Effectiveness and Acceptability of Weekly Iron Folic Acid Supplementation With Conditional Cash Transfer (WIFASCCT) Among Adolescent Girls in Four Districts of Pakistan in Low Income Setting

In Pakistan, adolescent girls aged 15-19 years are particularly vulnerable to anemia and malnutrition, with over half (54.7%) being anemic. Many of these girls, especially those out of school, are often excluded from health interventions. Approximately 2.1 million adolescent girls (9%) are out of school. To address malnutrition among this group, the Government of Pakistan has prioritized adolescent girls and women under the Benazir Income Support Programme (BISP) through the Nashonuma conditional cash transfer (CCT) intervention. A new pilot program linked to the CCT is being implemented in six flood-affected districts across Pakistan. The intervention focuses on delivering nutrition interventions to adolescent daughters of Kafalat beneficiaries. This effectiveness study using a mixed-methods evaluation approach will assess the program's impact on reducing anemia, improving nutrition, and enhancing equity in access to nutrition services