 A
Guide to Monitoring and Evaluation of Nutrition Assessment, Education
and Counseling of People Living With HIV
A Guide to Monitoring and Evaluation of Nutrition Assessment,
Education and Counseling of People Living With HIV provides
guidance and tools to support programs in monitoring and evaluating
nutrition interventions for people living with HIV (PLHIV). It is
designed for use by program managers, M&E officers and other program
and government health system staff who are responsible for designing
and implementing M&E systems. The guide can be used to select indicators,
set targets, plan data collection and tabulation processes and interpret
and use the information obtained.
 Download
the guide
FANTA-2 Awarded to AED
Food and Nutrition Technical Assistance II Project (FANTA-2) works
to improve nutrition and food security policies, strategies and
programs through technical support to USAID and its partners, including
host country governments, international organizations and NGO implementing
partners. Focus areas for technical assistance include maternal
and child health and nutrition, HIV and other infectious diseases,
food security and livelihood strengthening, and emergency and reconstruction.
FANTA-2 develops and adapts approaches to support the design and
quality implementation of field programs, while building on field
experience to improve and expand the evidence base, methods and
global standards for nutrition and food security programming. The
project, funded by USAID, is a five-year cooperative agreement.
Learn
more about FANTA-2
 Precision,
Time, and Cost: A Comparison of Three Sampling Designs in an Emergency
Setting
Article published in Emerging Themes in Epidemiology
FANTA, in collaboration with CRS, Save the Children (SC)/US and
Ohio State University, applied LQAS methods to develop and test
three new sampling designs to respond to the data collection priorities
of emergency settings. These alternative
sampling designs have been field tested in Sudan and Ethiopia,
where they were shown to provide rapid and statistically reliable
methods for assessing the prevalence of global acute malnutrition,
in addition to a number of other child and household level indicators.
An article reporting on the FANTA and SC/US field test in Sudan,
"Precision, Time,
and Cost: A Comparison of Three Sampling Designs in an Emergency
Setting", has been published in Emerging Themes in Epidemiology.
 Review
of Community-based Management of Acute Malnutrition (CMAM) in the
Post-emergency Context: Synthesis of Lessons on Integration of CMAM
into National Health Systems
With Community Management of Acute Malnutrition (CMAM) incorporated
into government health facilities and protocols to varying degrees
in Ethiopia, Malawi and Niger, USAID's FANTA Project undertook a
comprehensive review of the challenges, successes and lessons learned
from the experience in these three countries. The synthesis report
discusses recommendations for successful and sustainable integration
of CMAM, outlining specific steps donors, Ministries of Health,
the UN and NGOs can take to facilitate the process and next steps
needed to expand the knowledge and evidence base for CMAM integration.
Download
the synthesis report
International Workshop on the Integration of Community-Based Management of Acute Malnutrition (CMAM)
April 28-30, 2008, Washington, DC
At the request of USAID, FANTA hosted an International Workshop on the Integration of CMAM in Washington DC, sponsored by USAID’s Office of Foreign Disaster Assistance and Office of Health, Infectious Diseases and Nutrition. The workshop was organized jointly with UN, MOH and NGO partners. The April 2008 workshop provided an opportunity to share current practices in the integration and scale-up of Community-Based Management of Acute Malnutrition.
Learn more about the workshop
Dietary
Diversity as a Measure of Women's Diet Quality in Resource-Poor
Areas: Results from Rural Bangladesh Site
Simple population-level indicators are needed to assess the quality
of women’s diets and to monitor progress in improving diets. FANTA
is working with a number of researchers on a Women’s Dietary Diversity
Project (WDDP), whose broad objective is to use existing data sets
with dietary intake data from 24-hour recall to analyze the relationship
between simple indicators of diet diversity–such as those that could
be derived from the new Demographic and Health Surveys (DHS)–and
dietary quality for women.
With funding from USAID’s Bureau for Global Health, the WDDP is
analyzing data sets from five countries: Bangladesh, Burkina Faso,
Mali, Mozambique and the Philippines. The final report for Bangladesh
indicates that food group diversity indicators may be a simple and
valid option for population-level assessment and for monitoring
progress toward improved micronutrient intakes among women of reproductive
age.
Download
the report
Essential
Nutrition Actions in Public Health Programs in Ethiopia
The Essential Nutrition Actions (ENA) package is an approach to expand the coverage of seven affordable and evidence-based actions to improve the nutritional status of women and children, especially those under two years of age. FANTA’s Review of Incorporation of Essential Nutrition Actions into Public Health Programs in Ethiopia found that the approach has been incorporated into the Ethiopia Federal Ministry of Health system and multilateral and NGO programming, however, improved training and other steps are necessary to further institutionalize the approach. The review, requested by USAID/Ethiopia, examined a number of facilitating and inhibiting factors to ENA integration in the context of Ethiopia’s health system.
Download
the review
Sudan
Food Assistance Transition Study
USAID's FANTA Project and TANGO International have released Sudan
Food Assistance Transition Study. The report provides an analysis
of the key issues related to food insecurity and the high rates
of malnutrition in Southern Sudan and the Three Areas (Abyei, the
Nuba Mountains and Blue Nile). It examines current Title II activities
and recommends how to increase their impact on food security and
nutrition. The study proposes possible steps for addressing food
security through development of an integrated food security strategy
and by leveraging Title II and Disaster Assistance funds in a complementary
manner that emphasizes the multiple transitions taking place in
the areas of livelihoods, education, health, nutrition, institutions
and security.
Download
the study
 Comparing
Preventive and Recuperative Approaches to Targeting Maternal and
Child Health and Nutrition Programs in Haiti
FANTA's five-year effectiveness study on food-assisted nutrition programs demonstrated that a preventive approach is more effective in reducing child malnutrition than a recuperative approach: after three years, the prevalence of stunting, underweight and wasting was significantly lower in the preventive communities than in communities where a recuperative approach had been used.
Read more about the study and subsequent article found in The Lancet Journal
 Kenya
Trainer's Manual and Trainee Toolkit for Nutrition in Comprehensive
Care Centers
To strengthen the capacity of HIV service providers to provide effective nutritional care and support, USAID/Kenya supported FANTA in working with the Government of Kenya's National AIDS and STI Control Program to develop a trainer's manual and trainee tools for a Kenya national training course on nutrition and HIV. Nutrition Management in Comprehensive Care Centres in Kenya: A Trainer's Manual and Nutrition and HIV/AIDS: A Toolkit for Service Providers in the Comprehensive Care Centres are intended for service providers from Comprehensive Care Centers (CCC), the health care facilities where HIV patients are treated. FANTA also conducted trainings of CCC service providers using the training course.
The
training materials are available for download
 Trigger
Indicators and Early Warning and Response Systems in Multi-Year
Title II Assistance Programs
In geographic areas and populations chronically vulnerable to food insecurity, early warning and response (EWR) systems can provide necessary information to help modify program interventions and increase resources in response to shocks. Trigger indicators (TIs) are one such EWR mechanism. USAID's Office of Food for Peace (FFP) and FANTA have published FFP Occasional Paper 5, Trigger Indicators and Early Warning and Response Systems in Multi-Year Title II Assistance Programs to allow Cooperating Sponsors (CSs) a greater degree of flexibility in responding to emerging crises and shocks in their areas of operation without the risk of potentially undermining advances being achieved by development interventions. Occasional Paper 5 is designed to briefly review CSs' experiences with operationalizing TIs and EWR systems to-date, outline the key characteristics of EWR systems and TIs within the Title II-supported multi-year assistance program (MYAP) context, and provide suggestions on how to best operationalize FFP guidance on incorporating EWR mechanisms, including TIs, into MYAPs.
Download
FFP Occasional Paper 5
 Food Assistance Programming in the Context of HIV
Food Assistance Programming in the Context of HIV (2007): Food Assistance Programming in the Context of HIV, a joint publication by WFP and FANTA, is a guide developed to improve the design and implementation of food security programs that respond to HIV-related challenges as well as HIV programs that utilize food and food-related activities to achieve HIV-related outcomes. The guide provides a set of tools, promising practices and key considerations that enhance the flexibility and appropriateness of program design and implementation modalities, and has been developed for program directors, program advisors and senior program managers who are directly involved in the analysis and formulation of food assistance strategies and country program activities at HQ and in regional and field offices.
Download Food Assistance Programming in the Context of HIV
Girl
Guides Anemia Prevention Badge ProjectFANTA and the Regional Center for
Quality of Health Care (RCQHC), in partnership with the African Regional Office
of the World Association of Girl Guides and Girl Scouts (WAGGGS), designed the
Girl Guides Anemia Prevention Badge Project, a program to reach adolescent girls
in East and Southern Africa with information and activities on anemia prevention
and control. Under the program, Girl Guides (ages 7-18) can earn a badge in anemia
prevention through educational programs and community involvement in anemia control.
FANTA and RCQHC developed an Anemia Prevention Badge Handbook and Workbook for
the Girl Guides as well as a training manual for Girl Guide leaders. Anemia
and iron deficiency remain at epidemic levels among women and children in many
nations. Iron deficiency anemia (IDA) is associated with 22% of maternal deaths
and 24% of perinatal deaths, according to a recent meta-analysis. Correcting anemia
of any severity reduces the risk of death, the analysis also showed. These estimates
of the maternal and perinatal deaths associated with IDA underscore the importance
of implementing a package of interventions, such as the Girl Guides badge project,
to address the multiple causes of anemia. Download
Anemia Prevention Badge Handbook, Workbook and Guiders' Training Manual
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