1. 5rd Nutrition Early Recovery Group Meeting Wednesday, 6th July, 2011
Dr Mohammad Najeeb

2. 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

3. 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

4. Nutrition Intervention areas till March, 2011

5. Screening – Children 6-59m

6. Break down of Screening

7. SFP – Admissions and Exits

8. SFP – Performance indicators

9. SFP - Analysis

10. OTP – Admissions and Exits

11. OTP – Performance indicators

12. OTP - Analysis

13. 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

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

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

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

18. 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

19. 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

20. 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

21. 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

22. 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

23. 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

24. 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

25. 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

26. 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

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

28. 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

29. End