1. Nutrition: What’s Working, What Does It Take, & What’s On the Horizon 2002 AFR SOTA Meeting Thursday, June 13

2. Nutrition & Child Survival Pelletier et al, 1994

3. Benefits & Costs of Interventions DALYs = Disability adjusted life years

4. Essential Nutrition Actions Vitamin A Iodized salt Breast Feeding Maternal nutrition Complementary feeding Mgmt of Sick Children

5. Essential Maternal Nutrition Actions Adequate food intake during pregnancy & lactation Adequate micronutrient intake during pregnancy Reduction of malaria infection in pregnant women in women in endemic areas Birth spacing of 3 years or longer

6.  Monitor monthly weight gain of children under 2  Focus on preventive nutrition & basic health services/ practices at community level Community-Based Growth Promotion (CBGP)

7. Country Implementation Zambia Madagascar Senegal Benin Ghana DR Congo Uganda Guinea Nigeria Mali

8. Madagascar Achieving national policy and community nutrition results through partnerships

9. DELIVERY: DELIVERY: safe delivery, EBF, vitamin A, iron/folic acid, diet, FP, STI prevention PREGNANCY : PREGNANCY : TT, antenatal visits, iron/folic acid, de- worming, anti-malarial, diet, EBF, risk signs, FP, STI prevention, safe delivery, iodized salt POSTNATAL AND FAMILY PLANNING: POSTNATAL AND FAMILY PLANNING: EBF, diet, iron/folic acid, diet, FP, STI prevention, child’s vaccination WELL CHILD & GM/P: WELL CHILD & GM/P: monitor growth, assess and counsel on feeding, iodized salt, check and complete vaccination/ vitamin A /de-worming SICK CHILD: monitor growth, assess and treat per IMCI, counsel on feeding, assess & treat for anemia, check and complete vitamin A/immunization/de-worming IMMUNIZATION: IMMUNIZATION: vaccinations, vitamin A, de-worming, assess and treat infant’s anemia, FP, and STI referral Essential Nutrition Actions: Promoted at 6 Key Contacts

10. Prevalence Exclusive Breast Feeding

11. Impact of Improved BF on Diarrhea  early BF 34% to 73%  EBF 45% to 68%  incidence of diarrhea 15% to 3%  EBF  risk of diarrhea 8.5X

12. Increased Feeding of Children (0-23 mo) Following Illness Breastfeeding Complementary feeding

13. Proportion of Children (6-23 mo) Receiving VA Capsule in the Past 6 mo

14. Proportion of Women Receiving Postpartum VA Capsule

15. On the Horizon Global Alliance for Improved Nutrition (GAIN) VA Supplementation: Beyond NIDs Postpartum Infant VA Dosing NNIPS3: Antenatal Fe/FA vs Multi-MNs Preventative & Therapeutic Zn Strengthening Links among Ag, Food Security, Nutrition, & HIV/AIDS

16. Regional Center for Infant Feeding & PMTCT Zambia