Closing Plenary: How do We Expand the

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Closing Plenary How do We Expand the S in NACS
through Strengthening Linkages between Clinical
and Community ServicesSerigne Diene (FHI
360/FANTA)
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Uncovered the S
Treatment of malnutrition Prevention of malnutrition Food security and livelihood support Water, sanitation, and hygiene (WASH)
Medical care and treatment Prescription of specialized food products Provision of MN supplements Routine medical care and treatment Provision of MN supplements Food fortification Provision of complementary foods and dietary supplements Savings Microcredit Income-generating activities Household food production Food assistance Distribution of POU water treatment products or vouchers Latrine construction
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Challenges and opportunities for linking clinic
to communities

• 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

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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
• ,

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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

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