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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.

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Presentation Transcript
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  • 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


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  • 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


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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



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Coordination for

Nutrition and HIV

Whose responsibility?

Picture removed


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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


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Nutritional Care for Mothers and Children – in NAC policy Interventions – 4S’ - strategy, supplies, staff, skills

Screening health/

nutritional

status of children

of HIV infected

mothers

RUTF for

HIV infected

malnourished

Infant

Feeding

Advice

Nutritional

Management of

HIV infected

adolescents

Management of

metabolic

syndrome

in children

Health/Nutrition

of HIV infected

mothers


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  • Unknown Issues in Mothers and Children Interventions – 4S’ - strategy, supplies, staff, skills

  • 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


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Nutritional Care for Adults in NAC policy Interventions – 4S’ - strategy, supplies, staff, skills

Dietary Advice

re ARVs for

HIV Infected

with appetite

Dietary provision for

HIV infected who

are unemployed

or stigmatised

Improving

HFS by increasing

Production and/or

Provision

RUTF for

HIV infected

who are

anorectic

Management

of

metabolic syndrome


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  • Unknown Issues in Adults Interventions – 4S’ - strategy, supplies, staff, skills

  • Role of Multiple Micronutrients in preventing progression – with and without HIV

  • Role of Dietary Supplements/RUTF on Diseases Progression


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  • Summary Interventions – 4S’ - strategy, supplies, staff, skills

  • 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


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Part 2 Interventions – 4S’ - strategy, supplies, staff, skills


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Picture removed Interventions – 4S’ - strategy, supplies, staff, skills

Pfizer – drugs for filariasis donated to LDC


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“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 24th 2007


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Included money from 6 European donors initiatives, such as the


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Opportunities for Public Private Sector Action initiatives, such as the

in Nutrition and HIV


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  • Summary initiatives, such as the

  • 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


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Picture removed initiatives, such as the

How much can PPP help me?


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Thank you for listening initiatives, such as the


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