Position Category: Local hire, paid in country
JSI is currently seeking a Public-private partnership Advisor for the USAID-funded Accelerating Control of the HIV Epidemic in Nigeria (ACE_6) Project. JSI will be working with other consortium partners on the ACE award for Cluster 6 (Bayelsa, Edo, and Lagos states) to bring mutually reinforcing technical expertise to address existing HIV service delivery gaps. The ACE_6 project will employ a client-centered approach integrating contextual health systems strengthening (HSS) with comprehensive HIV care, including critical services like gender mainstreaming, mental health, and psychosocial support (MHPSS) interventions, and COVID-19 prevention integration services in the public and private sectors in supported states.
ACE_6 will scale up comprehensive client and family-centered HIV/TB case finding, linkage, care, and support services, improve maternal and child healthcare, interventions and will also facilitate the expansion and strengthening of the logistics and supply chain management systems at the facility and community levels, within the context of the COVID-19 pandemic. The Project will strengthen collaboration with the Government of Nigeria (GON), public-private partnership, domestic resource mobilization, partnership with multi-lateral and other donor agencies for improved ownership, and sustainability of the response.
According to the 2021 Joint Child Malnutrition Estimates, 45.4 million (6.7 percent) children under five globally are wasted. Of this number, 31.8 million children are MAM, representing 70 percent of all wasted children. Although MAM affects a larger number of children there is much less guidance on its treatment. In 2001, the Community-based Management of Acute Malnutrition (CMAM) approach was developed in an effort to reach more children with acute malnutrition.
CMAM programs exist in more than 70 countries globally, making it one of the most common treatment approaches. Treatment of children diagnosed with MAM through targeted supplementary feeding programs (SFP) is one of the approach’s components. Much of the experience treating MAM as part of CMAM has been in emergency settings. Therefore, much of the guidance focuses on the use of supplementary food products such as ready-to-use supplementary food (RUSF) and fortified blended foods (FBF).
While there have been improvements in the number of children accessing treatment since the introduction of CMAM and targeted SFP programs supported by WFP and non-governmental organizations, still only one in three severely wasted children in need of treatment receive it. A common challenge driving this lack of access is an insufficient and/or unreliable supply of specialized supplementary food products, like RUSF, for children in need of treatment.
Practitioners have developed many innovative approaches to treat MAM using locally available foods in the permanent or temporary absence of these products. However, there is a lack of minimum standards for these approaches and insufficient global guidance on how these approaches should be designed and implemented—and if and how they should be utilized alongside targeted SFP that uses imported or locally produced, pre-packaged supplementary food products.
Costing information on these local approaches is also limited, thereby limiting programmatic decisions about potential scale-up.
Practitioners and donors need to better understand the variety of local food-based approaches used across emergency and development settings, their appropriateness for treatment of MAM, and contextual considerations impacting success. In an effort to begin to document and generate evidence for these approaches, USAID Advancing Nutrition will be conducting case studies on approaches being implemented in Nigeria, Senegal, and Uganda.
Specifically in Nigeria we will document the TOM Brown approach implemented by Catholic Relief Services (CRS), Save the Children, and Premiere Urgence Internationale (PUI) and the Porridge Mums approach implemented by Action Contre La Faim (ACF).
The objective of these case studies is to document how local food-based approaches to treating MAM are implemented in different contexts and understand the results of those efforts to inform the eventual development of programmatic guidance to ensure appropriate, high quality treatment for children in these alternate treatment programs.
Based on the availability of records kept by the implementing entities and/or implementation sites, we will document the delivery of the program (e.g. service sites, client follow-up procedures), admission and discharge criteria, duration of stay in the program, the types of local foods used and their nutritional value, and program outcomes (e.g. cured, died, defaulted) in an effort to understand how these compare to standard SFP program protocols.
We will also document contextual considerations for replicating the approach in new areas. To accompany this work, we will also undertake a cost analysis of each of the selected approaches.
The consultant will lead the following work, in coordination with the USAID Advancing Nutrition Emergency Nutrition Advisor and Activity Manager:
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