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Food Fortification Sudan report

Reference of the call for proposals: EuropeAid/151093/DH/ACT/Multi-2


Number of the proposal FOOD/2016/151093-2/22
Name of lead applicant World Food Programme (WFP)
Period of reporting: January 1st 2017 to November 30st 2017
Title of the action Improved nutritional status of vulnerable
and deprived communities in Sudan
through large scale food fortification,
home fortification and the introduction of
bio-fortified crops in rural communities.

January 1st 2017 – November 30st, 2017 – Sudan


Table of contents
Executive summary ............................................................................................................... 3
Background and Context ....................................................................................................... 3
Project structure .................................................................................................................... 4
Activities carried out during the reporting period.................................................................... 5
Action 1. Provide technical support to the Government of Sudan for the enactment of
a food fortification law and regulation. ................................................................................... 5
Action 2. Strengthen institutional coordination mechanisms through the National Food
Fortification Alliance of Sudan. .............................................................................................. 6
Action 3. Create regulatory frameworks and standards with enabling policy
environment for bio-fortified seeds. ....................................................................................... 7
Action 4. Support the Food fortification Research center to carry out research and
small area surveys to monitor the impact of fortified foods on the health and nutritional
status of the targeted communities........................................................................................ 7
Action 5. Design a Quality Assurance (QA) and Quality Control (QC) system for staple
food fortification in Sudan and build the capacity of regulatory authorities to enforce
the law and monitor progress ................................................................................................ 9
Action 6. Support salt producers and regulatory bodies to achieve universal iodization
of salt produce in Sudan ....................................................................................................... 9
Action 7. Support the private sector to develop a commercial platform for the retail of
micronutrient powder (VITAMINO) ...................................................................................... 12
Action 8. Production and distribution of bio-fortified varieties of crops ................................. 13
Action 9. Create a logo and develop a branding strategy for fortified foods products .......... 15
Action 10. Social marketing and communication to increase the demand for bio-
fortified seeds with integrated nutrition education ................................................................ 15
Action 11. Advocacy and mobilization on food fortification .................................................. 15
Human Resources .............................................................................................................. 16
Visibility and Communication .............................................................................................. 18
Next reporting period work plan and forecast ...................................................................... 18
Annex 1 Log frame indicators.............................................................................................. 20
Annex 2 Visibility and communication plan.......................................................................... 26

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Executive summary

During the reporting period FAO, WHO and WFP support the Government of Sudan on the first
steps to implement a mandatory food fortification program, testing of bio-fortified varieties of
sorghum and millet and the identification and contract of a pharmaceutical company to retail a
micronutrient powder specifically designed for children 5 to 59 months (Vitamino). The National
Food Fortification alliance was reactivated and two national coordinators were hired. The
monitoring and surveillance system for micronutrient deficiencies was developed by the FMoH.
An assessment mission to Port Sudan was conducted in November visiting 3 factories with a
combine production capacity of 20 MT per hour of refine iodize salt. Finally, we are on the process
of completing the development of a National logo for fortified and nutritious foods.

Background and Context


The Food and Agriculture Organization (FAO), the World Food Programme (WFP) and the World
Health Organization (WHO) have been jointly awarded a four-year grant under the European
Commission call for proposal EuropeAid/151093/DH/ACT/Multi-2 on Food Fortification. Through
this project, the three agencies, in collaboration with the Ministry of Agriculture, the Ministry of
Health and the Ministry of Industry will work to improve the nutritional status of vulnerable
populations across Sudan, and in particular women and children, through increased availability,
access, and consumption of fortified food, micronutrient powders and bio fortified varieties of
crops. The activities will focus on three critical aspects: the legal and regulatory environment, the
supply and the demand and will collectively strengthen institutional frameworks and increase
community, private sector and government awareness of the benefits of food fortification. In
addition, this project will improve socio-economic elements of Sudanese society where
micronutrient malnutrition is a major impediment to socio-economic development. Sudan remains
severely impacted by economic crisis, political turmoil, and conflict. More than three million
Sudanese are displaced due to conflict and forty-five percent of the population lives below the
poverty line. Conflict in neighbouring countries further threatens Sudan’s fragile national dialogue.
More than two hundred and fifty thousand people have sought refuge in Sudan - nearly one
hundred thousand in 2014 alone.

Levels of undernutrition in Sudan are staggering. Two million children under the age of 5 years
are stunted and two million become wasted annually jeopardising their survival and development,
and reducing their prospect for a better future. Although less well documented, levels of
micronutrient deficiencies are also likely high in Sudan and will contribute significantly to morbidity
and mortality among children and women of reproductive age. Little progress has been made in
addressing morbidity and mortality the past thirty years. Sudan remains one of thirty-four countries
contributing to ninety percent of the global burden of undernutrition.

A severe deficiency of any micronutrient can cause clinical diseases such as anemia (iron), night-
blindness (Vitamin A), Beriberi (Vitamin B1), Rickets (Vitamin D), scurvy (Vitamin C) or
osteoporosis (calcium). But sub-clinical deficiencies can also negatively affect health and
development and are far more prevalent. During pregnancy or periods of rapid child growth and
development, mothers and young children have increased micronutrient requirements and are
more susceptible to the harmful consequences of deficiencies.

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Deficiencies in vitamin A, iodine and iron are thought to be widespread. There has not been a
micronutrient survey carried out since the 1990s. Proxy indicators from the 2013 simple spatial
survey method (S3M) national multi-indicator survey, include:
 Low coverage with iron and folic acid supplements during the second and third trimesters
of pregnancy.
 Low postpartum coverage with vitamin A supplements.
 Night blindness, caused by vitamin A deficiency during the last pregnancy was reported
by up to 90 per cent of mothers in one locality in South Darfur1. In only 29 of 184 localities
did less than 5 per cent of mothers’ experience night blindness during their last pregnancy.
The WHO cut-off values classify a prevalence of ≥ 5 per cent as severe2.
 Anaemia in children is associated with reduced cognitive development (as much as 9 IQ
points may be lost), lack of concentration and listlessness. Studies in some African
countries demonstrate that anaemia is most prevalent in the first 2 years of life. This is
particularly worrisome as this is the age during which brain development takes place. In
women of reproductive age, anaemia is a major cause of maternal mortality. WHO recently
estimated the rates of anaemia in Sudan to be extraordinarily high – in preschool-aged
children (88 per cent), pregnant women (58 per cent) and non-pregnant women (43 per
cent)3. Also, the contribution of micronutrient deficiencies to the disease burden is likely to
be substantial. Iodine deficiency is the leading preventable cause of brain damage
worldwide and it can significantly lower the IQ of whole populations by 10 to 15 points.
The most severe effects of iodine deficiency occur during foetal development and in the
first few years of life. The SHHS 2010 showed that only 9.5 per cent of households
consumed iodized salt4, which meant that over 1 million infants remained unprotected
from iodine deficiency disorders.

Project structure
The project is structure under three pillars.

Pillar 1: The creation of an enabling legislative and policy environment for food fortification

The activities under pillar one aim at strengthening the capacity of the government for the
enactment of the food fortification law; enhance coordination mechanisms through the reactivation
of the National Fortification Alliance; technical support to the regulatory bodies for quality
assurance and quality control of the fortified foods and monitoring and surveillance of the impact
of the project.

 Action 1: WHO will provide technical support to the Government for the enactment of a
food fortification law and regulation.
 Action 2: WFP will strengthen institutional coordination mechanisms.

1WHO, Global Prevalence of Vitamin A Deficiency in Populations at Risk 1995–2005. WHO Global
Database on Vitamin A Deficiency, WHO, Geneva, p. 8 Table 4, 2009.
2Worldwide Prevalence of Anaemia 1991–2005, Global Database on Anaemia, with additional data from
Demographic and Health Surveys
and WHO global database on Anaemia.

3 Central Bureau of Statistics, SHHS – Round 2, 2010, 2012.

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 Action 3: FAO will provide technical support on regulatory frameworks and standards for
bio-fortified seeds.
 Action 4: WHO will support the Food Fortification research center to conduct small area
surveys and develop a micronutrient surveillance system.
 Action 5: WFP will support on the design of a Quality Assurance and Quality Control
system for staple food fortification.

Pillar 2: The support to the private sector’s capacity for the production of fortified food

The activities under pillar 2 aim to support salt producers achieve universal salt iodization in line
with the national standard; developed a commercial platform for the retail of micronutrient powder
(VItamino) at an affordable price; support on the production and distribution of bio-fortified
varieties of sorghum and millet; and the development of guidelines and technical support to wheat
flour millers and edible oil refineries.

 Action 6: WFP will support salt producers to achieve universal iodization of salt.
 Action 7: WFP will support the private sector to develop a commercial platform for the
retail of micronutrient powder (VITAMINO)
 Action 8: FAO will support the Production and distribution of bio-fortified varieties of crops
in two phases. Phase 1: On-farm adaptation trials in Kassala, Equipment and need-based
training. Phase 2: Production of foundation seeds, certified and quality declared seeds

Pillar 3: The promotion of healthy food choices and increase the demand for fortified food,
micronutrient powder, nutrient-rich crops and biofortified varieties of crops

The activities under pillar 3 aim to accelerate the demand for fortified foods and nutrient-rich crops
by developing a national logo, conducting a strong social marketing campaign and training
workshops on advocacy mobilization on food fortification.

 Action 9: WHO will advocate on food fortification.


 Action 10: WFP will support the development of a food fortification logo and branding
strategy
 Action 11: FAO will support social marketing and communication campaigns to increase
the demand for bio-fortified seeds and integrated nutrition education.

Activities carried out during the reporting period


During the reporting period FAO, WHO and WFP carried out activities under actions 1, 2, 4, 6, 7,
8, 9 and 11. It’s important to mention that although the starting date of the project was January
2016, it was only until March that WFP received the funds from the EU and in April the money
was transfer to FAO and WHO, so these activities were actually carried out between June and
November 2017.

Action 1. Provide technical support to the Government of Sudan for the enactment of a
food fortification law and regulation.
Description of activities:
WHO supported the Federal Ministry of Health (FMOH)/Nutrition program through technical and
financial support for organizing of an advocacy workshop to target parliamentarian for passing a

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law on food fortification. A series of meetings have been held with SSMO by FMOH, WHO and
WFP to seek their support on the process of developing the food fortification law and exploring
possible ways of amending existing laws or placing a new food fortification law. SSMO was very
supportive and showed their commitment.

1.2 Results:
 Meetings organized among FMoH, SSMO, WHO and WFP, to plan the way forward
regarding the passing of a food fortification law.

1.3 Difficulties encountered:


 During the 2FAS mission to Sudan it was found out that the price of wheat and wheat flour
is controlled by the government. The wheat flour industry is willing to fortified their product
but they are not willing to bear the cost of fortification. In every country, the fortification
cost is transfer to the end-user, but in Sudan is not possible due to this price control.

1.4 Measures taken:


 It was agreed at the Food Fortification alliance that a cost benefit analysis on wheat flour
fortification could help convince the government on letting industry transfer the fortification
cost. The selected consultant to do the cost benefit analysis was Quentin Johnson. The
cost benefit analysis will take place early 2018.

Action 2. Strengthen institutional coordination mechanisms through the National Food


Fortification Alliance of Sudan.
The Food Fortification Alliance (FFA) of Sudan is mandated to coordinate and monitor fortification
efforts in the country, however the scope of the work accomplished so far has been limited. Key
weaknesses have been identified including a lack of national policy that comprehensively
addresses micronutrient deficiency diseases and technical capacity. The secretariat of the FFA
requires increased capacities to coordinate the actions of the various government structures and
non-government stakeholders to ensure that progress is made on the policy and strategic areas.

2.1 Description of activities:


 WFP support the Federal Ministry of Health to conduct a workshop to finalize the national
strategy for the prevention and control of micronutrient deficiency.
 WFP second a Food Fortification national coordinator to:
o Reactivate the Food Fortification Alliance
o Lead the development of National Guidelines on Food Fortification
o Enable a conducive legal environment for food fortification
o Advocate for the prioritization of food fortification by the Government
o Coordinate the development of a social behavior change communication strategy for
fortified foods
o Lead on capacity building actions for food fortification
o Coordinate the food fortification information management
 WFP second a Universal Salt Iodization coordinator to:
o In collaboration with the FMOH, ensure a functional coordination mechanism is in place
for USI.

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o Develop a detailed work plan for USI with the FMOH, FMOI and related stakeholders
ensuring that all aspects of the process (policy, process, implementation, capacity
development) are covered.
o Design and implement an M&E strategy for Universal Salt Iodization at national and
subnational level;
o Lead the development of a robust Quality Assurance and Quality Control system
(including operational guidelines) in line with national legislation;
o Regularly monitor the support provided to the national laboratory and the zonal labs at the
production areas to enhance the quality control and quality assurance mechanism;
o Facilitate regular coordination meetings at strategic and technical levels and ensure that
all discussions adequately highlight the gaps and potentials actions to address USI;
o Ensure the existing USI revolving fund is functional and allows for the regular purchasing
of purchase potassium iodate for effective implementation;
o Undertake capacity development of public and private sector partners enabling them to
produce, distribute and monitor the quality of iodized salt

2.2 Results
 On September 17th 2017 the Food Fortification coordinator entry on duty
 On October 16th 2017 the USI National coordinator entry on duty;
 The Work plans of both National coordinators were developed in consultation with FMoH.

2.3 Difficulties encountered:


 Participation of the National Food Fortification alliance from the government side is not in
a voluntary way. Government staff are paid to participate on the meetings. This payment
was not considered in the original budget.
 Office space for the two National coordinators at the Federal Ministry of Health.

2.4 Measures taken:


 We reduce the number of meetings for the National food fortification alliance to 4 per year
(quarterly) and we plan to conduct then in the form of workshops to get as much as
possible from the participants. Five thousand USD has been allocated for these 4
workshops for 2018. For the small technical meetings, we plan to produce visibility
materials and provide this as an incentive to participate on the meetings.
 WFP financially supported the FMoH to procure a prefab office unit for the 3 seconded
staff, to be located at the FMoH.

Action 3. Create regulatory frameworks and standards with enabling policy environment
for bio-fortified seeds.

Nothing to report on this activity. This action is planned to start on January 2019

Action 4. Support the Food fortification Research center to carry out research and small
area surveys to monitor the impact of fortified foods on the health and nutritional status
of the targeted communities
4.1 Description of activities:

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WHO in collaboration with FMOH/NNP will conduct a small-scale micronutrient baseline survey,
with a focus on iron, folic acid, iodine and vitamin A deficiency. This to monitor the initial
micronutrient status of the targeted communities. Therefore, WHO with the support of FMOH will
carry out this activity in February 2018. Additionally, WHO is working with the FMoH to develop a
micronutrient surveillance system to track the progress of the project once the different
components of the project reach an 80% coverage of the population. WHO with close coordination
and collaboration of FMOH/NNP has established a technical committee to develop the
micronutrient surveillance guideline, and to have technical inputs from this committee on the
process of developing and implementation of the surveillance system. The recruitment of the
national consultant is on process, and expected to start on January 2018.

WHO has started the recruitment process to bring an international Consultant to conduct a study
on the economic return/cost benefits of flour fortification in Sudan and the contribution impact of
food fortification on alleviation of food insecurity and hunger. This activity has the objective to
serve as an advocacy tool to convince the government of the importance of food fortification from
the economical point of view so that industry can transfer the cost of fortification. Additionally, this
activity will support the government to set norms and standards for the heath sector, to promote
and monitor their implementation and to articulate ethical and evidence-based policy options. The
consultant will be on board on January 2018 to carry out the cost benefit study of flour fortification.

4.2 Results:
 Coordination has been done with MCH director and nutrition director for implementation
of small scale micronutrient survey. Proposal received from FMoH, and the Small-scale
micronutrient survey baseline will be conducted on February 2018
 WHO contracted an international expert and the agreement has been finalized for the cost
benefit analysis study which will be conducted on February 2018.
 Task force established to develop micronutrient surveillance guideline and follow up the
micronutrient surveillance activities.
 WHO provided financial support to FMOH to conduct an orientation workshop on
micronutrient surveillance system.
 WHO developed ToR for the National Consultant for micronutrient surveillance to:
o Develop and adopt WHO technical guideline on micronutrient and food
fortification surveillance system,
o To support in piloting the guidelines on micronutrient food fortification
surveillance system within the existing system of MOH.
 WHO provide financial support to the FMOH for conducting the orientation workshop on
micronutrient surveillance for 25 health and nutrition staff, which was conducted in early
December 2017
 Furniture and IT equipment procured for establishing of the micronutrient surveillance
system.
 Supplies for micronutrient baseline study in the process of procurement will be distributed
based on Nutrition director instruction.

4.3 Difficulties encountered:


 Originally the cost benefit study was going to take place in November 2017 but because
of contractual difficulties the study had to be postpone till February 2018.

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4.4 Measures taken: Nil
 Reschedule the cost benefic study.

Action 5. Design a Quality Assurance (QA) and Quality Control (QC) system for staple food
fortification in Sudan and build the capacity of regulatory authorities to enforce the law
and monitor progress
Support will be provided to build a monitoring system. The monitoring system will be aligned to
the new regulation and the national micronutrient deficiencies prevention and control strategy and
will involve regulatory authorities and private sector partners.

5.1 Description of activities:


 Build a monitoring system aligned with new regulation; Once the law and regulation
regarding food fortification is passed, the monitoring guidelines have to be aligned.
 Conduct consultation workshops on the QA and QC guidelines;
 Help regulatory authorities identify resources required to conduct QA and QC of fortified
foods;
 Strengthen the food national laboratory (training and equipment)

5.2 Results
 On October 18th and 19th 2017, the Food Fortification National coordinator attended a
Quality Assurance Quality Control training in Rabat. The cascade training will be
conducted once the National guideline on wheat flour fortification is finalized.
 The rest of the activities are planned to start on 2018 once the new regulation is passed.

5.3 Difficulties encountered: Nil

5.4 Measures taken: Nil

Action 6. Support salt producers and regulatory bodies to achieve universal iodization of
salt produce in Sudan

The USI project, on-going since the 1990’s, underwent a complete overhaul in 2015. A bottleneck
analysis conducted with the main stakeholders (MoH, MoI, salt producers, WFP, UNICEF)
highlighted the following challenges to achieving USI: lack of investment in equipment; lack of
access to international markets for potassium iodate; artisanal and fragmented production; lack
of capacity in marketing and; limited demand for iodised salt. The process led to involving new
actors such as GIAD industries who will support salt producers to mechanise production and
refining, and the Global Iodine Network who will support advocacy and research efforts through
local Industrial Research and Consultation Centres (IRCC). A memorandum of understanding
was signed in November 2014 involving fourteen partners and non-state actors to pave the way
for the industrialisation of the production through the creation of a refining and iodisation plant
managed by the cooperative of salt producers of the Red Sea State.

6.1 Description of activities:


 Assist producers to access potassium iodate (KIO3)
 Procurement of 2 MT of potassium iodate
 Support state authorities to implement monitoring system
 Manage potassium iodate revolving fund.

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 Industry assessment mission to Port Sudan

6.2 Results
 WFP launch a tender for the procurement of 2 MT of potassium iodate (KIO3) (PR
10468939). Four companies submitted valid offers and the selected company was
ShearGold.
 WFP provide financial support to the Federal Ministry of Health to conduct a series of
workshops on USI monitoring and quality control activities.
 WFP provide financial support to the National laboratory for equipment and reagents to
test iodize salt.
 From the USI mission to Port Sudan:
o Meeting with SMoH and SMoI Ministers and the deputy State Governor:
- All meetings started with a briefing about the mission objectives and a
summary of the DEVCO food fortification join project.
- The State Minister of Industry suggested to have a join plan to reflect the urgent
activities that need to be in place before the initial phase of commercial
production of refine and iodized salt. These activities should be undertaken by
mid-January 2018.
- The State Minister of Industry also suggested to have another meeting by mid-
January in Port Sudan to review the implementation status.
- The State Minister of Health suggested to conduct two studies. The first one
about the selection of a suitable area for salt production (topography study and
soil analysis study) to group the different plants together to facilitate the
provision of services (roads, electricity, water, etc) by the government. The
second study regarding a regional marketing strategy for salt. This study
should be undertaken in collaboration with the salt producers’ union. The
Industrial research center mentioned that they have the capacity and interest
to do the study.
- The State Minister of Health requested to reactivate the USI local technical
committee meetings. He also requested to build the laboratory technicians
capacities to test the salt.
- The salt producers highlighted the issue of the electricity and water connectivity
at the production areas and the salt harvesting machine that CIAD Company
committed to provide.
- The main complain raised by the salt producers is the taxation on the salt due
to its classification as a mineral, that must be paid in hard currency to the
Ministry of Environment.

o Sidahmed Factory:
The factory was not running at the time of the visit. The production capacity is of 5
MT/hour of refine iodized salt. The company don’t have any food safety
management system in place. The production facility can produce quality refine
iodize salt. The company needs basic training on GMPs to start. Its recommended
to have a follow up mission once the factory is operational and running.

o Baboot Factory:
The factory was not running at the time of the visit. The production capacity is of 5
MT/hour of refine iodized salt. The company don’t have any food safety
management system in place. The production facility is old and not well
maintained. The company needs basic training on GMPs to start. The company

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produces iodized and non-iodized salt according to supplier requirements. The
owner is upgrading the equipment and has bought new equipment from china
(5MT/hr). Its recommended to have a follow up mission once the new line of the
factory is operational and running

o Etaam Factory:
The factory was not install at the time of the visit. All the production equipment was
there. The production capacity is of 10 MT/hour of refine iodized salt. The company
don’t have any food safety management system in place. The production facility is
new and finalizing the construction. The equipment is from Spain and all in
stainless steel. Its recommended to have a follow up mission once the factory is
operational and running.

o GIAD Factory:
The construction of the factory was not initiated at the time of the visit. GIAD
representative claims that in 6 months they will finish construction and installation.

o Debriefing with State Governor:


The team presented to the Governor the objectives of the visit, the situation of IDD
as public health problem in Sudan, the HH consumption of iodized salt according
to MICs 2014, the status of production of iodized salt and remind everyone about
Port Sudan declaration. The presentation also included the estimated amount of
iodized salt that can be produced by the 3 factories, the obstacles facing the
production of quality iodized salt and a summary of the DEVCO food fortification
project.

The Governor promise to: -


- No eliminate the taxes for locally produced iodized salt and taxes for the
imported one.
- Solve the electricity problem by 2018.
- The problem regarding the taxes from the FMOE can be solved soon with
them and FMOI
- He proposed to do the official launching of the 3 factories during the Sudan
celebrations of independence.
- He recommended to have an awareness raising and social marketing plan
and with a huge campaign to be developed and implemented by MOH with the
objective of increasing the demand and consumption of Iodized salt.

6.3 Difficulties encountered:


 Right now, any producer can request potassium iodate to SMoI no matter if they produce
refine or crude salt. Raw salt suitable for iodization should contain at least 97% sodium
chloride and not more than 0.2% calcium, 0.1% magnesium, 0.5% sulphate, 0.5%
insoluble, and 3% moisture if the producer cannot reach these quality limits it doesn’t make
sense to put potassium iodate in raw salt because of the impurities it would react and
evaporate losing most of it before reaching the population. The potassium iodate should
be given only to producers that can produce refine salt or quality raw salt.
 Regarding the revolving fund, the money is kept in Sudanese pounds so by the time the
next purchase is conducted the amount of potassium iodate that can be bought is less
than planned.
 During the first mission to Port Sudan none of the factories were running, so no proper
assessment was conducted.

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6.4 Measures taken:
 A commission to change the policy regarding the distribution of the potassium iodate was
set-up so that only producers that can produce refine salt or raw salt that contain at least
97% sodium chloride and not more than 0.2% calcium, 0.1% magnesium, 0.5% sulphate,
0.5% insoluble, and 3% moisture can access the subsidized potassium iodate.
 Regarding the revolving fund, we are discussing with the State Ministry of Industry so that
the money should be convert into dollars on a regular basis to avoid losing money with
the devaluation of the SDG against the USD.
 There is a plan to conduct in March 2018 a USI industry assessment and a GMP training
to the refine salt producers when all the factories are operational.

Action 7. Support the private sector to develop a commercial platform for the retail of
micronutrient powder (VITAMINO)
Home fortification means that beneficiaries themselves sprinkle MNPs onto their food after it has
been prepared. This is a viable strategy when households already have some food, but the food
they have lacks important micronutrients, such as in the case of communities not well connected
to local markets that include diverse products or fortified foods. Through home fortification,
essential micronutrients are added in the form of powder to complementary foods provided to
children between 6 months and 59 for the purpose of ensuring sufficient micronutrient nutrient
density in complementary food to meet requirements and prevent deficiencies. A formative
research was conducted to identify the barriers to using micronutrient powder and a brand was
developed (VITAMINO). The research endorsed MNP as an effective strategy to address
micronutrient deficiencies amongst young children in Sudan and recommended its scale up. In
2016 WFP and the FMoH developed and started implementing a national scale up plan based on
three delivery channels; free distribution through the health system to young children in
marginalised communities; fortification of school meals in food insecure areas and; commercial
retail at an affordable price in urban and semi-urban areas.

Under this action, WFP will support the private sector to develop a commercial approach for the
retail of VITAMINO. The design of the retail platform as a delivery channel has been the subject
of a six-month evaluation process of the capacities of local companies.

7.1 Description of activities:


 Selection process of local company
 Development of retail platform materials
 SBCC campaign

7.2 Results
 The selected company for the retail platform was Motaman Maaz Medical Company. The
contract was signed in November 2017. A trip to Hexagon in India to accompany the
company to meet the supplier of the Micronutrient powder is planned for January 2018.

7.3 Difficulties encountered:


 According to the regulation in Sudan all contracts with local companies must be paid in
local currency at the central bank exchange rate. This was not considered by the company

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while budgeting their activities. Now we are facing a reduce amount for the media
campaign due to the exchange rate, also affecting some materials that were planned to
be developed overseas.
 As we get ready to launch the retail platform, one of the areas that WFP is interested in
understanding is the profile of the people purchasing the Vitamino from the pharmacies.
While the supplier does not collect this information, we discussed with him the possibility
of getting pharmacies to record such information for WFP as part of their reporting on
sales. The information gathered will allow WFP to differentiate between new and old
beneficiaries; segmented by sex and age and be able to understand what family member
is buying the product. All this information is important in allowing us to understand the
effectiveness of the SBCC campaign and determine if the program is being successful in
reaching new beneficiaries while keeping the old ones. Based on this information, we can
engage with the MMMC to adjust & tailor the messages as needed.

7.4 Measures taken:


 Looking for other sources of funding to cover for the reduction in the media campaign.
 Due to the large number of forms expected by month (around 2,000) and to facilitate the
processing of managing the information, the Fortification team came with the idea of
developing a form that can be easily read by an optical reader processing thousands of
forms in a matter of hours (3500 forms/hr). The optical reader is estimated to cost $18,300.
We have engaged the IT team in the CO and they have worked with the team in Dubai to
recommend the most appropriate equipment and will support the procurement process.

Action 8. Production and distribution of bio-fortified varieties of crops


FAO will promote the cultivation of nutrient dense bio-fortified food crops varieties, particularly
sorghum that plays a significant role in Sudan for the small and large-scale farmers, as leading
cereal crop by production, consumption as well as area cultivated. Because of the novelty of bio
fortification in Sudan, the project envisages obtaining developed bio-fortified sorghum and millet
varieties developed by ICRISAT in other countries, verifying its adaptability to local conditions and
introducing these varieties into seeds production process. This approach will be implemented
through two sequential phases. The first phase of two years will involve on-farm adaption trials in
Kassala State. The introduced variety will be subjected to on-farm multi-locational verification
trials in the project area for two consecutive growing seasons to verify the adaptability and
contents of micronutrients. The second phase of two years likewise, will involve the production of
foundation seeds by Agricultural Research Corporation (ARC), which will be subsequently used
for producing quality assured seeds.

8.1 Description of activities:

A Letter of Agreement (LoA) was signed with ARC (Agriculture Research Corporation), for the
implementation of field trials in (Kassala State) and Wad Medani Research Station – Gezira State
(trials 2017).
As defined in the Terms of the Agreement, ARC would be in charge for the following activities:

 Site selection: Selecting suitable experimental sites in 3 locations, Kassala and New Halfa
and Wad Medani.

13
 Cultural practices: Land preparation, trial design and layout, sowing, weeding, Irrigation,
pest and diseases control, fertilizer application (NPK micro-dosing), harvesting and
threshing.
 Soil and plant testing: Complete soil samples to be analyzed for physical and chemical
properties in each site according to prevailing international standards (in accredited
Laboratories). Analysis of grain samples will be conducted including microelements, by
atomic absorption spectrophotometer (AAS).
 Field visits: Frequent field visits to verify implementation and overall progress in the
experiment.
 Field Days: Organize field days in favor of local farmers, traders and other stakeholders,
as well as the Extension Departments (Ministry of Agriculture) of Kassala and Gedaref
States.
 Data collection: Recording the following data: Date of flowering, plant height (m), panicle
length (m), dry panicle weight per plot (kg), grain weight per plot (kg), dry straw weight per
plot (kg), number of productive tillers and 1000-grain weight (g) together with selfing and
rouging. This set of date will be enriched by other agronomical observations.
 Statistical analysis and reporting: Preparing and analyzing the collected data using
appropriate statistical package and preparing annual report.

Results
 Field activities are still underway. Part of the plots was harvested (early maturing lines)
while the harvest is still ongoing for late maturing varieties. Results related to grain
production and quality would be made available in December 2017.
 Concerning Pearl Millet, some 14 bio fortified genotypes were tested in ARC Kassala
Research Station. Some other 30 genotypes were tested in trials in New Halfa (Kassala
State) and ARC Research Station Wad Medani (Gezira State). List of varieties introduced,
their description of origin, together with agronomical observations and grain quality
analysis would be provided by the end of December 2017.
 Concerning Sorghum, bio fortified genotypes were received from ICRISAT India. Trials
were established in ARC Research Stations in Kassala and New Halfa (Kassala State)
and Wad Medani (Gezira State). In Wad Medani some 24 genotypes were tested while in
Kassala and New Halfa 5 genotypes. Activities in the field are still ongoing, because late
maturing varieties are currently harvested. List of varieties introduced, their description of
origin, together with agronomical observations and grain quality analysis would be
provided by the end of December 2017.
 The main scope of the trials this year, for both Pearl Millet and Sorghum, was to increase
the quantity of seeds for the larger field trials to be undertaken in 2018, as well as to
evaluate the performances of the newly introduced genotypes with special emphasis on
their ability to produce bio fortified grains with adequate organoleptic characteristics.

Difficulties encountered:
 For many genotypes of Sorghum, the quantity of seeds received form ICRISAT was very
minimal for the establishment of large plots.

Measures taken:
 In irrigated trials, ARC will be trying to obtain a second harvest from the current
randomized blocks by February/March 2018. This will increase the quantity of seeds for
the trials 2018.

14
Action 9. Create a logo and develop a branding strategy for fortified foods products
Social marketing of fortified products is essential to increase awareness and knowledge and
promote healthy food choices. Building on the experience gained with the development of the
VITAMINO brand, WFP will work with state and non-state actors to create a logo and develop a
branding strategy for fortified food for use by the industry.

9.1 Description of activities:


 Selection process of marketing agency to develop logo and branding strategy
 Facilitate consultation meetings
 Approval of logo and branding strategy.
 Organize formal presentation of logo and branding strategy

9.2 Results
 WFP contracted Gearbox solutions to develop the National Food Fortifications and healthy
foods logo and branding strategy.
 A first consultation meeting took place with the Federal Ministry of Health and Gearbox.

9.3 Difficulties encountered: Nil

9.4 Measures taken: Nil

Action 10. Social marketing and communication to increase the demand for bio-fortified
seeds with integrated nutrition education
Nothing to report on this activity. This action is planned to start on November 2019

Action 11. Advocacy and mobilization on food fortification


11.1 Description of activities:
WHO in collaboration with FMoH has had advocacy and mobilization activities in regard to food
fortification awareness and orientation. Therefore, WHO and FMoH invited nutrition staff from 15
states and oriented them on food fortification during late November 2017.

11.2 Results:
WHO supported FMOH to conduct Workshop for 25 participants on advocacy mobilization on
food fortification targeted health and nutrition staff at federal and state level.

In addition, an agreement was signed with FMOH, for the implementation of the following
mobilization and advocacy activities for the selected five states (White Nile, South Darfur, West
Kordofan, Red Sea, and Khartoum,) of the project:

 Workshop to be conducted for legal support to the government to promote passing the
food fortification law/legislation
 Advocacy workshops for the policy makers and other government staff, parliamentarian
members to generate support for food fortification
 Conduct advocacy/sensitization workshop for the private sectors to advocate for food
fortification

11.3 Difficulties encountered: Nil

15
11.4 Measures taken: Nil

Human Resources

World Health Organization:

There is nutrition officer working for food fortification started from the beginning of the project.
While an administrative staff is also working for the food fortification project (50% available as per
the contract). WHO recruit 2 national staff, one national nutrition coordinator for food fortification
and one administrator to monitor the overall implementation of the project.

The recruitment process of a national communication consultant has been started; the ToR has
been approved by technical advisor of WHO EMRO. The National consultant will develop health
promotion training guidelines /materials on food fortification. The consultant will be hired to:
 Provide technical support and lead the updating process of communication guidelines and
materials on micronutrients food fortification and developing or adopting WHO technical
guideline on micronutrient and food fortification surveillance system
 Work with the task force during the development of communication guidelines and
materials on micronutrients food fortification and developing or adopting WHO technical
guideline on micronutrient and food fortification surveillance system
 Support development of national communication guidelines and materials on
micronutrients food fortification and developing or adopting WHO technical guideline on
micronutrient and food fortification surveillance system targeting health and nutrition staff
and private sectors.
 Working closely with FMOH, line ministries and private sectors during the development of
the communication guidelines and materials on micronutrients food fortification and
micronutrient and food fortification surveillance system
 Support piloting the guidelines with the government and private sectors.
 Prepare progress reports, including achievements, challenges, and lessons learned and
share information with FMOH and WHO.

Recruitment of a second national consultant is in the process, he will be on board by January


2018. The consultant will be a dedicated person to:
 Provide technical support and lead the updating process of micronutrient and food
fortification national nutrition guideline focusing on wheat flour, sorghum, millet and oil.
 Work with the task force during the development of Micronutrient food fortification.
 Support development of national micronutrient food fortification training guidelines
targeting health and nutrition staff and private sectors.
 Working closely with FMOH, line ministries and private sectors during the development of
the food fortification guidelines and training.
 Support piloting the guidelines with the government and private related sectors.
 Prepare progress reports, including achievements, challenges, lessons learned and share
information with MOH and WHO.

World Food Programme

The food Fortification Grant Manager was identified and start working on the project on May 2017,
with the following list of responsibilities:

16
 Provide overall technical and managerial guidance to the team of national and
international staff working on the project (up to 4 staff).
 Plan and oversee the implementation of all project related activities internally, ensuring
regular coordination with resource management, public information and programme
colleagues.
 Ensure close coordination with FAO and WHO on project implementation, monitoring and
reporting
 Facilitate the development of context and activity specific SBCC with the SBCC
consultant.
 Enable the development of a commercial platform for the retail of micronutrient powders
through public private partnership.
 Develop a branding strategy for fortified food products in collaboration with relevant
stakeholders.
 Design and implement an M&E strategy for the project.
 Provide technical support to the Federal Ministry of Health (FMOH) on the set up of a
monitoring system for the Quality Assurance and Quality Control of staple food fortification
in Sudan.
 Document progress made and lessons learned from project and share with relevant
stakeholders internally and externally on a regular basis.
 Report regularly to the Head of Nutrition and prepare progress reports for internal and
external audience.
 Support the Federal Ministry of Health (FMOH) institutional coordination on food
fortification including Universal Salt Iodization (USI).
 Undertake additional tasks as required ensuring that the project objectives are achieved

The retail platform expert was identified and start working on the project on February 2017, with
the following list of responsibilities:

 Support WFP to explore innovative delivery mechanisms for the commercial platform of
Home Fortification for coverage maximization
 Develop a market-based platform and distribution channels strategy, including a
commodity cost recovery pricing strategy
 Assist in designing a social mobilization strategy, campaign and tools (including testing)
assuring that they are adapted to the retail platform
 Manage and coordinate all marketing, advertising and promotional activities and ensure
the smooth implementation of all communications related to marketing campaign branding
and outreach activities, in coordination with the partner in retail platform.
 Supervise the implementation of sales activities and support in developing field sales
action plans that will allows WFP with the prospective partner to extend the retail platform
across Sudan.
 Coordinate with relevant stakeholders to conduct market research to determine market
requirements for existing and future products
 Continuously liaise with the relevant private sector stakeholders to establish and adjust
selling prices by monitoring costs, competition, and supply and demand and ensure that
business development plan pricing and subsidy mechanisms are in accordance with the
agreed terms and strategies of WFP.
 Ensure WFP is regularly updated on business trends to allow appropriate adjustment of
the marketing strategy.

17
 Identify opportunities for campaigns, services, and distribution channels that will lead to
an increase in sales of Vitamino
 Test the approach, ensuring smooth roll out of the market base pilot
 Provide technical guidance and support on the development of a branding strategy for
fortified foods
 Provide support for monitoring and reporting in line with project requirements
 Thoroughly document the project’s lessons learned
 Maintain an oversight on the free distribution platform and provide technical assistance to
the implementing offices, in coordination with the FMOH, as required.

Visibility and Communication

During the reporting period:


 WFP tweet the signature of the contract with the pharmaceutical company as a 2017
achievement.
 A join brochure for the project was developed in English and Arabic.
 The potassium iodate marking has the join WFP-EU logo.

Next reporting period work plan and forecast

Action 1: Provide technical WHO will continue work to provide technical support to the
support to the Government Government of Sudan for the enactment of a food
of Sudan for the enactment fortification law and regulation.
of a food fortification law WHO will organize and conduct a familiarization mission
and regulation. for parliamentarians to a country with a successful food
fortification law in place.
WHO with FMoH will conduct advocacy workshops for
policy makers.

Action 2: Strengthen Development of food fortification guidelines and policies


institutional coordination
mechanisms through the Organization of NFA monthly meetings and workshops.
National Food Fortification
Alliance of Sudan (FFA)

Action 3: Create regulatory This action is planned to start on January 2019


framework and standards
with enabling policy
environment for bio-fortified
seeds.

Action 4: Support the Food Conduct the small-scale area baseline survey on February
fortification research centre 2018.
to carry out research and Conduct the wheat flour cost benefit study on February
small-scale surveys to 2018.
monitor the impact of Development of guidelines for micronutrient surveillance.

18
fortified food on the health
and nutritional status of the
target communities.
Action 5: Design a Quality Strengthen laboratory capacity to test fortified foods.
Assurance and Quality
control system for staple National QC/QA trainings
food fortification and build
the capacity of regulatory
authorities to enforce the
law and monitor progress
Action 6: Support salt GMP training to salt producers program for March 2018.
producers and regulatory Update policy on potassium iodate revolving fund.
bodies to achieve the Strengthen the national and local laboratories to test iodize
universal iodization of salt. salt.

Action 7: Support private Monitor the implementation of the retail platform.


sector to develop a Monthly tracking of clients of the retail platform, locality,
commercial platform for the age, sex, who buys and how many boxes.
retail of micronutrient Support with promotion activities (all year)
powder (VITAMINO) Assist on the creation of the retail network.
Incorporate the company to the SUN business network.
Action 8: Production and - New LoA for ARC for field trials in ARC Research
distribution of biofortified Stations (2018)
varieties of crops. - Training on seed certification (1)
- Training of ARC breeding staff on for breeding and
safeguarding indigenous germplasm (1)
Training of ARC production staff on seed production (1)
Action 9: Create a logo and Logo creation and advocacy
develop a branding strategy - Facilitate consultation meetings
for fortified foods - Organize and conduct formal presentation and
launching of the food fortification logo.
Action 10: Social marketing This action is planned to start on November 2019.
and communication to
increase the demand for
bio-fortified seeds with
integrated nutrition
education.
Action 11: Advocacy and Development of training manuals and materials on food
mobilization on food fortification, early 2018.
fortification Approval of training materials by FMoH, mid 2018.
Organize and conduct national trainings courses after the
development of national guidelines, by end 2018.

The forecast for the next financial period will be developed once the 3 agencies get close to the
70% expenditure of the current reporting period.

Khartoum, January 30st 2018

19
Annex 1 Log frame indicators

Results chain Indicators Baselin Curre Targets Sources and Results


e nt (incl. means of
(incl. value reference verification
referenc Refere year)
e year) nce
date
To contribute to the improve the nutritional Proportion of under five 38% 38% 33% SHHS No SHHS or MICS
Overall objective:

status of vulnerable population across children suffering from MICS was conducted in
Sudan, and in particular women, girls and micronutrient deficiencies 2017
children, through increased availability,
Impact

access, and consumption of fortified food,


micronutrient powders and bio-fortified
crops

0 1 Project baseline 1. Fortified food


1. Supportive national legislative, strategy I. Law on fortification
To be and evaluation standards
and policy environment of fortification and standards
To be determine report approved at
in Sudan is created to accelerate approved
conduct d after SSMO
Specific objective(s):

fortification of staple foods and


II. Percentage of target ed baseline 2. No fortified or bio
consumers access
households consuming fortified food in
Outcome(s)

2. Micronutrient intake among the target fortified or bio fortified the market yet.
population increased food over the past 7 3. Fortified food
days in targeted states logo not yet
approved.
III. Percentage of
3. Increase in demand of fortified foods, population
MNPs and bio-fortified seeds is knowledgeable about
created fortified food in
targeted states
Op.1.1 Effective QA/QC I. Number of QA/QC 0 6 9 Project 1. Activity planned
institu
tional
Legal
and

monitoring system for fortified specialists trained and monitoring for 2018
staple food established and fully equipped with 0 14 reports 2. Activity planned
implemented QA/QC for food for 2018
Outputs

1.

fortification
specification
II. Number of QA/QC
monitoring monthly
reports for food
fortification produced
against target

Op 1.2 Effective QA/QC I. Number of zonal 0 0 3 Project 1. National


monitoring system for Salt laboratories established monitoring laboratory
Iodization established and and supported at USI 0 0 48 reports supported for
implemented production sites USI
II. Number of QA/QC 0 1 5 2. Activity planned
monthly inspections for for 2018
3. Activity planned
USI carried out
for 2018
III. Number QA/QC
certificates for USI
issued for factories

0 0 6 Project 1. Zero. Activity


Op 1.3 The food fortification law I. Number of advocacy
monitoring planned for 2018
fully advocated to be passed workshops for policy
reports
makers conducted

Op 1.4 Small scale 1 0 4 Project 1. Zero. Activity


I.Number micronutrient
micronutrient surveys on iron, monitoring planned for 2018
surveys reports on iron,
folic acid, iodine and vitamin A 10 4 20 reports 2. Micronutrient
folic acid, iodine and
deficiency conducted surveillance
vitamin A deficiency
training
produced
conducted in Nov
II. Number of concerned 2017 with
staff capacitated on participation from
conduction of all states.
micronutrient surveys
Op 2.1 Capacity of the target I. Number of professionals 0 0 50 Project
group on bio-fortified varieties of (disaggregated by sex) monitoring
Production and
distribution

sorghum grains production from Government sector reports


strengthened (ARC and NSA) received
TOT training on the 0 0 30
production and quality
Project
assurance of bio-fortified
0 0 6 monitoring
sorghum crop variety
reports
2.

II. Number of village seed


growers (disaggregated
by sex) received TOT Project
training on production of monitoring
bio-fortified sorghum reports
variety

21
III. Number of farmers
association formed

Op 2.2 Micronutrient powder I. Number of MNPs 0 0 150000 Vitamino 1. The contract with
commercially introduced to local sachets sold per year by sachets distribution the company was
market in affordable price and retailing companies 0 0 reports signed in Nov
awareness regarding micronutrient II. Number of monitoring 30 2017. The retail
deficiency raised visits conducted by 0 0 Sell retailers platform will start
retailers on monthly 31000 reports early 2018.
0 0 pieces
basis
Project
III. Number of MNPs
30 ads monitoring
promotion materials reports
distributed
IV. Number of TV and Project
Radio ads on Vitamino monitoring
aired per quarter reports

Op 2.3 Availability, access, and I. Number of sorghum 0 0 1 National Variety


consumption of bio-fortified varieties with high Release
crops (sorghum grains) contents of Zinc and Iron 0 0 1 Committee
increased registered by NSA reports
(National Seed 0 0 40
Administration) Project
0 0 32 monitoring
II. Number of metric tons of
reports
foundations seed of
0 0 8
sorghum distributed by
ARC
III. Number of metric tons of
the seeds of bio fortified
sorghum varieties
produced by contract
grower farmers
IV. Number of Metric tons of
the seeds of bio fortified
crop varieties sold by
contract grower farmers
V. Number of Metric tons of
the seeds of bio fortified
sorghum varieties
consumed by contract
grower farmers

22
Op 3.1 private sector fully I. Number of the private 0 0 4 Project
mobilized and convinced to sector companies monitoring 1. Activity planned
fortify commercially produced participated in 0 0 22500 reports for 2018
foods sensitization workshop different
Promotion and awareness for food fortification 0 pieces
II. Number of food
12
fortification promotion
materials disseminated

III. Number of radio ads


on food fortification
aired
Op 3.2 Awareness for bio I. Number of campaigns 0 0 14
fortified varieties of crops organized
3.

among the target groups II. Number of copies of 0* * target


increased promotion materials will be
distributed 0* determine
III. Number of key messages d after
developin
disseminated
g
campaign
strategy

23
A.1.1.1 Conduct workshops to finalize (develop) national strategy for the prevention and control of micronutrient deficiency. DONE
A.1.1.2 Development of guidelines for food fortification. Activity planned for 2018
A.1.1.3 Printing and dissemination of food fortification guideline. Activity planned for 2018
A.1.1.4 Conduct workshops for the design of the national monitoring guideline for QA/QC of fortified staple food. Activity planned for 2018
A.1.1.5 Equipment and capacity building of national food lab (Khartoum). 20,000 USD transfer to National laboratory for equipment and
reagents to test Iodize salt.
A.1.1.6 Printing and dissemination of the national monitoring guideline for QA/QC. Activity planned for 2018
A.1.1.7 Design monitoring training manual for food fortification. Activity planned for 2018
A.1.1.8 Conduct TOT training for focal persons on QA/QC of fortified staple food. Activity planned for 2018
A.1.1.9 Support the implementation of the quality control and quality assurance monitoring system for food fortification including inspection,
sampling and testing of produced fortified food. Activity planned for 2018
A.1.2.1 Replenish the initial stock ofKIO3 with two (2) metric tons to ensure the viability and sustainability of the revolving fund. DONE and
revolving fund policy is being updated.
1. Legal and institutional

A.1.2.2 Provide adequate financial and technical support to establish a fully functional zonal laboratories in each of the three identified production
areas in Red Sea State and at the SMOH facilities in Port Sudan. Activity planned for 2018
A.1.2.3 Printing and dissemination of the National Guideline for Monitoring Salt Iodization in Sudan DONE
A.1.2.4 Support the implementation of the quality control and quality assurance monitoring system at the production by caring out QA-QC
Activities

activities including inspection, sampling and testing of produced iodized salt Activity planned for 2018
A.1.3.1 Advocacy workshops for the policy makers and other GoS parliamentarian members to generate support for food fortification. Activity
planned for 2018
A.1.3.2 Provide legal support to the GoS to promote for passing of food fortification law/legislation. Activity planned for 2018, policy briefs
under development.
A.1.3.3 Organize familiarization mission for senior managers, policy makers and parliamentarian members of the GoS to countries with
successful projects of food fortification. Activity planned for 2018
A.1.4.1 Conduct small scale representative micronutrient surveys, with focus iron, folic acid, iodine and vitamin A deficiency in targeted states
Activity planned for 2018
A.1.4.2 Support building relevant national capacities on food fortification researches and studies. Activity planned for 2018
A.1.4.3 Support establishment of micronutrients surveillance system in specific targeted states/localities DONE
A.1.5.1 Conduct mid-term evaluation to measure achievement against overall objectives Activity planned for early 2019
A.2.1.1 Obtain developed bio-fortified sorghum variety/ies from international research institutions DONE
A.2.1.2 Select and prepare farm sites for adaptation trials DONE
A.2.1.3 Provide ARC with required equipment for seeds production Activity planned for 2018
A.2.1.4 4Form bio fortified seeds growers associations
A.2.1.5 Train producers associations on book keeping, finance management, marketing, establishment of revolving fund, etc.
A.2.1.6 Train ARC and MoA staff on extension for production of bio fortified seeds.
A.2.1.7 Train farmers/seeds growers on bio fortified seeds production, processing and packaging

24
A.2.2.1 Design and dissemination of promotion materials (printing and signboards). Activity planned for 2018
A.2.2.2 Organize marketing campaign including TV and Radio spots. Activity planned for 2018
A.2.2.3 Conduct workshops/seminars for Vitamino prescribers to build the capacity and raise awareness regarding micronutrient deficiencies

2. Legal and institutional


in Sudan Activity planned for 2018
A.2.2.4 Support companies in developing dedicated retail network system to promote and retail Vitamino DONE
A.2.2.5 Conduct TOT SBCC workshops for focal points from the Sudanese women general union on community mobilization, individual
counselling Activity planned for 2018
A.2.2.6 Conduct workshops to cascade SBCC activities at localities level Activity planned for 2018
A.2.2.7 Support the distribution of subsidized quantities of Vitamino at localities level through the network of Sudanese women general union
Conduct market surveys to measure consumer awareness and price affordability Activity planned for 2018
A.2.3.1 Conduct on-farm adaptation trials for two seasons on testing obtained bio fortified varieties
A.2.3.2 Produce bio fortified foundation seeds.
A.2.3.3 Conduct field preparation and field work (land preparation, chiselling, and cultural practices ; ARC)
A.2.3.4 Provide logistical support for NSA staff to investigate and certify produced seeds
A.2.3.5 Produce certified bio fortified seeds
A.3.1.1 Conduct advocacy/sensitization workshop for the private sectors to advocate for food fortification. Activity planned for 2018
A.3.1.2 Develop a communication materials (e.g booklet ) for the private sectors participants to be willing to educate consumers on the benefits
3. Promotion and awareness

of fortified flour through advertising Activity planned for 2018


A.3.1.3 Develop health promotion training guidelines /materials on food fortification Activity planned for 2018
A.3.1.4 Conduct training for health care providers on promotion and advocacy for food fortification. DONE
A.3.1.5 Organize advocacy and community awareness campaigns on the importance of fortified food and micronutrient deficiency Activity
planned for 2018
A.3.1.6 Dissemination workshop for the food fortification legislation targeting the private fortification
A.3.1.7 Provision and distribution of promotion materials and signboards
A.3.1.8 Conduct radio ads to promote the use of fortified foods Activity planned for 2018
A.3.2.1 Develop campaign strategy for awareness raising on production of bio fortified varieties of crops
A.3.2.2 Develop and pre test message and materials (key messages, logo design and campaign concepts, material creation and pretesting,
review of campaign materials, test market pre-launch) Activity planned for 2018
A.3.2.3 Implement campaign Activity planned for 2018

25
Annex 2 Visibility and communication plan
ACTIVITIES ILUSTRATION
1. WFP CD Matthew Hollingworth tweet the signature of the contract
with the pharmaceutical company for the retail of Vitamino as a 2017
achievement.

26
2. A join brochure for the project was developed in English and Arabic.

27
3. The potassium iodate marking has the join WFP-EU logo.

28

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