Maternal Anemia within Child Survival Grants: Lessons Learned at Helen Keller International
Core Group Spring Meeting Pre-Session, Monday April 26, 2010
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
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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
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%
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Notas do Editor
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.