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Understanding Nutrition in the First 1,000 Days: Black Moms and Birthing People

To improve our advocacy and nutrition education efforts, 1,000 Days strove to understand sources of nutrition information during the first 1,000-day window and gaps in culturally relevant communications about healthy diets. Through a combination of qualitative research methods, including surveys and an environmental scan, we listened to over 224 Black pregnant and birthing people about their perceptions of their health, when and how they received nutrition information related to their pregnancy, and their preferred sources of information.

The Power 4: Vitamin A Supplementation for Kids

Supplying a child with two high doses of Vitamin A every year is one of the most cost-effective ways to protect children from blindness, diarrhea, and other fatal illnesses. Learn more about Vitamin A supplementation for kids, a Power 4 nutrition intervention.

The Power 4: Specialized Foods for Wasting Treatment

Millions of children every year require wasting treatment. Ready-to-Use Therapeutic Food (RUTF) is an energy-dense, life-saving product that gives wasted children the nutrients they need to survive. Learn more about specialized foods for wasting treatment, a Power 4 nutrition intervention.

The Power 4: Prenatal Vitamins for Pregnant Women

Despite the proven benefits of supplying pregnant women with a full dosage of multiple-micronutrient supplements (MMS), the majority of women do not have access to these critical supplements. MMS not only prevents maternal death and still births, it also increases the chances a baby will be born at a healthy weight and survive to his or her second birthday. Learn more about prenatal vitamins for pregnant women, a Power 4 nutrition intervention.

The Power 4: Breastfeeding Support

Babies get the best start at life when they drink nothing but breastmilk until they are 6 months old, and continue breastfeeding until they are 2 years old while also consuming other nutritious complementary foods. Learn more about breastfeeding, a Power 4 nutrition intervention.

Missed Opportunities to Support Breastfeeding

We are missing many opportunities to support breastfeeding in the United States. In the healthcare system, broken communication, competing priorities, and low confidence in support skills create roadblocks for lactation support throughout the breastfeeding journey. As a consequence of these missed opportunities, 60% of mothers stop breastfeeding before they planned, and only a quarter of babies are exclusively breastfed at six months old despite high breastfeeding initiation rates. Our system is failing breastfeeding families. Supporting families every step of the way requires frequent & consistent education, counseling, problem solving, and communication among all providers.

Child Malnutrition Comparison Graphics – District Specific

Below are graphics putting child malnutrition deaths in perspective by comparing them to the populations of district-specific geographical locations. These graphics can be used by advocates to engage with Members of Congress, in op-eds, talking points, on social media and in any other collateral. The district-specific locations were chosen based off information on policymakers’ involvement with nutrition issues.


Boise, Idaho


Philadelphia, Pennsylvania

Austin-Houston, Texas

Dallas-San Antonio, Texas

Due Diligence for Predictive Models

A list of questions advocates should ask themselves before using numbers that have been generated by a predictive model. The information came from a 1,000 Days Severe Malnutrition Learning Series webinar “Predictive Modelling for Nutrition: Using Projections to Enhance Advocacy” and was provided by speakers Dr. Derek Headey, Senior Research Fellow in the Poverty, Health and Nutrition Division at the International Food Policy Research Institute (IFPRI) – Myanmar and Dr. Rebecca Heidkamp, faculty member in the Center for Human Nutrition, Department of International Health at the Johns Hopkins University (JHU) Bloomberg School of Public Health.