OUR IMPACT
OUR IMPACT
OUR IMPACT
We deliver one of the most cost-effective health interventions in the world
We deliver one of the most cost-effective health interventions in the world
We deliver one of the most cost-effective health interventions in the world
Every month, 20 million+ people in India avoid malnutrition and anaemia because of our wheat flour fortification programmes.
Every month, 20 million+ people in India avoid malnutrition and anaemia because of our wheat flour fortification programmes.
Every month, 20 million+ people in India avoid malnutrition and anaemia because of our wheat flour fortification programmes.
WHAT’S THE COST?
WHAT’S THE COST?
Anaemia costs India
$25 billion per year.
Anaemia costs India
$25 billion per year.
Anaemia costs India
$25 billion per year.
We’re solving it for $0.22 per person.
We’re solving it for $0.22 per person.
We’re solving it for $0.22 per person.
Fortification is an inherently low-cost solution, which means we can deliver meaningful health improvements at scale. And as our programmes expand, our cost-effectiveness improves.
Fortification is an inherently low-cost solution, which means we can deliver meaningful health improvements at scale. And as our programmes expand, our cost-effectiveness improves.
We dropped our total programme cost per beneficiary three-fold in three years,
from $0.63 in 2022 to $0.22 in 2025.
We dropped our total programme cost per beneficiary three-fold in three years,
from $0.63 in 2022 to $0.22 in 2025.
2025 IMPACT REPORT
2025 IMPACT REPORT
$0.16
per person per year
$0.16
per person per year
The cost to provide one
person with fortified flour for an entire year.
$76.59
per person per year
$76.59
per person per year
The cost to avert one year lived with anaemia.
The cost to avert one year lived with anaemia.
$28.44
per person per year
$28.44
per person per year
The additional income
generated for every $1 of programme spending.
16.5x
more cost-effective
16.5x
more cost-effective
Compared to direct
cash transfers, verified
by GiveWell.
Compared to direct
cash transfers, verified by GiveWell.
See the impact of fortification in real time
See the impact of fortification in real time
See the impact of fortification in real time
Explore our interactive tools to see how fortification can change lives across India.
Explore our interactive tools to see how fortification can change lives across India.
Explore our interactive tools to see how fortification can change lives across India.
HOW FORTIFICATION WORKS
HOW FORTIFICATION WORKS
Impact at every level
Impact at every level
Reducing anaemia through fortification has an outsized impact, from individual livelihoods to the future of the nation.
Reducing anaemia through fortification has an outsized impact, from individual livelihoods to the future of the nation.
Reducing anaemia through fortification has an outsized impact, from individual livelihoods to the future of the nation.
For Families
For Families
For Families
Regularly consuming fortified flour averts the risk of anaemia and means children can develop fully, mothers have safer pregnancies, and adults have the energy to work, learn and raise healthy families.
Regularly consuming fortified flour averts the risk of anaemia and means children can develop fully, mothers have safer pregnancies, and adults have the energy to work, learn and raise healthy families.
Regularly consuming fortified flour averts the risk of anaemia and means children can develop fully, mothers have safer pregnancies, and adults have the energy to work, learn and raise healthy families.
• 30% drop in anaemia risk with regular consumption of fortified flour
• 30% drop in anaemia risk with regular consumption of fortified flour
• 3.2 neonatal deaths averted per 100,000 beneficiaries
• 3.2 neonatal deaths averted per 100,000 beneficiaries
• 400 million+ beneficiaries reached
• 400 million+ beneficiaries reached
• Increased workforce productivity
• Increased workforce productivity
• Increased workforce productivity
• Improved childhood development
• Improved childhood development
• Improved childhood development
For Millers
For Millers
For Millers
Our hassle-free model means mills can fortify their flour accurately and efficiently at no extra cost to their business or their customers.
Our hassle-free model means mills can fortify their flour accurately and efficiently at no extra cost to their business or their customers.
Our hassle-free model means mills can fortify their flour accurately and efficiently at no extra cost to their business or their customers.
• 300+ mill partnerships across 16 states
• 300+ mill partnerships across 16 states
• Mills are onboarded in just 90 days
• Mills are onboarded in just 90 days
• Fortification quality has improved from 72% compliance in 2023 to 92% in 2025
• Fortification quality has improved from 72% compliance in 2023 to 92% in 2025
For Partners
For Partners
For Partners
Our open market success has created a proven, replicable system — one that governments and public health programmes can adopt and scale to reach hundreds of millions more.
Our open market success has created a proven, replicable system — one that governments and public health programmes can adopt and scale to reach hundreds of millions more.
Our open market success has created a proven, replicable system — one that governments and public health programmes can adopt and scale to reach hundreds of millions more.
• 15% of India’s total packaged flour market now fortified
• 15% of India’s total packaged flour market now fortified
• 568,000+ schoolchildren and 3,500+ industrial workers reached through partnership programmes
• 568,000+ schoolchildren and 3,500+ industrial workers reached through partnership programmes
• Opportunity to reach 400 million people through new government meal programmes
• Opportunity to reach 400 million people through new government meal programmes
For India
For India
For India
Widespread flour fortification could eliminate one of India’s most persistent public health challenges — and reduce healthcare costs, improve productivity, and build a healthier population for generations to come.
Widespread flour fortification could eliminate one of India’s most persistent public health challenges — and reduce healthcare costs, improve productivity, and build a healthier population for generations to come.
Widespread flour fortification could eliminate one of India’s most persistent public health challenges — and reduce healthcare costs, improve productivity, and build a healthier population for generations to come.
• Anaemia drains $25B+ of India’s GDP annually
• Anaemia drains $25B+ of India’s GDP annually
• $1 of programme spending generates $32.50 of additional income
• $1 of programme spending generates $32.50 of additional income
• Our programmes are expected to avert 125,000+ years lived with anaemia by 2030
• Our programmes are expected to avert 125,000+ years lived with anaemia by 2030
TODAY’S IMPACT
TODAY’S IMPACT
Consistent growth with room to scale
Consistent growth with room to scale
EXPLORE LIVE IMPACT DASHBOARD
EXPLORE LIVE IMPACT DASHBOARD
Through strategic expansion and streamlined onboarding for mills, we’re reaching more people for less. These improvements allowed us to reach 56x more beneficiaries in just three years.
Through strategic expansion and streamlined onboarding for mills, we’re reaching more people for less. These improvements allowed us to reach 56x more beneficiaries in just three years.
Through strategic expansion and streamlined onboarding for mills, we’re reaching more people for less. These improvements allowed us to reach 56x more beneficiaries in just three years.
Where we are as of 2026:
Where we are as of 2026:
Where we are as of 2026:
WE SUPPORT
WE SUPPORT
WE SUPPORT
300+ mills in 16 states
300+ mills in 16 states
300+ mills in 16 states
We work in states with the highest anaemia rates and the strongest wheat flour consumption. This focus means more impact per mill, lower costs per beneficiary, and faster growth over time.
We work in states with the highest anaemia rates and the strongest wheat flour consumption. This focus means more impact per mill, lower costs per beneficiary, and faster growth over time.
WE FORTIFY
WE FORTIFY
WE FORTIFY
15%+ of India’s packaged flour market
15%+ of India’s packaged flour market
15%+ of India’s packaged flour market
In 2022, fortified wheat flour was almost nowhere to be found in India’s open market. Today, more than 15% of all packaged wheat flour produced in India carries the nutrients that prevent anaemia.
In 2022, fortified wheat flour was almost nowhere to be found in India’s open market. Today, more than 15% of all packaged wheat flour produced in India carries the nutrients that prevent anaemia.
WE REACH
WE REACH
WE REACH
20 million people every month
20 million people every month
20 million people every month
We’ve increased our reach 56-fold in three years, from an average of 355,740 people per month to over 20 million through the open market and our partnership programmes.
We’ve increased our reach 56-fold in three years, from an average of 355,740 people per month to over 20 million through the open market and our partnership programmes.
TOMORROW’S OPPORTUNITY
TOMORROW’S OPPORTUNITY
What’s possible by 2030?
What’s possible by 2030?
100 million people reached
100 million people reached
60% of India’s packaged wheat flour fortified
60% of India’s packaged wheat flour fortified
1000 mills equipped with our fortification model
1000 mills equipped with our fortification model
250,000 years lived with anaemia averted
250,000 years lived with anaemia averted
Where we’re headed
Where we’re headed
Where we’re headed
Over 600 million people consume flour daily in India, and India’s government welfare programmes like Public Distribution System and PM POSHAN mid-day meal scheme already reach over 400 million people daily.
Our next chapter is to engage India’s government to ensure the flour they distribute in welfare programmes is fortified — making our success on the open market the proof of concept, not the ceiling.
Over 600 million people consume flour daily in India, and India’s government welfare programmes like Public Distribution System and PM POSHAN mid-day meal scheme already reach over 400 million people daily.
Our next chapter is to engage India’s government to ensure the flour they distribute in welfare programmes is fortified — making our success on the open market the proof of concept, not the ceiling.
Over 600 million people consume flour daily in India, and India’s government welfare programmes like Public Distribution System and PM POSHAN mid-day meal scheme already reach over 400 million people daily.
Our next chapter is to engage India’s government to ensure the flour they distribute in welfare programmes is fortified — making our success on the open market the proof of concept, not the ceiling.
Based on a detailed exercise projecting future mill onboarding, production volumes, and beneficiary reach. We used field data and operational insight, and applied conservative assumptions.
Based on a detailed exercise projecting future mill onboarding, production volumes, and beneficiary reach. We used field data and operational insight, and applied conservative assumptions.
Based on a detailed exercise projecting future mill onboarding, production volumes, and beneficiary reach. We used field data and operational insight, and applied conservative assumptions.
WHY SUPPORT FORTIFY HEALTH?
WHY SUPPORT FORTIFY HEALTH?
A small change to flour can solve one of India’s biggest health crises
A small change to flour can solve one of India’s biggest health crises
A small change to flour can solve one of India’s biggest health crises
For hundreds of millions of people in India affected by anaemia and malnutrition, fortified flour is a simple solution for better health, stronger development, and a chance to live life at full potential.
For hundreds of millions of people in India affected by anaemia and malnutrition, fortified flour is a simple solution for better health, stronger development, and a chance to live life at full potential.
For hundreds of millions of people in India affected by anaemia and malnutrition, fortified flour is a simple solution for better health, stronger development, and a chance to live life at full potential.
MAKE YOUR IMPACT
MAKE YOUR IMPACT
MAKE YOUR IMPACT
Help us reach the 400 million+ people who still need fortified flour to thrive
Help us reach the 400 million+ people who still need fortified flour to thrive
Help us reach the 400 million+ people who still need fortified flour to thrive
If you fund high-impact global health, work in nutrition policy, or are looking to join a rigorous, evidence-led team — we want to hear from you.
If you fund high-impact global health, work in nutrition policy, or are looking to join a rigorous, evidence-led team — we want to hear from you.
If you fund high-impact global health, work in nutrition policy, or are looking to join a rigorous, evidence-led team — we want to hear from you.