Impacting Generations: The Transformative Power of Large-Scale Food Fortification

Nutrition International

Nutrition International, along with its key partners, will end a substantial proportion of the global prevalence of anemia and birth defects through sustainable, large-scale food fortification in countries heavily burdened by those conditions.

Last Updated: January 2022
DOWNLOAD: Project Factsheet
Two-page overview of proposal
Competition Participation
100 & Change logo
Food security
Current Work Location(s):
  • Philippines
  • Senegal
  • Kenya
  • Pakistan
Priority Population(s):
  • Children and youth
  • Females
Sustainable Development Goals (SDGs):
  • 2. Zero hunger
  • 3. Good health and well-being

Executive Summary

What if a simple intervention could have a transformative impact on future generations, significantly reducing the global incidence of two of the most widespread and devastating micronutrient deficiencies?

Food fortification has this power. Simply adding iron and folic acid to wheat flour and rice significantly reduces cases of anemia and birth defects such as spina bifida and anencephaly. And it is cost-effective.

Our consortium—which includes Nutrition International, Emory University Rollins School of Public Health, Food Fortification Initiative, International Federation for Spina Bifida and Hydrocephalus, and ReachAnother Foundation—will support countries with the highest burden of anemia and birth defects to implement large-scale food fortification, which will significantly cut global prevalence of anemia, spina bifida/anencephaly. We will reach 700 million people, preventing more than 150,000 cases of spina bifida/anencephaly and in excess of 50 million cases of anemia. By 2030, we will improve the lives of 2.2 billion people.

Organization Details
Lead Organization

Nutrition International

website: https://www.nutritionintl.org
Organization Headquarters
Ottawa, Ontario, Canada
Organization ID
80309 3210 RR0001
Number of Full-time Employees
301 to 500
Annual Operating Budget
$50.1 to 100 Million

Charity, fund, non-governmental organization, religious institution, school, or other entity

Organizations may provide budget and employee data based on this proposal or the organization as a whole. For more information on this proposal or organization, please email us.


Our consortium has made great strides to expand large-scale food fortification around the world. We have supported legislative and regulatory reforms in six countries and collaborated with governments and partners to secure renewed commitments to mandatory or voluntary fortification in Indonesia, Ethiopia, and Egypt. In Pakistan, we have leveraged new financial support to continue the world’s largest food fortification program in cooking oil and wheat flour. We also continue to explore new platforms and food vehicles—such as social protection programs in India or the double fortification of salt with iodine and folic acid in Ethiopia—to deliver nutrient-rich foods. In addition, we continue to build global knowledge in support of fortification through contributions to peer-reviewed journals and conferences. In one example, we published estimates in the journal Nutrients on 195 countries’ potential to fortify cereal grains on a large scale, leading to potential reductions in anemia and Neural Tube Defects where fortification programs were established.

Help Fund Bold Solutions

Learn more and help fund this highly-rated project:

Lever for change arrows logo