[pronut-hiv] Improving nutrition in children and mothers

["Elvira Beracochea" <eberacochea@basics.org>]

The ENA for PLWHA may differ because it needs to be responsive to their nutritional needs and evidence-based
Elvira
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Thanks for this interesting discussion. I started it so here is my reply to keep it going. The ENA concept proved useful to operationalize community-based programs at scale in child survival in several countries. The underlying premise is that if a limited focused number of proven interventions are operationalized, children's nutrition status can improve. 

Would a similarly focused approach impact the nutritional status of PLWHA? Well, the content of the ENA for PLWHA may differ because it needs to be responsive to their nutritional needs and evidence-based. Programmatically I would dare say that it can work.

I would like to invite the members of Pronut-hiv  to look at the ENA BASICS II or RCQHC/LINKAGES developed and consider the programmatic aspects of operationalizing nutrition interventions at scale. What can be learned and effectively applied to reach PLWHA at scale?

About content, I am not a nutritionist so I defer and agree with George about iron for mothers and vitmin B. I like Robert's proposal of sanitation and safe food handling. How can we make all this work at scale?

Thanks, Robert and George for taking the time to reply. I really appreciate it. Elvira

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Dr. Robert Mwadime wrote:
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Friends,

I love what George is suggesting. But the list George has is only part of 
the story. In the context of HIV/AIDS, the Essential Nutrition Actions 
(ENAs) for Women and Young Children can't remain as we have had them, 
whether they are 6 actions promoted by BASICS or the longer list of 10 
actions promoted by the RCQHC/LINKAGES. We need to (re)look at these ENAs in the context of HIV/AIDS.

For instance, sanitation and safe food handling is a key action in the 
context of HIV/AIDS, and has serious implications on nutrition. But should 
this be included (including deworming) in the ENAs?

Robert Mwadime
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