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A. Facility-Based Nutrition Screening and Early Identification
Screening children under five years of age and pregnant and lactating women (PLWs) attending the BHC, at appropriate points of contact with health services, in line with the current MoPH IMAM protocol and approved PUI procedures.
Measure Mid-Upper Arm Circumference (MUAC) for eligible children aged 6–59 months and PLWs, and check children for bilateral pitting oedema, following the approved national protocol and the staff member’s training.
Where required by the approved protocol and within the staff member’s training, support the recording of relevant anthropometric measurements using available, calibrated equipment.
Ensure screening is conducted respectfully, safely, and privately, and explain the screening process and findings to caregivers and beneficiaries in clear and appropriate language.
Immediately alert the BHC In-Charge or qualified clinical/nutrition staff when a child or PLW has a positive screening result or presents with danger signs, so that prompt assessment can be arranged.
B. Nutrition Counselling, Education, and Behaviour Change
Provide individual and group nutrition counselling and education to mothers, caregivers, pregnant and lactating women, and other beneficiaries, within the staff member’s training and approved counselling materials.
Provide infant and young child feeding (IYCF/MIYCF) counselling to caregivers of children under two years, including age-appropriate breastfeeding and complementary feeding messages, in accordance with national guidance and PUI procedures.
Provide appropriate nutrition messages on dietary diversity, feeding frequency, food hygiene, care practices, and prevention of malnutrition, adapted to the beneficiary’s age, condition, and household context.
Conduct regular nutrition education sessions for caregivers of children identified with or at risk of malnutrition, and reinforce counselling messages during follow-up visits.
Conduct or support food demonstration sessions at the health facility when planned, using approved messages and available resources.
Explain screening results, referral steps, follow-up arrangements, and available services in a respectful, clear, and culturally appropriate manner; do not communicate an unconfirmed clinical diagnosis.
Refer mothers or caregivers who may benefit from psychosocial support to the relevant service through established referral pathways.
C. Referral, Coordination, and Follow-Up
Refer all clients with screening findings indicating possible acute malnutrition to designated qualified BHC nutrition nurse for further assessment and management in accordance with the national IMAM protocol.
Facilitate referral to an appropriate higher-level or designated nutrition treatment service
Coordinate with the BHC In-Charge, nutrition staff, nurses, midwives, , and other relevant service providers to integrate screening and counselling into routine BHC services.
D. Nutrition Programme Support (Within Training and Authorization)
Support the registration and follow-up of beneficiaries in OPD-SAM, OPD-MAM, and OPD-MAM-PLW services only when trained and formally assigned, and under the supervision of qualified nutrition/clinical staff.
Assist qualified staff with completion and maintenance of admission cards, follow-up cards, registers, tally sheets, and other approved programme tools.
Support routine growth monitoring of children under two years and provide related caregiver counselling within the staff member’s training and assigned responsibilities.
Support nutrition commodity management and distribution documentation when assigned; therapeutic foods and supplements must only be issued to eligible beneficiaries under the direction and authorization of qualified programme staff.
Do not independently conduct clinical admission or discharge decisions, prescribe treatment, or determine therapeutic food dosage.
E. Recording, Reporting, and Equipment Management
Maintain complete and accurate records of clients screened, MUAC measurements, oedema checks, screening findings, counselling sessions, referrals, follow-up actions, and referral outcomes using current MoPH/PUI-approved registers, tally sheets, and forms.
Compile and submit routine screening, counselling, and referral data to the BHC In-Charge within agreed reporting deadlines.
Support the preparation of weekly, biweekly, and monthly activity statistics and reports as assigned, ensuring consistency between source registers and summary reports.
Keep MUAC tapes, weighing scales, height/length boards, registers, counselling materials, and other assigned equipment clean, functional, and properly stored; report damaged, missing, or insufficient supplies to the BHC In-Charge.
Maintain confidentiality and secure handling of beneficiary information and records.
F. Protection, Communication, Infection Prevention, and Professional Conduct
Maintain infection prevention and control (IPC) standards, including hand hygiene between beneficiary assessments and cleaning of equipment as required.
Adhere strictly to PUI’s Code of Conduct, Child Safeguarding Policy, PSEA requirements, Accountability to Affected Populations (AAP) principles, and confidentiality standards.
Treat all beneficiaries, colleagues, and community members respectfully and fairly, without discrimination, and protect beneficiary privacy, dignity, and confidentiality.
Inform beneficiaries about available feedback and complaints mechanisms and promptly report suspected policy violations, safeguarding concerns, or incidents through established channels.
Participate in relevant BHC meetings, training, and supportive supervision activities as required.
Perform other relevant duties assigned by the line manager that are consistent with the position, the employee’s professional qualification, training, and authorized scope of practice.
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