RP Updates

Pakistan Flood Response  
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.....
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  Successful Stories
When my son was admitted to SC, I and my Husband were very worried. We didn’t know what is wrong with our child, he always remains ill,” says her mother. We have consulted every doctor but after sometime he became again ill. Then there i was told about malnutrition and that a malnourished child is more prone to disease. We need food to stay alive, but also to stay strong. Without proper nutrition, our immune system is not efficient, so disease enters through germs like bacteria and can attack easily. Then a cycle begins, when we have a disease, we become malnourished more easily. But now I am confident because now my baby is healthy and I know how to save my children from malnutrition within my economic limits. Thanks to the programme like this.
She said that when i came SC i was so worried and hopeless that now my child will not survive. But there she recovered very soon. and she was also counseled about how she can manage her child health living within her economic limits at SC. She said I used to think that as I am not giving powder milk to my child so she is week. But she was discharged from Sc and referred to SFP with the impression that natural vegetables, fruit, food are best for child health and growth. And diseases can be avoid through cleanliness In SFP center extensive counseling made her concepts more clear and gave them strength. Following the instructions of Nutrition Assistant she fed her child with the Supplementary Plumpy and Multi-Micro Nutrient sachets and her health improved quickly.
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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

Capacity Built:  
  • 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

    Commodity Food Distributed (MT)
    Fortified Blended Food 17.215
    Supplementary Plumpy 6.9892308
    Vegetable Oil 5.7245
    High Energy Biscuit (HEB) 11.12915
    Total 41.0578808

    # Children received multi micronutrient sachets 43,993
    # Pregnant women and lactating mothers received Multi micronutrient tablets with MM tablets 2,701
    # Pregnant women and lactating mothers with Folic Acid 2,701
    # Children Dewormed 14,700

Sustainability Investments:  
  • 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.
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