Through a DFID (now FCDO)-funded contract (2015-2021), IMA partnered with the Government of Tanzania and 50 CSOs to scale nutrition support to approximately 15% of Tanzania’s population (8.43 million people) and reduce stunting of children under five by 7% or more in four Lake Zone regions. In support of Tanzania’s commitment to the Scaling Up Nutrition (SUN) movement, IMA strengthened the capacity of local government authorities across sectors to address the myriad causes of child stunting and contributed to the evidence base for what works best and most cost-efficiently in the local context.
Through ASTUTE, nearly 7,800 district health workers and non-health sector service providers were trained and three million mothers, caregivers and decision-makers were reached with improved child feeding information. The ASTUTE project created lasting change in Tanzania, including a Stunting Reduction Toolkit that continues to support Tanzania’s National Multi-sectoral Nutrition Action Plan II (NMNAP II) implementation with English and Swahili tools like Personalized Support Group guides, radio spots, and health worker home visit guides. ASTUTE used qualitative and quantitative research to refine and scale-up SBC approaches such as PDH and engagement of male caregivers in tasks such as child feeding, developmental play, and helping with household chores. Male involvement was addressed across ASTUTE, most impactfully through SBC tactics such as community dialogues and faith leader engagement. IMA partnered with 50 CSOs and 41 LGAs to deliver nutrition services and reach over 17.6 million people through local radio (the dominant rural mass media). ASTUTE results include a 24.1% increase in the prevalence of exclusive breastfeeding with a 45% increase for children aged 4-6 months (for whom breastfeeding normally declines rapidly). Maternal nutrition and care improved dramatically including mothers being 3.3 times more likely to consume a varied diet and 1.5 times more likely to receive help from their partners.