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Duration: December 2013 to 2020

In Bihar and Uttar Pradesh, India, Alive & Thrive is providing strategic technical assistance to enhance nutrition activities supported by the Bill & Melinda Gates Foundation. The goal is to accelerate improvements in nutrition outcomes through the application of Alive & Thrive’s program approach, lessons, and tools.

Read about activities in Bihar

Read about activities in Uttar Pradesh

Bihar: Partnering with Ananya for better health

In 2010, the Bill & Melinda Gates Foundation entered into a partnership with the Government of Bihar to advance the state’s health goals. The partnership, called Ananya, engages the foundation and the state’s Departments of Health and Family Welfare, Social Welfare, Rural Development, and Public Health Engineering, along with other stakeholders. Alive & Thrive is providing technical assistance to Ananya partners to support their efforts to improve nutrition, specifically infant and young child feeding (IYCF) in the following ways.

  • Advocacy: Raise the issue of malnutrition, particularly stunting reduction, through a process of policy dialogue and advocacy that includes development of evidence-backed policy briefs and consensus building on strategies and activities
  • Interpersonal communication: Strengthen current face-to-face delivery of IYCF messages in government programs and facilities through formative research to identify key barriers to optimal feeding practices and ways to address them, and  explore delivery of standardized IYCF and nutrition services through public and private sector franchises
  • Mass communication: Identify options for a multi-channel communication strategy that reaches people in areas with no or limited access to electricity
  • Strategic use of data: Review and provide feedback on IYCF data collection, analysis, and use   

For more information on Ananya, visit:

Uttar Pradesh: Strengthening Maternal, Newborn, Child Health, and Nutrition Programs

In Uttar Pradesh (UP), Alive & Thrive is working with several stakeholders to improve their infant and young child feeding (IYCF) activities through the uptake of proven behavior change communication tools and approaches. These stakeholders, supported by the Bill & Melinda Gates Foundation, include the Technical Support Group for the government’s health service as well as self-help groups and civil society organizations involved in a community mobilization project for reproductive, maternal, neonatal, and child health.

Of particular interest to stakeholders is Alive & Thrive’s experience in achieving scale with quality interventions. In response to requests, Alive & Thrive is conducting formative research to fill knowledge gaps and providing support for the development of tools to improve the capacity of frontline workers to counsel on feeding practices. These tools include a reminder brochure with IYCF recommendations by child age, a supervision checklist, and two training videos to ensure the standardization and quality of IYCF training of frontline workers.

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