Quinn ena 2


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CORE Group Fall Meeting 2010. The Essential Nutrition Actions Framework: More than Just Seven Actions. (Part 2 of 3) - Agnes Guyon, JSI Research and Training & Victoria Quinn, Helen Keller International

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  • - The critical contact to start with are the ones related to the life cycle Starting with the pregnancy, and trying to maximize nutrition in each of the contact… for example, what to do, at health facility or at community Level when a woman is pregnant, at deliveryearly initaition of BF, vit A for the mother In post natal, link with family planning During immunization, GM/P of course, and IMCI, as in developing countries, children are sick often and lose weight each time eg 40% in Liberia sick 2 weeks before the survey #
  • Quinn ena 2

    1. 1. Implementing the Essential Nutrition Actions framework
    2. 2. <ul><li>pulls together existing vertical programs in a sensible 'action-oriented ' way... </li></ul><ul><li>greatly expands coverage to multi level, multi contacts, multi channels… </li></ul><ul><li>no new interventions, but allows the integrated management of nutrition programs and helps to operationalize the promotion of adequate nutrition & feeding practices... </li></ul><ul><li>provides an excellent training framework on which to train service providers </li></ul>What is the ENA framework?
    3. 3. Essential Nutrition Actions extends nutrition coverage within the health sector… Child Health Nutrition programs Newborn health EPI Community IMNCI/CCM Health facilities IMNCI CMAM Reproductive Health Lactation Amenorrhea Method with Family Planning Maternal Health Infectious Diseases Control of Malaria (Insecticide Treated Nets & Treatment) Tuberculosis HIV/AIDS (PMTCT)
    4. 4. DELIVERY: safe delivery, FP, STI prevention, Optimal delivery, VCT, ARVs , Infant Feeding Options, vitamin A, iron/folic acid, diet PREGNANCY : TT, antenatal visits, FP, STI prevention, safe delivery, VCT, Infant Feeding Options, Safe Sex, danger signs, iodized salt, iron/folic acid, de-worming, anti-malarial, diet POSTNATAL AND FAMILY PLANNING: FP, STI prevention, child’s vaccination, VCT, Safe sex, Support IF options, diet, iron/folic acid WELL CHILD AND GMP: check and complete vaccination, VCT, Safe Sex, monitor growth, assess and counsel on infant feeding, iodized salt SICK CHILD: assess and treat per IMCI /immunization/ VCT, Support IF options, counsel on infant feeding, assess and treat for anemia, check and complete vitamin A, de-worming,SAM IMMUNIZATION: vaccinations, FP, and STI referral, VCT, Safe Sex, Support IF options, vitamin A, de-worming, assess and treat infant’s anemia Critical health contacts for infant feeding, micronutrients & women’s nutrition
    5. 5. Essential Nutrition Actions extends nutrition coverage at community level … Community Nutrition - Community based nutrition - Community volunteers - Support groups - Positive deviance Micro-credit - Women’s farmers clubs - Credit for Education Existing Community Groups - Mayors & Chiefs - Community Development - Women’s associations - Youth Life Cycle & Continuum of Care Families - Mother - Father - Grand mother - Siblings DELIVERY PREGNANCY IMMUNIZATION POSTNATAL & FP GMP SICK CHILD
    6. 6. Extend the coverage of nutrition support Community Management of Acute Malnutrition <ul><li>ENA during MAM </li></ul><ul><li>Avert SAM </li></ul><ul><li>and promote preventative actions such as: </li></ul><ul><li>- optimal breastfeeding and feeding practices </li></ul><ul><li>micronutrient supplementation </li></ul><ul><li>-optimal women’s nutrition </li></ul><ul><li>- follow-up after discharge </li></ul>SC: Stabilization center RUTF: Ready to use therapeutic Food OTP: Outpatient Therapeutic program SFP: Supplementary feeding program
    7. 7. Food Production Homestead food production Women’s Marketing Groups Agricultural Extension Food Security Income Generation Conditional Cash Transfer Social Safety Net programs Water and Sanitation Hygiene activities Essential Nutrition Actions extends nutrition coverage outside the health sector… Women in Development
    8. 8. Essential Nutrition Actions extends nutrition coverage outside the health sector… Schools Children & Adolescent (girls) diet De-worming Iron supplementation Mass media TV Radio Local broadcasting New Technology Pre-service Education Doctors, Nurses, Midwives, Agriculture school Teacher training colleges
    9. 9. Tigger and the Art of Chaos Many different potential partners doing many different things in their own corners of the country Lack of synergy, cohesion and harmonization No unified vision of nutrition
    10. 10. Small Group Work #2 - Discuss question below (10 minutes) - Report back (2 minutes) Question: As a NGO Country Director, what are three key steps you would take to implement the ENA framework at large scale?
    11. 11. 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