Global Health Fact Sheet: Strengthening Partnerships, Results, and Innovations in Nutrition (2013)


Haiti has one of the highest rates of undernutrition among women and children in the Americas. Based on the 2012 Demographic and Health Survey, 22 percent of Haitian children under the age of five are stunted, 5 percent are wasted, and 11percent are underweight.  
The Strengthening Partnerships, Results, and Innovations in Nutrition Globally (SPRING) project is a five-year project that started in October of 2011. Working across multiple sectors, SPRING’s nutrition experts facilitate country-led, evidence-based nutrition and food-security programs. The project’s technical support ensures that quality nutrition programs are taken to scale to strengthen countries’ capacity to eliminate undernutrition. SPRING’s global technical areas include social and behavior change communication for nutrition; maternal, infant, and young child nutrition programming with a focus on the first 1,000 days of life; and implementation research that addresses the challenges of delivering effective nutrition programming at scale. 


SPRING has six major strategic objectives: (1) Prevent malnutrition, (2) Support the fight against nutritional diseases, (3) Support the national nutrition policy of the MSPP, (4) Improve information systems in the area of nutrition, (5) Coordinate intra- and inter-sectoral collaboration with the Ministry of Health and key partner agencies such as UNICEF and the World Food Program, and (6) Conduct nutrition training for health providers.


  • SPRING will prioritize strengthening the capacity of five health facilities located in different regions of Haiti including the development corridors and introduce Nutrition Assessment, Counseling, and Support (NACS) during an initial implementation phase.  After scaling up, a total of seventeen health facilities will be targeted; and SPRING will support actions to integrate NACS into current facility-based services and identify partnerships to build stronger community links that can support NACS activities within the catchment area of each of the five facilities. 
  • SPRING will build upon the previous work to strengthen maternal, infant, and young child nutrition practices in Haiti using materials developed by USAID's Infant & Young Child Nutrition project.
  • SPRING will support the development and implementation of a MICYN training strategy for both facility and community health workers to reach a wide range of stakeholders working throughout the country.


SPRING has provided:
  • Technical Assistance to the Ministry of Health for the introduction of Nutrition Assessent, Couseling, and Support in five hospitals – Hospital de Carrefour, Hospital Saint Nicolas in Saint-Marc, Hospital Justinien in Cap Haitien, Hospital Sacré Coeur de Milot, and Hospital Alma Mater in Gros Morne— during FY 2013; and 
  • Training on maternal, infant, and young child nutrition has also been introduced in these health facilities.


Additional Information

Budget: $3,569,900
Life of Project: October 2011 – October 2016
Implementing Partners: JSI Research & Training Institute, Inc., Helen Keller International, the International Food Policy Research Institute, Save the Children, and the Manoff Group.


Last updated: August 14, 2015

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