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Tim Quick 2


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Tim Quick 2

  1. 1. Liebig’s Law of the Minimum Yield is proportional to theamount of the most limitingnutrient, whichever nutrient it may be.
  2. 2. Nutrition Assessment, Counseling & Support S C A N N N A NACS A C C S S S C A N Establishing a Nutrition Standard of Care
  3. 3. GOAL: Improved health and quality of life OBJECTIVES: • Improve nutritional status • Improve infant survival • Reduce food insecurity • Strengthen health systems Economic Nutrition care HIV-Free Survival strengthening, Health system & support livelihoods & food strengthening securityNACS: A platform for integrating nutrition into the continuum of care
  4. 4. NACS: A Life Cycle Approach NACS
  5. 5. Linearizing the Life Cycle as a Continuum of CarePregnancy Birth Infancy Childhood Adolescence Adulthood
  6. 6. C&TART & ARVProphylaxis Tx ofMalnutrition MaternalNutrition & IYCFCounseling Photos: Wendy Hammond Photo: Wendy HammondPregnancy Birth Infancy Childhood Adolescence Adulthood
  7. 7. ART & ARV Prophylaxis Peri-/Postnatal Care Maternal Nutrition & IYCF Counseling Photo: Wendy HammondPregnancy Birth Infancy Childhood Adolescence Adulthood
  8. 8. Postnatal Care Deworming Micronutrients IYCF/GMP CMAM Tracking/Follow-Up of Mother-Infant Pairs Photos: Save the Children FederationPregnancy Birth Infancy Childhood Adolescence Adulthood
  9. 9. Pediatric Care Nutrition Surveillance/GMP & Referral Micronutrients CMAM Photo of Plumpy’nut® from Valid International; all others: Save the Children FederationPregnancy Birth Infancy Childhood Adolescence Adulthood
  10. 10. Nutrition Nutrition Surveillance, Surveillance, Referral, Assessment Referral, Assessment & Counseling & Counseling Deworming Micronutrients Micronutrients Tx of malnutrition CMAM Photo: LINKAGES ProjectPregnancy Birth Infancy Childhood Adolescence Adulthood
  11. 11. Why NACS??• Links vulnerable to clinical services -- reciprocal impact between health & nutrition -- most powerful nutrition intervention for AIDS patients is ART• Corrective  chronic nutrition mgmt -- continuum of care• Link patients to support groups & community services• Referrals for economic strengthening, livelihood & food security (ES/L/FS) support• Health system strengthening -- NACS for general population, not just HIV-patients & families
  12. 12. NACS Hinges on Nutrition Assessment1. Routine Comprehensive Assessment • Anthropometry • Biochemical • Clinical • Dietary • Household Food security2. Analyze/interpret data using evidence-based standards3. Identify nutrition problems4. Determine causes/contributing risk factors5. Cluster signs/symptoms and defining characteristics6. Determine an appropriate Nutrition Care Plan
  13. 13. Nutrition Counseling1. Understanding of client preferences, constraints & options2. Nutrition Care Plans3. Optimal diet4. Dietary management of symptoms5. Dietary management of drug side-effects6. Adherence to medications & clinical visits7. Chronic disease management8. Exercise9. Water, sanitation, and hygiene (WASH)10. Referral to community services, including household ES/L/FS support
  14. 14. Nutrition SupportTreatment of Prevention of Economic Water, Sanitation, &Malnutrition Malnutrition Strengthening, Hygiene (WASH) Livelihood & Food Security Support• Corrective • Routine Medical • Savings • Distribution of Medical Care & Care & Tx • Microcredit POU water Tx • Provision of MN • Income- treatment• Food by Supplements generating products or Prescription • Provision of activities vouchers• Provision of MN Complementary • Household food • Latrine Supplements Foods/Dietary production construction Supplements • Food assistance
  15. 15. Enabling Environment Policies, Strategies & Supply Chain ManagementSUN/ Guidelines Training1000 Funding/Financing PEPFARDays Research/M&E Community Feed Mapping/Stre Demand Title II the ngtheningFuture Referral Links & Services Tracking Global NACS HealthInitiative Human Resources Quality Improvement
  16. 16. NUTRITION SUPPORT NUTRITION COUNSELING Exercise IYCF/GMP Maternal Nutrition Nutrition NUTRITION Household Care Plan ASSESSMENT food Support rationsClinic Food by Prompt Anthropometry Groups Community Prescription: treatment of Clinical Therapeutic, Dietary Community Health Workers infections Supplementary & Biochemical Food Complementary Adherence to security Economic Foods medications Strengthening, Livelihoods & Dietary management Food Security of symptoms, drug side-effects and drug- food interactions WASH Point-of-use water treatment Micronutrient supplements 17