FANTA IIIs goal is to strengthen care and support for HIV and/or TB patients and orphans and vulnerable children (OVC) in Côte d'Ivoire through the integration of nutrition into HIV/AIDS and TB services. FANTA IIIs objectives are: a) facilitate a coordinated and integrated approach to the implementation of nutrition and HIV/TB activities and b) build the capacity of PEPFAR partners, Ministry of Health and AIDS (MSLS), and National OVC Program (PNOEV) to integrate nutrition care into PLHIV/TB services. FANTA III will provide technical assistance (TA) to the National Nutrition Program (PNN), National HIV/AIDS Care and Treatment Program (PNPEC), National TB Program, PNOEV, and PEPFAR partners to scale up nutritional assessment, counseling and support (NACS, called PECNAP in CI) and to establish linkages between PECNAP in health facilities and community-based economic strengthening and food security activities. FANTA III will provide TA to use effective social and behavior change communication (SBCC) strategies and materials to promote improved nutrition practices among HIV and TB patients and OVC, and to continue to integrate quality improvement into PECNAP processes. FANTA III achieves cost-efficiency by collaboration and cost sharing with partners in all activities. FANTA III will continue to transition activities to Ivoirian structures by continuing to help PNN, PNPEC, PNOEV, and regional and district health teams to adopt and implement PECNAP. FANTA IIIs M&E strategy will include monitoring progress toward targets on capacity building indicators.

Vehicles

-Through COP10: 0 (1 vehicle was recently transferred from an ending mechanism.)

-New requests in COP12: 0

-Total planned vehicles for life of mechanism: 0

FANTA III will provide technical assistance (TA) to the national programs for nutrition (PNN), HIV/AIDS care and treatment (PNPEC), OVC care (PNOEV), and TB (PNLT) and PEPFAR partners to strengthen nutritional care and support. TA will include expert advice on nutrition and HIV/TB, reviewing draft training materials, coaching partners technical staff on training and supervision of nutrition and HIV/TB services, social and behavior change communication (SBCC) strategy and materials, training activities, and M&E. In HBHC, activities will include:

1. Provide TA to PEPFAR partners to implement the strategic plan (developed under COP 11) to reach the next phase of PECNAP scale-up. FANTA III will provide TA to develop or adapt all protocols, guidelines or job aids proposed under the roadmap for the introduction of PECNAP into TB centers (to be included in the strategic plan).

2. Provide TA to PP to conduct a pilot activity linking PECNAP clients to community-based economic strengthening and food security activities. Under COP 11 FANTA III will assist these partners in the development of a referral/counter-referral model to link PECNAP clients to economic strengthening and livelihood activities, and the preparation of guidance to replicate this model in other locations.

3. Support PP to complete the development of an SBCC strategy and toolkit (begun under COP 11) to promote nutrition of PLHIV and TB patients. Under COP 11 FANTA III will conduct an assessment of key behavioral determinants of malnutrition among PLHIV, assess the availability, use and quality of SBCC materials currently in use and determine an SBCC strategy specifying: key nutrition and water and sanitation behaviors to be promoted, key messages to be communicated, and communication channels to be used.

4. Continue to provide ongoing TA to PP to integrate Quality Improvement activities into all PECNAP activities conducted at PLHIV and TB facilities. Assist partners with coaching, site visits and supervision in order to ensure the implementation of high quality PECNAP activities.

5. Continue to provide TA to PP on the supply management (delivery, storage and distribution) of available specialized food (CSB and PlumpyNut). FANTA III will collaborate with PNN, the PSP and SCMS to develop a guide to be used by pharmacy and warehouse personnel at each PECNAP site for the management of specialized food products.

6. Provide ongoing TA to PP to integrate selected PECNAP indicators into the national health management information system (HMIS). With TA from FANTA III, PNN and the PECNAP steering committee have adopted a set of PECNAP indicators that are being reported to PNN by all partners engaged in PECNAP.

7. Promote the harmonization of PECNAP and other activities related to the management of acute malnutrition. In 2011, FANTA III collaborated with PNN to conduct a situational analysis to identify possibilities for harmonization between community-based management of malnutrition (CMAM) and PECNAP.

FANTA III will provide technical assistance (TA) to the national programs for nutrition (PNN), HIV/AIDS care and treatment (PNPEC), OVC care (PNOEV), and TB (PNLT) and PEPFAR partners to strengthen nutritional care and support. TA will include expert advice on nutrition and HIV/TB, reviewing draft training materials, coaching partners technical staff on training and supervision of nutrition and HIV/TB services, social and behavior change communication (SBCC) strategy and materials, training activities, and M&E.

With the closing of the IYCN/PATH project in Côte d'Ivoire, FANTA-III will provide continuity on efforts to improve nutrition for infants and children by providing TA to the PNN, PNPEC, PNOEV, and the National Program on Child Health (PNSI) to:

1- Strengthen the capacity of service providers in PMTCT and pediatric HIV care services to provide high quality counseling on feeding practices for HIV-positive and HIV-exposed infants and young children.

2- Ensure the proper implementation of WHOs recent guidelines on HIV and infant feeding.

Target population: Children with HIV, pregnant and lactating mothers enrolled in PMTCT services and their children from 0 to 6 months

Geographic coverage: The geographic location of services will be determined by PNN, PNPEC, and other implementing partners receiving TA in collaboration with PEPFAR/Côte d'Ivoire.

Promotion of WHO guidelines on HIV and infant feeding: FANTA III will provide TA to PNN, PNSI, PNOEV and PP to promote the use of the WHOs 2010 guidelines on HIV and infant feeding. FANTA III will consult with each of these actors to develop a joint action plan, indicators and targets to guide FANTA IIIs TA.

FANTA III will provide technical assistance (TA) to the national programs for nutrition (PNN), HIV/AIDS care and treatment (PNPEC), OVC care (PNOEV), and TB (PNLT) and PEPFAR partners to strengthen nutritional care and support. TA will include expert advice on nutrition and HIV/TB, reviewing draft training materials, coaching partners technical staff on training and supervision of nutrition and HIV/TB services, social and behavior change communication (SBCC) strategy and materials, training activities, and M&E.

With the closing of the IYCN/PATH project in Côte d'Ivoire, FANTA-III will provide continuity on efforts to improve nutrition for infants and children by providing TA to the PNN, PNPEC, PNOEV, and the National Program on Child Health (PNSI) to:

1- Strengthen the capacity of service providers in PMTCT services to provide high quality counseling on feeding practices for HIV-exposed infants and young children to promote HIV-free survival of children born to HIV positive mothers.

2- Ensure the proper implementation of WHOs recent guidelines on HIV and infant feeding.

Target population: Pregnant and lactating mothers enrolled in PMTCT services and their children from 0 to 6 months

Geographic coverage: The geographic location of services will be determined by PNN and other implementing partners receiving TA in collaboration with PEPFAR/Côte d'Ivoire.

Promotion of WHO guidelines on HIV and infant feeding: FANTA III will provide TA to PNN, PNSI, PNOEV and PP to promote the use of the WHOs 2010 guidelines on HIV and infant feeding. FANTA III will consult with each of these actors to develop a joint action plan, indicators and targets to guide FANTA IIIs TA.