Nutrition Cluster briefing:WFP and UNICEF Scale up Plan

in support of the Nutrition Cluster Response Plan

4 July 2014Juba

World Food Programme

Starting point

• Start of year arrangements were on track for acceptable coverage of estimated SAM/MAM cases.

• Revised targets reflect significant gaps between needs and planned programme responses.

• Coupled with deteriorating humanitarian situation, urgent need to come together, mobilize and maximize resources and approaches.

Process

• UNICEF and WFP stocktaking– Ongoing plus High level UNICEF / WFP meeting (23 June)

• Follow up consultations with MOH, all UNICEF / WFP partners – direct and via email – and donors (24-30 June)– Immediate bottlenecks– Collective options to meet gaps– Resources required

• Results of consultations incorporated into cluster response matrix (current update to 3 July)– For further vetting by Nutrition Cluster

• Consolidated in WFP UNICEF action plan in support of the Nutrition Cluster Response Plan– Overview today, further comment on document, feedback next week

Framework for integrated response

IYCF

MN programming

Nutrition Prevention

BSFP

Nutrition Treatment

SAM + MAM

Food Security

WASH

Health

County level operations

Mapping Partners and Services

Access, services, modalities

Access Treatment Services Geographic & Treatment Coverageyes SAM and MAM services

exist at county level

not all payams are covered and admissions are lowpayam coverage is good but admissions remain low

SAM or MAM (but not the other) exist at county level

not all payams are covered and admissions are low

payam coverage is good but admissions remain low

Neither SAM nor MAM services available

No nutrition partner - access feasible

no SAM or MAM (but not the other) exist at county level

Access constraints to scale-up of activities

Neither SAM nor MAM services available

Access constraints to scale-up of activities

Availability of BSFP

Scale-up Strategies, Actions and Timelines

Overview of strategies

• Strategy 1: Optimize nutrition services with existing partners– Bottlenecks, expand PCA/FLAs, process, donor support,

expanded protocol areas

• Strategy 2: Expand operational partnerships– Health for SC, linking natl-intl, SSRC

• Strategy 3: Improve community outreach, screening and referral– Review options, expand PCA/FLAs, donor support, CNV

direct implementation (?)

Overview of strategies

• Strategy 4: Provision of technical support to enhance service quality– HR on ground, collective training

needs/calendar/resources, supervision

• Strategy 5: Strengthen existing supply chain management– Global supply, bottleneck analysis at CO, review delivery

frequency and storage capacity, funds for logs, strengthen overview based on partner reports (triage), supply logistics workshop

Overview of strategies

• Strategy 6: Direct service provision– RRM scenarios, partner RRM/mobile teams,

• Strategy 7: Enhanced needs analysis and support for Coordination– Needs analysis asap, survey support, FSMS, prep for

IPC– Support to CCPM recommendation

Key Points- short term

Resource Issues:• More resources needed for both supplies and

implementation• Need to maintain current services, address potential

shortfalls as well as expand

Supply chain• Critical to have overview of supplies from all partners-

triage (submission on 5th July, pbayo@unicef.org)

Next steps

• Plan of Action document being finalized for further dissemination to donors and Nutrition Cluster SAG for comments (4 July)

• Further dissemination to cluster members and other stakeholders (5 July)

• How to optimize this contribution to collective cluster scale up planning?

• What else is needed/missing?• Milestones and mutual accountability?