Global Action and the Hernreich Family Foundation's strategy for impact will leverage existing infrastructure to implement their interventions. Global Action will partner with local community organizations, the Tanzania Food & Nutrition Center, Tanzania Ministry of Health and Social Welfare (MOHSW), and the Benjamin Mkapa HIV/AIDS Foundation. The Hernreich Family Foundation will intervene at multiple levels by engaging the government, local and international NGOs, and civil society to reach children under five years old.
Global Action will work closely with its in-country partners to develop an operational strategy and align efforts to prepare for training of community health workers and distribution of water-purification and micronutrient products. Their team will coordinate the logistics product distribution through the government agencies.
Global Action will provide educational training to community workers and medical staff on the proper use of Sprinkles® and PUR®. They will provide education on nutrition and hygiene and sanitation practices that can prevent the spread diseases. They will disseminate education through the national vitamin A and measles campaign to facilitate large-scale social awareness and messaging.
They will procure and distribute products through incremental phases via district and community health clinics targeting pediatric immunization and HIV/AIDS programs. They will also target community-based food aid programs for broader penetration.
Finally, Global Action will collect data on product acceptability, compliance, and medical symptoms through a survey implemented by medical clinicians and community workers.
In order to monitor and evaluate impact, this program will analyze hemoglobin levels in a sample of 800 children pre-intervention and four months post-initiation of Sprinkles® to demonstrate its effectiveness in decreasing prevalence of anemia. Additionally, Global Action will analyze data collected from 800 primary caregivers on product acceptability, compliance, and the presence of clinical symptoms. Finally, they will also draw gross associations comparing health indicators from the Tanzania Demographic Surveillance Report.
- Anticipated launch date: November 1, 2008
- Engaging Government and NGOs : November 2008 to December 2008
- Community Worker Education Training Program: December 2008 to April 2009
- Product Distribution : January 2009 to December 2009
- Impact Analysis : May 2009 to April 2010
In the industrialized world, mass food fortification--the addition of micronutrients to commercially processed foods, such as flour--has contributed to the reduction of micronutrient deficiencies. However, access to commercially processed foods is typically not available to the majority of people living in poor countries. Therefore, strategies that are targeted to reach people in rural areas at the household level are the most effective means of impacting micronutrient deficiencies. Likewise, in-home-use water purification treatment has proven to be highly successful in preventing water-borne diseases. When used in combination, vitamin and mineral supplements and water purifiers immediately impact the health of children and families.
As part of Global Action and the Hernreich Family Foundation's 2007 commitment, they will distribute Sprinkles®, a multiple vitamin and mineral supplement that is added to home prepared foods. Sprinkles® have been used to treat and prevent anemia and other micronutrient deficiencies among infants and young children in more than sixteen countries worldwide. Global Action received an in-kind donation of Sprinkles® from the H.J. Heinz Company Foundation. The Heinz Foundation has supported Sprinkles® micronutrient home fortification programs in Asia and India where they have distributed Sprinkles® in tsunami, earthquake, and flood-affected areas since 2005 reaching more than 400,000 children.
In addition to other efforts set forth in this commitment, Global Action and the Hernreich Family Foundation will add water purification methods to their existing micro-nutrient fortification efforts. Through its Children's Safe Drinking Water Program¸ Proctor & Gamble has developed the PUR®, water purification system. PUR® is an easy to use in-home water purifier that removes parasites, bacteria, viruses and turbidity from dirty water. Global Action will coordinate training to health workers and on the purpose and proper use of PUR® to be distributed along with Sprinkles® to targeted households where access to clean drinking water is limited. The education training will also focus on safe water and hygiene interventions.
Global Action and the Hernreich Family Foundation seek partnerships with foundations, NGOs, and the private sector to increase capacity to scale interventions. In addition to financial support, they need assistance developing a monitoring & evaluation database, technical assistance to develop educational training materials, printing services, and in-kind professional services.