1. iCCM TWG Presentation to Nutrition Cluster Meeting July 18 2014 By Stanley -IRC

2. Roles of iCCM CBDs in Nutrition Areas for discussions: Why iCCM? And the current network of CBDs per county per Partner in SS Linkages of CHWs- ICCM Community Based Distributors (CBDs) with Health and Nutrition services delivery in the communities

3. Before iCCM

4. After iCCM

5. iCCM Partners in SS

6. Consortium Partners- DFID &GF Non Consortium Partners -UNICEF??  PSI- 6 Counties  IRC- 4 Counties  SCI- 6 Counties  BRAC- 8 Counties  MC- 2 Counties  CCM Italia  World Vision  Health Link  UNIDO  Goal  Nile Hope  MSF???  World Relief iCCM Partners in South Sudan (Existing and Plan)

7. iCCM Consortium CBD Network per county as per July 2014

12. Potential areas for coordination and integration –CBDs and Nutrition/Health  Trainings of CBDs  Supervision in the communities and mentorship at HFs  Drugs and supplies management- storage facilities  Screening of children using MUAC  Referrals and counter referral to OTPs, SFPs SC and Health facilities  Community mobilization and outreach during campaigns  Follow up of defaulters in the community

13. Current level of training of CBDs on Nutrition- MUAC Screening and referrals o IRC: 470 trained in Aweil south screening and referrals to OTPs o SCI: All 1108 trained and conducting screening and referral to OTPs, TFPs and SC o BRAC: 2406 trained and screening / referrals o MC: All trained ?? And conducting screening and referrals Planed CBD trainings: PSI : In all counties to be conducted soon IRC: In remaining 3 counties /expansion and Aweil remaining 2 Payams BRAC: 2 Counties SCI: Expansion MC : Expansion

14. What is in place and working  MoH CBD patient register captures screening for Malnutrition pictorial RED,YELLOW and GREEN  On monthly basis copies of the CBD register submitted to Health facilities supervising, one copy to partner and one remains with CBDs  CHDs and facility staff participate in trainings of CBDs  Referral tracking systems in place at facilities enhance follow up and mentorship

15. Lessons learnt  CBDs reach widely and easily accepted for messages in their communities.  Female CBDs key in behaviour change in nutrition and makes potential peers  Pictorials are better understood and utilized by CBDs than texts  CBDs increased significant access to treatment