The nutrition assessment, counseling, and support (NACS) approach aims to improve the nutritional status of individuals and populations by integrating nutrition into policies, programs, and the health service delivery infrastructure.  Improvement methods can help to strengthen the linkage between communities and points of care for nutritional services to improve the coverage, compliance, referral, and follow-up of people of all ages with special nutritional needs, including pregnant and lactating women, young children, and persons living with HIV or tuberculosis.

Nutrition MUAC

Integrating nutrition support into existing health services can be challenging. Health care providers may lack the technical knowledge and skills to deliver the correct care; high staff turnover make one-off training in nutrition assessment and follow-up unsustainable; low staff numbers make it hard for clinics to handle the increased workload required to integrate a new service into their already busy clinics; and supply chain issues mean that supplies of specialized food products are not always available at clinics. These challenges can be addressed by improvement interventions to build technical skills, improve the efficiency and effectiveness of service delivery, and strengthen data systems at all levels.

Tool for Rapid Evaluation of Facility-Level Nutrition Assessment, Counseling, and Support: A User's Guide

This tool was developed by the USAID-funded SPRING Project in collaboration with FANTA, LIFT and ASSIST to help nutrition program managers and facility-level service providers assess the quality of current nutrition assessment, counseling...

USAID ASSIST Project Annual Performance Monitoring Report FY14

This annual report for the USAID ASSIST Project summarizes the project's accomplishments and results in FY14 supporting the application of modern improvement methods by host country providers and managers in USAID-assisted countries...

Improving Health Care: The Results and Legacy of the USAID Health Care Improvement Project

This final report of the USAID Health Care Improvement Project (HCI) summarizes the key accomplishments and learning of this seven-year global technical assistance project of the USAID Office of Health Systems. Implemented from 2007-2014,...

Everyday KM

Lani Marquez

Knowledge Management Director, USAID ASSIST Project/URC

How can knowledge management (KM) improve food and nutrition programming?  Alyssa Lowe of CARE and I posed that question last week at the Food Security and Nutrition (FSN) Network  “Knowledge Sharing” Meeting held July 10-11 in Washington, DC, sponsored by the USAID Food for Peace Office’s  Technical and Operational Performance Support (TOPS) Project.

What Is Knowledge Management and How Can It Improve Your Food Security Program?

Washington, DC

Learning from experience is essential to improve our work and the programs we support or implement.  This session at the Food Security and Nutrition Network/TOPS Project Knowledge Sharing Conference in Washington, DC explored  key concepts in knowledge management that have proven relevant for development sectors. 

Strengthening Systems to Improve Nutrition Care, Support and Treatment in Malawi: Results from Balaka and Karonga Districts

In Malawi, USAID ASSIST has worked with the Government of Malawi and the FANTA and LIFT projects since February 2013 to support the MOH Nutrition Department and the Office of the President to improve nutrition care for people living with...

Using team work to improve nutrition services

Linley Elsie Hauya

Nutrition Advisor, USAID ASSIST Project/URC

Most health facilities in Malawi are always crowded with patients to receive medical treatment and the health service providers are overloaded with work.  The Nutrition Assessment, Counseling and Support (NACS) program never received any attention in recent years because there were no resources to run the program and no therapeutic supplies to treat the malnourished HIV positive patients. Quality improvement work is the flag ship that has brought NACS to stakeholder’s attention at national level such that it has begun to receive support.

Integrating nutrition services in HIV and TB care in Karonga and Balaka Districts of Malawi

With support from the United States Agency for International Development (USAID), health workers in Karonga and Balaka districts are reaching people with HIV and TB with a critical new service—nutrition assessment, counseling and support...

Improving household food security in Mwanganya area through community involvement in Karonga District, Malawi

With support from the United States Agency for International Development (USAID), a group of community members agreed to improve their household food security situation during the hunger months with support from a multi-sectoral team of...