Integrated Programming Nutrition Specific and Sensitive Interventions Learning

Integrated Programming Nutrition Specific and Sensitive Interventions

Learning Objectives By the end of this session, participants will be able to: • State what nutrition specific and nutrition sensitive interventions are • Describe how to integrate nutrition sensitive and nutrition specific interventions • Describe the role of each sector in nutrition outcomes • Explain nutrition's contribution to each sector

Conceptual Framework on malnutrition Nutrition Specific Interventions and Programmes Nutrition Sensitive Interventions and Programmes

Nutrition Specific Interventions • Nutrition specific interventions address the immediate determinants of fetal and child nutrition and development: • adequate food and nutrient intake, • feeding, caregiving and parenting practices, • and low burden of infectious diseases.

Nutrition Sensitive Interventions • Nutrition sensitive interventions address the underlying determinants of fetal and child nutrition and development: • food security and agriculture • adequate caregiving resources at the maternal, household and community levels • access to health services • safe and hygienic environment • and incorporate specific nutrition goals and actions.

Task: Amina’s Case Study Out of the interventions identified, which actions are nutrition specific and which are nutrition sensitive?

Conceptual Framework on malnutrition Nutrition Specific: • Adolescent health and preconception nutrition • Maternal dietary supplementation • Micronutrient supplementation or fortification • Breastfeeding & complementary feeding • Dietary supplementation for children • Dietary diversification Nutrition Sensitive: • Agriculture & food security • Social safety nets • Early childhood development • Maternal mental health Nutrition Promotion: • Rigorous evaluations • Advocacy strategies • Horizontal & vertical coordination

Nutrition Sensitive Interventions- How • Joint assessments, surveys, and analysis • Joint/harmonized programming • Joint proposal writing and budgeting • Multi-skilled approach to community outreach and community mobilization • Harmonised behaviour change messages and approaches • Multi-sectoral M&E

Key Indicators Across Sectors Household Module Individual Food consumption module Health module Water and sanitation module 24 -hours dietary recall (Using Health module: same food groups as food • Ever vaccinated against consumption score measles (children 9 -59 measurement in households months) Ever vaccinated against Breastfeeding module tuberculosis – BCG (children 6 -59 months) Household Food Consumption Complementary feeding Received vitamin A capsule module: module in past 6 months (children 6 Food consumption 59 months) score • Consumption of solid, semi- Received deworming Household Dietary solid, or soft foods medication according to Diversity Score • 24 -hour food consumption recommendation (children 12 history 59 months) Coping strategies module: • Consumption of foods in 2 -week period prevalence of: • Reduced coping strategies specific food groups Diarrhoea/ARI/Fever index • Consumption of iron-rich Mother/Primary caretaker • Livelihood Coping strategies foods yesterday or night, usually washes hands before Livelihood activities preparing food • Specific livelihood activities • Other supplementary foods WASH module: to be included in the question (to be determined for study Usual source of water for must be determined for each population) drinking population Type of sanitation facility for household Household income and expenditure module: Household wealth Household expenditures and Share of Food Expenditure Anthropometry module Child Anthropometry module: Height or length Weight Reason for not measuring height or length or weight MUAC Mother’s Anthropometry module: • MUAC

Take Home Messages • Achieving nutrition outcomes in emergencies will require a focused effort by all sectors. • Nutrition sensitive programs are critical for addressing underlying causes of malnutrition. • Integrating throughout the program cycle, from assessment, proposal writing, budgeting, implementation, to monitoring and evaluation. • There is need to take advantage of all sectors available platforms to include nutrition specific and sensitive interventions

Acknowledgements This training package was developed by the Intercluster Nutrition Working Group This training package was funded by This training package was developed with the technical support of