Peggy KonizBooher Senior Advisor Nutrition and SBCC USAID Advancing Nutrition Improving the Quality of Nutrition Counselling in Primary Health Care Settings Common characteristics of counseling Interactive ID: 769012
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Peggy Koniz-BooherSenior Advisor Nutrition and SBCCUSAID Advancing Nutrition Improving the Quality of Nutrition Counselling in Primary Health Care Settings
Common characteristics of counseling Interactive Collaborative Client-focusedAction-orientedIncreases knowledgeChanges attitudes and behaviors
What is the role of a counselor?
Core competencies for counseling Show respect and empathy Follow ethical standards Ask open-ended questions Listen actively Encourage + practices Address client’s concernsCommunicate correct information Check for understanding Use communication materials effectively Discuss and agree on action Make appropriate referrals Schedule next meeting End on a positive note Provide follow-up
Nutritional counseling aims to— Increase a client’s nutritional literacyImprove an individual’s dietary intake and energy expenditureSupport mothers and other caregivers in feeding infants and young childrenAddress a wide range of health problems (from heart disease and diabetes to eating disorders)
What does the evidence suggest?
The quality of counseling matters!
But roles are often misunderstood!
Let’s review the basics
Critical crosscutting elements of successful counselingEstablish quality standards for counseling Prioritize training to improve counseling skills Improve counseling content Provide targeted, high-quality take-home educational materials for clients Prioritize coaching/mentoring and supportive supervision to those providing counselingCollect data on the adoption of key behaviors, adherence and outcomes.
Emerging opportunities
Theory of Change for Improving Health and Nutrition through Improved Counseling Adapted from NACS Provider Outcomes External Inputs Client Outcomes
Theory of Change for Improving Health and Nutrition through Improved Counseling Adapted from NACS Provider Outcomes External Inputs Client Outcomes
Theory of Change for Improving Health and Nutrition through Improved Counseling Adapted from NACS Provider Outcomes External Inputs Client Outcomes
Theory of Change for Improving Health and Nutrition through Improved Counseling Adapted from NACS Provider Outcomes External Inputs Client Outcomes
Codifying the basic steps in effective nutrition counseling NACS, GALIDRAA, 5As, Triple A
Nutrition Assessment Counseling and Support (NACS) Adapted from NACS model
GALIDRAA Counseling Model Greet, A sk, Listen, Identify, D iscuss, R ecommend, Agree, Appoint
The 5 As – a simple mnemonic Ask Assess Advise Agree Assist
The 5 As – a simple mnemonicFollow-up
3-Step: Assess, Analyze, and Act Community IYCF Counseling Package
But we also need greater investments in tools, training and supportive supervision…
…and in the innovative application of new technologies for these and follow-up care.
Investments in nutrition counseling are needed now!
USAID Advancing Nutrition is the Agency's flagship multi-sectoral nutrition project, addressing the root causes of malnutrition to save lives and enhance long-term health and development. For More information, contact:Peggy_Koniz-Booher@jsi.com