This presentation by Masum Billah, icddr,b was shown at the Transform Nutrition - Evidence for Action regional meeting in Kathmandu, Nepal on 8 July 2017. This one-day event shared Transform Nutrition evidence on key issues related to nutrition policy in Nepal, Bangladesh and India, lessons on strategies for change from other contexts and discuss the relevance and applicability of the research findings to policies/programmes that aim to address nutrition in South Asia.
Using the health system to deliver nutrition interventions in BangladeshTransform Nutrition
This presentation by Masum Billah, iccdr,b was shown at the Transform Nutrition - Evidence for Action regional meeting in Kathmandu, Nepal on 8 July 2017. This one-day event shared Transform Nutrition evidence on key issues related to nutrition policy in Nepal, Bangladesh and India, lessons on strategies for change from other contexts and discuss the relevance and applicability of the research findings to policies/programmes that aim to address nutrition in South Asia.
Linking social protection and nutrition in Bangladesh: results from the Trans...Transform Nutrition
This presentation by Akhter Ahmed, IFPRI was shown at the Transform Nutrition - Evidence for Action regional meeting in Kathmandu, Nepal on 8 July 2017. This one-day event shared Transform Nutrition evidence on key issues related to nutrition policy in Nepal, Bangladesh and India, lessons on strategies for change from other contexts and discuss the relevance and applicability of the research findings to policies/programmes that aim to address nutrition in South Asia.
Strengthening nutrition-sensitivity of social protection programmes in India:...Transform Nutrition
This presentation by Suman Chakrabarti, IFPRI was shown at the Transform Nutrition - Evidence for Action regional meeting in Kathmandu, Nepal on 8 July 2017. This one-day event shared Transform Nutrition evidence on key issues related to nutrition policy in Nepal, Bangladesh and India, lessons on strategies for change from other contexts and discuss the relevance and applicability of the research findings to policies/programmes that aim to address nutrition in South Asia.
Integrating nutrition into health systems: opportunities and challengesTransform Nutrition
This presentation by Shams El Arifeen, iccdr,b was shown at the Transform Nutrition - Evidence for Action regional meeting in Kathmandu, Nepal on 8 July 2017. This one-day event shared Transform Nutrition evidence on key issues related to nutrition policy in Nepal, Bangladesh and India, lessons on strategies for change from other contexts and discuss the relevance and applicability of the research findings to policies/programmes that aim to address nutrition in South Asia.
Using the health system to deliver nutrition interventions in BangladeshTransform Nutrition
This presentation by Masum Billah, iccdr,b was shown at the Transform Nutrition - Evidence for Action regional meeting in Kathmandu, Nepal on 8 July 2017. This one-day event shared Transform Nutrition evidence on key issues related to nutrition policy in Nepal, Bangladesh and India, lessons on strategies for change from other contexts and discuss the relevance and applicability of the research findings to policies/programmes that aim to address nutrition in South Asia.
Linking social protection and nutrition in Bangladesh: results from the Trans...Transform Nutrition
This presentation by Akhter Ahmed, IFPRI was shown at the Transform Nutrition - Evidence for Action regional meeting in Kathmandu, Nepal on 8 July 2017. This one-day event shared Transform Nutrition evidence on key issues related to nutrition policy in Nepal, Bangladesh and India, lessons on strategies for change from other contexts and discuss the relevance and applicability of the research findings to policies/programmes that aim to address nutrition in South Asia.
Strengthening nutrition-sensitivity of social protection programmes in India:...Transform Nutrition
This presentation by Suman Chakrabarti, IFPRI was shown at the Transform Nutrition - Evidence for Action regional meeting in Kathmandu, Nepal on 8 July 2017. This one-day event shared Transform Nutrition evidence on key issues related to nutrition policy in Nepal, Bangladesh and India, lessons on strategies for change from other contexts and discuss the relevance and applicability of the research findings to policies/programmes that aim to address nutrition in South Asia.
Integrating nutrition into health systems: opportunities and challengesTransform Nutrition
This presentation by Shams El Arifeen, iccdr,b was shown at the Transform Nutrition - Evidence for Action regional meeting in Kathmandu, Nepal on 8 July 2017. This one-day event shared Transform Nutrition evidence on key issues related to nutrition policy in Nepal, Bangladesh and India, lessons on strategies for change from other contexts and discuss the relevance and applicability of the research findings to policies/programmes that aim to address nutrition in South Asia.
Strengthening the Supply Chain Workforce through Mentorship and On the Job Tr...JSI
This poster was presented by Hery Firdaus and Bethany Saad at the International Conference on Family Planning (ICFP) in Kigali, Rwanda in November 2018.
Over the past decade, contraceptive prevalence rates in Indonesia have remained stagnant in part due to inconsistent access to contraceptives at service delivery points. To address critical gaps in the system, JSI collaborated with stakeholders to design a comprehensive package of data centric interventions to strengthen the supply chain workforce, empowering them with new tools, skills and information to enable holistic and continuous supply chain improvement through mentorship, on-the-job training and feedback.
It was noted that during qualitative interviews, provincial and district staff recognized the significant role of mentorship and on-the-job training activities in improving accuracy of recording and reporting and adherence to both inventory management and storage procedures. They pointed out the importance of not only the performance management aspect of the mentorship program, but also its effect on improving communication and coordination between levels. The use of digital tools has made mentoring data visible to all levels of the system and mentors have better understanding of the facilities needs. The use of WhatsApp to communicate has also improved collaboration and coordination between mentor and mentee. The program has been extremely successful and popular with all stakeholders and all districts involved in this project have adopted it and included it in their program budgets.
Welcome and overview of Transform Nutrition in South Asia Transform Nutrition
This presentation by Stuart Gillespie, IFPRI was shown at the Transform Nutrition - Evidence for Action regional meeting in Kathmandu, Nepal on 8 July 2017. This one-day event shared Transform Nutrition evidence on key issues related to nutrition policy in Nepal, Bangladesh and India, lessons on strategies for change from other contexts and discuss the relevance and applicability of the research findings to policies/programmes that aim to address nutrition in South Asia.
Changing Behaviours for a Healthier Workforce in Singapore AIA Singapore
Mr. Sim Beng Khoon, Director, Workplace Health and Outreach Division, Health Promotion Board (HPB), talked about how changing behaviours can lead to a healthier workforce at the recent AIA Vitality Summit 2017.
Nutrition financing at the state-level: The case of RajasthanPOSHAN
This presentation was made by Dr. Yashodhara Rana (Results for Development) in the session on ‘Big numbers about small children: Research on nutrition financing’ at the POSHAN Conference "Delivering for Nutrition in India Learnings from Implementation Research", November 9–10, 2016, New Delhi.
For more information about the conference visit our website: www.poshan.ifpri.info
Common vision outline of output maternal nutrition march 30 2019POSHAN
Maternal Nutrition group presentation - IFPRI-NITI workshop on "A Common Vision for Tackling Malnutrition in India: Building on Data, Evidence and Expert Opinion" - 29-30 March 2019
Chief Allied Health Professions Officer’s Conference 2016
Workshop 5: Population based service re-design – Chair Shelagh Morris
Embedding a health promotion strategy across MSK physiotherapy services in Salford. Gillian Rawlinson, MSK Advanced Practitioner and Senior Lecturer. Salford and UCLAN
Production of fortified food for a public supplementary nutrition program: Pe...POSHAN
This presentation was made by Dr. Salil Kumar (Tata Trusts) in the session on ‘Food supplementation programs for nutrition in the Indian context: Current status and future directions’ at the POSHAN Conference "Delivering for Nutrition in India Learnings from Implementation Research", November 9–10, 2016, New Delhi.
For more information about the conference visit our website: www.poshan.ifpri.info
Strengthening the Supply Chain Workforce through Mentorship and On the Job Tr...JSI
This poster was presented by Hery Firdaus and Bethany Saad at the International Conference on Family Planning (ICFP) in Kigali, Rwanda in November 2018.
Over the past decade, contraceptive prevalence rates in Indonesia have remained stagnant in part due to inconsistent access to contraceptives at service delivery points. To address critical gaps in the system, JSI collaborated with stakeholders to design a comprehensive package of data centric interventions to strengthen the supply chain workforce, empowering them with new tools, skills and information to enable holistic and continuous supply chain improvement through mentorship, on-the-job training and feedback.
It was noted that during qualitative interviews, provincial and district staff recognized the significant role of mentorship and on-the-job training activities in improving accuracy of recording and reporting and adherence to both inventory management and storage procedures. They pointed out the importance of not only the performance management aspect of the mentorship program, but also its effect on improving communication and coordination between levels. The use of digital tools has made mentoring data visible to all levels of the system and mentors have better understanding of the facilities needs. The use of WhatsApp to communicate has also improved collaboration and coordination between mentor and mentee. The program has been extremely successful and popular with all stakeholders and all districts involved in this project have adopted it and included it in their program budgets.
Welcome and overview of Transform Nutrition in South Asia Transform Nutrition
This presentation by Stuart Gillespie, IFPRI was shown at the Transform Nutrition - Evidence for Action regional meeting in Kathmandu, Nepal on 8 July 2017. This one-day event shared Transform Nutrition evidence on key issues related to nutrition policy in Nepal, Bangladesh and India, lessons on strategies for change from other contexts and discuss the relevance and applicability of the research findings to policies/programmes that aim to address nutrition in South Asia.
Changing Behaviours for a Healthier Workforce in Singapore AIA Singapore
Mr. Sim Beng Khoon, Director, Workplace Health and Outreach Division, Health Promotion Board (HPB), talked about how changing behaviours can lead to a healthier workforce at the recent AIA Vitality Summit 2017.
Nutrition financing at the state-level: The case of RajasthanPOSHAN
This presentation was made by Dr. Yashodhara Rana (Results for Development) in the session on ‘Big numbers about small children: Research on nutrition financing’ at the POSHAN Conference "Delivering for Nutrition in India Learnings from Implementation Research", November 9–10, 2016, New Delhi.
For more information about the conference visit our website: www.poshan.ifpri.info
Common vision outline of output maternal nutrition march 30 2019POSHAN
Maternal Nutrition group presentation - IFPRI-NITI workshop on "A Common Vision for Tackling Malnutrition in India: Building on Data, Evidence and Expert Opinion" - 29-30 March 2019
Chief Allied Health Professions Officer’s Conference 2016
Workshop 5: Population based service re-design – Chair Shelagh Morris
Embedding a health promotion strategy across MSK physiotherapy services in Salford. Gillian Rawlinson, MSK Advanced Practitioner and Senior Lecturer. Salford and UCLAN
Production of fortified food for a public supplementary nutrition program: Pe...POSHAN
This presentation was made by Dr. Salil Kumar (Tata Trusts) in the session on ‘Food supplementation programs for nutrition in the Indian context: Current status and future directions’ at the POSHAN Conference "Delivering for Nutrition in India Learnings from Implementation Research", November 9–10, 2016, New Delhi.
For more information about the conference visit our website: www.poshan.ifpri.info
Collaboration with Government for Ensuring Quality Nutrition Services Present...CORE Group
Fall Global Health Practitioner Conference 2017
Collaboration with Government for Ensuring Quality Nutrition Services
Nutrition Working Group Session
Serigne Mbaye Diene, Molly Kumwenda, Mary
Kandikole Mpinda, Amanda Yourchuck, Jennifer Burns
as part of the IFPRI-Egypt Seminar Series- funded by the United States Agency for International Development (USAID) project called “Evaluating Impact and Building Capacity” (EIBC) that is implemented by IFPRI.
Strengthening Referrals and Integration of Community and Facility Health Serv...JSI
The Strengthening Ethiopian Urban Health Program (SEUHP) program aims to improve the health status of the urban population in Ethiopia by reducing HIV/TB-related morbidity and mortality, and by reducing the incidence of communicable and noncommunicable diseases. SEUHP fosters strong community involvement and is working to improve health service delivery through PDSA approach. Their current study found that participatory engagement of community and health center staff, and regular learning process increases referral, feedback and integration of community and facility based health services.
This was presented at the 2018 IHI Africa Forum on Quality and Safety in Healthcare in Durban, South Africa in February.
Detailed UN-REACH stakeholders mapping report. For more information contact Jeanette Kayirangwa (WFP) or Venuste Muhamyankaka (SUN Alliance Rwanda). https://www.facebook.com/groups/SUNCSNLearningRoute/ and http://suncivilsocietynet.wixsite.com/learningroute
This presentation by Kenda Cunningham, Helen Keller International was shown at the Transform Nutrition - Evidence for Action regional meeting in Kathmandu, Nepal on 8 July 2017. This one-day event shared Transform Nutrition evidence on key issues related to nutrition policy in Nepal, Bangladesh and India, lessons on strategies for change from other contexts and discuss the relevance and applicability of the research findings to policies/programmes that aim to address nutrition in South Asia.
Challenging dominance: identity politics in the Integrated Child Development ...Transform Nutrition
This presentation by Shilpa Deshpande, Institute of Development Studies was shown at the Transform Nutrition - Evidence for Action regional meeting in Kathmandu, Nepal on 8 July 2017. This one-day event shared Transform Nutrition evidence on key issues related to nutrition policy in Nepal, Bangladesh and India, lessons on strategies for change from other contexts and discuss the relevance and applicability of the research findings to policies/programmes that aim to address nutrition in South Asia.
Stories of Change in Nutrition in South Asia: Evidence from BangladeshTransform Nutrition
This presentation by Nick Nisbett, Institute of Development Studies was shown at the Transform Nutrition - Evidence for Action regional meeting in Kathmandu, Nepal on 8 July 2017. This one-day event shared Transform Nutrition evidence on key issues related to nutrition policy in Nepal, Bangladesh and India, lessons on strategies for change from other contexts and discuss the relevance and applicability of the research findings to policies/programmes that aim to address nutrition in South Asia.
This presentation by Stuart Gillespie, IFPRI was shown at the Transform Nutrition - Evidence for Action regional meeting in Kathmandu, Nepal on 8 July 2017. This one-day event shared Transform Nutrition evidence on key issues related to nutrition policy in Nepal, Bangladesh and India, lessons on strategies for change from other contexts and discuss the relevance and applicability of the research findings to policies/programmes that aim to address nutrition in South Asia.
Odisha's progress in nutrition: multiple drivers of changeTransform Nutrition
This presentation by Neha Kohli, IFPRI was shown at the Transform Nutrition - Evidence for Action regional meeting in Kathmandu, Nepal on 8 July 2017. This one-day event shared Transform Nutrition evidence on key issues related to nutrition policy in Nepal, Bangladesh and India, lessons on strategies for change from other contexts and discuss the relevance and applicability of the research findings to policies/programmes that aim to address nutrition in South Asia.
Drivers of nutritional change in South Asia: Insights from empirical analyses...Transform Nutrition
This presentation by Derek Headey, IFPRI was shown at the Transform Nutrition - Evidence for Action regional meeting in Kathmandu, Nepal on 8 July 2017. This one-day event shared Transform Nutrition evidence on key issues related to nutrition policy in Nepal, Bangladesh and India, lessons on strategies for change from other contexts and discuss the relevance and applicability of the research findings to policies/programmes that aim to address nutrition in South Asia.
This presentation by Kavita Chauhan, Public Health Foundation of India, was shown at the Transform Nutrition - Evidence for Action regional meeting in Kathmandu, Nepal on 8 July 2017. This one-day event shared Transform Nutrition evidence on key issues related to nutrition policy in Nepal, Bangladesh and India, lessons on strategies for change from other contexts and discuss the relevance and applicability of the research findings to policies/programmes that aim to address nutrition in South Asia.
Engaging frontline workers for delivery of nutrition interventions in India Transform Nutrition
This presentation by Rasmi Avula, IFPRI was shown at the Transform Nutrition - Evidence for Action regional meeting in Kathmandu, Nepal on 8 July 2017. This one-day event shared Transform Nutrition evidence on key issues related to nutrition policy in Nepal, Bangladesh and India, lessons on strategies for change from other contexts and discuss the relevance and applicability of the research findings to policies/programmes that aim to address nutrition in South Asia.
Delivery of nutrition-specific interventions across India: Insights from the ...Transform Nutrition
This presentation by Neha Raykar, PHFI was presented at the Transform Nutrition - Evidence for Action regional meeting in Kathmandu, Nepal on 8 July 2017. This one-day event shared Transform Nutrition evidence on key issues related to nutrition policy in Nepal, Bangladesh and India, lessons on strategies for change from other contexts and discuss the relevance and applicability of the research findings to policies/programmes that aim to address nutrition in South Asia.
Translating leadership challenges into action by Namukolo CovicTransform Nutrition
A presentation given by Namukolo Covic at the Transform Nutrition regional meeting 'Using evidence to inspire action in East Africa' Nairobi, Kenya 8 June 2017.
Social return on investment home based nutritional counselling intervention i...Transform Nutrition
A presentation given by Elizabeth Kimani at the Transform Nutrition regional meeting 'Using evidence to inspire action in East Africa' Nairobi, Kenya 8 June 2017.
A presentation given by Manaan Mumma at the Transform Nutrition regional meeting 'Using evidence to inspire action in East Africa' Nairobi, Kenya 8 June 2017.
Leadership in nutrition experience from Ethiopia by Israel HailuTransform Nutrition
A presentation given by Israel Hailu at the Transform Nutrition regional meeting 'Using evidence to inspire action in East Africa' Nairobi, Kenya 8 June 2017.
A presentation given by Nick Nisbett at the Transform Nutrition regional meeting 'Using evidence to inspire action in East Africa' Nairobi, Kenya 8 June 2017.
Findings from a malnutrition mobile app randomised trial in wajir, kenya by e...Transform Nutrition
A presentation given by Emily Keane at the Transform Nutrition regional meeting 'Using evidence to inspire action in East Africa' Nairobi, Kenya 8 June 2017.
Behavioural change for improved nutrition among pastoralists by lensse gobuTransform Nutrition
A presentation given by Lensse Gobu at the Transform Nutrition regional meeting 'Using evidence to inspire action in East Africa' Nairobi, Kenya 8 June 2017.
Agrobiodiversity and dietary diversity for improved nutritional status of mot...Transform Nutrition
A presentation given by Maureen Cheserek at the Transform Nutrition regional meeting 'Using evidence to inspire action in East Africa' Nairobi, Kenya 8 June 2017.
A presentation given by Kenaw Gebreselassie of research done by Andrea Warren at the Transform Nutrition regional meeting 'Using evidence to inspire action in East Africa' Nairobi, Kenya 8 June 2017.
Transform nutrition in east africa an overview by Stuart GillespieTransform Nutrition
A presentation given by Stuart Gillespie at the Transform Nutrition regional meeting 'Using evidence to inspire action in East Africa' Nairobi, Kenya 8 June 2017.
A presentation given by Gladys Mugambi at the Transform Nutrition regional meeting 'Using evidence to inspire action in East Africa' Nairobi, Kenya 8 June 2017.
Exploiting Artificial Intelligence for Empowering Researchers and Faculty, In...Dr. Vinod Kumar Kanvaria
Exploiting Artificial Intelligence for Empowering Researchers and Faculty,
International FDP on Fundamentals of Research in Social Sciences
at Integral University, Lucknow, 06.06.2024
By Dr. Vinod Kumar Kanvaria
Acetabularia Information For Class 9 .docxvaibhavrinwa19
Acetabularia acetabulum is a single-celled green alga that in its vegetative state is morphologically differentiated into a basal rhizoid and an axially elongated stalk, which bears whorls of branching hairs. The single diploid nucleus resides in the rhizoid.
Normal Labour/ Stages of Labour/ Mechanism of LabourWasim Ak
Normal labor is also termed spontaneous labor, defined as the natural physiological process through which the fetus, placenta, and membranes are expelled from the uterus through the birth canal at term (37 to 42 weeks
Synthetic Fiber Construction in lab .pptxPavel ( NSTU)
Synthetic fiber production is a fascinating and complex field that blends chemistry, engineering, and environmental science. By understanding these aspects, students can gain a comprehensive view of synthetic fiber production, its impact on society and the environment, and the potential for future innovations. Synthetic fibers play a crucial role in modern society, impacting various aspects of daily life, industry, and the environment. ynthetic fibers are integral to modern life, offering a range of benefits from cost-effectiveness and versatility to innovative applications and performance characteristics. While they pose environmental challenges, ongoing research and development aim to create more sustainable and eco-friendly alternatives. Understanding the importance of synthetic fibers helps in appreciating their role in the economy, industry, and daily life, while also emphasizing the need for sustainable practices and innovation.
Biological screening of herbal drugs: Introduction and Need for
Phyto-Pharmacological Screening, New Strategies for evaluating
Natural Products, In vitro evaluation techniques for Antioxidants, Antimicrobial and Anticancer drugs. In vivo evaluation techniques
for Anti-inflammatory, Antiulcer, Anticancer, Wound healing, Antidiabetic, Hepatoprotective, Cardio protective, Diuretics and
Antifertility, Toxicity studies as per OECD guidelines
June 3, 2024 Anti-Semitism Letter Sent to MIT President Kornbluth and MIT Cor...Levi Shapiro
Letter from the Congress of the United States regarding Anti-Semitism sent June 3rd to MIT President Sally Kornbluth, MIT Corp Chair, Mark Gorenberg
Dear Dr. Kornbluth and Mr. Gorenberg,
The US House of Representatives is deeply concerned by ongoing and pervasive acts of antisemitic
harassment and intimidation at the Massachusetts Institute of Technology (MIT). Failing to act decisively to ensure a safe learning environment for all students would be a grave dereliction of your responsibilities as President of MIT and Chair of the MIT Corporation.
This Congress will not stand idly by and allow an environment hostile to Jewish students to persist. The House believes that your institution is in violation of Title VI of the Civil Rights Act, and the inability or
unwillingness to rectify this violation through action requires accountability.
Postsecondary education is a unique opportunity for students to learn and have their ideas and beliefs challenged. However, universities receiving hundreds of millions of federal funds annually have denied
students that opportunity and have been hijacked to become venues for the promotion of terrorism, antisemitic harassment and intimidation, unlawful encampments, and in some cases, assaults and riots.
The House of Representatives will not countenance the use of federal funds to indoctrinate students into hateful, antisemitic, anti-American supporters of terrorism. Investigations into campus antisemitism by the Committee on Education and the Workforce and the Committee on Ways and Means have been expanded into a Congress-wide probe across all relevant jurisdictions to address this national crisis. The undersigned Committees will conduct oversight into the use of federal funds at MIT and its learning environment under authorities granted to each Committee.
• The Committee on Education and the Workforce has been investigating your institution since December 7, 2023. The Committee has broad jurisdiction over postsecondary education, including its compliance with Title VI of the Civil Rights Act, campus safety concerns over disruptions to the learning environment, and the awarding of federal student aid under the Higher Education Act.
• The Committee on Oversight and Accountability is investigating the sources of funding and other support flowing to groups espousing pro-Hamas propaganda and engaged in antisemitic harassment and intimidation of students. The Committee on Oversight and Accountability is the principal oversight committee of the US House of Representatives and has broad authority to investigate “any matter” at “any time” under House Rule X.
• The Committee on Ways and Means has been investigating several universities since November 15, 2023, when the Committee held a hearing entitled From Ivory Towers to Dark Corners: Investigating the Nexus Between Antisemitism, Tax-Exempt Universities, and Terror Financing. The Committee followed the hearing with letters to those institutions on January 10, 202
Francesca Gottschalk - How can education support child empowerment.pptxEduSkills OECD
Francesca Gottschalk from the OECD’s Centre for Educational Research and Innovation presents at the Ask an Expert Webinar: How can education support child empowerment?
Francesca Gottschalk - How can education support child empowerment.pptx
Using the government health system to deliver nutrition interventions in Bangladesh: opportunities and challenges
1. Using the health system to deliver
nutrition interventions in
Bangladesh
International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b)
International Food Policy Research Institute (IFPRI)
Institute of Development Studies (IDS)
2. Heady et. al (2015)
NEPAL
Stunting reduction: Sources
Health 16%!
Can health
do more?
3. Why does the NNS matter?
Delivery of direct nutrition interventions key to meet the development targets
47
64
67
20.9
83
60
37
81
34
52
55
65
23
78
62
44
84
38
0
20
40
60
80
100
Early initiation
of BF
Exclusive BF
(0-6 mo)
Introduction of
CF at 6-9 mo
3 expected
IYCF practices
All basic
immunizations
Vitamin A
suppl (<3s)
Women - > 3
ANC visits
ORT for
diarrhea
ORT + zinc
Percent
2011 2014
Source: BDHS
4. History of NNS
In 2009, Annual Program
Review (APR) of the
Health, Nutrition and
Population Sector Program
(HNPSP) recommended
scale up critical nutrition
interventions by
mainstreaming nutrition
services provided through
the DGHS and DGFP
In 2011,
Operational
Plan (OP) of
National
Nutrition
Services (NNS)
was approved
by the GoB
The OP suggests
mainstreamed
NNS
interventions will
be implemented
through existing
health systems
(DGHS and DGFP)
between July 2011
and 2016
NNS is supposed
to pursue a
variety of key
strategies and
actions targeted
towards
mainstreaming
critical nutrition
interventions
Several aspects
of
mainstreaming
process have
been
undertaken
since 2012
National Nutrition
Policy 2015
National Plan
of Action for
Nutrition
(DRAFT) 2016
4th Sector
programme
(NNS OP)
5. Assessment of Implementation of NNS in
Bangladesh
International Food Policy Research Institute (IFPRI)
International Centre For Diarrhoeal Disease Research,
Bangladesh (icddr,b)
Identified “what’s working”; “what needs more
work”
Management and support services
Training and capacity development
Service delivery
Monitoring and evaluation
Exposure to Interventions (from DNSO evaluation)
6. What ‘New’ is being done?
• NNS along with UNICEF and CIFF as implementing and funding
partners is attempting demonstration components to addresses
the NNS challenges
• Provide a temporary dedicated human resource, the District Nutrition
Support Officers (DNSOs)
• Demonstrate and prove the feasibility and impact of Competency based
training for managers, supervisors and service providers to deliver
nutrition interventions
8. What’s working?
NNS operational plans (OP) & progress in subnational coordination
• Operational plans
OP outlines all components of NNS
Institutional arrangements for delivery of NNS interventions using existing health and
family planning infrastructure are described in specific detail
New sector programme reemphasizes the direct interventions and community clinics
• Progress in subnational coordination
Good progress in coordination of nutrition services and with levels of communication
between staff managed by DGHS and DGFP at the upazila level and below
Source: Saha et al, 2015, implementation assessment done in 2014
9. What needs more work?
Governance and institutional arrangements
Capacity and workload related challenges within NNS/IPHN
Capacity to developing feasible and specific implementation plans for intervention
delivery
Ability to develop training approaches, to maintain and manage records on training
roll-out and to manage a large budget
Retention challenges for the Directorship of IPHN
Lack of bureaucratic authority limits monitoring/coordination of NNS activities
Source: Saha et al, 2015, implementation assessment done in 2014
10. What needs more work?
Program design and intervention platforms
Choice of delivery platforms
IMCI-Nutrition corners and Community Clinics are primarily visited by sick
children
Key NNS components, especially IYCF counseling, micronutrient
supplementation, and screening for SAM/MAM are targeted towards all
children & current platforms not designed to reach all, no CMAM
Source: Saha et al, 2015, implementation assessment done in 2014
11. What needs more work?
Program design and intervention platforms
Percentage of Mother-newborn pairs (care continuum) had contacts
with the routine health services
26.1
13.5
9.8
5.1 4.9
ANC Delivery PNC ANC and PNC ANC and Delivery and
PNC
BDHS 2014
*Physicians are the predominant source of provider
12. What needs more work?
Coordination and communication
Horizontal coordination at national level:
• Lack of communication and coordination – particularly at senior levels.
• Coordination across DGHS and DGFP are also reported to be challenging
Vertical coordination/communication:
Local providers described how communications with NNS staff based in Dhaka
were problematic, with letters left unanswered and longstanding requests for
logistics supplies
Source: Saha et al, 2015, implementation assessment done in 2014
14. What’s working?
Training and capacity building roll-out
Training manuals are in place – Basic Nutrition, IYCF, SAM/CMAM,
Competency Based Training (CBT), Supportive Supervision
Overall NNS training is ongoing and UNICEF supported CBT have started,
covered 30,000+ service providers in 26 districts
15. What needs more work?
Coverage of Nutrition trainings
Percentage of service providers receiving trainings in nutrition (N= 364)
0
10
20
30
40
50
60
70
80
90
100
Physician Nurse SACMO FWV FWA CHCP
Basic nutrition training IYCF training Any other nutrition training
Initial Assessment (DNSO Evaluation), 2016* CBT coverage is not presented here
*
17. What’s being done?
Integration with IMCI-N
• Nation-wide establishment of IMCI-N corners is completed
All facilities include IMCI-Nutrition Corners
Basic Nutrition Training adds some value to IMCI for screening of
SAM/MAM; elaborates on nutrition knowledge and includes more detail on
IYCF training
NNS-trained providers appeared to offer more nutritional advice during
sick child care
Source: Saha et al, 2015, implementation assessment done in 2014
18. Availability of equipments and job aids
43
35
22
35
27
5
Weighing scale
Height scale
Length scale
MUAC Tape
GMP Card (both girls and boys)
IYCF manual
% of health facilities with key equipment in
Sick child management area[N=37]
89% sick child management area had <50%
essential equipment/guidelines
~70% ANC rooms had at least 7 of the 11 essential
equipment/supplement/guidelines
95
54
41
54
95
46
16
Weighing scales
Height Scale
MUAC tape
Picture cards with maternal
danger signs
Iron Folic Acid (IFA) tablet
Calcium tablet
Basic National Nutrition
Services nutrition training…
% of health facilities with key equipment
in ANC room [N=37]
Source: Saha et al, 2015, implementation assessment done in 2014
19. Delivery of Nutrition services during ANC
94
39
78
66
62
56
60
63
33
46
39
78
35
30 30
0
20
40
60
80
100
%
Advice/service provided to women
Weighed and recorded weight
Measured and recorded height
Examined anemia in eyes
take more food
take balanced diet
take seasonal/available food
take green/colored vegetables
drink more water
take iodized salt
take rest at least for two hours/day
maintain personal hygiene
take routine iron and folic acid
told about importnace of breast feeding
told about breastfeeding within an hour
told about danger signs to neonate
Examinatio
n
Advice provided
N=381 ANC observations
Source: Saha et al, 2015, implementation assessment done in 2014
20. 0
10
20
30
40
50
%
Advice/services provided to children
Weighed and recorded weight
Measured and recorded height
Clinically screen the child for SAM
Demonstrate IYCF practices using visual job aids
Checked child's weight against a growth chart
Nutritional
Assessment
Nutrition
Counselling
N=826 sick child case management observations
Delivery of Nutrition services during sick U5 child management
Source: Saha et al, 2015, implementation assessment done in 2014
22. What’s working?
Indicators, performance review visits are coming together
Nutrition Information System
Considerable progress in institutionalizing the reporting of nutrition indicators in
the routine RHMIS through:
Monthly IMCI-Nutrition Corner reporting format
Monthly community clinic reporting format for newborn and child health
Program Performance
Some supervisory visits are taking place at the level of the health facilities
at limited scale
Source: Saha et al, 2015, implementation assessment done in 2014
23. Record-keeping within the NNS should be focused
information on implementation roll-out, performance/outputs, and
development partner support to geographic and technical areas is
currently not easily available to all key stakeholders
A system for technical monitoring of service quality by National Level
experts and Managers
What needs more work?
Record-keeping on training, roll-out and service delivery monitoring
Source: Saha et al, 2015, implementation assessment done in 2014
24. Recommendations
• Strengthen the leadership authority of the NNS
• Ensure regular technical supervision visits/support to field
• Develop very specific implementation plans with rational delivery platforms
• Invest in developing a cadre of workforce for delivering core nutrition messages beyond the
curative platforms
• Exploring other potential high coverage outreach platforms like some NGO platforms
• Strengthen nutrition counseling and screening within IMCI, but invest more in an outreach-
based platform for delivering core preventive NNS services
• Coordination of activities among Development Partners
• Emphasize rapid growing urban population and completely different health service
structure
• A system for technical monitoring of service quality by experts
• Carefully review of the current set of NNS indicators
Editor's Notes
Data for the overall chart will be shared by Abdullah by tnight