Job Porpuse
The Nutrition Nurse is responsible for the screening, identification, and management of acute malnutrition cases at the health facility level in accordance with the revised Integrated Management of Acute Malnutrition (IMAM) guidelines of the Afghanistan Ministry of Public Health.
The position ensures proper screening of children and eligible clients, classification of Severe Acute Malnutrition (SAM) and Moderate Acute Malnutrition (MAM), including High-Risk MAM and Early MAM, and provision of appropriate treatment services for uncomplicated cases. Complicated cases are identified and referred to higher-level facilities as per national protocol.
The Nutrition Nurse ensures quality case management, accurate documentation, rational use of therapeutic and supplementary nutrition supplies, and proper follow-up of admitted cases, contributing to reduced morbidity and mortality among vulnerable populations.
Major Responsibilities
1.Growth Monitoring and Promotion (GMP) and MIYCN Counselling
• Register children under two years of age and conduct growth monitoring by measuring weight, height/length, age, and checking oedema in children under two years.
• Provide individual and group nutrition counselling for:
• Mothers
• Pregnant women
• Lactating women
• Caregivers of children under two years
• Promote key MIYCN practices including:
• Early initiation of breastfeeding
• Exclusive breastfeeding for the first six months
• Continued breastfeeding up to two years and beyond
• Appropriate and timely complementary feeding
• Infection prevention and hygiene practices
• Provide counselling to strengthen healthy growth of children with normal nutritional status.
• If growth risk or nutritional concern is observed, provide follow-up counselling and advise caregivers, without performing malnutrition classification or clinical treatment.
• Support referral of children with severe acute malnutrition without medical complications to appropriate treatment services through coordination with the nutrition nurse or clinical staff.
• Promote use of locally available nutritious foods and age-appropriate feeding practices.
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2. Nutrition Counselling for Women and Adolescents
• Provide nutrition education for pregnant and lactating women, adolescents (5–18 years), and women of reproductive age.
• Promote:
• Daily consumption of iron-folic acid tablets during pregnancy
• Adequate dietary intake for maternal health
• Daily use of iodized salt at household level
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3. Community Nutrition Promotion
• Conduct community outreach activities to promote nutrition awareness.
• Support community health workers, health shuras, and community leaders in promoting positive nutrition practices.
• Participate in community mobilization campaigns and nutrition education sessions.
• Deliver 1–2 key nutrition messages monthly to community members or health facility visitors.
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4. Recording, Reporting and Administration
• Document all counselling and growth monitoring activities using standardized forms.
• Monitor and record nutrition behaviour changes during follow-up counselling.
• Maintain child and maternal nutrition counselling records.
• Prepare and submit daily, weekly, and monthly activity reports, including IMAM reporting templates when required.
• Support documentation of psychosocial and nutrition awareness activities if conducted.
• Ensure proper maintenance of equipment and report any technical problems.
• Assist in data collection, beneficiary tracking, and reporting of program achievements.
• Perform other nutrition-related duties assigned by the supervisor.
(Adhere to WV accountability standards.)
• Ensure full compliance with WVI’s Accountability Frameworks, Safeguarding Policies, Code of Conduct, and donor requirements by actively participating in AAP mandatory trainings and integrating accountability mechanisms into all project activities.
• Conduct meaningful AAP community engagement and sensitization during field visits, including distribution of CFM cards to beneficiaries and facilitating awareness sessions on the feedback and complaints mechanism throughout project implementation
1. Nutrition Screening and Case Identification
• Conduct routine screening of children 6–59 months and eligible PLW attending the health facility using MUAC, weight, height/length, and edema assessment.
• Identify and classify Severe Acute Malnutrition (SAM) and Moderate Acute Malnutrition (MAM) cases according to Ministry of Public Health (MoPH) CMAM protocols.
• Ensure proper triage and referral of suspected complicated cases.
2. Management of Severe Acute Malnutrition (SAM)
• Provide treatment for uncomplicated SAM cases at OTP level according to national guidelines.
• Conduct appetite test and clinical assessment before admission.
• Dispense therapeutic nutrition supplies such as RUTF, RUSF, LNS, and other approved nutrition commodities based on protocol.
• Monitor treatment progress, weight gain, and clinical status during follow-up visits.
3. Management of Moderate Acute Malnutrition (MAM)
• Register eligible MAM cases for supplementary feeding support if program commodities are available.
• Provide and manage supplementary nutrition supplies according to standard treatment protocols.
• Monitor recovery progress during scheduled visits.
4. Registration, Documentation, and Reporting
• Maintain accurate OTP/TSFP registers and patient treatment cards.
• Record treatment outcomes including cured, death, default, relapse, and non-response cases.
• Prepare and submit monthly nutrition program reports through HMIS or program reporting system.
5. Nutrition Supply and Stock Management
• Monitor stock levels of RUTF, RUSF, LNS, and other nutrition commodities.
• Report low stock, expiry risks, and consumption data to the pharmacy or supply unit.
• Ensure proper storage and handling of nutrition supplies.
6. Referral Management
• Identify SAM cases with medical complications and ensure timely referral to stabilization centers or higher-level facilities.
• Document referral cases and follow up when required.
•
Adhere to WV accountability standards.)
Ensure full compliance with WVI’s Accountability Frameworks, Safeguarding Policies, Code of Conduct, and donor requirements by actively participating in AAP mandatory trainings and integrating accountability mechanisms into all project activities.
Conduct meaningful AAP community engagement and sensitization during field visits, including distribution of CFM cards to beneficiaries and facilitating awareness sessions on the feedback and complaints mechanism throughout project implementation.