5rd Nutrition Early Recovery Group Meeting Wednesday, 6th July, 2011 Dr Mohammad Najeeb

Nutrition ERWG Members DoH, LHWs Program, Tertiary Care Hospitals INGOs Save the Children, MERLIN, Relief International, Johanniter International, Maltesar International, ACF, Islamic Relief), NGOs RAHBAR, FPHC, CERD, Abaseen Foundation, Salik Foundation, NRSP, CDO, ABKT, NIDA, Peace, ICDI, CMDO, AKBT UN UNICEF, WHO, WFP, UNOCHA, IOM, UNIFEM

Action Points of 4nd ERWG Meeting Supplementary Feeding & Transport Action Points Responsible When Transportation cost issue to be resolved for CERD WFP 22nd june Supplies Action Points Responsible When Shortage of Resomal at Pubbi and Kohat SC UNICEF 22nd June Syp Amoxicillin for CDO hangu OTP supplies for Merlin, Buner  

Nutrition Intervention areas till March, 2011

Screening – Children 6-59m

Break down of Screening

SFP – Admissions and Exits

SFP – Performance indicators

SFP - Analysis

OTP – Admissions and Exits

OTP – Performance indicators

OTP - Analysis

commodities Utilization in May 2011 Total Distribution (MT) FBF/WSB 116.68 Summpementary Plumpy 96.74 Oil 49.40 HEBs 84.64 Total 468.56

commodities Utilization in May 2011 Total Distribution (MT) Beneficiaries Plumpy Doz (For IDPs) 121.11 93,161

commodities Utilization Plan June 2011 Total Distribution Planned (MT) FBF/WSB 149 Summpementary Plumpy 23 Oil 45 HEBs 29 Total 246

commodities Utilization in May 2011 Total Distribution (MT) Beneficiaries Plumpy Doz (For IDPs) 126 96923

30-Jun-11 5-Jun-11 31-May-11 15-May-11 10-Apr-11 5-Jul-11 Implemented Partner (IP) Name District Geographical Area/Name of District, Camp etc Project Duration # Months From To NRSP, National Rural Support Program Swat 12 Union Councils of Tehsil Kabal, District Swat 10 15-Aug-10 30-Jun-11 CMDO, Community Motivation and Development Organization Tank 10 UCs in District Tank of KP Province 8 6-Oct-10 5-Jun-11 FPHC, Frontier Primary Health Care Charsadda 10 UCs in District Charsadda of KP Province 31-May-11 SAHARA, Voluntary Social Welfare DIK DI Khan 10 UCs in District DIK of KP Province 7 15-May-11 MERLIN, Medical Emergency Relief International Swat & Nowshera 17 UCs in District Swat and 5 Ucs in district Nowshera of KP Province 6 11-Oct-10 10-Apr-11 SDF,Salik Development Foundation Kohistan 7 Union Councils in Kohistan 5-Nov-10 CDO, Community Development Organization Hangu 10 Union Councils 1-Nov-10 AF, Abaseen Foundation Kohat PEACE, People Empowerment & Consulting Enterprise DIK/ Nowshera 10 Ucs each in Nowshera and DIK 16/6/2010 5-Jul-11 15 Union Councils in Swat 16-Dec-10 CERD, Centre of Excellence for Rural Development Dir Lower 22 Union Councils in Dir Lower 1-Jan-11 RP, Relief Pakistan Dir L/U 12 Ucs in Dir Lower and 10 Ucs in Dir Upper RAHBAR, Research & Awareness for Human Development, Benefits and Rights Shangla/Buner 15 UCs in Shangla and 10 UCs Buner 13 Union Councils in Swat Nowshera, Jalozai Camp 6 Sites in Jalozai IDP camp

Emergency Response Guiding principles feeding infants and young children during emergencies Merlin Guiding principles for feeding infants and young children during emergencies. © World Health Organization, 2004 Dr Mohammad Najeeb

Breastfeeding Principle 1 Infants born into populations affected by emergencies should normally be exclusively breastfed from birth to 6 months of age. Principle 2 The aim should be to create and sustain an environment that encourages frequent breastfeeding for children up to two years or beyond. Adopted from Guiding principles for feeding infants and young children during emergencies. © World Health Organization, 2004

Breast-milk substitutes Principle 3 The quantity, distribution and use of breast-milk substitutes at emergency sites should be strictly controlled. Those responsible for feeding a breast-milk substitute should be adequately informed and equipped to ensure its safe preparation and use. The use of infant-feeding bottles and artificial teats during emergencies should be actively and strictly discouraged. Adopted from Guiding principles for feeding infants and young children during emergencies. © World Health Organization, 2004

Complimentary Feeding Principle 4 To sustain growth, development and health, infants from 6 months onwards and older children need hygienically prepared, and easy-to-eat and digest, foods that nutritionally complement breast milk. Principle 5 Caregivers need secure uninterrupted access to appropriate ingredients with which to prepare and feed nutrient-dense foods to older infants and young children. Blended foods fortified with essential nutrients, can be useful for feeding older infants and young children. However, their provision should not interfere with promoting the use of local ingredients and other donated commodities for preparing suitable complementary foods hygienically Adopted from Guiding principles for feeding infants and young children during emergencies. © World Health Organization, 2004

Caring for caregivers Principle 6 Because the number of caregivers is often reduced during emergencies as stress levels increase, promoting caregivers’ coping capacity is an essential part of fostering good feeding practices for infants and young children. Adopted from Guiding principles for feeding infants and young children during emergencies. © World Health Organization, 2004

Protecting children Principle 7 The health and vigour of infants and children should be protected so they are able to suckle frequently and well and maintain their appetite for complementary foods. Adopted from Guiding principles for feeding infants and young children during emergencies. © World Health Organization, 2004

Malnutrition Principle 8 Nutritional status should be continually monitored to identify malnourished children so that their condition can be assessed and treated, and prevented from deteriorating further. Malnutrition’s underlying causes should be investigated and corrected. Special medical care and therapeutic feeding are required to rehabilitate severely malnourished children. Adopted from Guiding principles for feeding infants and young children during emergencies. © World Health Organization, 2004

The acute phase of emergencies Principle 9 To minimize an emergency’s negative impact on feeding practices, interventions should begin immediately. Adopted from Guiding principles for feeding infants and young children during emergencies. © World Health Organization, 2004

Immediate Phase (1 month) Rapid assessment of nutrition sector IYCF & BF Blanket feeding Multi-micronutrient supplementation Planning for CMAM Strengthen coordination

Therapeutic Phase (next 6 months) Comprehensive Nutrition Assessment and Coverage Surveys CMAM IYCF & BF Multi-micronutrient supplementation Nutrition Surveillance Strengthen coordination Integration of CMAM in existing PHC

End