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• The assessment used a longitudinal baseline–follow-up design, tracking 442 beneficiary households between Q4 2024 and Q3 2025 after an average of seven rounds of food assistance (cash or inkind) and LNS-MQ supplementation, measuring changes in food security, dietary diversity, and nutritional status through anthropometric measurements
• At baseline, ANMU-targeted households were significantly more food insecure than the general population in the same sub-districts, confirming a strong link between nutrition vulnerability and household food insecurity; among them, households with stunted children were the most food insecure
• The pre-post analysis demonstrate that the ANMU package of food assistance and nutrition support effectively enhanced food security, dietary quality, child growth, and maternal nutrition among highly vulnerable households during the critical first 1,000 days of life
• Food security improved substantially, with households achieving acceptable Food Consumption Scores increasing by 26 percentage points, a 65% improvement from baseline. Households with stunted children recorded the largest gains, with acceptable food consumption improving by 30 percentage points (97% increase). improved by 40 points which represents 153% improvement compared to baseline. points
• Consumption of nutrient-rich foods increased significantly, particularly heme iron-rich foods, which • Children’s diets improved markedly, with the proportion meeting the Minimum Dietary Diversity (MDD) increasing by 23 percentage points and Minimum Acceptable Diet (MAD) by 15 percentage
• Among 135 monitored stunted children, growth improved significantly, with an average increase of 0.30 HAZ points;, while stunted children without acute malnutrition showed the higher gains (+0.39 HAZ points) compared to those with both stunting and acute malnutrition (+0.22 HAZ points). In practical terms, 37% of the stunted children crossed the threshold of-2 HAZ in the follow up
• Among 179 children at risk of acute malnutrition, the programme delivered substantial improvements in nutritional status, with an average MUAC increase of 7.4 cm; in practical terms, 85% of children improved their MUAC measurements and 63% recovered from at-risk status
• Among 128 malnourished pregnant and breastfeeding women and girls (PBWG), nutritional status improved significantly, with an average MUAC gain of 1.3 cm; in practical terms, 77% improved their MUACmeasurements and 51% recovered from malnutrition
