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Improving Nutrition Outcomes using the Multiphase Programmatic Approach

Abstract*

The objective of Improving Nutrition Outcomes Using the Multiphase Programmatic Approach Project for Madagascar is to increase utilization of an evidence-based package of reproductive, maternal and child health and nutrition (RMCHN) interventions and improve key nutrition behaviors known to reduce stunting in targeted regions and toprovide immediate and effective response to an eligible crisis or emergency. This project has four components. 1) The...

* The project abstract is drawn from the PAD, SAR or PGD and may not accurately reflect the project's current nature

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Development Objective

To increase utilization of an evidence-based package of reproductive, maternal and child health and nutrition (RMCHN) interventions and improve key nutrition behaviors known to reduce stunting in targeted regions and to provide immediate and effective response to an eligible crisis or emergency.

Key Details

Project Details

  • P160848

  • Closed

  • Maud Juquois

  • REPUBLIC OF MADAGASCAR

  • Madagascar

  • February 20, 2017

  • (as of board presentation)

    December 12, 2017

  • April 13, 2018

  • US$ 110.00 million

  • Unité de Programme National de Nutrition Communautaire (UPNNC),Unité de Coordination des Projets (UCP) - Ministry of Public Health

  • Eastern and Southern Africa

  • 2018

  • US$ 110.00 million

  • B

  • January 15, 2024

  • October 31, 2023

  • TBD

  • BANK APPROVED

  • Notes

Finances

Financing Plan (US$ Millions)

No data available.
Financier Commitments
IDA Credit 10.00
Scaling up Nutrition 10.00
IDA Grant 90.00

Total Project Financing (US$ Millions)

Product Line IBRD/IDA
IBRD Commitment N/A
IDA Commitment 100.00
IBRD + IDA Commitment 100.00
Lending Instrument
Grant Amount 10.00
Total Project Cost** 110.00

Summary Status of World Bank Financing (US$ Millions) as of March 31, 2025

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No data available.
Financier Approval Date Closing Date Principal Disbursed Repayments Interest, Charges & Fees

Detailed Financial Activity as of March 31, 2025

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No data available.
Period Financier Transaction Type Amount (US$)
Jul 8, 2020 IDA-D2570 Loan Disb -95,188.11
Aug 12, 2020 IDA-D2570 Loan Disb 437,084.72
Dec 29, 2020 IDA-D2570 Loan Disb 56,072.04
Dec 29, 2020 IDA-D2570 Loan Disb 1,073,996.10
Mar 1, 2021 IDA-D2570 Loan Disb 467,783.72
Dec 30, 2020 IDA-D2570 Loan Disb 681,440.50
Dec 16, 2020 IDA-D2570 Loan Disb 381,442.50
Dec 21, 2020 IDA-D2570 Loan Disb 164,722.70
Jan 29, 2021 IDA-D2570 Loan Disb 224,041.70
Jan 29, 2021 IDA-D2570 Loan Disb 1,115,495.80
Jan 29, 2021 IDA-D2570 Loan Disb 636,344.25
Jun 30, 2021 IDA-D2570 Loan Disb 140,503.52
Jun 30, 2021 IDA-D2570 Loan Disb 785,764.40
Jun 30, 2021 IDA-D2570 Loan Disb 96,359.32
May 4, 2020 IDA-D2570 Loan Disb 127,042.17
May 22, 2020 IDA-D2570 Loan Disb 330,742.53
May 21, 2020 IDA-D2570 Loan Disb 66,124.28
Apr 27, 2020 IDA-D2570 Loan Disb -2,748,744.00
May 28, 2020 IDA-D2570 Loan Disb 719,610.94
May 27, 2020 IDA-D2570 Loan Disb 2,748,744.00
Jun 25, 2020 IDA-D2570 Loan Disb 56,658.83
Jun 30, 2020 IDA-D2570 Loan Disb 608,984.00
Jun 25, 2020 IDA-D2570 Loan Disb 555,532.06
May 15, 2020 IDA-D2570 Loan Disb 790,697.80
Jun 29, 2020 IDA-D2570 Loan Disb 326,855.34
Jun 29, 2020 IDA-D2570 Loan Disb 55,078.35
Jun 29, 2020 IDA-D2570 Loan Disb 669,519.00
Jun 29, 2020 IDA-D2570 Loan Disb 3,326,978.00
Jul 30, 2020 IDA-D2570 Loan Disb 234,959.12
Jul 9, 2020 IDA-D2570 Loan Disb 1,332,389.80
Oct 23, 2020 IDA-D2570 Loan Disb 115,134.42
Oct 23, 2020 IDA-D2570 Loan Disb 140,183.92
Nov 17, 2020 IDA-D2570 Loan Disb 95,604.68
Nov 17, 2020 IDA-D2570 Loan Disb 125,870.41
Nov 13, 2020 IDA-D2570 Loan Disb 729,124.30
Nov 13, 2020 IDA-D2570 Loan Disb 521,226.03
Oct 9, 2020 IDA-D2570 Loan Disb 367,202.28
Oct 26, 2020 IDA-D2570 Loan Disb 236,747.06
Feb 1, 2022 IDA-D2570 Loan Disb 479,597.34
Feb 14, 2022 IDA-D6740 Loan Disb 46,697.94
Feb 14, 2022 IDA-D6740 Loan Disb 47,907.73
Aug 15, 2022 IDA-D2570 Loan Disb 90,450.37
Jan 12, 2022 IDA-D6740 Loan Disb 547,842.40
Jan 12, 2022 IDA-D6740 Loan Disb 97,367.49
Jan 12, 2022 IDA-D6740 Loan Disb 546,838.20
Aug 25, 2022 IDA-67020 Loan Disb 187,550.52
Aug 15, 2022 IDA-67020 Int Charges 11,720.84
Aug 15, 2022 IDA-67020 Int Charges 11,720.84
Jan 28, 2022 IDA-D6740 Loan Disb 125,439.05
Aug 26, 2022 IDA-67020 Loan Disb 515,867.06
Nov 16, 2021 IDA-D2570 Loan Disb 556,806.06
Nov 16, 2021 IDA-D2570 Loan Disb 231,657.60
Aug 4, 2021 IDA-D2570 Loan Disb 102,017.23
Aug 4, 2021 IDA-D2570 Loan Disb 257,632.10
Sep 14, 2021 IDA-D2570 Loan Disb 78,302.65
Dec 2, 2021 IDA-D2570 Loan Disb 218,524.12
Dec 2, 2021 IDA-D2570 Loan Disb 120,091.31
Nov 22, 2021 IDA-D2570 Loan Disb 45,747.61
Aug 17, 2021 IDA-D2570 Loan Disb 951,256.00
Mar 16, 2022 IDA-D2570 Loan Disb -5,078.55
Mar 7, 2022 IDA-67020 Loan Disb 495,386.34
Mar 7, 2022 IDA-67020 Loan Disb 95,745.10
May 19, 2022 IDA-D2570 Loan Disb 89,442.89
Apr 14, 2022 IDA-D6740 Loan Disb 5,000,000.00
Mar 18, 2022 IDA-D6740 Loan Disb 1,292,300.00
Mar 11, 2022 IDA-67020 Loan Disb 30,060.49
Jan 14, 2022 IDA-D2570 Loan Disb -868,959.94
Apr 15, 2022 IDA-67020 Loan Disb 1,054,849.10
Jun 16, 2022 IDA-D2570 Loan Disb -804,603.20
Mar 22, 2022 IDA-67020 Loan Disb 51,967.19
Jun 27, 2022 IDA-D2570 Loan Disb 239,549.02
Jun 16, 2022 IDA-D2570 Loan Disb -141,988.80
May 17, 2022 IDA-D2570 Loan Disb -187,444.84
Dec 6, 2021 IDA-D2570 Loan Disb 94,213.01
Feb 17, 2022 IDA-D6740 Loan Disb 70,318.58
Apr 8, 2022 IDA-67020 Loan Disb 2,550,000.00
Sep 8, 2022 IDA-67020 Loan Disb 42,867.37
Oct 9, 2019 IDA-D2570 Loan Disb 122,536.62
Nov 27, 2019 IDA-D2570 Loan Disb 401,230.66
Nov 27, 2019 IDA-D2570 Loan Disb 10,023.78
Mar 30, 2020 IDA-D2570 Loan Disb 248,409.89
Mar 13, 2020 IDA-D2570 Loan Disb 436,492.78
Mar 30, 2020 IDA-D2570 Loan Disb 122,508.39
May 29, 2018 IDA-D2570 Loan Disb 278,650.25
Jul 16, 2018 IDA-D2570 Loan Disb 5,937,853.00
Jul 16, 2018 IDA-D2570 Loan Disb 3,379,137.00
Apr 13, 2018 IDA-D2570 Loan Disb 1,017,333.25
Aug 14, 2018 IDA-D2570 Loan Disb 34,111.22
Aug 27, 2018 IDA-D2570 Loan Disb 203,175.12
Aug 16, 2018 IDA-D2570 Loan Disb 998,901.25
Aug 14, 2018 IDA-D2570 Loan Disb 546,154.94
Dec 14, 2018 IDA-D2570 Loan Disb 331,806.06
Dec 11, 2018 IDA-D2570 Loan Disb 621,161.75
Dec 11, 2018 IDA-D2570 Loan Disb 33,574.87
Oct 4, 2018 IDA-D2570 Loan Disb 265,762.97
Feb 8, 2019 IDA-D2570 Loan Disb 308,187.84
May 3, 2019 IDA-D2570 Loan Disb 404,330.25
May 14, 2019 IDA-D2570 Loan Disb 59,507.30
May 14, 2019 IDA-D2570 Loan Disb 327,185.22
May 14, 2019 IDA-D2570 Loan Disb 84,278.21
Feb 26, 2019 IDA-D2570 Loan Disb 16,145.41
Jul 2, 2019 IDA-D2570 Loan Disb 56,241.50
Jul 2, 2019 IDA-D2570 Loan Disb 148,254.16
Feb 8, 2019 IDA-D2570 Loan Disb -79.60
Feb 6, 2019 IDA-D2570 Loan Disb -535.86
Jun 19, 2019 IDA-D2570 Loan Disb 449,459.06
Jun 19, 2019 IDA-D2570 Loan Disb 170,113.62
Jun 7, 2019 IDA-D2570 Loan Disb 329,474.47
Jun 24, 2019 IDA-D2570 Loan Disb 198,412.38
Jun 7, 2019 IDA-D2570 Loan Disb 128,465.92
Jun 7, 2019 IDA-D2570 Loan Disb 365,617.44
Jun 19, 2019 IDA-D2570 Loan Disb 167,959.92
May 30, 2019 IDA-D2570 Loan Disb 75,348.46
May 24, 2019 IDA-D2570 Loan Disb 106,289.70
May 24, 2019 IDA-D2570 Loan Disb 37,791.55
Oct 18, 2023 IDA-D2570 Loan Disb 1,074,699.50
Dec 27, 2023 IDA-D2570 Loan Disb 121,295.16
Dec 27, 2023 IDA-D6740 Loan Disb 35,105.36
Dec 27, 2023 IDA-D6740 Loan Disb 403,653.75
Dec 27, 2023 IDA-67020 Loan Disb 6,092.98
Feb 21, 2023 IDA-67020 Int Charges 27,817.20
Feb 21, 2023 IDA-67020 Int Charges 27,817.20
Feb 15, 2023 IDA-67020 Int Charges 101.45
Feb 15, 2023 IDA-67020 Int Charges 101.45
Jun 20, 2023 IDA-D2570 Loan Disb 616,926.25
Jun 16, 2023 IDA-D2570 Loan Disb -42,851.59
Aug 16, 2023 IDA-67020 Int Charges 65.83
Aug 15, 2023 IDA-67020 Loan Disb 227,703.84
Aug 16, 2023 IDA-67020 Int Charges 65.83
Aug 16, 2023 IDA-67020 Int Charges 32,102.21
Aug 16, 2023 IDA-67020 Int Charges 32,102.21
Aug 9, 2023 IDA-D6740 Loan Disb 74,644.20
Aug 18, 2023 IDA-D2570 Loan Disb 106,224.80
Aug 31, 2023 IDA-D2570 Loan Disb 35,408.22
Jul 21, 2023 IDA-D6740 Loan Disb 69,999.99
Aug 4, 2023 IDA-D6740 Loan Disb 809,000.00
Aug 2, 2023 IDA-67020 Loan Disb 1,070,000.00
Aug 4, 2023 IDA-D2570 Loan Disb 317,437.38
Aug 9, 2023 IDA-D6740 Loan Disb 26,353.62
Jun 30, 2023 IDA-D2570 Loan Disb 180,000.00
Jun 8, 2023 IDA-D2570 Loan Disb 295,502.34
Dec 27, 2021 IDA-D2570 Loan Disb 183,037.25
Dec 6, 2021 IDA-D2570 Loan Disb -112,916.23
Feb 9, 2022 IDA-D6740 Loan Disb 535,422.94
Feb 9, 2022 IDA-D6740 Loan Disb 140,000.00
Oct 4, 2022 IDA-D2570 Loan Disb -199,734.00
Oct 14, 2022 IDA-D2570 Loan Disb 56,041.04
Dec 20, 2022 IDA-D2570 Loan Disb 26,595.01
Oct 12, 2022 IDA-67020 Loan Disb 2,684,079.20
Sep 9, 2022 IDA-D2570 Loan Disb 1,810,710.40
Sep 7, 2022 IDA-D2570 Loan Disb 85,591.06
Sep 8, 2022 IDA-D6740 Loan Disb 13,192.44
Sep 8, 2022 IDA-67020 Loan Disb 91,135.95
Sep 25, 2020 IDA-D2570 Loan Disb -27,661.24
Sep 25, 2020 IDA-D2570 Loan Disb -3,524.21
Oct 14, 2020 IDA-D2570 Loan Disb 276,471.97
Aug 20, 2020 IDA-D2570 Loan Disb 997,770.25
Aug 27, 2020 IDA-D2570 Loan Disb 1,707,294.00
Sep 16, 2020 IDA-D2570 Loan Disb 9,825,768.00
Dec 27, 2019 IDA-D2570 Loan Disb 678,466.75
Mar 23, 2020 IDA-D2570 Loan Disb 512,128.22
Dec 30, 2019 IDA-D2570 Loan Disb 621,955.06
Dec 31, 2019 IDA-D2570 Loan Disb 48,761.57
Mar 16, 2020 IDA-D2570 Loan Disb 412,095.97
Dec 23, 2019 IDA-D2570 Loan Disb 627,460.75
Dec 23, 2019 IDA-D2570 Loan Disb 137,495.77
Dec 31, 2019 IDA-D2570 Loan Disb 469,885.22
Jan 3, 2020 IDA-D2570 Loan Disb 73,598.44
Jan 30, 2020 IDA-D2570 Loan Disb 149,354.16
Apr 21, 2020 IDA-D2570 Loan Disb 4,000,000.00
Apr 21, 2020 IDA-D2570 Loan Disb 908,820.30
Apr 17, 2020 IDA-D2570 Loan Disb 511,802.75
Apr 1, 2020 IDA-D2570 Loan Disb 358,235.60
Apr 1, 2020 IDA-D2570 Loan Disb 398,675.72
Apr 10, 2020 IDA-D2570 Loan Disb 2,748,744.00
Apr 7, 2020 IDA-D2570 Loan Disb 84,706.28
Feb 5, 2020 IDA-D2570 Loan Disb 329,407.75
May 5, 2020 IDA-D2570 Loan Disb 362,668.60
Apr 27, 2020 IDA-D2570 Loan Disb 289,689.47
Dec 7, 2022 IDA-67020 Loan Disb 183,415.56
Sep 13, 2022 IDA-67020 Loan Disb 172,340.64
Oct 7, 2022 IDA-D2570 Loan Disb 27,960.53
Sep 15, 2022 IDA-D2570 Loan Disb 83,549.29
May 10, 2022 IDA-D2570 Loan Disb 26,566.54
Apr 29, 2022 IDA-D2570 Loan Disb -56,005.84
Jun 22, 2022 IDA-D2570 Loan Disb 564,889.60
Aug 11, 2022 IDA-D2570 Loan Disb 171,928.02
Aug 11, 2022 IDA-D2570 Loan Disb 193,316.95
Aug 17, 2022 IDA-67020 Loan Disb 196,073.80
Mar 9, 2022 IDA-67020 Loan Disb 77,365.86
Mar 3, 2022 IDA-67020 Loan Disb 107,072.31
Jul 23, 2021 IDA-D2570 Loan Disb 212,461.30
Jul 26, 2021 IDA-D2570 Loan Disb 258,945.70
Aug 3, 2021 IDA-D2570 Loan Disb 174,591.83
Jun 23, 2021 IDA-D2570 Loan Disb 6,771.69
Jul 20, 2021 IDA-D2570 Loan Disb 938,984.40
May 5, 2021 IDA-D2570 Loan Disb -3,276.78
May 5, 2021 IDA-D2570 Loan Disb -170,979.81
Sep 22, 2021 IDA-D2570 Loan Disb 297,565.25
Nov 12, 2021 IDA-D2570 Loan Disb 71,553.91
Dec 3, 2021 IDA-D2570 Loan Disb 216,754.69
Nov 24, 2021 IDA-D2570 Loan Disb 103,568.39
Nov 24, 2021 IDA-D2570 Loan Disb 145,946.17
Jul 6, 2020 IDA-D2570 Loan Disb 284,272.30
Sep 25, 2020 IDA-D2570 Loan Disb -41,847.23
Jun 8, 2020 IDA-67020 Loan Commitment 10,000,000.00
Jun 8, 2020 IDA-D6740 Loan Commitment 10,000,000.00
Dec 12, 2017 IDA-D2570 Loan Commitment 80,000,000.00
Feb 1, 2024 IDA-D6740 Loan Disb 47,761.68
Jan 19, 2024 IDA-D2570 Loan Disb 26,766.92
Feb 16, 2024 IDA-67020 Int Charges 217.41
Feb 16, 2024 IDA-67020 Int Charges 36,696.29
Feb 16, 2024 IDA-67020 Int Charges 36,696.29
Feb 1, 2024 IDA-67020 Loan Disb 9,822.14
Feb 16, 2024 IDA-67020 Int Charges 217.41
Jan 11, 2024 IDA-D2570 Loan Disb 579,053.75
Dec 27, 2023 IDA-67020 Loan Disb 4,235.44
Dec 27, 2023 IDA-D6740 Loan Disb 17,486.99
Dec 27, 2023 IDA-D6740 Loan Disb 33,794.35
Aug 20, 2024 IDA-67020 Int Charges 36,126.60
Aug 20, 2024 IDA-67020 Int Charges 36,126.60
Aug 15, 2024 IDA-67020 Int Charges 433.46
Aug 15, 2024 IDA-67020 Int Charges 433.46
Apr 19, 2024 IDA-D2570 Loan Disb 590,058.00
May 3, 2024 IDA-D2570 Loan Disb -590,057.94
Jun 23, 2023 IDA-D6740 Loan Disb 116,020.82
Oct 4, 2022 IDA-D2570 Loan Disb 30,000.00
Jun 26, 2023 IDA-D2570 Loan Disb 114,767.88
Dec 29, 2023 IDA-D6740 Loan Disb 47,766.18
Dec 29, 2023 IDA-D6740 Loan Disb 12,460.64
Apr 27, 2020 IDA-D2570 Loan Disb 761,249.40
May 4, 2020 IDA-D2570 Loan Disb 497,739.12
Jun 19, 2019 IDA-D2570 Loan Disb 137,047.80
Dec 2, 2019 IDA-D2570 Loan Disb 165,427.98
Aug 7, 2019 IDA-D2570 Loan Disb 196,233.16
Aug 7, 2019 IDA-D2570 Loan Disb 219,249.95
Jul 26, 2019 IDA-D2570 Loan Disb 306,132.44
Jul 26, 2019 IDA-D2570 Loan Disb 391,650.38
Oct 17, 2019 IDA-D2570 Loan Disb 242,776.31
Oct 15, 2019 IDA-D2570 Loan Disb 56,851.41
Nov 5, 2019 IDA-D2570 Loan Disb 207,401.73
Jul 22, 2019 IDA-D2570 Loan Disb 793,649.10
Nov 27, 2019 IDA-D2570 Loan Disb 411,397.22
Jan 3, 2020 IDA-D2570 Loan Disb 559,287.06

Footnotes

Ratings

IMPLEMENTATION RATINGS

Name Review Date
Progress towards achievement of PDO Moderately Satisfactory 2023-08-02
Procurement Moderately Satisfactory 2023-08-02
Financial Management Moderately Unsatisfactory 2023-08-02
Project Management Satisfactory 2023-08-02
Monitoring and Evaluation Satisfactory 2023-08-02
Overall Implementation Progress (IP) Moderately Satisfactory 2023-08-02

COMPLETION RATINGS

No data available.

INDEPENDENT EVALUATION RATINGS

No data available.

Results Framework

PROJECT DEVELOPMENT OBJECTIVE INDICATORS

INDICATORBASELINECURRENTTARGET
  • Percentage of children 6-59 months of age receiving vitamin A supplementation within the past 6 months (by sex)Value0.0050.9060.00
    DateSeptember 11, 2017December 31, 2022July 31, 2023
    Comment
  • Percentage of infants 0-5 months of age exclusively breastfed (by sex)Value61.3060.8065.00
    DateJuly 1, 2018December 31, 2022July 31, 2023
    Comment
  • Number of facility-based deliveriesValue0.00489034.00588623.00
    DateSeptember 11, 2017December 31, 2022July 31, 2023
    Comment
  • Percentage of women receiving any IFA tablets at last pregnancyValue0.0075.1070.00
    DateSeptember 11, 2017December 31, 2022July 31, 2023
    Comment
  • Percentage of children 6-23 months of age receiving 5 of the 8 recommended food groupsValue31.5036.0036.50
    DateSeptember 11, 2017December 31, 2022July 31, 2023
    Comment

INTERMEDIATE RESULTS INDICATORS

INDICATORBASELINECURRENTTARGET
  • People who have received essential health, nutrition, and population (HNP) servicesValue0.002414832.002871000.00
    DateSeptember 19, 2017December 31, 2022July 31, 2023
    Comment
  • Number of community health and nutrition workers trained by the project on at least 2 modulesValue0.0010446.0010100.00
    DateSeptember 11, 2017December 31, 2022July 31, 2023
    Comment
  • Grievances responded to and/or resolved within the stipulated service standard for response timesValue0.0073.0075.00
    DateSeptember 21, 2017December 31, 2022July 31, 2023
    Comment
  • Number of health workers in public primary health care facilities trained in Integrated Disease Surveillance and Response (IDSR)Value0.00683.003772.00
    DateApril 1, 2020December 31, 2022July 31, 2023
    Comment
  • Percentage of community health and nutrition workers achieving satisfactory score on the community service delivery indicator (SDI)scoreValue0.000.0050.00
    DateSeptember 11, 2017December 31, 2022July 31, 2023
    Comment
  • Number of designated laboratories with COVID-19 diagnostic capacity (equipment, test kits, reagents)Value0.0029.0017.00
    DateApril 1, 2020December 31, 2022July 31, 2023
    Comment
  • Number of children immunizedValue0.00938035.00171000.00
    DateSeptember 19, 2017December 31, 2022July 31, 2023
    Comment
  • Percentage of providers at the primary care facilities achieving satisfactory score on the service delivery indicator (SDI) scoreValue1.9016.3050.00
    DateSeptember 11, 2017December 31, 2022July 31, 2023
    Comment
  • Number of health facilities with no stock-outs of PPE during the last 30 daysValue0.002667.001280.00
    DateApril 1, 2020December 31, 2022July 31, 2023
    Comment
  • Number of women and children who have received basic nutrition servicesValue0.001476797.002700000.00
    DateSeptember 19, 2017December 31, 2022July 31, 2023
    Comment
  • Number of women receiving ANC during the first 3 months of pregnancyValue0.00240197.00294607.00
    DateSeptember 11, 2017December 31, 2022July 31, 2023
    Comment
  • Percentage of primary care facilities providing monthly activity reports on timeValue34.0075.0080.00
    DateSeptember 11, 2017December 31, 2022July 31, 2023
    Comment
  • Number of functioning community sitesValue0.004526.005050.00
    DateSeptember 11, 2017December 31, 2022July 31, 2023
    Comment
  • Percentage of communes that organized at least 1 CoSan meeting in the past 6 monthsValue0.0021.0080.00
    DateSeptember 11, 2017December 31, 2022July 31, 2023
    Comment
  • Number of severe acute malnutrition (SAM) cases treated in the outpatient SAM treatment programValue870.0049330.008000.00
    DateSeptember 21, 2017December 31, 2022July 31, 2023
    Comment
  • Number of primary care facilities having tracer medications in stockValue296.00808.00700.00
    DateSeptember 11, 2017December 31, 2022July 31, 2023
    Comment