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CORE Group Fall Meeting 2010. The Essential Nutrition Actions Framework: More than Just Seven Actions. (Part 1 of 3) - Agnes Guyon, JSI Research and Training & Victoria Quinn, Helen Keller International
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Quinn ena 1
- 1. Agnes Guyon, MD, MPH JSI Research and Training Victoria Quinn, PhD Helen Keller International CORE Group Fall Meeting Washington DC 14 September 2010 The Essential Nutrition Actions Framework: More than Just Seven Actions
- 2. Countries with ENA* … First generation (1997-2004) Second generation (2005-2006) Third generation (2007-2010) Indonesia India Cambodia Bangladesh Nepal * Various levels of engagement from ENA at community level only to ENA at national level.
- 5. The Piglet Issue… I am only a small NGO with a little voice and no money to do a national program…
- 7. Control of Anemia Optimal Breastfeeding Control of Vitamin A deficiency Control of Iodine Deficiency Disorders Women’s Nutrition Complementary Feeding with BF Nutritional Care of the sick & Malnourished child The Seven Essential Nutrition Actions
- 9. History of ENA since its birth in 1997 Nutrition Minimum Package (MINPAK) 1997
- 10. Nutrition Essentials 1999 History of ENA since its birth in 1997 Essential Nutrition Actions coined in the USAID supported program in Madagascar
- 11. Today… consensus now exists on ‘what’ nutrition actions make a difference… The Lancet Series on Maternal and Child Undernutrition 2008
- 12. http://www.reach-partnership.org Lancet UN supported ’REACH Approach’
- 13. Lancet ‘Scaling Up Nutrition Framework for Action’
- 14. Great similarity… Essential Nutrition Actions, The Lancet REACH and The SUN Framework for Action
- 16. , Many groups committed to move forwards take nutrition support to scale All these groups are aware, committed and mobilized, but where do we start? Also how do we address the huge problem of missed opportunities in each country?
- 17. HKI research study of ‘missed opportunities’ to provide nutrition support in existing health systems in three African countries
- 20. Research study of using ‘multiple opportunities’ to provide nutrition support (IYCF) in child health programs in India
- 21. Research study of using ‘multiple opportunities’ to provide nutrition support (IYCF) in child health programs in India Findings: Using multiple available opportunities and workers for counselling mothers and caregivers was feasible, resulted in high coverage and impact, and instead of disrupting ongoing services, resulted in their improvement.
- 22. These studies focused on existing services inside the health sector…. Imagine the huge number of missed opportunities in sectors outside of health: Agriculture Education Women in Development Emergency Water and Sanitation…
- 24. The Eeyore mantra… Limited vision Too many missed opportunities
- 25. Small Group Work #1 - From your experience, list the three most common ‘missed opportunities ’ to support nutrition (10 minutes) - Report back to plenary (2 minutes)
- 26. The preceding slides were presented at the CORE Group 2010 Fall Meeting Washington, DC To see similar presentations, please visit: www.coregroup.org/resources/meetingreports
Editor's Notes
- We focused our efforts in these countries with the objective of showing behavior change impact at scale. In each country there was a sizeable catchment area population ranging in size from a million to over 6 million people across multiple districts and regions.
- We focused our efforts in these countries with the objective of showing behavior change impact at scale. In each country there was a sizeable catchment area population ranging in size from a million to over 6 million people across multiple districts and regions.
- We focused our efforts in these countries with the objective of showing behavior change impact at scale. In each country there was a sizeable catchment area population ranging in size from a million to over 6 million people across multiple districts and regions.
- We focused our efforts in these countries with the objective of showing behavior change impact at scale. In each country there was a sizeable catchment area population ranging in size from a million to over 6 million people across multiple districts and regions.
- The Framework is endorsed by nearly a hundred partners – from civil society, governments, academia, UN agencies, World Bank, Foundations & private sector grps