Baseline Report for the BMZ Grow ENRICH Project, World Vision Tanzania

The Baseline Report for the BMZ GROW ENRICH Project presents a comprehensive assessment of maternal and child health and nutrition in Tanzania, specifically focusing on Shinyanga and Kishapu Districts. The baseline survey employed a cross-sectional study design using a mixed-methods approach, collecting both quantitative and qualitative data. A random sample of 465 mother-child pairs was surveyed using structured questionnaires to capture child anthropometric indicators, bio-fortification, antenatal, birth, and postnatal care, as well as knowledge on nutrition and infant and young child feeding (IYCF) practices. Qualitative data were gathered through focus group discussions (FGDs) and key informant interviews (KIIs) with women of reproductive age and other key stakeholders, including community leaders and health facility staff.

Key findings indicate that the prevalence of general acute malnutrition (GAM) among children under five was 3.6%, with stunting prevalence at 30.3%. The survey highlighted a significant increase in funding for health and nutrition services, with Tanzania's National Multisectoral Nutrition Action Plan (NMNAP II) allocating TZS 104.8 billion (USD 39.1 million) for 2024/25. Additionally, the prevalence of exclusive breastfeeding among children under six months was reported at 72.6%, surpassing the national average of 64%.

Despite these positive indicators, only 13.1% of children aged 6-23 months achieved a minimum acceptable diet, and the overall dietary diversity was low, with just 3.4% of households having a high dietary diversity score. The findings underscore the need for enhanced advocacy for nutrition funding, improved health service delivery, and community education on IYCF practices to address the existing gaps and improve health outcomes for vulnerable populations in Tanzania.