SPRING Tool for Rapid Evaluation of Facility-Level Nutrition Assessment, Counseling, and Support (REF-NACS) User Guide

REF-NACS is a generic tool designed to gather information on the capacity of health facilities to implement nutrition assessment, counseling, and support (NACS) services for pregnant women, children, and people living with HIV (PLHIV). The tool was developed by the Strengthening Partnerships, Results, and Innovations in Nutrition Globally (SPRING) project, in collaboration with other USAID-funded projects, to assist countries in strengthening NACS services provided through the health system. The guide provides an introduction to the NACS approach, indicators measured by the tool, steps for using the tool, and the tool itself.