1. Harnessing the Power of Cross-sectoral Programming to Alleviate HIV/AIDS and Food Insecurity May 30, 2013 Washington, DC Closing Plenary: How do We Expand the “S” in NACS through Strengthening Linkages between Clinical and Community Services Serigne Diene (FHI 360/FANTA)

2. Harnessing the Power of Cross-sectoral Programming to Alleviate HIV/AIDS and Food Insecurity 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

3. Harnessing the Power of Cross-sectoral Programming to Alleviate HIV/AIDS and Food Insecurity 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

4. Harnessing the Power of Cross-sectoral Programming to Alleviate HIV/AIDS and Food Insecurity 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,

5. Harnessing the Power of Cross-sectoral Programming to Alleviate HIV/AIDS and Food Insecurity 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

6. Harnessing the Power of Cross-sectoral Programming to Alleviate HIV/AIDS and Food Insecurity