Provision of Nutritional Services to the Conflict and Flood Affected Communities in selected union councils of district Dir Lower and Upper (Khyber Pakhtoon Khwa)
The overall objective of the proposed project is to save lives of malnourished children (6-59 months) and to ensure that GAM (Global Acute Malnutrition) rate in the affected area is maintained below the 10% emergency threshold by improving nutritional status through provision of effective nutritional services at the community and facility level; that meet national and internationally recommended minimum standard of care for population affected by emergency.
Main Activities of the Project:
Train workers on rapid nutrition assessment using MUAC Conduct a rapid nutrition assessment in the target UCs, using MUAC tap to establish baseline information.
Identification & finalization of health facilities for CMAM interventions Establishment of 30 SFP/OTP sites and breastfeeding corners in the identified target health facilities in coordination with DoH
Identification of HCPs for CMAM/IYCF trainings
Identification and recruitment of project staff.
Training of HCPs and project staff on CMAM and IYCF
Active involvement of HCPs in CMAM services provision
Identification, recruitment and training of COWs on community mobilization & screening services
Conduction of community mobilization sessions & screening in the community using MUAC tape
Referral of identified malnourished children and PLWs for appropriate care and active follow ups of beneficiaries in the community
Community outreach activities for mobilization, sensitization, absentee and default tracing and home visits.
Establishment of SFP/OTP centres.
Provision of Anthropometric equipments to the centres
Screening and registration of clients in appropriate feeding program as per CMAM protocols by the Health care Providers(HCPs)
Provision of supplementary and therapeutic foods to the identified clients as per protocols.
Referral and follow up of SAM children with complications and no appetite to the identified SC for further treatment.
Educate mothers/caretakers on proper use of the provided food and medication.
Registration and referral of target children and PLW for MM supplementation
Distribution of MM supplements to the target children & PLW as per protocols
Educating mothers/caretakers on the proper use of MM supplements
Registration of target children for deworming treatment and vitamin A supplementation
Ensure deworming of all eligible children
Train target HCPs and outreach workers on IYCF
Establish BF corners in the target centres
Conduct nutrition awareness and hygiene promotion sessions in the health facilities and communities.
Provide IEC material to the health facilities, outreach staff & community
Follow up, monitoring & supportive supervision
Develop liaison with DoH for coordinated effort for implementation of IYCF component
Engage DoH staff in all stages of planning and implementation
Train DoH staff on CMAM & IYCF
Advocacy and lobbying with DoH for integration of CMAM in the public healthcare
Setup a system of monitoring of OTPs and supplies management
Trainings of Government Health Care Providers on “Community Based Management of Acute Malnutrition”
Training of project staff on “ Community Based Management of Acute Malnutrition” (CMAM) and “ Infant Young Child Feeding Practices (IYCF)
Health and Hygiene promotion sessions for school children
Community awareness session to promote breast feeding and other preventive measures to decrease incident rate and prevalence of severe Acute Malnutrition in children(6-59 months, Pregnant women and lactating mothers
5 trainings(5 days) on CMAM for government Health care providers and 60 were trained on CMAM & IYCF
130 Project staff(Project Coordinator, Team Leaders, Nutrition and Health Promoters, Medical officer, Nutrition Assitant and Community Outreach workers) was trained on CMAM & IYCF
109 community based health and hygiene promotion sessions were conducted for female members 1719 female participated
622 sessions were conducted for male community on health, hygiene and promotion of good nutrition and 9998 male were educated.
1843 students both male and female were educated on prevention from common diseases.
Training on Community based management of Acute Malnutrition and Infant young Child feeding practices
Training on community Mobilization
Goods & Services Delivered:
1021 moderately malnourished children treaded in supplementary feeding program
1287 both pregnant women and lactating mothers cured of moderate malnourishment
475 severely malnourished children without medical complications were treated as outpatient , through Out Patient Therapeutic Program
42 severely malnourished children with medical complications were treated as in-patient in stabilization center
Food Distributed (MT)
Fortified Blended Food
High Energy Biscuit (HEB)
# Children received multi micronutrient sachets
# Pregnant women and lactating mothers received Multi micronutrient tablets with MM tablets
# Pregnant women and lactating mothers with Folic Acid
# Children Dewormed
The project was implemented in collaboration with District health Department and the health care providers were full on board in the implementation of the project activities. Insert types of infrastructure or organizational units that will continue to provide benefits post project
Community based management of Acute malnutrition is a technical project and the health care providers were trained on the identification, management and prevention of acute malnutrition.
99 % of the project staff was local and 90 percent female, this an added advantage that from each locality there is some trained health& nutrition care providers. They are the permanent trained and skilled assets of the communities concerned
Community mobilization realized the communities that malnutrition is a condition that exist in their communities and is curable and preventable
30 government health facilities were involved in the project activities and they are now equipped with knowledge, skills and anthropometric instruments.
Overwhelming female participation both as service provider and beneficiaries paved the way to rely on the services of NGO’s and a breakthrough to get out of homes the educated female from house and serve for their own communities.
30 health facilities of two district of Khyber Pakhtoon Khwa were involved in the project and beneficiaries s are recorded.