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 May 30, 2013 Insecurity

Uncovered the “S”

Treatment of malnutrition

• • • Medical care and treatment Prescription of specialized food products Provision of MN supplements

Prevention of malnutrition

• • • • Routine medical care and treatment Provision of MN supplements Food fortification Provision of complementary foods and dietary supplements

Food security and livelihood support

• • • • • Savings Microcredit Income generating activities Household food production Food assistance

Water, sanitation, and hygiene (WASH)

• • 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

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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

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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 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