Improving Early Childhood Nutrition and Maternal Health, Nepal (2012)

In 2012, RRI partnered with the World Bank and the Government of Nepal to help design and launch Sunaula Hazar Din, a project that gives the nation’s poorest rural communities support to implement essential nutrition actions that improve early childhood nutrition and maternal health. After a successful set of pilot projects in 2013, the Rapid Results Institute staff trained 95 local Nepali coaches in the spring of 2014. In April and May of 2014, these newly trained coaches began launching Rapid Results Nutrition Initiatives in their own communities.

This project is one of a few in the world to use a community-driven approach to nutrition-related issues. In English, Sunaula Hazar Din means “The Golden 1,000 Days”, which refers to the time period between when a woman becomes pregnant through the time the child reaches two years of age. Healthful growth in a child’s first 1,000 days lays an important foundation for his/her future growth and learning. With funds from the World Bank and other donors, the five-year project will provide ongoing support for Rapid Results Nutrition Initiatives (RRNIs). These initiatives will help communities identify and change key nutrition-related behaviors that have a detrimental effect on child growth and development within the nation’s poorest rural communities.

This project is the first of its kind in the long history of collaboration between the World Bank and the Rapid Results Institute. It is original because for the first time, the Rapid Results Approach is being used as the core method of design and delivery for a large scale five-year project, rather than being brought in to ‘connect the last mile’ in projects that have met challenges in implementation.

Teams and Goals

  • Bhimeshwor 8: The ward will be open defecation free (ODF) in 100 Days.

  • Bhimeshwor 4: The entire Thulagaon community (the poorest and most remote community in the ward) will be open defecation free (ODF) within 100 Days.

  • Jhangajholi-Ratamata 3: Every pregnant woman will eat one egg a day and two servings of green vegetables in the month of August.

  • Jhangajholi-Ratamata 1: All children from the age of 6-12 months will eat ½ an egg daily, and all children from the age 12-24 months will eat 1 egg daily in the month of August.


  • Bhimeshwor 8: The team achieved their goal to end open defecation in their community through the construction of nine latrines for disadvantaged households, provision of latrine cleaning kits across the community to support latrine maintenance, and a weekly door-to-door campaign to educate households on the importance of latrine sanitation.

  • Bhimeshwor 4: The team successfully reached their goal to end open defecation through the construction of eleven latrines in marginalized households and weekly door-to-door household visits.

  • Jhangajholi-Ratamata 3: The RRNI team successfully built four community chicken coops to provide daily eggs to 18 pregnant women and 17 children between the ages of 6-24 months.

  • Jhangajholi-Ratamata 1: The team successfully built a community chicken coop to provide a weekly supply of eggs to eight children under 24 months old and three pregnant women during the 100 days.

We partnered with the World Bank and the Government of Nepal to help design and launch the project with help from Lifeline Nepal.

References and Further Reading: An Egg a Day, by Kristin Sulewski, Oct 2013

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