Increase access to locally produced fortified foods to improve mother's, children's and people living with HIV-AIDS/TB's health in West Africa

Increase access to locally produced fortified foods to improve mother's, children's and people living with HIV-AIDS/TB's health in West Africa

  • Overview

    Vision / description

    A/To contribute in achieving WHO/Unicef Global target 2025 to improve maternal, infant and young child nutrition
    1 Stunting :40% reduction in the number of children under-5 who are stunted
    2 Anaemia Iron deficiency anaemia :50% reduction of anaemia in women of reproductive age
    3 Low birth weight: 30% reduction in low birth weight
    4 Overweight :no increase inchildhood overweight
    5 Breastfeeding: increase the rate of exclusive breastfeeding in the first 6 months up to at least 5:0%
    6 Wasting .Severe acute malnutrition
    reduce and maintain childhood wasting to less than 5%
    B/Strenghten nutritional support as part of an integral and comprehensive response to HIV/AIDS helping to maintain the immune system and sustain healthy levels of physical activity

    Project objectives

    A-EVIDENCE :More than 2 billion people in the world today suffer from micronutrient deficiencies caused largely by a dietary deficiency of vitamins and minerals.
    In TOGO/West Africa: Anemia due to iron deficiency affects more than 80% of children from 6 to 36 months old and 40% to 60% of pregnant women. More than 30% of maternal death is due to anemia. Vitamin A deficiency affects 35% to 50% of children under 6 years old. More than 4000 children in each country are becoming blind per year due to lack of vitamin A.
    Preterm birth, low birth, congenital malformation rate is going high such as spina bida due to lack or insuffiscient intake of folic acid
    There are well established scientific links among poor nutrition, food insecurity, and HIV/AIDS. However, the evidence base for identifying effective programming approaches is still lacking or evolving.
    In Togo, a preliminary survey conducted by Togo Association for Fighting against Hunger and Malnutrition has shown that ART is well managed and free of charge for PLHIV. But it has been noticed that no attention or less care is paid for nutritional support.
    B-GOALS:
    *Make locally produced fortified food available , accessible and widely consumed by the target group of vulnerable population : mothers , children and people living with HIV/AIDS and TB
    *Improve nutritional and health status of the target group of vulnerable population : mothers , children and people living with HIV/AIDS and TB
    C-OBJECTIVES
    OUTPUTS
    *Fortified staple foods are produced and distributed
    *Nutritional food kits with various fortified foods are produced and delivered
    *Educational resources based on nutrition and social marketing activities (presentation, campains, awarness meetings, conferences) are availbale and delivered
    OUTCOMES
    short terms :
    *Fortified foods are consumed by the target group of vulnerable people
    *Awareness, knowledge and intention are improved
    Medium terms
    *Change in nutritional practice /Change in beheavour when purchasing and cooking food : increase proportion of those who look at Food fortification logo when purchasing food
    *increase proportion of mothers, children and people living with HIV/AIDS/TB for fortified food consumption
    Long term (IMPACT)
    *Improve mothers, children and PLHIV.AIDS.TB nutritional status and health
    *Reduction of micronutrient deficiencies: Iron; VitaminA, Iodine, folic acid, zinc,…
    *Reduction of anemia, stunting, low birth, preterm bitrh and congenital malformations
    D-ACTIVITIES
    To achieve the set objectives (outputs/outcomes), the following activities will be carried out :
    *Engaging with stakeholders
    *Strenghen the existing staple food fortification programme: production and distribution capacity/Quality assurance
    *Strenghen the existing fortified foods supply programme to vulnerable people
    *Disseminate programme for large consumption
    *Conduct awareness, campaigns and social marketing activirties as well as nutritional education to the population
    *Survey health impact of consumption of fortified foods

    Beneficiaries

    -Children under 5 years old
    -Mothers : childbearing age women, pregnant women, lactating women
    -People living with HIV/AIDS/TB
    *Areas were malnutrition rate is very high :ex North part of Togo, etc..
    *School canteens : primary school and preschool (kidergarden)
    *Orphanage and children care taking centres
    *NGO and PLHIV communities

    Current progress

    The following programmes are designed and running: This is the first time in the history of Togo
    1. School Feeding Program in Togo (Togo Government-Ministry of primary education, WFP).QSI/ATOLFAM will contribute to making available fortified foods in school canteens to reach more than one million children. QSI is involved in many meeting/events to design the program with WFP and Ministry of Education
    2. Program using fortified maize flour in public catering and street restaurants (QS/ATOLFAM, Ministry of Health –Togo).QSI/ATOLFAM educates through special counseling , managers and owners of public catering and street restaurants to use fortified corn flour in place of the non enriched maize flour currently used. Fortified Maize flour is recognized byWHO as public health intervention
    3. Direct supply to NGO with kit of nutritional pack consisting of various fortified foods : Global Fund/Population Services International PSI awarded contract to produce Fortified corn-soja Blend to children infected by HIV in Togo (2013); UNHCR/ATBEF buy nutritional food kits with fortified foods to refugees in refugees camps in Lome since 2011/2012 at subsidized price-Action contre le Sida/Fondation de France-Fondation Marc and other NGOs taking care of PLHIV buy nutritional food kits with fortified foods 2011/2013 at subsidized price
    4/Programme d’Alimentation Enrichie de la Mère et de l’Enfant (PAEME): special programme being designed to support most vulnerable mother and child for their access to fortified food
    To promote food fortification and facilitate easy access of fortified foods to population, QSI through ATOLFAM is providing fortified foods significantly at lower price than the market price, the subsidy ranged from 20 to 30%
    Complementarities: These programmes support the program of fortification of wheat flour and refined oil in the WAEMU countries West Africa (WAEMU, HKI)
    Measurement of impact.: The program has not yet done impact studies .No studies at national level is made to assess the link between micronutrients deficiencies and the incidence HIV/AIDS and our organization is interested to conduct such health impact studies. The preliminarily survey with no protocol which has consisted to asked UNHCR/ATBEF that how PLHIV feel after 2 years of introduction in their diet fortified foods : the answer is positive, PLHIV in refugees camps with severe malnutrition have regained weight and improved their general health status. But systematic survey and study need to be done.
    Perspective: Doing a survey of micronutrients deficiencies and HIV/AIDS in Togo and in the sub-region at the beginning of project -Make an assessment after three years of implementation of the model.
    SOCIAL MARKETING /Awarness : Our team is going around hospitals, clinics and public places in LOME , churches, mosques to give awarness and nutritional education
    PROMOTION OF FOOD FORTIFICATION LOGO : During social marketing activities, our team help to show west Africa french speaking countries (UEMOA) food fortification logo which is on the packaging of all our fortified products
    In recognition of the efforts in promoting local agriculture products, promoting health of the most vulnerable (children, women, HIV/TB infected people, Refugees) and creating jobs through agribusiness value chain and foods processing activities which include aflatoxins mitigation from farms, QSI sarl has been awarded by 2 prizes : N°1 2013 PRIZE of TOGO Business Awards as the ‘BEST ENTREPRENEURIAL PROJECT” from the Chamber of commerce and Industry of Togo and N°2: WIN-Development Prize by “Agence Nationale de Promotion , de Garantie et de Financement de PME/PMI (ANPGF) ( Togo National Agency for promotion, loan guarantee and funding of small and medium enterprises.
    Some events attends by the project:
    • Technical considerations “Maize flour and corn meals fortification in public health’ W H O/FFI USA/The Sackler Institute for Nutrition Science-New York Academy of Sciences; New York, 8-9 April 2013
    • Science Forum 2013 -Nutrition and Health outcomes: targets for Agricultural research; CGIAR/ISPC-FAO /BMZ , Bonn, Germany, 23-25 September 2013
    • 6th International conference on Birth Defects and disabilities (ICBD 2013) at Cebu Philippines November 2013 – http://www.icbd2013.com/ E-mail :scientific@icbd2013.com
    • World Food day 2013 celebration in Togo :Participation with fortified Maize flours products in several activities : telefood with Local office of FAO/Ministry of Agriculture
    Project’s forified foods and brands
    • MAÏVIT PLUS: Fortified Corn-Soya-Blend (Maize-Soya-Wheat flour-Fruits from baobab-malt, Vitamins and minerals added vit. A, B1, B2, Niacin, B6, B9, B12, C, Iron, Iodine, Zinc, Calcium,…) MAIVIT PLUS is used by mums in generally in fast preparing energetic malted porridge for complementary feeding of infant and young children over 6 months old . MAIVIT PLUS is available in plastic sachet of 400 grams
    • SUPER MAÏVIT: MAIVIT PLUS with 25% of instant milk powder -Fortified Corn-Soya-Blend (Maize-Soya-Wheat flour-Fruits from baobab-malt, Vitamins and minerals added vit. A, B1, B2, Niacin, B6, B9, B12, C, Iron, Iodine, Zinc, Calcium,…) SUPERMAIVIT is used by mums in generally in fast preparing energetic malted porridge for complementary feeding of infant and young children over 6 months old. SUPERMAIVIT is available in plastic sachet of 400 grams
    • MAÏVIT: Fortified MAIZE FLOUR (Maize cassava, Vitamins and minerals added vit. A, B1, B2, Niacin, B6, B9, B12,, Iron, Iodine, Zinc, ,) MAIVIT is used by every household in general to prepare dough to be eaten by sauce. The famous dish is well known as Akoumè in local name consumed by people of all ages. Every household get his maize to be milled by the small millers installed everywhere. MAIVIT could be found in size of 1 kg, 2.5 Kg, 4.5 Kg, 25 kg.
    • MAÏVIT NDD : Fortified MAIZE FLOUR FOR DIABETE 2 ( Cassava Gari Maize Sweet potatoe flour- Fonio, Wheat germs, Vitamins and minerals added : Chromium, D, Magnesium, Biotin, K, C, vit. A, B1, B2, Niacin, B6, B9, B12, , Iron, Iodine, Zinc, ,) MAIVIT NDD is used by people affected by DIABETE 2 to prepare dough to be eaten by sauce. The famous dish is well known as Akoumè in local name consumed by people of all ages. MAIVIT NDD is developed with intensive research partnership of QSI and Fortitech Denmark to improve nutrition of people living with diabete2. MAÏVIT NDD could be found size of 2.5 Kg, 4.5 Kg,
    • SUCRIVIT: Fortified Sugar with vitamin A . The brown as well as white sugar is used. Sucrivit get support of BASF Germany and GIZ/BMZ in term of donation of Vitamin A and lab Quality control test tool kits. Sucrivit is distributed in 0,9 kg, 0.4 kg and 0,1 kg
    • VITARICE: Fortified Rice (Rice, vitamin and mineral added B1, B2, Niacin, B9, B12, Zinc, Selenium,..). Mainly locally produced rice is used. Accessory imported rice is used. VITARICE is formulated with strong partnership of Wright group USA. VITARICE is sold in size of 1Kg, 5 Kg and 25 Kg
    • KULVIT: Fortified fried peanut paste : (Fried Groundnut paste after oil extraction, Vitamin A, Iron, Iodine). KULVIT is eaten like biscuit by especially children. It’s available in sachet containing 5 bars of about 10 grams each.
    • Ready To Use Supplementary Foods (RUSF)/Ready To Use Therapeutic Foods (RUTF) (Maize-Soja-Peanut-Milk-Vitamins and minerals added). They are new products under current development for severe acute malnutrition.
    On the Label of all fortified products produced by QSI , is printed the West Africa Economic and Monetary Union ( WAEMU/UEMOA) LOGO OF FORTIFIED PRODUCTS

    Project URL

    http://www.alimentsenrichisqsi.org

    Sustainable Development Goals

    2. Zero hunger; 3. Good health and well-being; 4. Quality education; 8. Decent work and economic growth; 10. Reduced inequalities; 11. Sustainable cities and communities; 16. Peace, justice and strong institutions

    Partnership types of interest

    Business opportunities in low income communities/countries ; Provision of goods; Provision of services / personnel; Standards and guidelines development

    Regions / countries / territories

    Africa: Togo

    Detailed location

    Lome (Capital of Togo) with extension in remote areas such as norther areas (Kara, Dapaong)
    Extension and scaling up in UEMOA countries/ECOWAS

    Issue areas

    Child Labour; Children's Rights; Food and Agriculture; Forced Labour; Health; Human Rights; Labour; Migrant Workers; Peace; Principle 3; Principle 4; Principle 5; Principle 6; Youth

    Business sectors

    Food & Beverage; Industrial Goods & Services; Industrial Goods & Services - Support Services; Other; Personal & Household Goods

    Disasters

    West Africa

    Partners

    Existing partners

    Ministry of Health/Nutrition service- Togo
    Ministry of Agriculture/National Food Security Agency
    Food Fortification Alliance Togo
    Association Togoalaise de Lutte contre la Faim et la Malnutrition (ATOLFAM)
    WFP/Ministry of Education (school feeding programme)
    GAIN: Global Alliance for Improved Nutrition
    FFI: Food Fortification Initiative
    Fortitech
    BASF-Germany
    Wright enrcihment-USA
    WHO : attending various meeting and events
    HKI : training
    Association Togolaise pour le Bien Etre Familial (ATBEF)/UNHCR :Nutritional support with fortified food to vulnerable people in refugees camps
    Global Fund/PSI washington-Togo : Nutritional support to PLHIV
    NGOs(Action Contre le Sida, Fondation de France, Fondation Marc, Espoir Vie Togo,..)Nutritional support to PLHIV
    Newspaper : SANTE-EDUCATION (journal)

    Stakeholders consulted

    Civil Society groups; Community leaders; Government; Indigenous groups; Women

    Preferred partner organisation(s)

    Academic; Business Association Global; Business Association Local; Company; NGO Global; NGO Local; Public Sector Organization; Small or Medium-sized Enterprise; Social Enterprise; UN Entity

    Type of support needed

    Co-product development; Marketing/Communications; Monitoring and Evaluation; Project implementation; Project management; Seed funding

    Collective Action
    • This initiative has a potential for scalability.
    • This initiative is seeking additional partners.
    • This initiative respects all dimensions of sustainable development.
    • This initiative is not submitted with commercial intent.