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Improving the Quality of Nutrition Counselling in Primary Health Care Settings

Learn how to improve quality of nutrition counseling with interactive sessions, ethical standards, and effective communication. Aimed at increasing knowledge and changing behaviors for better health outcomes.

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Improving the Quality of Nutrition Counselling in Primary Health Care Settings

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  1. Improving the Quality of Nutrition Counselling in Primary Health Care Settings Peggy Koniz-Booher Senior Advisor Nutrition and SBCC USAID Advancing Nutrition

  2. Common characteristics of counseling • Interactive • Collaborative • Client-focused • Action-oriented • Increases knowledge • Changes attitudes and behaviors

  3. What is the role of a counselor?

  4. Core competencies for counseling • Show respect and empathy • Follow ethical standards • Ask open-ended questions • Listen actively • Encourage + practices • Address client’s concerns • Communicate correct information • Check for understanding • Use communication materials effectively • Discuss and agree on action • Make appropriate referrals • Schedule next meeting • End on a positive note • Provide follow-up

  5. Nutritional counseling aims to— • Increase a client’s nutritional literacy • Improve an individual’s dietary intake and energy expenditure • Support mothers and other caregivers in feeding infants and young children • Address a wide range of health problems (from heart disease and diabetes to eating disorders)

  6. What does the evidence suggest?

  7. The quality of counseling matters!

  8. But roles are often misunderstood!

  9. Let’s review the basics

  10. Critical crosscutting elements of successful counseling • Establish quality standards for counseling • Prioritize training to improve counseling skills • Improve counseling content • Provide targeted, high-quality take-home educational materials for clients • Prioritize coaching/mentoring and supportive supervision to those providing counseling • Collect data on the adoption of key behaviors, adherence and outcomes.

  11. Emerging opportunities

  12. Theory of Change for Improving Health and Nutrition through Improved Counseling External Inputs Client Outcomes Provider Outcomes Adapted from NACS

  13. Theory of Change for Improving Health and Nutrition through Improved Counseling External Inputs Client Outcomes Provider Outcomes Adapted from NACS

  14. Theory of Change for Improving Health and Nutrition through Improved Counseling External Inputs Client Outcomes Provider Outcomes Adapted from NACS

  15. Theory of Change for Improving Health and Nutrition through Improved Counseling External Inputs Client Outcomes Provider Outcomes Adapted from NACS

  16. Codifying the basic steps in effective nutrition counseling NACS, GALIDRAA, 5As, Triple A

  17. Nutrition Assessment Counseling and Support (NACS) Adapted from NACS model

  18. GALIDRAA Counseling Model Greet, Ask, Listen, Identify, Discuss, Recommend, Agree, Appoint

  19. The 5 As – a simple mnemonic Ask Assist Assess Advise Agree

  20. The 5 As – a simple mnemonic Follow-up

  21. 3-Step: Assess, Analyze, and Act Community IYCF Counseling Package

  22. But we also need greater investments in tools, training and supportive supervision…

  23. …and in the innovative application of new technologies for these and follow-up care.

  24. Investments in nutrition counseling are needed now!

  25. For More information, contact: Peggy_Koniz-Booher@jsi.com USAID Advancing Nutrition is the Agency's flagship multi-sectoral nutrition project, addressing the root causes of malnutrition to save lives and enhance long-term health and development.

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