This report presents the findings from the Nutrition Audit undertaken by Maximising the Quality of Scaling Up Nutrition (MQSUN) from June to July 2012 for the United Kingdom’s Department for International Development (DFID) in Zambia. The objectives for the audit were to:

• Assess and identify the extent to which DFID Zambia’s current activities and programmes already make a contribution to reduce undernutrition in Zambia (policy and operations), i.e. to have a specific nutrition objective or indicator, which may be nutrition-specific or nutrition-sensitive.
• Assess the potential for scaling up DFID Zambia’s existing programmes to make a contribution to reduce undernutrition in Zambia through revisions to design and to make practical and costed recommendations of how to incorporate potential scale up opportunities.
• Assess the geographical spread of DFID Zambia’s programmes which have existing or future potential to reduce undernutrition and to determine the extent to which synergistic effects of programmes can be achieved.
• Assess the feasibility (and estimate the cost/benefit in nutritional terms) of integrating nutrition outcomes into the design of new DFID Zambia programmes.
• Identify appropriate nutrition indicators (and the source of baseline/monitoring data) that can usefully be integrated into existing programmes.
• Build the capacity of different teams in the office on nutrition by raising awareness about the need for a multisectoral approach, short- and long-term, to tackle undernutrition.

The report makes recommendations for the inclusion of nutrition-sensitive activities in all of DFID Zambia’s programmes including governance, human development and cross-cutting programmes. It provides details on the opportunities, feasibility and “how to” for inclusion for each of these programmes. For each recommendation, a timeline and cost estimate is provided. In addition, indicators are proposed to measure nutrition outcomes achieved through the integration of these recommendations.