Evaluation of the Improved Feeding Practices for the First 1000 Days Project in Ghana

BackgroundSub-optimal nutrition during the first 1000 days of life can impair the physical andcognitive development of children, as well as limit their health and wellbeing. Theimproved feeding practices for the first 1,000 days (IFP) project aimed to improve thedietary practices of women of reproductive age (pregnant and lactating) and children belowages two years in three selected districts (Kassena-Nankana West [KNW], Sekyere East[SE],and Kintampo South[KS]) in Ghana. This integrated project combined interventions onmicronutrient powder (MNP) distribution, social behaviour-change communication, andnutrition-sensitive agriculture to catalyse enhanced awareness and consumption ofnutrient-rich foods in selected communities.ObjectiveThis paper evaluates the IFP project based on measures associated with relevance,effectiveness, impact, and sustainability.MethodsUsing a mixed-methods design, data from in-depth interviews of project beneficiaries, andkey community-based actors involved in the project’s implementation were triangulatedwith routine project monitoring data, and documentation to answer the evaluationquestions. The evaluation questions and our analyses were guided by the DevelopmentAssistance Committee evaluation criteria. Interviews with key stakeholders wereconducted in June 2023. Key project data were compared between baseline and endlineassessments to ascertain the extent to which the project met its intended objectives andtargets.ResultsThe project demonstrated high relevance of the proposed project among the target groups;for example, nearly half the children were eating low quality, non-diverse diets (49% inKNW, 46% in KS and 35 in SE). The project enabled almost 14,000 children to be reachedwith MNP. While 96,000 eggs were produced,