1 emergency nutrition response in nepal 13 th – 15 th october, 2015 gnc annual meeting, nairobi,...
TRANSCRIPT
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Emergency Nutrition Response in Nepal
13th – 15th October, 2015GNC Annual Meeting, Nairobi, Kenya
DOLPA
MUGU
JUMLA
KAILALI
BARDIYA
HUMLA
DOTI
SURKHET
NAWALPARASI KAPILBASTURUPANDEHI
DANG
BANKE
ACHHAM KALIKOT
SIRAHA
DARCHULA
BAJHANGBAITADI
DADEL-DHURA
KANCHAN-PUR
BAJURA
PARSA
BARA RAUTA-
DHANUSAMAHO-TARI
SARLAHI
DHADING
MAKAWANPURCHITWAN
KASKI
TANAHU
PALPA
SYANGJA
PARBAT
ARGHAKHACHI
GULMI
UDAYAPUR
SINDHULI
ILAM
BHOJ-PUR
PACHETHAR
DHANKUTA
TAPLEJUNG
RAMECHHAP
OKHAL-DHUNGA
TERHA-THUM
KHOTANG
Patan
B
KTMSOLUK-HUMBU
DOLAKHA
SANKHUWA-SABA
NUWAKOTSINDHU-PALCHOK
KAVRE
RASUWALAMJUNG
GORKHA
PYUTHAN
ROLPASALYAN
MYAGDI
DAILEKHJAJARKOT
RUKUM
MUSTANG
MANANG
•Simikot•Darchula
•Baitadi
•Dadeldhura
•Mahendranagar
•Dhangadi
•Dipayal
•Chainpur •Martadi
•Magalsen
•Gularia
•Birendranagar
•Dailekh
•Manma
•Jumla
•Gamgadi
•Jajarkot
•Dunai
•Jumlikhalanda
•Salyan
•Nepalgunj
•Ghorahi
•Liwang
•Jomosom
•Beni
•Baglung
BAGLUNG
•Kusma
•Pyuthan
•Taulihawa
•Sandhikharka
•Tamghas
•Sidharthanagar
•Tansen
•Syangja
•Pokhara
•Chame
•Besisahar
•Damauli
•Parasi•Bharatpur
•Gorkha
•Dhadingbesi
•Dhunche
•Bidur
•Hetauda
•Birgunj•Kalaiya
•Gaur
HAT
•Dhulikhel
•Chautara
•Charikot
•Ramechhap
•Sindhulimadi
•Malangwa
Jaleshwor•Janakpur•Siraha •Ineruwa
•Gaighat
•Diktel
•Salleri
•Okhaldhunga•Bhojpur
•Khandbari •Taplejung
•Phidim•Ilam
•Dhankuta
•Terhathum
EASTERN REGION
CENTRAL REGION
WESTERN REGION
MID-WESTERN REGION
Earthquake Affected 14 Priority Districts
Legend
14 Priority Earthquake affected districts
Nepal Country Context
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Pre-crisis (Nutrition Indicators) Current Situation
Wasting was 11% (DHS 2011) MUAC screening GAM prevalence between 5-7%??
Stunting was 41% (DHS 2011)
Exclusive breastfeeding rates in boys and girls aged between 0 to 5 months of age: 70% DHS 2011
Anemia prevalence (<2 years: 70%, <5 years: 43%) DHS 2011
Access to food/healthcare was a major problem but the female community health volunteers (FCHVs) despite challenges continued the community support group activities
Nutrition sector Coordination Structure
• Government is leading the Cluster (MOHP)• Double hatting National NCC, 2 surge NCCs for
12 weeks• National dedicated IMO, 1 surge IMO for 12
weeks• 28 partners • Two subnational/regional level hubs; • ToR of SAG validated and pending approval• CMAM, IYCF and IM working groups
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Overview of Needs Assessments and AnalysisAssessment and Analysis:• IRA/MIRA and other nutrition assessment wasn’t conducted immediate after
EQ emergencies• However, quick field based information was collected from different partners
and government officials• Secondary data analysis of DHS (2011) - ecological region based data was
used as proxy information for planning
Strategic Planning: • The target number of affected population was set based on the HMIS target
population of MoHP Nepal and coverage estimate was made districtwide • Priorities for interventions identified based on the nutrition cluster operating
guideline, contingency plan etc.• PDNA and district level review recommendations are the basis for nutrition
recovery planning 4
Strategic Nutrition PrioritiesObjective: “to ensure timely and effective nutrition response in Earthquake affected 14 priority districts to minimize mortality and morbidity of Earthquake affected population and increase in malnutrition focusing to children under five, pregnant and lactating women has been prevented”..Key Cluster Interventions (six building blocks)• Promotion, protection and support for breast feeding • Promotion of complementary feeding • Supplementary Feeding Programme (SFP) for prevention and management of moderate
acute malnutrition • Therapeutic Feeding Programme (TFP) for the management of Severe Acute Malnutrition
(SAM)• Micronutrient for children and women (Vitamin A and MNP for children age 6-59 months,• Deworming to children age 12-59 months, IFA for pregnant and postnatal mother
Gaps in Resource Mobilization
Highlight key gaps (max 6 bullet points): Human Resources;
No full time dedicated NCC at national level and at regional/hub level.
NiE technical “thematic” gaps among all partners. Geographically the NC partners are present in all 14 affected districts but gaps exist in the coverage of the six building blocks
Financial: For flash appeal 11 Million USD was required and 9.8 Million USD is funded (89.5%). Flash Appeal expired in September 2015
Supplies were available but some gaps in distribution
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Nutrition Cluster Target Vs. Achievement
SN Intervention Area Cluster Target Achievements (#)
Achievements
(%)
1 Counselling the mother of 0–23 months old children on breastfeeding 168,000 152,697 91
2 Counselling the mother of 6–23 months old children on complementary feeding 126,000 137,719 109
3 Children age 6-59 months screened for identification of their nutrition status 397,211 373,546 94
4 Children age 6-59 months with severe acute malnutrition who were identified through screening 2,500 1,572 62
5 Children age 6 -59 months with SAM who are admitted to therapeutic care 2,500 1,360 54
6 Blanket supplementary feeding programme to the children age 6-23 months 43,256 32,022 74
7Children age 6-59 month who received multiple micronutrient powders to improve their diets and prevent nutritional deficiencies
323,775 326,091 101
8 Children age 6-59 months who received vitamin A capsules 362,000 354,562 98
Challenges in achieving strategic priorities
• Limited capacity with MoHP for nutrition cluster coordination for appropriate emergency nutrition preparedness and response
• Limited capacity for Nutrition cluster information management• Lack of access to the services due to difficult geography in
many districts • Early identification and management 100% SAM cases in the
OTP sue to capacity of community volunteers• Supplementary feeding programme for the management of
moderate acute malnutrition
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