The annual progress report summarizes the results of nutrition programmes from January to December 2021. It highlights that programmes reached over 92 million people with nutrition-specific and sensitive interventions to address malnutrition, including 48 million children, 21.5 million adolescents and more than 22 million mothers. The report also notes that 3 new programmes were approved totaling $17.35 million for nutrition programmes. Updates are provided on several country programmes, lessons learned, and monitoring and evaluation results.

1. Annual Progress Report
January - December 2021
THE POWER
OF NUTRITION
THE POWER
OF NUTRITION

2. SUMMARY:
TOGETHER OUR CO-INVESTMENT PROGRAMMES IMPROVED THE LIVES OF AN ADDITIONAL
48 MILLION CHILDREN, 21.5 MILLION ADOLESCENTS AND more than 22 MILLION new
mothers
through nutrition-specific and nutrition-sensitive interventions to address malnutrition;
reaching over 92 million people since our inception
3 NEW PROGRAMMES APPROVED
totaling 18 programmes in Sub-
Saharan Africa and South Asia
$17.354 MILLION IN NEW FUNDS
raised for nutrition programmes

3. [SUB TITLE]
Updates from
OUR PROGRAMMES
Working with experienced implementing partners and
governments to support national nutrition programmes that
deliver at scale.

4.  The programme officially closed on 30 June 2021. Four of the five
key programme indicators surpassed end of program targets
 Final World Bank report is being prepared. Initial results indicate
annual IFA target narrowly missed but VAS target surpassed
 Disbursement of funds from Ministry of Finance to health facilities
and local governments resumed in 2021. The resumption in payments
through the government’s direct health facility financing should
maintain and increase the uptake of priority nutrition services
 Development of World Bank $300million IDA is underway, which
should help support and maintain the current gains achieved
 The political and enabling environment has significantly improved
following change in the presidency. The Power of Nutrition is
exploring opportunities on development of a follow-on
programme to commence in 2023 and complement the IDA.
TANZANIA
2016 2017 2018 2019 2020
6,336,971
11,034,168
14,426,280
18,084,602
21,904,674
0
5,000,000
10,000,000
15,000,000
20,000,000
25,000,000
Tanzania total reach*
*Children under-five, adolescents and pregnant and lactating
women / new mothers

5.  The transition of VAS from campaign to routine services is underway in target health facilities,
with 278,078 children aged 6-59 months receiving Vitamin A supplementation services (against a
target of 178,101) and 149,095 children aged 12-59 months receiving deworming tablets (against
a target of 160,291).
 A total of 244,273 caregivers of children aged 0–23 months received maternal, infant, and
young child feeding (MIYCF) counselling (against target of 160,608).
 A total of 171,616 children aged 6–23 months received MNP supplementation (against the target
of 157,846).
 A total of 140,676 pregnant women received IFA supplementation by December 2021,
against the target of 138,283.
 Development of the National Multisectoral Costed Plan of Action for Nutrition is almost
complete, and multisectoral committees are active at national and decentralised levels to
operationalise the plans to ensure commitment to nutrition across line ministries
 A virtual monitoring visit was held in September 2021 between Unicef Liberia, Unicef UK,
the Government of Liberia (Ministries of Health, Finance, Gender and Women’s Development,
Education and Agriculture), The Power of Nutrition, Irish Aid, and other key partners including
ACF and representation from community members themselves. The virtual visit represented an
excellent opportunity to reflect upon successes and achievements to date, as well as challenges and
lessons learned, and develop action plans for course correction measures as required.
LIBERIA II
Images from the ©UNICEF Liberia/2021/Nutrition WINS video

6.  Agreement reached on restructuring the programme that will now end
on 31 March 2022. Design of new ~$100million programme underway
 The restructured programme is focusing on maintaining priority
nutrition services in response to COVID and the conflict
 The political unrest has now abated though uptake of key health and
nutrition services was disrupted, risking an increases in wasting. New
World Bank programme to include project financing for emergency
support
 Following initial delays, implementation of the catch-up plans for the
second investment in Ethiopia with Unicef is underway. Programme is
focusing on wasting, deworming and multiple micronutrient supplement
(MMS)
ETHIOPIA I and II
2017 2018 2019 2020
10,560,274
14,246,789
18,556,800
22,958,065
0
5,000,000
10,000,000
15,000,000
20,000,000
25,000,000
Ethiopia total reach*

7.  Programme has reached 1,366,403 children and 2,018,126 women to date.
Prevalence of stunting among under-2-year-old children is now 27.3%,
surpassing the target of 30.8%
 Restructuring to allocate additional funds for Fortified Blended Food (FBF)
completed, though challenges with FBF programme financial sustainability
remains
 Data collection for facility assessments is underway. Data collection for the
midline evaluation was delayed and expected to be completed by May 2022. New
firm being recruited to conduct the FBF evaluation
 Final report for the baseline evaluation signed off and analytical review of
baseline, DHS and operational context is underway. Mid-term review of
programme planned for May 2022.
 The Social Protection Programme closed on 31 December 2021. Design of new
follow-on programme is underway with World Bank approval expected in July
2022. The Power of Nutrition exploring opportunities to co-invest in
follow-on programme.
RWANDA
Growth monitoring training, Rwanda, 2019

8.  The programme is now operational in 1,863 communities, with FRANCs and CLPs supporting
539,103 children under 5 and 202,154 pregnant and lactating women with health, nutrition,
and early childhood development activities.
 A total of 530,014 women of reproductive age and children under five have benefitted from
direct nutrition services.
 114,360 mothers of children under 5 and pregnant women have been trained by the project to
engage in production or processing of diversified and micronutrient-rich foods, and 6,586
vulnerable pregnant women or mothers of children under five have received cash transfers –
these two interventions are aimed at supporting improved financial and food security, as well as
resilience at household level
 The project supported the establishment of 15,510 latrines and 31,338 handwashing stations to
promote positive WASH practices
 National, regional and prefectural Multisectoral Committees continue to provide Government
leadership and coordination at different levels
 The government of Côte d’Ivoire has submitted the restructuring requests necessary to
progress the recommendations of the mid-term review (conducted in 2021), including
adjustments to the results framework, reallocation of un-spent funds from the RBF component,
and a 12month no-cost extension, to enable the programme to consolidate interventions and
achieve it’s full potential impact.
CÔTE D’IVOIRE
©The Power of Nutrition / 2019 / Côte d’Ivoire
/ Charlotte Morgan-Fallah)

9.  Cumulative targets show the programme is performing well against key KPIs, including:
 KPI 1: 243,138 new mothers of children from 0 to 5 months were reached by the promotion
of breastfeeding, a 96.83% achievement against the target of 251,100.
 KPI 2: 280,386 new mothers of children aged 6 to 23 months were reached by the
promotion of complementary feeding, a 113.93% achievement against the target of 246,100.
 KPI 3: 330,874 new pregnant women were sensitized on ANC and received IFA, a 131.77%
achievement against the target of 251,100.
 Monthly growth monitoring and counselling to mothers and caregivers continued, with
routine data revealing that 79.46% of children regularly gained weight, with a weight for age
>80% on at least 3 consecutive monthly follow-ups.
 NGO front-line actors worked with 1,782 IYCF support groups to reach a total of 13,672
mothers of children aged 0-5 months, 27,706 mothers of children aged 6-23 months, and
groups of grandmothers, husbands/fathers, and other relatives and caregivers, with critical IYCF
messages. Home visits also helped 12,636 pregnant women to attend the minimum 4 ANC
consultations and take their IFA tablets.
 Mass sensitization through local radio continued, with broadcasting plans updated for 15 local
radio stations and shared with households during home visits. The 2021 KPC report showed that
more than 93.3% of mothers in Alibori, 90.2% in Borgou and 78.4% in Zou stated having heard
key nutrition information via the radio messages.
 Unicef provided technical support to the Government of Benin in their engagement in the 2021
Nutrition for Growth Summit, resulting in a number of critical commitments for nutrition.
 KPC and LQAS survey reports were completed and validated, and findings have already started
influencing programme adaptations to ensure targeted service provision and SBCC.
BENIN
Midwife showing the good breastfeeding position to mothers in
Bohicon (Zou) ©UNICEF Benin/2021/Hippolyte Djiwan
Growth monitoring restitution session at Agbangnizoun (Zou)
©UNICEF Benin/2021/Marion Desmurger

10. The programme continues to perform well against targets despite difficulties with regular services due to Covid restrictions and
government staff having to take on vaccination duties.
Examples of achievement against KPI targets:
 KPI 1: Improved infant and young child nutrition: 80% of children have received their 1st dose of Vitamin A (776,616
children). However there is some drop off for doses 5-9 that will have increase effort in future. Use of media messaging has
enabled much broader coverage of health and nutrition messaging. For example data from the digital dashboard shows over
17m caregiver contacts on complementary feeding.
 KPI 2: Scale up of SAM treatment services: 224,568 children were identified with SAM. Of those 52% (117,972) were
treated in the community based treatment programme (CSAM) with 75% being cured and 5% improving from SAM to
MAM.
 KPI 3: Scale up of nutrition services for adolescent girls and women: Despite the challenges of school closures and
staff shortages 58% of girls consumed IFA tablets. Over 90% of pregnant women (1,004,674) have received IFA during this
period
 KPI 5: Generate demand for positive practices: The Tarang Suposhit Maharashtra (TSM) is now serving as a
powerful digital platform as an interface between DWCD, ICDS, RJMCHN and community participants on nutrition, ECD,
health, and Covid. It is emerging as a highly relevant platform for reaching families. Nearly 4m contacts using Whatsapp,
Chatbot, IVR and SMS we made over the last 6months, with average contact lasting 3.24 minutes.
Maharashtra

11. INDONESIA
• There has been acceleration in implementation of activities across
the three key strategic objectives, including adaptations to COVID
disruptions
• Uptake of key services such as antenatal care, VAS and adolescent
IFA is increasing and on track to meet annual and end of programme
targets
• Programme continues to obtain strong government support and
ownership. Government has started adopting BISA approaches in
other districts and co-funding some activities
• Fundraising ongoing to replace the gap in programme funding,
following the withdrawal of APC
• Following initial under expenditure, the programme has accelerated
budget absorption. Analysis underway to determine appropriate
programme size for the expansion in second half of
implementation
Training session for community cadres in Cempaka Mekar
village, West Java

12.  Madagascar programme enabled 1,165, 634 children and 160,028
women to access essential health and nutrition interventions in the
year 2021. Over the last 3 years, a total of 2,906,810 beneficiaries -
2,432,873 children and 473,937 women have received health and
nutrition interventions.
 Of five project indicators, four indicators are close or on track
to achievement by the program end:
 exclusive breastfeeding (lower this year due to mothers
reluctance to breastfeed connected to Covid-19)
 consumption of diverse foods by young children
 supplementation with vitamin A
 facility-based deliveries
 A fifth PDO indicator (IFA supplementation for pregnant
women) was not achieved due to major supply issues linked to
COVID-19 in which IFA wasn’t available in the country for several
months This has now been resolved (the program purchased IFA
and has distributed it widely to project provinces).
 The program is also making progress in reducing stunting
prevalence, with a decrease from 47% (2009 DHS) to 40% (2021
DHS).
Madagascar
Indicator
Baseline Achieved
(Dec 2021)
Target
(2023)
% of children 6-23 months of age receiving 5 of the
8 recommended food groups
Target -- -- (36.5%)
Achieved 31.5% 35.4% --
% of infants 0-5 months of age exclusively
breastfed
Target -- -- (65%)
Achieved 61.3% 58.5% --
% of children 6-59 months of age receiving
Vitamin A within the last six months
Target -- -- (60%)
Achieved No data 64.8% (60%)
% of women receiving any IFA supplementation at
last pregnancy
Target
Achieved No data 20.3% (70%)
Number of facility-based deliveries Target
Achieved No data 329,606 588,623

13.  The security situation in Burkina Faso has been dramatic and
since 2017 there has been an increase in violence by the terrorist
groups and the number of Internally Displaced Persons went up
to 1,423,378 (7% of whole population)
 Therefore, the programme has been struggling – due to the
security situation but also the consequences of Covid-19
epidemic
 Still, since the programme inception the health and nutrition
activities have been ongoing and a total of 383,272 women and
424,648 children have been reached with nutrition services
 One of the successes is also the mass media campaign in
collaboration with Unicef and Alive & Thrive. As of June 2021,
the campaign trained 780 facility health workers and 3,120
community-based health workers in exclusive breastfeeding
across all regions. The campaign has reached 644,753
beneficiaries nationally, including 424,648 in the eight project
regions.
Burkina Faso
Indicator Baseline
Achieved
(Dec 2021)
Target
(2023)
# of women and children who have received
nutrition services
Target -- -- 3,000,000
Achieved No data 807,920 --
% of children under 5 years with height-for-
age z-score below -2 standard deviations
Target -- -- (21.4%)
Achieved 25.4% 21.6% --
% of infants 0-5 months of age exclusively
breastfed
Target -- -- (80%)
Achieved 55.8% 69.6%
% of children 6-23 months of age with
minimum dietary diversity
Target (32%)
Achieved 24.6% 31.6%

14. LESSONS LEARNED
 In Ethiopia, Maharashtra and Rwanda, investment in strengthening digital platforms for information, data collection
and social behaviour change communication were accelerated and hugely beneficial particularly in the response to COVID.
 Routine health services -including nutrition- have suffered with resources being diverted to COVID response and
vaccinations. Sickness and death of already overstretched staff also affected delivery of services. This has been
particularly problematic in densely populated urban areas of India, Cote d’Ivoire, and Indonesia. Implementing
partners staff have been adjusting programmes at the local level to manage the disruptions and ensure delivery of these
critical services continue, including supporting community food resilience in Cote d’Ivoire.
 Recruitment of staff with the language competency for specialist roles in social and behaviour change, communications
and capacity building in Indonesia and Gujarat has been challenging. Where newly hired staff members are missing
certain skills or expertise, capacity building has been initiated.
 Designing programmes with multiple implementing partners in Ethiopia , Democratic Republic of Congo and
Malawi has provided depth of complementary multisectoral expertise across and within the sectors the partners’ work.
These programmes have provided practical lessons on the good approaches to navigate, structure and deliver these
complex partnerships, which will further strengthen development of such partnerships moving forward.

15. MONITORING AND EVALUATION
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0
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30000000
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60000000
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2016 2017 2018 2019 2020 2021
Total Cumulative Reach Women, Children & Adolescents
The Power of Nutrition’s portfolio show that our co-investments have enabled over 92 million people
(including approximately 48 million children under age 5, 21.5 million adolescents, and more than 22 million
women of reproductive age) to access health and nutrition interventions.

16. [SUB TITLE]
Updates from
PARTNERSHIPS & BRANDS
At the center of everything we do is the recognition that strong partnerships can
achieve far more to improve nutrition and transform children’s futures than any
organisation can do alone.

17. PARTNERSHIPS & BRANDS
Despite the fundraising landscape remaining difficult during this period, we were able to reach our
fundraising target of $16-22 million by raising $17.35 million in 2021. In the second half of the year, we
secured funding from a wide range of donors:
• Bilaterals: Ireland
• Corporates: Herbalife
• Foundations: Conrad N. Hilton
• High Net Worth Individuals: MacKenzie Scott (through partnership with Give Directly)
A number of warm conversations are ongoing, likely to be fulfilled during 2022:
• USAID Indonesia
• Gavi
• France
• Japan
• Mastercard
Encouraging conversations with Goldman Sachs, Morgan Stanley, and Credit Suisse to
explore opportunities for Nutrition Ventures, working on mechanisms to raise innovative funding for
nutrition through sovereign and corporate social bonds.

18. [SUB TITLE]
Updates from
FINANCE
Tracking our commitments and expenditures in 2021

19. FINANCE Highlights January – Dec 2021
OPENING CASH BALANCE On 1 January 2021, the opening balance for
disbursement purposes was $16.4m, and for OPEX purposes $4.1m)
INCOMING FUNDS
Source Amount
CIFF $0.8m
UBSOF $0.1m
FCDO $6.6m
APC $0.3m
Medicor $0.4m
Rotary Foundation $0.6m
END Fund $0.6m
Conrad Hilton Foundation $1.5m
Cargill Corporation $0.5m
DFAT $0.5m
Irish Aid $0.5m
SIDA $1.6m
Other donors / receipts $0.2m
Total funding received $14.2m
OUTGOING FUNDS
Source and Programme Amount
UNICEF (Liberia – Phase 2) $1.7m
UNICEF (Maharashtra) $1.2m
CARE (Gujurat) $0.6m
SAVE (Indonesia) $0.5m
UNICEF (Bangladesh) $2.6m
UNICEF (Ethiopia 2) $3.5m
World Bank (Rwanda) $0.3m
SAVE (Malawi) $1m
Group M (MD Gujurat) $1.3m
Other $0.1m
Total Prog disbursements $12.8m
OPEX purposes $3.9m
CLOSING BALANCE
 At 30 June 2021 closing investment funds totalled $17.9m
 A further $1.4m was available for future OPEX spend

20. FINANCE
 $14.2m was received during the twelve-month period ending 31 December 2021.
 Total committed funds for investment purposes across the three anchor funders was $169.8m (specifically CIFF
committed $62.6m, FCDO $97.2m and UBSOF $10m).The committed funds figures from CIFF and FCDO will
change in the future but this is dependent on negotiations that are still to be finalised.
INVESTMENT FUNDS RECEIVED VERSUS COMMITMENTS
CIFF FCDO UBSOF Total
Committed $62.6m $97.2m $10m $169.8m
Received
(Inception – Dec 2021)
$45.1m $68.5m $10m $123.6m
Remaining funds due $17.5m $28.7m $0m $46.2m
INVESTMENT FUNDS RECEIVED VERSUS COMMITMENTS FROM ANCHOR FUNDERS TO DATE

21. [SUB TITLE]
Updates from
HUMAN RESOURCES
Updates on people and governance

22. GOVERNANCE AND HUMAN RESOURCES
GOVERNANCE
 Board of Trustees: Faustina-Fynn Nyame
resigned as a Trustee on 5 August 2021.
 Board Meetings: Two Board of Trustees
meetings were held during this period, 17
September and 17 November 2021.
 Charity Commission: Serious Incidents
Reporting: We had one serious incident for
Madagascar programme which is investigated and
was reported through appropriate channels.
HUMAN RESOURCES
 Executive Team: There were no changes to the Executive
Leadership team over this period.
 Partnerships & Brands Team: Serena Castiglione, Head of
Asia Philanthropy resigned and left in August 2021 and
Valentina Ortis, Marketing and Communications Associate left in
December 2021.
 Programmes & Investments Team: Kerri Wazny, Monitoring
& Evaluation Specialist left the organisation in December 2021.

23. [SUB TITLE]
Updates from
COMMUNICATIONS & ADVOCACY
Convening voices and advancing the nutrition agenda

24. ADVOCACY & THOUGHT LEADERSHIP
• UK aid influencing: Continue our engagement with the UK advocacy
community to unite efforts towards increased nutrition spending. We also
worked with Save the Children, UNICEF, Concern Worldwide, World Vision,
RESULTS and other NGOs to co-create a policy paper calling for a new UK
N4G commitment, which features a case study of our Rwanda programme.
• Media: secured an op-ed about our PVH Bangladesh partnership: Driving social
impact for women in the RMG industry in Bangladesh.
• Webinars: Hosted a closed-door roundtable with close partners to introduce
the Cost of Stunting research, launching in early 2022
• Events: Landed speaking slots at several events including the UN Food Systems
Pre-Summit and the Big Tent Ideas Festival
Keeping nutrition high on the agenda of decision-makers and funders

25. NUTRITION FOR GROWTH (N4G)
Used the N4G Tokyo Summit and fringe events to announce new partnerships
and lead the conversation on innovative financing for nutrition.
Hosted three official N4G
side events
Submitted seven official N4G
commitments

26. STAKEHOLDER COMMUNICATIONS
New Programme in
Ethiopia
Announcing our new partnerships
New Partnership with Irish
Aid
Announced new multisectoral
programme in Ethiopia in
collaboration Rotary
International, the Eleanor Crook
Foundation and The END Fund
Announced new partnership with
Irish Aid to tackle severe wasting by
increasing access to and uptake of
Ready To Use Therapeutic Food
New Partnership with IsDB
and WFP
Announced new partnership with
Islamic Development Bank and
World Food Programme to create
the First 1,000 Days Initiative and a
Multi-Donor Trust Fund

27. DIGITAL ENGAGEMENT
Reaching new audiences through our partnerships & our mission
Channel Dec 2021 Jun 2021 Dec 2020 Annual Growth
Twitter Followers 3,740 3,414 2,895 +29%
LinkedIn Followers 2,351 1,934 1,622 +45%
Our social media channels and website saw steep increases in reach as we continue to publish regular updates on our work and
voice our stance on key sector topics.
Data from Twitter Analytics, LinkedIn Analytics

28. [SUB TITLE]
THANK YOU
for being part of our journey
@fundnutrition
www.powerofnutrition.org