Title: Nutrition Counselor SRF # 244
this position is under consultancy agreement
Location: Azraq Camp
BACKGROUND
The Nutrition Counselor will be responsible for the implementation of Infant and Young Child Feeding program (IYCF) activities and integrated management of acute malnutrition (IMAM) program activities within the primary health care centers and the health posts in Azraq Camp.
She will provide, promote and support breastfeeding and optimal infant and young child feeding for mothers and children and minimize the risks of artificial feeding in the emergency context in accordance with agency policy and/or the Operational Guidance on IYCF in any required work location.
Scope of Work:
Technical:
• Assess mothers and their children to identify specific feeding support needs (through Simple Rapid Assessment and Full Assessment of mother-baby pair)
• Assess the knowledge of the beneficiaries before and after counselling sessions.
• Provide tailored one-on-one counseling sessions to mothers, in line with needs discovered in initial assessments, offering practical advice and education on key IYCF issues;
• Provide one-on-one breastfeeding counseling for mothers experiencing difficulties breastfeeding including supporting women with breast conditions and supporting re-lactation;
• Ensure all mothers/caregivers are aware of the importance of exclusive breastfeeding for the first six months;
• Provide mothers with practical advice on correct attachment and positioning when breastfeeding and respond to any concerns or local taboos associated with breastfeeding;
• Ensure that mothers are reached with IYCF services as soon as possible after delivery, and followed up frequently as needed
• Assess infants for infant danger signs, growth, and feeding; especially infants nutritionally at risk, to be closely followed up and ensure timely referral at any time a sign of risk is identified,
• Counsel mothers on the appropriate time to introduce complementary feeding, and the benefits of continued breastfeeding and respond to any concerns or local taboos associated with complementary feeding;
• Educate the mothers on the quality, quantity, texture and frequency of complementary feeds to promote adequate weight gain;
• Educate the mothers on food safety and hygiene
• Discourage and educate mothers on the dangers of feeding bottles
• Provide appropriate counseling and ensure support is provided to caregivers of targeted infants who have no possibility to be breastfed;
• Provide training, demonstration, on-going guidance and support to provide artificial feeding safely for exceptional cases.
• Provide appropriate counseling for pregnant and lactating women, complementary feeding and maternal and child nutrition – to be tailored to the specific need;
• Provide pregnant women with preparatory counseling for breastfeeding and colostrum feeding, to prevent pre-lacteal feeds and bottle feeding;
• Counsel the mothers on correct maternal nutrition during pregnancy and lactation;
• Deliver messages on IYCF practices and maternal nutrition to the targeted community/communities through group education sessions;
• Ensure systematic screening for acute malnutrition among all children under the age of 5 and pregnant/lactating women
• Ensure that all malnourished children are referred appropriately for nutrition support to (SFP/OTP)
• Ensure that anthropometric measurements are recorded and monitored correctly.
• Link with referral routes in the camp to facilitate SAM/MAM children with medical complications’ referral to receive proper medical treatment at the secondary level.
• Ensure that National CMAM Guidelines are followed and implemented in the management of moderate acute malnutrition (MAM) and Severe acute malnutrition (SAM) girls and boys.
• Ensure that nutrition products (RUTF, RUSF) following the National CMAM Guidelines are given to the patient according to his/her nutritional status
• Through liaison with the nutrition workers, provide effective follow up of all cases – particularly:
– Ensure the prompt tracing of children who are absent from the program
– Request specific children to be followed up as required (newly enrolled children, sick children, long stay children / children not gaining weight, children with social problems etc.).
• To ensure that the beneficiaries in the IMAM are discharged when appropriate
• Ensure that SAM/MAM cases who change their residence are referred to other OTP/SFP sites and ensure the service continuity.
• Ensure systematic disaggregated age/gender data on malnourished girls and boys and PLW’s are recorded correctly and timely reported using standard program reporting tool.
• Maintain proper communication with care givers of girls and boys enrolled in the program
• Maintain good connection with protection, mental health, disability support and WASH routes in the camp to support potential crosscutting needs.
• To support medical nutrition therapy to patients of chronic conditions whenever needed
• Support in arranging food demonstration sessions (on complementary feeding) for the beneficiaries in collaboration with outreach workers, and women support groups
• Contribute to the development of contextually appropriate IEC materials for local IYCF assessments;
Reporting and Advocacy:
• Maintain records of mothers and children attending counselling sessions, receiving skilled assessment and support
• Weekly tracking of malnourished children in SFP/OTP
• Submit comprehensive periodic, and ad hoc relevant statistical reports and data required by the nutrition officers and senior nutrition officer
• Submit weekly and monthly reporting of activities to the nutrition officers and senior nutrition officer
• Compile and filter weekly rapid assessments from nutrition volunteers and report on weekly basis to nutrition officers
• Record and report any donations or untargeted distributions of infant formula, bottles and teats and other violations of the International Code of Marketing of Breastmilk Substitutes
• Play an active role in advocacy to promote proper IYCF-E Practices, antenatal and post-natal checkups, importance of institutional deliveries, vaccination and growth monitoring
Referral and Coordination:
• Maintain strong coordination with medical staff to support medical nutrition therapy for chronic conditions if needed.
• Refer children for intensive nutritional/medical care as required;
• Ensure caregivers are aware of available services and advocate prioritization for caregivers, where necessary, in appropriate services and support;
• Refer all pregnant women to the next antenatal care services if not already informed;
• Refer cases for community follow – ups to community nutrition volunteers.
• Visit cases if needed.
• Refer to other services in the camp (Disabilities, Protection and WASH);
• Reach out to malnourished children in their caravans whenever needed.
• Coordinate with all health practitioners and nutrition volunteers in relevant clinic/location to ensure that all pregnant and lactating mothers are referred to CMAM/IYCF services
• Receive cases referred from the pediatrician and other actors in the camp and manage cases appropriately
Additional Tasks:
• Participate in other IYCF and IMAM program duties as requested
• Ensure a comfortable, calm, environment for counseling sessions and maintain good relationships with the beneficiaries
• Other duties as assigned. The duties and responsibilities listed are representative of the nature and level of work assigned and are not necessarily all inclusive
Qualifications
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