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Nutrition/HIV – new developments Increased Evidence Base – e.g. micronutrient supplements, RUTF

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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Nutrition/HIV – new developments Increased Evidence Base – e.g. micronutrient supplements, RUTF

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  1. 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

  2. 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

  3. 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

  4. Part 1

  5. Coordination for Nutrition and HIV Whose responsibility? Picture removed

  6. 8 Nutritional Interventions for HIV within National Aids Committees (NACs) • Convincing NAC professionals of the impact of Nutrition on HIV • Getting Nutrition into NAC policies and funded programmes

  7. 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

  8. 6. Assist those applying to Global Fund • Incorporate Nutrition Training within NAC programmes • Document examples of Good Practice

  9. Nutritional Care for Mothers and Children – in NAC policy 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

  10. Unknown Issues in Mothers and Children • 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

  11. Nutritional Care for Adults in NAC policy 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

  12. Unknown Issues in Adults • Role of Multiple Micronutrients in preventing progression – with and without HIV • Role of Dietary Supplements/RUTF on Diseases Progression

  13. Summary • 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

  14. Part 2

  15. Picture removed Pfizer – drugs for filariasis donated to LDC

  16. “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

  17. Included money from 6 European donors

  18. Opportunities for Public Private Sector Action in Nutrition and HIV

  19. Summary • 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

  20. Picture removed How much can PPP help me?

  21. Thank you for listening

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