Lessons learned

Our key lessons for program designers and implementers include:

Take a comprehensive approach. Results demonstrate that operating at multiple levels of communities and societies to address barriers to improved child feeding was an effective approach. Not only did we vary the ways in which we delivered support and messages to mothers, we also made sure to reach all members of society, like fathers and grandmothers, who can influence feeding decisions.

Plan with an “at-scale” mindset. Set ambitious targets to reach millions through interpersonal communication combined with mass communication.

Achieve intensity by reaching a number of audiences in a variety of ways including frequent airings of mass media spots, regular interactions between frontline workers and mothers, and community mobilization to engage players at all levels of society.

Monitor regularly to ensure frequent, quality interactions between frontline workers and mothers and the reach and impact of mass media, then make adjustments along the way as needed.

Allocate adequate resources for each program component. Program designers can use Alive & Thrive’s allocation of resources as a guide. See the estimated percentage spent on each program component in Bangladesh below.

Estimated percentage spent on each program component in Bangladesh


Adapt our framework and tools to succeed in scaling up nutrition

We offer the following resources for program designers and implementers.


Visit the website for more information: www.aliveandthrive.org


Alive & Thrive
Government of Canada
Irish Aid: Government of Ireland

Alive & Thrive is funded by the Bill & Melinda Gates Foundation and the governments of Canada and Ireland and managed by FHI 360.