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