Maternal Anemia within Child Survival Grants: Lessons Learned at Helen Keller International

Lessons Learned at Helen Keller International Core Group Spring Meeting Pre-Session Monday April 26, 2010

Core Group Questions
What is the largest barrier that prevents better integration of maternal anemia control interventions within your programs?
What change do you feel will make the largest difference in improving the integration of anemia control interventions?

Essential Nutrition Actions (ENA): The Framework for HKI’s Nutrition Programs

The ENA approach
Focuses on women and under-twos
Integrated package of proven preventative actions
In 7 areas covering IYCF and micronutrients and women’s nutrition
Behavior change communications techniques
Objective to “go to scale” to reach over 80% coverage to achieve public health impact

1. Health facility level: integrate ENA actions into existing health contacts at all health services; 2. Community-level: work with community-based organizations & networks from all sectors; and 3. Behavior change: reinforce ENA actions through behavior change communication at all levels, including inter-personal communication, mass media and community mobilization . Three cornerstones of ENA programs

7 Proven Nutrition Actions Integrated control of anemia Complementary Feeding Feeding of sick children Breastfeeding Control of iodine deficiency disorders Control of vitamin A deficiency Women’s nutrition

6. Integrated Control of Anemia
D e-worming for pregnant women and children
Malaria prevention and control
IFA supplementation
Promotion of iron-rich foods
VAS
Fortification of staples

DELIVERY/EARLY NEO-NATAL: safe delivery, early BF & EBF, pp vitamin A, iron/folic acid, diet, FP, STI prevention PREGNANCY: TT, antenatal visits, iron/folic acid, de-worming, anti-malarial, diet, EBF, risk signs, FP, STI prevention, safe delivery, iodized salt POSTNATAL AND FAMILY PLANNING : EBF , diet, iron/folic acid, diet, FP, STI prevention, child’s vaccination WELL CHILD AND GM/P: monitor growth, assess and counsel on BF and CF, iodized salt, check and complete vaccination Vitamin A, De-worming SICK CHILD: monitor growth, assess and treat per IMCI, counsel on BF & CF, assess and treat for anemia, check and complete vitamin A Immunization/ de-worming IMMUNIZATION: vaccinations, vitamin A, de-worming, BF, CF, assess and treat infant’s anemia, FP, and STI referral Six critical life cycle contact points

Outcomes HKI Mali CSP- Koulikoro Region

Mali - Achievements & Challenges
Comprehensive training of CSCom staff to improve nutrition services
Widespread knowledge of key messages, especially IYCN
SIAN reach >80% coverage (deworming PPW)
Flour fortification multi-partner consortium (80% production)
Supply of free IFA and SP sporadic
Sub-optimal attendance at ANC
Turnover of trained staff
Community BCC needs reinforcement
Maternal nutrition received less emphasis

Outcomes HKI Niger CSP-Diffa Region Indicators Baseline value Endline value Target Indicator 3 % of pregnant women who took iron/folic acid tablets acid during the last 24 hours 60% 87% 80% Indicator 16 % pregnant women attending IHCs and health posts receiving SP as a component of malaria control package N/A 82 % 100% Indicator 20 % women in the 2nd and 3rd trimester attending IHC and health posts will receive all components of the anemia control package 0 68% 50% Indicator 21 Anemia prevalence among pregnant women in the project area reduced 62% 7% 30%

Niger - Achievements & Challenges
Comprehensive ENA training at health facilities and communities
Saturated communities with key messages
CMAM services increased health seeking
Women reported high compliance with IFA and knowledge
PPVAS
IFA supplies inadequate until year 5
«Gratuité de soins» (April 2006) undermining stocks of essential medicines

Most significant needs
Supplies of key inputs (IFA, SP, ITNs)
Food security
Effective BCC (interpersonal negotiations)
Improved family planning (including adolescents)

Maternal Anemia within Child Survival Grants: Lessons Learned at Helen Keller International

by jehill3 on Apr 28, 2010

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Maternal Anemia within Child Survival Grants: Lessons Learned at Helen Keller International — Presentation Transcript