Five-Day Training of Facilitators/Trainers 
       Adolescent and Women’s Nutrition 
       and Anemia 
       Facilitator Guide 
                           
        Kyrgyz Republic 
        August 2016 
             
             
            About SPRING 
            The Strengthening Partnerships, Results, and Innovations in Nutrition Globally (SPRING) project is a 
            five-year USAID-funded Cooperative Agreement to strengthen global and country efforts to scale 
            up high-impact nutrition practices and policies and improve maternal and child nutrition outcomes. 
            The project is managed by JSI Research & Training Institute, Inc., with partners Helen Keller 
            International, The Manoff Group, Save the Children, and the International Food Policy Research 
            Institute. 
            Disclaimer 
            This report is made possible by the generous support of the American people through the United 
            States Agency for International Development (USAID) under the terms of the Cooperative 
            Agreement AID-OAA-A-11-00031 (SPRING), managed by JSI Research & Training Institute, Inc. (JSI). 
            The contents are the responsibility of JSI, and do not necessarily reflect the views of USAID or the 
            United States Government. 
            Acknowledgements 
            SPRING would like to recognize Dr. Judiann McNulty, Dr. Denish Moorthy, and Ms. Maryanne Stone-
            Jiminez as lead authors of this guide. The following individuals provided technical review and support 
            to the finalization of the document: Dr. Nazgul Abazbekova, Mr. Michael Foley, Dr. Saikal Bozova, Ms. 
            Bridget Rogers, Dr. Altrena Mukuria, and Dr. Agnes Guyon. SPRING would to thank the many 
            individuals at the Ministry of Health who have contributed time, experience, materials, and other 
            resources to this review, and who have helped create what we hope is an informative and useful 
            training on adolescent and maternal nutrition for health care providers in the Kyrgyz Republic. 
            Elements of this training are based on: 
            1.  The Community Infant and Young Child Feeding (IYCF) Counselling Package, developed under 
               a strategic collaboration with the United Nations Children’s Fund (UNICEF) New York, with 
               combined technical and graphic input from Nutrition Policy Practice (NPP) and the Center for 
               Human Services, the not-for-profit affiliate of University Research Co., LLC (URC/CHS).  
            2.  Guyon A. MD. MPH, Quinn V. PhD, Nielsen J. PhD, Stone-Jimenez M. MSc, IBCLC. Essential 
               Nutrition Actions and Essential Hygiene Actions Training Guide: Health Workers and Nutrition 
               Managers. 2015. 
            3.  Ministry of Health of the Kyrgyz Republic. The National Guidelines on Anemia, and the National 
               Anemia Protocol 2015. 
            Recommended Citation 
            SPRING/Kyrgyz Republic. 2016. Five-Day Training of Facilitators/Trainers: Adolescent and Women’s 
            Nutrition and Anemia. Arlington, VA: Strengthening Partnerships, Results, and Innovations in Nutrition 
            Globally (SPRING) project. 
            SPRING 
            JSI Research & Training Institute, Inc. 
            1616 Fort Myer Drive 
            16th Floor 
            Arlington, VA 22209 USA 
            Phone: 703-528-7474 
            Fax: 703-528-7480 
            Email: info@spring-nutrition.org 
            Internet: www.spring-nutrition.org 
            Cover Photo: SPRING/Kyrgyz Republic                               
       Table of Contents 
       Acronyms ................................................................................................................................................................... v 
       Introduction ............................................................................................................................................................... 1 
       Five-Day Training Schedule – Adolescent and Women’s Nutrition and Anemia ........................................... 3 
       Session 1. Introductions, Pre-Assessment, Expectations, and Objectives ....................................................... 5 
       Session 2. Situation of Adolescent and Women’s Nutrition in Kyrgyz Republic ............................................ 9 
       Session 3. Adolescent and Women’s Nutrition .................................................................................................. 13 
       Session 4. Basic Nutrition Requirements for Everyone ..................................................................................... 21 
       Session 5. Nutrition for Adolescent Girls ............................................................................................................ 23 
       Session 6. Special Requirements for Pregnancy ................................................................................................ 25 
       Session 7. Special Requirements for Lactation .................................................................................................. 31 
       Session 8. Role of Timely Birth Spacing in Women’s Nutrition ...................................................................... 35 
       Session 9. How to Counsel: Part I ......................................................................................................................... 37 
       Session 10. How to Counsel: Part II – 3-Step Counseling, Use of Adolescent or Women’s Nutrition 
       Assessment Form and Observation Checklist ..................................................................................................... 41 
       Session 11. Causes of Anemia and Interventions to Reduce Anemia ............................................................. 51 
       Session 12. Practices for Taking IFA and Counseling for Anemia ................................................................... 57 
       Session 13. Prevention and Treatment of Anemia in Children ........................................................................ 63 
       Session 14. Prevention and Treatment of Anemia in Women of Reproductive Age ................................... 73 
       Session 15. Prevention and Treatment of Anemia in Pregnant Women ....................................................... 81 
       Session 16. Prevention and Treatment of Anemia in the Elderly .................................................................... 89 
       Session 17. Clinical Practice .................................................................................................................................. 97 
       Session 18. Training Action Plans ...................................................................................................................... 101 
       Session 19. Post-assessment and Evaluation .................................................................................................... 103