Présentation par Gwénola Desplats (Nutritionniste principale de ENN)
L’approche MAMI (d’après l’acronyme anglais) désigne la prise en charge des nourrissons de moins de six mois, petits et à risque nutritionnel, et de leurs mères.
Le Réseau mondial MAMI est un groupe de responsables de programme, de chercheurs et de décideurs politiques qui œuvrent à développer un réseau efficace et dynamique afin de renforcer leurs capacités mutuelles, de créer des passerelles entre les disciplines, de combler les lacunes en matière de données probantes et de faire le plaidoyer pour l’approche MAMI. Regardez et partagez notre nouvelle vidéo qui explique le travail du réseau et venez rejoindre un groupe de collaborateurs internationaux spécialisés qui œuvrent ensemble pour les nourrissons de moins de six mois, petits et à risque nutritionnel, ainsi que leurs mères.
In January 2023, we held a webinar on ‘Research Priorities for Nutrition in Adolescence and Middle Childhood’. We presented the findings from a recent research prioritisation survey (using the ‘CHNRI’ method) and discussed a Research Roadmap on how to tackle the most pressing evidence gaps for this vulnerable age group (5-19 years). ENN's Natasha Lelijveld and Stephanie Wrottesley were joined by experts in this field including David Ross (Stellenbosch University, ex-WHO), Deepika Sharma (UNICEF) and Caroline Kabiru (APHRC).
MAMI is the management of small & nutritionally at-risk Infants under six months & their mothers.
The MAMI Global Network is a group of programmers, researchers and policymakers working to build an effective and energetic network to enhance mutual capacity, bridge disciplines, address evidence gaps and champion MAMI care. Do watch and share our new video explaining the work of the network and come join a dedicated group of international collaborators working together for small and nutritionally at-risk infants under six months and their mothers. We have three different voiceovers below for you to choose from.
Piloting the integrated MAMI Care Pathway in South Sudan: reflections on assessing maternal mental health, June 2022 MAMI implementers group meeting
In June 2022 at the MAMI Implementers Group meeting, Elise Vanlerberghe presented some thoughts on the maternal mental health component of the MAMI approach which will be implemented by MOMENTUM Integrated Health Resilience (MIHR) project and partners in South Sudan. Elisa looks at the tools for screening and assessment, considering their appropriateness for the context in South Sudan and suggested some possible alternatives.
After the publication of ENN's technical briefing paper in January 2022 titled: 'Women's nutrition: a summary of evidence, policy and practise including adolescents and maternal life stages', Natasha Lelijveld (one of the authors) gives a quick overview of the content of the document, and hopefully persuades you to go take a closer look yourself.
The GNC technical Alliance and ADRA Yemen presented their MAMI pilot implementation experience. Watch this webinar to find out how they delivered services, what their challenges were and how they overcame them. Services were planned with the support of the GNC TA MAMI expert, whose support can be requested here
In this short presentation Eilise Brennan, nutritionist at ENN, takes us through the basics of nutrition survey interpretation, covering concepts such as prevalence, incidence and confidence intervals.
In this short presentation Stephanie Wrottesley, Nutritionist at ENN, takes us through where the data for estimating severe acute malnutrition (SAM) treatment coverage comes from, and what we should keep in mind when using and interpreting these estimates.
In this short presentation Philip James, Senior Technical Associate at ENN, takes us through the how seasonality can affect nutrition data and why it is critical to take this into account when interpreting survey data and trends in nutrition outcomes over time.
In this video Dr Indi Trehan (Associate Professor, Pediatrics - Emergency Medicine, University of Washington) presented to the MAMI Global Network’s Implementers’ group the results of the study: ‘Community-Based Management of Acute Malnutrition for Infants Under 6 Months of Age is Safe and Effective: Analysis of Operational Data.’
Held on: 27th January 2022
Malnutrition, including undernutrition, overweight and obesity, and micronutrient deficiencies, disproportionately affects women and girls, with more than one billion women experiencing at least one form of malnutrition globally. In 2013, ENN published a technical background paper summarising evidence on maternal nutrition and identifying knowledge gaps in addressing maternal undernutrition in emergencies.
The CMAM Conference - Scaling up Community Management of Acute Malnutrition and Scaling up Nutrition (SUN), 2011.
This is a short video from the conference which was held in Addis Ababa, Ethiopia on 14th - 17th November 2011, which includes an opening address from the late Dr Ferew Lemma.
On 19 November 2021, the MAMI Global Network hosted an official N4G side-event focused on partnerships and collective action to co-create evidence to transform care of small and nutritionally at-risk infants under six months and their mothers (MAMI). The event showcased country experiences from Ethiopia and India and featured reflections from the WHO and UNICEF on strategic approaches to transform MAMI care.
The process for developing the WHO guidelines for the prevention and treatment of wasting is well underway. Since the last webinar on the process in September 2020 much has happened. In this webinar we provide an update on what stage has been reached, what is still to come, and what the revised timeframe is.
ENN and UNICEF are very excited to share ENN’s 66th edition of Field Exchange, a special issue on the nutrition of adolescents and school-aged children has launched. This edition features a range of articles that describe programming experiences for these vulnerable groups, research articles and much more.
Part 1: MAMI Care Pathway Package Overview
This video gives an overview of the MAMI Care Pathway Package - a set of resources and materials to help practitioners identify, assess, and manage small and nutritionally at-risk infants u6m and their mothers. The MAMI Care Pathway Package is a package of resources that was co-created by members of the MAMI Global Network, co-led by the Emergency Nutrition Network and the London School of Hygiene and Tropical Medicine. The MAMI Care Pathway was released in May 2021; previously known as the C-MAMI Tool, the update was informed by the latest evidence and experiences of putting previous versions into practice. Learn more about the contents of the MAMI Care Pathway Package in Part 2 of this video here.
Part 2: Contents of the MAMI Care Pathway Package.
This video looks in detail at the contents of the MAMI Care Pathway Package - a set of resources and materials to help practitioners identify, assess, and manage small and nutritionally at-risk infants u6m and their mothers. The MAMI Care Pathway Package is a package of resources that was co-created by members of the MAMI Global Network, co-led by the Emergency Nutrition Network and the London School of Hygiene and Tropical Medicine. The MAMI Care Pathway was released in May 2021; previously known as the C-MAMI Tool, the update was informed by the latest evidence and experiences of putting previous versions into practice. For an overview of the MAMI Care Pathway Package, see Part 1 of this video here.
ENN recently published a brief entitled: Best Practice and Prevention of Child Wasting Within the Wider Context of Undernutrition (read here). The brief is based on work since 2014 by the Wasting Stunting Technical Interest Group (WaSt TIG)3 and the Emergency Nutrition Network (ENN). It updates previous reports on wasting prevention by ENN and builds on ENN’s recent position paper on wasting.
"Tackling undernutrition through action and accountability: A ‘reset’ for the prevention, early detection and treatment of wasting and costing information on the consequences of stunting.”
Emergency Nutrition Network, the Power of Nutrition (PoN), Standing Together for Nutrition (ST4N) and the Micronutrient Forum (MNF) held a parallel session at the Pre Summit of the United Nations Food Systems Summit on Monday 26th July. The webinar included a brief overview of the wasting reset, followed by a panel discussion.
Tackling malnutrition is a global health priority, helping children both survive and thrive. A large proportion of infants under six months of age in the world are identified as malnourished (wasted, stunted and/or underweight) and are at increased risk of death, disease, and poor development. Challenges faced by frontline practitioners in supporting small and nutritionally at risk infants under six months and their mothers prompted the MAMI Global Network to develop the MAMI Care Pathway Package (formerly the C-MAMI Tool) to fill this urgent gap.
Emergency Nutrition Network (ENN) has submitted a game-changer on a ‘wasting reset’ that has been included as part of the game-changers of Action Track 1 for the UN Food Systems Summit.
The objective of this wasting reset is “To coalesce and clearly communicate the dialogue around what is required to reduce global wasting incidence and prevalence.” To achieve this, we must join forces to speak with one collective voice; we must embrace our diversity and downplay our differences.
ENN’s 65th issue of Field Exchange was published in May 2021. This is a general issue of around 100 pages with a wide range of content drawn from multiple organisations and countries and features a special section on nutrition programme adaptations in light of COVID-19. This 5 minute video aims to provide an overview of this content.
ENN’s 64th issue of Field Exchange was published in January 2021. This is a general issue of around 100 pages with a wide range of content drawn from multiple organisations and countries with two themed sections. This presentation aims to provide an overview of this content.
The COVID-19 pandemic has brought unprecedented changes to global food and agriculture sectors. Many governments have closed formal and informal retail outlets for food, and severely restricted the movement of citizens, with the production, processing, transportation, trade, and retail of food being profoundly affected. This has led to multiple shocks throughout the food system.
In the Philippines, AGREA, a group that aims to support the empowerment of local farmers by implementing sustainable agricultural practices and creating inclusive agribusiness livelihood programmes, began getting calls from farmers unable to move their produce. The group quickly set up the Move Food Initiative, an online, Google Form-based, fresh produce ordering platform, which facilitated food to move, at both producers’ and consumers’ end. The initiative has helped reduce food waste and post-harvest loss on the side of the farmers and on the consumers end, provided people who needed food but were not able to leave their homes because of the quarantine, access to fresh produce. By the end of November 2020, 191,447 kg of fruits and vegetables had been delivered, 28,122 farmers had been partnered with, and fruits and vegetables had been served to 78,177 families and 4,690 frontline workers.
Emergency Nutrition Network (ENN), UNICEF and Save the Children hosted a two-days virtual meeting on 9th and 10th February 2021 on 'Adolescent Nutrition: Current Progress and Looking Ahead'. Supported by Ireland's Department of Foreign Affairs.
Listen to presenters and panellists discuss and answer questions on adolescent nutrition.
Day 1 - Agenda
This video is a presentation to the Ethiopian Nutrition Leaders Network Annual Meeting, 23rd November 2020 by Marie McGrath (ENN) and Carlos Grijalva Eternod (LSHTM).
MAMI RISE research in Ethiopia is a four year research programme (2019-2023) that will test the MAMI care pathway as a community based approach to care for nutritionally at risk infants under six months in a randomised control trial (RCT) within existing services in two sites in Ethiopia (Jimma Zone and Deder Woreda).
In light of the upcoming update to the WHO guidelines for the management of wasting, this webinar was hosted to improve understanding of the WHO guideline development process in general, as well as lay out specific considerations and timelines for the new wasting guidelines.
Listen to panellists Pura Rayco-Solon (WHO, Maternal, Newborn, Child and Adolescent Health and Ageing) and Zita Weise Prinzo (WHO, Nutrition in Emergencies and Undernutrition) discuss the specifics of the new wasting guidelines development and answer questions around the topic.
In this webinar, the Field Exchange Editors appraised the Global Action Plan (GAP) on Child Wasting: A framework for action to accelerate progress in preventing and managing child wasting and the achievement of the Sustainable Development Goals which was published in March 2020 by five UN agencies (UNICEF, WFP, WHO, UNHCR, FAO). The appraisal was based on reflections within the 60th edition of Field Exchange which focused on the continuity of care (CoC) for treatment of children with wasting and highlighted priority areas of action. The aim of this exercise was to invite constructive, collective and practical engagement to support the GAP development and roll out. The Field Exchange editors were honoured to be joined by key UN representatives in the webinar to contribute to the conversation and share their plans in the development and finalization of the GAP on Child Wasting.
This is a recording of a presentation by Marie McGrath, ENN Technical Director, on ENN's work on Management of At risk Mothers and Infants under six months (MAMI). It shares key principles of the MAMI approach, how this collective effort has evolved, resources available to support practitioners and exciting potential looking ahead.
MAMI Special Interest Group meeting, December 2019 Report.
This video examines the implementation of the The Philippine Plan of Action (PPAN) 2017- 2022 which is a blueprint for an integrated programme of nutrition interventions under the leadership of the National Nutrition Council (NNC). It consists of 12 programs and 46 projects serving as a framework for actions that could be undertaken by member agencies.
Download the full case study in PDF here.
This is a recording of a webinar ENN’s SUN KM Team hosted in March unpacking the key findings from the 8 country case studies examining multisectoral programming at the sub- national level.
To read the case studies, click here.
This is the recording of a webinar presentation conducted in March which reflected on 4 country case studies (Somalia, Ethiopia, Kenya and Yemen) exploring the humanitarian development nexus. The webinar explores critical aspects of nutrition security in the context of fragility including nutrition architecture, coordination and financing.
This video examines multisectoral nutrition efforts in Zimbabwe through an exploration of the Multi-Sectoral Community Based Model (MCBM) Programme, launched in 2015, which aims ‘to reduce food and nutrition security challenges in vulnerable districts of Zimbabwe through a multi-sectoral community based model approach and systems strengthening’. We explored work happening in the Chipinge and Chiredzi districts to advance their nutrition agenda.
Since 2017, ENN has undertaken 8 country case studies to explore what multi-sector nutrition programming looks like at a local level. We developed rich case studies which can be read here. We noted a number of similarities and key common findings which are explored in this animated video.
Nutrition is increasingly a top priority issue for developing countries around the globe, with many countries working hard to reduce high rates of undernutrition, including child stunting and wasting.
Nutrition is however a complex, multifaceted issue, that interacts with many sectors.
In order to understand more about how multisectoral programming works at the sub-national level, ENN has developed 8 country case studies from Senegal, Kenya, Nepal, Ethiopia, Niger, Bangladesh. Zimbabwe and the Philippines.
Interview with Ms. Maria Lourdes A. Vega (Didi) NNC Philippines - Implementing PPAN and the challenges ahead
Philippines is a middle income country with a per capita income of 2970 USD. Undernutrition is a serious problem with 30.3 % of children U5 being stunted with very slow progress being made within the last 15 years. Wasting has stagnated with a wasting prevalence in children U5 hovering between 6 and 8% in the past 15 years. The country which is rapidly urbanising like the rest of South and South East Asia is also facing rising rates of overweight and obesity in school children and adults. This less than encouraging situation is despite a long history of Nutrition Plans and Policies by successive governments in the country from as early as the 1970s.
Malnutrition is recognised the world over as a problem requiring multisectoral intervention and to this end many countries have developed Multisectoral Policies and Plans to combat both malnutrition and stunting in particular. Many of these countries are part of the Scaling Up Nutrition (SUN) Movement. However, evidence of implementation of Multisectoral programmes sub-nationally is limited.
ENN, as the Knowledge Management Partner in the Technical Assistance to Nutrition (TAN) project - which is funded by DfID - conducted a series of case studies examining Multisectoral programme implementation at the Sub National level in 6 countries; Nepal, Kenya, Senegal, Bangladesh, Niger and Ethiopia between 2016 and 2018.
Nutrition is increasingly a top priority issue for developing countries around the globe, with many countries working hard to reduce high rates of undernutrition, child stunting and wasting.
Nutrition is however a complex, multifaceted issue, that interacts with many sectors.
In order to understand more about how multisectoral programming works on the ground we carried out a research project focussing on 3 regional case studies in Matam, Senegal, Homa Bay, Kenya and Kapilvastu, Nepal.
ENN’s Technical Directors, Tanya Khara conducted a lecture at the London School of Hygiene and Tropical Medicine where she explained the linkages between wasting and stunting, outlining the latest evidence of the overlap between the two types of malnutrition and how children may progress from one manifestation of undernutrition to the other. This video captures the lecture with relevant slides.
Every year SUN Movement member countries are encouraged to engage in a Joint Assessment (JA) exercise to assess their country’s progress against four processes in pursuit of the strategic objectives specified in the SUN Movement Strategy and Roadmap (2016-2020).
Having joined the SUN Movement in 2011, Burkina Faso was one of the early risers of the movement and held it's first Joint Assessment in 2015. Our Regional Knowledge Manager for the West Africa region, Ambarka Youssoufane, joined Burkina Faso in June 2017 for their 3rd joint assessment to speak with some of the participants. This three part video includes some of the highlights from those conversations.
Two out of every five children in India under the age of 5 are stunted and half of the women are reported to be anaemic. Furthermore, the World Bank data indicates that India has one of the world’s highest demographics of children suffering from malnutrition, reportedly double that of Sub-Saharan Africa. These figures highlight the worrying nutrition situation in the country and the urgent need for action.
Join ENN's Ambarka Youssoufane to find out how one multi-sector programme is being implemented at the sub-national level in Senegal.
This video looks at the Matam region with the USAID-funded Yaajeende Project, and accompanies a full report on Multi-sector programmes at the sub-national level.
Watch and listen to an ENN videocast on ‘How to Write for NEX’, a short presentation on writing articles and making podcasts for Nutrition Exchange. Hear from authors and podcasters about how they found the process – and the opportunity it gave to collaborate with colleagues and share their experiences with others working in nutrition.
ENN's Regional Knowledge Management Specialist for Asia, Dr Charulatha Banerjee, visited two districts in Nepal: Jumla and Kapilvastu, to see and hear how the country’s flagship Multi Sector Nutrition Plan (MSNP) is being implemented at the sub-national level.
Join ENN's Lillian Karanja Odhiambo to see and hear how one multi-sector programmes is being implemented at the sub-national level in Kenya. This video focuses on implementation challenges and lessons from the USAID-funded Accelerated Value Chain Development Programme (AVCD) in Homa Bay and how current government led activities and structures enable and interact with this multi-sectoral programme.
Hou Kroeun is the Deputy Country Director at Helen Keller International in Cambodia. He is also the coordinator of the SUN Civil Society Alliance in Cambodia.
In this interview, he highlights the crucial role that civil society plays in the SUN Movement. He also discusses how the CSA in Cambodia was formed, and reflects on some of the challenges faced and how these have been overcome. Kroeun discusses the impact that the CSA has had by providing advisory services, technical assistance and guidance to the government on their Mid-Term review of food security and nutrition.
May Thukha Soe is a Nutrition Specialist for Plan International and a member of the SUN CSA Myanmar.
In this video she talks about the role of the CSA in bringing together not only international NGOs but also an increasing number of local NGOs. The aim of the CSA is to provide a collective voice to all for all these organisations. She reflects on how the CSA is building sub-national CSAs in order to engage and support local CSOs.
In this video, Dr. Uma Koirala describes the role of the SUN Civil Society Alliance in Nepal. She emphasises the need for civil society to advocate for nutrition at all levels; from the national, policy making level through to the district levels.
Uma talks about the importance of regional coordination and how it is enabling CSAs in Asia to share learning, experiences, challenges and best practices amongst regional counterparts. She also highlights the contribution that the CSA in Nepal is making to this group, drawing on their success in building the alliance in Nepal.
In this video, we hear from Belal Uddin a member of the SUN Civil Society Alliance (CSA) in Bangladesh.
Belal discusses the importance of civil society working in partnerships with other stakeholder groups such as the media and parliamentarians. In particular, he talks about the CSAs work to support capacity building for journalists in reporting on nutrition issues. He also reflects on the challenges the CSA has faced due to changes in internal governmental structures.
Dr Naseer Muhammad Nizamani is the Country Director for Nutrition International in Pakistan and is also a member of the Pakistan SUN Civil Society Alliance.
In this interview, Dr Nizamani talks about the formation of the CSA in Pakistan and their strong focus on building the capacity of local and national organisations. Dr Nizamani highlights some of the challenges the alliance has faced and how they have overcome them.
Mr Ismael Barmou, PDG de la Société de Transformation Alimentaire (STA) et coordonateur du réseau du secteur privé pour la nutrition du Niger et de l’Afrique de l’ouest, parle du rôle et de la mise en place du secteur privé dans les pays ouest africains.
Selon lui, il y’a une vraie dynamique et un fort intérêt pour les entreprises ouest africaines de participer à la mise en place de réseau du secteur privé pour le mouvement SUN. La mise en place de ces réseaux au niveau des pays est tout d’abord une nécessité pour répondre l’approche multi-sectorielle de la nutrition, c’est également une opportunité pour les entreprises de prendre une part de marché dans ce secteur ou tout simplement investirent dans le cadre de la responsabilité sociale des entreprises (RSE)
Alem Abey is the SUN Business Network Advisor in Ethiopia. Alem discusses the process undertaken in the establishment of the soon to be launched SBN in the country and the role the Network hopes to play in strengthening nutrition in Ethiopia. The SBN has a strategic plan which outlines the priority areas of work including providing technical assistance to private companies to add value to their products, and supporting food fortification in the country.
This is an interview with Katia Santos Dias, the Country Director for GAIN in Mozambique and co-convenor of the Mozambique SUN Business Network (SBN). In this interview, Katia discusses the role of the private sector in nutrition and what priorities the SUN Business Network in Mozambique have had since it was founded in early 2016. Katia shares that the private sector can play a number of different roles in tackling all forms of malnutrition at global and national level along with other stakeholders. This includes producing nutritious food, participating in awareness and nutrition education, and supporting national nutrition policy such as school feeding.
In this video interview we speak to Ralf Siwiti, the SBN Programme Manager for Zambia based at the World Food Programme (WFP) in Lusaka. Ralf has a background in marketing and many years of experience in the food and nutrition sector. In this interview, Ralf discusses how Zambia set up one of the first SUN Business Networks (SBN) in Africa and what progress has been made since.
In this video, Uduak Igbeka the SUN Business Network (SBN) coordinator of Nigeria speaks about her experience with the network. Uduak has an academic background in agricultural economics and has been with the Global Alliance for Improved Nutrition (GAIN) for four years, she has played a coordinating role with the SBN Nigeria for approximately 1.5 years.
Dr Charulatha Banerjee, ENN’s Asia Regional Knowledge Management Specialist caught up with Sonali Patnaik, Director of Arupa Mission Research Foundation, to learn more about the Corporate Social Responsibility (CSR) law in India including how this has the potential to impact on nutrition programming and spending in the country.
Join Gladys Mugambi the head of Kenya’s Nutrition and Dietetics Unit in the Ministry of Health (and National SUN Focal Point) as she dicusses the nutrition sector’s past successes, current challenges and future perspectives in the country.
Gladys talks of the evolution of nutrition policy and programming in Kenya including what opportunities the SUN Movement has brought through work with in-country networks and sharing learning with other SUN countries in the region. She decribes the work currently going on in Kenya around financial tracking and the nutrition budget line, school feeding and working with devolved counties on nutrition.
Dr Charulatha Banerjee, ENN’s Asia Regional Knowledge Management Specialist caught up with Pawan Agarwal, CEO of the Food Safety and Standards Authority of India (FSSAI).
Mr Agarwal spoke to us about the progress in food fortification including the newly approved comprehensive food safety standards in India. He discusses the role of the Food Fortification Resource Centre and some of the challenges and opportunities of working in this area.
Dr Charulatha Banerjee, ENN’s Asia Regional Knowledge Management Specialist caught up with Dr Rajan Sankar, Director of Nutrition at Tata Trusts to understand more about philanthropic business networks in India, and how nutrition fits in with the corporate social responsibility (CSR) agenda.
Dr Sankar discusses Tata Trusts philanthropic work and shared some opinions on how nutrition NGOs and private sector can work together. He also shared some of the opportunities and challenges that have arisen from the new CSR law introduced in India requiring all corporates to contribute 2% of profits to CSR.
Savita Malla is an Advocacy and Communication Specialist based within the National Nutrition and Food Security Secretariat (NNFSS) in Kathmandu, Nepal. In this video Savita discusses the national nutrition plan implementation and roll out in Nepal.
This video features as the second instalment in a three-part podcast and video series exploring the different stages of the Common Results Framework.
Maria Rosa Boggio is a consultant in child nutrition based in Peru. Maria Rosa worked closely with the Roundtable on Poverty Reduction in country. In this video, Maria Rosa discusses the significant progress that has been made towards reducing malnutrition in Peru.
This video features as the final instalment in a three-part podcast and video series exploring the different stages of the Common Results Framework. Maria Rosa discusses the evaluation and strengthening of a CRF.
Dr Nassirou Ousmane is the Director of Nutrition at the Ministry of Health and the SUN Focal Point for Niger. In this video, Dr Ousmane discusses the progress made towards elaborating and costing the Nigerien national plan for nutrition.
This video features as the first instalment in a three-part podcast and video series exploring the different stages of the Common Results Framework. Dr. Ousmane discusses the planning and development stage of a CRF.
Dr Charulatha Banerjee, ENN’s Asia Regional Knowledge Management Specialist caught up with Ms Mridula Sinha Director General of the Jharkhand State Nutrition Mission earlier this month to understand the evolution of the Nutrition Mission in the state, work done so far and plans for the future.
Ms Sinha has been working in child health and nutrition in Jharkhand for many years. In this interview she talks about the formation of the State Nutrition Mission, the complexities of nutrition governance in India and the architecture of the Mission as an independent body with the power to convene related departments. She presents the challenges faced by Jharkhand State, which is less than 2 decades old, and also the huge potential given the strong political will to render the State malnutrition free by 2030. She mentions the role of the private sector in nutrition in the State as well as the work of UNICEF and other partners to support the State Nutrition Mission’s work.