"programme_id","programme_title","programme_language","programme_type","other_program","iso3code","country_name","program_location","area","status","start_date","end_date","brief_description","references","related_policy","new_policy","partner_gov","partner_government_details","partner_un","partner_un_details","partner_ngo","partner_ngo_details","partner_donors","partner_donors_details","partner_intergov","partner_intgov_details","partner_national_ngo","partner_nat_ngo_details","partner_research","partner_research_details","partner_private","partner_private_details","partner_other","partner_other_details","cost","fsector_0","fpartner_0","fdetails_0","fsector_1","fpartner_1","fdetails_1","fsector_2","fpartner_2","fdetails_2","fsector_3","fpartner_3","fdetails_3","fsector_4","fpartner_4","fdetails_4","fsector_5","fpartner_5","fdetails_5","fsector_6","fpartner_6","fdetails_6","fsector_7","fpartner_7","fdetails_7","fsector_8","fpartner_8","fdetails_8","fsector_9","fpartner_9","fdetails_9","fsector_10","fpartner_10","fdetails_10","fsector_11","fpartner_11","fdetails_11","fsector_12","fpartner_12","fdetails_12","fsector_13","fpartner_13","fdetails_13","fsector_14","fpartner_14","fdetails_14","fsector_15","fpartner_15","fdetails_15","fsector_16","fpartner_16","fdetails_16","fsector_17","fpartner_17","fdetails_17","fsector_18","fpartner_18","fdetails_18","fsector_19","fpartner_19","fdetails_19","fsector_20","fpartner_20","fdetails_20","fsector_21","fpartner_21","fdetails_21","fsector_22","fpartner_22","fdetails_22","fsector_23","fpartner_23","fdetails_23","fsector_24","fpartner_24","fdetails_24","fsector_25","fpartner_25","fdetails_25","fsector_26","fpartner_26","fdetails_26","fsector_27","fpartner_27","fdetails_27","fsector_28","fpartner_28","fdetails_28","fsector_29","fpartner_29","fdetails_29","fsector_30","fpartner_30","fdetails_30","fsector_31","fpartner_31","fdetails_31","fsector_32","fpartner_32","fdetails_32","fsector_33","fpartner_33","fdetails_33","fsector_34","fpartner_34","fdetails_34","fsector_35","fpartner_35","fdetails_35","fsector_36","fpartner_36","fdetails_36","fsector_37","fpartner_37","fdetails_37","fsector_38","fpartner_38","fdetails_38","fsector_39","fpartner_39","fdetails_39","fsector_40","fpartner_40","fdetails_40","fsector_41","fpartner_41","fdetails_41","fsector_42","fpartner_42","fdetails_42","fsector_43","fpartner_43","fdetails_43","fsector_44","fpartner_44","fdetails_44","fsector_45","fpartner_45","fdetails_45","fsector_46","fpartner_46","fdetails_46","fsector_47","fpartner_47","fdetails_47","fsector_48","fpartner_48","fdetails_48","fsector_49","fpartner_49","fdetails_49","action_id","theme","topic","new_topic","micronutrient","micronutrient_compound","target_group","age_group","place","delivery","other_delivery","dose_frequency","impact_indicators","me_system","target_pop","coverage_percent","coverage_type","baseline","post_intervention","social_det","social_other","elena_link","problem_0","solution_0","problem_1","solution_1","problem_2","solution_2","problem_3","solution_3","problem_4","solution_4","problem_5","solution_5","problem_6","solution_6","problem_7","solution_7","problem_8","solution_8","problem_9","solution_9","other_problems","other_lessons","personal_story","language" "11499","Food by Prescription","English","Community/sub-national","","ETH","Ethiopia","Addis Ababa, Ethiopia|Amhara, Ethiopia|Dire Dawa, Ethiopia|Harari, Ethiopia|Oromia, Ethiopia|Southern Nations, Nationalities, and People's Region, Ethiopia|Tigray, Ethiopia","Urban|Rural|Peri-urban","on-going","01-2009","01-2013","
For pre-antiretroviral treatment and antiretroviral treatment patients, clinical malnutrition is a risk factor for HIV and mortality. Malnutrition can also negatively impact birth outcomes among HIV-positive women. As HIV infection progresses, challenges to maintenance of adequate nutritional status—mal-absorption of nutrients, hyper-metabolism, etc.—increase and can adversely affect adherence to and effectiveness of drug treatments.
Food by Prescription provides food and nutritional support to malnourished HIV+ individuals in the form of therapeutic and supplementary feeding at health facility levels. The project serves severely malnourished people living with HIV/AIDS, HIV+ pregnant women, HIV+ women in their first six months post-partum, their infants, and orphans and vulnerable children. To ensure the program’s success, USAID works with the Ethiopian Ministry of Health and HIV/AIDS Prevention and Control Office, as well as the Food and Nutrition Technical Assistance (FANTA) project. Food by Prescription serves as a critical component of PEPFAR, a broader effort to strengthen integration of nutrition into HIV services. In order to reduce the cost associated with importation of nutrients and food commodities, the project will also collaborate with the public and private sector to explore the possibility of local production for some of the required food commodities.
Expected Results:
Two qualitative data collection rounds were included, with the following objectives:
a) Adherence and compliance: The objective of the first was to elaborate and contextualize the findings of the quantitative impact study, by exploring ration utilization and participant perceptions of the costs and benefits of participation in the FBP program. It sought to validate the assumption that participants were receiving and consuming the rations prescribed as per the program protocol and to identify the constraining factors and solutions for improved participant adherence. This component of the study also addressed issues of service provider participation, and the barriers and constraints to delivery that may have impacted the effects of the program on individuals.
b) Default and non-response: While the first qualitative study sought to identify constraints to adherence from a group of “successful” participants, a second study was designed to investigate the experience of “unsuccessful” participants, aiming to identify possible limitations to adherence among individuals who either defaulted from the program or failed to respond to the intervention.
The objective of the second qualitative study was to understand in greater depth the range of reasons for default among FBP program participants, as well as the range of reasons for poor weight gain among other participants.
The study was designed as a quasi-experimental effectiveness evaluation, with a comparison group of clinics selected from a geographic area similar to those in which the intervention was being evaluated. Originally, the study was designed to reflect the existence of a food support program being implemented by WFP in limited urban areas for households containing individuals with HIV. As the WFP program was providing a household ration to participant households, there was a concern that the measured impact of the FBP program could be biased by the presence or absence of the WFP program.
Therefore, the study sample was stratified to include three cohorts of participants who were followed longitudinally: two groups of adult PLHIV meeting FBP enrollment criteria in ART clinics at selected health facilities, one from sites offering both the FBP program and the WFP program, and another from sites offering FBP only. Participants from these two groups were recruited for the study at the time when they enrolled in the FBP program. The third group, a comparison group, was composed of FBP-eligible adults recruited from FBP Phase II sites, i.e., where the program had not yet been rolled out but would do so during Year Two of the program.
However, after the FBP program and the impact study had commenced, the WFP program was phased out. Despite this, the three study groups were maintained, with the idea that the two treatment groups could be pooled eventually if the baseline characteristics of the two did not differ significantly.
","These programmes and actions were reported by countries for the WHO Global Nutrition Policy Review 2009-2010, Module 2 on Maternal, infant and young child nutrition. Please note that for simplicity, all interventions in a thematic module have been combined under the same programme for GINA, while they may not be implemented as a package and may have different partners. These data are currently being updated and completed through the GINA verification process. If you think you can help update and complete any of these data, please sign up to GINA and edit.
","WHO (2013) Global Nutrition Policy Review. What does it take to scale up nutrition action?
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global nutrition policy review is based on a questionnaire survey conducted during 2009–2010, in which 119 WHO Member States and 4 territories participated.
","","","","","","","Save the Children","","","","","","National NGOs","MMCWA","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","12067","","Breastfeeding promotion and/or counselling","","","","Infants (up to 1 year of age)","","","","","Promotion of breastfeeding was reported to the Global Nutrition Policy Review (GNPR) 2009-2010
","","","","National coverage","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "12068","GNPR 2009-2010: Maternal, infant and young child nutrition","English","National","","MMR","Myanmar","Myanmar","","","","","These programmes and actions were reported by countries for the WHO Global Nutrition Policy Review 2009-2010, Module 2 on Maternal, infant and young child nutrition. Please note that for simplicity, all interventions in a thematic module have been combined under the same programme for GINA, while they may not be implemented as a package and may have different partners. These data are currently being updated and completed through the GINA verification process. If you think you can help update and complete any of these data, please sign up to GINA and edit.
","WHO (2013) Global Nutrition Policy Review. What does it take to scale up nutrition action?
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global nutrition policy review is based on a questionnaire survey conducted during 2009–2010, in which 119 WHO Member States and 4 territories participated.
","","","","","","","Save the Children","","","","","","National NGOs","MMCWA","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","12406","","Deworming","","","","Infants and young children","","","","community, ","Deworming of children 0-2 years was reported to the Global Nutrition Policy Review (GNPR) 2009-2010
","","","","National coverage","","","","","","Deworming to combat the health and nutritional impact of soil-transmitted helminths>>>Deworming to combat the health and nutritional impact of soil-transmitted helminths>>http://www.who.int/elena/titles/deworming","","","","","","","","","","","","","","","","","","","","","","","","" "12068","GNPR 2009-2010: Maternal, infant and young child nutrition","English","National","","MMR","Myanmar","Myanmar","","","","","These programmes and actions were reported by countries for the WHO Global Nutrition Policy Review 2009-2010, Module 2 on Maternal, infant and young child nutrition. Please note that for simplicity, all interventions in a thematic module have been combined under the same programme for GINA, while they may not be implemented as a package and may have different partners. These data are currently being updated and completed through the GINA verification process. If you think you can help update and complete any of these data, please sign up to GINA and edit.
","WHO (2013) Global Nutrition Policy Review. What does it take to scale up nutrition action?
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global nutrition policy review is based on a questionnaire survey conducted during 2009–2010, in which 119 WHO Member States and 4 territories participated.
","","","","","","","Save the Children","","","","","","National NGOs","MMCWA","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","12507","","Deworming","","","","Pregnant women (PW)","","","","community, ","Maternal deworming in pregnancy was reported to the Global Nutrition Policy Review (GNPR) 2009-2010
","","","","National coverage","","","","","","Deworming to combat the health and nutritional impact of soil-transmitted helminths>>>Deworming to combat the health and nutritional impact of soil-transmitted helminths>>http://www.who.int/elena/titles/deworming","","","","","","","","","","","","","","","","","","","","","","","","" "12068","GNPR 2009-2010: Maternal, infant and young child nutrition","English","National","","MMR","Myanmar","Myanmar","","","","","These programmes and actions were reported by countries for the WHO Global Nutrition Policy Review 2009-2010, Module 2 on Maternal, infant and young child nutrition. Please note that for simplicity, all interventions in a thematic module have been combined under the same programme for GINA, while they may not be implemented as a package and may have different partners. These data are currently being updated and completed through the GINA verification process. If you think you can help update and complete any of these data, please sign up to GINA and edit.
","WHO (2013) Global Nutrition Policy Review. What does it take to scale up nutrition action?
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global nutrition policy review is based on a questionnaire survey conducted during 2009–2010, in which 119 WHO Member States and 4 territories participated.
","","","","","","","Save the Children","","","","","","National NGOs","MMCWA","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","13475","","Management of severe acute malnutrition","","","","Preschool-age children (Pre-SAC)","","","","in-patient, out-patient, health system, ","Management of SAM was reported to the Global Nutrition Policy Review (GNPR) 2009-2010. Protocol used: Management of severe PEM at village level
","","","","National coverage","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "12068","GNPR 2009-2010: Maternal, infant and young child nutrition","English","National","","MMR","Myanmar","Myanmar","","","","","These programmes and actions were reported by countries for the WHO Global Nutrition Policy Review 2009-2010, Module 2 on Maternal, infant and young child nutrition. Please note that for simplicity, all interventions in a thematic module have been combined under the same programme for GINA, while they may not be implemented as a package and may have different partners. These data are currently being updated and completed through the GINA verification process. If you think you can help update and complete any of these data, please sign up to GINA and edit.
","WHO (2013) Global Nutrition Policy Review. What does it take to scale up nutrition action?
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global nutrition policy review is based on a questionnaire survey conducted during 2009–2010, in which 119 WHO Member States and 4 territories participated.
","","","","","","","Save the Children","","","","","","National NGOs","MMCWA","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","13837","","Preventive malaria treatment","","","","Women of reproductive age (WRA)","","","","","Preventive treatment of malaria in women was reported to the Global Nutrition Policy Review (GNPR) 2009-2010
","","","","National coverage","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "12068","GNPR 2009-2010: Maternal, infant and young child nutrition","English","National","","MMR","Myanmar","Myanmar","","","","","These programmes and actions were reported by countries for the WHO Global Nutrition Policy Review 2009-2010, Module 2 on Maternal, infant and young child nutrition. Please note that for simplicity, all interventions in a thematic module have been combined under the same programme for GINA, while they may not be implemented as a package and may have different partners. These data are currently being updated and completed through the GINA verification process. If you think you can help update and complete any of these data, please sign up to GINA and edit.
","WHO (2013) Global Nutrition Policy Review. What does it take to scale up nutrition action?
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global nutrition policy review is based on a questionnaire survey conducted during 2009–2010, in which 119 WHO Member States and 4 territories participated.
","","","","","","","Save the Children","","","","","","National NGOs","MMCWA","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","13978","","Promotion of improved hygiene practices including handwashing","","","","All population groups","","","","","Promotion of handwashing or hygiene interventions was reported to the Global Nutrition Policy Review (GNPR) 2009-2010
","","","","National coverage","","","","","","Water, sanitation and hygiene interventions to prevent diarrhoea>>>Water, sanitation and hygiene interventions to prevent diarrhoea>>http://www.who.int/elena/titles/wsh_diarrhoea","","","","","","","","","","","","","","","","","","","","","","","","" "12144","GNPR 2009-2010: Maternal, infant and young child nutrition","English","National","","VNM","Viet Nam","Viet Nam","","","","","These programmes and actions were reported by countries for the WHO Global Nutrition Policy Review 2009-2010, Module 2 on Maternal, infant and young child nutrition. Please note that for simplicity, all interventions in a thematic module have been combined under the same programme for GINA, while they may not be implemented as a package and may have different partners. These data are currently being updated and completed through the GINA verification process. If you think you can help update and complete any of these data, please sign up to GINA and edit.
","WHO (2013) Global Nutrition Policy Review. What does it take to scale up nutrition action?
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global nutrition policy review is based on a questionnaire survey conducted during 2009–2010, in which 119 WHO Member States and 4 territories participated.
","","","","","","","Save the Children","","Asian Development Bank (ADB)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","12143","","Breastfeeding promotion and/or counselling","","","","Infants (up to 1 year of age)","","","","community, in-patient, out-patient, health system, ","Promotion of breastfeeding was reported to the Global Nutrition Policy Review (GNPR) 2009-2010
","","","","National coverage","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "12144","GNPR 2009-2010: Maternal, infant and young child nutrition","English","National","","VNM","Viet Nam","Viet Nam","","","","","These programmes and actions were reported by countries for the WHO Global Nutrition Policy Review 2009-2010, Module 2 on Maternal, infant and young child nutrition. Please note that for simplicity, all interventions in a thematic module have been combined under the same programme for GINA, while they may not be implemented as a package and may have different partners. These data are currently being updated and completed through the GINA verification process. If you think you can help update and complete any of these data, please sign up to GINA and edit.
","WHO (2013) Global Nutrition Policy Review. What does it take to scale up nutrition action?
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global nutrition policy review is based on a questionnaire survey conducted during 2009–2010, in which 119 WHO Member States and 4 territories participated.
","","","","","","","Save the Children","","Asian Development Bank (ADB)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","12274","","Complementary feeding promotion and/or counselling","","","","Infants and young children","","","","community, ","Behaviour change communication and/or counselling for improved complementary feeding was reported to the Global Nutrition Policy Review (GNPR) 2009-2010
","","","","National coverage","","","","","","Complementary feeding>>>Complementary feeding>>http://www.who.int/elena/titles/complementary_feeding","","","","","","","","","","","","","","","","","","","","","","","","" "12144","GNPR 2009-2010: Maternal, infant and young child nutrition","English","National","","VNM","Viet Nam","Viet Nam","","","","","These programmes and actions were reported by countries for the WHO Global Nutrition Policy Review 2009-2010, Module 2 on Maternal, infant and young child nutrition. Please note that for simplicity, all interventions in a thematic module have been combined under the same programme for GINA, while they may not be implemented as a package and may have different partners. These data are currently being updated and completed through the GINA verification process. If you think you can help update and complete any of these data, please sign up to GINA and edit.
","WHO (2013) Global Nutrition Policy Review. What does it take to scale up nutrition action?
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global nutrition policy review is based on a questionnaire survey conducted during 2009–2010, in which 119 WHO Member States and 4 territories participated.
","","","","","","","Save the Children","","Asian Development Bank (ADB)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","12380","Nutrition and HIV","Counselling on nutritional support&care for people living with HIV","","","","Pregnant/lactating women with HIV/AIDS","","","","community, ","Nutritional care and support for people living with HIV/AIDS was reported to the Global Nutrition Policy Review (GNPR) 2009-2010
","","","","National coverage","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "12144","GNPR 2009-2010: Maternal, infant and young child nutrition","English","National","","VNM","Viet Nam","Viet Nam","","","","","These programmes and actions were reported by countries for the WHO Global Nutrition Policy Review 2009-2010, Module 2 on Maternal, infant and young child nutrition. Please note that for simplicity, all interventions in a thematic module have been combined under the same programme for GINA, while they may not be implemented as a package and may have different partners. These data are currently being updated and completed through the GINA verification process. If you think you can help update and complete any of these data, please sign up to GINA and edit.
","WHO (2013) Global Nutrition Policy Review. What does it take to scale up nutrition action?
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global nutrition policy review is based on a questionnaire survey conducted during 2009–2010, in which 119 WHO Member States and 4 territories participated.
","","","","","","","Save the Children","","Asian Development Bank (ADB)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","12432","","Deworming","","","","Infants and young children","","","","community, ","Deworming of children 0-2 years was reported to the Global Nutrition Policy Review (GNPR) 2009-2010
","","","","National coverage","","","","","","Deworming to combat the health and nutritional impact of soil-transmitted helminths>>>Deworming to combat the health and nutritional impact of soil-transmitted helminths>>http://www.who.int/elena/titles/deworming","","","","","","","","","","","","","","","","","","","","","","","","" "12144","GNPR 2009-2010: Maternal, infant and young child nutrition","English","National","","VNM","Viet Nam","Viet Nam","","","","","These programmes and actions were reported by countries for the WHO Global Nutrition Policy Review 2009-2010, Module 2 on Maternal, infant and young child nutrition. Please note that for simplicity, all interventions in a thematic module have been combined under the same programme for GINA, while they may not be implemented as a package and may have different partners. These data are currently being updated and completed through the GINA verification process. If you think you can help update and complete any of these data, please sign up to GINA and edit.
","WHO (2013) Global Nutrition Policy Review. What does it take to scale up nutrition action?
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global nutrition policy review is based on a questionnaire survey conducted during 2009–2010, in which 119 WHO Member States and 4 territories participated.
","","","","","","","Save the Children","","Asian Development Bank (ADB)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","12711","","Distribution of insecticide-treated bednets","","","","Family ( living in same household)","","","","community, ","Distribution of insecticide-treated bednets was reported to the Global Nutrition Policy Review (GNPR) 2009-2010
","","","","National coverage","","","","","","Insecticide-treated nets to prevent malaria and anaemia in pregnant women>>>Insecticide-treated nets to prevent malaria and anaemia in pregnant women>>http://www.who.int/elena/titles/bednets_malaria_pregnancy","","","","","","","","","","","","","","","","","","","","","","","","" "12144","GNPR 2009-2010: Maternal, infant and young child nutrition","English","National","","VNM","Viet Nam","Viet Nam","","","","","These programmes and actions were reported by countries for the WHO Global Nutrition Policy Review 2009-2010, Module 2 on Maternal, infant and young child nutrition. Please note that for simplicity, all interventions in a thematic module have been combined under the same programme for GINA, while they may not be implemented as a package and may have different partners. These data are currently being updated and completed through the GINA verification process. If you think you can help update and complete any of these data, please sign up to GINA and edit.
","WHO (2013) Global Nutrition Policy Review. What does it take to scale up nutrition action?
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global nutrition policy review is based on a questionnaire survey conducted during 2009–2010, in which 119 WHO Member States and 4 territories participated.
","","","","","","","Save the Children","","Asian Development Bank (ADB)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","13487","","Management of severe acute malnutrition","","","","Preschool-age children (Pre-SAC)","","","","in-patient, out-patient, health system, ","Management of SAM was reported to the Global Nutrition Policy Review (GNPR) 2009-2010. Protocol used: Protocol for treatment of severe acute malnutrition
","","","","National coverage","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "12144","GNPR 2009-2010: Maternal, infant and young child nutrition","English","National","","VNM","Viet Nam","Viet Nam","","","","","These programmes and actions were reported by countries for the WHO Global Nutrition Policy Review 2009-2010, Module 2 on Maternal, infant and young child nutrition. Please note that for simplicity, all interventions in a thematic module have been combined under the same programme for GINA, while they may not be implemented as a package and may have different partners. These data are currently being updated and completed through the GINA verification process. If you think you can help update and complete any of these data, please sign up to GINA and edit.
","WHO (2013) Global Nutrition Policy Review. What does it take to scale up nutrition action?
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global nutrition policy review is based on a questionnaire survey conducted during 2009–2010, in which 119 WHO Member States and 4 territories participated.
","","","","","","","Save the Children","","Asian Development Bank (ADB)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","13851","","Preventive malaria treatment","","","","Women of reproductive age (WRA)","","","","community, in-patient, out-patient, health system, ","Preventive treatment of malaria in women was reported to the Global Nutrition Policy Review (GNPR) 2009-2010
","","","","National coverage","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "12144","GNPR 2009-2010: Maternal, infant and young child nutrition","English","National","","VNM","Viet Nam","Viet Nam","","","","","These programmes and actions were reported by countries for the WHO Global Nutrition Policy Review 2009-2010, Module 2 on Maternal, infant and young child nutrition. Please note that for simplicity, all interventions in a thematic module have been combined under the same programme for GINA, while they may not be implemented as a package and may have different partners. These data are currently being updated and completed through the GINA verification process. If you think you can help update and complete any of these data, please sign up to GINA and edit.
","WHO (2013) Global Nutrition Policy Review. What does it take to scale up nutrition action?
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global nutrition policy review is based on a questionnaire survey conducted during 2009–2010, in which 119 WHO Member States and 4 territories participated.
","","","","","","","Save the Children","","Asian Development Bank (ADB)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","13887","Iron and/or folic acid","Promotion and implementation of properly timed cord clamping","","","","Newborns (up to 28 days of age)","","","","","Promoting and implementation of delayed cord clamping was reported to the Global Nutrition Policy Review (GNPR) 2009-2010
","","","","National coverage","","","","","","Cord clamping for the prevention of iron deficiency anaemia in infants: optimal timing>>>Cord clamping for the prevention of iron deficiency anaemia in infants: optimal timing>>http://www.who.int/elena/titles/cord_clamping","","","","","","","","","","","","","","","","","","","","","","","","" "12144","GNPR 2009-2010: Maternal, infant and young child nutrition","English","National","","VNM","Viet Nam","Viet Nam","","","","","These programmes and actions were reported by countries for the WHO Global Nutrition Policy Review 2009-2010, Module 2 on Maternal, infant and young child nutrition. Please note that for simplicity, all interventions in a thematic module have been combined under the same programme for GINA, while they may not be implemented as a package and may have different partners. These data are currently being updated and completed through the GINA verification process. If you think you can help update and complete any of these data, please sign up to GINA and edit.
","WHO (2013) Global Nutrition Policy Review. What does it take to scale up nutrition action?
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global nutrition policy review is based on a questionnaire survey conducted during 2009–2010, in which 119 WHO Member States and 4 territories participated.
","","","","","","","Save the Children","","Asian Development Bank (ADB)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","14008","","Promotion of improved hygiene practices including handwashing","","","","All population groups","","","","community, in-patient, out-patient, health system, ","Promotion of handwashing or hygiene interventions was reported to the Global Nutrition Policy Review (GNPR) 2009-2010
","","","","National coverage","","","","","","Water, sanitation and hygiene interventions to prevent diarrhoea>>>Water, sanitation and hygiene interventions to prevent diarrhoea>>http://www.who.int/elena/titles/wsh_diarrhoea","","","","","","","","","","","","","","","","","","","","","","","","" "12239","GNPR 2009-2010: Maternal, infant and young child nutrition","English","Community/sub-national","","MMR","Myanmar","Myanmar","","","","","These programmes and actions were reported by countries for the WHO Global Nutrition Policy Review 2009-2010, Module 2 on Maternal, infant and young child nutrition. Please note that for simplicity, all interventions in a thematic module have been combined under the same programme for GINA, while they may not be implemented as a package and may have different partners. These data are currently being updated and completed through the GINA verification process. If you think you can help update and complete any of these data, please sign up to GINA and edit.
","WHO (2013) Global Nutrition Policy Review. What does it take to scale up nutrition action?
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global nutrition policy review is based on a questionnaire survey conducted during 2009–2010, in which 119 WHO Member States and 4 territories participated.
","","","","","","","Save the Children","","","","","","National NGOs","MMCWA","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","12238","","Complementary feeding promotion and/or counselling","","","","Infants and young children","","","","community, ","Behaviour change communication and/or counselling for improved complementary feeding was reported to the Global Nutrition Policy Review (GNPR) 2009-2010
","","","","","","","","","","Complementary feeding>>>Complementary feeding>>http://www.who.int/elena/titles/complementary_feeding","","","","","","","","","","","","","","","","","","","","","","","","" "12239","GNPR 2009-2010: Maternal, infant and young child nutrition","English","Community/sub-national","","MMR","Myanmar","Myanmar","","","","","These programmes and actions were reported by countries for the WHO Global Nutrition Policy Review 2009-2010, Module 2 on Maternal, infant and young child nutrition. Please note that for simplicity, all interventions in a thematic module have been combined under the same programme for GINA, while they may not be implemented as a package and may have different partners. These data are currently being updated and completed through the GINA verification process. If you think you can help update and complete any of these data, please sign up to GINA and edit.
","WHO (2013) Global Nutrition Policy Review. What does it take to scale up nutrition action?
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global nutrition policy review is based on a questionnaire survey conducted during 2009–2010, in which 119 WHO Member States and 4 territories participated.
","","","","","","","Save the Children","","","","","","National NGOs","MMCWA","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","12351","Nutrition and HIV","Counselling on nutritional support&care for people living with HIV","","","","Pregnant/lactating women with HIV/AIDS","","","","community, ","Nutritional care and support for people living with HIV/AIDS was reported to the Global Nutrition Policy Review (GNPR) 2009-2010
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "12239","GNPR 2009-2010: Maternal, infant and young child nutrition","English","Community/sub-national","","MMR","Myanmar","Myanmar","","","","","These programmes and actions were reported by countries for the WHO Global Nutrition Policy Review 2009-2010, Module 2 on Maternal, infant and young child nutrition. Please note that for simplicity, all interventions in a thematic module have been combined under the same programme for GINA, while they may not be implemented as a package and may have different partners. These data are currently being updated and completed through the GINA verification process. If you think you can help update and complete any of these data, please sign up to GINA and edit.
","WHO (2013) Global Nutrition Policy Review. What does it take to scale up nutrition action?
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global nutrition policy review is based on a questionnaire survey conducted during 2009–2010, in which 119 WHO Member States and 4 territories participated.
","","","","","","","Save the Children","","","","","","National NGOs","MMCWA","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","12691","","Distribution of insecticide-treated bednets","","","","Family ( living in same household)","","","","community, ","Distribution of insecticide-treated bednets was reported to the Global Nutrition Policy Review (GNPR) 2009-2010
","","","","","","","","","","Insecticide-treated nets to prevent malaria and anaemia in pregnant women>>>Insecticide-treated nets to prevent malaria and anaemia in pregnant women>>http://www.who.int/elena/titles/bednets_malaria_pregnancy","","","","","","","","","","","","","","","","","","","","","","","","" "12239","GNPR 2009-2010: Maternal, infant and young child nutrition","English","Community/sub-national","","MMR","Myanmar","Myanmar","","","","","These programmes and actions were reported by countries for the WHO Global Nutrition Policy Review 2009-2010, Module 2 on Maternal, infant and young child nutrition. Please note that for simplicity, all interventions in a thematic module have been combined under the same programme for GINA, while they may not be implemented as a package and may have different partners. These data are currently being updated and completed through the GINA verification process. If you think you can help update and complete any of these data, please sign up to GINA and edit.
","WHO (2013) Global Nutrition Policy Review. What does it take to scale up nutrition action?
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global nutrition policy review is based on a questionnaire survey conducted during 2009–2010, in which 119 WHO Member States and 4 territories participated.
","","","","","","","Save the Children","","","","","","National NGOs","MMCWA","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","12800","","Food distribution/supplementation for prevention of acute malnutrition","","","","Infants and young children","","","","community, ","Distribution of complementary foods was reported to the Global Nutrition Policy Review (GNPR) 2009-2010
","","","","","","","","","","eLENA titles related to prevention or treatment of moderate acute malnutrition in children>>>Supplementary feeding in community settings for promoting child growth>>http://www.who.int/elena/titles/child_growth|Food supplementation in children with moderate acute malnutrition>>http://www.who.int/elena/titles/food_children_mam","","","","","","","","","","","","","","","","","","","","","","","","" "12239","GNPR 2009-2010: Maternal, infant and young child nutrition","English","Community/sub-national","","MMR","Myanmar","Myanmar","","","","","These programmes and actions were reported by countries for the WHO Global Nutrition Policy Review 2009-2010, Module 2 on Maternal, infant and young child nutrition. Please note that for simplicity, all interventions in a thematic module have been combined under the same programme for GINA, while they may not be implemented as a package and may have different partners. These data are currently being updated and completed through the GINA verification process. If you think you can help update and complete any of these data, please sign up to GINA and edit.
","WHO (2013) Global Nutrition Policy Review. What does it take to scale up nutrition action?
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global nutrition policy review is based on a questionnaire survey conducted during 2009–2010, in which 119 WHO Member States and 4 territories participated.
","","","","","","","Save the Children","","","","","","National NGOs","MMCWA","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","12835","","Food distribution/supplementation for prevention of acute malnutrition","","","","Lactating women (LW)|Pregnant women (PW)","","","","in-patient, health system, ","Providing maternal supplements of balanced energy and protein was reported to the Global Nutrition Policy Review (GNPR) 2009-2010
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "12239","GNPR 2009-2010: Maternal, infant and young child nutrition","English","Community/sub-national","","MMR","Myanmar","Myanmar","","","","","These programmes and actions were reported by countries for the WHO Global Nutrition Policy Review 2009-2010, Module 2 on Maternal, infant and young child nutrition. Please note that for simplicity, all interventions in a thematic module have been combined under the same programme for GINA, while they may not be implemented as a package and may have different partners. These data are currently being updated and completed through the GINA verification process. If you think you can help update and complete any of these data, please sign up to GINA and edit.
","WHO (2013) Global Nutrition Policy Review. What does it take to scale up nutrition action?
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global nutrition policy review is based on a questionnaire survey conducted during 2009–2010, in which 119 WHO Member States and 4 territories participated.
","","","","","","","Save the Children","","","","","","National NGOs","MMCWA","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","13805","","Management of moderate malnutrition","","","","Preschool-age children (Pre-SAC)","","","","","Management of MAM was reported to the Global Nutrition Policy Review (GNPR) 2009-2010. Protocol used: Manual on Community nutrition Centre
","","","","","","","","","","eLENA titles related to prevention or treatment of moderate acute malnutrition in children>>>Supplementary feeding in community settings for promoting child growth>>http://www.who.int/elena/titles/child_growth|Food supplementation in children with moderate acute malnutrition>>http://www.who.int/elena/titles/food_children_mam","","","","","","","","","","","","","","","","","","","","","","","","" "23199","CICR programme communautaire: Prise en Charge de la Malnutrition Aiguë dans le district de Gorom Gorom","English","Community/sub-national","","BFA","Burkina Faso","gorom gorom, burkina faso","Rural","on-going","","","La Croix Rouge de Belgique, en partenariat avec la Croix Rouge burkinabè et les autorités sanitaires ont mis en oeuvre depuis 2007 un programm d’appui aux structures sanitaires dans neuf provinces réparties dans 3 régions (Sahel, Nord, Centre Ouest).Pour la région du Sahel, le passage à l’échelle s’est fait à partir de 2011 par des phases successives sous financement ECHO (European Community Humanitarian aid Office). Aujourd’hui, le programme couvre les 18 Centre de Santé et de Promotion Sociale (CSPS) du District Sanitaire de Gorom Gorom. Le programme est actuellement en phase 6, phase ayant débutée en mars 2013 qui prendra fin en janvier 2014. Cette phase prévoit de consolider l’appui au système de santé de la région du Sahel en vue d’accroitre son efficacité dans la prise en charge ambulatoire de la malnutrition aigüe à travers des appuis techniques et financiers touchant à la fois la qualité, la couverture, le suivi/évaluation et la capitalisation de la prise en charge de la malnutrition aigüe.
","Ce programme a été identifié par le biais du projet «Coverage Monitoring Network» (CMN). Le projet CMN est une initiative inter-agence qui vise à accroître et d'améliorer le suivi de la couverture de la gestion communautaire de la malnutrition aiguë (CMAM) programmes à l'échelle mondiale, et renforce les capacités des professionnels nationaux et internationaux de la nutrition. Sa vocation est de fournir un support technique et des outils aux programmes de PCMA afin de les aider à évaluer leur impact, de partager et capitaliser les leçons apprises sur les facteurs influençant leur performance. Le projet met l'accent sur le renforcement des compétences en méthodologie SQUEAC et SLEAC. Il est mis en œuvre par un consortium dirigé par ACF International, et comprend Save the Children, Concern Worldwide, International Medical Corps, Helen Keller International et Valid International. Le projet est financé par la Commission européenne, Direction générale de l'aide humanitaire et de la protection civile (ECHO) et le Bureau du Foreign Disaster Assistance des États-Unis (OFDA) de l'USAID. Pour en savoir plus, s'il vous plaît visitez le site Web de la CMN à
http://www.coverage-monitoring.org/
Veuillez suivre le lien ci-dessous pour accéder au rapport complet du CMN sur la couverture du projet PCMA dans le district de Gorom Gorom:
","","","","","","","International Committee of the Red Cross (ICRC)","","","","","","","","","","","","","","","Bilateral and donor agencies and lenders","European Commission Humanitarian Aid & Civil Protection (ECHO)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","23198","","Management of severe acute malnutrition","","","","SAM child","Enfants de 0 à 59 mois","District de Gorom Gorom","Community-based|Primary health care center","","Le cadre approprié pour la prise en charge de la malnutrition aiguë modérée est constitué des Centres de Santé et de Promotion Sociale (CSPS), des Centres Médicaux avec Antenne Chirurgicale (CMA) ou tout autre structure menant des activités de supplémentation alimentaire. En période d’urgence des Centres de Supplémentation Nutritionnelle (CSN) pourront être ouverts à cet effet.
Le cadre approprié de la prise en charge de la malnutrition sévère est le centre de récupération et d’éducation nutritionnelle (CREN). Son rôle principal est le traitement de la malnutrition sévère et l’éducation des familles en matière de nutrition.
Là où il n’existe pas de CREN, les CSPS doivent assurer une prise en charge en externe des cas adaptés à ce mode de traitement.
","La SQUEAC c´est une évaluation semi‐quantitative parce que combinant des données quantitatives et qualitatives:
Données quantitatives: données de routine (admissions, abandons, indicateurs de performance) et données collectées (cas couverts et cas non couverts) au cours d’enquêtes sur petites et grandes zones.
Données qualitatives: informations (opinions, connaissances sur la malnutrition, connaissances du programme de PEC, perception de la malnutrition, recours aux soins, facteurs limitant la PEC…) collectées auprès la communauté, des acteurs et bénéficiaires impliqués dans le service.
","Une investigation de la couverture du programme de prise en charge de la MAS dans le district a été conduite du 1 au 20 novembre 2013 en utilisant la méthodologie « Semi Quantitative Evaluation of Access and Coverage » (SQUEAC). L´outil SQUEAC permet d´assurer à moindre coût un monitoring régulier des programmes et d´identifier les zones de couverture faible ou élevée ainsi que les raisons expliquant ces situations. L’ensemble de ces informations permet de planifier des actions spécifiques et concrètes dans le but d’améliorer la couverture des programmes concernés.
La méthodologie SQUEAC se compose de trois étapes principales:
L’étape 1 consiste à identifier les zones de couverture élevée ou faible et des barrières à l’accessibilité
L’étape 2 permet de vérifier des hypothèses sur les zones de couverture faible ou élevée au moyen d’enquêtes sur petites zones
L’étape 3 permet d’estimer la couverture globale à travers la construction d’un « a priori » (basé sur les barrières et les boosters), de l’Évidence Vraisemblable et d’un « post priori » basé sur la recherche de cas.
Aux recommandations ci-dessus sont ajoutées des recommandations spécifiques à l’attention:
De la Croix Rouge de Belgique:
-Evaluation des Centre d’Accueil Pour Nutrition (CAPN),
-Définition de la stratégie communautaire sur plusieurs années,
-Réflexion de concert avec la DRS et les DS (en impliquant les CISSE et les Points Focaux Nutrition) au concept CAPN et ses orientations en vue d’une meilleure intégration dans le système sanitaire,
-Travail conjoint avec la Direction Régionale de la Santé et les District Sanitaire sur un système harmonisé de collecte des données communautaires incluant tous les paramètres de suivi de la MAS (base de données complémentaires)
-Renforcement des ressources humaines des formations sanitaires en personnel additionnel,
-Révision de l’organisation terrain depuis le pôle technique jusqu’au positionnement des agents de terrain.
De la Direction régionale de la Santé du Sahel:
-Suivi de la mise en oeuvre des recommandations,
-Accompagnement du district dans la mise en oeuvre des recommandations,
-Mise en place d’un système harmonisé de collecte des données communautaires incluant tous les paramètres de suivi de la MAS (base de données complémentaires)
-Augmentation des ressources humaines dans les centres de santé,
-Recherche d’un système de motivation des agents de santé des CSPS (FBR, primes) conjointement avec les districts.
Du District sanitaire de Gorom Gorom :
-Restitution formelle des résultats de la SQUEAC,
-Evaluation de la mise en oeuvre des recommandations de la SQUEAC dans les cadres de concertation périodiques,
-Renforcement de la concertation entre acteurs de mise en oeuvre du programme,
-Recherche d’un système de motivation des Agents de santé communautaire (ASBC),
-Renforcement des compétences des agents de santé (formation, supervision),
-Renforcement des ressources humaines des CSPS,
-Amélioration des connaissances des populations sur la malnutrition et le programme de PEC,
-Recherche d’un système de motivation des agents de santé des CSPS (FBR, primes),
-Recherche des moyens pour faire face aux barrières géographiques.
Le Croix Rouge de Belgique (CRB) et la Croix Rouge Burkinabè travaillent en partenariat avec le service de la santé depuis 2007 dans la région du Sahel au Burkina Faso. Ce partenariat est orienté vers le renforcement des capacités en ce qui concerne la Prise en Charge de la Malnutrition Aiguë sous financement ECHO. Aujourd’hui, le programme couvre les 13 CSPS dans le district du Sebba aussi que 23 CAPN (Centre d’Accueil Pour Nutrition). Le programme est actuellement en phase 6, phase ayant débutée en mars 2013 qui prendra fin en janvier 2014. Cette phase prévoit de consolider l’appui au système de santé de la région du Sahel en vue d’accroitre son efficacité dans la prise en charge ambulatoire de la malnutrition aigüe à travers des appuis techniques et financiers touchant à la fois la qualité, la couverture, le suivi/évaluation et la capitalisation de la prise en charge de la malnutrition aigüe.
","Ce programme a été identifié par le biais du projet «Coverage Monitoring Network» (CMN). Le projet CMN est une initiative inter-agence qui vise à accroître et d'améliorer le suivi de la couverture de la gestion communautaire de la malnutrition aiguë (CMAM) programmes à l'échelle mondiale, et renforce les capacités des professionnels nationaux et internationaux de la nutrition. Sa vocation est de fournir un support technique et des outils aux programmes de PCMA afin de les aider à évaluer leur impact, de partager et capitaliser les leçons apprises sur les facteurs influençant leur performance. Le projet met l'accent sur le renforcement des compétences en méthodologie SQUEAC et SLEAC. Il est mis en œuvre par un consortium dirigé par ACF International, et comprend Save the Children, Concern Worldwide, International Medical Corps, Helen Keller International et Valid International. Le projet est financé par la Commission européenne, Direction générale de l'aide humanitaire et de la protection civile (ECHO) et le Bureau du Foreign Disaster Assistance des États-Unis (OFDA) de l'USAID. Pour en savoir plus, s'il vous plaît visitez le site Web de la CMN à
http://www.coverage-monitoring.org/
Veuillez suivre le lien ci-dessous pour accéder au rapport complet du CMN sur la couverture du projet PCMA dans le district de Sebba:
http://www.coverage-monitoring.org/wp-content/uploads/2014/05/RAPPORT-SQUEAC-SEBBA.pdf
","","","","","","","International Committee of the Red Cross (ICRC)","","","","","","","","","","","","","","","Bilateral and donor agencies and lenders","European Commission Humanitarian Aid & Civil Protection (ECHO)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","23213","","Management of severe acute malnutrition","","","","SAM child","Enfants de 6 à 59 mois","District de Sebba","Primary health care center","","Le cadre approprié pour la prise en charge de la malnutrition aiguë modérée est constitué des Centres de Santé et de Promotion Sociale (CSPS), des Centres Médicaux avec Antenne Chirurgicale (CMA) ou tout autre structure menant des activités de supplémentation alimentaire. En période d’urgence des Centres de Supplémentation Nutritionnelle (CSN) pourront être ouverts à cet effet.
Le cadre approprié de la prise en charge de la malnutrition sévère est le centre de récupération et d’éducation nutritionnelle (CREN). Son rôle principal est le traitement de la malnutrition sévère et l’éducation des familles en matière de nutrition. Là où il n’existe pas de CREN, les CSPS doivent assurer une prise en charge en externe des cas adaptés à ce mode de traitement.
","La SQUEAC c´est une évaluation semi‐quantitative parce que combinant des données quantitatives et qualitatives:
Données quantitatives: données de routine (admissions, abandons, indicateurs de performance) et données collectées (cas couverts et cas non couverts) au cours d’enquêtes sur petites et grandes zones.
Données qualitatives: informations (opinions, connaissances sur la malnutrition, connaissances du programme de PEC, perception de la malnutrition, recours aux soins, facteurs limitant la PEC…) collectées auprès la communauté, des acteurs et bénéficiaires impliqués dans le service.
","Une investigation de la couverture du programme de prise en charge de la MAS dans le district a été conduite du 1 au 20 novembre 2013 en utilisant la méthodologie « Semi Quantitative Evaluation of Access and Coverage » (SQUEAC). L´outil SQUEAC permet d´assurer à moindre coût un monitoring régulier des programmes et d´identifier les zones de couverture faible ou élevée ainsi que les raisons expliquant ces situations. L’ensemble de ces informations permet de planifier des actions spécifiques et concrètes dans le but d’améliorer la couverture des programmes concernés.
La méthodologie SQUEAC se compose de trois étapes principales:
L’étape 1 consiste à identifier les zones de couverture élevée ou faible et des barrières à l’accessibilité
L’étape 2 permet de vérifier des hypothèses sur les zones de couverture faible ou élevée au moyen d’enquêtes sur petites zones
L’étape 3 permet d’estimer la couverture globale à travers la construction d’un « a priori » (basé sur les barrières et les boosters), de l’Évidence Vraisemblable et d’un « post priori » basé sur la recherche de cas.
Points forts:
- Les ASC / AV sont actifs avec leurs activités
- Le CSPS est le premier recours aux soins
- Il existe une bonne connaissance et une appréciation du traitement ATPE.
Barrières à l’accessibilité des soins qui limitent la couverture:
- La distance et l’inaccessibilité géographique des certains villages, surtout en saison des pluies.
- La qualité de la prise en charge de la Malnutrition Aigüe Sévère au niveau CSPS : Pas de dépistage systématique aux cours des consultations, temps d’attente trop long, manque de communication entre les AS et les mères concernant le traitement, mauvais accueil au CSPS.
- Manque de connaissance de la malnutrition et du programme : les mères voient que l’enfant est malade mais ne savent pas de quelle maladie l’enfant souffre ni pourquoi. Elles vont au CSPS car c’est là où elles soignent les enfants malades mais pas parce qu’elles connaissent le programme.