RE: [pronut-hiv] Topic 1 Wk 2: Promising Approaches in Nutrition-HIV Integration

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

Friends

We enter our second week of discussing the promising practices in Nutrition
and HIV integration.

This week we look at the human capacity challenges faced in integrating
nutrition care into HIV interventions. 
A number of services have to be offered (found in the guidelines), normally
as a package: 
*	Assessment of the clients (mainly anthropometric measures; but also
biochemical and dietary assessments)
*	Education on key messages (and demonstrations can be made) and
counseling (whether group or individual)
*	(targeted?) Provision of nutrition supplements, whether
micronutrients or food supplements
*	Linkage to other services (e.g. food security or livelihood, child
survival, reproductive health, etc)

If in your case these services are offered in care and treatment clinics,
who offers the services? If the workload is very high do we expect
nurses/clinical staff to offer these services? How does this work in
reality? How does it work in the community/HBC? 

Let us hear of THE innovative ways that countries are taking to address the
human capacity challenges (at all levels--national, sub-national and
facility/program).

Wish you good discussions.

Robert Mwadime (Ph.D, MPH, MSc)
Regional Senior Nutrition and HIV/AIDS Advisor
Academy for Education Development (AED)
Food and Nutrition Technical Assistance (FANTA) Project