Nutrition intervention is manegment of diseases associated with malnutrition and options of manegment

1. Nutrition intervention
programs

2. Nutrition interventions strategies
 Shorter routes:-
Providing health and nutrition education
Micronutrient fortification and
supplementation
 Can improve child nutrition fast - in
two to five years

3. Short routes to better nutrition
 Micronutrient supplements
 Micronutrient fortification

4. Nutrition interventions strategies
 Long term:-
 Higher incomes and better food
security

5. Long routes to better nutrition
 Primary health services such as
 Family planning and
 Infectious disease control
 Safe water and sanitation

6. Long routes to better nutrition
 Policies on marketing breast milk
substitutes
 Food and agricultural policies to increase
supply of safe and healthy food, or of
healthier foods

7. Long routes…
 Food industry development and market
incentives (disincentives) for developing
healthy (unhealthy) food.
 Fruit and vegetable production

8. Essential Nutrition Actions
 What?
 When?
 Where?

9. … when should we intervene?
 Majority of growth faltering occurs during
first year of life.
 Many babies are born malnourished due to
poor maternal nutrition before & during
pregnancy.

10. Where should we intervene?
 Focus on:
 Infant & young child feeding,
especially 0-24 months
 Nutrition of girls & women

11. What to Integrate?
7 action areas
7 action areas

12. 7 Proven action areas…
Estimated decrease of
child mortality: >23%
Child Survival Strategy, MOH
Ethiopia, Sept 2004

13. 1. Promotion of Optimal Breastfeeding
Exclusive
Breastfeeding
for the first 6
months of life
National Strategy for IYCF, Fed MOH, April
2004
Estim
ated
decrease
of
child
m
ortality: 4%

14. 1. Promotion of Optimal Breastfeeding
 Early Initiation of BF within 1 hour of birth
 Exclusive BF until 6 months
 BF day and night at least 10 times
 Correct positioning & attachment
 Empty one breast and switch to the other
Key Messages
National Strategy for IYCF, Fed MOH, April
2004

15. 2. Complementary Feeding to BF
At 6 months
of age
National Strategy for IYCF, Fed MOH, April
2004
Estimated
decrease
of
child
mortality:
8%

16. 2. Complementary Feeding to BF
 Continue BF until 24 months and more
 Increase the number of feedings with age
 Increase density and quantity with age
 Diversify diet using variety of foods
 Responsive feeding
 Food hygiene
Key Messages
National Strategy for IYCF, Fed MOH, April
2004

17. 3. Feeding of the sick child
 Increase breastfeeding & complementary
feeding during and after illness
 (IMCI- Integrated Management of Childhood
Illness)
 For infants 6 months & older, feed 1 extra meal
each day for two weeks following the illness
 Appropriate Therapeutic Feeding
Key Messages
National Strategy for IYCF, Fed MOH, April
2004

18. 4. Women’s Nutrition
 During pregnancy and lactation
Iron/Folic Acid Supplementation
Treatment & prevention of malaria
Increase food intake
one extra meal each day during pregnancy
two extra meals each day during lactation
 Deworming during pregnancy
 Vitamin A Capsule within 45 days of delivery
Key Messages
National Strategy for MN, Fed MOH, April
2004
E
s
t
i
m
a
t
e
d
d
e
c
r
e
a
s
e
o
f
c
h
i
l
d
m
o
r
t
a
l
i
t
y
:
1
%

19. 5. Control of Vitamin A Deficiency
 Breastfeeding: source of Vitamin A
 Vitamin A rich foods
 Maternal supplementation
 Child supplementation
 Food fortification
Key Messages
National Strategy for MN, Fed MOH, April
2004
Estim
ated
decrease
of
child
m
ortality: 10%

20. 6. Control of Anemia
Supplementation for women and
children (IMCI)
 Deworming for pregnant women and
children (twice/year)
 Malaria control
 Iron-rich foods
 Fortification
Key Messages
National Strategy for MN, Fed MOH, April
2004
Estimated
decrease
of
child
mortality:
0.4%

21. 7. Control of Iodine Deficiency Disorders
 Access & consumption
by all families
of iodized salt
Key Messages
National Strategy for MN, Fed MOH, April
2004

22. Where to Integrate?
• 7 Proven Behaviors
• 6 Critical Contact
Points

23. 2. DELIVERY: safe delivery, BF, Vitamin
A, iron/folic acid, diet, FP, STI
prevention
1. PREGNANCY : TT, antenatal visits,
BF, iron/folic acid, de-worming, anti-
malarial, diet, risk signs, FP, STI
prevention, safe delivery, iodized salt
Critical contacts for infant feeding,
& women’s nutrition: life cycle

24. Critical contact…...
a
3. POSTNATAL AND FAMILY PLANNING: ,
diet, BF, iron/folic acid, diet, FP, STI
prevention, child’s vaccination
4. IMMUNIZATION: vaccinations,
vitamin A, BF, de-worming, assess and
treat infant’s anemia, FP, and STI
referral

25. Critical contact…...
5. WELL CHILD AND GMP: monitor
growth, assess and counsel on infant
feeding, iodized salt, check and
complete vaccination
6. SICK CHILD: monitor growth,
assess and treat per IMCI, counsel on
infant feeding, BF, assess and treat
for anemia, check and complete
vitamin A /immunization/ de-
worming