SPRING
The document is titled Counselling Cards: Hygiene Practices, 2017 and was produced by USAID, SPRING, and the government of Sierra Leone.
2016

Abstract
It appears to be a collection of flashcards or counseling cards focused on hygiene practices, likely intended for use in Sierra Leone. The document provides information on the SPRING project, which aims to strengthen global and country efforts to scale up high-impact nutrition practices and policies and improve maternal and child nutrition outcomes. The cards themselves are not fully visible in the provided context, but they likely contain guidance and advice on various aspects of hygiene practices.
Classification
USAID Advancing Nutrition