Successfully reported this slideshow.
We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. You can change your ad preferences anytime.

Tim Quick 2

629 views

Published on

Published in: Health & Medicine
  • Be the first to comment

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

×