Example: Walk us through a specific example(s) of how this solution makes a difference; include its primary activities.
In most African countries and in parts of southern Asia, staple foods are not centrally processed. In these regions, a large percentage of consumers (i.e., surpassing 50%, and even up to 90% in some countries) depend on small to medium-scale milling to process staple foods. These consumers cannot be reached using the large-scale, centralized fortification model. Ironically, these consumers are also the poorest of the poor – the very ones who are most in danger of micronutrient malnutrition. Previous programs attempting to address the problem via the direct “hand-scoop” method of fortification at small-scale mills have achieved limited success. The risk of human error and the challenge of monitoring and sustaining the program once the implementing partner has left has meant that these programs have never been scaled up past the initial pilot stage. Furthermore, this method requires an extra step for the miller, and despite seeming simple and non-tedious, in the end the job usually doesn't get done. For this reason, PHC designed a fully automated device, where the miller has no responsibilities. The device's hopper looks very similar to the mill's tradition hopper and thus installation is seamless and doesn't impose on the millers work flow. In fact, it improves it due to the grain weight being displayed on an LED. In 2011, PHC expanded its pilot project in Nepal where there are 30 devices installed in extremely rural conditions in order to stress test the technology. In 2013, PHC expanded to Tanzania to install an additional 100 devices to reach a population of 1 million.
Impact: What is the impact of the work to date? Also describe the projected future impact for the coming years.
PHC has recently expanded its work to Tanzania due to the countries severe vitamin and mineral deficiency problem. Every year deficiencies in iron, vitamin A and folic acid cost the country over US$ 518 million, around 2.65 % of the country’s GDP. Beyond the economic losses, vitamin and mineral deficiencies are a significant contributor to infant mortality, with over 27,000 infant and 1,600 maternal deaths annually attributable to this cause. In fact, if all of these deaths could be avoided, the infant mortality rate (IMR) in Tanzania could be reduced to 41.5 per 1,000 population, which would virtually ensure achievement of the MDG goal for IMR (40/1,000). Tanzania has passed legislation for mandatory fortification. Maize contributes to about 90% of Tanzanian diets, and this flour is mostly produced by small/medium scale mills. For the first time there is now a low cost and automated technology to fortify at these mills, capable of reaching over 30 million people in Tanzania alone.