Integrating Nutrition Services in HIV and TB Care in Mindolo I Clinic in Kitwe, Zambia
With support from the United States Agency for International Development (USAID) and the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR), health care workers in Kitwe District are improving the quality of nutrition assessment, counseling, and support (NACS). NACS services were not being implemented as part of the daily clinic process, despite health workers being trained in NACS and receiving the necessary tools and job aids. As part of assistance to the Ministry of Health, the USAID Applying Science to Strengthen and Improve Systems (ASSIST) Project trained the health workers in selected site in Kitwe in quality improvement (QI) and provided coaching and mentoring support.
Mindolo I Clinic began improvement activities after other sites and only received a QI orientation rather than the formal QI training. By introducing three simple interventions – 1) introducing a daily HIV/TB attendance book to determine the number of clients seen on a particular day; 2) having volunteers assess nutrition status during registration before the client sees a health worker; and 3) developing new data collection tools to track nutrition assessment and categorization – Mindolo I Clinic increased nutrition assessment and categorization of clients visiting the HIV clinic from 0% to 100% in ten months.