Nutrition Sector Coordination Meeting 16 th July 2015

Agenda Participants Introduction Opening Remarks by FMOH Review of last Nutrition Sector Coordination Meeting Action point Sector Updates 5W updates Emergency response coverage & gap analysis Sector requirements of RUTF for 2015 Sector partner expansion plans - review HCT 90-day plan - update Presentation on Gender based Programming for Nutrition Update on geographical security for expansion of CMAM sites - Terence Mckechnie IOM DTM 4 Report – Stephanie (IOM) Updates from sector members on sector activities AoB

Action Points of 4 th June May 2015 ActionResponsibilityDeadline Separate meeting with INGO partners currently doing/planning to do screening and to map and plan the screening areas. -discuss using screening of women using MUAC INGOs2 nd August IOM data to be downloaded from website and shared with all partnersSector Coordinator 17 th June FEWS net to share FSO information to cluster partners using the updated mailing list. Agreement that this information can be shared on the humanitarian website. FEWS Netregularly Analysis on the number of CMAM sites in each state (number functional) Sector Coordinator Comments and critique on the template of NiE Dashboard.All PartnersBefore next month Nutrition Assessment Tool to be finalised and sent.Sector Coordinator OCHA Deadline List of supplementary feeding used in the analysis to be shared. Raw data, Maps and detailed reports of all analyses presented on website. Stephanie/IOM18 th June Provide Food basket details by FAO Detailed methodology of cash-voucher scheme to be shared FAO18 th June Save the children to update the Nutrition Gap Matrix with details of the upcoming IYCF program. SC16 th June

North-East Nigeria Nutrition Emergency Response Updates

Nutrition Activities in Nigeria NE January – April 2015 Screening in IDP camps CMAM IYCF Community Sensitization & Key Messages delivery Planned Expansion of CMAM / IYCF MMN Food Vouchers

Nutrition Sector presence in NE by States January – April 2015 Adamawa SMoH UNICEF IRC Borno SMoH UNICEF ACF Yobe SMoH UNICEF ACF

HCT 90-Day Expansion Plan Endorsed by HCT Monitoring on indicators will soon start This 90-day plan will be extended to the end of year

HCT 90-Day Expansion Plan Priority Needs addressed by the plan 1.Screening of children under the age of five in IDP camps and host communities. 2.Treatment for acute malnutrition in IDP camps. 3.Community awareness raising on Infant and Young Child Feeding (IYCF), breastfeeding and hygiene in IDP camps. Geographical Coverage IDP camps and host communities in Borno, Yobe, Gombe and Adamawa. Caseload 240,500 children under the age of five.

1. Result/outcome to be achieved: 240,500 children under the age of five are screened regularly for acute malnutrition in the IDP camps, host communities and health clinics. ActivitiesLead Agency Co-implementing agencies 1.1 Train 150 Health workers on IYCF and Multi- micronutrients. UNICEF ACF, Save the Children, IRC 1.2 Conduct weekly nutrition screening in 12 IDP camps. UNICEF ACF, Save the Children, IRC 1.3 Conduct monthly nutrition surveillance screening in Sentinel sites, host communities and IDP camps. UNICEFACF, Save the Children, IRC

2. Result/outcome to be achieved: 57,779 women and children have benefitted from infant and young child feeding (IYCF). 2.1 Conduct targeted breastfeeding promotion activities for mothers, caretakers, and health service providers as well as other influential family and community members. UNICEF ACF, Save the Children, IRC 2.2 Establish IYCF support groups and identify individuals in need of targeted support to provide IYCF counselling and appropriate information to pregnant and lactating mothers (PLWs) UNICEF ACF, Save the Children, IRC 2.3 Regularly disseminate key nutrition, health & hygiene care messages and raise awareness and demand for available services through media and innovative community structures / approaches. UNICEF ACF, Save the Children, IRC

3. Result/outcome to be achieved: 2,410 children with acute malnutrition have accessed appropriate management for acute malnutrition. 3.1 Provide treatment to 2,410 children with SAM. UNICEFACF, Save the Children, IRC

4. Result/outcome to be achieved: 34,763 children and women have regularly accessed multi-micronutrients. 4.1 Provide Vitamin A supplementation and deworming. UNICEF ACF, Save the Children, IRC 4.2 Provide Multi-micronutrient supplementation to children and PLWs, linked with IYCF promotion. UNICEFACF, Save the Children, IRC

Tentative Timeline Rapid Assessment for Returnees Tentative Timeline

Tentative LGAs for assessment Gombi Hong Maiha Mobi North Mobi South Madagali Michika

Nutrition Assessment Tool Rapid Assessment for Returnees Nutrition Assessment Tool N1. Is there a reliable informant/source for this section (refer to the assessment protocol, if no skip this section)? □ Yes□ No informant/source If yes, specify: N2. Are there any functioning health facilities/services in the community? □ Yes□ No N2.1 Is management of acute malnutrition (CMAM) established in Health facility? □ Established□ Not Established N2.2 Is management of acute malnutrition (CMAM) programme functioning? □ Functioning□ Not Functioning If Functioning □ Inpatient therapeutic feeding (TF) only□ In- & outpatient TF□ Outpatient TF only

Note: If CMAM center established & functioning go to 2.2 otherwise skip to 3.1 N2.2. Any increase of number of under five children in CMAM centers if established & functioning □ Yes□ No□ Don’t know If yes □ Not significant□ Significant N. 2.3 What are the stock level of the nutrition supplies (RUTF and Routine Medicines)? □ Adequate□ Insufficient□ Don’t know Nutrition Assessment Tool …….. Rapid Assessment for Returnees Nutrition Assessment Tool ……..

Please discuss these questions with community if any available, otherwise ask health staff N.3.1 Has there been changes in breastfeeding by the women in this community/household since the emergency? a.Breast feeding more b.Breast feeding less c.Stopped breast feeding d.No change e.Don’t know N.3.2 Are there any problems in breastfeeding? a.No problems b.Lack of privacy/space c.No breast milk (perhaps due to stress, health) d.Don’t know e.Other N.3.2 Are pregnant and lactating women receiving any targeted food distributions? f.Yes g.No h.Don’t know N.3.4 Has there been any change in feeding practices for children aged 6 months – 2 years? i.No change j.Breastfeeding stopped k.Breastfeeding reduced l.Complementary feeding increased m.Complementary feeding decreased n.No complimentary feeding Nutrition Assessment Tool ……… Rapid Assessment for Returnees Nutrition Assessment Tool ………

N. 5) General food distribution □ Yes□ No□ Don’t know N. 6) Cash vouchers for food □ Yes□ No□ Don’t know Anthropometry (Draft only. Please use the format you use for smart) Nutrition Assessment Tool …… Rapid Assessment for Returnees Nutrition Assessment Tool ……

IDP Camp Data from Adamawa The camps that are open and the number of IDPs are follows: Camp Total Population Male Female NYSC camp Malkohi camp Daware camp Girei B camp St. Theresa camp

HNO & SRP 2016 Kick-off workshops / meetings - August 2015 Joint Needs Analysis – End of August 2015 Endorsement of HNO – September 2015 HRP Workshop – End September 2015 HRP Project Process – October 2015 HRP Finalization – Mid November 2015 Monitoring Framework Finalization – December 2015 National Launch – January 2016

Are we doing enough in NE? High Acute Malnutrition rates High Chronic Malnutrition rates Overall situation – food security, livelihood, displacements, farming, Health etc

Lastly FTS Joint Visits to NE

Our Children and Women are in need of our assistance in NE !!!!