1. Anthropometric measures of children’s growth –Weight, height, Mid-upper arm circumference Indicators of progress Photo credit: http://motherchildnutrition.org/index.html

2. Indicators of progress Photo credit: Jen Taylor

3. Indicators of progress Photo credit: Jen Taylor

4. After the Training Photo credit: Jared Macary

5. Medical Director will supervise Training of health workers Refresher training every 6 months Regular clinical team meetings to answer questions Technical Director will supervise Proper making of porridge Monthly group meetings and education of families Supervision

6. Association Espoir pour Demain Key: Supervisors Trained workers Mon & Eval

7. Monthly Monitor # of women receiving nutrition counseling during the clinic visits # of women serving porridge to children & properly making it Quarterly Monitor # of Mothers/families and health workers recognize benefits of proper nutrition # of women/families and health workers recognizing signs of undernourishment Yearly Survey and Key Informant Interviews to Evaluate Overall Program Final Evaluation(After 3 Years) Reduced infant/under 2 morbidity and mortality  Anthropometric measurements and self-report Monitoring & Evaluation

8. Time Table of Activities Implementation of Activities Year 1Year 2Year 3 Personnel Responsible 1 st Qtr 2 nd Qtr 3 rd Qtr 4 th Qtr 1 st Qtr 2 nd Qtr 3 rd Qtr 4 th Qtr 1 st Qtr 2 nd Qtr 3 rd Qtr 4 th Qtr Preparation Baseline SurveyXTechnical and Medical Director Procurement of porridge ingredients. classroom supplies and incentives XXXXXXpMTCT Medical /Coordinator Develop curriculum for TOT and nutrition/rotating curriculum for mothers XXXTechnical Director Implementation and Monitoring Training of ProvidersXXXXXXTechnical and Medical Director Training of Mothers/FamiliesXXXXXXXXXXXXpMTCT Medical Assistant/Coordinator Counseling for Women in ProgramXXXXXXXXXXXXAll Medical Assistants and pMTCT Coordinator Monthly meetings of mothers with providersXXXXXXXXXXXXpMTCT Medical Assistant/Coordinator Assessment of Children for Signs of Undernourishment XXXXXXXXXXXXpMTCT Medical Assistant/Coordinator Women Serving Enriched Porridge (Monitoring will be biannual) XXXXXXpMTCT Medical Assistant/Coordinator Women making flourXXX pMTCT Medical Assistant/Coordinator Evaluation Survey and key informant interview regarding curriculum satisfaction and understanding XXXXX Technical Director and Home Visit Coordinator Survey and key informant interview regarding overall program XXX Technical Director, pMTCT Medical Coordinator and Home Visit Coordinator Follow-up evaluation of those lost to drop-outXXX Technical Director, pMTCT Medical Coordinator and Home Visit Coordinator Final evaluation regarding program impactXExternal Consultant Dissemination of resultsXXXXXX Technical and Medical Director

9. DesignationLine Item Cost per monthQty/FTETotal StaffPMTCT Program Manager 2,500 1.0030,000 PMTCT Assistant Program Manager 600 1.007,200 Technical Advisor 1,000 0.506,000 Administrator/Office Manager 660 0.251,980 Field Bookeeper/Accountant 800 0.252,400 Subtotal Salaries 47,580 Severance (1 month pay, local staff) 3,465 Benefits and taxes (30% expat staff) 1,800 Health Allowance (10% local salary) 4,158 Total Staff 57,003 TravelTwo trips for headquarters staff 4,0002.08,000 Per diem and accomodation, field travel 4,000 Total Travel 12,000 TrainingEducation Sessions Materials 5012600 Education Sessions Transportation 100121,200 Health staff training 1,5002.03,000 Total Training 4,800 MaterialsEnriched flour packets 30012.03,600 Clinical monitoring tools 2,5001230,000 Didactic material printing costs 3,000 Total Materials 36,600 Monitoring & Evaluation Development of nutrition M&E plan 2,000 Final evaluation 3,000 Total Monitoring and Evaluation 5,000 OperationsOffice equipment & supplies 100121,200 Phone/Fax/E-mail 100121,200 Computers 1,0001 Total Operating Costs 3,400 TOTAL DIRECT COSTS 118,803 8) Indirect costs Indirect Costs -- audited 12% 14,256 TOTAL PROJECT 133,059 Budget

10. Impact Photo credit: Jared Macary

11. Thank You Questions? Thank You Questions?