Scroll through the sections below to find descriptions and links to various tools. Where available, tools are also provided in Swahili.
GENERAL
This document provides helpful tips and templates for starting project activities in nutrition. The document (Strengthening Multi-sectoral Nutrition Capacities among Council Officers) includes tips and templates that support the building of MSN teams in councils. These tools help guide Regional Nutrition Officers (RNuOs) to use mentoring and to provide support to a council MSN action team that will work together to learn best practices in strengthening MSN collaboration and action in districts. By providing tailored support, expertise, and advice to this team, RNuOs will help build on existing knowledge of the best practices for promoting multi-sectoral collaboration for nutrition.
The following tools were developed by Mtoto Mwerevu to strengthen government and CSO capacity to implement integrated nutrition programs, including tools to strengthen government capacity at the regional and sub-regional levels, government capacity at the village level, and CSO capacity at the village level.
STRENGTHENING GOVERNMENT CAPACITY AT THE REGIONAL AND SUB-REGIONAL LEVELS
District Nutrition Officers (DNuOs) are a key component of the Government of Tanzania’s efforts to improve nutrition. In addition to DNuOs, ASTUTE’s organisational structure also includes CHW supervisors who are able to more efficiently supervise CHWs, given their larger numbers. Under ASTUTE, DNuOs meet monthly with all CHW supervisors and in turn, CHW supervisors meet on a monthly basis with CHWs. This document contains guidance for the DNuO on what he or she should discuss with CHW supervisors during the meeting including classroom-based and community-based skills building in negotiation.
| DNuO guide to monthly meetings with CHW supervisors | Mwongozo wa waratibu wa lishe kwa ajili ya mikutano ya kila mwezi na wasimamizi wa waja |
Monthly meetings are the primary means of strengthening CHW capacity in behaviour change. This document contains guidance for the CHW supervisor on what he or she should discuss with CHWs during their meetings, including classroom and community-based skills building in negotiation. The guidance includes topics that must be discussed every month as well as subjects that can be discussed less frequently.
| CHW supervisors' guide to monthly meetings with CHWs | Mwongozo wa wasimamizi wa waja kwa ajili ya mikutano ya kila mwezi na waja |
STRENGTHENING CSO CAPACITY AT THE VILLAGE LEVEL
Strengthening CSOs
Monthly meetings are the primary means of strengthening CSO volunteer capacity in behavior change. This document contains guidance for CSO staff on what they should discuss with CSO volunteers during their meetings, including classroom and community-based skills building when implementing personalized support groups for action. The guidance includes topics that must be discussed every month as well as subjects that can be discussed less frequently.
| CSO supervisor's guide to monthly meetings with CSO volunteers | Mwongozo wa msimamizi wa azaki kwa ajili ya mikutano ya kila mwezi na wafanyakazi wa azaki ngazi ya jamii |
CSOs and personalised support groups for action
This document summarizes roles and responsibilities for CSO volunteers. In initial trainings for CSO volunteers, these roles and responsibilities should be spelled out first so that volunteers understand how their day-to-day activities align with overall roles and responsibilities.
| CSO volunteer job description | Wajibu na majukumu ya mfanyakazi wa azaki ngazi ya jamii |
This checklist is for CSO staff and is to be used when they observe CSOs while conducting personalized support groups for action. There is a checklist for the support groups as a whole as well as checklists for nutrition, early childhood development, WASH, and the health of the mother.
| Support group checklists for CSOs | Fomu na. 5.1-5.5 orodha za ufuatiliaji mambo muhimu kwa wasimamizi na wahumudu wa azaki ngazi ya jamii |
STRENGTHENING CSO CAPACITY AT THE VILLAGE LEVEL
CHWs and Home Visits
This document is a job description for CHW supervisors. In initial trainings for CHWs and their supervisors, these roles and responsibilities should be spelled out first so that supervisors understand how their day-to-day activities align with their overall roles and responsibilities.
| CHW supervisor job description | Fomu ya maelezo ya kazi na majukumu ya wasimamizi wa wahudumu wa afya ngazi ya jamii (waja) |
This document summarizes CHWs’ roles and responsibilities. In initial trainings for CHWs, these roles and responsibilities should be spelled out first so that CHWs understand how their day-to-day activities align with Management their overall roles and responsibilities.
| CHW roles and responsibilities | Majukumu na wajibu wa wahudumu wa afya ngazi ya jamii (waja) |
This document is a checklist CHW supervisors can use to ensure that CHWs are implementing high quality home visits.
These job aids help CHWs carry out home visits. They follow the steps of negotiation that CHWs are most likely to find challenging. Job aids have been developed for each age of the child (0-5 months, 6-11 months, 12-23 months) and for the mother. Thus, if the CHW is visiting a mother whose child is 10 months old, the CHW pulls out the job aid corresponding to 6-11 months and conducts the eight steps of negotiation. The job aids focus in particular on the following steps: Ask, Listen, Observe; Identify; and Discuss and Recommend. The child is treated holistically. During a given visit, the CHW should ask about age-appropriate development of the child, including ECD, WASH, and nutrition. For mothers, CHWs should ask about care-seeking behaviours, gender, WASH, and food for the mother.
| Home visit job aids for negotiating behaviour change | Fomu na. 1.1-1.4 vitendea kazi kwa waja kufanya majadiliano kwa ajili ya kubadili tabia |
This is a guide for CHW supervisors to help train CHWs to improve home visit counseling. The training guides use findings from ASTUTE’s Trials of Improved Practices (TIPs). By following the steps in this guide, CHW supervisors can help CHWs discuss (step 5 of negotiation) and recommend (step 6) practices people can try to improve the nutrition of their children. These new, detailed messages on exclusive breastfeeding are based on extensive research in multiple settings within the Lake zone of Tanzania and can help CHWs help families overcome challenges such as babies crying a lot and mothers struggling to breastfeed exclusively. This training guide is on exclusive breastfeeding.
| CHW training dialogues on exclusive breastfeeding | Mazungumzo kuhusu mafunzo kwa wahudumu wa afya ngazi ya jamii (waja) kwa unasihi kuhimiza maziwa ya mama pekee |
This training guide is similar to the training dialogue for exclusive breastfeeding but it focuses on complementary feeding and includes lessons on giving children a variety of foods to eat, encouraging children to eat (responsive feeding), and giving healthy snacks.
| CHW training dialogues on complementary feeding | Mazungumzo kuhusu mafunzo kwa wahudumu wa afya ngazi ya jamii (waja) kwa unasihi kuhimiza chakula cha nyongeza |
Positive Deviance/Hearth (PDH)
This checklist is designed to help program implementers assess whether key elements of PDH are included in PDH planning, implementation, and evaluation.
| Checklist for PDH | Orodha ya ufuatiliaji mambo muhimu katika kupanga, kutekeleza na kutathimini mkakati wa kubadili tabia ya jamii kwa njia ya ushuhuda katika afya na lishe |
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