Experience in nutrition interventions in Africa points to several design characteristics of field programs which could improve their effectiveness. Regular government extension services have the potential to reach large numbers of people, yet staff will require additional training to respond to the changing demands of field work. A new approach to obercome 2 implementation difficulties found in previous interventions has recently been formulated. The 1st difficulty addressed is that of reaching large enough numbers of people to affect the national prevalence of nutritional and other health problems. The 2nd is to present information that is directly relevant to the situation of people in different localities. The new approach to training rural extension workers has been developed by the Food and Agriculture Organization (FAO). The approach provides staff with information and managerial skills that are common to all extension work. The practical examples used to introduce these techniques illustrate nutritional problems that fieldworkers face and give a measure of confidence in finding solutions. The problems discussed include the adequacy of the techical information given during basic training; the need to understand the administrative aspects of a program or service, and the need to develop effective communication skills. It is intended that the fieldworker will be able to assess the situation in a locality and decide on appropriate action related to the nutritional problems identified. Subsequent action will always conform to the ministry's technical madate. The process of developing an understanding of the nutritional realities of a locality introduces a number of managerial techniques. These techniques for efficient management of field programs are explained and demonstrated during training, using examples that are nutritionally appropriate. In showing the step-by-step application of these techniques to nutritional activities, fieldworkers become familiar with nutritional terms. They also become confident in dealing with the nutritional implications of their work.

中文翻译：

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改善非洲农村推广服务的营养影响

非洲营养干预的经验表明，实地计划的几个设计特点可以提高其有效性。定期的政府推广服务有可能惠及大量人群，但工作人员需要额外培训才能应对现场工作不断变化的需求。最近制定了一种新的方法来解决以前干预中发现的 obercome 2 实施困难。解决的第一个困难是覆盖足够多的人以影响全国的营养和其他健康问题。二是提供与各地人民情况直接相关的信息。粮食及农业组织 (FAO) 开发了培训农村推广人员的新方法。该方法为工作人员提供了所有推广工作共有的信息和管理技能。用于介绍这些技术的实际例子说明了田野工作者面临的营养问题，并给出了寻找解决方案的信心。讨论的问题包括基础培训期间提供的技术信息是否充足；需要了解计划或服务的管理方面，以及需要培养有效的沟通技巧。现场工作人员将能够评估当地的情况，并决定与所确定的营养问题相关的适当行动。后续行动将始终符合该部的技术要求。了解当地营养现状的过程引入了许多管理技术。在培训期间使用营养适当的例子解释和展示了这些有效管理实地计划的技术。通过展示这些技术在营养活动中的逐步应用，田野工作者开始熟悉营养术语。他们也对处理工作对营养的影响充满信心。