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The Case for Integrating Nutrition and Family Planning_Booher_5.3.12
The Case for Integrating Nutrition and Family Planning_Booher_5.3.12
The Case for Integrating Nutrition and Family Planning_Booher_5.3.12
The Case for Integrating Nutrition and Family Planning_Booher_5.3.12
The Case for Integrating Nutrition and Family Planning_Booher_5.3.12
The Case for Integrating Nutrition and Family Planning_Booher_5.3.12
The Case for Integrating Nutrition and Family Planning_Booher_5.3.12
The Case for Integrating Nutrition and Family Planning_Booher_5.3.12
The Case for Integrating Nutrition and Family Planning_Booher_5.3.12
The Case for Integrating Nutrition and Family Planning_Booher_5.3.12
The Case for Integrating Nutrition and Family Planning_Booher_5.3.12
The Case for Integrating Nutrition and Family Planning_Booher_5.3.12
The Case for Integrating Nutrition and Family Planning_Booher_5.3.12
The Case for Integrating Nutrition and Family Planning_Booher_5.3.12
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The Case for Integrating Nutrition and Family Planning_Booher_5.3.12

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  • 1. RWANDA- The Integration Story: Mulitple ‘Cs’ Champions, Coordination, Communication, Commitment, Competition, CompromiseMIYCN, FP, PMTCT & WASH - Training/Counselling Tools Peggy Koniz-Booher Senior Technical Advisor Nutrition/SBCC SPRING Project Nutrition-FP Integration CORE Group Meeting Thursday, May 3, 2012
  • 2. Rwandan Maternal, Infant & Young Child Nutrition Integrated Counselling Package – Counseling cards for both community and facility health workers (Kinyarwanda) – Take home brochures for mothers and caregivers – Posters on breastfeeding and ante-natal care – Corresponding package of training materials
  • 3. Overview of the Development Process - 2010 • Advocacy to MOH, using draft UNICEF generic package and mockups (Sept) • MOH buy-in and leadership • 4 day workshop (Nov) to review harmonize materials following global release of UNICEF package • Adaptations to package (Nov-Dec) development of new materials • Q&A drafted, created the brochure and poster on new PMTCT/IYCF guideline (Nov - Dec) • Review/approval by Nutrition and PMTCT TGWs (Dec)
  • 4. Overview of the Development Process - 2011 • Translation of MIYCN/PMTCT package into Kinyarwanda (Feb) • Field Testing with MOH and 18 partners (March) • Review of findings, consensus building and adjustment of materials (April/May) • Development of budget/scale up plan • Field testing of entire package/25 community health workers (June) • Adjustment of package and submission to MOH for final approval (July)
  • 5. The Counseling Cards & Key Messages • 2 integrated sets of counseling cards for both community health workers and facility-based health workers. • High quality & colorful graphics encourage specific behaviors- translated into Kinyarwanda. • Health worker training focuses on counseling skills & the effective use of the cards.
  • 6. Individual Cards Reflect Specific Key Messages
  • 7. One Specific Card on Family Planning/ Healthy Timing and Spacing of ChildrenBut LAM and other child spacing messages incorporated throughout.
  • 8. Examples of Other Family Planning Cards From thegeneric UNICEF IYCF Package From the Nigerian adaptation of the IYCF Package
  • 9. 5 Additional Cards on IYCF in the Context of HIV
  • 10. Three take-home brochures for mothers / caregivers
  • 11. Two complementary posters focus on exclusive breastfeeding & ANC
  • 12. Three unique materials to support the dissemination of the guidelines on PMTCT
  • 13. The Rwandan MIYCN Community Training Package • The training materials are based on the generic UNICEF Community IYCF Counseling Package with unique participatory approach: • Adult learning principles • Interactive • Building on personal experience • Participants and trainers sitting on mats at same level • National scale up plan : • 24 master trainers, are currently training • 1200 facility based trainer/supervisors in • 300 clinics in the 30 districts, • who will train 35,000 CHWs covering 1500 villages
  • 14. Thank you for listening!

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