1. 1 Recent joint achievements, progress and updates from the UN family Randa Saadeh Scientist Nutrition for Health and Development SCN, Rome, 2007

2. 2 Nutrition for Health and Development 2 In response to Resolution (WHA59.11) May 2006 Underlying the importance of ensuring cooperation on this question with other bodies of the United Nations system, in particular, FAO, UNICEF and WFP on Nutrition and HIV/AIDS

3. 3 Nutrition for Health and Development 3 Nutrition and HIV/AIDS AOW working together Policy and programmes Capacity building Resource mobilization Evidence-based recommendations guidelines/tools

4. 4 Nutrition for Health and Development 4 Policy and Programmes  Durban Consultation WHO, FAO, WFP, UNAIDS, UNHCR, UNICEF, WB, NIH, MOH, NGOs… Participants Statement  Global Strategy for IYCF WHO/UNICEF  HIV/Infant feeding 'Framework for priority actions? UNAIDS, FAO, UNHCR, UNICEF, WHO, WFP, WB, UNFPA, IAEA

5. 5 Nutrition for Health and Development 5 HIV and Infant feeding - Consensus Statement October 2006 (AED, EGF, UNAIDS, UNFPA, UNICEF, USAID, CDC)  stronger evidence that EBF to 6 months is associated with decreased risk of transmission compared to mixed feeding  specifying the duration of EBF to full 6 months for HIV-infected mothers  reconfirmation that if an infant is found to be HIV-infected while still being breastfed, breastfeeding should continue.  simplification of the counselling process, so that only the two main options (replacement feeding or exclusive breastfeeding) are usually discussed.  stressing more the importance and role of health services and mother's environment in assessment for counselling  new evidence on the risks of artificial feeding and stopping breastfeeding early  home-modified animal milk is no longer acceptable as a replacement feeding option for the whole first six months of life. For women who choose replacement feeding, home-modified animal milk should only be used for short times when commercial infant formula is not available.

6. 6 Nutrition for Health and Development 6 Evidence based recommendations/guidelines/tools  Technical scientific reviews- TAG  HIV and infant feeding work through Interagency Task Team  WHO/UNICEF Baby-friendly Hospital Initiative - revised, streamlined reflecting new evidence, strengthening integration  'Getting started – Food assistance in HIV context' WHO/WFP  'Guidelines for an integrated approach to the nutritional care of HIV infected children (6m to 14yrs) WHO/NIH/KwaZulu Natal University

7. 7 Nutrition for Health and Development 7 Capacity-building (1)  Joint courses e.g.s Nutrition care and support for PLWHA (WHO/FAO) All IYCF Counselling Courses are WHO/UNICEF Most recent – 'IYCF Counselling: an integrated course' Infant feeding in emergency (adding a module in HIV settings) IFE Core Group (interagency – WB, UNICEF, WHO UNHCR, WFP, IBFAN, CARE USA, Terre des Hommes, ENN) Management of severe acute malnutrition in HIV settings (WHO/UNICEF) IASC

8. 8 Nutrition for Health and Development 8 Capacity-building (2)  Joint training at regional and country levels  IYCF counselling: an integrated course In WPRO, SEARO, EMRO, WHO/UNICEF training of country teams  Nutrition/HIV course with FAO, AFRO and SEARO  WHO/GFATM – training roster of regional consultants

9. 9 Nutrition for Health and Development 9 Resource mobilization  'Framework for defining food and nutrition interventions in HIV programming' WHO/GFATM guidance tool Successful experience (Mozambique/Zambia) to be repeated for Round 7  work jointly with WB, PEPFAR, Clinton Foundation and others

10. 10 Nutrition for Health and Development 10 Are we effective in this collaboration?  Durban Statement (7 agencies) 11 countries have national guidelines on Nutrition and HIV/AIDS set of evidence-based guidelines developed more integration (emergencies, severe malnutrition)  Global Strategy for IYCF triggered many other intiatives  WHO/GFATM – successful experience in AFRO

11. 11 Nutrition for Health and Development 11 Partnership  successful and rewarding experience  key point is complementarity and avoidance of duplication  could be at all levels, with different partners, with no conflict of interest  ensure good communication and wide dissemination of products