Child health programs focus almost exclusively on prenatal care, breastfeeding and nutritional support to children through their families and communities. They do not reach the tens of millions of children1 living in orphanages and foster homes, nor children with disabilities who are so often kept isolated. SPOON exists to fill this gap.SPOON has worked in 12 countries since 2007, using tools specifically designed to accommodate the unique nutrition and feeding needs of children impacted by disability and/or institutional care. Our tools have been field-tested with clear and compelling results, drastically reducing malnutrition and life-threatening feeding practices in orphanages, foster care and community settings. Having expanded on early successes in Kazakhstan, which resulted in national changes in nutrition standards and diet, SPOON’s impact spans Asia, Eastern Europe, and the United States.SPOON spreads our expertise and tools through international and local partners who are already established on the ground, leveraging their regional knowledge, relationships and staff presence to expand more quickly and effectively than we could alone. This strategy, rooted heavily in partnership, allows SPOON to deliver solutions that are locally contextualized, locally owned, and sustained over the long term. SPOON complements traditional nutrition programs through our package of assessment and intervention tools that address what and how children are fed. Our experts have designed solutions to accommodate the crucial and unique nutrition and feeding needs of children impacted by disability and/or institutional care.

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