and stakeholders through our team support. We facilitated knowledge exchange through national and global conference presentations and workshops. Research methods, communication and training materials, and monitoring & evaluation tools are constantly improved and adjusted and country specific implementation strategies for MNP are based on our findings. Conclusions: Creating an enabling environment for micronutrient interventions requires collaborative efforts from multiple stakeholders. Our university's multi-disciplinary team has enabled countries to move forward cost-effectively with Home Fortification programmes. Lessons learned are being integrated into practice-oriented technical guidelines and shared with other countries to operationalize and scale-up MNP programmes efficiently and effectively.