- About A2Z
- Focus Areas
- Country Activities
- Child Blindness
The A2Z project supported several MOH micronutrient activities that were planned and implemented through Helen Keller International (HKI), other ministries, and international and local organizations.
Sustainable Vitamin A Supplementation
A2Z continued USAID’s support for twice-yearly vitamin A supplementation in Guinea. Coverage rates among children 6-59 months old have reached more than 80 percent. With USAID assistance, HKI targeted low-performing areas for increased logistical support and social mobilization and explored and promoted other avenues for vitamin A distribution, such as through community-based distributors, private health care providers, and routine health center services for postpartum women and sick children. HKI developed communication materials, a training guide with support materials, and monitoring tools for community-based vitamin A distribution.
The A2Z project worked with HKI on advocacy efforts, including adoption of the first wheat flour fortification act in West Africa. A technical review and assessment of salt iodization led to a number of recommendations for improving the effectiveness of this program. The assessment team found that due to exchange rate fluctuations, deteriorating road conditions, and recent changes in international commerce rules and regulations in Guinea, less salt was being imported into Guinea from Senegal than in the past. Previous estimates indicated that up to 70 percent of salt consumed in the country was imported while current estimates suggest that only 30 percent of salt consumed in Guinea is imported. A2Z has recommended that fortification programs focus on improving locally produced salt.
Scaling Up Maternal Anemia Reduction Packages
A2Z provided technical assistance to Africare through HKI to extend the FARNG Program, which reinforces healthy pregnancy practices. Health center workers, traditional birth attendants, traditional leaders, and community health volunteers received refresher training in nutrition. Mothers received iron folic acid supplements, deworming medication, intermittent preventive treatment for malaria, and a tetanus toxoid vaccination from local health staff. In the first year of the program, mean hemoglobin levels in 206 participants in the support group increased from 10.8 g/dl to 12.2 g/dl.
A2Z recently concluded its support for micronutrient activities in Guinea.