Essential Nutrition Actions Multi-Country Survey Report

World Vision conducted an essential nutrition actions (ENA) multi-country survey across 268 health facilities in nine countries – Bangladesh, Ethiopia, Indonesia, Kenya, Mali, Somalia, Tanzania, Uganda, and Venezuela – focusing on areas with the poorest child health and nutrition outcomes. The survey, which took place from April to July 2024, aimed to assess the status of supply chains, workforce competency, and service delivery in alignment with the World Health Organization ENA framework. 

This report presents key findings and evidence-based recommendations to strengthen health systems for ENA delivery. Achieving universal ENA coverage requires well-supported health workers with the capacity to deliver services effectively, alongside a robust supply chain that ensures consistent availability of ENA products.