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Context assessment    Do no harm Context assessment    Do no harm

Context assessment  Do no harm - PowerPoint Presentation

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Uploaded On 2018-03-10

Context assessment  Do no harm - PPT Presentation

Equity Womens empowerment Multisectoral collaboration MampE explicit nutrition objectives amp indicators Potential actions Consumption Improvement of local recipes Public guidance amp consumer awarenessprotection ID: 646022

food amp water health amp food health water actions education social management support acute nutrition complementary feeding child mgt

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Presentation Transcript

Slide1

Context assessment  Do no harm  Equity  Women’s empowerment  Multi-sectoral collaboration  M&E (explicit nutrition objectives & indicators)

Potential actions

Consumption

Improvement of local recipes

Public guidance & consumer awareness/protectionComplementary feedingHorticulture/CropsDiversification & locally adapted varietiesBiofortificationLivestock & FisheriesAnimal husbandry, fisheries & insect farmingAnimal servicesFood Processing, Fortification & Storage Food processing (excluding fortification)Fortification (including salt iodization & complementary foods)Food storage

Food, agriculture & diets

Health-based

Maternal, Neonatal & Child Health Care

Ante- & post-natal careHealth professional-assisted deliveryBasic paediatric health servicesMicronutrient SupplementationIron & folic acid/Iron supplementationVitamin A/D/zinc/Ca/iodine supplementationMultiple micronutrient supplementationManagement of Acute Malnutrition Mgt of severe acute malnutrition (SAM)Mgt of moderate acute malnutrition (MAM)Food technology support for specialized nutrition foodsDisease Prevention & ManagementAnti-malariaDiarrhoea mgt. (e.g. ORT w/ zinc)Vaccinations (measles, polio, etc.)HIV mgt. & PMTCTMgt. of tuberculosisMgt. of respiratory infections Water & Sanitation Improvement of water supply/source quality Sanitation facilities management

GovernanceSituation analysis, advocacy & communicationsPolicy formulation/review & planningHuman & institutional capacity development/trainingEffectiveness & accountability

Food assistance for vulnerable population groups

School-based social safety nets

Assisted health servicesPoverty reduction &/or emergency risk mitigation

Market Regulation & Insurance Minimum maternity protectionInsurance (health, unemployment, weather, etc.)Macroeconomic levers

Social Safety Nets

Social protection

Infant & Young Child Feeding

Protection, promotion & support of optimal breastfeeding

Improvement of complementary feedingHygieneHand-washingHousehold water treatment & storageFood hygieneSanitation managementCare for Children/ P&L WomenCare to pregnant/lactating womenChildcare support/caregiver workloadHealth BehavioursHealth-seeking behaviourInsecticide-treated nets (anti-malaria)Family planning behaviour (incl. adolescent girls)

Maternal & child care

UN Inventory - Nutrition Action FrameworkSlide2

Food, Agriculture and Diets: Actions and sub-actions by thematic areaCONSUMPTION Improvement of local recipes

Trials of improved practices Nutrition training/sensitisation/counselling for mothers &/or other caregiversNutrition education in schools & in the workplace

Public guidance & consumer awareness/protectionFormulation of national, food-based dietary guidelinesPublic information (social marketing) campaigns

Food labelling & commercial advertisingComplementary feeding

Dietary diversificationFortified complementary foodsHORTICULTURE/CROPS Diversification & locally adapted varietiesFruit and vegetable gardensIntercropping, rotation & sequencingInputs & irrigationMarket linkages and consumption promotionBiofortificationIntroduction of micronutrient-rich plant varietiesSocial marketing campaigns and market linkages

LIVESTOCK & FISHERIES

Animal husbandry, fisheries & insect farming

Extensive animal rearing (e.g. cattle among (agro)pastoralists)

Homestead animal rearing (e.g. poultry, sheep, goats)Aquaculture & capture fisheriesInsect-farmingProcessing, handling, market access and consumptionAnimal servicesVaccinations, parasite control, breeding support & other vet. servicesFeed & water Shelter & settlement Basic hygiene educationFOOD PROCESSING, FORTIFICATION & STORAGE Food processing (excluding fortification)Malting, drying, pickling and curing at household levelOther nutrition–oriented food processingNutrition educationFortification (including salt iodisation) Mass and community fortificationPoint-of-use fortificationFortified complementary foodsNutrition education and social marketing campaigns

Food storageHousehold food storage/silosLarge-scale food storage Slide3

Maternal and Child Care: Actions and sub-actions by thematic area

INFANT & YOUNG CHILD FEEDING

Promotion, protection and support of optimal breastfeeding practices

Health service level actions (professional, lay & peer)

Community level actionsCommunication (media & social marketing)Improvement of complementary feedingAvailability of appropriate complementary foodsAccess to complementary foods Food technology & quality & safety of complementary foods Basic instruction/nutrition education on optimal complementary feedingCARE FOR CHILDREN/PREGNANT & LACTATING WOMEN Care to pregnant & lactating womenReduced working hours/special leave (e.g. Maternity Protection)Provision of essentials (food, water, shelter) and nutrition education to support good maternal nutrition and recommended child feeding practices Income &/or productive assets supportPsycho-social support to help mothers adopt the recommended breastfeeding practicesChildcare support/caregiver workloadChildcare services & supportProvision of essentials (food, water, shelter) to support good child feeding practices

HYGIENE

Hand-washing

Hand-washing education & promotion

Provision of water, soap and other suppliesHand-washing facilitiesHousehold water treatment & storageWater treatment methods for drinking waterSafe storage of drinking waterFood hygieneFood hygiene education & supportInfrastructure & technologySanitation ManagementSanitation mgt. education & sanitation environment supportHEALTH BEHAVIOURS Health-seeking behaviourInstruction on early signs/symptoms of pregnancy as well as illness and disease Promotion of uptake of maternal, neonatal & paediatric health services Insecticide-treated bednets (anti-malaria)Guidance on use & mgt. of insecticide-treated nets Social marketing campaigns on bednetsFamily planning behaviour (including adolescent girls)Prevention of adolescent pregnancy (including prevention of early marriage)Voluntary family planning and reproductive health education & supportSocial marketing campaignsSlide4

Health-based: Actions and sub-actions by thematic area

MATERNAL, NEONATAL &

PAEDIATRIC

HEALTH

CAREAntenatal & postnatal careBasic nutrition education & health counsellingMicronutrient supplementationNutrition & medical screening & referralsSupplementary feeding (balanced energy protein & multiple micronutrient)Disease prevention & management (including anti-malaria interventions)Health professional-assisted delivery Obstetrics & neonatal careInfant & young child feeding counselling & supportBasic paediatric health services Growth monitoring & promotionVaccinationsDiseases prevention & mgt. (including anti-malaria)

MICRONUTRIENT SUPPLEMENTATION Iron or Iron/folic acid supplementationIron/folic acid supplementation for women/adolescent girls

Iron supplementation for children Nutrition education & behaviour change communication <also applicable to below Action 2 > Supplementation of vitamins A/D/calcium/zinc/iodine Vitamin A supplementation

Vitamin D supplementationCalcium supplementationZinc supplementationIodine supplementation

Multiple micronutrient supplementation Point-of-use fortificationMultiple micronutrient supplementsNutrition education & behaviour change communicationMANAGEMENT OF ACUTE MALNUTRITIONManagement of severe acute malnutritionOutpatient management of severe acute malnutrition (SAM)Inpatient management of SAMManagement of moderate acute malnutritionTargeted supplementary feedingBlanket supplementary feedingFood technology support for specialized nutritious foodsLocal production of specialized nutritious foods for management of acute malnutritionWATER & SANITATION

Improvement of water supply & source qualitySafe water kitsWater source & distribution systems Water treatment for water sourcesSanitation facilities managementCommunity led total sanitationSanitation systems Latrine construction &/or rehabilitation & excreta mgt.Water, sanitation (& hygiene) education & social marketingPREVENTION & MANAGEMENT OF SOIL, WATERBORNE & ENDEMIC DISEASES Anti-malaria Deworming for management of intestinal parasites <also applicable to Diarrhoea management>Intermittent preventive treatment of malaria for pregnant womenIron supplementation

Diarrhoea management Oral rehydration treatment with zinc

Management of severe acute malnutritionWater, sanitation & hygiene interventions to prevent diarrhoeaVaccinationsMeasles vaccination

Polio vaccinationRotavirus & cholera vaccinations HIV management & prevention of mother to child transmission Antiretroviral therapy or prophylaxisSupplementationInfant feeding counselling & supportHIV/AIDS educationManagement of tuberculosis Direct Observed Treatment Short-course (DOTS) treatmentNutrition Counselling

SupplementationManagement of acute malnutrition in individuals with active TBManagement of respiratory infections Antibiotics treatmentNutrition counsellingSupplementationSlide5

Social Protection: Actions and sub-actions by thematic area

SOCIAL SAFETY NETS Food assistance for vulnerable population groups

Blanket supplementary feedingSchool-based Social Safety NetsSchool feeding for school-age children

Assisted health servicesMaternal health visitsChild health visits

Poverty reduction &/or emergency risk mitigationGeneral food distributionPublic works programmes & asset protectionPrice subsidiesMARKET REGULATION & INSURANCE Minimum maternity protectionMaternity protectionChildcare supportInsuranceHealth insuranceUnemployment insuranceLivelihood-related insuranceMacroeconomic LeversMinimum wagePrice subsidies Tariffs/TaxesSlide6

Nutrition Governance: Actions and streams

SECTORAL Governance Actions

Situation analysis, advocacy and

communications

Policy formulation/review and planningHuman and institutional capacity development/trainingEffectiveness & accountability (e.g. information systems)MULTI-SECTORAL GOVERNANCE ACTIONSSituation analysis, advocacy and communications

Policy formulation/review and planning

Human and institutional capacity development//training

Effectiveness and accountability (e.g. information systems)