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The Enhancing Nutrition of Upland Farming Families (ENUFF) project is funded by the Swiss Agency for Development and Cooperation (SDC) and implemented by SNV Netherlands Development Organisation in Lao PDR. Building on the success of its first phase, the second phase of ENUFF started in June 2020 and will run until July 2024. ENUFF contributes to realising the Lao national Multi-sectoral Food and Nutrition Security Action Plan (MSFNSAP).

ENUFF aims to improve family nutrition in remote and ethnically diverse upland farming communities in Oudomxay and Houaphan provinces. It promotes a convergent approach that combines several activities. Nutrition-sensitive farming will enhance the production of a diversity of crops and increase access to nutritious food. Behavioural change communication will improve feeding, caregiving and dietary practices in particular of women in reproductive age, children and lactating mothers. Support to the construction and use of latrines at the household level and improved water supply systems for villages, schools, and health centres will reduce sanitation and hygiene-related diseases. SNV staff will work closely with the Government of Lao PDR (Ministries of Health, Agriculture and Education) and Lao Women Union, alongside the communities to sustain the project outcomes and promote a more conducive policy and institutional framework for improving nutrition. The second phase of ENUFF aims to increase the nutritional status of more than 6,000 families. 



Improve women's knowledge and skills, particularly mothers and caregivers, about nutrition and health. Improve child feeding practices and dietary diversity of women of reproductive age, including adolescent girls and infants.


Increase access to safe water, hygiene and sanitation facilities, and improve sanitation and hygiene practices through behavioural change and communication at intra-household level.


Increase farming communities' access to nutritious food through practical agricultural training at the village level provided by trained extension agents.


Strengthen policy, strategic and institutional framework to address and prevent food and nutritional insecurity through evidence-based policy briefs and capacity building of nutrition centres and similar structures at the local level.

Key achievements ENUFF phase I


  1. The overall prevalence of stunting among children under five years of age decreased from 42.3% to 37.7%. The incidence of diarrhoea in children aged 6-23 months old has decreased from 24% to 13%.

  2. Overall, the average number of annual and perennial crops grown increased from 2.2. to 8.2 and from 0.5 to 4.1, respectively, between baseline and end-line surveys. The average number of large livestock and poultry raised by households in target districts increased considerably, from 2.2 to 4.2 and 19 to 25, respectively, with larger increases seen in villages in the Houaphan province.
  3. The proportion of children under two years of age receiving a minimum of 4 meals per day has also increased from 14% to 66% in target villages. Children's dietary diversity has also improved, with children eating on average between 3.7 and 4.0 food groups, compared to 2.2 and 3.3 food groups at baseline.
  4. Most target villages and households also saw an improvement in their water and sanitation facilities. The proportion of households with improved sanitation facilities increased from 75% to 92%.


Our experts

Ranjan Shrestha

Agriculture Sector Leader - Lao PDR

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