Mother, Infant and Young Child Nutrition & Malnutrition Mother, Infant and Young Child Nutrition & Malnutrition - Feeding practices including micronutrient deficiencies prevention, control of wasting, stunting and underweight
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Protection, Promotion and Support of Healthy Maternal, Infant and Young Child Feeding

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Home  »  Nutrition Protection, Promotion & Support  »  The Essential Nutrition Actions (ENA) Approach  »  Service Quality Self Assessment Tools

The Essential Nutrition Actions (ENAs) Approach

Service Quality Self Assessment Tools

These tools list recommended nutrition services and quality issues in line with updated standards and asks the service providers to assess their service against them.

They can provide an interesting feedback on the actual gap between the policy and the reality on the ground. The identity of the user will stay anonymous.


Tool 1: Facility Based

Performance self-assessment tool for use by Key Stakeholders at key contact points - The following Essential Nutrition Actions (ENAs) are recommended at:

Note:

1) Some nutrition essential actions are repeated under more than one contact point (i.e. maternal nutrition or exclusive breastfeeding) in line with the ENA aim to increase service coverage of women and children. Thus, the tool should help practitioners to recall if all identified key contact points are effectively used and, if not, why. We acknowledge that, practically, health workers may not counsel the same women/mother on the same issue over and over again at each contact point, unless required on a case-by-case basis.

2) In the text we use the term 'all pregnant women' and 'all mothers' to refer to those who come to the facility or in contact at specific points.


Tool 2: Community Based

Performance self-assessment tool for use at community level at 5 contact points - The following Essential Nutrition Actions (ENAs) are recommended:

  • Women during pregnancy
     
  • At delivery and immediate post-partum
     
  • At Post Natal and during the first six months
     
  • For young children between 6-59 months
     
  • When child or mother is sick
     

Note: Community-based performance self-assessment tool for use by village-health-team members, group leaders, extension workers, etc. to look at key nutrition behaviours at critical stages in the life cycle of children and women.


Tool 3: Community Based - Infant Feeding in the Context of HIV/AIDS

Performance self-assessment tool for use at community level at 5 contact points:

  • For HIV positive mothers during pregnancy
     
  • At delivery and immediate post-partum
     
  • At Post Natal and during the first six months
     
  • For young children between 6-59 months
     
  • When child or mother is sick
     

Note: Community-based performance self-assessment tool for use by people trained to assist persons living with HIV/AIDS to look at key nutrition behaviours to be applied at critical stages in the life cycle of children and women.

This tool includes key behaviours for HIV+ mothers, who opt to use breast-milk substitutes for infant under six months.

It should be used with extreme cautiousness to avoid spill-over effects in the wider community.



6 March, 2016
 


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