TECHNICAL REPORT
            FANTA  2 
            FOOD AND NUTRITION 
              TECHNICAL ASSISTANCE 
                                                      Assessment Report on the 
                                                      Integration of Nutrition, Food and HIV 
                                                      Programming in Côte d’Ivoire
                                                      Pierre Adou
                                                      Earnest Muyunda
                                                      Phil Moses  
                                                      August 2009
                              Food and Nutrition Technical Assistance II Project (FANTA-2)
                              &()฀    1825 Connecticut Avenue, NW    Washington, DC 20009
                              Tel: 202-884-8000    Fax: 202-884-8432    E-mail: fantaMAIL@FHI.org    Website: www.fantaPROJECT.org
                                                                            
                                                                                                 
                                                    
                                                    
             
             
             
                                                          
                                                         Assessment Report on the 
                                                         Integration of Nutrition, Food and 
                                                         HIV Programming in Côte d’Ivoire 
                                                          
                                                         Pierre Adou 
                                                         Earnest Muyunda 
                                                         Phil Moses   
                                                          
                                                         August 2009 
                                                          
                                                          
             
             
                           Food and Nutrition Technical Assistance II Project (FANTA-2) 
                           )+,    1825 Connecticut Ave., NW   Washington, DC 20009-5721 
                           Tel: 202-884-8000   Fax: 202-884-8432    E-mail: fantaPDLO@IKL.org   Website: www.fantaSURMHFW.org 
                         This report is made possible by the              Recommended Citation: 
                         generous support of the American people           
                         through the support of PEPFAR/Côte               Adou, Pierre; Earnest Muyunda and Phil 
                         d’Ivoire and the Office of Health,               Moses. Assessment Report on the 
                         Infectious Disease, and Nutrition, Bureau        Integration of Nutrition, Food and HIV 
                         for Global Health, United States Agency          Programming in Côte d’Ivoire. 
                         for International Development (USAID),           Washington, DC: Food and Nutrition 
                         under terms of Cooperative Agreement             Technical Assistance Project II, )+,, 
                         No. GHN-A-00-08-00001-00, through the            Washington, DC, 2009. 
                         Food and Nutrition Technical Assistance           
                         II Project (FANTA-2), managed by                 Contact information: 
                         )+,.                                          
                                                                          Food and Nutrition Technical Assistance 
                         The contents are the responsibility of           II Project (FANTA-2) 
                         )+, and do not necessarily reflect the       )+,
                         views of USAID or the United States              1825 Connecticut Avenue, NW 
                         Government.                                      Washington, DC 20009-5721 
                                                                          Tel: 202-884-8000 
                         Published August 2009                            Fax: 202-884-8432 
                                                                          Email: fantamail@fhi360.org 
                                                                          Website: www.fantaproject.org 
                          
                          
                          
                          
                          
                          
                          
                          
                          
                          
                          
                          
                          
                          
                          
                          
                          FANTA-2 Assessment Report on the Integration of Nutrition, Food and HIV Programming in Côte d’Ivoire 
            
           Table of Contents 
           Acronyms and Abbreviations ..................................................................................................................... i 
           Acknowledgments ..................................................................................................................................... iv 
           Executive Summary .................................................................................................................................... 1 
           1. Background ............................................................................................................................................... 8 
             1.1 Purpose .............................................................................................................................................. 8 
             1.2 Objectives ........................................................................................................................................... 8 
             1.3 Overview of Côte d’Ivoire ................................................................................................................... 8 
             1.4 Nutrition and HIV Services in Côte d’Ivoire ...................................................................................... 11 
               1.4.1 ART and PMTCT ..................................................................................................................... 12 
               1.4.2 OVC ......................................................................................................................................... 13 
               1.4.3 Nutrition Services..................................................................................................................... 14 
           2. Activities and Methods ......................................................................................................................... 15 
               2.1 Definition of key terms .................................................................................................................. 15 
           3. Findings ................................................................................................................................................. 16 
             3.1 The environment in Côte d’Ivoire for providing nutrition services to PLHIV and OVC ..................... 16 
               3.1.1 The policy environment ........................................................................................................... 16 
               3.1.2 The existing capacity to provide nutrition services .................................................................. 17 
             3.2 The current state of the nutrition services for PLHIV and OVC in Côte d’Ivoire .............................. 18 
               3.2.1 Nutrition assessment, nutrition education and counseling, hygiene and sanitation and 
                   linkages to community support ................................................................................................ 18 
               3.2.2 Food provision ......................................................................................................................... 19 
           4. Recommendations ................................................................................................................................ 21 
             4.1 Proposed package of nutrition services for PLHIV, PMTCT clients and OVC in Côte d’Ivoire ........ 21 
             4.2 Recommendations on Cross-cutting issues: Training needs and harmonization across 
               guidelines and protocols ................................................................................................................... 23 
               4.2.1 Management of clinical malnutrition ........................................................................................ 23 
               4.2.2 Training for nutrition assessment, nutrition education and counseling, the provision of 
                   equipment and job aids ........................................................................................................... 24 
             4.3 Recommendations for implementing FBP: Phase One .................................................................... 25 
           5. Quantification and Costing of a FBP Program in Côte d’Ivoire ....................................................... 28 
             5.1 Entry, transition and exit criteria for Food Provision by target group ............................................... 28 
             5.2 Estimated Number of Beneficiaries .................................................................................................. 30 
               5.2.1 Estimated number of beneficiaries for a national roll-out ........................................................ 30 
               5.2.2 Estimated number of beneficiaries for FBP: Phase One ......................................................... 31 
             5.3 Recommended food package ........................................................................................................... 32 
             5.4 Amount and Cost of Food for a National FBP Program and for Phase One .................................... 32 
               5.4.1 Amount and cost of food for a national roll-out ........................................................................ 32