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Lessons Learned at Helen Keller International Core Group Spring Meeting Pre-Session Monday April 26, 2010
Core Group Questions ,[object Object],[object Object]
Essential Nutrition Actions (ENA):   The Framework for HKI’s Nutrition Programs
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
1. Health facility level:   integrate ENA actions into existing health contacts at all health services; 2. Community-level:   work with community-based organizations & networks from all sectors; and 3. Behavior change:  reinforce ENA actions through behavior change communication at all levels, including inter-personal communication, mass media and community mobilization . Three cornerstones of ENA programs
7 Proven Nutrition Actions Integrated   control of anemia Complementary Feeding Feeding  of sick children Breastfeeding Control of iodine  deficiency disorders Control of  vitamin A deficiency Women’s nutrition
6. Integrated  Control of  Anemia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
DELIVERY/EARLY NEO-NATAL:   safe delivery, early BF & EBF, pp vitamin A, iron/folic acid, diet, FP, STI prevention PREGNANCY:   TT, antenatal visits, iron/folic acid, de-worming, anti-malarial, diet, EBF, risk signs, FP, STI prevention, safe delivery, iodized salt POSTNATAL AND FAMILY  PLANNING   :   EBF ,  diet, iron/folic acid, diet, FP, STI prevention, child’s vaccination WELL CHILD AND GM/P:   monitor growth, assess and counsel on BF and CF, iodized salt, check and complete vaccination  Vitamin A, De-worming SICK CHILD:   monitor growth, assess and treat per IMCI, counsel on BF & CF, assess and treat for anemia, check and complete vitamin A Immunization/ de-worming IMMUNIZATION:   vaccinations, vitamin A, de-worming, BF, CF,  assess and treat infant’s anemia, FP, and STI referral  Six critical life cycle contact points
Outcomes HKI Mali CSP- Koulikoro Region
Mali - Achievements & Challenges ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Outcomes HKI Niger CSP-Diffa Region Indicators Baseline value Endline value Target Indicator 3  % of pregnant women who took  iron/folic acid  tablets acid during the last 24 hours 60% 87% 80% Indicator 16  % pregnant women attending IHCs and health posts receiving  SP  as a component of malaria control package N/A 82 % 100% Indicator   20  % women in the 2nd and 3rd trimester attending IHC and health posts will receive  all components of the anemia control package 0 68% 50% Indicator 21   Anemia  prevalence among pregnant women in the project area reduced 62% 7% 30%
Niger - Achievements & Challenges ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Most significant needs ,[object Object],[object Object],[object Object],[object Object]

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Lessons Learned at Helen Keller International Core Group Meeting

  • 1. Lessons Learned at Helen Keller International Core Group Spring Meeting Pre-Session Monday April 26, 2010
  • 2.
  • 3. Essential Nutrition Actions (ENA): The Framework for HKI’s Nutrition Programs
  • 4.
  • 5. 1. Health facility level: integrate ENA actions into existing health contacts at all health services; 2. Community-level: work with community-based organizations & networks from all sectors; and 3. Behavior change: reinforce ENA actions through behavior change communication at all levels, including inter-personal communication, mass media and community mobilization . Three cornerstones of ENA programs
  • 6. 7 Proven Nutrition Actions Integrated control of anemia Complementary Feeding Feeding of sick children Breastfeeding Control of iodine deficiency disorders Control of vitamin A deficiency Women’s nutrition
  • 7.
  • 8. DELIVERY/EARLY NEO-NATAL: safe delivery, early BF & EBF, pp vitamin A, iron/folic acid, diet, FP, STI prevention PREGNANCY: TT, antenatal visits, iron/folic acid, de-worming, anti-malarial, diet, EBF, risk signs, FP, STI prevention, safe delivery, iodized salt POSTNATAL AND FAMILY PLANNING : EBF , diet, iron/folic acid, diet, FP, STI prevention, child’s vaccination WELL CHILD AND GM/P: monitor growth, assess and counsel on BF and CF, iodized salt, check and complete vaccination Vitamin A, De-worming SICK CHILD: monitor growth, assess and treat per IMCI, counsel on BF & CF, assess and treat for anemia, check and complete vitamin A Immunization/ de-worming IMMUNIZATION: vaccinations, vitamin A, de-worming, BF, CF, assess and treat infant’s anemia, FP, and STI referral Six critical life cycle contact points
  • 9. Outcomes HKI Mali CSP- Koulikoro Region
  • 10.
  • 11. Outcomes HKI Niger CSP-Diffa Region Indicators Baseline value Endline value Target Indicator 3 % of pregnant women who took iron/folic acid tablets acid during the last 24 hours 60% 87% 80% Indicator 16 % pregnant women attending IHCs and health posts receiving SP as a component of malaria control package N/A 82 % 100% Indicator 20 % women in the 2nd and 3rd trimester attending IHC and health posts will receive all components of the anemia control package 0 68% 50% Indicator 21 Anemia prevalence among pregnant women in the project area reduced 62% 7% 30%
  • 12.
  • 13.

Notas do Editor

  1. The seven actions are promoted by health workers and community workers at six key contact points in the life cycle of women and young children. These contact points include during pregnancy, at delivery, during post-natal and family planning contacts, during immunization contacts, as well as during both well child and sick child contacts. Specific life-cycle appropriate messages are promoted at each contact point opportunity. Thus, for example, exclusive breastfeeding can be promoted during pregnancy, delivery as well as immediately postnatal, and further breastfeeding messages can be given (depending on the age of the child) during immunization, well child as well as sick child contacts.