Publications on food systems, health service delivery, MAIYCN, climate change and humanitarian programming

Kavle Consulting Technical Briefs

Technical Brief #1: Strengthening maternal nutrition counseling during routine health services: Evidence and programmatic considerations for country programs October 2023- PDF

Technical Brief #2: How COVID-19 affected food systems, health service delivery and maternal and infant nutrition practices: Implications for moving forward in Kenya October 2023 – PDF

Technical Brief #3: Adolescent and Youth Engagement for Better Nutrition Outcomes: Program Considerations – Updated Brief August 2025 PDF 

Technical Brief #4: Introduction of balanced energy protein supplementation (BEP) through antenatal care: Key opportunities, challenges and program considerations – August 2025 PDF

Technical Brief #5: A Regional Situation Analysis of Large-Scale Food Fortification in East, Central and Southern Africa -August 2025 PDF

Technical Brief #6: Tailoring Trials of Improved Practices to Improve Child Feeding and Use of Indigenous Preserved Foods in Drought‐Affected Kenya: Considerations for Climate Shocks – August 2025 PDF

Large Scale Food Fortification

Kavle JA,  Gaithuma, J,  Waithira R and  L Du-Skabrin Large Scale Food Fortification (LSFF) in East Central, and Southern Africa: Gaps, opportunities and the way forward. PloS One, April 10, 2026
 

Technical Brief #5: A Regional Situation Analysis of Large-Scale Food Fortification in East, Central and Southern Africa -August 2025 PDF

Kavle Consulting (Lead Author). Large Scale Food Fortification (LSFF) in East, Central and Southern Africa: A Regional Situation Analysis. Commissioned for the former USAID AFFORD project. 2024

Climate Shocks-Pandemics-Humanitarian Programs – implications for women’s nutrition, child wasting & transitions from emergencies to development

Kavle Consulting. Implementation research to inform on programming for infants under six months at risk of poor growth and development and their mothers in Uganda. Report to UNICEF Uganda, July 2025

Technical Brief #4: Introduction of balanced energy protein supplementation (BEP) through antenatal care: Key opportunities, challenges and program considerations – August 2025 PDF

Technical Brief #6: Tailoring Trials of Improved Practices to Improve Child Feeding and Use of Indigenous Preserved Foods in Drought‐Affected Kenya: Considerations for Climate Shocks – August 2025 PDF

Matiri E, Ramirez L,  Elmi A, Gaithuma J, Kavithe R,  Waweru M, Kahiga M, JA Kavle Tailoring Trials of Improved Practices (TIPs) to Improve Child Feeding and Use of Indigenous Preserved Foods in Drought-Affected Kenya: Considerations for Climate Shocks. Maternal and Child Nutrition, March 2025

Contributing author. Monitoring the Wasting Cascade Consultative Meeting Report – UNICEF. Nairobi, Kenya. November 2024.

Technical Report:  MOMENTUM Country and Global Leadership, Kavle Consulting, LLC. 2024. Introduction of Balanced Energy Protein Supplementation through Antenatal Care: Findings and program considerations. Washington, DC: USAID MOMENTUM and Kavle Consulting

Technical Brief: MOMENTUM Country and Global Leadership, Kavle Consulting, LLC. 2024. Introduction of Balanced Energy Protein Supplementation through Antenatal Care: Findings and program considerations. Washington, DC: USAID MOMENTUM and Kavle Consulting 

Kavle JA, Codjia P, Gathi C, Ahoya B, Ramirez L, Katua S, Mugo F, and L Kiige Building forward better –An exploration of nutrition practices, food choice and coping behaviors among Kenyan adolescents during COVID-19: Experiences and Program Implications  Food Science and Nutrition, Dec 2022

Ahoya B, Kavle JA, Kiige L, Gathi C, Samburu B, Maina L, Ramirez L, Wambu R, & Codjia P How COVID-19 affected food systems, health service delivery and maternal and infant nutrition practices: Implications for moving  forward in Kenya. Maternal and Child Nutrition, Dec 2022

Kavle Consulting (Lead Author) Report: Increasing Global Capacity for Coordinating, Integrating and Transitioning Community Health and Nutrition in Response to Protracted Crisis and in Transition to Recovery: Experience and Lessons Learned, 2019

Kavle Consulting (Lead Author) Case Study: Improving Health Service Delivery Transitions in Public Health Emergencies Utilizing a Health Service Delivery Exit Matrix Tool, 2019

Kavle Consulting (Lead Author) Brief: Improving Health Service Delivery Transitions in Public Health Emergencies: A Health Service Delivery Exit Matrix Tool, 2019

Kavle Consulting (Lead Author) Case Study: Improving Health Service Delivery Transitions in Public Health Emergencies: Development and Use of a Community Health Service Delivery Tool, 2019

Kavle Consulting (Lead Author) Brief: Improving Health Service Delivery Transitions in Public Health Emergencies: Development and Use of a Community Health Service Delivery Tool, 2019

Kavle Consulting (Lead Author) Brief: Strengthening Health Systems in the Humanitarian-Development Nexus Experience and Lessons Learned from Pakistan and Sudan, 2019

Strengthening the integration of nutrition within the health system

Kavle JA, R Waithira, J Gaithuma Practitioners’ Perspective: DHIS2 Nutrition Data: Progress, Challenges, and Lessons Learned from Kenya”  SSM – Health Systems Journal. May 1, 2026 pre-print, part of special issue Building stronger national health information systems: leveraging DHIS2 for health systems research

Kavle Consulting. Examining Enabling Factors and Barriers to Care Group Implementation in West Nile, Uganda. 2025 Report to UNICEF Uganda.

Kavle Consulting. An Exploration of Facilitating Factors and Barriers to Adolescent Nutrition Practices and Service Delivery in Kampala and Karamoja, Uganda. Report to UNICEF Uganda, July 2025

Kavle Consulting (Lead Author) with USAID Momentum 3b – Routine Immunization (Core Group  & JSI). Landscape Assessment on the Adaptation of Community Models and Approaches for Improving Uptake of COVID-19 Immunization Across Africa: Report of Key Findings. October 2023

Cooper CM, Drake M, Kavle JA, Nyoni J, Lemwayi R, Mabuga L, Pfitzer A, Makungu M, Massawe E, George J Implementing a Novel Facility-Community Intervention for Strengthening Integration of Infant Nutrition and Family Planning in Mara and Kagera, Tanzania Int J Environ Res Public Health. 2021 Apr 13;18(8):4105.
 

USAID’s Maternal and Child Survival (MCSP) sponsored journal supplement: “How to Strengthen Nutrition into the Health Platform: Programmatic evidence and experience from Low and Middle-Income Countries”   Matern Child Nutr. 2019 Jan Suppl 1.

Kavle JA, Pacqué M, Dalglish S, Mbombeshayi E, Anzolo J, Mirindi J, Tosha M, Safari O,  Gibson L (Ramirez), Straubinger S, Bachunguye R. Strengthening nutrition services within integrated community case management (iCCM) of childhood illnesses in the Democratic Republic of Congo: Evidence to guide implementation. Matern Child Nutr. 2019 Jan;15 Suppl 1:e12725.

Cooper CM, Kavle JA, Nyoni J, et al. Perspectives on maternal, infant, and young child nutrition andfamily planning: Considerations for rollout of integrated servicesin Kagera and Mara, Tanzania. Matern Child Nutr.  2019 Jan;15 Suppl 1:e12735.

Picolo M, Barros I, Joyeux M, Gottwalt A, Possolo, E, Sigauque, B, and Kavle JA Rethinking strategies to address micronutrient deficiencies in children under 5:Considerations for integrated nutrition–health programming in Mozambique. Matern Child Nutr.2019 Jan;15 Suppl 1:e12721.

Dalglish SL, Straubinger S, Kavle JA, Gibson L (Ramirez), Mbombeshayi E, Anzolo J, Scott K, Pacqué M. Who are the real community health workers in Tshopo Province, Democratic Republic of the Congo? BMJ Global Health. 2019 Jul 3;4(4):e001529.

Youth empowerment & adolescent nutrition

Kavle Consulting. An Exploration of Facilitating Factors and Barriers to Adolescent Nutrition Practices and Service Delivery in Kampala and Karamoja, Uganda. Report to UNICEF Uganda, July 2025

Technical Brief #3: Adolescent and Youth Engagement for Better Nutrition Outcomes: Program Considerations – Updated Brief August 2025 PDF 

Gaithuma J,  Chor S, Natukunda A, Shaleen, P and JA Kavle Empowering youth as agents of change: Gaps and opportunities for meaningful youth engagement (MAYE) for sustainable nutrition, climate and public health programmes, Maternal and Child Nutrition, Sept 2024

Kavle JA, Codjia P, Gathi C, Ahoya B, Ramirez L, Katua S, Mugo F, and L Kiige Building forward better –An exploration of nutrition practices, food choice and coping behaviors among Kenyan adolescents during COVID-19: Experiences and Program Implications  Food Science and Nutrition, Dec 2022

Maternal Nutrition

MOMENTUM Country and Global Leadership, Kavle Consulting, LLC. 2024. Introduction of Balanced Energy Protein Supplementation through Antenatal Care: Findings and program considerations. Report Washington, DC: USAID MOMENTUM.

MOMENTUM Country and Global Leadership, Kavle Consulting, LLC. 2024. Introduction of Balanced Energy Protein Supplementation through Antenatal Care: Findings and program considerations. Brief Washington, DC: USAID MOMENTUM.

Opportunities to Strengthen Women’s Nutrition Within Maternal Health Service Delivery: Reflections from Global Health Implementation American Journal of Public Health Oct 2022, Issue 112, S760-S762, Nutrition in 1st 1000 Days supplement.

Kavle JA Strengthening maternal nutrition counseling during routine health services: A gap analysis to guide country programs. Public Health Nutrition  Sept 2022 1- 52.

Kavle JA, Picolo M, Dillaway C.  Maternal Nutrition Operational Guidance: Program Considerations for Low- and Middle-Income Countries Washington, DC: USAID’s Maternal and Child Survival Program (MCSP); September 2019. PDF

Brief: Key Country Experiences in Addressing Maternal Nutrition through Nutrition-Health Integrated Programming Washington, DC: USAID’s MCSP January  2019. PDF

Brief: Maternal Nutrition Programming in the context of the 2016 WHO Antenatal Care Guidelines, Washington, DC: USAID’s MCSP  April 2018 PDF

Kavle JA, Landry M. Addressing barriers to maternal nutrition in low- and middle-income countries:A review of the evidence and programme implications.  Matern Child Nutr. 2018 Jan;14(1).

Jaacks LM, Kavle JA, Perry A, Nyaku A.   Programming maternal and child overweight and obesity in the context of undernutrition: current evidence and key considerations for low- and middle-income countries. Public Health Nutr. 2017 May;20(7):1286-1296.

Brief: Addressing Barriers to Maternal Nutrition: Evidence and Program Considerations Washington, DC:  USAID’s MCSP, April 2017 PDF

Kavle JA, Stoltzfus RJ, Witter F, et al. Association between Anaemia during Pregnancy and Blood Loss at and after Delivery among Women with Vaginal Births in Pemba Island, Zanzibar, Tanzania. Journal of Health, Population, and Nutrition. 26: 232-240; 2008

Kavle JA, Khalfan SS, Stoltzfus RJ, et al. Measurement of blood loss at childbirth and postpartum. International Journal of Gynecology & Obstetrics. 95(1), 24-28; 20 

Breastfeeding practices & barriers to lactation counseling and support

Kavle JA, Picolo M, Buccini G, Barros I, Dillaway CH, Pérez-Escamilla R. Strengthening counseling on barriers to exclusive breastfeeding through use of job aids in Nampula, Mozambique. PLoS One. 2019 Dec 2;14(12):e0224939.

Kavle JA, Welch PR, Bwanali F, et al. The revitalization and scale‐up of the Baby‐Friendly Hospital Initiative in Malawi. Matern Child Nutr. 2019 Jan;15 Suppl 1:e12724.

Kavle JA, Ahoya B, Kiige L, et al. Baby‐Friendly Community Initiative—From national guidelines to implementation: A multisectoral platform for improving infant and young child feeding practices and integrated health services. Matern Child Nutr.  2019 Jan;15 Suppl 1:e12747

Kavle JA, Mehanna S, Khan G, Hassan M, Saleh G, Engmann C.  Program considerations for integration of nutrition and family planning: Beliefs around maternal diet and breastfeeding within the context of the nutrition transition in Egypt. Matern Child Nutr. 2018 Jan;14(1). Epub 2017 Jun 8.

Kavle JA, LaCroix E, Dau H, Engmann C. Addressing barriers to exclusive breastfeeding in low- and middle-income countries: a systematic review and programmatic implications. Public Health Nutr. 2017 Dec;20(17):3120-3134. Epub 2017 Oct 2.

Brief: Addressing Barriers to Exclusive Breastfeeding: Evidence and Program Considerations for Low- and Middle-Income Countries, Washington, DC:  USAID’s MCSP, April 2017  PDF

Complementary feeding & ultra-processed food consumption among infants and young children

Matiri E,  Ramirez L,  Elmi A, Gaithuma J, Kavithe R,  Waweru M, Kahiga M, JA Kavle Tailoring Trials of Improved Practices (TIPs) to Improve Child Feeding and Use of Indigenous Preserved Foods in Drought-Affected Kenya: Considerations for Climate Shocks.   Maternal and Child Nutrition, March 2025

Kavle JA (lead author) Overview of the Complementary Feeding and Diets of Young Children in Europe and Central Asia Region: Recommendations for accelerating progress in six core countries. UNICEF Eastern Europe and Central Asia (ECARO) Regional Office, Geneva, October 2020 PDF

Ahoya B, Kavle JA, Straubinger S, Gathi C. Accelerating progress for complementary feeding in Kenya: Key government actions and the way forward. Matern Child Nutr. 2019 Jan;15 Suppl 1:e12723

Kavle JA, Pacqué M, Dalglish S, Mbombeshayi E, Anzolo J, Mirindi J, Tosha M, Safari O,  Gibson L, Straubinger S, Bachunguye R. Strengthening nutrition services within integrated community case management (iCCM) of childhood illnesses in the Democratic Republic of Congo: Evidence to guide implementation. Matern Child Nutr. 2019 Jan;15 Suppl 1:e12725.

Brief: Key country experiences in addressing junk food consumption in maternal, infant, and young child nutrition programming  Washington D.C. USAID’s MCSP 2018 PDF

Brief:  Junk Food Consumption is a Nutrition Problem among Infants and Young Children: Evidence and Program Considerations for Low- and Middle-Income Countries Washington D.C. USAID’s MCSP, 2016 PDF

Kavle JA, Sohair Mehanna, Gulsen Saleh, Mervat A. Fouad, Magda Ramzy, Doaa Hamed, Mohamed Hassan, Ghada Khan, Rae Galloway Exploring why snacks and beverages are ‘essential’ foods for young children in Egypt, Maternal and Child Nutrition 2014 Dec 23.

Program considerations for multiple forms of malnutrition –  maternal and child overweight, obesity and stunting

Jaacks LM, Kavle JA, Perry A, Nyaku A.   Programming maternal and child overweight and obesity in the context of undernutrition: current evidence and key considerations for low- and middle-income countries. Public Health Nutr. 2017 May;20(7):1286-1296.

Brief: Key Country Experiences in Addressing Junk Food Consumption in Maternal, Infant, and Young Child Nutrition Programming, Washington D.C. USAID’s MCSP  2018 PDF

Kavle JA, F El-Zanaty, M Landry, R. Galloway  The rise in stunting in relation to avian influenza: a comparison of the 2005 and 2008 Egypt Demographic and Health Surveys, BMC Public Health 2015

Kavle JA, Flax VL, Abdelmegeid A, et al. Factors associated with early growth in Egyptian children: implications for addressing the dual burden of malnutrition. Maternal and Child Nutrition. 12, 139-151; 2015

Kavle JA, F El-Zanaty, M Landry, R. Galloway The rise in stunting in relation to avian influenza: a comparison of the 2005 and 2008 Egypt Demographic and Health Surveys, BMC Public Health 2015

Kavle JA, Sohair Mehanna, Gulsen Saleh, Mervat A. Fouad, Magda Ramzy, Doaa Hamed, Mohamed Hassan, Ghada Khan, Rae Galloway Exploring why snacks and beverages are ‘essential’ foods for young children in Egypt, Maternal & Child Nutr.Dec 2014

Anemia

Kavle JA, Landry M.  Community-based distribution of iron-folic acid supplementation in low- and middle-income countries: a review of evidence and programme implications. Public Health Nutr. 2018 Feb;21(2):346-354. 2017 

Young S, Khalfan S, Farag T, Kavle JA et al. Pica is associated with anemia and gastrointestinal distress among pregnant Zanzibari women. American Journal of Tropical Medicine & Hygiene 83(1), 144-151; 2010

Mullany LC, Faillace S, Tielsch JM, Stoltzfus RJ, Nygaard KE, Kavle JA et al. Incidence and risk factors for newborn umbilical cord infections on Pemba Island, Zanzibar, Tanzania. Pediatric Infectious Disease Journal. 28(6), 5039; 2009

Kavle JA, Stoltzfus RJ, Witter F, et al. Association between Anaemia during Pregnancy and Blood Loss at and after Delivery among Women with Vaginal Births in Pemba Island, Zanzibar, Tanzania. Journal of Health, Population, and Nutrition. 26: 232-240; 2008

Kavle JA, Khalfan SS, Stoltzfus RJ, et al. Measurement of blood loss at childbirth and postpartum. International Journal of Gynecology & Obstetrics. 95(1), 24-28;