Zinc & Low-osmolarity Oral Rehydration Salts & Iron & Folic Acid Supplementation, Nigeria

The Zinc and Low-osmolarity Oral Rehydration Salts and Iron and Folic Acid Supplementation programme (ZIFAS) developed innovative strategies to improve upon the existing low coverage of low osmolarity Oral Rehydration Salts (L-ORS), zinc, and iron and folic acid supplements in four states in northern Nigeria.

ZIFAS aimed to increase the coverage and quality of antenatal care using low dose IFAS to reduce pregnancy related illnesses and deaths resulting from anaemia in pregnancy. Using a health system strengthening approach, ZIFAS sought to ensure long-term sustainable supply of ZIFAS in the public health system. This includes improving systems for forecasting and procurement as well as supply chain management, capacity building for health managers and service providers, and strengthening government systems for monitoring and evaluation.

Final achievements included:

• Increased coverage and utilisation of antenatal iron and IFAS
• Improved health workers’ awareness of zinc/lo-ORS in diarrhea management
• Zero stock-outs in IFAS commodities at health facilities
• Development of costed integrated annual health plans and medium term procurement plans that included ZIFAS commodities and health service interventions.

ZIFAS was a collaborative project between the Micronutrient Initiative, funded by the Government of Canada, through Global Affairs Canada, and PRRINN/MNCH funded by UK aid from the UK government and the State Department of the Norwegian Government. HPI was lead agency in the consortium managing the programme in partnership with NPHD, a Nigerian consultancy organisation.

Read the Final Report here.

Read the Summary Report here.

HPI Technical Lead: Emmanuel Sokpo