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Economic Strengthening for the Very Poor (ES4VP)

Linking NACS with ES/L/FS Activities

LIFT’s key application of the Livelihoods and Food Security Conceptual Framework is to build the continuum of care for people living with HIV and other vulnerable households by increasing their access to high quality, context appropriate, market-led economic strengthening, livelihood and food security (ES/L/FS) opportunities to improve their economic resilience and lead to better health. The systemic nature of the LIFT framework means that it can be applied for creating linkages with a number of sectors, depending on the specific needs of the population group that is being targeted. The linkage to the Nutrition Assessment Counseling and Support  is one such example of a sectoral linkage.

The Nutrition Assessment Counseling and Support (NACS) approach integrates supplemental feeding and nutritional counseling into clinical HIV care regimens, in order to improve nutritional status among patients.  Working with government counterparts, LIFT supports communities to establish referral networks to link graduating NACS patients or their caregivers with economic strengthening programs and services that will help sustain the positive impacts of therapeutic feeding and counseling.  Based on vulnerability status, patients are referred to one of three economic strengthening categories: provision, protection, or promotion. These referral mechanisms ensure that patients are better equipped to maintain adequate access to food, which is an important strategy to prevent relapse after the course of nutritional therapy and counseling is completed. 

LIFT’s Working Model is systemic, flexible and market-driven, providing the necessary capacity building, business linkages and skills development to tailor activities to the needs and resources of each community and household across different countries. By placing vulnerable populations within market systems and identifying systemic constraints affecting their participation, LIFT tailors its approach to each country and district depending on the perspective and capacity of its implementing partners. All interventions undertaken at the country level have a clear vision of change and a pathway toward exit, while remaining flexible to market players.  This means establishing the main focal areas of interventions through a carefully orchestrated rollout model within which multifaceted activities can be carried out to be responsive to prevailing local conditions.