The Mtoto Mwerevu Stunting Reduction Toolkit is a resource for government and organisations involved in addressing stunting and broader nutrition issues in Tanzania. The toolkit was developed in conjunction with the Government of Tanzania (GoT) with funding from UK Aid as part of the Addressing Stunting in Tanzania Early (ASTUTE) programme.  Its goal is to provide government, donors, non-governmental organisations, and civil society organisations (CSOs) with programming recommendations and tools to help implement successful multi-sectoral social and behaviour change (SBC) interventions aimed at preventing and reducing stunting.


The toolkit includes new and existing materials generated by the project, including:

  • Guidance for how to strengthen government, CSO, and community capacity to design, implement, and manage nutrition interventions.
  • Input on how to involve multiple stakeholders in stunting reduction efforts (Nutrition; Water, Sanitation, and Hygiene (WASH); early childhood development; and gender equity).
  • Stunting reduction programme tools, including training manuals, job aids, data collection forms and tools at district and community level, programme guidance, and checklists for implementers at various levels (national, regional, district, community).
  • Operations research write-ups and recommendations for nutrition programme implementers.
  • A collection of radio and TV spots with engaging and evidence-based messages that government and implementers may consider using.
  • Suggestions on how to monitor and evaluate stunting reduction programmes.

Many materials are in both English and Swahili languages.

How we developed it?

Working with the Government of Tanzania (GoT), the UK Aid-funded ASTUTE stunting reduction programme developed the toolkit. The ASTUTE programme, implemented by IMA World Health, began in 2016 and works in five Lake regions of Tanzania: Mwanza, Shinyanga, Geita, Kigoma, and Kagera. During the programme, IMA has worked closely with government and project partners to develop several new tools (including checklists, guidelines, job aids, etc.) to address stunting for use by community volunteers, CSOs, and government at all levels.

What the toolkit will do for you

Through the toolkit, you will learn about tools and approaches ASTUTE used to improve nutrition in the Lake zone of Tanzania. It may also help other regions identify and scale-up successful SBC and multi-sectoral nutrition interventions. All pieces of the toolkit align with the GoT National Multisectoral Nutrition Action Plan.

Latest Research

Find links to research and peer-review journal articles about the ASTUTE project.

Early Childhood Nutrition Knowledge of Caregivers in Tanzania

Childhood stunting is a pressing health issue in Tanzania and results from chronic infections and inadequate nutrition. Educating caregivers on the nutritional determinants, their consequences, and appropriate solutions may improve nutrition-related practices among caregivers in Tanzania. The purpose of this study was to identify factors associated with Tanzanian caregivers’ knowledge of childhood nutrition practices.

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Barriers and Opportunities for Improved Exclusive Breast-Feeding Practices in Tanzania: Household Trials With Mothers and Fathers

We explored barriers and facilitators to EBF in rural Tanzania and assessed parents’ willingness and ability to try specific recommended EBF practices plus strategies for men to support breast-feeding by conducting Trials of Improved Practices in 36 households with infants <6 months. Our conclusion was exclusive breast-feeding promotion needs to address concerns about infantile distress, help parents develop effective soothing techniques while avoiding nonprescribed medicines. Engaging men in EBF interventions could help change social norms and facilitate men’s involvement in improving breast-feeding practices.

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Maternal Employment Status and Minimum Meal Frequency in Children 6-23 Months in Tanzania

As women in developing world settings gain access to formal work sectors, it is important to understand how such changes might influence child nutrition. The purpose of this paper is to examine the relationship between maternal employment status and minimum meal frequency (MMF) among children in Tanzania. Informal maternal employment was found to be negatively associated with meeting MMF among Tanzanian children. However, behaviors such as bringing or leaving prepared food, fiscal autonomy and payment in cash showed significant positive associations. These findings could help direct future programs to reduce child stunting.

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