uncovered the “s”

Harnessing the Power of Cross-sectoral Programming to Alleviate HIV/AIDS and Food Insecurity


May 30, 2013Washington, DC

Closing Plenary: How do We Expand the “S” in NACS through Strengthening

Linkages between Clinical and Community Services

Serigne Diene (FHI 360/FANTA)


Uncovered the “S”

Treatment of malnutrition

Prevention of malnutrition

Food security and livelihood support

Water, sanitation, and hygiene (WASH)

• Medical care and treatment• Prescription of

specialized food products• Provision of MN

supplements

• Routine medical care and treatment• Provision of MN

supplements• Food

fortification• Provision of

complementary foods and dietary supplements

• Savings• Microcredit• Income-

generating activities• Household food

production• Food assistance

• Distribution of POU water treatment products or vouchers• Latrine

construction


Challenges and opportunities for linking clinic to communities

• Challenges – Food and nutrition needs of non-HIV-affected

populations (ethical and practical considerations)– Overstretched health systems and service provider

time constraints (even for referral)– Linking nutritionists with Agro economists to investigate

the broader community level nutrition security (food coupled with sanitary environment and adequate health services) and food policy and programming

– Geographic overlap with broader food security services

• ••


Challenges and opportunities for linking clinic to communities (2)

• Opportunities– Health facilities a good entry point for PLHIV nutrition

services, but need to integrate NACS into community services and establish two-way referral mechanisms

– Growth Monitoring and Nutrition surveillance, tracking & follow-up

– Home-Based Care Community Health Workers & other community volunteers

,


Way Forward– Collaboration with local government – Building capacity (institutional management,

motivations and commitment, local government facilitators and leaders

– Streamlined assessment tools for livelihood and nutrition security

– Designing a mechanism for tracking and evaluating cross sectorial approaches and the process of linking clinical and community services

uncovered the “s”

Documents