RE: [pronut-hiv] Topic 1: Promising Approaches in Nutrition -HIV Integration

["Dr. Robert Mwadime" <rmwadime@rcqhc.org>]

Colleagues and friends

Already good discussions. I am getting excited!!! LETS KEEP IT MOVING.

A number of us have asked questions. That is great, and I will be providing
some clues and summarizing some key issues. BUT, meanwhile we should also
provide responses and offer discussions to some of the issues raised.

For instance Madam Hana Tadayo of NASCOP could easily explain to us
(specifically to Stella) the process that the Kenyan Technical Working Group
used to develop the Nutrition Guidelines for PLHIV in Kenya. Others from
other countries (e.g. Beatrice from Zambia, + Marjorie in Namibia, TFNC
friends from Tanzania, Hana in Ethiopia, Samalie in Uganda, + Rwanda, + RSA,
+ Zimbabwe, ++++++) can also tell us how they did it.....But more important
whether you consider the process as adequate/participatory to produce a
quality and acceptable product. 

Please let us also offer suggestions to the other questions/issues.......it
is OUR discussion. Here are some of the issues that have coming out so far:

Guidelines by themselves are not enough, service providers need training.
How do we operationalize technical recommendations (RDA, 10% additional
energy, etc)
What are the indicators to monitor progress in implementation of guidelines?

How do we have uniformity among different partners/programs?
How do we involve community-based programs in nutrition and HIV efforts in
the guidelines?
Guidelines have little on integration of the general nutrition aspects, e.g.
ENA.

LET US HAVE YOUR QUESTIONS/ISSUES BUT ALSO GIVE COMMENTS....

On Friday I will try to summarize some of the issues; then we shall move to
another aspect of the integration.

Robert Mwadime (Ph.D).