International Development Grant

Increase Gains in Nutrition by Integration Education Evaluation Empowerment

Project Number: CA-3-P011795001

Status: Operational

Country/Region:

Malawi 40.00%
Pakistan 29.00%
Ghana 31.00%

Maximum Contribution: $19,040,887.00

Start Date: May 19, 2023

End Date: January 31, 2029

Duration: 5.7 years

Project Description

The project aims to improve nutrition for the poorest and most marginalized in Ghana Malawi and Pakistan especially women adolescent girls and children. In all three countries women adolescent girls and children represent a disproportionate number impacted by malnutrition due to various biological and socio-cultural factors including poverty gender inequality and community norms. The project expects to deliver targeted integrated nutrition health and water sanitation and hygiene (WASH) programming to build sustainable institutional capacity across the continuum of care and improve nutrition within vulnerable communities. The project aims to reach approximately 822 000 direct beneficiaries (65% women) and 12 500 000 indirect beneficiaries (50% women) in health facilities communities and education institutions. Project activities include: (1) delivering gender-responsive antenatal care training (including one specific to adolescent girls) to health professionals and community health workers; (2) providing training on integrated nutrition and hygiene behaviour change communications to health professionals and community health workers; (3) training health professionals about integrated nutrition health WASH interventions; (4) integrating gender-responsive adolescent-friendly nutrition and hygiene behaviour change communications with routine health services at select facilities; (5) supporting district-level Ministry of Health to operationalize the strategy to deliver essential nutrition services to all children; and (6) delivering capacity building workshops and implementing gender-responsive and integrated nutrition and health and WASH services for key stakeholders.

Expected Results

The expected outcomes of this project include: (1) improved nutrition and hygiene practices at community and individual levels among women men adolescent girls and boys in target countries; (2) strengthened gender-responsive adolescent-friendly integrated nutrition health and WASH services for the most marginalized especially women adolescent girls and children in target countries; and (3) improved effectiveness of stakeholders to integrate enhance and sustain quality nutrition health and WASH services for the most marginalized especially women adolescent girls and children in target countries.

Progress & Results Achieved

Results achieved as of March 2025 include: (1) 32 689 pregnant women and adolescent girls received one bottle of multiple micronutrient supplements and 500 received a second bottle at their ante natal care visits; and (2) strengthened the capacity of select healthcare facilities in Ghana Malawi and Pakistan to deliver integrated inclusive and gender-responsive services has begun. For example a study protocol was developed by SickKids and Aga Khan University in Pakistan for a research trial to assess whether training community-based Lady health workers to deliver an integrated package of nutrition hygiene and heat adaptation interventions to women of reproductive age improves birth child growth and other related outcomes. On the curriculum development 3 out of the planned 7 to 2 hour courses on nutrition for healthcare providers were developed and launched and 4 712 health professionals have completed one of these courses (65% women) across Ghana Malawi and Pakistan. This represents 17.6% of the end-of-project target for Ghana (20 000 courses); 15% in Malawi with the end-of-project target (6 000 completed courses); and 1.5% of the target in Pakistan (20 000 completed courses) having been delivered. IGNIT3’s courses are available through the World Continued Education Alliance (WCEA) digital learning platform which partners with the International Council of nurses the World medical association the United Nations Population Fund and others. WaterAid developed gender-responsive nutrition-integrated hygiene behaviour change communication packages for use by health workers hygiene promoters and community outreach personnel. These packages were designed using context-specific participatory strategies including baseline assessments formative research and local stakeholder consultations; they were developed for each country aligned with local contexts and behaviour impact which will inform future behaviour change initiatives.

Key Information

Executing Agency:
The Hospital for Sick Children

Reporting Organization:
Global Affairs Canada

Program:
YFMInternaAssistPartnershp&Programing Br

Last Modified:
September 19, 2025

Development Classifications

DAC Sector:

Basic health care 23%
Basic nutrition 44%
Health personnel development 23%
Basic sanitation 4%
Waste management/disposal 3%
Education and training in water supply and sanitation 3%

Aid Type: Project-type interventions

Collaboration: Bilateral

Finance Type: Aid grant excluding debt reorganisation

Selection Mechanism:
Department-Initiated

Policy Markers
Level 1 Gender equality
Level 2 Nutrition
Major Funding (>$1M)
Budget Breakdown
2023-04-01 to 2024-03-31 $19,040,887 CAD
Geographic Information
000
Project Number: CA-3-P011795001