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The document outlines key steps for implementing the Essential Nutrition Actions (ENA) framework at large scale. It discusses improving advocacy and policies, strengthening health and agriculture systems through training, promoting small actions through various communication channels, and monitoring progress. The steps include assessing needs, enhancing partnerships, building on existing programs, training providers, and strengthening delivery systems. Case studies from Madagascar and Ethiopia show training thousands of community volunteers and health workers in the ENA framework.
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Quinn ena 3
- 1. Key steps for implementing ENA framework at large scale…
- 3. 2. Assess current situation and develop a plan: use participative methods to build ownership
- 4. Step 1. Gather and Synthesize Information on the Nutrition Situation Step 2 . Determine Initial Program Goal and Objectives Step 3 . Review Health and Nutrition Services Step 4. Preliminary Program Design: Prevention Step 5. Preliminary Program Design: Recuperation Step 6. Putting It All Together
- 11. Madagascar: Customized ENA Courses
- 12. Ethiopia: Customized ENA Courses Trainer’s Guide Using the Essential Nutrition Actions to Improve the Nutrition of Women and Children in Ethiopia A Four Day Training Course for Health Managers and Program Staff The Ethiopian Public Health Training Initiative February 2004 Trainer’s Guide Using the Essential Nutrition Actions to Improve the Nutrition of Women and Children in Ethiopia A Four Day Training Course for Health Staff and Managers at PMTCT Sites on Infant Feeding and Women’s Nutrition in the Context of HIV & AIDS June 2004
- 13. New Generic ENA Behavior Change Training for Community Level (English and French)
- 14. 6. Promote small do-able actions to demystify nutrition Use same key messages through various IEC tools Formative Research to help to o vercome family and community obstacles Job aids Health booklet Counseling cards Poopy and radio/TV Newsletters Posters
- 19. Community volunteers supporting women at chance encounters (market, fields, collecting firewood) Community health festivals Community volunteer making home visits Community volunteers assisting at health clinic Ultimate goal: saturate the environment with improved ENA practices Enroll a large number of volunteers across sectors Agricultural extension workers supporting mothers Health workers supporting mothers
- 20. Some pressing issues to address… feedback from the field Inadequate local adaption of ENA training modules Lack of emphasis on practical sessions (counseling/negotiation) in training No systematic system or forum to share or access ENA materials (e.g. training modules or IEC tools) l
- 22. Thank you!
- 23. The preceding slides were presented at the CORE Group 2010 Fall Meeting Washington, DC To see similar presentations, please visit: www.coregroup.org/resources/meetingreports
Notas do Editor
- # In Madagascar, the partnership was done through the GAIN( ….), non formal mechanisms that allowed exchange, standardization, development of guidelines and strategies, and finally development of the National Nutrition Policy # In Ethiopia, similarly, a non formal group meet quarterly to exchange experience, standardize approach, particularly the ENA approach and establish Guidelines # In both country, Profiles evaluated the consequences of malnutrition, was used as a key tool for advocacy , used as “ Why Nutrition Matters?” in Ethiopia… # The roll-out was faster in Ethiopia with (…..), as we know better how to used Profiles at each event and don’t miss opportunity for an advocacy event. #
- The first strategy is partnerships. LINKAGES partnered with diverse organizations and institutions to promote optimal infant and young child feeding around the world. These included NGOs and PVOs, international organizations, bilateral organizations, ministries, radio and television networks, print media, and academic institutions. This partnering enabled: Coordinated strategies Collaboration in designing workplans Consensus on strategies at national level Leveraging of human and financial resources Expanded coverage Opportunities for scale up at national level Feedback from multiple partners
- Regarding the in-service training, manuals from Madagascar were adapted to Ethiopia and for both countries were Customized to target groups and needs…(….) They are (…) Lots of practices, with mothers and babies as much as possible… and outside the classroom # Enrollment of large partners was an important startegic element to go to scale such as USAID bilateral (up to 6 millions in Madagascar and 15 millions in Ethiopia), also the work bank GMP food security project, UNICEF and large NGOs) And estimated of > 4000 health professional were trained in Madagascar, with Various training courses, and more than 5000 in Ethiopia, where many partners Carried out cascade training in their target areas #
- Here some example of training courses in Madagascar
- Here some example from Ethiopia
- Here in Madagascar, where various BCC materials were developed with the same messages and the same pictures. Job Aids were developed and distributed to health workers In addition, Poopy, the number 1 pop singer in Madagascar became in 2000 the BF then the ENA Ambassador with 7 songs on BF, CF, WN, NSC, etc… Poopy sings during concert, make CDs, does press conferences… songs were also distributed to transporters #
- Here some example of community activities in Madagascar 1) 2) 3) 4) 5) #