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. 2021 Feb 25:9:604864.
doi: 10.3389/fpubh.2021.604864. eCollection 2021.

Last Mile Access to Enriched Children's Complementary Food: Mitigating Malnutrition in Kenya

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Last Mile Access to Enriched Children's Complementary Food: Mitigating Malnutrition in Kenya

Muthuuri Pamela et al. Front Public Health. .

Abstract

Commercial complementary foods are not accessible at the last mile of delivery, despite a veritable stunted growth explosion in Kenya. A Mile for the Brain aims to reduce child malnutrition by solving the pervasive distribution bottlenecks and prohibitive pricing challenges. This paper presents the systematized measurement for change process. We focus on the selection of off-the-shelf complementary foods, training of women entrepreneurs responsible for commercializing these complementary foods, coaching given to mothers on appropriate feeding education, and lastly the learning cycle revolving around feeding mothers, entrepreneurs for the Mile for the Brain social enterprise itself. We highlight the real-life challenges involved in this process in the context of adversity and constrained resources. The results, findings, and policy implications of this study will be reported elsewhere.

Keywords: child development; child nutrition; complementary food; last mile; social entrepreneurship.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
Theory of change.
Figure 2
Figure 2
Schematic showing the structure of the learning and feedback loop. The MEL plan has 4 levels that are interconnected; Level 1: Operations Level, 2: Women Entrepreneurs, Level 3: Babies Caregiver/Mother, and Level 4: Data Collectors.

References

    1. World Health Organization, UNICEF . Care for Child Development: Improving the Care for Young Children. World Health Organization. (2012). Available online at: http://www.who.int/maternal_child_adolescent/documents/care_child_develo...
    1. Masten AS, Powell JL. A resilience framework for research, policy, and practice. In: Resilience and Vulnerability: Adaptation in the Context of Childhood Adversities. New York, NY: Cambridge University Press; (2003). p. 1–25.
    1. Chang SM, Walker SP, Grantham-McGregor S, Powell CA. Early childhood stunting and later behaviour and school achievement. J Child Psychol Psychiatry. (2002) 43:775–83. 10.1111/1469-7610.00088 - DOI - PubMed
    1. UNICEF . Ready-to-Use Therapeutic Food for Children With Severe Acute Malnutrition. Position Paper, no. No. 1 (2013). Available online at: https://www.unicef.org/media/files/Position_Paper_Ready-to-use_therapeut...
    1. Council, Institute of Medicine and National Research . From Neurons to Neighborhoods: The Science of Early Childhood Development (2000). - PubMed

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