1. Nutrition/HIV – new developments Increased Evidence Base – e.g. micronutrient supplements, RUTF High Profile Meetings – Durban, Blantyre. Others planned in Africa Updates on Infant Feeding Advice – evidence and policies UN Reform - Collaboration Public/Private Partnerships

2. SCN WG on Nutrition and HIV UN reform/PPPs for Nutrition/HIV – Andrew Tomkins The impact of the Nutrition Cluster – Bruce Cogill Operationalising Food/Nutrition links - Stuart Gillespie Recent joint achievements in the UN - Randa Saadeh HIV and mortality in SAM – Pamela Fergusson CTC/RUTF for SAM in HIV – Bahwere Paluku Discussion and Conclusions on Priority Actions

3. Nutrition and HIV/AIDS WG Andrew Tomkins Institute of Child Health, London 2 key issues for our WG Part 1 - Working together more effectively Part 2 - Public/Private Initiatives

5. Picture removed Coordination for Nutrition and HIV Whose responsibility?

6. 8 Nutritional Interventions for HIV within National Aids Committees (NACs) 1. Convincing NAC professionals of the impact of Nutrition on HIV 2. Getting Nutrition into NAC policies and funded programmes

7. 3. Obtain and Deliver Resources for Targeted Nutrition/HIV Interventions – 4S’ - strategy, supplies, staff, skills 4. Ensure linkages between different cadres of staff working in HIV/AIDS 5. Set up M&E systems for assessing coverage and impact

8. 6. Assist those applying to Global Fund 7Incorporate Nutrition Training within NAC programmes 8Document examples of Good Practice

9. Nutritional Care for Mothers and Children – in NAC policy Infant Feeding Advice RUTF for HIV infected malnourished Management of metabolic syndrome in children Screening health/ nutritional status of children of HIV infected mothers Health/Nutrition of HIV infected mothers Nutritional Management of HIV infected adolescents

10. Unknown Issues in Mothers and Children Value of Multiple Micronutrients in HIV infected pregnancy Value of food supplements for HIV infected mothers Optimal dose and stage at which ARVs should be used in SAM

11. Nutritional Care for Adults in NAC policy Dietary Advice re ARVs for HIV Infected with appetite Dietary provision for HIV infected who are unemployed or stigmatised RUTF for HIV infected who are anorectic Management of metabolic syndrome Improving HFS by increasing Production and/or Provision

12. Unknown Issues in Adults Role of Multiple Micronutrients in preventing progression – with and without HIV Role of Dietary Supplements/RUTF on Diseases Progression

13. Summary We know enough to merit establishing a HIV/Nutrition Support Unit within each NAC Different cadres of HIV/Nutrition Staff need to have Job Plans developed for linking with different government sectors We need leadership/advocacy for such Units by the international agencies to get their value recognised by the predominantly infectious disease trained staff in NACs A few countries (Malawi and Kenya) have started – let others become more active

15. Pfizer – drugs for filariasis donated to LDC Picture removed

16. “Melinda and I believe that innovative financing initiatives, such as the Advanced Market Commitment for pneumococcal vaccine, can harness the expertise of private industry and help close this research gap so that one day, those born in the developing world will have the same chance for good health as those born in America and Britain.” Bill Gates Bill & Melinda Gates Foundation Letter to Economist Feb 24 th 2007

18. Included money from 6 European donors

20. HealthNutrition Product Development ARVsRUTF Opportunities for Public Private Sector Action in Nutrition and HIV

21. HealthNutrition Product Development ARVsRUTF ResearchARV for PMTCT ARV dose in SAM

22. HealthNutrition Product Development ARVsRUTF ResearchARV for PMTCT ARV dose in SAM Improving Access HIV TestingHFS

23. HealthNutrition Product Development ARVsRUTF ResearchARV for PMTCT ARV dose in SAM Improving Access HIV TestingHFS Service Strengthening ARV staffNutrition Professionals

24. HealthNutrition Product Development ARVsRUTF ResearchARV for PMTCTARV dose in SAM Improving Access HIV TestingHFS Service Strengthening ARV staffNutritionists Advocacy and Education Behaviour Change – understood by all Infant Feeding knowledge – understood by all

25. HealthNutrition Product Development ARVsRUTF ResearchARV for PMTCTARV dose in SAM Improving Access HIV TestingHFS Service Strengthening ARV staffNutritionists Advocacy and Education Behaviour Change – understood by all Infant Feeding knowledge – understood by all Quality Control Generic ARVsGeneric RUTF

26. Summary Many opportunities for Private Sector to contribute to improved management of Nutrition and HIV Need to understand what is stopping PPP developments in Nutrition whereas they are successful in Health Need careful monitoring of all Public Private Partnerships to ensure that the malnourished and poor benefit

27. How much can PPP help me? Picture removed

28. Thank you for listening