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2016 – 2020
Global Affairs Canada
World Vision Canada (WVC), Nutrition International, HarvestPlus, University of Toronto’s Dalla Lana School of Public Health, Hospital for Sick Children
PRAXIS in Social Services Systems Development Ltd.

The ENRICH Project (Enhancing Nutrition Services to Improve Maternal, Newborn and Child Health) was implemented by World Vision Canada and Nutrition International between March 2016 and September 2020 in 5 countries: Kenya, Tanzania, Pakistan, Bangladesh and Burma. CAGH (CSIH) was sub-contracted by WVC to provide health systems strengthening expertise and support for the project, specifically in Tanzania, to strengthen the capacity of existing health systems to effectively integrate basic health and nutrition service delivery.

Project Description: 

Within Tanzania, the ENRICH Project operated in both Singida and Shinyanga Regions. CAGH worked primarily to build the capacity of local health authorities, including: regional and district health management teams, and health facility managers. CAGH built on the success of the SUSTAIN Project, using lessons learned in SUSTAIN to improve approaches and sustainability of interventions in ENRICH. CAGH will work closely with project partners, especially World Vision Tanzania, to carry out activities.


The overarching goal of CAGH’s work on ENRICH was to strengthen the capacity of existing health systems to effectively integrate basic health and nutrition service delivery with a gender lens. To achieve this outcome, the main objectives are:

  1. Increase capacity of local health authorities on planning, budgeting, management, monitoring and analysis of nutrition programs.
  2. Strengthen the health management information system to include sex and age-disaggregated nutrition data, and enhance information management, reporting and gender-responsive analysis.
  3. Improve capacity of health officials and senior health workers for supportive supervision of health facilities in providing basic nutrition services.



CAGH worked with a team of Canadian consultants and advisors, as well as local partners, to prepare and deliver workshops and training programs to local health authorities. CAGH sought to improve mentoring and coaching techniques for an effective cascade of knowledge from regional to district health managers, and then onto health facility managers. In addition, CAGH worked at a national level to help advocate for policy and structural changes in the health system.