In the Mali pilot's first 18 months, Singh's team tracked 600 children aged 6-59 months. Two-thirds entered the programme with moderate to severe acute malnutrition. After 6 months of daily spirulina supplementation, 78% had moved out of the SAM/MAM categories — and weight-for-height z-scores improved across the entire cohort. The change was visible in non-clinical ways too: school attendance in the four villages with active tanks rose 22% over the same period. In Bangladesh's char (river-island) communities — areas often cut off from formal supply chains for weeks at a time — local women now run the tanks as small cooperatives, earning ₹3,500-5,000 a month each from selling surplus spirulina to nearby markets. The dignity dimension matters: families are no longer recipients of imported food aid but operators of their own food source. Singh's team works with primary health centres to make sure tank operators are trained in basic clinical screening, which has improved early detection of other childhood illnesses. Testimony from Khadijatou Diallo, a tank operator in Kayes, Mali: her village lost three children to malnutrition in 2020; in 2022 and 2023, none died. In India, Singh has piloted the model in Jharkhand's Palamau district — one of the country's most persistently malnourished areas — with 40 tanks covering 2,000 children, now adopted as a state nutrition pilot by the Jharkhand government.