Nutrition intervention programs.......ppt

Nutrition intervention is manegment of diseases associated with malnutrition and options of manegment

1. Nutrition intervention
programs

2. Nutrition interventions strategies
Shorter routes:-
Providing health and nutrition education
Micronutrient fortification and
supplementation
Can improve child nutrition fast - in
two to five years

3. Short routes to better nutrition
Micronutrient supplements
Micronutrient fortification

4. Nutrition interventions strategies
Long term:-
Higher incomes and better food
security

5. Long routes to better nutrition
Primary health services such as
Family planning and
Infectious disease control
Safe water and sanitation

6. Long routes to better nutrition
Policies on marketing breast milk
substitutes
Food and agricultural policies to increase
supply of safe and healthy food, or of
healthier foods

7. Long routes…
Food industry development and market
incentives (disincentives) for developing
healthy (unhealthy) food.
Fruit and vegetable production

8. Essential Nutrition Actions
What?
When?
Where?

9. … when should we intervene?
Majority of growth faltering occurs during
first year of life.
Many babies are born malnourished due to
poor maternal nutrition before & during
pregnancy.

10. Where should we intervene?
Focus on:
 Infant & young child feeding,
especially 0-24 months
 Nutrition of girls & women

11. What to Integrate?
7 action areas7 action areas

12. 7 Proven action areas…
Estimated decrease of
child mortality: >23%
Child Survival Strategy, MOH
Ethiopia, Sept 2004

13. 1. Promotion of Optimal Breastfeeding
Exclusive
Breastfeeding
for the first 6
months of life
National Strategy for IYCF, Fed MOH, April
2004
E stim
a
te d
d
e cre a
se o
f
ch
ild
m
o
rta
lity : 4 %

14. 1. Promotion of Optimal Breastfeeding
 Early Initiation of BF within 1 hour of birth
 Exclusive BF until 6 months
 BF day and night at least 10 times
 Correct positioning & attachment
 Empty one breast and switch to the other
Key Messages
National Strategy for IYCF, Fed MOH, April
2004

15. 2. Complementary Feeding to BF
At 6 months
of age
National Strategy for IYCF, Fed MOH, April
2004
E
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8
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16. 2. Complementary Feeding to BF
 Continue BF until 24 months and more
 Increase the number of feedings with age
 Increase density and quantity with age
 Diversify diet using variety of foods
 Responsive feeding

Food hygiene
Key Messages
National Strategy for IYCF, Fed MOH, April
2004

17. 3. Feeding of the sick child
 Increase breastfeeding & complementary
feeding during and after illness
(IMCI- Integrated Management of Childhood
Illness)
For infants 6 months & older, feed 1 extra meal
each day for two weeks following the illness
Appropriate Therapeutic Feeding
Key Messages
National Strategy for IYCF, Fed MOH, April
2004

18. 4. Women’s Nutrition
 During pregnancy and lactation
Iron/Folic Acid Supplementation
Treatment & prevention of malaria
Increase food intake
one extra meal each day during pregnancy
two extra meals each day during lactation
 Deworming during pregnancy
 Vitamin A Capsule within 45 days of delivery
Key Messages
National Strategy for MN, Fed MOH, April
2004 E
s
tim
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c
h
ild
m
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lity
: 1
%

19. 5. Control of Vitamin A Deficiency
 Breastfeeding: source of Vitamin A
 Vitamin A rich foods
 Maternal supplementation
 Child supplementation
 Food fortification
Key Messages
National Strategy for MN, Fed MOH, April
2004E stim
a
te d
d
e cre a
se o
f
ch
ild
m
o
rta
lity : 1 0 %

20. 6. Control of Anemia
Supplementation for women and
children (IMCI)
 Deworming for pregnant women and
children (twice/year)
 Malaria control
 Iron-rich foods
 Fortification
Key Messages
National Strategy for MN, Fed MOH, April
2004
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4
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21. 7. Control of Iodine Deficiency Disorders
 Access & consumption
by all families
of iodized salt
Key Messages
National Strategy for MN, Fed MOH, April
2004

22. Where to Integrate?
•7 Proven Behaviors
•6 Critical Contact
Points

23. 2. DELIVERY: safe delivery, BF, Vitamin
A, iron/folic acid, diet, FP, STI
prevention
1. PREGNANCY : TT, antenatal visits,
BF, iron/folic acid, de-worming, anti-
malarial, diet, risk signs, FP, STI
prevention, safe delivery, iodized salt
Critical contacts for infant feeding,
& women’s nutrition: life cycle

24. Critical contact…...
a
3. POSTNATAL AND FAMILY PLANNING: ,
diet, BF, iron/folic acid, diet, FP, STI
prevention, child’s vaccination
4. IMMUNIZATION: vaccinations,
vitamin A, BF, de-worming, assess and
treat infant’s anemia, FP, and STI
referral

25. Critical contact…...

5. WELL CHILD AND GMP: monitor
growth, assess and counsel on infant
feeding, iodized salt, check and
complete vaccination
6. SICK CHILD: monitor growth,
assess and treat per IMCI, counsel on
infant feeding, BF, assess and treat
for anemia, check and complete
vitamin A /immunization/ de-
worming