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06-07 ANNUAL REPORTINNOVATION IN NUTRITION
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© 2008 – Global Alliance for Improved NutritionWritten by Olivia PasiniDesign by åtta designPrinted by Polygravia SA on semi coated FSC paper
Global Alliancefor Improved Nutrition2
GAIN fights malnutrition to make people and economies healthier and more productive. GAIN stimulates public-private partnerships and provides financial and technical support to get healthier foods and supplements to those people most at risk from malnutrition.
www.gainhealth.org
3Global Alliancefor Improved Nutrition
GAIN is currently supporting 19 large-scale, market-based projects in 18 countries and developing a range of innovative partnership projects to improve the nutrition and health of 1 billion people.
Global Alliancefor Improved Nutrition4
WELCOME
INNOVATION
HIGHLIGHTS OF THE YEAR 2007
HIGHLIGHTS OF THE YEAR 2006
01 FIGHTING MALNUTRITION
MEASURING OUR PERFORMANCE
02 BUILDING PARTNERSHIPS
MOBILIZING NEW PARTNERS AND INNOVATIONS
03 ENABLING INNOVATION
04 IMPROVE NUTRITION
LARGE-SCALE FORTIFICATION PROGRAMS
05 FINANCIAL STATEMENT
INCOME STATEMENT AS AT 30 JUNE 2007
BALANCE SHEET AS AT 30 JUNE 2007
GAIN BOARD OF DIRECTORS
GAIN MANAGEMENT
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WELCOME
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Global Alliancefor Improved Nutrition6
We are midpoint in the global undertaking to achieve the Millennium Development Goals by 2015. While many
countries show progress, others will surely fail if they do not change their trajectory radically. The challenge is to
ensure that we get back on track.
It should shock us all to learn that every year 3.5 million children die from causes related to under-nutrition.
Moreover, eighty per cent of the burden of disease is concentrated in twenty countries in South Asia and
Sub-Saharan Africa - many of which grapple with poverty, related socio-economic, as well as political challenges.
We must stop mothers and children dying of preventable diseases and hunger. That is our mission.
Fighting hunger and fulfilling the right to good nutrition must become a global campaign that mobilizes all
stakeholders. Interventions must be sustainable and address the failures of institutions and markets that
still expose a third of humanity to the disastrous impact of malnutrition. We must build linkages to the challenges
of infant mortality, maternal deaths, HIV and AIDS, food security and rising food prices.
Over the past year, my work for GAIN has given me the privilege to interact with people from all over the world
and see scores of examples of effective work in the fight against malnutrition - action that gives dignity and hope
to millions of people.
GAIN, as an alliance and a catalyst for action, has taken important steps to put malnutrition on the global agenda.
It is building partnerships with governments, the UN system, regional institutions and civil society towards scaling-
up successful interventions. It is implementing new programs with the New Partnership for Africa’s Development
and with a range of companies who are delivering affordable and healthy products to millions of people.
I wish to thank the Board for its unstinting participation and leadership, and in particular Marc Van Ameringen
and his team for the passion and dedication with which they have pursued GAIN’s objectives.
Over the coming year, let us be guided by the African saying: ‘Sekunjalo ke Nako’, which means ‘Now is the Time’.
The time to act is now.
Jay Naidoo - Chair, Board of Directors
7Global Alliancefor Improved Nutrition
To date, GAIN has provided more than US$ 40 million in funding and technical support, including US$ 28 million
in grants to 19 fortification projects in 18 countries, to improve the nutrition of millions of people.
We are also implementing new programs and approaches to reach many millions more. For instance, we are
bringing our ability to mobilize partnerships and find large-scale solutions that improve nutrition to a new push
for worldwide salt iodization, and to a new program of work to enhance the quality of food given to infants and
young children.
I am grateful for the continued support of our partners in these efforts, especially of the Bill & Melinda Gates
Foundation, the Canadian International Development Agency, and the United States Agency for International
Development.
This annual report is first and foremost a review of these activities and the improvements we bring to the health of
our target populations. I hope you will share my conclusion from this report that GAIN is making a difference.
But there is more : under our dedication to fighting malnutrition and delivering measurable impacts lies our
ingrained drive for innovation to find and apply new solutions to what remains a daunting challenge.
I hope you will also see in this report our growing ability to involve new stakeholders, to find novel ways to fight
malnutrition, to demonstrate the effectiveness and efficiency of our methods, and thereby justify the trust our
partners and supporters bestow on us.
That is the solid foundation on which GAIN operates, and which will allow us to do even more in future.
Marc Van Ameringen - Executive Director
INNOVA-TION
Global Alliancefor Improved Nutrition8
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9Global Alliancefor Improved Nutrition
2007HIGHLIGHTS OF THE YEAR
June 2007The total of GAIN funding support to 19 large-scale
food fortification projects in 18 countries reaches
US$ 5.2 million for the year.
The governments of eight West African countries
join forces for the fortification of cooking oil with
vitamin A. The aim of this program, supported by
HKI, MI, USAID and GAIN, is to reach at least 70%
of the population by 2010.
May 2007The Naandi Foundation and GAIN start the
distribution of fortified meals to school children in
the Indian states of Andhra Pradesh, Rajasthan and
Madhya Pradesh. In Hyderabad, Britannia Industries
adds fortified biscuits for 120,000 children.
30 Swiss business leaders pledge to fight
malnutrition at the GAIN Business Alliance event in
Lausanne, Switzerland.
April 2007GAIN is selected by the Fast Company as one
of the 50 most entrepreneurial and imaginative
innovations to change the state of the planet.
March 2007The first GAIN Business Alliance Global Forum,
held in India, brings together 130 business and
government leaders from fifteen countries to explore
new partnerships to fight malnutrition.
January 2007UNICEF in the Indian state of Rajasthan receives
a US$ 198,480 GAIN grant for the fortification of
home-made complementary foods with a mix of
vitamins and minerals aimed at 120,000 children
aged between six and 36 months.
GAIN provides US$ 195,252 to Bangladesh’s
Social Marketing Company to promote the use of
Sprinkles, a food fortification mixture to be used in
the home, for the benefit of under-fives.
Global Alliancefor Improved Nutrition10
2006December 2006GAIN supports the fortification of wheat flour in the
Chinese provinces of Gansu and Shaanxi, and helps
draft a nation-wide standard.
November 2006The GAIN Board approves support to wheat flour
fortification in Egypt, oil fortification in Bangladesh
and wheat, oil and maize flour fortification in
Uganda.
Football star Zinedine Zidane opens a small-scale
factory in Bangladesh that produces 3,000 tons
of fortified yoghurt per year in Bangladesh, a
partnership between Danone and Grameen Bank,
and GAIN as the nutrition expert.
Leading US companies pledge to fight malnutrition
at the GAIN Business Alliance Forum in Seattle.
GAIN initiates a US$ 1.8 million project in Ghana to
fortify flour with eight micronutrients and vegetable
oil with vitamin A.
October 2006GAIN signs a three year grant for US$ 1,199,000
with the Georgian National Fortification Alliance
and a national NGO to provide micro-feeders to 18
large and medium-sized flour mills to add nutrients
to the flour.
September 2006A project to provide nutrient-dense blended food to
people living with HIV/AIDS in Tamil Nadu, India with
the World Food Programme and the Tamil Nadu
State Aids Control Society kicks off.
GAIN supports the fortification of 10,000 metric
tons of blended food to reach 400,000 children
aged between six and 36 months in the Indian state
of Gujarat.
HIGHLIGHTS OF THE YEAR
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11Global Alliancefor Improved Nutrition
01FIGHTINGMALNUTRI-TION
GAIN makes millions of people healthier and more productive through the large-scale and sustainable improvement of their nutrition.
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Global Alliancefor Improved Nutrition12
Malnutrition reduces the health and productivity of at least 2 billion people worldwide. The Lancet this year
estimated it kills 3.5 million children and leaves 178 million permanently damaged. It is an ongoing tragedy
that can be prevented. We have the ability to end malnutrition in our lifetime if we apply proven strategies on
a large scale.
GAIN’s programs and projects around the world are improving the nutrition and health of vulnerable groups,
especially women and young children. We currently support 19 large-scale food fortification projects in 18
countries as diverse as Ghana and Georgia. These initiatives put affordable, high-quality products on the
market. They are already improving the nutrition of an estimated 160 million individuals and will reach over 600
million people within the next five years.
The Chinese Center for Disease Control reported reductions in anemia in project areas in the order of 30%
following the introduction of fortified soy sauce in China. In four provinces of South Africa, spina bifida in
newborn babies decreased by 40% following the addition of folic acid to wheat flour and maize meal.
Such large-scale and sustainable improvements to nutrition can only be accomplished by partnerships
between governments, the private sector and civil society. Using the unique know-how and resources of each
stakeholder, we can deliver new and innovative solutions that complement the strategies of public health.
GAIN mobilizes such partnerships and provides the technical and financial support to enable innovation. Our
efforts to fortify widely-used staple foods and condiments are demonstrating their first return on investment, as
listed on the next pages. But we are also exploring new partnerships and approaches to deliver on the promise
to reach one billion people with improved nutrition.
In the field of fighting malnutrition, GAIN has always been an organization
that seeks the most effective and innovative solution - addressing the key
issues and at the same time showing a lot of sensitivity by discussing the
various topics with all key stakeholders involved.
Bruno Kistner - DSM Nutritional Products Ltd.
13Global Alliancefor Improved Nutrition
MEASURINGOUR PERFOR-MANCETARGET 1: COST PER DALY GAINED: LESS THAN US$ 15
Our primary target is to reduce the number of years that are lost in a population because
of death and illness caused by malnutrition – this is a measure known as ‘Disability
Adjusted Life Year’ or DALY. We aim to add one healthy year to a person’s life at a cost
lower than US$ 15, but our current estimates are that it will be between US$ 19.50 and
US$ 37 when our current projects are at full-scale. This means we need to work harder
and better to find novel cost-effective ways to tackle malnutrition in those places where it
is most widespread; we have already started new initiatives to do just that.
TARGET 2: REDUCTION IN DEFICIENCY PREVALENCE: MORE THAN 30%
Data from two nearly-completed projects demonstrate that we are on track to decrease
the prevalence of deficiencies by 30% or more. Sentinel site data in China show a 1/3
decrease in anemia in areas where iron-fortified soy sauce has been introduced, whilst
spina bifida decreased by 40% in four provinces of South Africa following the introduction
of folic acid fortification.
Global Alliancefor Improved Nutrition14
TARGET 3: REACH * : 1 BILLION PEOPLE;
TARGET 4: COVERAGE * OF TARGET GROUPS: MORE THAN 500 MILLION PEOPLE
Our current data projects that, when all our programs are at full scale, we will reach 612
million individuals, 335 million of whom are our target groups, especially children and
young women who are most vulnerable to malnutrition. To achieve our goals to positively
affect one billion people and 500 million people in vulnerable groups, we are working on
new projects to reach the remaining 388 million individuals and 165 million vulnerable
people over the next two years. We are, for instance, designing innovative large-scale
projects in Kazakhstan and India; preparing a series of new initiatives aimed at infants and
young children; and planning to strengthen salt iodization in 13 priority countries.
TARGET 5: COST PER TARGET INDIVIDUAL: LESS THAN US$ 0.25
We currently estimate that, on average, our current fortification efforts cost GAIN US$ 0.30
per person. This figure is expected to drop to US$ 0.16 and US$ 0.13, respectively three
and five years after the inception of individual projects.
TARGET 6: RAISE MORE THAN US$ 50 MILLION FROM DONOR AGENCIES AND
LEVERAGE MORE THAN US$ 700 MILLION IN PRIVATE SECTOR INVESTMENT
Our target to capture additional investments from donor agencies of US$ 50 million has
already been achieved: by this year, they have invested US$ 70.5 million. The commitment
of the private sector stands at US$ 360 million, which we hope to increase for instance
through our work to improve infant and young child nutrition in partnership with the private
sector.
* Reach: the number of individuals consuming fortified foods
* Coverage: the number of individuals in target groups most at-risk of vitamin
and mineral deficiencies (e.g. women of reproductive age and children) who are
consuming fortified foods
15Global Alliancefor Improved Nutrition
02BUILDINGPARTNER-SHIPS
GAIN builds partnerships, and especially engages the private sector, to the benefit of all involved.
GA
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for Improved Nutrition16
GAIN, itself an alliance of different sectors, believes that partnerships are essential in the fight against
malnutrition. Therefore, we build and stimulate connections between stakeholders at the national and
international level.
With governments, the private sector and civil society, for instance, we change legal frameworks to allow salt
iodization, supply specific nutrients to schoolchildren and people living with HIV/AIDS, develop new social
businesses that meet the needs of low-income consumers, and find ways to deliver public goods through
private channels.
Our specific strength is mobilizing the private sector to encourage contributions to our common fight to end
vitamin and mineral deficiencies through innovations, new products, distribution mechanisms and marketing
methods. Good business also thrives from delivering healthy foods to those in need.
Our partnerships are diverse and include :
Improving emergency rations
As the number of refugees and displaced people grows every day, we are investigating the distribution of food
aid and options to fortify emergency rations together with the World Food Programme. Food aid all too often
consists of basic packages, so that fortifying emergency food or providing vitamin and mineral powders have a
huge potential to improve the health of an already vulnerable group.
Stimulating healthy growth
We worked with private and public partners on a new program to improve the health of infants and young
children. It resulted in a new partnership program, which aims to promote exclusive breastfeeding up until
six months of age, and to promote the use of low cost, high quality fortified complementary foods and
supplements for children older than six months.
Fortifying local growth
We are working with Grameen Danone Foods Ltd. on a novel business model in Bangladesh. Local producers
supply milk for a small-scale factory, which turns it into a yoghurt with essential nutrients - Shoktidoi. Women
vendors earn a living by selling it at an affordable price. GAIN works with the Johns Hopkins University to study
the impact on the health of children.
17Global Alliancefor Improved Nutrition
Iodizing salt
Salt iodization still does not reach everyone. In partnership with UNICEF, GAIN aims to increase salt iodization in
13 priority countries to bring the percentage of households that use iodized salt globally from 70 to 85%. This
means protecting an additional 790 million people, including 20 million infants, from iodine deficiency.
Reaching consumers
GAIN is working with leading multinational Cargill since November 2006. Cargill is making some of its expertise
and know-how available to GAIN to make access to quality premix easier for the fortification of products in
developing countries.
Establishing sectoral collaboration
GAIN has set up a nutrition network of international partners in China, including UNICEF, the Asian Development
Bank, the United States Centers for Disease Control, the Program for Appropriate Technology in Health, the
World Food Programme, the World Health Organization and the Food and Agriculture Organization of the United
Nations. The group met for the first time in 2007 and is now working to help China more effectively address
malnutrition.
While we make money, we can also do good. That is what social busi-
ness is all about, and you can use your creative energies to get involved
in social business that improves nutrition. GAIN can help in that effort.
Prof. Mohammad Yunus - Nobel Laureate
Global Alliancefor Improved Nutrition18
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19Global Alliancefor Improved Nutrition
In April 2007, the Fast Company, a group and magazine that uncovers best and “next” practices, recognized
GAIN as one of the 50 most entrepreneurial and imaginative innovations to change the state of the planet.
This is because GAIN acknowledges that ending malnutrition requires, in addition to government and NGO
interventions, the new thinking, models and technical and financial resources that are applied by the business
community.
Over the past couple of years, GAIN has conducted a multitude of face-to-face meetings with companies
worldwide, convened ten business conferences and engaged with more than 200 companies. These efforts
have resulted in the inception, last year alone, of ten new partnership projects to tackle malnutrition. Today,
providing healthy food to poor and vulnerable communities makes good business sense. It strengthens a
company’s brand and reputation, and ultimately contributes to a profit-driven business strategy.
Our efforts to build public-private partnerships included :
Defining new services
The world-wide growth of the GAIN Business Alliance called for a fresh look at what these networks do and how
they do it, and how GAIN can best support their actions. Through consultation, we defined the services that will
add value and promote collaborative actions : The GAIN Global Forum as the global platform for networking and
partnership building; Partnership Assistance to help companies find suitable non-profit partners; a Knowledge
Bank with the World Bank Institute and leading business schools such as IMD and Harvard to provide expert
knowledge and case studies; and the GAIN Marketplace where companies, governments, NGOs and investors
can meet to “do business”.
MOBILIZING NEW PARTNERS AND INNOVATIONS
Global Alliancefor Improved Nutrition20
Building networks
Last year we expanded the range of our Business Alliance and welcomed leading companies to our events in
India and Switzerland. There, we encourage learning on new business models and demonstrate successful
models to inspire increased private sector involvement in the fight against malnutrition : one of the first concrete
outcomes in India was the launch of iron-fortified biscuits by Britannia Industries Limited, to be distributed in
schools.
Stimulating global action
The first global meeting of the GAIN Business Alliance in India, held in March 2007, saw business and
government leaders showcase innovative business approaches and foster new partnerships. Delegates
demonstrated that companies are increasingly providing nutritious food to vulnerable people at affordable prices.
They shared innovations, built new partnerships and established several new initiatives.
Focusing on China’s rural poor
The second meeting of the GAIN Business Alliance in China, in December 2006, built bridges between 70
representatives from government agencies, international organizations, large retail chains, media outlets and
the business community. Participants proposed action plans and identified the next steps in applying business
solutions to reduce malnutrition throughout the country.
Britannia is delighted to be partnering with GAIN in a first-of-its-kind
public private partnership in the school feeding program in Hyderabad
wherein we make and supply specially fortified biscuits to some of the
most disadvantaged children. We are grateful to GAIN for supporting
our work.
Vinita Bali - Managing Director
Britannia Industries Ltd, India
21Global Alliancefor Improved Nutrition
03ENABLINGINNOVA-TION
GAIN enables partnerships to innovate through grants and know-how.
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Global Alliancefor Improved Nutrition22
Innovation is one of our defining characteristics. We work with others to develop and test new approaches and
new business models that make markets work for vulnerable groups. In doing this, we create benefits for those
who are malnourished as well as for our partners from the public and private sectors.
Our financial and technical support then enables partnerships to apply these innovations at a large scale,
ensuring that impacts and return on investments are accurately measured. Last year, the following specific
initiatives demonstrated our drive for innovation :
Supporting the fight against HIV/AIDS
In India, we are looking at the relationship between nutrition and HIV/AIDS together with the World Food
Programme and the Tamil Nadu State Aids Control Society. While we already know that people respond better
to treatment when they are well-nourished, we are trying to discover the best way to integrate nutrition as part
of care, support and treatment. The provision of nutrient-dense meals in Tamil Nadu to 13,000 patients is the
most visible part. The program in Tamil Nadu is currently being extended to cover 25,000 people.
Making infants stronger and healthier
Much work over the year went into the preparation of a major new initiative to improve the nutrition of infants
and young children, because the first two years of life are vital to everyone’s future. The lack of affordable
fortified complementary foods and food supplements, for use after infants reach six months of age, remains a
major reason why children fall ill and suffer later in life. The initiative aims: to support sound practices, such as
exclusive breastfeeding during the first six months of life and continued breastfeeding up to and beyond two
years; to encourage companies and partnerships to develop and market high-quality foods for low-income
families at a large scale; and to create a sound environment for good feeding practices.
Sprinkling against deficiencies
The Indian state of Rajasthan, with support from GAIN, started pioneering the fortification of home-cooked
dishes on a large scale in January 2007. Today, some 120,000 children between six and 36 months of age
from the most disadvantaged groups are receiving a small sachet of vitamin and mineral powder on top of their
homemade meals. In neighboring Bangladesh, we enabled the Social Marketing Company to raise demand
for the product. Both projects aim to demonstrate the health impacts of fortification and catalyze the wider
distribution of Sprinkles.
23Global Alliancefor Improved Nutrition
Removing obstacles to fortification
Another new endeavor, launched at a meeting of the Clinton Global Initiative in September 2007, is the GAIN
Premix Fund. The Fund aims to enable programs that currently have difficulty purchasing and sourcing quality
supplies to easily access fortificants. The Fund provides loans and grants, brings producers and users together,
and offers technical assistance. With DSM Nutritional Products, Cargill, Akzo Nobel and Procter and Gamble
having pledged their support, this revolving fund will remove a major obstacle to fortification.
Reducing vitamin and mineral deficiencies by 2015
A good strategy is the first building block in attaining the vision of the entire nutrition sector working together to
drastically reduce vitamin and mineral deficiencies by 2015. This past year, a reference group and eight working
groups, made up of high level participants from the micronutrient sector, identified priority areas for action
and mechanisms for coordination. The result of their work will be presented for final validation in 2008 and the
strategy subsequently implemented.
Developing viable business models which can impact malnutrition on
a large scale and contribute to reducing poverty is a new approach for
both the private and non-profit sectors. It is a difficult challenge and an
immense opportunity to match competencies and co-create innovative
solutions. The close cooperation between Danone and GAIN in Bangla-
desh illustrates how joining forces can be efficient.
Bernard Giraud - Vice-President
Sustainable Development and Social Responsibility Group
DANONE
Global Alliancefor Improved Nutrition24
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25Global Alliancefor Improved Nutrition
04IMPROVE NUTRI-TION
GAIN delivers results: it makes people healthier, stronger and more productive.
Din
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Global Alliancefor Improved Nutrition26
GAIN is actively supporting 19 projects in 18 countries that bring fortified staple foods and condiments to
people in need, and is involved in a range of other targeted partnership projects.
They are making a tangible difference to people’s lives around the globe. While not all monitoring and evaluation
data is yet available, progress achieved to date on our targets and on our ultimate aim of improving the nutrition
of one billion people is significant.
We continuously improve the tools at our disposal to measure and better our performance. Our partners
now use a new semi-annual reporting tool and will receive training in how to better measure results with a
peer-reviewed toolkit. All data are fed into an organization-wide results database.
On the ground, we continue to work with our partners to directly measure baseline and mid-term data from our
projects in Ghana, Côte d’Ivoire, China and South Africa. Finally, looking to the future, we have undertaken a
costing study to identify the countries and food vehicles where fortification can have the largest impact over the
coming ten years.
The first results of our evidence-gathering are encouraging. We are on track to reach 612 million people when
our projects are at full scale, 335 million of whom are in vulnerable groups such as women and children.
Here are a few examples of how we tangibly improve nutrition on a large scale and thereby enhance people’s
lives on a daily basis.
27Global Alliancefor Improved Nutrition
Georgia
Georgia has adjusted maternal mortality rates that are nearly three times those of industrialized countries, and
the probability of a child dying before the age of five is about eight times higher. GAIN supports the Georgian
National Fortification Alliance and Georgian NGO ACTS to install micro-feeders and premix inclusion machines
at 18 large and medium-sized flour mills. Millers are trained in production, quality control and assurance. The
project aims to produce 280,000 metric tons of fortified wheat flour that will benefit some 2.3 million consumers,
including 1 million of the most vulnerable women and children.
Ghana
In Ghana, 65% of pregnant women, 76% of preschoolers and 41% of women of child bearing age are anemic,
and this contributes to 20% of maternal deaths. Our project supports the introduction of mandatory flour
fortification with eight micronutrients and vegetable oil fortification with vitamin A, and upgrades quality control
in the public and private sector. After three years, 100% of all commercially milled wheat flour, as well as
manufactured and imported vegetable oil, will be fortified. This equates to 481,000 metric tons of wheat and
40,000 metric tons of vegetable oil per year. This initiative will cover 80% of the population, including the 4.4
million individuals most at risk.
China
Since December 2006, GAIN has been working on a nation-wide policy for wheat fortification. The National
Standard for Fortified Wheat Flour has been approved by National Standards Standing Committee. Iron-fortified
soy sauce now reaches an estimated 33 million people at risk of iron deficiency. Over the past year, four more
large companies obtained accreditation to fortify soy sauce, bringing the total to 20 producers.
Through its convening power and innovative mindset, GAIN is helping
address hunger and undernutrition effectively and sustainably. GAIN
is creating a new partnership paradigm that combines the respective
strengths of the private and public sectors, producing both social and
economic value for all stakeholders and in particular the poor.
Paulus Verschuren - Unilever
Global Alliancefor Improved Nutrition28
Francophone West Africa
GAIN and others have supported the Economic and Monetary Union of West Africa to organize a public-private
dialogue on oil fortification with the governments of Benin, Burkina Faso, Côte d’Ivoire, Mali, Niger, Guinea
Bissau, Senegal and Togo. In March 2007, the Union and other partners joined forces to promote the mandatory
fortification of cooking oil with vitamin A for at least 70% of the population by 2010. These efforts build on GAIN-
supported oil fortification programs in Côte d’Ivoire and Mali.
India
Many children in the Indian state of Gujarat are nutrient-deficient. In September 2006, GAIN initiated a food
fortification project where 10,000 metric tons of fortified blended food, procured by the government through
the Integrated Child Development Services system, reaches 400,000 children aged between six and 36 months.
This project brought in additional resources and is now being scaled up to reach a million children.
The Government of Gujarat revised its norms and will now only procure fortified blended food for the system.
29Global Alliancefor Improved Nutrition
1.
2.
3.
4. 7.6.5.
LARGE-SCALE FORTIFICATION PROGRAMS
Global Alliancefor Improved Nutrition30
DominicanRepublic
ProductWheat flourFortificantIronvitamin B
ProductSugarFortificantvitamin A
Bolivia
ProductWheat flourFortificantIronvitamin B
ProductVegetable oilFortificantvitamin A
ProductMilkFortificantIron, Zincvitamin AC, D & E
Morocco
ProductWheat flourFortificantIronvitamin B
ProductVegetable oilFortificantvitamin A, D
Mali
ProductVegetable oilFortificantvitamin A
Côted’Ivoire
ProductWheat flourFortificantIronfolic acid
ProductPalm andcottonseed oilFortificantvitamin A
Ghana
ProductWheat flourFortificantIronvitamin AZincvitamin B
ProductVegetable oilFortificantvitamin A
Nigeria
ProductWheat flourFortificantIron, Zincvitamin A, B
ProductVegetable oilFortificantvitamin A
ProductSugarFortificantvitamin A
SouthAfrica
ProductWheat flourFortificantIronvitamin AZincvitamin B
ProductMaize flourFortificantIronvitamin AZincvitamin B
Zambia
ProductMaize flourFortificantIronvitamin AZincvitamin B
Uganda
ProductWheat flourFortificantIronvitamin AZincvitamin B
ProductMaize flourFortificantvitamin A, BIronZinc
ProductVegetable oilFortificantvitamin A
Egypt
ProductWheat flourFortificantIronfolic acid
Georgia
ProductWheat flourFortificantIronfolic acid
Uzbekistan
ProductWheat flourFortificantIronZincvitamin B
Kazakhstan
ProductWheat flourFortificantIronZincvitamin B
Pakistan
ProductWheat flourFortificantIronfolic acid
Bangladesh
ProductVegetable oilFortificantvitamin A
China
ProductSoy SauceFortificantIron
Vietnam
ProductFish sauceFortificantIron
China(Gansu and Shaanxi province)
ProductWheat flourFortificantIronZincvitamin B
1. 2. 3. 4. 5. 6. 7. 8. 9. 10.
11. 12. 13. 14. 15. 16. 17. 18. 19.
14.13.
15. 17.16.
18.
19.
9.
10.
11.
12.
8.
31Global Alliancefor Improved Nutrition
* footnote: vitamin B here denotes the B vitamins for ease of reading; the actual use of B vitamins varies slightly between projects
05FINANCIAL STATE-MENT
GAIN is in sound
financial shape.
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Global Alliancefor Improved Nutrition32
Steady growth
Since the financial year 2005/2006, GAIN’s total expenditures have been expanding. This growth is primarily
due to the growth in new programs, such as our work on infant and young child nutrition. For the financial year
2007/2008, we are currently forecasting total expenditures of US$ 22.5 million.
GAIN keeps accurate track of its income and expenditure, and applies strict policies and procedures to ensure
transparency and accountability towards its supporters and partners. The result is that our auditors, Deloitte,
have given our accounting a clean bill of health. While our Income Statement and Balance Sheet from that
report are presented in the pages that follow, we invite you to read the complete auditors report and financial
statements, which can be found at www.gainhealth.org.
2005/62006/7
2007/8
$20,000
$10,000
$5,000
$15,000
Total Expenditures by Financial Year
TO
TA
L E
XP
EN
DIT
UR
ES
figures in thousands; estimated figure for 2007/8
20200505/6/6202006/7/7
202007/88
$$20,000
$$$$$$$$$$$$$$$$$$1111111111111111111111000000000,000
$$$$$$$$5,000
$$$11555555555555,,,,,,,,00000000
Total Expenditures by Financial Year
TO
TA
L E
XP
EN
DIT
UR
ES
figures in thousands; estimated figure for 2007/8
33Global Alliancefor Improved Nutrition
Investing in nutrition
Financial and technical support to food fortification in 2006/2007 took the largest share of expenditures at
almost 54 per cent, whereas our efforts to create new partnerships and work on innovative projects received
17 per cent of our operating budget. One per cent was invested in the development of our new program
of work on infant and young child nutrition.
Our expenditures on corporate and administrative services reached nearly 16 per cent, only slightly higher than
our goal to keep overheads below 15 per cent. It means monitoring and cutting costs remain as important as
ever. Further, the projected increase in program expenditures in the coming fiscal year will also allow us to meet
this efficiency target.
Food Fortification1%
17%
5%5%2%
16%
54%
Infant & Young Child Nutrition
Performance Measurement & Research
Communication & Advocacy
Investments & Partnership
Corporate Administrative Sevices
Special Programs
Financial Year 2006-2007Expenditures by Program
Global Alliancefor Improved Nutrition34
INCOME STATEMENT AS AT 30 JUNE 2007
2006/2007 2005/2006
INCOME
Donations received $ 42,781,128 $ 7,053,713
Bank interest $ 1,828,900 $ 554,490
Sundry income $ 77
TOTAL INCOME $ 44,610,028 $ 7,608,280
EXPENDITURE
Project related costs
Project grant expenditures $ 5,232,368 $ 6,148,260
Project supervision fees $ 25,000 $ 25,000
$ 5,257,368 $ 6,173,260
General administration expenses
Staff related expenses $ 3,709,441 $ 3,994,828
Office rental $ 199,741 $ 177,367
Secretariat operational expenses $ 594,047 $ 390,502
Professional, technical and legal fees $ 2,101,949 $ 1,699,343
Travel and meeting expenses $ 1,318,577 $ 953,540
Depreciation $ 100,568 $ 72,938
Other miscellaneous $ 17,658 $ 42,465
Bank charges $ 39,876 $ 35,936
Exchange difference, net $ 42,151 $ 29,054
$ 8,124,008 $ 7,395,973
TOTAL EXPENDITURE $ 13,381,376 $ 13,569,233
Surplus of income over expenditure $ 31,228,652 $ (5,960,953)
Surplus, beginning of the year $ 954,246 $ 6,915,199
SURPLUS, END YEAR * $ 32,182,898 $ 954,246
All figures in USD, figures for 2005/2006 as comparison
* These funds are already committed to multi-year grant agreements for food fortification,
the program on infant and young child nutrition, and project supervision contracts.
35Global Alliancefor Improved Nutrition
BALANCE SHEET AS AT 30 JUNE 2007
2006/2007 2005/2006
ASSETS
CURRENT ASSETS
Cash at bank $ 41,230,415 $ 10,580,590
Advances to UNDP and UNOPS $ 111,223 $ 311,223
Other receivables $ 791,071 $ 236,108
Prepaid expenses $ 147,553 $ 62,626
Total current assets $ 42,280,262 $ 11,190,547
Fixed assets, net $ 211,836 $ 189,131
TOTAL ASSETS $ 42,492,098 $ 11,379,678
LIABILITIES
CURRENT LIABILITIES
Bank overdraft $ 1,349,818 $ 47,859
Accounts payable $ 313,124 $ 240,120
Other creditors $ 35,998 $ 21,150
Accrued expenses $ 426,140 $ 608,802
Grants payable $ 3,541,144 $ 6,797,524
Project supervision fee $ 228,896 $ 328,793
Total current liabilities $ 5,895,119 $ 8,044,248
LONG TERM LIABILITIES
Grants payable after one year $ 4,377,894 $ 2,344,997
CAPITAL AND RESERVES
Foundation capital $ 36,187 $ 36,187
Surplus $ 32,182,898 $ 954,246
Total capital and reserves $ 32,219,085 $ 990,433
TOTAL LIABILITIES $ 42,492,098 $ 11,379,678
All figures in USD, figures for 2005/2006 as comparison
Global Alliancefor Improved Nutrition36
RE
UTE
RS
/Iss
ei K
ato
37Global Alliancefor Improved Nutrition
Jay Naidoo, Chair
Chairman, Development Bank of Southern Africa;
Chairman, J&J Group, South Africa.
Jaime Sepulveda, Vice Chair
Director, Integrated Health Solutions Development
Program, Bill & Melinda Gates Foundation, USA.
Chunming Chen
Senior Advisor, Chinese Center for Disease Control
and Prevention; Director, International Life Science
Institute, China.
Frances Davidson
Health Science Specialist, Office of Health and
Nutrition, Bureau for Global Programs, U.S. Agency
for International Development, USA.
Christopher Elias
President, PATH, USA.
Pierre Henchoz
Partner, Lombard Odier Darier Hentsch & Co,
Switzerland.
Richard Hurrell
Professor, Institute of Food Science and Nutrition,
Swiss Federal Institute of Technology, Switzerland.
Catherine Le Galès-Camus *
Assistant Director General, Noncommunicable
Diseases and Mental Health, World Health
Organization, Switzerland.
Kul Gautam *
Deputy Executive Director, UNICEF, USA.
Olivier Kayser
Vice President, Ashoka, UK.
Ernest Loevinsohn
Director General, Health and Nutrition Directorate,
Canadian International Development Agency, Canada.
Franck Riboud
Président Directeur Général, Groupe Danone, Paris,
France.
Anji Reddy
Executive Chairman, Dr Reddy’s Laboratories Ltd,
India.
Paulus M. Verschuren
Senior Director, Partnership Development,
Unilever, the Netherlands.
Julian Schweitzer, Ex Officio
Director of Health, Nutrition and Population, Human
Development Network, World Bank, USA.
Marc Van Ameringen, Ex Officio
Executive Director, GAIN, Switzerland.
* Retired from their positions at the time of publication
of this report; their replacements are expected to join the
GAIN Board in 2007/2008.
GAIN BOARD OF DIRECTORS
Global Alliancefor Improved Nutrition38
Marc Van Ameringen
Executive Director
Regina Moench-Pfanner
Senior Manager, Food Fortification
Dominic Schofield
Manager, Infant & Young Child Nutritionas of 1 May 2008
Bérangère Magarinos
Senior Manager, Investments and Partnerships
Barbara Macdonald
Senior Manager, Performance Measurement
and Research
Elroy Bos
Senior Manager, Communications and Advocacy
Edward Atkinson
Chief Financial Officer
Craig Courtney
Manager, Investments and Partnerships
Vanessa Ng
Legal Manager
Rajan Sankar
Senior Manager and Regional Representative,
South Asia
Larry Umunna
Regional Representative, Africa
Bing Liu
Regional Representative, South East Asia
GAIN MANAGEMENT
39Global Alliancefor Improved Nutrition
GENEVA, SWITZERLAND
Rue de Vermont 37-39CH-1202 Geneva
SwitzerlandT +41 22 749 1850F +41 22 749 1851
NEW DELHI, INDIAYWCA Complex
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Beijing - 100020China
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MidrandHalfway House 1685
South AfricaT +27 11 256 3488F +27 11 256 3489
Delivering improved nutrition to make people, communities and economies stronger, healthier and more productive.
www.gainhealth.org