"programme_id","programme_title","programme_language","programme_type","other_program","iso3code","country_name","program_location","area","status","start_date","end_date","brief_description","references","related_policy","new_policy","partner_gov","partner_government_details","partner_un","partner_un_details","partner_ngo","partner_ngo_details","partner_donors","partner_donors_details","partner_intergov","partner_intgov_details","partner_national_ngo","partner_nat_ngo_details","partner_research","partner_research_details","partner_private","partner_private_details","partner_other","partner_other_details","cost","fsector_0","fpartner_0","fdetails_0","fsector_1","fpartner_1","fdetails_1","fsector_2","fpartner_2","fdetails_2","fsector_3","fpartner_3","fdetails_3","fsector_4","fpartner_4","fdetails_4","fsector_5","fpartner_5","fdetails_5","fsector_6","fpartner_6","fdetails_6","fsector_7","fpartner_7","fdetails_7","fsector_8","fpartner_8","fdetails_8","fsector_9","fpartner_9","fdetails_9","fsector_10","fpartner_10","fdetails_10","fsector_11","fpartner_11","fdetails_11","fsector_12","fpartner_12","fdetails_12","fsector_13","fpartner_13","fdetails_13","fsector_14","fpartner_14","fdetails_14","fsector_15","fpartner_15","fdetails_15","fsector_16","fpartner_16","fdetails_16","fsector_17","fpartner_17","fdetails_17","fsector_18","fpartner_18","fdetails_18","fsector_19","fpartner_19","fdetails_19","fsector_20","fpartner_20","fdetails_20","fsector_21","fpartner_21","fdetails_21","fsector_22","fpartner_22","fdetails_22","fsector_23","fpartner_23","fdetails_23","fsector_24","fpartner_24","fdetails_24","fsector_25","fpartner_25","fdetails_25","fsector_26","fpartner_26","fdetails_26","fsector_27","fpartner_27","fdetails_27","fsector_28","fpartner_28","fdetails_28","fsector_29","fpartner_29","fdetails_29","fsector_30","fpartner_30","fdetails_30","fsector_31","fpartner_31","fdetails_31","fsector_32","fpartner_32","fdetails_32","fsector_33","fpartner_33","fdetails_33","fsector_34","fpartner_34","fdetails_34","fsector_35","fpartner_35","fdetails_35","fsector_36","fpartner_36","fdetails_36","fsector_37","fpartner_37","fdetails_37","fsector_38","fpartner_38","fdetails_38","fsector_39","fpartner_39","fdetails_39","fsector_40","fpartner_40","fdetails_40","fsector_41","fpartner_41","fdetails_41","fsector_42","fpartner_42","fdetails_42","fsector_43","fpartner_43","fdetails_43","fsector_44","fpartner_44","fdetails_44","fsector_45","fpartner_45","fdetails_45","fsector_46","fpartner_46","fdetails_46","fsector_47","fpartner_47","fdetails_47","fsector_48","fpartner_48","fdetails_48","fsector_49","fpartner_49","fdetails_49","action_id","theme","topic","new_topic","micronutrient","micronutrient_compound","target_group","age_group","place","delivery","other_delivery","dose_frequency","impact_indicators","me_system","target_pop","coverage_percent","coverage_type","baseline","post_intervention","social_det","social_other","elena_link","problem_0","solution_0","problem_1","solution_1","problem_2","solution_2","problem_3","solution_3","problem_4","solution_4","problem_5","solution_5","problem_6","solution_6","problem_7","solution_7","problem_8","solution_8","problem_9","solution_9","other_problems","other_lessons","personal_story","language" "6103","Development of guidelines for management of SAM at nutrition rehabilitation homes","English","National","","NPL","Nepal","Nepal","Urban|Rural|Peri-urban","completed","","","
Based on a field work conducted by external experts, a guideline has been prepared. This will be taken forward for discussion and adoption by the government.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","6102","Acute malnutrition","Management of severe acute malnutrition","","","","SAM child","","","Hospital/clinic","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","English" "8916","Reducing Maternal and Child Undernutrition","English","Community/sub-national","","GHA","Ghana","Bolgatanga, Ghana|Wa, Upper West, Ghana|Tamale, Northern, Ghana","Rural","on-going","01-2012","01-2017","The project’s first aim is to reduce child morbidity and mortality by scaling up proven nutrition interventions to the most vulnerable populations of northern Ghana. The key to the success of these interventions is an early identification of severely malnourished children by trained and appropriately equipped frontline health workers. This allows treating effectively most of the children at home by a simple provision of therapeutic food and micronutrient supplements. To ensure sustainability of the results and to help reduce the number of children facing undernutrition in the long term, the project will also assist the Government of Ghana in the development and implementation of a strong and coherent national nutrition policy. Finally, a gender sensitive nutrition information and surveillance system will be developed in the 3 northern regions to enable the government and development partners to improve monitoring of nutrition programs, decision-making and timely response in the three northern regions.
","http://www.acdi-cida.gc.ca/CIDAWEB/cpo.nsf/vWebCSAZEn/4A6A423FA901C7D785...
","","National Nutrition Policy","","","United Nations Children's Fund (UNICEF)"," Multi-year award for fiscal years 2011-12 to 2016-17","","","","","","","","","","","","","","","CA$ 15,000,000","Bilateral and donor agencies and lenders","Canadian International Development Agency (CIDA)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","8915","","Management of severe acute malnutrition","Reducing Maternal and Child Undernutrition","","","Infants and young children|Preschool-age children (Pre-SAC)|SAM child","Children under 5 years","The 3 Northern regions (Upper East, Upper West, Northern region)","Community-based|Kindergarten/school","","","Expected intermediate outcomes include: - Improved treatment and prevention of child undernutrition for boys and girls under 5 and mothers - Improved financial support, gender-sensitive policy coherence and coordination in nutrition sector - Improved monitoring of nutritional indicators and decision making for better nutritional outcomes
","","x","Northern Ghana","","","","Vulnerable groups","","Micronutrient supplementation in children with severe acute malnutrition>>>Micronutrient supplementation in children with severe acute malnutrition>>http://www.who.int/elena/titles/micronutrients_sam","","","","","","","","","","","","","","","","","","","","","","","","English" "11464","Improving Maternal, Newborn and Child Nutrition in Northern Nigeria","English","Community/sub-national","","NGA","Nigeria","Kebbi, Nigeria|Katsina State, Nigeria|Jigawa State, Nigeria|Zamfara, Nigeria|Yobe, Nigeria","Rural|Peri-urban","on-going","01-2011","01-2017","One million children under five die every year in Nigeria, 35% of them due to causes attributed to malnutrition. This makes Nigeria one of the six countries that accounts for half of all child deaths from malnutrition worldwide. In the north, half of all children under five are stunted, and one in five suffers from acute malnutrition. This has profound implications for health and for human development, and presents a major obstacle to attainment of Millennium Development Goals in the country and globally. To date, the Nigerian government has not provided the necessary leadership or response to the crisis. Coupled with this, is a weak and fragmented health system which is unable to provide the most basic, cost-effective services for the prevention and management of common health problems. Primary health care level remains the weakest link in effective health delivery.
The programme will deliver a number of evidence-based, highly cost-effective direct interventions for the prevention and treatment of malnutrition, including community-based management of acute malnutrition (CMAM), vitamin A supplementation and deworming, and promotion of improved infant and young child feeding (IYCF) practices. The scaled up delivery will be used to raise the political profile of undernutrition in Nigeria and leverage government to coordinate and fund nutrition programmes. Independent operational research will examine the wider determinants and structural barriers of undernutrition. Impact evaluation will measure progress, quality and advise on critical elements required for a sustainable strategy.
A UNICEF and an INGO consortium of Save the Children (SC UK) and Action Against Hunger / Action Against Hunger (AAH/ACF) will deliver the interventions. Operational research and impact evaluation will be conducted by independent nutrition researchers and evaluation experts.
Results: This programme will reduce the incidence and prevalence of undernutrition in children under five across selected Northern States with high rates of undernutrition: Kebbi, Katsina, Jigawa, Zamfara, and Yobe. By 2017, DFID will improve the nutritional status of 6.2 million children under five in northern Nigeria. At least 140,000 children with severe acute malnutrition will receive treatment. The programme will contribute to National targets of reducing underweight and stunting by 20% (absolute reduction) and exclusive breast feeding rates will increase by 15% in the selected five northern states.
It is anticipated that the programme advocacy component will have some impact on improved government commitment and health system strengthening. Delivering services through government facilities, primary health care workers and community-led interventions will embed a culture of government ownership. Additionally, the design places high importance on support for government policies and strategic planning.
Irrespective of long term, systemic changes there is a strong economic and efficacy argument for DFID investment in nutrition. The direct nutrition interventions delivered through the health sector are evidence-based, cost effective and present a key opportunity for achievement of MDGs (1,4,5).
","http://projects.dfid.gov.uk/project.aspx?Project=201874
","7944|7943","","","","United Nations Children's Fund (UNICEF)","","","","","","","","","","","","","","Other","Operational research and impact evaluation will be conducted by independent nutrition researchers and evaluation experts","Project budget: £50 millionBudget spent to Date: £11,090,293","Bilateral and donor agencies and lenders","Department of International Development (DFID)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","11461","","Management of severe acute malnutrition","","","","Preschool-age children (Pre-SAC)|SAM child|Stunted child","Children under 5 years","Selected Northern States with high rates of undernutrition: Kebbi, Katsina, Jigawa, Zamfara, and Yobe. ","Primary health care center","","
","
One million children under five die every year in Nigeria, 35% of them due to causes attributed to malnutrition. This makes Nigeria one of the six countries that accounts for half of all child deaths from malnutrition worldwide. In the north, half of all children under five are stunted, and one in five suffers from acute malnutrition. This has profound implications for health and for human development, and presents a major obstacle to attainment of Millennium Development Goals in the country and globally. To date, the Nigerian government has not provided the necessary leadership or response to the crisis. Coupled with this, is a weak and fragmented health system which is unable to provide the most basic, cost-effective services for the prevention and management of common health problems. Primary health care level remains the weakest link in effective health delivery.
The programme will deliver a number of evidence-based, highly cost-effective direct interventions for the prevention and treatment of malnutrition, including community-based management of acute malnutrition (CMAM), vitamin A supplementation and deworming, and promotion of improved infant and young child feeding (IYCF) practices. The scaled up delivery will be used to raise the political profile of undernutrition in Nigeria and leverage government to coordinate and fund nutrition programmes. Independent operational research will examine the wider determinants and structural barriers of undernutrition. Impact evaluation will measure progress, quality and advise on critical elements required for a sustainable strategy.
A UNICEF and an INGO consortium of Save the Children (SC UK) and Action Against Hunger / Action Against Hunger (AAH/ACF) will deliver the interventions. Operational research and impact evaluation will be conducted by independent nutrition researchers and evaluation experts.
Results: This programme will reduce the incidence and prevalence of undernutrition in children under five across selected Northern States with high rates of undernutrition: Kebbi, Katsina, Jigawa, Zamfara, and Yobe. By 2017, DFID will improve the nutritional status of 6.2 million children under five in northern Nigeria. At least 140,000 children with severe acute malnutrition will receive treatment. The programme will contribute to National targets of reducing underweight and stunting by 20% (absolute reduction) and exclusive breast feeding rates will increase by 15% in the selected five northern states.
It is anticipated that the programme advocacy component will have some impact on improved government commitment and health system strengthening. Delivering services through government facilities, primary health care workers and community-led interventions will embed a culture of government ownership. Additionally, the design places high importance on support for government policies and strategic planning.
Irrespective of long term, systemic changes there is a strong economic and efficacy argument for DFID investment in nutrition. The direct nutrition interventions delivered through the health sector are evidence-based, cost effective and present a key opportunity for achievement of MDGs (1,4,5).
","http://projects.dfid.gov.uk/project.aspx?Project=201874
","7944|7943","","","","United Nations Children's Fund (UNICEF)","","","","","","","","","","","","","","Other","Operational research and impact evaluation will be conducted by independent nutrition researchers and evaluation experts","Project budget: £50 millionBudget spent to Date: £11,090,293","Bilateral and donor agencies and lenders","Department of International Development (DFID)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","11462","","Breastfeeding promotion and/or counselling","Infant and Young Child Feeding","","","Infants and young children|Lactating women (LW)","Infants and young children below 2 years","Selected Northern States with high rates of undernutrition: Kebbi, Katsina, Jigawa, Zamfara, and Yobe.","Community-based|Primary health care center","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "11464","Improving Maternal, Newborn and Child Nutrition in Northern Nigeria","English","Community/sub-national","","NGA","Nigeria","Kebbi, Nigeria|Katsina State, Nigeria|Jigawa State, Nigeria|Zamfara, Nigeria|Yobe, Nigeria","Rural|Peri-urban","on-going","01-2011","01-2017","One million children under five die every year in Nigeria, 35% of them due to causes attributed to malnutrition. This makes Nigeria one of the six countries that accounts for half of all child deaths from malnutrition worldwide. In the north, half of all children under five are stunted, and one in five suffers from acute malnutrition. This has profound implications for health and for human development, and presents a major obstacle to attainment of Millennium Development Goals in the country and globally. To date, the Nigerian government has not provided the necessary leadership or response to the crisis. Coupled with this, is a weak and fragmented health system which is unable to provide the most basic, cost-effective services for the prevention and management of common health problems. Primary health care level remains the weakest link in effective health delivery.
The programme will deliver a number of evidence-based, highly cost-effective direct interventions for the prevention and treatment of malnutrition, including community-based management of acute malnutrition (CMAM), vitamin A supplementation and deworming, and promotion of improved infant and young child feeding (IYCF) practices. The scaled up delivery will be used to raise the political profile of undernutrition in Nigeria and leverage government to coordinate and fund nutrition programmes. Independent operational research will examine the wider determinants and structural barriers of undernutrition. Impact evaluation will measure progress, quality and advise on critical elements required for a sustainable strategy.
A UNICEF and an INGO consortium of Save the Children (SC UK) and Action Against Hunger / Action Against Hunger (AAH/ACF) will deliver the interventions. Operational research and impact evaluation will be conducted by independent nutrition researchers and evaluation experts.
Results: This programme will reduce the incidence and prevalence of undernutrition in children under five across selected Northern States with high rates of undernutrition: Kebbi, Katsina, Jigawa, Zamfara, and Yobe. By 2017, DFID will improve the nutritional status of 6.2 million children under five in northern Nigeria. At least 140,000 children with severe acute malnutrition will receive treatment. The programme will contribute to National targets of reducing underweight and stunting by 20% (absolute reduction) and exclusive breast feeding rates will increase by 15% in the selected five northern states.
It is anticipated that the programme advocacy component will have some impact on improved government commitment and health system strengthening. Delivering services through government facilities, primary health care workers and community-led interventions will embed a culture of government ownership. Additionally, the design places high importance on support for government policies and strategic planning.
Irrespective of long term, systemic changes there is a strong economic and efficacy argument for DFID investment in nutrition. The direct nutrition interventions delivered through the health sector are evidence-based, cost effective and present a key opportunity for achievement of MDGs (1,4,5).
","http://projects.dfid.gov.uk/project.aspx?Project=201874
","7944|7943","","","","United Nations Children's Fund (UNICEF)","","","","","","","","","","","","","","Other","Operational research and impact evaluation will be conducted by independent nutrition researchers and evaluation experts","Project budget: £50 millionBudget spent to Date: £11,090,293","Bilateral and donor agencies and lenders","Department of International Development (DFID)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","11463","","Deworming","Micronutrients and Deworming","","","Preschool-age children (Pre-SAC)","Children under 5 years","Selected Northern States with high rates of undernutrition: Kebbi, Katsina, Jigawa, Zamfara, and Yobe.","Hospital/clinic|Primary health care center","","","
.
","
Impact, outcome and output indicators will be monitored throughout the lifetime of the programme. Data will be obtained through programme monitoring tools and through routine surveillance instruments such as the Demographic Health Survey. An independent impact evaluation will be embedded within delivery. This will assess the overall effectiveness, cost efficiency and equity of the programme.
","6.2 million children under five in northern Nigeria","6.2 million children under five in 5 states of northern Nigeria","","","","Vulnerable groups","","Deworming to combat the health and nutritional impact of soil-transmitted helminths>>>Deworming to combat the health and nutritional impact of soil-transmitted helminths>>http://www.who.int/elena/titles/deworming","","","","","","","","","","","","","","","","","","","","","","","","English" "11516","Feed the Future: The U.S. Government’s Global Hunger and Food Security Initiative","English","Multi-national","","GHA","Ghana","Northern, Ghana|Western Region, Ghana","Rural|Peri-urban","on-going","01-2011","01-2015","
Feed the Future, the U.S. Government’s global hunger and food security initiative, is establishing a foundation for lasting progress against global hunger. With a focus on smallholder farmers, particularly women, Feed the Future supports partner countries in developing their agriculture sectors to spur economic growth that increases incomes and reduces hunger, poverty, and undernutrition. Feed the Future efforts are driven by country-led priorities and rooted in partnership with governments, donor organizations, the private sector, and civil society to enable long-term success. Feed the Future aims to assist millions of vulnerable women, children, and family members to escape hunger and poverty, while reaching significant numbers of children with highly effective nutrition interventions to prevent stunting and child mortality.
Over the next five years in Ghana, Feed the Future aims to help an estimated 860,000 vulnerable Ghanaian women, children and family members—mostly smallholder farmers—escape hunger and poverty. More than 324,000 children will be reached with services to improve their nutrition and prevent stunting and child mortality. Significant numbers of additional rural populations will achieve improved income and nutritional status from strategic policy engagement and institutional investments.
To meet its objectives, Feed the Future Ghana is making core investments in three key areas:
1. To achieve food security, agriculture programs will focus on driving a step-change in the volume and value performance of core staple value chains—starting with rice, maize and soy—and improving the governance of marine fisheries resources.
2. To help reduce malnutrition and improve household resilience of vulnerable populations, agriculture and nutrition programs will focus on a) improving access to diverse quality food, b) improving nutrition-related behaviors within vulnerable households, c) developing community mechanisms to identify and address their food and nutrition problems, and d) strengthening coordination of government and other actors to meet food security and nutrition objectives.
3. To improve the nutritional status of women and children, nutrition programs will focus on:
In addition to these three core areas, environment, natural resource management, climate change, and gender are incorporated as cross-cutting issues in all programs and activities as guiding principles.
Target Regions
A strategic focus on the rice, maize and soy value chains for five years could raise tens of thousands of people out of poverty, 75 percent of whom would be in northern Ghana. Improving marine fisheries governance in the Western Region will benefit fishery households and increase the nutritional status of fish consumers across Ghana.
Highlights
Northern Zone. The rural northern regions have the highest rates of food insecurity in the country—as much as seven times the national average. The northern zone program will aim to improve economic opportunities and diversify household income by doing the following:
Coastal Marine Fisheries Zone. Poverty in the coastal areas of Ghana is extensive, with the average welfare level among food farmers in rural coastal areas 12 percent below that in large urban centers such as Accra. Marine capture fisheries are the major economic activity along the coast and their importance reaches far beyond the coast. There is strong evidence that Ghana’s coastal ecosystems are already seriously degraded and experiencing erosion and will undoubtedly be under growing pressure with an oil and gas industry on its way. The Feed the Future program will:
National Scale Nutritional Programming. In coordination with other development partners, Feed the Future will support the Government of Ghana’s implementation of a comprehensive program of community-based management of acute malnutrition through a comprehensive behavior change program. This comprehensive package will improve nutrition-related behaviors and will be incorporated into programming in the Western, Central, and Greater Accra regions. Operational research will be conducted in 2011–2012 to better understand the extremely high rates of anemia among children in Ghana. This research will be used to develop key nutritional aspects of Feed the Future programming and to shape a national child anemia strategy and program that can be undertaken by Ghana Health Service and its development partners.
","Ghana achieved significant reductions in poverty in the past from agricultural growth that came from area expansion, but today it must come from increased productivity and reduced pre- and post-harvest loss, which fuels increases in farm output and income. Thus, the Strategy is based on:
Sustainably Reduce Global Poverty and Hunger
Inclusive agriculture sector growth
Improved nutritional status especially of women and children
Improved Agricultural Productivity
Enhanced human and institutional capacity development for increased agricultural sector productivity
Enhanced Technology Development, Dissemination, Management and Innovation
Improved Agricultural Policy Environment (increase productivity)
Enhanced institutional capacity development for increased ag. sector productivity
Agricultural producer organizations strengthened
Expanding Markets and Trade
Enhanced Human and Institutional capacity dev’t for agribusiness growth
Property Rights to Land and Other Productive Assets Strengthened
Improved Post-harvest market information
Improved access to business development and sound and affordable financial and risk management services
Increased private sector investment in agriculture and nutrition related activities
Increased agriculture value-chain productivity leading to greater on and off-farm jobs
","
USAID/Ghana will continue using the basic methodology of its existing Performance Monitoring Plan (PMP) for 2009–2013 that includes its monitoring of regular Development Assistance funds, GFSR, and FTF funds. With technical support to be provided by USAID/Washington, USAID/Ghana will build on its current monitoring and evaluation (M&E) systems to design and establish a comprehensive new FTF M&E system and PMP in 2011. In addition, the Mission has several years of experience using the Initiative to End Hunger in Africa (IEHA) monitoring and reporting system which will form the foundation for FTF monitoring and reporting. Since Mission implementing partners will be the source of a great deal of information, their own monitoring and reporting systems will be set up to provide the appropriate sex-disaggregated data, results, indicators, followed by regular monthly, quarterly, semi-annual, and annual reports to comply with the Operating Unit’s overall M&E system requirements. The Mission will be more watchful in ensuring that sex-disaggregated data is collected at all levels of indicators (outputs, outcomes and impacts), and will use available resources to invest in more in-depth analysis of the impacts of programs on men and women.
Data Quality and Management: FTF M&E will benefit greatly from assistance provided by the USAID’s GSSP project to strengthen Ghana’s agricultural statistics system. A new system is being launched in 2011 called the Ghana Agricultural Production Survey (GAPS). The key improvements to be made in the current Multi-Round Crop and Livestock Survey (MRCLS) are a disaggregated and updated sample design (district representativeness), expanded scope and depth of (geo-referenced) agricultural information collected, and new and enhanced management system consisting of improved data management practices and tailored software for improved and timely data processing, monitoring, and reporting. This resource will provide unprecedented household (gender disaggregated) information on an annual basis to help report on a number of FTF indicators.
Other than the in-house sources of information, various other M&E analytical tools, structures, and approaches will be considered for establishing baselines and constant monitoring. These options include instruments like the Ghana Living Standards Survey (GLSS- the local version of the LSMS), Participatory Poverty and Vulnerability Assessment (PPVA), Poverty and Social Impact Analysis (PSIA), and the Northern Ghana Food Security and Nutrition Monitoring System.
Data from the Demographic and Health Survey, which was last conducted in Ghana 2008, provides the baseline for nutrition and maternal and child health interventions. The USG will support this survey again in 2011, and therefore will have access to important data to assess the impact of the program at its midpoint. The Multiple Indicator Cluster Survey, conducted by UNICEF with support from USAID and planned for 2011 and 2015, will provide impact data to assess the success of the FTF program in Ghana at the conclusion of this Strategy period.
Developing National/Regional Capacity to use Data: IFPRI (through the GSSP project) is helping to establish the CAADP Strategic Analysis and Knowledge Support System (SAKSS) Node and will continue to provide the professional guidance to the country to ensure high quality statistical data remains available.
In addition, a Technical Services staffer will support the ASWG Secretariat in carrying out its functions effectively, including tasks like helping stakeholders (especially MOFA) keep track of agricultural related public and private sector investments and foreign support to the sector. There may be times where additional design work will be needed to create results monitoring frameworks for new activities and assist in modifying existing frameworks by adjusting indicators, defining baselines and setting targets. In addition, the Mission will be a partner in Joint Sector Reviews of agricultural sector performance conducted jointly by MOFA and development partners according to a mutual agreement the Mission supports for transparency, accountability, benchmarking, and results monitoring.
Impact Evaluations: The USG will ensure that evaluations for FTF will be adequately covered by above mentioned Technical Services PASA. One of its primary objectives is to evaluate and assess impact of the USAID/Ghana/EG portfolio of investments, in relationship to GOG and donor portfolios, and in relationship to Ghanaian needs in order to make progress towards MDGs and sustaining status of a middle income country. This includes providing relevant information for design of new and/or scaled-up projects as USG increases its investments in Ghana.
Evaluations will include both qualitative and quantitative methods. The hypothesis is that the development process itself can have a significant impact on and bring change to the Ghanaian environment. The objective is to test how much influence FTF programs have had on human behavior, human attitudes (e.g., trust in value chain systems), business and commercial practices, establishment of value chain linkages, increased livelihood options, smoothed out income flow over time (not just level of income), institutional efficiency and quality service delivery, and the programs’ impact on reducing key gender disparities. In addition, the programs should be evaluated to see if they were effective enough to bring about a transformative change or improvement in the lives of the poor, mainly in the northern regions.
","A strategic focus on the rice, maize and soy value chains for five years could raise tens of thousands of people out of poverty, 75 percent of whom would be in northern Ghana","At least 40,000 food insecure households with women of reproductive age and children under two in the Northern region of Ghana","","Lead indicators will be: gross margins per hectare of rice, maize/soya; value of incremental rice, maize/soya sales; value of intra-regional trade in maize; and value of new private sector investments in these select value chains. Many of these will be disaggregated by sex (e.g., gross margins per hectare) of the farmer (not the household head).","Lead indicators will be: gross margins per hectare of rice, maize/soya; value of incremental rice, maize/soya sales; value of intra-regional trade in maize; and value of new private sector investments in these select value chains. Many of these will be disaggregated by sex (e.g., gross margins per hectare) of the farmer (not the household head).","Vulnerable groups","","Biofortification of staple crops>>>Biofortification of staple crops>>http://www.who.int/elena/titles/biofortification","","","","","","","","","","","","","","","","","","","","","","","","English" "11516","Feed the Future: The U.S. Government’s Global Hunger and Food Security Initiative","English","Multi-national","","GHA","Ghana","Northern, Ghana|Western Region, Ghana","Rural|Peri-urban","on-going","01-2011","01-2015","Feed the Future, the U.S. Government’s global hunger and food security initiative, is establishing a foundation for lasting progress against global hunger. With a focus on smallholder farmers, particularly women, Feed the Future supports partner countries in developing their agriculture sectors to spur economic growth that increases incomes and reduces hunger, poverty, and undernutrition. Feed the Future efforts are driven by country-led priorities and rooted in partnership with governments, donor organizations, the private sector, and civil society to enable long-term success. Feed the Future aims to assist millions of vulnerable women, children, and family members to escape hunger and poverty, while reaching significant numbers of children with highly effective nutrition interventions to prevent stunting and child mortality.
Over the next five years in Ghana, Feed the Future aims to help an estimated 860,000 vulnerable Ghanaian women, children and family members—mostly smallholder farmers—escape hunger and poverty. More than 324,000 children will be reached with services to improve their nutrition and prevent stunting and child mortality. Significant numbers of additional rural populations will achieve improved income and nutritional status from strategic policy engagement and institutional investments.
To meet its objectives, Feed the Future Ghana is making core investments in three key areas:
1. To achieve food security, agriculture programs will focus on driving a step-change in the volume and value performance of core staple value chains—starting with rice, maize and soy—and improving the governance of marine fisheries resources.
2. To help reduce malnutrition and improve household resilience of vulnerable populations, agriculture and nutrition programs will focus on a) improving access to diverse quality food, b) improving nutrition-related behaviors within vulnerable households, c) developing community mechanisms to identify and address their food and nutrition problems, and d) strengthening coordination of government and other actors to meet food security and nutrition objectives.
3. To improve the nutritional status of women and children, nutrition programs will focus on:
In addition to these three core areas, environment, natural resource management, climate change, and gender are incorporated as cross-cutting issues in all programs and activities as guiding principles.
Target Regions
A strategic focus on the rice, maize and soy value chains for five years could raise tens of thousands of people out of poverty, 75 percent of whom would be in northern Ghana. Improving marine fisheries governance in the Western Region will benefit fishery households and increase the nutritional status of fish consumers across Ghana.
Highlights
Northern Zone. The rural northern regions have the highest rates of food insecurity in the country—as much as seven times the national average. The northern zone program will aim to improve economic opportunities and diversify household income by doing the following:
Coastal Marine Fisheries Zone. Poverty in the coastal areas of Ghana is extensive, with the average welfare level among food farmers in rural coastal areas 12 percent below that in large urban centers such as Accra. Marine capture fisheries are the major economic activity along the coast and their importance reaches far beyond the coast. There is strong evidence that Ghana’s coastal ecosystems are already seriously degraded and experiencing erosion and will undoubtedly be under growing pressure with an oil and gas industry on its way. The Feed the Future program will:
National Scale Nutritional Programming. In coordination with other development partners, Feed the Future will support the Government of Ghana’s implementation of a comprehensive program of community-based management of acute malnutrition through a comprehensive behavior change program. This comprehensive package will improve nutrition-related behaviors and will be incorporated into programming in the Western, Central, and Greater Accra regions. Operational research will be conducted in 2011–2012 to better understand the extremely high rates of anemia among children in Ghana. This research will be used to develop key nutritional aspects of Feed the Future programming and to shape a national child anemia strategy and program that can be undertaken by Ghana Health Service and its development partners.
","Activities will be implemented within the communities where staple crop value chain activities will take place, but will target vulnerable households that would not be captured by a staple crop value chain approach. Hopefully some of these households will eventually be able to participate in the larger commercial value chains as their condition improves. USAID’s efforts will concentrate on value chains in which women have some control and decision-making power over the production, processing, or marketing of the crops, or livestock, as well as control over the income derived from sales of those products. Examples of these include horticulture and small animal husbandry, which are generally managed and controlled by women. 16 In Ghana, activities of the USAID funded Global Livestock Project, ENAM (Enhancing Child Nutrition through Animal Source Food Management), showed positive results on improving production and consumption of animal source foods through a comprehensive approach that integrated income generation and nutrition education. USAID Title II programs in Ghana have also shown success in improving production of staple and non-staple foods. Nutrition and food safety education will be combined with microenterprise development so that men and women beneficiaries build resources and gain knowledge to provide safe and diverse diets to themselves, young children, and families. Male involvement is an essential aspect for the adoption of positive nutrition behaviors and practices.
Messages against child abuse and child trafficking as well as improved nutrition will be carried out among vulnerable households. Capacity-building in the use of good agricultural practices to prevent contamination of horticultural crops will result in higher yields and higher quality, safer products which will improve public health and develop markets for surplus products. Other aspects of household behaviors such as hygiene and sanitation are critical components to improve nutrition. Evidence shows that hand washing alone can reduce the incidence of diarrhea by 47 percent; diarrhea being both a potential cause and a consequence of undernutrition. By using evidence-based approaches (e.g., Community Led Total Sanitation), program activities will stimulate community mobilization and train local craftsmen (e.g., masons, carpenters) on inexpensive latrine construction or materials that could be purchased at the community level based on the types of latrines identified to construct by community members.
Improved access to diverse safe and quality food, especially for young children
Improved access to food can be accomplished through either direct consumption of produced goods or through purchase with improved incomes; most often improved access requires both approaches. In the northern areas of Ghana, both poverty and poor dietary diversity contribute to reduced access to diverse foods for the most vulnerable. Poverty is associated with lower consumption of a diverse diet including animal source proteins throughout Ghana, with particularly low diversity scores in the northern areas. Storage remains a major obstacle to food preservation and safety in Ghana that not only impedes direct access to food throughout the year, but also limits access to income since the majority of crops are sold post-harvest at low prices and then purchased at higher prices for consumption late in season. This strategy under the Agriculture Program explains that improving storage options will help address this problem.
The integrated program will require that implementing partners assess men’s and women’s roles to design interventions related to the four areas above that have the greatest chance for improving household and community resilience. For example, research on small-scale production activities through the ENAM Project found that men’s perception and appreciation of women’s activities had an impact on women’s empowerment and use of income for the household,17 underscoring the importance of including men in nutrition programs.
Improved nutrition–related behaviors within vulnerable households
Interpersonal communication, linked with community-based monitoring, will promote positive household behaviors related to nutritional health. This approach will encourage not only households but also communities to support broader measures such as hygiene and sanitation improvements, while helping reduce social and cultural barriers to improved nutrition-related behaviors, such as dietary restrictions based on age or gender. Positive practices that affect nutritional status of women and children will be promoted and supported through a combination of household visits, community outreach events, mother-to-mother support groups and other community groups. Men will be also targeted to promote their role in supporting positive nutrition-related behaviors.
This sub-program on nutrition behavior will be intertwined with and will build upon mass media and community behavior change activities undertaken through Program Objective Three. It will also be coordinated with other USG efforts such as the President’s Malaria Initiative (PMI), other USAID-funded health and agriculture programs, and related programs of the Ghana Health Service and other development partners and civil society groups to ensure complementarily and leverage additional resources and activities in target areas.
Communities able to identify and address their food and nutrition problems
Communities will establish food and nutrition objectives and will monitor their own progress by developing community-based nutrition monitoring systems. With data in hand, communities will be enabled to identify specific actions (e.g., diversified food production, fortification, improved storage or improved hygiene to reduce the incidence of diarrheal diseases) relevant to the local context and particular challenges. The integrated program will promote participatory practices that encourage men, women, and children to undertake and advocate for improvements to critical infrastructure through public works, facilitating effective engagement with local authorities, access to private sector credit, and potentially other support such as a small grants program. These actions will all be oriented to improve resiliency of households by allowing greater diversity and stability of income and access to food products.
One possible approach is to develop multi-sectoral collaborations to allow communities to systematically address food and nutrition challenges. All of the features of an improvement collaborative are applicable to improvement of services regardless of sector, including: shared improvement objectives; adequately supported quality improvement teams testing changes; an implementation package; regular analysis of measured results to guide quality improvement; shared learning for accelerated scale-up; spread of the successful strategy; and development or strengthening of relevant organizational structures.
Strengthened coordination of government and other actors to meet food security and nutrition objectives
USAID will work to strengthen cross-sectoral management of food security efforts at the central level as well as at the regional level. MOFA’s Women in Agricultural Development (WIAD) is working on several integrated initiatives targeting women farmers, focused on dietary diversity and increasing access to nutritious foods, and has also been involved in the CAADP and METASIP review processes.
On the health side, the interagency nutrition working group chaired by the Ghana Health Service will be strengthened as a planning and decision-making body for health-related nutrition efforts, and will be encouraged to work more directly with WIAD. Increasing support to WIAD and utilizing USAID’s position in health sector coordination to ensure that health actors become more involved with WIAD’s initiatives will greatly contribute to progress toward FTF objectives. These actions will provide a forum for sharing of best practices in cross-sectoral food security interventions, and will help WIAD to become the lead agency for coordinating interventions to improve food security for vulnerable households.
","
Increased resilience of vulnerable communities and households
Improved access to diverse and quality foods
USAID/Ghana will continue using the basic methodology of its existing Performance Monitoring Plan (PMP) for 2009–2013 that includes its monitoring of regular Development Assistance funds, GFSR, and FTF funds. With technical support to be provided by USAID/Washington, USAID/Ghana will build on its current monitoring and evaluation (M&E) systems to design and establish a comprehensive new FTF M&E system and PMP in 2011. In addition, the Mission has several years of experience using the Initiative to End Hunger in Africa (IEHA) monitoring and reporting system which will form the foundation for FTF monitoring and reporting. Since Mission implementing partners will be the source of a great deal of information, their own monitoring and reporting systems will be set up to provide the appropriate sex-disaggregated data, results, indicators, followed by regular monthly, quarterly, semi-annual, and annual reports to comply with the Operating Unit’s overall M&E system requirements. The Mission will be more watchful in ensuring that sex-disaggregated data is collected at all levels of indicators (outputs, outcomes and impacts), and will use available resources to invest in more in-depth analysis of the impacts of programs on men and women.
Data Quality and Management: FTF M&E will benefit greatly from assistance provided by the USAID’s GSSP project to strengthen Ghana’s agricultural statistics system. A new system is being launched in 2011 called the Ghana Agricultural Production Survey (GAPS). The key improvements to be made in the current Multi-Round Crop and Livestock Survey (MRCLS) are a disaggregated and updated sample design (district representativeness), expanded scope and depth of (geo-referenced) agricultural information collected, and new and enhanced management system consisting of improved data management practices and tailored software for improved and timely data processing, monitoring, and reporting. This resource will provide unprecedented household (gender disaggregated) information on an annual basis to help report on a number of FTF indicators.
Other than the in-house sources of information, various other M&E analytical tools, structures, and approaches will be considered for establishing baselines and constant monitoring. These options include instruments like the Ghana Living Standards Survey (GLSS- the local version of the LSMS), Participatory Poverty and Vulnerability Assessment (PPVA), Poverty and Social Impact Analysis (PSIA), and the Northern Ghana Food Security and Nutrition Monitoring System.
Data from the Demographic and Health Survey, which was last conducted in Ghana 2008, provides the baseline for nutrition and maternal and child health interventions. The USG will support this survey again in 2011, and therefore will have access to important data to assess the impact of the program at its midpoint. The Multiple Indicator Cluster Survey, conducted by UNICEF with support from USAID and planned for 2011 and 2015, will provide impact data to assess the success of the FTF program in Ghana at the conclusion of this Strategy period. Developing National/Regional Capacity to use Data: IFPRI (through the GSSP project) is helping to establish the CAADP Strategic Analysis and Knowledge Support System (SAKSS) Node and will continue to provide the professional guidance to the country to ensure high quality statistical data remains available.
In addition, a Technical Services staffer will support the ASWG Secretariat in carrying out its functions effectively, including tasks like helping stakeholders (especially MOFA) keep track of agricultural related public and private sector investments and foreign support to the sector. There may be times where additional design work will be needed to create results monitoring frameworks for new activities and assist in modifying existing frameworks by adjusting indicators, defining baselines and setting targets. In addition, the Mission will be a partner in Joint Sector Reviews of agricultural sector performance conducted jointly by MOFA and development partners according to a mutual agreement the Mission supports for transparency, accountability, benchmarking, and results monitoring.
Impact Evaluations: The USG will ensure that evaluations for FTF will be adequately covered by above mentioned Technical Services PASA. One of its primary objectives is to evaluate and assess impact of the USAID/Ghana/EG portfolio of investments, in relationship to GOG and donor portfolios, and in relationship to Ghanaian needs in order to make progress towards MDGs and sustaining status of a middle income country. This includes providing relevant information for design of new and/or scaled-up projects as USG increases its investments in Ghana.
Evaluations will include both qualitative and quantitative methods. The hypothesis is that the development process itself can have a significant impact on and bring change to the Ghanaian environment. The objective is to test how much influence FTF programs have had on human behavior, human attitudes (e.g., trust in value chain systems), business and commercial practices, establishment of value chain linkages, increased livelihood options, smoothed out income flow over time (not just level of income), institutional efficiency and quality service delivery, and the programs’ impact on reducing key gender disparities. In addition, the programs should be evaluated to see if they were effective enough to bring about a transformative change or improvement in the lives of the poor, mainly in the northern regions.
","This Resilience and Reduction of Undernutrition program will increase resiliency of at least 40,000 food insecure households with women of reproductive age and children under two in the Northern region of Ghana ","Northern region of Ghana","","Household Hunger Index; percent children stunted; households benefitting from USG assistance.","Household Hunger Index; percent children stunted; households benefitting from USG assistance.","Vulnerable groups","","Complementary feeding>>>Complementary feeding>>http://www.who.int/elena/titles/complementary_feeding","","","","","","","","","","","","","","","","","","","","","","","","English" "11516","Feed the Future: The U.S. Government’s Global Hunger and Food Security Initiative","English","Multi-national","","GHA","Ghana","Northern, Ghana|Western Region, Ghana","Rural|Peri-urban","on-going","01-2011","01-2015","
Feed the Future, the U.S. Government’s global hunger and food security initiative, is establishing a foundation for lasting progress against global hunger. With a focus on smallholder farmers, particularly women, Feed the Future supports partner countries in developing their agriculture sectors to spur economic growth that increases incomes and reduces hunger, poverty, and undernutrition. Feed the Future efforts are driven by country-led priorities and rooted in partnership with governments, donor organizations, the private sector, and civil society to enable long-term success. Feed the Future aims to assist millions of vulnerable women, children, and family members to escape hunger and poverty, while reaching significant numbers of children with highly effective nutrition interventions to prevent stunting and child mortality.
Over the next five years in Ghana, Feed the Future aims to help an estimated 860,000 vulnerable Ghanaian women, children and family members—mostly smallholder farmers—escape hunger and poverty. More than 324,000 children will be reached with services to improve their nutrition and prevent stunting and child mortality. Significant numbers of additional rural populations will achieve improved income and nutritional status from strategic policy engagement and institutional investments.
To meet its objectives, Feed the Future Ghana is making core investments in three key areas:
1. To achieve food security, agriculture programs will focus on driving a step-change in the volume and value performance of core staple value chains—starting with rice, maize and soy—and improving the governance of marine fisheries resources.
2. To help reduce malnutrition and improve household resilience of vulnerable populations, agriculture and nutrition programs will focus on a) improving access to diverse quality food, b) improving nutrition-related behaviors within vulnerable households, c) developing community mechanisms to identify and address their food and nutrition problems, and d) strengthening coordination of government and other actors to meet food security and nutrition objectives.
3. To improve the nutritional status of women and children, nutrition programs will focus on:
In addition to these three core areas, environment, natural resource management, climate change, and gender are incorporated as cross-cutting issues in all programs and activities as guiding principles.
Target Regions
A strategic focus on the rice, maize and soy value chains for five years could raise tens of thousands of people out of poverty, 75 percent of whom would be in northern Ghana. Improving marine fisheries governance in the Western Region will benefit fishery households and increase the nutritional status of fish consumers across Ghana.
Highlights
Northern Zone. The rural northern regions have the highest rates of food insecurity in the country—as much as seven times the national average. The northern zone program will aim to improve economic opportunities and diversify household income by doing the following:
Coastal Marine Fisheries Zone. Poverty in the coastal areas of Ghana is extensive, with the average welfare level among food farmers in rural coastal areas 12 percent below that in large urban centers such as Accra. Marine capture fisheries are the major economic activity along the coast and their importance reaches far beyond the coast. There is strong evidence that Ghana’s coastal ecosystems are already seriously degraded and experiencing erosion and will undoubtedly be under growing pressure with an oil and gas industry on its way. The Feed the Future program will:
National Scale Nutritional Programming. In coordination with other development partners, Feed the Future will support the Government of Ghana’s implementation of a comprehensive program of community-based management of acute malnutrition through a comprehensive behavior change program. This comprehensive package will improve nutrition-related behaviors and will be incorporated into programming in the Western, Central, and Greater Accra regions. Operational research will be conducted in 2011–2012 to better understand the extremely high rates of anemia among children in Ghana. This research will be used to develop key nutritional aspects of Feed the Future programming and to shape a national child anemia strategy and program that can be undertaken by Ghana Health Service and its development partners.
","Efforts to decrease poverty and improve options for food consumption will not have a significant impact upon the nutritional status of most Ghanaians unless they are accompanied by strong household and community understanding and motivation to change child feeding behaviors, and improvements in nutrition services and products that are offered to the public. For this reason, FTF in Ghana will invest resources through USAID/Ghana’s health program to prevent and treat undernutrition.
Improved nutrition-related behaviors and community norms regarding nutrition
USAID/Ghana is helping to expand and improve behavior change approaches related to nutrition and to develop training materials and approaches for infant and young children feeding and dietary diversity. In FY2011 a national Infant and Young Child Feeding (IYCF) campaign will be launched using mass media, a range of educational and community action materials, and community-led efforts and interpersonal communication by health staff and community volunteers. This campaign is expected to contribute significantly to improved feeding practices and increase the prevalence of minimum acceptable diet among children 6–23 months. USAID’s Behavior Change Support Program (BCS) will design the national campaign with the active involvement of the GHS, coordinating outreach activities with JICA (Japan International Cooperation Agency), UNICEF, and the World Bank, all of which are active in nutrition promotion in the northern regions. This will ensure that messages heard across the country are uniform and consistent. This national campaign will target all adults who care for children less than five years of age throughout the country. Heads of extended families and household decision makers (most often men) will be a particular target group for this campaign, to improve allocation of household resources towards child nutrition. USAID will support all outreach components of this intervention in the regions currently targeted by USAID’s overall health program (Greater Accra, Central, and Western), and in the northern regions targeted by the Feed the Future program, while the other areas of the country will receive the same package of outreach materials delivered through other actors (GHS with support from UNICEF, JICA, World Bank, etc.)
Key messages and related activities will promote the following behaviors: Exclusive breastfeeding through the first six months of life; Complementary feeding as of six months of age; Dietary diversity Maternal nutrition Care of sick children; Utilization of maternal, child health and nutrition services; Household water treatment Hand washing with soap Safe sanitation practices.
Expanded community-based treatment of acute malnutrition of children
Since 2008, USAID/Ghana has supported a community-based program to treat acute undernutrition (CMAM). Through the FANTA-2 project (Food and Nutrition Technical Assistance), USAID provides technical assistance to the Ghana Health Service (GHS) to integrate CMAM services into the district health system. A Severe Acute Malnutrition (SAM) Support Unit was established at the Nutrition Department of the GHS to provide technical support for CMAM implementation and coordination of CMAM activities in the country. From an initial pilot in two districts, the GHS plans to scale up the CMAM program nationally; USAID is already beginning this effort with support from UNICEF in the Northern Region. The CMAM platform also provides opportunities for improving the skills of health care providers, community outreach workers, mother support groups, and community health workers to provide quality nutrition services for mothers and children under two years of age.
To increase the reach and sustainability of the program to combat malnutrition in children, USAID is building private sector capacity for local production of ready-to-use food to be used in treatment of severely malnourished children. Local production is expected to start in FY 2011.
Expanded accessibility of safe quality foods available for child weaning in Ghana
The normal weaning foods used in Ghana are thin gruels based on cassava or other starches, which provide carbohydrates and assuage hunger but are otherwise quite poor in nutrition. In order to facilitate the adoption of improved weaning practices and increase the nutritional content of the diets of young children, USAID is exploring strategic partnerships to promote nutritional products that have a critical set of attributes including: a) would fill specific nutritional gaps in the existing diet of pregnant women and/or young children; b) can be marketed at a low enough price point to be feasibly accessible by the lower income segments of the population; c) has a reasonable chance of becoming sustainable over the medium term; and d) has significant existing support including investment from other private sector, government or civil society agencies.
A variety of actors, including private sector companies, Ghanaian universities, and non-governmental groups, have approached USAID with potential products and strategies in this regard. USAID will continue to track the progress of the different initiatives already underway, including several that already have support from other USAID programs such as CRSPs (Collaborative Research Support Program), and will determine whether any of them are likely to meet the four criteria listed above.
A critical related issue is access to clean and safe drinking water and sanitation facilities, which greatly impact the health of women and children and will be assessed and considered in the context of this intervention.
Causes of severe levels of anemia among children in Ghana identified and addressed
The levels of maternal and children anemia in Ghana, 59 percent and 78 percent respectively, actually increased between 2003 and 2008 according to the 2008 Ghana Demographic and Health Survey, even though other health indicators improved over the same period.
Maternal anemia is a major factor in both maternal and infant health in Ghana, which are the focus of USAID’s current maternal and child health program. To address the problem of maternal anemia, USAID/Ghana is providing support and technical assistance for quality prenatal services, coordinated with malaria prevention and deworming activities. USAID’s ongoing programs to improve the quality of maternal health services will include a sharper focus on maternal anemia prevention and treatment during the prenatal period.
Unlike maternal anemia, there is not a sufficient evidence base nor are there extensive programmatic experiences to inform child anemia programs. The causes of anemia in young children are multi-faceted, and while closely linked to maternal health and nutrition, cannot be explained by poor maternal nutrition alone. Many factors including dietary insufficiency during weaning, repeated bouts of malaria, diarrhea and other diseases, intestinal parasites, and even high prevalence of the sickling trait have been posited to explain the extraordinary levels of child anemia in Ghana. Some of these factors are being addressed through other programs, such as the expansion of malaria prevention programs and school-based deworming interventions. However there is a compelling need to obtain current information on the relative importance of contributing factors, service delivery challenges, and barriers to reducing prevalence of anemia in young children. USAID will consider supporting Ghanaian public health and nutrition research institutions to perform operations research that will include problem identification and the development and application of improved tools, technologies, and approaches for addressing child anemia. Approaches identified as being the most promising will be field tested by existing USAID health activities to determine their potential to be scaled up to a national level. This activity will be performed in collaboration with other established and recognized institutions to contribute to local capacity strengthening and sustainability.
","Improved nutrition related behaviors
Improved utilization of maternal and child health and nutrition services
USAID/Ghana will continue using the basic methodology of its existing Performance Monitoring Plan (PMP) for 2009–2013 that includes its monitoring of regular Development Assistance funds, GFSR, and FTF funds. With technical support to be provided by USAID/Washington, USAID/Ghana will build on its current monitoring and evaluation (M&E) systems to design and establish a comprehensive new FTF M&E system and PMP in 2011. In addition, the Mission has several years of experience using the Initiative to End Hunger in Africa (IEHA) monitoring and reporting system which will form the foundation for FTF monitoring and reporting. Since Mission implementing partners will be the source of a great deal of information, their own monitoring and reporting systems will be set up to provide the appropriate sex-disaggregated data, results, indicators, followed by regular monthly, quarterly, semi-annual, and annual reports to comply with the Operating Unit’s overall M&E system requirements. The Mission will be more watchful in ensuring that sex-disaggregated data is collected at all levels of indicators (outputs, outcomes and impacts), and will use available resources to invest in more in-depth analysis of the impacts of programs on men and women.
Data Quality and Management: FTF M&E will benefit greatly from assistance provided by the USAID’s GSSP project to strengthen Ghana’s agricultural statistics system. A new system is being launched in 2011 called the Ghana Agricultural Production Survey (GAPS). The key improvements to be made in the current Multi-Round Crop and Livestock Survey (MRCLS) are a disaggregated and updated sample design (district representativeness), expanded scope and depth of (geo-referenced) agricultural information collected, and new and enhanced management system consisting of improved data management practices and tailored software for improved and timely data processing, monitoring, and reporting. This resource will provide unprecedented household (gender disaggregated) information on an annual basis to help report on a number of FTF indicators.
Other than the in-house sources of information, various other M&E analytical tools, structures, and approaches will be considered for establishing baselines and constant monitoring. These options include instruments like the Ghana Living Standards Survey (GLSS- the local version of the LSMS), Participatory Poverty and Vulnerability Assessment (PPVA), Poverty and Social Impact Analysis (PSIA), and the Northern Ghana Food Security and Nutrition Monitoring System.
Data from the Demographic and Health Survey, which was last conducted in Ghana 2008, provides the baseline for nutrition and maternal and child health interventions. The USG will support this survey again in 2011, and therefore will have access to important data to assess the impact of the program at its midpoint. The Multiple Indicator Cluster Survey, conducted by UNICEF with support from USAID and planned for 2011 and 2015, will provide impact data to assess the success of the FTF program in Ghana at the conclusion of this Strategy period.
Developing National/Regional Capacity to use Data: IFPRI (through the GSSP project) is helping to establish the CAADP Strategic Analysis and Knowledge Support System (SAKSS) Node and will continue to provide the professional guidance to the country to ensure high quality statistical data remains available.
In addition, a Technical Services staffer will support the ASWG Secretariat in carrying out its functions effectively, including tasks like helping stakeholders (especially MOFA) keep track of agricultural related public and private sector investments and foreign support to the sector. There may be times where additional design work will be needed to create results monitoring frameworks for new activities and assist in modifying existing frameworks by adjusting indicators, defining baselines and setting targets. In addition, the Mission will be a partner in Joint Sector Reviews of agricultural sector performance conducted jointly by MOFA and development partners according to a mutual agreement the Mission supports for transparency, accountability, benchmarking, and results monitoring.
Impact Evaluations: The USG will ensure that evaluations for FTF will be adequately covered by above mentioned Technical Services PASA. One of its primary objectives is to evaluate and assess impact of the USAID/Ghana/EG portfolio of investments, in relationship to GOG and donor portfolios, and in relationship to Ghanaian needs in order to make progress towards MDGs and sustaining status of a middle income country. This includes providing relevant information for design of new and/or scaled-up projects as USG increases its investments in Ghana.
Evaluations will include both qualitative and quantitative methods. The hypothesis is that the development process itself can have a significant impact on and bring change to the Ghanaian environment. The objective is to test how much influence FTF programs have had on human behavior, human attitudes (e.g., trust in value chain systems), business and commercial practices, establishment of value chain linkages, increased livelihood options, smoothed out income flow over time (not just level of income), institutional efficiency and quality service delivery, and the programs’ impact on reducing key gender disparities. In addition, the programs should be evaluated to see if they were effective enough to bring about a transformative change or improvement in the lives of the poor, mainly in the northern regions.
","Reaching nearly 324,000 children, improving their nutrition to prevent stunting and child mortality.","About 75 percent of Ghanaians assisted would be in northern Ghana","","Lead indicators will include: prevalence of women with anemia; prevalence of childhood anemia; prevalence of diarrheal diseases, diet diversity among children under five; percent of children who are wasted.","Lead indicators will include: prevalence of women with anemia; prevalence of childhood anemia; prevalence of diarrheal diseases, diet diversity among children under five; percent of children who are wasted.","Vulnerable groups","","eLENA titles related to prevention or treatment of moderate acute malnutrition in children>>>Supplementary feeding in community settings for promoting child growth>>http://www.who.int/elena/titles/child_growth|Food supplementation in children with moderate acute malnutrition>>http://www.who.int/elena/titles/food_children_mam","","","","","","","","","","","","","","","","","","","","","","","","English" "11605","Feed the Future: The U.S. Government’s Global Hunger and Food Security Initiative","English","Multi-national","","MWI","Malawi","Dedza|Mchinji|Lilongwe|Ntcheu|Mangochi|Balaka|Machinga","Rural|Peri-urban","on-going","01-2011","01-2015","
Feed the Future, the U.S. Government’s global hunger and food security initiative, is establishing a lasting foundation for progress against global hunger. With a focus on smallholder farmers, particularly women, Feed the Future supports partner countries in developing their agriculture sectors to spur economic growth that increases incomes and reduces hunger, poverty, and undernutrition. Feed the Future efforts are driven by country-led priorities and rooted in partnership with donor organizations, the private sector, and civil society to enable long-term success. Feed the Future aims to assist millions of vulnerable women, children, and family members to escape hunger and poverty, while also reaching significant numbers of children with highly effective nutrition interventions to prevent stunting and child mortality.
Over the next five years in Malawi, Feed the Future aims to help an estimated 281,000 vulnerable Malawian women, children, and family members—mostly smallholder farmers—escape hunger and poverty. More than 293,000 children will be reached with services to improve their nutrition and prevent stunting and child mortality. Significant numbers of additional rural populations will achieve improved income and nutritional status from strategic policy engagement and institutional investments.
","The USG will make investments in nutrition across three critical sectors; agriculture, health, and social protection, with nutrition as the lynchpin between these sectors. As such, the USG will implement a comprehensive approach that maximizes all three sectors and strengthens and links the nutrition components of each. These investments will be underpinned by a core set of nutrition indicators that are common across all programs, and will be supported by policy investments that mirror the comprehensive nature of nutrition programming by working with the Office of the President’s Cabinet (OPC) and the Ministries of Agriculture and Food Security, Health, and Gender.
Building on lessons and experiences from current programs implementing preventive nutrition activities (e.g., the WALA and BASICS projects), USG resources will scale up prevention of undernutrition and resiliency of communities, while maintaining critical investments in treatment and nutrition service delivery. The rationale for this shift is due to the overall high prevalence of chronic undernutrition (47 percent) and the low prevalence of acute undernutrition (4 percent), the latter of which has been achieved by sustained commitment to scaling up CMAM. As a result, the USG will aim to drive a decrease in stunting as the highest level objective in FTF. The USG plans to focus on cost-effective preventive nutrition interventions targeting the 1,000 days window of development (pregnancy through two years), including maternal nutrition; early and exclusive breastfeeding through six months; use of appropriate, diverse foods beginning at six months of age; targeted micronutrient supplementation; and improved hygiene and sanitation. Activities will be integrated into health, HIV, and agriculture platforms, taking full advantage of the resources that these programs have. These investments leverage funding from health (Global Health and Child Survival), agriculture (Development Assistance), and Title II to advance nutrition objectives. The Care Group model encompasses a combined FTF and GHI approach to reduce poverty, hunger, and undernutrition by joining two complementary lines of investment at an operational level:
The objectives of the Care Groups complement value chain development activities by building capacity of:
Community-Level Organizations and Integration with Government of Malawi Systems for Health and Agricultural Extension
The Care Group in the context of this model is notable in that it supports a sustainable and simultaneous approach to agriculture, nutrition, and microfinance. Cross-fertilization of nutrition and agricultural messaging and skill building, as well as the opportunity to create cross-sector targets and results frameworks allows for a uniquely comprehensive approach.
Volunteers are trained and facilitated to conduct community outreach and follow-up in both agricultural- and health-focused nutrition interventions, thus supporting an operational link between nutrition and agriculture programming. Each volunteer takes on responsibility for conducting outreach and follow-up to some 10-12 nearby households. Care Group volunteers also have access to agricultural inputs to start and maintain community gardens, as well as engage in income-diversification through activities such as establishing voluntary savings and loan activities. Access to these inputs provides motivation and support for implementing targeted nutrition-focused interventions focused on behavior change, including:
Linking the agriculture and value chain components of the project with health and nutrition promotion at the community level is especially advantageous in that it provides opportunities to address two key crosscutting areas:
Prevention Linked with Health Service Delivery
The USG’s approach to service delivery covers community level action, improvement of quality at all levels of facilities, and strengthening the central and district level systems of management. This provides a common platform for multi-thematic messages and programs, ensuring that there are ―no missed opportunities‖. It also ensures a focused yet comprehensive basic package accessible to the Malawian population that stretches across the continuum of care from community to facility and from facility to community. At the community level, the Health Surveillance Assistants (HSAs) and health volunteers will continue to focus on interpersonal counseling, limited preventive and curative care through village clinics and drug boxes, and to create demand for services at the health facilities across family planning, maternal and neonatal health, child health, nutrition, malaria and HIV areas. At the facility level, the USG will support improved quality of care for existing interventions that target integrated and comprehensive primary health care provision and performance based incentives. At the national, zonal and district levels, USG programs will continue to strengthen the financial, management and leadership capabilities of the Ministry of Health staff. Also, programs will work closely with the technical staff to provide technical assistance and work toward meaningful policy changes. At all levels, USG resources will focus on integration of social and behavior change communication efforts through community and facility level entry points.
An important element of the multi-year FTF Strategy is monitoring and evaluation, which is an iterative learning process that will put into place the principle of a sustained and accountable delivery approach. Program activities must be monitored through periodic field visits by Mission staff and ongoing monitoring and learning by implementing partners. Mission staff has a key role to play in monitoring and learning from partners both through oversight and input to design of project level M&E plans and systems and also through follow-up on quarterly reports and other communication with partners.
The integration of agricultural, nutrition, and health elements into a joint strategic plan provides a unique opportunity to innovate, document, and demonstrate best practices associated with a concurrent multi-sector investment model. Also, the Malawi FTF Strategy will foster linkages among existing programs, which will harmonize key agriculture and nutrition and indicators across relevant areas of focus.
Building on this collaboration, both the Health and Sustainable Economic Growth (SEG) teams at USAID/Malawi will work together to integrate M&E systems and processes in order to track synergies and multiplier effects between the two sectors not captured through the agriculture/nutrition overlap. There is currently significant USG investment on the part of USAID through PEPFAR and GHI in health systems strengthening, family planning, and malaria and tuberculosis reduction among others in the geographic areas targeted through FTF. We believe it is critical to capture at the highest level the combined impact of FTF and GHI/PEPFAR in order to reduce duplication, increase the applicability of data across interventions and most importantly, learn across programs in order to improve and increase efficiency and impact of all USAID investments in Malawi. This integration of M&E function may take the form of harmonized M&E plans at the implementer level combined with joint monitoring visits by SEG and Health team members.
Reliable and well-defined monitoring, reporting and evaluation methods, roles and communication channels result in improved project and program management, promote ongoing learning and testing of development hypotheses and ensure accountability. A fully functioning M&E team and system further help to illustrate the Mission’s value added to overall development not only to key stakeholders in the USG, but also to the GoM and other development partners.
USAID/Malawi is currently refining Mission processes in line with the requirements and recommendations of the newly announced USAID Evaluation Policy. To that end, and in preparation for the Country Development Cooperation Strategy (CDCS), SEG will identify further impact evaluation questions and set aside funds for impact evaluation in 2011. This will serve as solid preparation for FTF-focused evaluation activities in subsequent years.
","Feed the Future aims to help an estimated 281,000 vulnerable Malawian women, children, and family members—mostly smallholder farmers—escape hunger and poverty. More than 293,000 children will be reached with services to improve their nutrition","Central and southern regions","","Prevalence of stunted children under five years of age; Prevalence of wasted children under five years of age; Prevalence of children 6-23 months receiving a minimum acceptable diet; Prevalence of exclusive breastfeeding of children under 6 months; Prevalence of households with moderate or severe hunger","Prevalence of stunted children under five years of age; Prevalence of wasted children under five years of age; Prevalence of children 6-23 months receiving a minimum acceptable diet; Prevalence of exclusive breastfeeding of children under 6 months; Prevalence of households with moderate or severe hunger","Vulnerable groups","","Breastfeeding – exclusive breastfeeding>>>Breastfeeding – exclusive breastfeeding>>http://www.who.int/elena/titles/exclusive_breastfeeding","","","","","","","","","","","","","","","","","","","","","","","","English" "11605","Feed the Future: The U.S. Government’s Global Hunger and Food Security Initiative","English","Multi-national","","MWI","Malawi","Dedza|Mchinji|Lilongwe|Ntcheu|Mangochi|Balaka|Machinga","Rural|Peri-urban","on-going","01-2011","01-2015","Feed the Future, the U.S. Government’s global hunger and food security initiative, is establishing a lasting foundation for progress against global hunger. With a focus on smallholder farmers, particularly women, Feed the Future supports partner countries in developing their agriculture sectors to spur economic growth that increases incomes and reduces hunger, poverty, and undernutrition. Feed the Future efforts are driven by country-led priorities and rooted in partnership with donor organizations, the private sector, and civil society to enable long-term success. Feed the Future aims to assist millions of vulnerable women, children, and family members to escape hunger and poverty, while also reaching significant numbers of children with highly effective nutrition interventions to prevent stunting and child mortality.
Over the next five years in Malawi, Feed the Future aims to help an estimated 281,000 vulnerable Malawian women, children, and family members—mostly smallholder farmers—escape hunger and poverty. More than 293,000 children will be reached with services to improve their nutrition and prevent stunting and child mortality. Significant numbers of additional rural populations will achieve improved income and nutritional status from strategic policy engagement and institutional investments.
","Although the main focus will be on preventing childhood undernutrition, USAID/Malawi will continue to support CMAM, building on past investments. Since 2005, USAID has supported the integration of CMAM in existing health care services. Partners are working at both the policy and community levels to ensure this integration. As of December 2009, 24 out of 28 districts are implementing CMAM in over 240 health facilities. The USG will support one additional year of the MoH’s CMAM Advisory Service to finalize the transition of complete CMAM scale-up to the GoM. An evaluation in 2012 will help inform the USG on the areas needing further investment.
Through two GDAs with Project Peanut Butter, a local producer of ready-to use therapeutic food (RUTF), USAID/Malawi’s support has resulted in an annual production capacity of over 1,200 MT of RUTF, which, when combined with production from a second local producer of RUTF, more than meets the total requirements of RUTF for Malawi, with capacity to export to neighboring countries. The USG will take advantage of this existing capacity to explore the development and promotion of ready to use supplementary and complementary foods.
","An important element of the multi-year FTF Strategy is monitoring and evaluation, which is an iterative learning process that will put into place the principle of a sustained and accountable delivery approach. Program activities must be monitored through periodic field visits by Mission staff and ongoing monitoring and learning by implementing partners. Mission staff has a key role to play in monitoring and learning from partners both through oversight and input to design of project level M&E plans and systems and also through follow-up on quarterly reports and other communication with partners.
The integration of agricultural, nutrition, and health elements into a joint strategic plan provides a unique opportunity to innovate, document, and demonstrate best practices associated with a concurrent multi-sector investment model. Also, the Malawi FTF Strategy will foster linkages among existing programs, which will harmonize key agriculture and nutrition and indicators across relevant areas of focus.
Building on this collaboration, both the Health and Sustainable Economic Growth (SEG) teams at USAID/Malawi will work together to integrate M&E systems and processes in order to track synergies and multiplier effects between the two sectors not captured through the agriculture/nutrition overlap. There is currently significant USG investment on the part of USAID through PEPFAR and GHI in health systems strengthening, family planning, and malaria and tuberculosis reduction among others in the geographic areas targeted through FTF. We believe it is critical to capture at the highest level the combined impact of FTF and GHI/PEPFAR in order to reduce duplication, increase the applicability of data across interventions and most importantly, learn across programs in order to improve and increase efficiency and impact of all USAID investments in Malawi. This integration of M&E function may take the form of harmonized M&E plans at the implementer level combined with joint monitoring visits by SEG and Health team members.
Reliable and well-defined monitoring, reporting and evaluation methods, roles and communication channels result in improved project and program management, promote ongoing learning and testing of development hypotheses and ensure accountability. A fully functioning M&E team and system further help to illustrate the Mission’s value added to overall development not only to key stakeholders in the USG, but also to the GoM and other development partners.
USAID/Malawi is currently refining Mission processes in line with the requirements and recommendations of the newly announced USAID Evaluation Policy. To that end, and in preparation for the Country Development Cooperation Strategy (CDCS), SEG will identify further impact evaluation questions and set aside funds for impact evaluation in 2011. This will serve as solid preparation for FTF-focused evaluation activities in subsequent years.
","Feed the Future aims to help an estimated 281,000 vulnerable Malawian women, children, and family members—mostly smallholder farmers—escape hunger and poverty. More than 293,000 children will be reached with services to improve their nutrition","Central and southern regions","","Prevalence of stunted children under five years of age; Prevalence of wasted children under five years of age; Prevalence of children 6-23 months receiving a minimum acceptable diet; Prevalence of exclusive breastfeeding of children under 6 months; Prevalence of households with moderate or severe hunger","Prevalence of stunted children under five years of age; Prevalence of wasted children under five years of age; Prevalence of children 6-23 months receiving a minimum acceptable diet; Prevalence of exclusive breastfeeding of children under 6 months; Prevalence of households with moderate or severe hunger","Vulnerable groups","","eLENA titles related to prevention or treatment of moderate acute malnutrition in children>>>Supplementary feeding in community settings for promoting child growth>>http://www.who.int/elena/titles/child_growth|Food supplementation in children with moderate acute malnutrition>>http://www.who.int/elena/titles/food_children_mam","","","","","","","","","","","","","","","","","","","","","","","","English" "11605","Feed the Future: The U.S. Government’s Global Hunger and Food Security Initiative","English","Multi-national","","MWI","Malawi","Dedza|Mchinji|Lilongwe|Ntcheu|Mangochi|Balaka|Machinga","Rural|Peri-urban","on-going","01-2011","01-2015","Feed the Future, the U.S. Government’s global hunger and food security initiative, is establishing a lasting foundation for progress against global hunger. With a focus on smallholder farmers, particularly women, Feed the Future supports partner countries in developing their agriculture sectors to spur economic growth that increases incomes and reduces hunger, poverty, and undernutrition. Feed the Future efforts are driven by country-led priorities and rooted in partnership with donor organizations, the private sector, and civil society to enable long-term success. Feed the Future aims to assist millions of vulnerable women, children, and family members to escape hunger and poverty, while also reaching significant numbers of children with highly effective nutrition interventions to prevent stunting and child mortality.
Over the next five years in Malawi, Feed the Future aims to help an estimated 281,000 vulnerable Malawian women, children, and family members—mostly smallholder farmers—escape hunger and poverty. More than 293,000 children will be reached with services to improve their nutrition and prevent stunting and child mortality. Significant numbers of additional rural populations will achieve improved income and nutritional status from strategic policy engagement and institutional investments.
","The USG will support GoM's efforts towards fortification of prioritized centrally processed foods, namely: sugar, oil, wheat and maize flour, and complementary baby foods. Data from the National Micronutrient Survey shows that the consumption of these foods has increased over the last ten years. USAID health funding will continue to support the universal salt iodization program in order to sustain the gains made with previous investments. Although not sufficient to forestall stunting in children under five, one necessary input is a high quality, low-cost complementary food. The legume and dairy value chains present a unique opportunity for the development of such a product. Malawi will take advantage and work with existing food processors (e.g., Rab processors, Project Peanut Butter and Valid Nutrition) to develop a suitable product.
Prevention and control of micronutrient malnutrition will require a concerted effort by all USAID/Malawi’s health programs, namely, malaria, family planning, maternal, neonatal and child health, HIV/AIDS and nutrition. Possible USG support to SUN for specific activities with deliverables in FY11 include the following:
An important element of the multi-year FTF Strategy is monitoring and evaluation, which is an iterative learning process that will put into place the principle of a sustained and accountable delivery approach. Program activities must be monitored through periodic field visits by Mission staff and ongoing monitoring and learning by implementing partners. Mission staff has a key role to play in monitoring and learning from partners both through oversight and input to design of project level M&E plans and systems and also through follow-up on quarterly reports and other communication with partners.
The integration of agricultural, nutrition, and health elements into a joint strategic plan provides a unique opportunity to innovate, document, and demonstrate best practices associated with a concurrent multi-sector investment model. Also, the Malawi FTF Strategy will foster linkages among existing programs, which will harmonize key agriculture and nutrition and indicators across relevant areas of focus.
Building on this collaboration, both the Health and Sustainable Economic Growth (SEG) teams at USAID/Malawi will work together to integrate M&E systems and processes in order to track synergies and multiplier effects between the two sectors not captured through the agriculture/nutrition overlap. There is currently significant USG investment on the part of USAID through PEPFAR and GHI in health systems strengthening, family planning, and malaria and tuberculosis reduction among others in the geographic areas targeted through FTF. We believe it is critical to capture at the highest level the combined impact of FTF and GHI/PEPFAR in order to reduce duplication, increase the applicability of data across interventions and most importantly, learn across programs in order to improve and increase efficiency and impact of all USAID investments in Malawi. This integration of M&E function may take the form of harmonized M&E plans at the implementer level combined with joint monitoring visits by SEG and Health team members.
Reliable and well-defined monitoring, reporting and evaluation methods, roles and communication channels result in improved project and program management, promote ongoing learning and testing of development hypotheses and ensure accountability. A fully functioning M&E team and system further help to illustrate the Mission’s value added to overall development not only to key stakeholders in the USG, but also to the GoM and other development partners.
USAID/Malawi is currently refining Mission processes in line with the requirements and recommendations of the newly announced USAID Evaluation Policy. To that end, and in preparation for the Country Development Cooperation Strategy (CDCS), SEG will identify further impact evaluation questions and set aside funds for impact evaluation in 2011. This will serve as solid preparation for FTF-focused evaluation activities in subsequent years.
","Feed the Future aims to help an estimated 281,000 vulnerable Malawian women, children, and family members—mostly smallholder farmers—escape hunger and poverty. More than 293,000 children will be reached with services to improve their nutrition","Central and southern regions","","Prevalence of stunted children under five years of age; Prevalence of wasted children under five years of age; Prevalence of children 6-23 months receiving a minimum acceptable diet; Prevalence of exclusive breastfeeding of children under 6 months; Prevalence of households with moderate or severe hunger","Prevalence of stunted children under five years of age; Prevalence of wasted children under five years of age; Prevalence of children 6-23 months receiving a minimum acceptable diet; Prevalence of exclusive breastfeeding of children under 6 months; Prevalence of households with moderate or severe hunger","Vulnerable groups","","Complementary feeding>>>Complementary feeding>>http://www.who.int/elena/titles/complementary_feeding","","","","","","","","","","","","","","","","","","","","","","","","English" "11605","Feed the Future: The U.S. Government’s Global Hunger and Food Security Initiative","English","Multi-national","","MWI","Malawi","Dedza|Mchinji|Lilongwe|Ntcheu|Mangochi|Balaka|Machinga","Rural|Peri-urban","on-going","01-2011","01-2015","Feed the Future, the U.S. Government’s global hunger and food security initiative, is establishing a lasting foundation for progress against global hunger. With a focus on smallholder farmers, particularly women, Feed the Future supports partner countries in developing their agriculture sectors to spur economic growth that increases incomes and reduces hunger, poverty, and undernutrition. Feed the Future efforts are driven by country-led priorities and rooted in partnership with donor organizations, the private sector, and civil society to enable long-term success. Feed the Future aims to assist millions of vulnerable women, children, and family members to escape hunger and poverty, while also reaching significant numbers of children with highly effective nutrition interventions to prevent stunting and child mortality.
Over the next five years in Malawi, Feed the Future aims to help an estimated 281,000 vulnerable Malawian women, children, and family members—mostly smallholder farmers—escape hunger and poverty. More than 293,000 children will be reached with services to improve their nutrition and prevent stunting and child mortality. Significant numbers of additional rural populations will achieve improved income and nutritional status from strategic policy engagement and institutional investments.
","USG investments in legume and dairy value chains are designed to boost competitiveness and promote diversification into higher-return value chains that will also spawn non-farm employment opportunities. While these investments in economic growth will be necessary to reduce poverty and hunger, they will be insufficient by themselves. Beyond growth, poverty reduction will require targeted interventions that address the needs of smallholder farmers (the rural poor) as well as more vulnerable populations. A significant smallholder need is to produce more from a very limited resource base. Conservation farming practices offer promise in this regard, by increasing yields, soil fertility and soil moisture content per unit area. Importantly CF offers a window of opportunity to increase yield from a fixed unit area, freeing up land for diversification of both other cereals and legumes. Improving market and input access and the affordability of business development and financial services tailored to the needs of smallholders is critical in order to ―pull‖ rural households into income-raising activities.
Integrating Nutrition with Value Chains (INVC)
INVC is designed to combine the livelihood benefits of an agricultural value chain approach with the nutrition benefits of increased dietary diversification. This centerpiece of Malawi’s FTF strategy will invest in the competitiveness of food staple value chains in which large numbers of smallholders, over 56 percent of whom are below the poverty line, participate, and link increased household production of nutritious crops to household consumption and improved nutritional status. INVC will link value chain development and increased household income to improved nutrition through diet diversification, and improvements in food storage, preparation, and consumption practices at the household level.
INVC’s value chain approach will focus on legumes (groundnuts and soy) and dairy, and is designed to facilitate change in both the individual value chains and the broader market and household-farming systems, looking for synergies across value chains such as common constraints and/or actors. A strong emphasis will be placed on improving the demand side of the value chain, by working to improve market linkages between input and output dealers through improved and more reliable services, including financial, business development, agronomic and livestock-related services. While most of INVC’s efforts will further develop and strengthen Malawi’s existing input and output markets serving the legumes and dairy value chains, the program will also include strengthening the capacity of processors and agribusinesses to meet export market demands, as well as building the capacity of smallholder suppliers to meet buyer demands. At the same time, INVC will work to mitigate the risks for rural households to diversify their income and food sources beyond maize through an option of conducting a vulnerability assessment for its target population and to access nutritional education that will help them translate a more diverse basket of food into improved nutrition. INVC will place a particular emphasis on women’s economic empowerment across all of its activities, including additional support and guidance to women owned businesses and women producers.
INVC will spur investment and innovation in the legume and dairy value chains through an Innovation and Investment Facility meant to provide INVC a tool to identify and support specific opportunities that can further strengthen the selected value chains and market systems within which they operate. An important use of the facility will be to buy down risk for a firm, farmer, or other value chain actor in order to encourage early adoption of new technologies, such as CF by smallholders, and spur sector-wide innovation. Facility partners may include private firms, GoM agencies, research institutes, NGOs or other local organizations, as well as other donors best placed to identify new solutions to key value chain and systemic43 constraints. This Innovation and Investment Facility will be a key instrument for developing the capacity of the private sector and will also have targets and incentives for the participation of women-owned enterprises or individuals.
A core principle of INVC will also be to build the capacity of the key value chain actors to address the competitiveness of their value chain through their own projects and interventions. As such, INVC will place a strong emphasis on building local capacity to contribute to and invest in agricultural transformation. While Malawi has numerous small businesses, local NGOs and private sector and civil society organizations, few, if any, have both the technical and administrative capacity to implement USAID projects without support. As such, INVC’s approach to capacity building will be to invest resources in local partners while leveraging their local knowledge and capacity to generate results. The project will have a target for graduating local partners to independent status that would allow them to receive USAID funds directly. As partners reach this independent status, they would take on current functions of INVC.
","An important element of the multi-year FTF Strategy is monitoring and evaluation, which is an iterative learning process that will put into place the principle of a sustained and accountable delivery approach. Program activities must be monitored through periodic field visits by Mission staff and ongoing monitoring and learning by implementing partners. Mission staff has a key role to play in monitoring and learning from partners both through oversight and input to design of project level M&E plans and systems and also through follow-up on quarterly reports and other communication with partners.
The integration of agricultural, nutrition, and health elements into a joint strategic plan provides a unique opportunity to innovate, document, and demonstrate best practices associated with a concurrent multi-sector investment model. Also, the Malawi FTF Strategy will foster linkages among existing programs, which will harmonize key agriculture and nutrition and indicators across relevant areas of focus.
Building on this collaboration, both the Health and Sustainable Economic Growth (SEG) teams at USAID/Malawi will work together to integrate M&E systems and processes in order to track synergies and multiplier effects between the two sectors not captured through the agriculture/nutrition overlap. There is currently significant USG investment on the part of USAID through PEPFAR and GHI in health systems strengthening, family planning, and malaria and tuberculosis reduction among others in the geographic areas targeted through FTF. We believe it is critical to capture at the highest level the combined impact of FTF and GHI/PEPFAR in order to reduce duplication, increase the applicability of data across interventions and most importantly, learn across programs in order to improve and increase efficiency and impact of all USAID investments in Malawi. This integration of M&E function may take the form of harmonized M&E plans at the implementer level combined with joint monitoring visits by SEG and Health team members.
Reliable and well-defined monitoring, reporting and evaluation methods, roles and communication channels result in improved project and program management, promote ongoing learning and testing of development hypotheses and ensure accountability. A fully functioning M&E team and system further help to illustrate the Mission’s value added to overall development not only to key stakeholders in the USG, but also to the GoM and other development partners.
USAID/Malawi is currently refining Mission processes in line with the requirements and recommendations of the newly announced USAID Evaluation Policy. To that end, and in preparation for the Country Development Cooperation Strategy (CDCS), SEG will identify further impact evaluation questions and set aside funds for impact evaluation in 2011. This will serve as solid preparation for FTF-focused evaluation activities in subsequent years.
","Feed the Future aims to help an estimated 281,000 vulnerable Malawian women, children, and family members—mostly smallholder farmers—escape hunger and poverty. More than 293,000 children will be reached with services to improve their nutrition","Central and southern regions","","Percent change in agricultural GDP (monitor national trend); Per Capita expenditures of rural households (proxy for income) of USG targeted beneficiaries; Gender index; Gross margin per unit of land or animal of selected product; Value of incremental sales (collected at farm- level) attributed to FTF; Percent change in diversity of agricultural commodities produced by households; Number of newly created jobs attributed to FTF Value of new private sector investment in the agriculture sector or food chain leveraged by FTF","Percent change in agricultural GDP (monitor national trend); Per Capita expenditures of rural households (proxy for income) of USG targeted beneficiaries; Gender index; Gross margin per unit of land or animal of selected product; Value of incremental sales (collected at farm- level) attributed to FTF; Percent change in diversity of agricultural commodities produced by households; Number of newly created jobs attributed to FTF Value of new private sector investment in the agriculture sector or food chain leveraged by FTF","Vulnerable groups","","Biofortification of staple crops>>>Biofortification of staple crops>>http://www.who.int/elena/titles/biofortification","Supplies","A significant constraint to the development of competitive groundnut and soybean value chains is the inadequate production of breeder seed. Ten years ago, USAID/Malawi established a $250,000 revolving fund to support ICRISAT in contracting out groundnut breeder seed production, but the FISP addition of legume seed packs the significant gross margins of legumes has driven demand far beyond local seed production capacity. Given the importance of reliable input supplies to Malawi’s FTF strategy, USAID and Irish Aid will partner to expand local capacity for production of quality, certified legume seed. USAID will invest in expanding the existing revolving fund and link in the International Institute of Tropical Agriculture to enable the expansion of their efforts in soy breeder seed production. Irish AID will expand its assistance to small and medium sized enterprises to develop their capacity of to multiply groundnut seed – currently only one company (Seed Co.) is involved in soybean seed production using privately developed germplasm.","Infrastructure","Malawi also lacks an International Organization for Standardization (ISO) certified laboratory for testing and certifying groundnuts and soybeans, which limits access by exporters to broader export markets. Currently, companies that export groundnuts send samples to South Africa for testing, which is costly and limits export capacity. With Irish Aid support, ICRISAT and NASFAM are developing a low cost, rapid testing technology; however, achieving ISO certification will be costly. The EU and UNDP will also begin work next year on a project designed to support the processing and exports side of legume value chains, a major component of which will focus on bringing the Malawi Bureau of Standards up to ISO certification. USG resources will support GoM efforts to establish a national sanitary/phyto-sanitary (SPS) strategy and achieve COMESA SPS compliance, as well as to build the capacity of Bunda College and the MoAFS research stations to conduction aflatoxin mitigation research.","Financial resources","Access to finance remains a major constraint to smallholders investing in productivity enhancing technologies due to weak financial sector infrastructure, inadequate financial services options, and GoM regulatory capacity. USAID will jointly develop a Financial Sector Technical Assistance Project with the World Bank and DfID.","","","","","","","","","","","","","","","","","","English" "11605","Feed the Future: The U.S. Government’s Global Hunger and Food Security Initiative","English","Multi-national","","MWI","Malawi","Dedza|Mchinji|Lilongwe|Ntcheu|Mangochi|Balaka|Machinga","Rural|Peri-urban","on-going","01-2011","12-2015","Feed the Future, the U.S. Government’s global hunger and food security initiative, is establishing a lasting foundation for progress against global hunger. With a focus on smallholder farmers, particularly women, Feed the Future supports partner countries in developing their agriculture sectors to spur economic growth that increases incomes and reduces hunger, poverty, and undernutrition. Feed the Future efforts are driven by country-led priorities and rooted in partnership with donor organizations, the private sector, and civil society to enable long-term success. Feed the Future aims to assist millions of vulnerable women, children, and family members to escape hunger and poverty, while also reaching significant numbers of children with highly effective nutrition interventions to prevent stunting and child mortality.
Over the next five years in Malawi, Feed the Future aims to help an estimated 281,000 vulnerable Malawian women, children, and family members—mostly smallholder farmers—escape hunger and poverty. More than 293,000 children will be reached with services to improve their nutrition and prevent stunting and child mortality. Significant numbers of additional rural populations will achieve improved income and nutritional status from strategic policy engagement and institutional investments.
","In view of the capacity challenges that exist, USAID will strengthen the capacity of the GoM to plan, implement, monitor and evaluate nutrition programs. With substantial funding increases anticipated through the FTF, USAID/Malawi will ensure that GoM institutions have adequate capacity to implement the various programs that will be designed under the initiative. This activity is in line with Strategic Objective Three of the NNPSP, which clearly outlines the capacity gaps and needs for the nutrition sector in Malawi. The USG will strengthen capacity of its partners, both government and non- governmental, as well as the private sector. USG support will be at three levels: community, institutional and tertiary. Irish Aid, the World Bank, CIDA, and the EU are all key donors in capacity building.
Strategic Analysis and Knowledge Support System (SAKSS)
Since 2008, USAID/Malawi has supported a SAKSS unit implemented through the International Food Policy Research Institute (IFPRI) at the MoAFS. The objectives of this activity are threefold: 1) generate demand-driven diagnostic and strategic research to fill key knowledge gaps, 2) establish an information and knowledge support system, in cooperation with the Southern Africa Regional Strategic Analysis and Knowledge Support System that has been set up to help promote peer and progress review of the CAADP, and 3) strengthen the capacity of national institutions, such as the MoAFS, in policy and strategy research. The Malawi Mission plans to extend the work of the SAKSS unit as part of capacity building support under FTF.
Malawi Agriculture Policy Strengthening (MAPS)
Strong civil society and private sector networks are critical to implementing the ASWAp in a way that responds to the evolving needs of its stakeholders. In recent decades, weak capacity and declining GoM interest in inclusive policy making is leading Malawi’s CAADP process towards a Government-owned rather than Country-owned process. Grounded in the CAADP principles of increasing stakeholder participation in the policy making process,44 the Malawi Agriculture Policy Strengthening (MAPS) program is designed to increase the participation of private sector and civil society stakeholders in agriculture policy dialogue.
MAPS will increase the profile, capacity and engagement of civil society and private sector stakeholders in agriculture policy development and implementation through a combination of capacity building interventions and establishing linkages between producers and consumers, including state and non-state actors, of high quality policy research. Though not exclusively, MAPS will focus on key stakeholders along the proposed FTF value chains.
MAPS capacity building activities will focus on improving organizational ability to meet its goals and objectives by strengthening administrative and financial management, organizational structure and strategic planning. The second focus of the project will strengthen policy analysis and advocacy capacity through building linkages between Malawian farmers and private sector associations and regional networks and research institutions, such as local and regional universities among civil society groups. MAPS will similarly link GoM counterparts to those research institutions to improve their ability to become informed consumers of stakeholder policy advocacy. These two components will account for the varying levels of development and readiness of organizations and associations in Malawi to take on advocacy activities. MAPS will also focus on elevating the voices of women in policy dialogue by targeting women-led civil-society/public service organizations for organizational capacity building and providing additional women-focused leadership training and gender equity sensitization to facilitate women taking on leadership roles within larger organizations.
","An important element of the multi-year FTF Strategy is monitoring and evaluation, which is an iterative learning process that will put into place the principle of a sustained and accountable delivery approach. Program activities must be monitored through periodic field visits by Mission staff and ongoing monitoring and learning by implementing partners. Mission staff has a key role to play in monitoring and learning from partners both through oversight and input to design of project level M&E plans and systems and also through follow-up on quarterly reports and other communication with partners.
The integration of agricultural, nutrition, and health elements into a joint strategic plan provides a unique opportunity to innovate, document, and demonstrate best practices associated with a concurrent multi-sector investment model. Also, the Malawi FTF Strategy will foster linkages among existing programs, which will harmonize key agriculture and nutrition and indicators across relevant areas of focus.
Building on this collaboration, both the Health and Sustainable Economic Growth (SEG) teams at USAID/Malawi will work together to integrate M&E systems and processes in order to track synergies and multiplier effects between the two sectors not captured through the agriculture/nutrition overlap. There is currently significant USG investment on the part of USAID through PEPFAR and GHI in health systems strengthening, family planning, and malaria and tuberculosis reduction among others in the geographic areas targeted through FTF. We believe it is critical to capture at the highest level the combined impact of FTF and GHI/PEPFAR in order to reduce duplication, increase the applicability of data across interventions and most importantly, learn across programs in order to improve and increase efficiency and impact of all USAID investments in Malawi. This integration of M&E function may take the form of harmonized M&E plans at the implementer level combined with joint monitoring visits by SEG and Health team members.
Reliable and well-defined monitoring, reporting and evaluation methods, roles and communication channels result in improved project and program management, promote ongoing learning and testing of development hypotheses and ensure accountability. A fully functioning M&E team and system further help to illustrate the Mission’s value added to overall development not only to key stakeholders in the USG, but also to the GoM and other development partners.
USAID/Malawi is currently refining Mission processes in line with the requirements and recommendations of the newly announced USAID Evaluation Policy. To that end, and in preparation for the Country Development Cooperation Strategy (CDCS), SEG will identify further impact evaluation questions and set aside funds for impact evaluation in 2011. This will serve as solid preparation for FTF-focused evaluation activities in subsequent years.
","Feed the Future aims to help an estimated 281,000 vulnerable Malawian women, children, and family members—mostly smallholder farmers—escape hunger and poverty. More than 293,000 children will be reached with services to improve their nutrition","Central and southern regions","","Number of institutions/organizations undergoing capacity /competency assessments as a result of USG assistance; Number of institutions/organizations mature/viable in the competency areas strengthened as a result of USG assistance Frequency of GoM consultation with civil society/private sector on relevant policies; Comparison of programmatic objectives Pre and post FtF funding distribution; Number of new funding mechanisms","Number of institutions/organizations undergoing capacity /competency assessments as a result of USG assistance; Number of institutions/organizations mature/viable in the competency areas strengthened as a result of USG assistance Frequency of GoM consultation with civil society/private sector on relevant policies; Comparison of programmatic objectives Pre and post FtF funding distribution; Number of new funding mechanisms","Vulnerable groups","","","","","","","","","","","","","","","","","","","","","","","","","","English" "11629","Feed the Future: The U.S. Government’s Global Hunger and Food Security Initiative","English","Multi-national","","UGA","Uganda","Northern Uganda |central “Maize Belt|Southwest Uganda","Rural|Peri-urban","on-going","01-2011","12-2015","Feed the Future, the U.S. government’s global hunger and food security initiative, is a $3.5 billion commitment to support country-driven approaches to address the root causes of poverty, hunger and undernutrition. A whole-of-government initiative led by the United States Agency for International Development (USAID), Feed the Future leverages the strengths of multilateral institutions, civil society and the private sector. Globally we aim to assist 18 million vulnerable women, hildren, and family members – mostly smallholder farmers – escape hunger and poverty. Together, we will increase agricultural productivity, decrease poverty, drive economic growth, and reduce undernutrition to improve millions of lives.
Over the next five years in Uganda, Feed the Future aims to help an estimated 709,000 vulnerable Ugandan women, children and family members—mostly mallholder farmers—escape hunger and poverty. More than 450,000 children will be reached with services to improve their nutrition and prevent stunting and child mortality. Significant numbers of additional rural populations will achieve improved income and nutritional status from strategic policy engagement and institutional investments.
To meet its objectives, Feed the Future Uganda is making core investments in three key areas:
1. Nutrition
2. Agriculture. The maize, coffee and bean belt are in Southwest and Central Uganda. The choice to focus on these value chains represents considerations regarding Ugandan government priorities, division of donor labor, and the highest impact interventions for the expected scale of Feed the Future resources.
3. Connecting Nutrition to Agriculture
USAID will build on previous strategic investments in nutrition and take them to scale in the areas and populations of greatest need to support the GOU and private sector to reduce chronic undernutrition in the country with a primary focus on prevention. Through these interventions an estimated 709,000 vulnerable Ugandan women, children, and family members—mostly smallholder farmers—will receive targeted assistance to escape hunger and poverty. More than 450,000 children will be reached with services to improve their nutrition and prevent stunting and child mortality. The core investments in nutrition will focus on community and facility based prevention and treatment, targeted nutrition service delivery, the enabling environment for nutrition and capacity building.
Community and Facility-Base Prevention and Treatment
By emphasizing prevention, FTF programs will help to reduce not only chronic undernutrition, but should also reduce the number of severely/acutely malnourished children as well, resulting in fewer children outside HIV and emergency situations needing treatment for severe acute malnutrition. For the treatment of acute malnutrition, Uganda has adopted a national protocol for the Integrated Management of Acute Malnutrition (IMAM). Through a ommunity and facility based approach to treating under nutrition, therapeutic and/or supplementary food is provided to severe or moderately malnourished children, with medical support, nutrition education, and at-home follow up through community based volunteers. FTF and PEPFAR’s partnership on the production, distribution, and management of RUTF support the larger national IMAM protocols.
Capacity Building
Capacity building at the national and district level is critical. Nutrition has only recently become a priority in the health sector, and without strong nutrition champions and policies centrally, nutrition priorities will not be realized. USAID will continue to train health workers in new IMAM guidelines for use in health facilities and will expand technical assistance and capacity building at the national level beyond the health sector to include Agriculture and other ministries who can contribute to a national action plan on nutrition.
","Some key outputs of nutrition activities are: nutrition officers placed in a majority of districts; active Food and Nutrition Councils organized in districts; mandatory fortification of major manufactured foods; therapeutic food reconstituted from locally available foods developed and distributed to district and regional hospitals; and community behavior changes to prevent undernutrition.
","PERFORMANCE MONITORING
Through an interactive approach across Mission teams and in collaboration with other donors and the GOU, the USG FTF effort will go beyond the status quo of performance monitoring. At the basic level, data will be collected by implementing partners and reported to USAID/Uganda through quarterly reports while quality will be assessed via Data Quality Assessment visits to the field.
IMPACT EVALUATION
To build an evidence base to adjust ongoing projects and inform future programs, we will design rigorous impact evaluations for select FTF programs. We have already identified such an opportunity with our Community Connector program, which fully integrates agriculture and nutrition activities at the household level. Discussions have been held with partners within the MIT Poverty Action Lab consortium on the use of Randomized Control Trial (RCT) experiments. We will use the results of these impact evaluations to test the hypotheses of our FTF strategy and make mid-stream adjustments to programs if necessary, or scale up programs that are working well. Using the earning component of FTF programs like Community Connector is in line with the Mission’s continuing CLA component. We will also partner with other donors to disseminate and promote lessons learned. USAID/Uganda, through unbiased and independent impact evaluations, will identify interventions that work; we will be an active contributor to the greater discourse in testable development hypotheses and our programs will benefit from our increased understanding
CAPACITY BUILDING/SUPPORT TO DATA COLLECTION
A key component of our Feed the Future program will be capacity building of the Government of Uganda in the collection, analysis, and use of agriculture and nutrition data for planning, monitoring, and evaluation. We will work with all relevant government agencies and ministries including the Uganda Bureau of Statistics, the Ministry of Agriculture, Animal Industry and Fisheries, and the Ministry of Health. We will work in partnership with the National Planning authority as they attempt to convene the multisectoral Food and Nutrition Council as a cohesive and functional unit. We will seek to build local academic institutions’ capacity in nutrition through improved pre-service and in-service training, and enhanced research capacity. In addition to training in data collection and assistance in improving data systems, we will build analytical capacity in the Ministry of Agriculture by establishing a Strategic Analysis and Knowledge Support System (SAKSS) node.
NUTRITION COLLABORATIVE RESEARCH AND SUPPORT PROGRAM (CRSP)
We will use the Nutrition CRSP to assist us with specific research questions that tell us about the impact of our nutrition-related FTF programs. We have already had preliminary discussions with a Nutrition CRSP team. The Nutrition CRSP is intended to investigate effective ways of translating research results into widespread development practice. The CRSP anticipates the development of a well-balanced research strategy that is both innovative and problem solving, responds to the food and nutrition scientific needs, and to the capacity development requirements of Uganda. USAID/Uganda, through the CRSP, will be better positioned to build more effective strategies and programs, while establishing a research capacity within the Mission and the country as a whole. As programs continue to be developed and procured in the coming months, the CRSP will assist in collecting the relevant local and international knowledge base needed to better implement, evaluate, and learn from our programs. Within individual programs, the CRSP will be an active participant in identifying and rigorously measure testable hypotheses related to food security.
","estimated 709,000 vulnerable Ugandan women, children, and family members—mostly smallholder farmers—will receive targeted assistance to escape hunger and poverty. More than 450,000 children will be reached with services to improve their nutrition","This component will reach children in 47 districts in the Southwest and North of Uganda","","","Prevalence of households with moderate or severe hunger;Prevalence of children 6-23 months receiving a minimum acceptable diet; Prevalence of exclusive breastfeeding of children under 6 months; Number of health facilities with established capacity to manage acute under nutrition; Prevalence of anemia among children 6-59 months; Prevalence of Poverty: Percent of people living on less than $1.25/day; Expenditures of rural households;Prevalence of stunted children under five; Change in average score on Household Hunger index; Percent of children 6-23 months who received a Minimum Acceptable Diet.","Vulnerable groups","","","","","","","","","","","","","","","","","","","","","","","","","","English" "11629","Feed the Future: The U.S. Government’s Global Hunger and Food Security Initiative","English","Multi-national","","UGA","Uganda","Northern Uganda |central “Maize Belt|Southwest Uganda","Rural|Peri-urban","on-going","01-2011","01-2015","Feed the Future, the U.S. government’s global hunger and food security initiative, is a $3.5 billion commitment to support country-driven approaches to address the root causes of poverty, hunger and undernutrition. A whole-of-government initiative led by the United States Agency for International Development (USAID), Feed the Future leverages the strengths of multilateral institutions, civil society and the private sector. Globally we aim to assist 18 million vulnerable women, hildren, and family members – mostly smallholder farmers – escape hunger and poverty. Together, we will increase agricultural productivity, decrease poverty, drive economic growth, and reduce undernutrition to improve millions of lives.
Over the next five years in Uganda, Feed the Future aims to help an estimated 709,000 vulnerable Ugandan women, children and family members—mostly mallholder farmers—escape hunger and poverty. More than 450,000 children will be reached with services to improve their nutrition and prevent stunting and child mortality. Significant numbers of additional rural populations will achieve improved income and nutritional status from strategic policy engagement and institutional investments.
To meet its objectives, Feed the Future Uganda is making core investments in three key areas:
1. Nutrition
2. Agriculture. The maize, coffee and bean belt are in Southwest and Central Uganda. The choice to focus on these value chains represents considerations regarding Ugandan government priorities, division of donor labor, and the highest impact interventions for the expected scale of Feed the Future resources.
3. Connecting Nutrition to Agriculture
USAID will build on previous strategic investments in nutrition and take them to scale in the areas and populations of greatest need to support the GOU and private sector to reduce chronic undernutrition in the country with a primary focus on prevention. Through these interventions an estimated 709,000 vulnerable Ugandan women, children, and family members—mostly smallholder farmers—will receive targeted assistance to escape hunger and poverty. More than 450,000 children will be reached with services to improve their nutrition and prevent stunting and child mortality. The core investments in nutrition will focus on community and facility based prevention and treatment, targeted nutrition service delivery, the enabling environment for nutrition and capacity building.
Targeted Nutrition Service Delivery – Fortification and Supplementation
Targeted nutrition service delivery is focused primarily on approaches to reduce specific micronutrient
deficiencies in Uganda. FTF will continue to support vitamin A supplementation and de-worming for
children and iron folic acid supplementation and de-worming for pregnant women at the facility level,
through district-level health programs in target geographical areas. In addition, food fortification
activities will be supported to improve the necessary vitamin and mineral content of staple foods that
will reach a larger target audience, primarily in urban and peri-urban areas where fortified foods are
more accessible. This will build on previous work supported by the USG that has resulted in cooking
oil fortification with vitamin A that now covers more than 85 percent of the country’s market and the
fortification of maize and wheat flour with vitamin A, iron, zinc, folic acid and vitamin B12 and. New food fortification vehicles will be added that include sugar fortification with vitamin A.
The agriculture team is also looking at improved seed varieties to increase micronutrient content such as the orange-fleshed sweet potato, which has increased levels of beta-carotene (Vitamin A). The introduction of fortification of foods will be combined with educational activities that promote dietary diversity through the community and facility based programs.
As previously mentioned, a key component to treatment of undernutrition in Uganda is the production of therapeutic and complementary foods. USG’s Feed the Future will expand on previous investments in local ready-to-use therapeutic food production to increase availability and distribution in health facilities across the country to treat acute undernutrition.
Enabling Environment
Our program will work to leverage other sectors (e.g., agriculture, water, public/private, etc) to create demand for fortified foods, adopt good nutrition behaviors, and activities like exclusive breastfeeding and integrated nutrition/WASH/food hygiene. Advocacy efforts will continue to emphasize the importance of nutrition among key stakeholders. Uganda is one of the countries that is taking on the Scaling Up Nutrition (SUN) initiative spear headed globally by the Irish Government, U.S. Government and the UN. SUN focuses on integration of relevant sectors with a view to addressing the window of opportunity within the 1,000 days (from minus 9 months to 24 months). We will work to harmonize FTF and SUN activities to maximize efficiency and national coverage in close consultation with MOH, MAAIF and other stakeholders. Through the existing micronutrient fortification program that has successfully enriched common staples such as oil and flour, FTF will continue to advocate for mandatory fortification of manufactured foods.
","Some key outputs of nutrition activities are: nutrition officers placed in a majority of districts; active Food and Nutrition Councils organized in districts; mandatory fortification of major manufactured foods; therapeutic food reconstituted from locally available foods developed and distributed to district and regional hospitals; and community behavior changes to prevent undernutrition.
","PERFORMANCE MONITORING
Through an interactive approach across Mission teams and in collaboration with other donors and the GOU, the USG FTF effort will go beyond the status quo of performance monitoring. At the basic level, data will be collected by implementing partners and reported to USAID/Uganda through quarterly reports while quality will be assessed via Data Quality Assessment visits to the field.
IMPACT EVALUATION
To build an evidence base to adjust ongoing projects and inform future programs, we will design rigorous impact evaluations for select FTF programs. We have already identified such an opportunity with our Community Connector program, which fully integrates agriculture and nutrition activities at the household level. Discussions have been held with partners within the MIT Poverty Action Lab consortium on the use of Randomized Control Trial (RCT) experiments. We will use the results of these impact evaluations to test the hypotheses of our FTF strategy and make mid-stream adjustments to programs if necessary, or scale up programs that are working well. Using the earning component of FTF programs like Community Connector is in line with the Mission’s continuing CLA component. We will also partner with other donors to disseminate and promote lessons learned. USAID/Uganda, through unbiased and independent impact evaluations, will identify interventions that work; we will be an active contributor to the greater discourse in testable development hypotheses and our programs will benefit from our increased understanding
CAPACITY BUILDING/SUPPORT TO DATA COLLECTION
A key component of our Feed the Future program will be capacity building of the Government of Uganda in the collection, analysis, and use of agriculture and nutrition data for planning, monitoring, and evaluation. We will work with all relevant government agencies and ministries including the Uganda Bureau of Statistics, the Ministry of Agriculture, Animal Industry and Fisheries, and the Ministry of Health. We will work in partnership with the National Planning authority as they attempt to convene the multisectoral Food and Nutrition Council as a cohesive and functional unit. We will seek to build local academic institutions’ capacity in nutrition through improved pre-service and in-service training, and enhanced research capacity. In addition to training in data collection and assistance in improving data systems, we will build analytical capacity in the Ministry of Agriculture by establishing a Strategic Analysis and Knowledge Support System (SAKSS) node.
NUTRITION COLLABORATIVE RESEARCH AND SUPPORT PROGRAM (CRSP)
We will use the Nutrition CRSP to assist us with specific research questions that tell us about the impact of our nutrition-related FTF programs. We have already had preliminary discussions with a Nutrition CRSP team. The Nutrition CRSP is intended to investigate effective ways of translating research results into widespread development practice. The CRSP anticipates the development of a well-balanced research strategy that is both innovative and problem solving, responds to the food and nutrition scientific needs, and to the capacity development requirements of Uganda. USAID/Uganda, through the CRSP, will be better positioned to build more effective strategies and programs, while establishing a research capacity within the Mission and the country as a whole. As programs continue to be developed and procured in the coming months, the CRSP will assist in collecting the relevant local and international knowledge base needed to better implement, evaluate, and learn from our programs. Within individual programs, the CRSP will be an active participant in identifying and rigorously measure testable hypotheses related to food security.
","estimated 709,000 vulnerable Ugandan women, children, and family members—mostly smallholder farmers—will receive targeted assistance to escape hunger and poverty. More than 450,000 children will be reached with services to improve their nutrition","This component will reach children in 47 districts in the Southwest and North of Uganda.","","","Prevalence of households with moderate or severe hunger;Prevalence of children 6-23 months receiving a minimum acceptable diet; Prevalence of exclusive breastfeeding of children under 6 months; Number of health facilities with established capacity to manage acute under nutrition; Prevalence of anemia among children 6-59 months; Prevalence of Poverty: Percent of people living on less than $1.25/day; Expenditures of rural households;Prevalence of stunted children under five; Change in average score on Household Hunger index; Percent of children 6-23 months who received a Minimum Acceptable Diet.","Vulnerable groups","","Multiple micronutrient powders for home fortification of foods consumed by pregnant women>>>Multiple micronutrient powders for home fortification of foods consumed by pregnant women>>http://www.who.int/elena/titles/micronutrients_pregnancy","","","","","","","","","","","","","","","","","","","","","","","","English" "11629","Feed the Future: The U.S. Government’s Global Hunger and Food Security Initiative","English","Multi-national","","UGA","Uganda","Northern Uganda |central “Maize Belt|Southwest Uganda","Rural|Peri-urban","on-going","01-2011","01-2015","Feed the Future, the U.S. government’s global hunger and food security initiative, is a $3.5 billion commitment to support country-driven approaches to address the root causes of poverty, hunger and undernutrition. A whole-of-government initiative led by the United States Agency for International Development (USAID), Feed the Future leverages the strengths of multilateral institutions, civil society and the private sector. Globally we aim to assist 18 million vulnerable women, hildren, and family members – mostly smallholder farmers – escape hunger and poverty. Together, we will increase agricultural productivity, decrease poverty, drive economic growth, and reduce undernutrition to improve millions of lives.
Over the next five years in Uganda, Feed the Future aims to help an estimated 709,000 vulnerable Ugandan women, children and family members—mostly mallholder farmers—escape hunger and poverty. More than 450,000 children will be reached with services to improve their nutrition and prevent stunting and child mortality. Significant numbers of additional rural populations will achieve improved income and nutritional status from strategic policy engagement and institutional investments.
To meet its objectives, Feed the Future Uganda is making core investments in three key areas:
1. Nutrition
2. Agriculture. The maize, coffee and bean belt are in Southwest and Central Uganda. The choice to focus on these value chains represents considerations regarding Ugandan government priorities, division of donor labor, and the highest impact interventions for the expected scale of Feed the Future resources.
3. Connecting Nutrition to Agriculture
Priority Value Chains
Our investments will focus on value chains with the greatest market potential, the highest number of farmers, and the greatest income potential for farmers. Impact on nutrition and role of gender were also critical considerations in our value chain focus, as was the potential for sector-wide impact and maximum return on investment. Many of the value chain components have integrated nutrition and agriculture dimensions. The starting point for this strategy is the Government of Uganda’s Agriculture Sector Development Strategy and Investment Plan (DSIP) where ten priority value chains were selected. In looking at each commodity, maize and coffee stood out as key drivers for conomic growth in terms of number of farmers, market demand, and income potential. Most of the Ugandan staple diet is built around other staples like beans, cassava, and banana – leaving maize to function more as a cash crop that responds to regional food security and trade demands, rather than as a household staple. Fish, dairy and livestock were also considered. However all three present a number of challenges that would require substantially higher levels of investment to address and would deliver a much lower rate of return for dollar invested.
Value-chain Investments
Policy - The USG FTF strategy will support a five-year policy reform initiative in agriculture, trade, health and gender equity. Some examples of policy priorities include the passage of Uganda’s Biotechnology and Bio-safely bill, effective implementation of the Agricultural Chemicals Control Act (1989, amended in 2006) which establishes a licensing regime for insecticides, herbicides, fungicides and fertilizers, and controls and regulates the manufacture, storage, distribution, trade, import, and export of agricultural chemicals, effective implementation of the Agriculture Seeds and Plant Act (1994) which regulates seed companies operating or importing plant material into Uganda, and passage of the Food and Nutrition Bill and related Health, Nutrition and Sanitation policies for a proposed National Food and Drug Authority. Review of Uganda’s marriage and family act lays out the ownership and control of assets for women. It is critical to address key gender components of legislation.
Capacity Building - Support to strengthen key public and private sector institutions at the national and district levels is essential to the overall success of our Feed the Future activities. This five-year set of activities will focus on building capacity within the Uganda Bureau of Statistics, and Ministries of Health and Agriculture to collect and analyze data, and to monitor and evaluate the effectiveness of their programs. There will also be a short, medium, and long-term training and education component to develop the next generation of Uganda decision makers.
Agriculture Research – Feed the Future will support continued research in three areas:Biotechnology to protect food security crops from serious disease threat – specifically cassava (Cassava MOSAIC) and banana (Banana Wilt (BXW) and Black Sigatoka Disease); breeding to increase stress tolerance and disease resistance for Feed the Future focus crops (maize, coffee and beans); and partnership with Harvest Plus to scale-up the production and mainstream marketing of bio-fortified/nutritionally enhanced crop varieties - specifically Orange-fleshed Sweet Potato and high zinc/iron beans.
Increased Quality and Production – USG will contribute to a $50 million partnership with DANIDA, the EU, Belgium, and Sweden to address farm-level constraints to quality and production in maize, beans and coffee. The program will also focus on increasing farmer access to financial services and supporting trade-related sanitary and phytosanitary standards and quality management systems. Agro-Input Supply - A five-year program to increase the quality, availability, and use of inputs. This program will build the capacity of the Uganda National Agriculture Input Dealers Association (UNADA) and private sector retailers.
Farm-level Aggregation and Market Linkages - This program will work to build the capacity of farmer organizations to enter into agreements with major buyers, access finance, purchase inputs, bulk, clean, and process their commodities. The program will work in conjunction with the Abi-Trust Partnership (DANIDA) and emphasize linkages to the WFP's Purchase for Progress efforts and the Uganda Commodity Exchange.
Market-Information System - This program will work with local partners to utilize the latest in information and communications technology to address market information gaps for smallholder farmers.
","Some key outputs include:
PERFORMANCE MONITORING
Through an interactive approach across Mission teams and in collaboration with other donors and the GOU, the USG FTF effort will go beyond the status quo of performance monitoring. At the basic level, data will be collected by implementing partners and reported to USAID/Uganda through quarterly reports while quality will be assessed via Data Quality Assessment visits to the field.
IMPACT EVALUATION
To build an evidence base to adjust ongoing projects and inform future programs, we will design rigorous impact evaluations for select FTF programs. We have already identified such an opportunity with our Community Connector program, which fully integrates agriculture and nutrition activities at the household level. Discussions have been held with partners within the MIT Poverty Action Lab consortium on the use of Randomized Control Trial (RCT) experiments. We will use the results of these impact evaluations to test the hypotheses of our FTF strategy and make mid-stream adjustments to programs if necessary, or scale up programs that are working well. Using the earning component of FTF programs like Community Connector is in line with the Mission’s continuing CLA component. We will also partner with other donors to disseminate and promote lessons learned. USAID/Uganda, through unbiased and independent impact evaluations, will identify interventions that work; we will be an active contributor to the greater discourse in testable development hypotheses and our programs will benefit from our increased understanding
CAPACITY BUILDING/SUPPORT TO DATA COLLECTION
A key component of our Feed the Future program will be capacity building of the Government of Uganda in the collection, analysis, and use of agriculture and nutrition data for planning, monitoring, and evaluation. We will work with all relevant government agencies and ministries including the Uganda Bureau of Statistics, the Ministry of Agriculture, Animal Industry and Fisheries, and the Ministry of Health. We will work in partnership with the National Planning authority as they attempt to convene the multisectoral Food and Nutrition Council as a cohesive and functional unit. We will seek to build local academic institutions’ capacity in nutrition through improved pre-service and in-service training, and enhanced research capacity. In addition to training in data collection and assistance in improving data systems, we will build analytical capacity in the Ministry of Agriculture by establishing a Strategic Analysis and Knowledge Support System (SAKSS) node.
NUTRITION COLLABORATIVE RESEARCH AND SUPPORT PROGRAM (CRSP)
We will use the Nutrition CRSP to assist us with specific research questions that tell us about the impact of our nutrition-related FTF programs. We have already had preliminary discussions with a Nutrition CRSP team. The Nutrition CRSP is intended to investigate effective ways of translating research results into widespread development practice. The CRSP anticipates the development of a well-balanced research strategy that is both innovative and problem solving, responds to the food and nutrition scientific needs, and to the capacity development requirements of Uganda. USAID/Uganda, through the CRSP, will be better positioned to build more effective strategies and programs, while establishing a research capacity within the Mission and the country as a whole. As programs continue to be developed and procured in the coming months, the CRSP will assist in collecting the relevant local and international knowledge base needed to better implement, evaluate, and learn from our programs. Within individual programs, the CRSP will be an active participant in identifying and rigorously measure testable hypotheses related to food security.
","estimated 709,000 vulnerable Ugandan women, children and family members—mostly smallholder farmers—escape hunger and poverty. ","This component will reach farmers in 62 districts in the maize, coffee, and beans belt in Southwest and Central Uganda.","","Uganda National Household Survey, 2009/2010; Demographic Health Survey, 2006; The 2008 Uganda Food Consumption Survey; 2007 Uganda Service Provision Survey; The Uganda National Household Survey 2008/2009","Percent growth in agricultural GDP of maize and coffee; Percent change in value of intra-regional exports of targeted agricultural commodities as a result of USG assistance; Post-harvest losses as a percentage of overall harvest, for selected commodities; Value of new private sector investment in the agriculture sector or food chain leveraged by FTF.implementationCapacity of relevant national statistical office to collect high-quality agricultural data","Socio-economic status","","Biofortification of staple crops>>>Biofortification of staple crops>>http://www.who.int/elena/titles/biofortification","","","","","","","","","","","","","","","","","","","","","","","","English" "17804","Community-based Management of Acute Malnutrition (CMAM) Programme in Niger ","English","National","","NER","Niger","Zinder, Niger|Maradi, Niger|Niamey, Niger|Tillabéry, Niger|Tahoua, Niger","Urban|Rural","on-going","07-2005","","The Community-Based Management of Acute Malnutrition (CMAM) is one of World Vision’s core project models in nutrition. The CMAM approach enables community volunteers to identify and initiate treatment by referring children with acute malnutrition before they become seriously ill. Caregivers provide treatment for the majority of children with severe acute malnutrition (SAM) in the home using Ready-to-Use-Therapeutic Foods (RUTF) and receiving routine medical care at a local health facility. When necessary, severely malnourished children who have medical complications or lack an appetite are referred to in-patient facilities for more intensive treatment. CMAM programs also work to integrate treatment with a variety of other longer-term interventions such as Nutrition Education, Infant and Young Child Feeding and Food Security. These interventions are designed to reduce the incidence of malnutrition and improve public health and food security in a sustainable manner.
There are four key components to the CMAM approach: Community Mobilisation, Supplementary Feeding Program (SFP), Outpatient Therapeutic Program (OTP), and Stabilisation Centre/In-patient Care (SC). On the most part, World Vision does not set up Stabilisation Centres but instead works closely with existing local health institutions or medical NGOs to provide these services.
World Vision has been operational in Niger for almost two decades – implementing a wide range of long-term development activities across the country. Their work is structured alongside the model of comprehensive area development programs (known internally as ADPs). Each ADP has a Health & Nutrition component which seeks to deliver support through (while simultaneously strengthening) local health structures. In July 2005 and as a result of the 2005 food crisis in Niger that year, World Vision launched a community-based management of acute malnutrition (CMAM) program based on the National Protocol for the Management of Acute Malnutrition. At that time, contacts were made with Valid International – aimed at establishing a partnership for an effective and quality delivery of the CMAM program. An institutional agreement between World Vision and Valid International was reached in July 2006, thus paving the way for the provision of technical support to the Niger CTC (now called CMAM) program.
As a part of the national nutrition strategy, WV is currently implementing CMAM in many decentralized government health centers throughout the country, with the support of partner NGOs (ex. Medecins Sans Frontieres). From the onset of CMAM program implementation, It has been integrated within the Ministry of Health structures such as the CSIs (Integrated Health Centers) with regular trainings of MOH health staff at national, regional and CSI levels based on the most revised version of the National Protocol, ultimately leading to the final version (i.e. Protocole Nationale de prise en Charge de la Malnutrition. MOH Publique/UNICEF/OMS. Juin 2009).
","Evaluation of World Vision Niger Emergency Nutrition Programme, Tillaberi and Niamey Regions (Jul 2010 - Jul 2011), Bernadette Feeney, Technical Advisor, Valid International.
Evaluation Semi-Quantitative de l’Accessibilité et de la Couverture (SQUEAC) CSI appuyés par World Vision ADP de Kornaka West, Gobir Yamma, Chadakori et Goulbi Kaba Région de Maradi, République du Niger, (22 mars au 15 avril, 2011), Allie Norris, Consultante Mobilisation, Valid International.
Rapport De La Mobilisation Sociale Dans Le Cadre Du Redémarrage des Activités Du Programme De World Vision de Prise en charge Communautaire de la Malnutrition Aiguë Régions de Zinder, Maradi et Tillabéri, Niger (13 Juin au 8 Juillet, 2010), Allie Norris et Gabriele Walz Techniciennes de Mobilisation Sociale, Valid International.
Formation sur la “Prise en charge Communautaire de la Malnutrition Aiguë” (PCMA) ADP de Zinder & de Tillabéri (20 juin au 19 juillet, 2010); ADP de Maradi (20 Juin au 8 Juillet, 2010), Lionella Fieschi, Consultante PCMA et Bernadette Feeneey, Valid International.
Evaluation Finale Du Programme CTC Dans La Région De Zinder World Vision, Niger (06 au 18 Juin, 2008), El Hadji Issakha Diop, CTC Advisor, Valid International.
Rapport De L’enquête De Couverture Du Projet CTC Exécuté Par World Vision ADPs De Kassama, DTk Et Gamou Région De Zinder Niger (Avril- Mai, 2007), Lionella Fieschi, Consultante CTC, Valid International.
Programme CTC de World Vision dans la région de Zinder, Niger : Evaluation à mi- parcours (11- 18 Mai, 2007), El Hadji Issakha Diop, Consultant CTC, Valid International.
Visite au programme CTC Région de Zinder (WV Niger), (13 – 24 Février, 2007) Montse Saboya, Valid International.
Mobilisation Communautaire Visite Technique au Programme de CTC Zinder, Niger, (20 février – 2 mars, 2007), Saul Guerrero & Nyauma Nyasani, Consultants de développement communautaire et social, Valid International.
Community Mobilisation aspects of the World Vision CTC Programme, Zinder Region, Niger (Aug 4 - 18, 2006), Saul Guerrero, Valid International.
Assessment for CTC World Vision in Niger (Jul - Aug, 2006), Valid International.
Community-based Management of Acute Malnutrition Model: http://www.wvi.org/nutrition/project-models/cmam
","","","Health","Gouvernement du Niger et la Direction Departementale de la Sante Publique et la Direction de la Nutrition (DN/MSP)","","","","","","","","","","","","","","","","","Currency: US Dollars (USD)Purposes: Salaries & Benefits; Supplies & Materials; Travel & Transportation; Training & Consulting; Monitoring & Evaluation; Occupancy; Communications; Equipment.Action: Covers all actions","International NGOs","World Vision International","World Vision is a global Christian relief, development and advocacy organisation dedicated to working with children, families and communities to overcome poverty and injustice. http://www.wvi.org (WV Canada, WV US, WV Taiwan, WV UK, WV New Zealand, WV Germany, and WV Switzerland are support offices)","Bilateral and donor agencies and lenders","","The Disasters Emergency Committee (DEC) brings 14 leading UK aid charities together in times of crisis: Action Aid, Age International, British Red Cross, CAFOD, Care International, Christian Aid, Concern Worldwide, Islamic Relief, Merlin, Oxfam, Plan UK, Save the Children, Tearfund and World Vision; all collectively raising money to reach those in need quickly. http://www.dec.org.uk/about-dec","UN","World Food Programme (WFP)","The World Food Programme (WFP) is the United Nations' frontline agency in the fight against hunger. It responds to emergencies, saving lives by getting food to the hungry fast, and it also works to help prevent hunger in the future. http://www.wfp.org (The WFP provides WVN direct supply of food for SFP in different CSI).","UN","United Nations Children's Fund (UNICEF)","The United Nations Children's Fund (UNICEF) is the main UN organization defending, promoting and protecting children's rights. UNICEF works to improve the social and economic conditions of children by increasing children's access to health care, safe drinking water, food, and education; protecting children from violence and abuse; and providing emergency relief after disasters. http://www.unicef.org","Bilateral and donor agencies and lenders","Canadian International Development Agency (CIDA)","The Canadian International Development Agency (CIDA) is Canada's lead agency for development assistance. http://www.acdi-cida.gc.ca/home","Bilateral and donor agencies and lenders","US Agency for International Development (USAID)","The United States Agency for International Development (USAID) is the United States federal government agency primarily responsible for administering civilian foreign aid. http://www.usaid.gov (The fund is provided through the Office of U.S. Foreign Disaster Assistance (OFDA))","Bilateral and donor agencies and lenders","Australian Agency for International Development (AUSAID)","The Australian Agency for International Development (AusAID) is the Australian Government agency responsible for managing Australia's overseas aid programme. http://www.ausaid.gov.au/Pages/home.aspx","Bilateral and donor agencies and lenders","Swedish International Development Cooperation Agency (SIDA)","The Swedish International Development Cooperation Agency (Sida) is a government organization under the Swedish Foreign Ministry responsible for administering approximately half of Sweden's budget for development aid. http://www.sida.se/English/","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","17803","","Management of severe acute malnutrition","","","","Preschool-age children (Pre-SAC)|SAM child","6-59 months","5 regions (Zinder, Maradi, Niamey, Tillabéri, Tahoua)","Community-based","","World Vision works with communities through Area Development Programs (ADPs) that have been identified and implemented based on a series of development criteria. The ADPs serve as the basic intervention unit of the WV's multi-sectoral programs/projects (e.g. in education, water and sanitation, health, income-generating activities and sponsorship of children etc.), but the geographical areas of the ADPs do not necessarily align with administrative boundaries of the country. The whole ADP and program management structure is geared toward long-term development programming, into which the nutritional activities/programs such as Community-based Management of Acute Malnutrition (CMAM) are integrated.
Since July/August 2005, WV Niger has been implementing and supporting the following four components of a CMAM program:
All programmatic activities are implemented through the local health structures and systems and their respective catchment areas. The majority of the OTP and SFP activities are implemented in the Integrated Health Centers (CSI) but in order to achieve greater coverage and to bring supplementary facilities closer to communities, WV has also implemented the programs in Health Posts (CS) which are satellites of CSI. Most OTP take place together with SFP in CSI but few are located in CS as well. The OTP activities, including the provision of Ready-to-Use Therapeutic Food (Plumpy Nut) and the systematic treatments are conducted on a weekly basis, whereas the SFP activities, including the distribution of Fortified Blended Food (Premix with CSB (Corn Soya Based), oil, sugar) for MAM children and moderately malnourished PLWs are carried out bi-monthly basis. The numbers of OTP and SFP sites and staff per ADP differ depending on the target population size and needs.
The technical (nutrition related) and managerial structure of WV in Niger (WVN) includes two nutrition coordinators (East and West) and six regional nutrition supervisor mangers (one per region) who coordinate and harmonize nutritional activities through the different locations. All of them are supported by a relief-nutrition country manager based in Niamey. In each ADP, there is also a health-nutrition manager who is responsible for overseeing ADP related health and nutrition programs and staff. As the national health system is WV's principle partner, WVN staff always work in partnership/collaboration with Ministry of Health (MOH) staff. Currently, WVN staff mainly act as technical facilitators and help with the general management of the program activities such as site organization, training of the community volunteers who help during distributions, channeling food and medical supplies coming from UNICEF and WFP, and program monitoring. Depending on the ADP, there is also either one or two nurses who provides support to the MOH staff in the field.
","
OTP Outcome
Cured % (#)
> 75%
Died % (#)
< 10%
Defaulted % (#)
< 15%
Non-recovered % (#)
Regions
Reporting Period: 2010
Maradi (June-Dec)
74.5 (1540)
0.7 (14)
6.9 (143)
17.9 (371)
Niamey (Aug-Dec)
83.3 (445)
0.4 (2)
3.6 (19)
12.7 (68)
Tahoua (Aug-Dec)
86.6 (453)
1.0 (5)
10.3 (54)
2.1 (11)
Tillaberi (Jan-Dec)
86.4 (912)
1.5 (16)
11.0 (116)
1.1 (12)
Zinder (Jan-Dec)
83.6 (799)
4.3 (41)
10.0 (96)
2.1 (20)
Reporting Period: Jan - Dec, 2011
Maradi
93.5 (4510)
0.3 (16)
4.9 (235)
1.3 (62)
Niamey
NA
NA
NA
NA
Tahoua
84.2 (1054)
0.8 (10)
5.8 (72)
9.3 (116)
Tillaberi
85.5 (1484)
1.6 (27)
10.8 (187)
2.1 (37)
Zinder
94.8 (1803)
0.5 (9)
3.2 (61)
1.5 (29)
Reporting Period: Jan - Dec, 2012
Maradi
97.7 (2651)
0.1 (3)
1.5 (41)
0.7 (18)
Niamey
86.9 (839)
0.3 (3)
5.4 (52)
7.5 (72)
Tahoua
84.7 (762)
1.6 (14)
10.4 (94)
3.3 (30)
Tillaberi
89.1 (886)
1.7 (17)
8.4 (83)
0.8 (8)
Zinder
98.8 (4200)
0.3 (12)
0.1 (6)
0.8 (32)
Reporting Period: 2013
Maradi (Jan-Apr)
94.6 (546)
0.5 (3)
3.3 (19)
1.6 (9)
Niamey (Jan-May)
70.1 (129)
0.0 (0)
18.5 (34)
11.4 (21)
Tahoua (Jan-May)
92.7 (281)
0.0 (0)
4.6 (14)
2.6 (8)
Tillaberi (Jan-Mar)
95.8 (46)
0.0 (0)
4.2 (2)
0.0 (0)
Zinder (Jan-May)
99.6 (1254)
0.2 (3)
0.1 (1)
0.1 (1)
","
Ongoing monitoring and evaluation of CMAM programs is essential for ensuring program targets are being reached. As of Spring 2010, WV is using a consolidated online database management system for CMAM programs. The system is a positive transformation from the existing Excel spreadsheets (template provided by Valid International) that were used during the first few years of WV CMAM programming by National Offices. A simple and systematic data management system allows multi-level program managers to easily retrieve CMAM data and make quick and accurate decisions based on the data that is available to them. In the early days of WV CMAM implementation, prompt access the Excel database was limited to the field staff throughout the year. However, WV’s online CMAM system aims to facilitate this overall data recovery process for WV Staff located in the National, Regional and Support Offices, and Global Health Centre, as well. The online system is carefully designed to be user friendly and applicable for WV staffs across partnership. Staff members are provided with password protected login identification and can access the different online pages that are relevant to their job responsibilities. In this way, they are able to input their monthly tally sheets, generate clear reports, predict future trends (including resources), provide timely input to all internal/external requests and access raw data sheets for further analysis. Furthermore, the quantitative indicators and data collection tools closely align themselves with what has been developed and used by different MOH, facilitating a simple integrating with existing administrative systems and standards in a particular country. All WV CMAM indicators and data collection tools have been standardized to complement the existing myriad of MOH and National Office requirements, as well as the International benchmarks (e.g. SPHERE). In addition to these standard indicators, the CMAM database also includes WV contextual data (e.g. # Registered Children, # Orphans & Vulnerable Children) that is mandatory with the Partnership’s Integrated Program Management.
","ADP Name Total Population; 6-59 months Kornaka West 68,165; 15,261 Gobir Yamma 56,032; 12,934 Ouallam 572,377; 188,745 Simiri 186,528; 76,805 ","Zinder: April-May 2007, point coverage = 21.4% and period coverage = 36.1%. ","","Sept - Oct, 2005: National GAM 15.3%, SAM 1.8%; Zinder GAM 16.1%, SAM 1.2%.Sept, 2006: Maradi GAM 8.2%, SAM 0.8%, U5M 1.3/10,000. Oct - Nov, 2006: National GAM 10.3%, SAM 1.4%, U5M 1.08/10,000, Exclusive breastfeeding 2.2%, Complementary feeding (6-9mos) 78.4%; Zinder GAM 9.7%, SAM 1.7%; Maradi GAM 6.8%, SAM 0.6%; Tahoua GAM 12.5%, SAM 1.1%; Tillaberi GAM 11.2%, SAM 1.9%; Niamey GAM 9.2%; SAM 0.5%. June, 2007: National GAM 11.2%, SAM 1%, U5M 0.71/10,000; Tillaberi GAM 11.2%Oct - Nov, 2007: National GAM 11.0%, SAM 0.8%, U5M 1.81/10,000, Exclusive breastfeeding 9.0%, Complementary feeding (6-9mos) 78.4%; Zinder GAM 11.7%, SAM 1.0%, U5M 3.55/10,000, EB 9.7%, CF 68.2%; Maradi GAM 10.7%, SAM 0.8%, U5M 0.83/10,000, EB 7.6%, CF 73.9%; Tahoua GAM 13.1%, SAM 0.4%, U5M 1.62/10,000, EB 15.7%, CF 89.7%; Tillaberi GAM 7.9%, SAM 1.0%, U5M 3.14/10,000, EB 1.6%, CF 63.5%; Niamey GAM 9.9%, SAM 0.9%, U5M 1.57/10,000, EB 17.1%, CF 40.6%. June-July, 2008: National GAM 10.7%, SAM 0.8%, U5M 1.53/10,000; Zinder GAM 15.7%, SAM 1.9%, U5M 2.13/10,000; Maradi GAM 9.9%, SAM 1.0%, U5M 1.79/10,000; Tahoua GAM 8.4%, SAM 0.6%, U5M 1.67/10,000; Tillaberi GAM 10.1%, SAM 0.1%, U5M 1.11/10,000; Niamey GAM 6.8%, SAM 0.9%, U5M 0.34/10,000. May-June, 2010: National GAM 16.7%, SAM 3.2%; Maradi GAM 19.7%, SAM 3.9%; Zinder GAM 17.8%, SAM 3.6%; Tillaberi GAM 14.8%, SAM 2.7%. June, 2009: National GAM 12.3%, SAM 2.3%.Oct, 2010: Maradi GAM 15.5%, SAM 4.3% MAY, 2013:TILLABERRI GAM 13.3%, SAM 3.1%ZINDER GAM 11.7%, SAM 2.3%MARADI GAM 16.3%, SAM 3.0%TAHOUA GAM 13.1%, SAM 2.3%NIAMEY GAM 11.0%, 1.6%","See above","Vulnerable groups","","Treatment of dehydration in children with severe acute malnutrition>>>Treatment of dehydration in children with severe acute malnutrition>>http://www.who.int/elena/titles/dehydration_sam","Supplies","Problem: There had been some difficulties in ensuring a consistent supply of RUTF. The nutritional commodities for the treatment of SAM are supplied via UNICEF through the MOH supply structure. But there were some challenges due to logistical and organisational issues, including the local/global availability of RUTF. Solution: WV established a buffer stock to resolve the issue. ","Supplies","Problem: A lack of consistent supply of medicines to the CSIs risks the increase in morbidity and mortality from illnesses such as pneumonia and malaria which are major causes of mortality in malnourished children. The care of children under the age of five are free in Niger. However, there are frequent shortage in medicinal supply. Because of the exemption of the fee and the system of cost recovery are in place, in principle UNICEF does not provide for the medicines for activities related to CMAM program although some spot supplies are available they are often inadequate. Solution: WVN is, already involved in the provision of medicines through the activities of ADP and, in case of need, the support will be intensified during this period of crisis. In addition to the routine medicines used for the treatment of the children admitted in the OTP, it would be important that WVN also considers to provide, in the event of rupture, the medicines needed to treat the pathologies associated with malnutrition.","Staff skills/training","Problem: When CTC/CMAM was launched in Niger in 2005/2006, the national/international capacity available for CTC/CMAM implementation was very limited, resulting in a low quality program.Solution: WV developed an Instituational Agreement with Valid International to build their capacity in the overall management of acute malnutrition.","Staff retention","Problem: Due to the erratic funding cycles associated with CMAM programming, it was very difficult to retain staff (Community Mobilization volunteers, MOH staff and WV Staff) when funding cycles terminate. Furthermore, there are difficulties retaining volunteers and keeping them motivated to continue their activities.Solution: WVN established permanent positions, embedded within their ADP and National management structures, for ongoing CMAM program support, including during funding disruptions. Furthermore, WVN can help improve sustainability of the self governing of CSIs and management of volunteers by building capacity of the village health committees (COGES) as an ongoing development commitment. ","Insufficient staff"," Problem: In order to respond to the increased case load of SAM, the capacity of MOH (e.g. staff at CSIs) had to be increased. Solution: Rather than placing WV staff to manage the increased caseload, WV provided training and on-going support to strengthen volunteer capacity to manage SFP which will reduce workload of the health staff in the CSI thereby enabling them to address the more severe cases of malnutrition. This strategy appeared to be very effective in helping the MOH to cope with the case load. For Example: In three of the four CSIs sampled, it was found that the volunteers managed SFP completely thus relieving the existing CSI staff to manage SAM cases. ","","","","","","","","","","","","","Zeinaba Abdoulahi lost her second child five years ago at the age of 4; his death is still a source of grief for this young Nigerien mother. Earlier this year, her fourth child, Tinoumoune, was close to death. The eight-month old girl was dehydrated and losing weight. After treating her with traditional herbal remedies, Tinoumoune continued to become physically weaker and weaker and had a fever for eight days. Zeinaba says “My child was between life and death. She was fading away. I had not a droplet of hope.” Zeinaba bundled her daughter on her back and left early in the morning to walk the seven kilometres from her village to the closest health centre, which runs a community-based management of acute malnutrition (CMAM) programme supported by World Vision. Tinoumoune was diagnosed with severe acute malnutrition and admitted to the nutrition programme, where she was treated with ready-to-use therapeutic food. “In two weeks, she regained weight and became stronger and healthier. I’m very happy.” explains Zeinaba. The family has been spared the grief of a second lost child.
©2010 Ann Birch/World Vision ©2010 Gebregziabher Hadera/World
Mma Halima is a CMAM community volunteer in Niger. She started in this role after caring for her own malnourished son until he graduated from World Vision's CMAM programme. Mma Halima screens and refers malnourished children in her nomadic community and provides health and nutrition education. She describes the ripple effect of her son's rehabilitation through CMAM: ""Now in my community all the mothers are using mosquito nets and our children are not getting sick as before. Now I have only two malnourished children in my community. It is impressive.""
","English" "17804","Community-based Management of Acute Malnutrition (CMAM) Programme in Niger ","English","National","","NER","Niger","Zinder, Niger|Maradi, Niger|Niamey, Niger|Tillabéry, Niger|Tahoua, Niger","Urban|Rural","on-going","07-2005","","The Community-Based Management of Acute Malnutrition (CMAM) is one of World Vision’s core project models in nutrition. The CMAM approach enables community volunteers to identify and initiate treatment by referring children with acute malnutrition before they become seriously ill. Caregivers provide treatment for the majority of children with severe acute malnutrition (SAM) in the home using Ready-to-Use-Therapeutic Foods (RUTF) and receiving routine medical care at a local health facility. When necessary, severely malnourished children who have medical complications or lack an appetite are referred to in-patient facilities for more intensive treatment. CMAM programs also work to integrate treatment with a variety of other longer-term interventions such as Nutrition Education, Infant and Young Child Feeding and Food Security. These interventions are designed to reduce the incidence of malnutrition and improve public health and food security in a sustainable manner.
There are four key components to the CMAM approach: Community Mobilisation, Supplementary Feeding Program (SFP), Outpatient Therapeutic Program (OTP), and Stabilisation Centre/In-patient Care (SC). On the most part, World Vision does not set up Stabilisation Centres but instead works closely with existing local health institutions or medical NGOs to provide these services.
World Vision has been operational in Niger for almost two decades – implementing a wide range of long-term development activities across the country. Their work is structured alongside the model of comprehensive area development programs (known internally as ADPs). Each ADP has a Health & Nutrition component which seeks to deliver support through (while simultaneously strengthening) local health structures. In July 2005 and as a result of the 2005 food crisis in Niger that year, World Vision launched a community-based management of acute malnutrition (CMAM) program based on the National Protocol for the Management of Acute Malnutrition. At that time, contacts were made with Valid International – aimed at establishing a partnership for an effective and quality delivery of the CMAM program. An institutional agreement between World Vision and Valid International was reached in July 2006, thus paving the way for the provision of technical support to the Niger CTC (now called CMAM) program.
As a part of the national nutrition strategy, WV is currently implementing CMAM in many decentralized government health centers throughout the country, with the support of partner NGOs (ex. Medecins Sans Frontieres). From the onset of CMAM program implementation, It has been integrated within the Ministry of Health structures such as the CSIs (Integrated Health Centers) with regular trainings of MOH health staff at national, regional and CSI levels based on the most revised version of the National Protocol, ultimately leading to the final version (i.e. Protocole Nationale de prise en Charge de la Malnutrition. MOH Publique/UNICEF/OMS. Juin 2009).
","Evaluation of World Vision Niger Emergency Nutrition Programme, Tillaberi and Niamey Regions (Jul 2010 - Jul 2011), Bernadette Feeney, Technical Advisor, Valid International.
Evaluation Semi-Quantitative de l’Accessibilité et de la Couverture (SQUEAC) CSI appuyés par World Vision ADP de Kornaka West, Gobir Yamma, Chadakori et Goulbi Kaba Région de Maradi, République du Niger, (22 mars au 15 avril, 2011), Allie Norris, Consultante Mobilisation, Valid International.
Rapport De La Mobilisation Sociale Dans Le Cadre Du Redémarrage des Activités Du Programme De World Vision de Prise en charge Communautaire de la Malnutrition Aiguë Régions de Zinder, Maradi et Tillabéri, Niger (13 Juin au 8 Juillet, 2010), Allie Norris et Gabriele Walz Techniciennes de Mobilisation Sociale, Valid International.
Formation sur la “Prise en charge Communautaire de la Malnutrition Aiguë” (PCMA) ADP de Zinder & de Tillabéri (20 juin au 19 juillet, 2010); ADP de Maradi (20 Juin au 8 Juillet, 2010), Lionella Fieschi, Consultante PCMA et Bernadette Feeneey, Valid International.
Evaluation Finale Du Programme CTC Dans La Région De Zinder World Vision, Niger (06 au 18 Juin, 2008), El Hadji Issakha Diop, CTC Advisor, Valid International.
Rapport De L’enquête De Couverture Du Projet CTC Exécuté Par World Vision ADPs De Kassama, DTk Et Gamou Région De Zinder Niger (Avril- Mai, 2007), Lionella Fieschi, Consultante CTC, Valid International.
Programme CTC de World Vision dans la région de Zinder, Niger : Evaluation à mi- parcours (11- 18 Mai, 2007), El Hadji Issakha Diop, Consultant CTC, Valid International.
Visite au programme CTC Région de Zinder (WV Niger), (13 – 24 Février, 2007) Montse Saboya, Valid International.
Mobilisation Communautaire Visite Technique au Programme de CTC Zinder, Niger, (20 février – 2 mars, 2007), Saul Guerrero & Nyauma Nyasani, Consultants de développement communautaire et social, Valid International.
Community Mobilisation aspects of the World Vision CTC Programme, Zinder Region, Niger (Aug 4 - 18, 2006), Saul Guerrero, Valid International.
Assessment for CTC World Vision in Niger (Jul - Aug, 2006), Valid International.
Community-based Management of Acute Malnutrition Model: http://www.wvi.org/nutrition/project-models/cmam
","","","Health","Gouvernement du Niger et la Direction Departementale de la Sante Publique et la Direction de la Nutrition (DN/MSP)","","","","","","","","","","","","","","","","","Currency: US Dollars (USD)Purposes: Salaries & Benefits; Supplies & Materials; Travel & Transportation; Training & Consulting; Monitoring & Evaluation; Occupancy; Communications; Equipment.Action: Covers all actions","International NGOs","World Vision International","World Vision is a global Christian relief, development and advocacy organisation dedicated to working with children, families and communities to overcome poverty and injustice. http://www.wvi.org (WV Canada, WV US, WV Taiwan, WV UK, WV New Zealand, WV Germany, and WV Switzerland are support offices)","Bilateral and donor agencies and lenders","","The Disasters Emergency Committee (DEC) brings 14 leading UK aid charities together in times of crisis: Action Aid, Age International, British Red Cross, CAFOD, Care International, Christian Aid, Concern Worldwide, Islamic Relief, Merlin, Oxfam, Plan UK, Save the Children, Tearfund and World Vision; all collectively raising money to reach those in need quickly. http://www.dec.org.uk/about-dec","UN","World Food Programme (WFP)","The World Food Programme (WFP) is the United Nations' frontline agency in the fight against hunger. It responds to emergencies, saving lives by getting food to the hungry fast, and it also works to help prevent hunger in the future. http://www.wfp.org (The WFP provides WVN direct supply of food for SFP in different CSI).","UN","United Nations Children's Fund (UNICEF)","The United Nations Children's Fund (UNICEF) is the main UN organization defending, promoting and protecting children's rights. UNICEF works to improve the social and economic conditions of children by increasing children's access to health care, safe drinking water, food, and education; protecting children from violence and abuse; and providing emergency relief after disasters. http://www.unicef.org","Bilateral and donor agencies and lenders","Canadian International Development Agency (CIDA)","The Canadian International Development Agency (CIDA) is Canada's lead agency for development assistance. http://www.acdi-cida.gc.ca/home","Bilateral and donor agencies and lenders","US Agency for International Development (USAID)","The United States Agency for International Development (USAID) is the United States federal government agency primarily responsible for administering civilian foreign aid. http://www.usaid.gov (The fund is provided through the Office of U.S. Foreign Disaster Assistance (OFDA))","Bilateral and donor agencies and lenders","Australian Agency for International Development (AUSAID)","The Australian Agency for International Development (AusAID) is the Australian Government agency responsible for managing Australia's overseas aid programme. http://www.ausaid.gov.au/Pages/home.aspx","Bilateral and donor agencies and lenders","Swedish International Development Cooperation Agency (SIDA)","The Swedish International Development Cooperation Agency (Sida) is a government organization under the Swedish Foreign Ministry responsible for administering approximately half of Sweden's budget for development aid. http://www.sida.se/English/","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","17821","","Management of moderate malnutrition","","","","MAM child|Preschool-age children (Pre-SAC)","6 - 59 months","5 regions (Zinder, Maradi, Niamey, Tillabéri, Tahoua)","Community-based","","World Vision works with communities through Area Development Programs (ADPs) that have been identified and implemented based on a series of development criteria. The ADPs serve as the basic intervention unit of the WV's multi-sectoral programs/projects (e.g. in education, water and sanitation, health, income-generating activities and sponsorship of children etc.), but the geographical areas of the ADPs do not necessarily align with administrative boundaries of the country. The whole ADP and program management structure is geared toward long-term development programming, into which the nutritional activities/programs such as Community-based Management of Acute Malnutrition (CMAM) are integrated.
Since July/August 2005, WV Niger has been implementing and supporting the following four components of a CMAM program:
All programmatic activities are implemented through the local health structures and systems and their respective catchment areas. The majority of the OTP and SFP activities are implemented in the Integrated Health Centers (CSI) but in order to achieve greater coverage and to bring supplementary facilities closer to communities, WV has also implemented the programs in Health Posts (CS) which are satellites of CSI. Most OTP take place together with SFP in CSI but few are located in CS as well. The OTP activities, including the provision of Ready-to-Use Therapeutic Food (Plumpy Nut) and the systematic treatments are conducted on a weekly basis, whereas the SFP activities, including the distribution of Fortified Blended Food (CSB (Corn Soya Based), oil, sugar) for MAM children and moderately malnourished PLWs are carried out bi-monthly basis. The numbers of OTP and SFP sites and staff per ADP differ depending on the target population size and needs.
The technical (nutrition related) and managerial structure of WV in Niger (WVN) includes two nutrition coordinators (East and West) and six regional nutrition supervisor mangers (one per region) who coordinate and harmonize nutritional activities through the different locations. All of them are supported by a relief-nutrition country manager based in Niamey. In each ADP, there is also a health-nutrition manager who is responsible for overseeing ADP related health and nutrition programs and staff. As the national health system is WV's principle partner, WVN staff always work in partnership/collaboration with Ministry of Health (MOH) staff. Currently, WVN staff mainly act as technical facilitators and help with the general management of the program activities such as site organization, training of the community volunteers who help during distributions, channeling food and medical supplies coming from UNICEF and WFP, and program monitoring. Depending on the ADP, there is also either one or two nurses who provides support to the MOH staff in the field.
","SFP Outcome
Cured % (#)
> 75%
Died % (#)
< 3%
Defaulted % (#)
< 15%
Non-recovered % (#)
Regions
Reporting Period: 2010
Maradi (Sept-Dec)
88.5 (491)
0.4 (2)
8.6 (48)
2.5 (14)
Niamey (Jan-Dec)
88.6 (194)
0.0 (0)
1.4 (3)
10.0 (22)
Tahoua (Aug-Dec)
86.4 (248)
0.0 (0)
13.6 (39)
0.0 (0)
Tillaberi (June-Dec)
88.4 (501)
0.7 (4)
10.2 (58)
0.7 (4)
Zinder (Jan-Dec)
90.8 (640)
2.6 (18)
5.4 (38)
1.3 (9)
Reporting Period: Jan - Dec, 2011
Maradi
97.0 (7069)
0.0 (3)
2.2 (162)
0.7 (51)
Niamey
85.8 (1949)
0.2 (5)
7.7 (175)
6.3 (143)
Tahoua
92.1 (1413)
0.0 (0)
6.3 (96)
1.6 (25)
Tillaberi
93.7 (4413)
0.2 (9)
5.1 (242)
0.9 (44)
Zinder
95.6 (4825)
0.4 (18)
2.4 (119)
1.7 (84)
Reporting Period: Jan - Dec, 2012
Maradi
99.0 (9559)
0.0 (0)
0.4 (38)
0.6 (54)
Niamey
81.3 (1886)
0.0 (0)
10.0 (233)
8.7 (201)
Tahoua
90.1 (984)
0.2 (2)
7.7 (84)
2.0 (22)
Tillaberi
88.7 (2065)
0.2 (4)
9.7 (226)
1.4 (33)
Zinder
94.9 (5508)
0.1 (3)
2.6 (148)
2.5 (143)
Reporting Period: 2013
Maradi (Jan-Apr)
97.1 (1501)
0.1 (1)
2.7 (42)
0.1 (2)
Niamey (Jan-Apr)
73.9 (241)
0.0 (0)
18.7 (61)
7.4 (24)
Tahoua (Jan-May)
88.7 (344)
0.0 (0)
9.0 (35)
2.3 (9)
Tillaberi
NA
NA
NA
NA
Zinder (Jan-May)
99.7 (2910)
0.0 (0)
0.2 (6)
0.1 (2)
","Ongoing monitoring and evaluation of CMAM programs is essential for ensuring program targets are being reached. As of Spring 2010, WV is using a consolidated online database management system for CMAM programs. The system is a positive transformation from the existing Excel spreadsheets (template provided by Valid International) that were used during the first few years of WV CMAM programming by National Offices. A simple and systematic data management system allows multi-level program managers to easily retrieve CMAM data and make quick and accurate decisions based on the data that is available to them. In the early days of WV CMAM implementation, prompt access the Excel database was limited to the field staff throughout the year. However, WV’s online CMAM system aims to facilitate this overall data recovery process for WV Staff located in the National, Regional and Support Offices, and Global Health Centre, as well. The online system is carefully designed to be user friendly and applicable for WV staffs across partnership. Staff members are provided with password protected login identification and can access the different online pages that are relevant to their job responsibilities. In this way, they are able to input their monthly tally sheets, generate clear reports, predict future trends (including resources), provide timely input to all internal/external requests and access raw data sheets for further analysis. Furthermore, the quantitative indicators and data collection tools closely align themselves with what has been developed and used by different MOH, facilitating a simple integrating with existing administrative systems and standards in a particular country. All WV CMAM indicators and data collection tools have been standardized to complement the existing myriad of MOH and National Office requirements, as well as the International benchmarks (e.g. SPHERE). In addition to these standard indicators, the CMAM database also includes WV contextual data (e.g. # Registered Children, # Orphans & Vulnerable Children) that is mandatory with the Partnership’s Integrated Program Management.
","ADP Name Total Population; 6-59 months Kornaka West 68,165; 15,261 Gobir Yamma 56,032; 12,934 Ouallam 572,377; 188,745 Simiri 186,528; 76,805","Zinder: April-May 2007, point coverage = 28.5% and period coverage = 49.0%.","","Sept - Oct, 2005: National GAM 15.3%, SAM 1.8%; Zinder GAM 16.1%, SAM 1.2%.Sept, 2006: Maradi GAM 8.2%, SAM 0.8%, U5M 1.3/10,000. Oct - Nov, 2006: National GAM 10.3%, SAM 1.4%, U5M 1.08/10,000, Exclusive breastfeeding 2.2%, Complementary feeding (6-9mos) 78.4%; Zinder GAM 9.7%, SAM 1.7%; Maradi GAM 6.8%, SAM 0.6%; Tahoua GAM 12.5%, SAM 1.1%; Tillaberi GAM 11.2%, SAM 1.9%; Niamey GAM 9.2%; SAM 0.5%. June, 2007: National GAM 11.2%, SAM 1%, U5M 0.71/10,000; Tillaberi GAM 11.2%Oct - Nov, 2007: National GAM 11.0%, SAM 0.8%, U5M 1.81/10,000, Exclusive breastfeeding 9.0%, Complementary feeding (6-9mos) 78.4%; Zinder GAM 11.7%, SAM 1.0%, U5M 3.55/10,000, EB 9.7%, CF 68.2%; Maradi GAM 10.7%, SAM 0.8%, U5M 0.83/10,000, EB 7.6%, CF 73.9%; Tahoua GAM 13.1%, SAM 0.4%, U5M 1.62/10,000, EB 15.7%, CF 89.7%; Tillaberi GAM 7.9%, SAM 1.0%, U5M 3.14/10,000, EB 1.6%, CF 63.5%; Niamey GAM 9.9%, SAM 0.9%, U5M 1.57/10,000, EB 17.1%, CF 40.6%. June-July, 2008: National GAM 10.7%, SAM 0.8%, U5M 1.53/10,000; Zinder GAM 15.7%, SAM 1.9%, U5M 2.13/10,000; Maradi GAM 9.9%, SAM 1.0%, U5M 1.79/10,000; Tahoua GAM 8.4%, SAM 0.6%, U5M 1.67/10,000; Tillaberi GAM 10.1%, SAM 0.1%, U5M 1.11/10,000; Niamey GAM 6.8%, SAM 0.9%, U5M 0.34/10,000. May-June, 2010: National GAM 16.7%, SAM 3.2%; Maradi GAM 19.7%, SAM 3.9%; Zinder GAM 17.8%, SAM 3.6%; Tillaberi GAM 14.8%, SAM 2.7%. June, 2009: National GAM 12.3%, SAM 2.3%.Oct, 2010: Maradi GAM 15.5%, SAM 4.3% ","See above","Vulnerable groups","","eLENA titles related to prevention or treatment of moderate acute malnutrition in children>>>Supplementary feeding in community settings for promoting child growth>>http://www.who.int/elena/titles/child_growth|Food supplementation in children with moderate acute malnutrition>>http://www.who.int/elena/titles/food_children_mam","Supplies","Problem: The lack of a consistent supply of nutritional commodities for SFP has put children suffering from MAM at an increased risk for relapse, non-response, deterioration in status (into SAM) and defaulting. This lack of consistency has also negatively affected the credibility of the SFP program within the community. In turn, this has reduced the overall number of caregivers accessing the SFP services and thus has become a barrier to access.Solution: Contingency planning by the Food Commodity Department and logistics within WV to avoid stock shortage. For example add an extra percentage onto projected estimations each month in order to always have stock in place. ","Communication","Problem: The lack of clarity over the use of RUSF (Ready-to-Use Supplementary Food) and the target group has introduced increased risks for MAM cases in more vulnerable age groups. These cases were not being treated properly, thereby reducing effectiveness of the SFP program. Solution: Clarification with written protocols on the use of RUSF and other nutritional commodities for MAM and the target groups should be made available in the CSIs. It is also essential that there is community sensitization/awareness in the CSI catchment communities on the MAM aspect of CMAM.","External factors","Problem - Conflicting admission criteria: Community Volunteers (Femmes Relais) screen children for MAM in the communities using MUAC. However, upon arrival to the CSI/CS, the same children are admitted into the program on the basis of W/H criteria (outlined in National Protocol). Due to the discrepancies between W/H and MUAC screening, children are rejected from the program. This can reduce the effectiveness of community mobilization because of the problem of rejection.Solution: In order to increase coverage of the program a mass screening was carried out in the 5 regions covered by WV. Over 40,000 children were screened which resulted in a subsequent increase in the SFP admission. ","External factors","Problem: Distance as a barrier to access. Some of the CSI are located very far from the communities that they are serving. Solution: Expand MAM treatment (i.e. SFP) to Health Posts (CS) in order to reduce distance travelled for beneficiaries thus helping to improve the program accessibility as well as reducing the work load in CSIs (however the program capacity must be assured before decentralising these services to health posts).","Staff skills/training","Problem: When CTC/CMAM was launched in Niger in 2005/2006, the national/international capacity available for CTC/CMAM implementation was very limited, resulting in a low quality program. Solution: WV developed an Institutional Agreement with Valid International to build their capacity in the overall management of acute malnutrition.","Staff retention","Problem: Due to the erratic funding cycles associated with CMAM programming, it was very difficult to retain staff (Community Mobilization volunteers, MOH staff and WV Staff) when funding cycles terminate. Furthermore, there are difficulties retaining volunteers and keeping them motivated to continue their activities. Solution: WVN established permanent positions, embedded within their ADP and National management structures, for ongoing CMAM program support, including during funding disruptions. Furthermore, WVN can help improve sustainability of the self governing of CSIs and management of volunteers by building capacity of the village health committees (COGES) as an ongoing development commitment. ","Insufficient staff","Problem: In order to respond to the increased case load of SAM, the capacity of MOH (e.g. staff at CSIs) had to be increased. Solution: Rather than placing WV staff to manage the increased caseload, WV provided training and on-going support to strengthen volunteer capacity to manage SFP which will reduce workload of the health staff in the CSI thereby enabling them to address the more severe cases of malnutrition. This strategy appeared to be very effective in helping the MOH to cope with the case load. For Example: In three of the four CSIs sampled, it was found that the volunteers managed SFP completely thus relieving the existing CSI staff to manage SAM cases. ","","","","","","","","","","English" "17804","Community-based Management of Acute Malnutrition (CMAM) Programme in Niger ","English","National","","NER","Niger","Zinder, Niger|Maradi, Niger|Niamey, Niger|Tillabéry, Niger|Tahoua, Niger","Urban|Rural","on-going","01-2005","","The Community-Based Management of Acute Malnutrition (CMAM) is one of World Vision’s core project models in nutrition. The CMAM approach enables community volunteers to identify and initiate treatment by referring children with acute malnutrition before they become seriously ill. Caregivers provide treatment for the majority of children with severe acute malnutrition (SAM) in the home using Ready-to-Use-Therapeutic Foods (RUTF) and receiving routine medical care at a local health facility. When necessary, severely malnourished children who have medical complications or lack an appetite are referred to in-patient facilities for more intensive treatment. CMAM programs also work to integrate treatment with a variety of other longer-term interventions such as Nutrition Education, Infant and Young Child Feeding and Food Security. These interventions are designed to reduce the incidence of malnutrition and improve public health and food security in a sustainable manner.
There are four key components to the CMAM approach: Community Mobilisation, Supplementary Feeding Program (SFP), Outpatient Therapeutic Program (OTP), and Stabilisation Centre/In-patient Care (SC). On the most part, World Vision does not set up Stabilisation Centres but instead works closely with existing local health institutions or medical NGOs to provide these services.
World Vision has been operational in Niger for almost two decades – implementing a wide range of long-term development activities across the country. Their work is structured alongside the model of comprehensive area development programs (known internally as ADPs). Each ADP has a Health & Nutrition component which seeks to deliver support through (while simultaneously strengthening) local health structures. In July 2005 and as a result of the 2005 food crisis in Niger that year, World Vision launched a community-based management of acute malnutrition (CMAM) program based on the National Protocol for the Management of Acute Malnutrition. At that time, contacts were made with Valid International – aimed at establishing a partnership for an effective and quality delivery of the CMAM program. An institutional agreement between World Vision and Valid International was reached in July 2006, thus paving the way for the provision of technical support to the Niger CTC (now called CMAM) program.
As a part of the national nutrition strategy, WV is currently implementing CMAM in many decentralized government health centers throughout the country, with the support of partner NGOs (ex. Medecins Sans Frontieres). From the onset of CMAM program implementation, It has been integrated within the Ministry of Health structures such as the CSIs (Integrated Health Centers) with regular trainings of MOH health staff at national, regional and CSI levels based on the most revised version of the National Protocol, ultimately leading to the final version (i.e. Protocole Nationale de prise en Charge de la Malnutrition. MOH Publique/UNICEF/OMS. Juin 2009).
","Evaluation of World Vision Niger Emergency Nutrition Programme, Tillaberi and Niamey Regions (Jul 2010 - Jul 2011), Bernadette Feeney, Technical Advisor, Valid International.
Evaluation Semi-Quantitative de l’Accessibilité et de la Couverture (SQUEAC) CSI appuyés par World Vision ADP de Kornaka West, Gobir Yamma, Chadakori et Goulbi Kaba Région de Maradi, République du Niger, (22 mars au 15 avril, 2011), Allie Norris, Consultante Mobilisation, Valid International.
Rapport De La Mobilisation Sociale Dans Le Cadre Du Redémarrage des Activités Du Programme De World Vision de Prise en charge Communautaire de la Malnutrition Aiguë Régions de Zinder, Maradi et Tillabéri, Niger (13 Juin au 8 Juillet, 2010), Allie Norris et Gabriele Walz Techniciennes de Mobilisation Sociale, Valid International.
Formation sur la “Prise en charge Communautaire de la Malnutrition Aiguë” (PCMA) ADP de Zinder & de Tillabéri (20 juin au 19 juillet, 2010); ADP de Maradi (20 Juin au 8 Juillet, 2010), Lionella Fieschi, Consultante PCMA et Bernadette Feeneey, Valid International.
Evaluation Finale Du Programme CTC Dans La Région De Zinder World Vision, Niger (06 au 18 Juin, 2008), El Hadji Issakha Diop, CTC Advisor, Valid International.
Rapport De L’enquête De Couverture Du Projet CTC Exécuté Par World Vision ADPs De Kassama, DTk Et Gamou Région De Zinder Niger (Avril- Mai, 2007), Lionella Fieschi, Consultante CTC, Valid International.
Programme CTC de World Vision dans la région de Zinder, Niger : Evaluation à mi- parcours (11- 18 Mai, 2007), El Hadji Issakha Diop, Consultant CTC, Valid International.
Visite au programme CTC Région de Zinder (WV Niger), (13 – 24 Février, 2007) Montse Saboya, Valid International.
Mobilisation Communautaire Visite Technique au Programme de CTC Zinder, Niger, (20 février – 2 mars, 2007), Saul Guerrero & Nyauma Nyasani, Consultants de développement communautaire et social, Valid International.
Community Mobilisation aspects of the World Vision CTC Programme, Zinder Region, Niger (Aug 4 - 18, 2006), Saul Guerrero, Valid International.
Assessment for CTC World Vision in Niger (Jul - Aug, 2006), Valid International.
Community-based Management of Acute Malnutrition Model: http://www.wvi.org/nutrition/project-models/cmam
","","","Health","Gouvernement du Niger et la Direction Departementale de la Sante Publique et la Direction de la Nutrition (DN/MSP)","","","","","","","","","","","","","","","","","Currency: US Dollars (USD)Purposes: Salaries & Benefits; Supplies & Materials; Travel & Transportation; Training & Consulting; Monitoring & Evaluation; Occupancy; Communications; Equipment.Action: Covers all actions","International NGOs","World Vision International","World Vision is a global Christian relief, development and advocacy organisation dedicated to working with children, families and communities to overcome poverty and injustice. http://www.wvi.org (WV Canada, WV US, WV Taiwan, WV UK, WV New Zealand, WV Germany, and WV Switzerland are support offices)","Bilateral and donor agencies and lenders","","The Disasters Emergency Committee (DEC) brings 14 leading UK aid charities together in times of crisis: Action Aid, Age International, British Red Cross, CAFOD, Care International, Christian Aid, Concern Worldwide, Islamic Relief, Merlin, Oxfam, Plan UK, Save the Children, Tearfund and World Vision; all collectively raising money to reach those in need quickly. http://www.dec.org.uk/about-dec","UN","World Food Programme (WFP)","The World Food Programme (WFP) is the United Nations' frontline agency in the fight against hunger. It responds to emergencies, saving lives by getting food to the hungry fast, and it also works to help prevent hunger in the future. http://www.wfp.org (The WFP provides WVN direct supply of food for SFP in different CSI).","UN","United Nations Children's Fund (UNICEF)","The United Nations Children's Fund (UNICEF) is the main UN organization defending, promoting and protecting children's rights. UNICEF works to improve the social and economic conditions of children by increasing children's access to health care, safe drinking water, food, and education; protecting children from violence and abuse; and providing emergency relief after disasters. http://www.unicef.org","Bilateral and donor agencies and lenders","Canadian International Development Agency (CIDA)","The Canadian International Development Agency (CIDA) is Canada's lead agency for development assistance. http://www.acdi-cida.gc.ca/home","Bilateral and donor agencies and lenders","US Agency for International Development (USAID)","The United States Agency for International Development (USAID) is the United States federal government agency primarily responsible for administering civilian foreign aid. http://www.usaid.gov (The fund is provided through the Office of U.S. Foreign Disaster Assistance (OFDA))","Bilateral and donor agencies and lenders","Australian Agency for International Development (AUSAID)","The Australian Agency for International Development (AusAID) is the Australian Government agency responsible for managing Australia's overseas aid programme. http://www.ausaid.gov.au/Pages/home.aspx","Bilateral and donor agencies and lenders","Swedish International Development Cooperation Agency (SIDA)","The Swedish International Development Cooperation Agency (Sida) is a government organization under the Swedish Foreign Ministry responsible for administering approximately half of Sweden's budget for development aid. http://www.sida.se/English/","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","17823","","Food distribution/supplementation for prevention of acute malnutrition","","","","Lactating women (LW)|Pregnant women (PW)|Pregnant/lactating women with HIV/AIDS","","Zinder, Maradi, Niamey, Tahoua","Community-based","","World Vision works with communities through Area Development Programs (ADPs) that have been identified and implemented based on a series of development criteria. The ADPs serve as the basic intervention unit of the WV's multi-sectoral programs/projects (e.g. in education, water and sanitation, health, income-generating activities and sponsorship of children etc.), but the geographical areas of the ADPs do not necessarily align with administrative boundaries of the country. The whole ADP and program management structure is geared toward long-term development programming, into which the nutritional activities/programs such as Community-based Management of Acute Malnutrition (CMAM) are integrated.
Since July/August 2005, WV Niger has been implementing and supporting the following four components of a CMAM program:
All programmatic activities are implemented through the local health structures and systems and their respective catchment areas. The majority of the OTP and SFP activities are implemented in the Integrated Health Centers (CSI) but in order to achieve greater coverage and to bring supplementary facilities closer to communities, WV has also implemented the programs in Health Posts (CS) which are satellites of CSI. Most OTP take place together with SFP in CSI but few are located in CS as well. The OTP activities, including the provision of Ready-to-Use Therapeutic Food (Plumpy Nut) and the systematic treatments are conducted on a weekly basis, whereas the SFP activities, including the distribution of Fortified Blended Food (Premix with CSB (Corn Soya Based), oil, sugar) for MAM children and moderately malnourished PLWs are carried out bi-monthly basis. The numbers of OTP and SFP sites and staff per ADP differ depending on the target population size and needs.
The technical (nutrition related) and managerial structure of WV in Niger (WVN) includes two nutrition coordinators (East and West) and six regional nutrition supervisor mangers (one per region) who coordinate and harmonize nutritional activities through the different locations. All of them are supported by a relief-nutrition country manager based in Niamey. In each ADP, there is also a health-nutrition manager who is responsible for overseeing ADP related health and nutrition programs and staff. As the national health system is WV's principle partner, WVN staff always work in partnership/collaboration with Ministry of Health (MOH) staff. Currently, WVN staff mainly act as technical facilitators and help with the general management of the program activities such as site organization, training of the community volunteers who help during distributions, channeling food and medical supplies coming from UNICEF and WFP, and program monitoring. Depending on the ADP, there is also either one or two nurses who provides support to the MOH staff in the field.
","
The Community-Based Management of Acute Malnutrition (CMAM) is one of World Vision’s core project models in nutrition. The CMAM approach enables community volunteers to identify and initiate treatment by referring children with acute malnutrition before they become seriously ill. Caregivers provide treatment for the majority of children with severe acute malnutrition (SAM) in the home using Ready-to-Use-Therapeutic Foods (RUTF) and receiving routine medical care at a local health facility. When necessary, severely malnourished children who have medical complications or lack an appetite are referred to in-patient facilities for more intensive treatment. CMAM programs also work to integrate treatment with a variety of other longer-term interventions such as Nutrition Education, Infant and Young Child Feeding and Food Security. These interventions are designed to reduce the incidence of malnutrition and improve public health and food security in a sustainable manner.
There are four key components to the CMAM approach: Community Mobilisation, Supplementary Feeding Program (SFP), Outpatient Therapeutic Program (OTP), and Stabilisation Centre/In-patient Care (SC). On the most part, World Vision does not set up Stabilisation Centres but instead works closely with existing local health institutions or medical NGOs to provide these services.
World Vision has been operational in Niger for almost two decades – implementing a wide range of long-term development activities across the country. Their work is structured alongside the model of comprehensive area development programs (known internally as ADPs). Each ADP has a Health & Nutrition component which seeks to deliver support through (while simultaneously strengthening) local health structures. In July 2005 and as a result of the 2005 food crisis in Niger that year, World Vision launched a community-based management of acute malnutrition (CMAM) program based on the National Protocol for the Management of Acute Malnutrition. At that time, contacts were made with Valid International – aimed at establishing a partnership for an effective and quality delivery of the CMAM program. An institutional agreement between World Vision and Valid International was reached in July 2006, thus paving the way for the provision of technical support to the Niger CTC (now called CMAM) program.
As a part of the national nutrition strategy, WV is currently implementing CMAM in many decentralized government health centers throughout the country, with the support of partner NGOs (ex. Medecins Sans Frontieres). From the onset of CMAM program implementation, It has been integrated within the Ministry of Health structures such as the CSIs (Integrated Health Centers) with regular trainings of MOH health staff at national, regional and CSI levels based on the most revised version of the National Protocol, ultimately leading to the final version (i.e. Protocole Nationale de prise en Charge de la Malnutrition. MOH Publique/UNICEF/OMS. Juin 2009).
","Evaluation of World Vision Niger Emergency Nutrition Programme, Tillaberi and Niamey Regions (Jul 2010 - Jul 2011), Bernadette Feeney, Technical Advisor, Valid International.
Evaluation Semi-Quantitative de l’Accessibilité et de la Couverture (SQUEAC) CSI appuyés par World Vision ADP de Kornaka West, Gobir Yamma, Chadakori et Goulbi Kaba Région de Maradi, République du Niger, (22 mars au 15 avril, 2011), Allie Norris, Consultante Mobilisation, Valid International.
Rapport De La Mobilisation Sociale Dans Le Cadre Du Redémarrage des Activités Du Programme De World Vision de Prise en charge Communautaire de la Malnutrition Aiguë Régions de Zinder, Maradi et Tillabéri, Niger (13 Juin au 8 Juillet, 2010), Allie Norris et Gabriele Walz Techniciennes de Mobilisation Sociale, Valid International.
Formation sur la “Prise en charge Communautaire de la Malnutrition Aiguë” (PCMA) ADP de Zinder & de Tillabéri (20 juin au 19 juillet, 2010); ADP de Maradi (20 Juin au 8 Juillet, 2010), Lionella Fieschi, Consultante PCMA et Bernadette Feeneey, Valid International.
Evaluation Finale Du Programme CTC Dans La Région De Zinder World Vision, Niger (06 au 18 Juin, 2008), El Hadji Issakha Diop, CTC Advisor, Valid International.
Rapport De L’enquête De Couverture Du Projet CTC Exécuté Par World Vision ADPs De Kassama, DTk Et Gamou Région De Zinder Niger (Avril- Mai, 2007), Lionella Fieschi, Consultante CTC, Valid International.
Programme CTC de World Vision dans la région de Zinder, Niger : Evaluation à mi- parcours (11- 18 Mai, 2007), El Hadji Issakha Diop, Consultant CTC, Valid International.
Visite au programme CTC Région de Zinder (WV Niger), (13 – 24 Février, 2007) Montse Saboya, Valid International.
Mobilisation Communautaire Visite Technique au Programme de CTC Zinder, Niger, (20 février – 2 mars, 2007), Saul Guerrero & Nyauma Nyasani, Consultants de développement communautaire et social, Valid International.
Community Mobilisation aspects of the World Vision CTC Programme, Zinder Region, Niger (Aug 4 - 18, 2006), Saul Guerrero, Valid International.
Assessment for CTC World Vision in Niger (Jul - Aug, 2006), Valid International.
Community-based Management of Acute Malnutrition Model: http://www.wvi.org/nutrition/project-models/cmam
","","","Health","Gouvernement du Niger et la Direction Departementale de la Sante Publique et la Direction de la Nutrition (DN/MSP)","","","","","","","","","","","","","","","","","Currency: US Dollars (USD)Purposes: Salaries & Benefits; Supplies & Materials; Travel & Transportation; Training & Consulting; Monitoring & Evaluation; Occupancy; Communications; Equipment.Action: Covers all actions","International NGOs","World Vision International","World Vision is a global Christian relief, development and advocacy organisation dedicated to working with children, families and communities to overcome poverty and injustice. http://www.wvi.org (WV Canada, WV US, WV Taiwan, WV UK, WV New Zealand, WV Germany, and WV Switzerland are support offices)","Bilateral and donor agencies and lenders","","The Disasters Emergency Committee (DEC) brings 14 leading UK aid charities together in times of crisis: Action Aid, Age International, British Red Cross, CAFOD, Care International, Christian Aid, Concern Worldwide, Islamic Relief, Merlin, Oxfam, Plan UK, Save the Children, Tearfund and World Vision; all collectively raising money to reach those in need quickly. http://www.dec.org.uk/about-dec","UN","World Food Programme (WFP)","The World Food Programme (WFP) is the United Nations' frontline agency in the fight against hunger. It responds to emergencies, saving lives by getting food to the hungry fast, and it also works to help prevent hunger in the future. http://www.wfp.org (The WFP provides WVN direct supply of food for SFP in different CSI).","UN","United Nations Children's Fund (UNICEF)","The United Nations Children's Fund (UNICEF) is the main UN organization defending, promoting and protecting children's rights. UNICEF works to improve the social and economic conditions of children by increasing children's access to health care, safe drinking water, food, and education; protecting children from violence and abuse; and providing emergency relief after disasters. http://www.unicef.org","Bilateral and donor agencies and lenders","Canadian International Development Agency (CIDA)","The Canadian International Development Agency (CIDA) is Canada's lead agency for development assistance. http://www.acdi-cida.gc.ca/home","Bilateral and donor agencies and lenders","US Agency for International Development (USAID)","The United States Agency for International Development (USAID) is the United States federal government agency primarily responsible for administering civilian foreign aid. http://www.usaid.gov (The fund is provided through the Office of U.S. Foreign Disaster Assistance (OFDA))","Bilateral and donor agencies and lenders","Australian Agency for International Development (AUSAID)","The Australian Agency for International Development (AusAID) is the Australian Government agency responsible for managing Australia's overseas aid programme. http://www.ausaid.gov.au/Pages/home.aspx","Bilateral and donor agencies and lenders","Swedish International Development Cooperation Agency (SIDA)","The Swedish International Development Cooperation Agency (Sida) is a government organization under the Swedish Foreign Ministry responsible for administering approximately half of Sweden's budget for development aid. http://www.sida.se/English/","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","17824","","Nutrition education and counselling","","","","Adolescents|Adult men and women|Elderly|Family ( living in same household)|Females|Lactating women (LW)|Males|Non-pregnant women (NPW)|Non-pregnant, non-lactating women (NPNLW)|Pregnant women (PW)|Pregnant/lactating women with HIV/AIDS|Women of reproductive age (WRA)","","5 regions (Zinder, Maradi, Niamey, Tillabéri, Tahoua)","Community-based","","Once the main components of the CMAM programme (e.g. OTP and SFP) have been well implemented in the existing MOH and community structures, a focus was given to address the negative behavioural and adaptive issues around IYCF in order to prevent further malnutrition. Depending on the priorities and funding availability, some ADPs were able to integrate IYCF activities in the CMAM. These included carrying out weekly health and nutrition session on CMAM days at the CSIs (Health Centers) and reactivating PD Hearth approach to develop menus using new types of locally available foods for complementary feeding promotion. Additional objectives of IYCF included strengthening existing nutrition systems and capacity building through training of health workers and community volunteers on IYCF and carrying out a baseline survey on IYCF and quarterly monitoring of changes in behaviour (e.g. EBF rates, diversity of food groups in complementary feeding). However, apart from the weekly nutrition education sessions at the CSIs, some of the activities did not translate into action at the community level. For example, the training of national WV staff on IYCF did not cascade down to the community level with community volunteers and also did not translated into activities or development of monitoring tools at community level. Additionally, no baseline IYCF information was available and quarterly monitoring data had not been collected or was unavailable at community level.
NB: This program was funded for a year therefore continuation of the activities beyond the funding period is likely be sporadic as it will depend on various factors including staff and volunteer capacity and motivation.
","For Tillaberi and Niamey regions in July 2010-July 2011:
Nutrition education (incl. IYCF): Target 24,700; Achieved (by the 3rd quarter) 14,234
Number and percentage of infants 0-6 mos who are exclusively breastfed: Target 310 (10%); Achieved N/A
Number and percentage of children aged 6-24 mos who receive foods daily from 4 or more food groups: Target 3045 (40%); Achieved N/A
","Due to a lack of monitoring and reporting it was not possible to report on Infant and Young Child Feeding activities apart from nutrition education sessions at the health centers even if these activities had been occurring in an informal manner in the communities. But it appears that these activities had been strengthened and expanded towards the end of the programme cycle.
","See outcome indicator section","NA","","Sept - Oct, 2005: National GAM 15.3%, SAM 1.8%; Zinder GAM 16.1%, SAM 1.2%.Sept, 2006: Maradi GAM 8.2%, SAM 0.8%, U5M 1.3/10,000. Oct - Nov, 2006: National GAM 10.3%, SAM 1.4%, U5M 1.08/10,000, Exclusive breastfeeding 2.2%, Complementary feeding (6-9mos) 78.4%; Zinder GAM 9.7%, SAM 1.7%; Maradi GAM 6.8%, SAM 0.6%; Tahoua GAM 12.5%, SAM 1.1%; Tillaberi GAM 11.2%, SAM 1.9%; Niamey GAM 9.2%; SAM 0.5%. June, 2007: National GAM 11.2%, SAM 1%, U5M 0.71/10,000; Tillaberi GAM 11.2%Oct - Nov, 2007: National GAM 11.0%, SAM 0.8%, U5M 1.81/10,000, Exclusive breastfeeding 9.0%, Complementary feeding (6-9mos) 78.4%; Zinder GAM 11.7%, SAM 1.0%, U5M 3.55/10,000, EB 9.7%, CF 68.2%; Maradi GAM 10.7%, SAM 0.8%, U5M 0.83/10,000, EB 7.6%, CF 73.9%; Tahoua GAM 13.1%, SAM 0.4%, U5M 1.62/10,000, EB 15.7%, CF 89.7%; Tillaberi GAM 7.9%, SAM 1.0%, U5M 3.14/10,000, EB 1.6%, CF 63.5%; Niamey GAM 9.9%, SAM 0.9%, U5M 1.57/10,000, EB 17.1%, CF 40.6%. June-July, 2008: National GAM 10.7%, SAM 0.8%, U5M 1.53/10,000; Zinder GAM 15.7%, SAM 1.9%, U5M 2.13/10,000; Maradi GAM 9.9%, SAM 1.0%, U5M 1.79/10,000; Tahoua GAM 8.4%, SAM 0.6%, U5M 1.67/10,000; Tillaberi GAM 10.1%, SAM 0.1%, U5M 1.11/10,000; Niamey GAM 6.8%, SAM 0.9%, U5M 0.34/10,000. May-June, 2010: National GAM 16.7%, SAM 3.2%; Maradi GAM 19.7%, SAM 3.9%; Zinder GAM 17.8%, SAM 3.6%; Tillaberi GAM 14.8%, SAM 2.7%. June, 2009: National GAM 12.3%, SAM 2.3%.Oct, 2010: Maradi GAM 15.5%, SAM 4.3% ","Same as above","Vulnerable groups","","","Management","","","","","","","","","","","","","","","","","","","","","WV Niger’s implementation of IYCF activities into the ongoing CMAM program started late in the program period. Due to the high resource (human & financial) intensity of implementing a CMAM program, it was not feasible to introduce IYCF activities until the latter program stages. At the beginning of the program, the MOH staff were trained in providing nutrition education sessions at CSIs on OTP/SFP days which included IYCF messages. Later on, national WV staff were trained on IYCF with the aim that they would cascade this training to the ADP level and then to the community level. However, the training did not continue to the community level (with community volunteers) until near end of the program period.
To strengthen IYCF component of CMAM including monitoring activities, the following activities are recommended:
1. Recruit community mobilisers at ADP level who will work with district Community Focal Points, WV ADP and National Community Mobiliser. The lack of WV community mobilisers at ADP level to work alongside the Nutrition Coordinators has risked a delay in training community volunteers and may have also prevented the implementation of community mobilization activities including IYCF activities and monitoring of these activities.
2. Ensure women are represented in nutrition programs. During the IYCF investigation the 50/50 presence of women as interviewers for the IYCF investigation ensured better access to women and thus the provision of more rigorous information regarding IYCF practices.
3. Develop monitoring tools for IYCF. E.g. How many IYCF sessions held and how many participated?
4. Carry out a representative and statistically significant baseline and final IYCF survey – for EBF rates and diversity of food groups.
","","English" "23172","HKI programme communautaire: Prise en Charge de la Malnutrition Aiguë dans le district de Yako","English","Community/sub-national","","BFA","Burkina Faso","Yako, Burkina Faso","Rural","on-going","07-2012","","Helen Keller International (HKI) a démarré progressivement à partir de juillet 2012 un programme d’appui pour la mise en oeuvre de la Prise en Charge de la Malnutrition Aiguë (PCMA) dans 52 formations sanitaires (CSPS) du district sanitaire de Yako. Ceci suite à l´appel de soutien national et international du Gouvernement de Burkina pour faire face à la crise alimentaire et nutritionnelle officiellement déclarée après la faible récolte de 2011.
","Ce programme a été identifié par le biais du projet «Coverage Monitoring Network» (CMN). Le projet CMN est une initiative inter-agence qui vise à accroître et d'améliorer le suivi de la couverture de la gestion communautaire de la malnutrition aiguë (CMAM) programmes à l'échelle mondiale, et renforce les capacités des professionnels nationaux et internationaux de la nutrition. Sa vocation est de fournir un support technique et des outils aux programmes de PCMA afin de les aider à évaluer leur impact, de partager et capitaliser les leçons apprises sur les facteurs influençant leur performance. Le projet met l'accent sur le renforcement des compétences en méthodologie SQUEAC et SLEAC. Il est mis en œuvre par un consortium dirigé par ACF International, et comprend Save the Children, Concern Worldwide, International Medical Corps, Helen Keller International et Valid International. Le projet est financé par la Commission européenne, Direction générale de l'aide humanitaire et de la protection civile (ECHO) et le Bureau du Foreign Disaster Assistance des États-Unis (OFDA) de l'USAID. Pour en savoir plus, s'il vous plaît visitez le site Web de la CMN à
http://www.coverage-monitoring.org/
Veuillez suivre le lien ci-dessous pour accéder au rapport complet du CMN sur la couverture du projet PCMA dans le district de Yako:
http://www.coverage-monitoring.org/wp-content/uploads/2013/04/Yako-BF_02_2013.pdf
","","","","","","","Helen Keller International (HKI)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","23171","","Management of severe acute malnutrition","","","","SAM child","Enfants de 6 à 59 mois ","District de Yako","Primary health care center","","","La SQUEAC c´est une évaluation semi‐quantitative parce que combinant des données quantitatives et qualitatives:
1. Données quantitatives: données de routine du programme et données collectées au cours d’enquêtes sur des petites et grandes zones.
- Tendance des admissions et abandons au cours du temps et en fonction des évènements locaux
- Performance du programme
- Périmètre Brachial (PB) a l´admission
- Durée du séjour
2. Données qualitatives: informations collectées auprès de personnes clés au niveau de la communauté ou des acteurs et bénéficiaires impliqués dans le service à travers d´entretiens individuels et discussions en groupe.
La collecte d´informations qualitatives a été réalisée dans un total de 28 villages du district sanitaire de Yako.
Les méthodes suivantes ont été utilisées pour la collecte d´information qualitative:
- Groupes informels de discussion/focus groups
- Entretiens semi-structurés
- Étude de cas
- Observation
","Cinq mois après le début de l´appui effectif du programme, une évaluation de la couverture du programme de PCMA dans l´ensemble du district a été réalisée par HKI du 11 au 26 février 2013, au moyen de la méthode SQUEAC. L´outil SQUEAC permet par conséquent d´assurer à moindre coût un monitoring régulier des programmes et d´identifier les zones de couverture faible ou élevée ainsi que les raisons expliquant ces situations. L’ensemble de ces informations permet de planifier des actions spécifiques et concrètes dans le but d’améliorer la couverture des programmes concernés.
La méthodologie SQUEAC se compose de trois étapes principales:
Etape 1: Identification des zones de couverture élevée ou faible et des barrières à l’accessibilité
Etape 2: Vérification des hypothèses sur les zones de couverture faible ou élevée au moyen d’enquêtes sur petites zones
Etape 3: Estimation de la couverture globale
","L’aire du district sanitaire de Yako a une population estimée à 372 403 habitants en 2012 (RGPH 2006).","30.8% [IC 95%: 21.3% ‐ 42.1%] ","Point","Selon l’enquête SMART 2011 (Direction de Nutrition du Ministère de la santé), la prévalence de la malnutrition globale dans le district de Yako était de 11.8% contre 10.6% au niveau national et la prévalence de malnutrition aiguë sévère de 2.4%.","","None","","","Management","","Communication","","Management","","Management","","","","","","","","","","","","","","","Principaux barrières à la couverture
Distance et inaccessibilité
L’accès physique au Centre de Santé et de Promotion Sociale (CSPS) est un problème pour les bénéficiaires de certains villages à cause de la distance ou des difficultés d’accès géographiques, spécialement pendant la saison de pluies. Le manque de moyen de transport (vélo pas toujours disponible pour la mère) constitue l´obstacle principal là où la distance à se déplacer est longue.
Occupation des mères
Le manque de temps des mères pour amener les enfants de façon hebdomadaire au CSPS a été confirmé comme une barrière très important dans le contexte de Yako. Les motifs sont divers: les responsabilités familiales (autres enfants), les occupations ménagères –orpaillage entre autres-, devenir malade elle-même et/ou l´assistance aux évènements sociaux comme les funérailles, de grand importance dans la communauté.
Stigmatisation de la malnutrition
Le problème de la stigmatisation de la malnutrition a été reconnu par plusieurs acteurs, y comprises les femmes de la communauté et même les mères des enfants dans le programme. Dans la plupart des cas, la honte de montrer dans la communauté un enfant souffrant de malnutrition est enracinée dans la croyance que la cause de la maladie est liée à la grossesse rapprochée.
Communication pour le Changement du Comportement insuffisante
L´insuffisance de sensibilisation et communication à la communauté a été constatée à partir du niveau élevé de méconnaissance de la malnutrition trouvé au cours de l´investigation et faible implication des hommes. Bien que les signes de la forme marasmique semblent être plus reconnus que la forme kwashiorkor (pratiquement inconnu), les causes et conséquences de la malnutrition ne sont pas intégrées dans les connaissances de la communauté. Il y a aussi une certaine méconnaissance sur les aspects pratiques de traitement, comme par exemple la croyance de que la diarrhée peut être provoquée par la consommation du Plumpy Nut.
Inobservance du traitement
Partager l´ATPE avec des autres membres de la famille et/ou cesser d´aller au CSPS les jours de suivi de PCA à cause de l´apparence amélioré du malade sont les raisons qui font que l´enfant ne suit pas le traitement adéquatement.
Dépistage/référence/coût-opportunité
Les dépistages actifs par les Agents de Santé Communautaire sont pas continus, en lien avec le manque de motivation financière régulière (activité bénévole, seulement les formations sont payés) et parfois la manque d´outils de dépistage et équipement. L´absence de ASC dans certains villages a été aussi constatée, tout cela se traduit en un manque de référence. Au niveau de CSPS, le dépistage de routine en consultation est souvent limité aux jours de prise en charge et la communication entre le personnel et les ASC est déficient.
Qualité du service au niveau CSPS
Diverse aspects liés à la qualité du service dans les formations sanitaires ont été soulevés. Le personnel des centres ont remarqué l´insuffisance de ressources humaines et les mères des enfants le manque de communication interpersonnelle et les longues attentes. De façon générale, la discontinuité du service de prise en charge (une fois par semaine) avec le non-respect de protocole par rapport à particularités comme le non réalisation systématique du test de l´appétit représentent les barrières plus remarquables à niveau service de santé.
Rejet
Existence du phénomène de rejet des cas MAS en lien avec la discontinuité de la Prise en Charge Ambulatoire.
Rupture de stock
La rupture d´intrants (d´ATPE et/ou médicaments), qui se passe de façon ponctuel au niveau des CSPS, montre un problème de gestion et d´approvisionnement car la disponibilité des produits au niveau central est assurée pour le programme MAS.
Insuffisance d´implication des autorités sanitaires et/ou locales
Les autorités locales ne sont pas impliquées dans le programme. Au niveau des autorités sanitaires du DS et la collaboration avec des organisations qui travaillent dans le domaine de la PCMA, il y a une absence de cadre de concertation entre les acteurs et une programmation des activités insuffisante.
Abandons
Les principaux motifs d´abandon entre les mères entretenus à travers la petite étude de suivi des plus récents abandons sont: la stigmatisation, l´occupation de la mère, l´absence de moyen de transport, l´inobservance du traitement, la manque de communication a niveau de CSPS, avoir été rejeté auparavant et la discontinuité du service.
","","English" "23176","ACF-France programme communautaire: Prise en Charge de la Malnutrition Aiguë dans le district de Manni","English","Community/sub-national","","BFA","Burkina Faso","Manni, Burkina Faso","Rural","completed","05-2012","05-2014","Action Contre la Faim - France (ACF-F) intervient dans la région de l´Est du Burkina Faso depuis 2008 et dans la province de la Gnagna (le district sanitaire (DS) de Bogandé et Manni) depuis 2009. Le projet d’appui à la Prise en charge de la malnutrition aigüe (PCIMA) a commencé en mai 2012 puis reconduit en juillet 2013 et prendra fin en mai 2014 et a pour objectif de contribuer à la réduction de la morbidité et de la mortalité liées à la malnutrition aigüe. L’appui donné au district de Manni est fait depuis la Base d’ACF située dans le district de Bogandé.
","Ce programme a été identifié par le biais du projet «Coverage Monitoring Network» (CMN). Le projet CMN est une initiative inter-agence qui vise à accroître et d'améliorer le suivi de la couverture de la gestion communautaire de la malnutrition aiguë (CMAM) programmes à l'échelle mondiale, et renforce les capacités des professionnels nationaux et internationaux de la nutrition. Sa vocation est de fournir un support technique et des outils aux programmes de PCMA afin de les aider à évaluer leur impact, de partager et capitaliser les leçons apprises sur les facteurs influençant leur performance. Le projet met l'accent sur le renforcement des compétences en méthodologie SQUEAC et SLEAC. Il est mis en œuvre par un consortium dirigé par ACF International, et comprend Save the Children, Concern Worldwide, International Medical Corps, Helen Keller International et Valid International. Le projet est financé par la Commission européenne, Direction générale de l'aide humanitaire et de la protection civile (ECHO) et le Bureau du Foreign Disaster Assistance des États-Unis (OFDA) de l'USAID. Pour en savoir plus, s'il vous plaît visitez le site Web de la CMN à
http://www.coverage-monitoring.org/
Veuillez suivre le lien ci-dessous pour accéder au rapport complet du CMN sur la couverture du projet PCMA dans le district de Manni (2013 and 2014):
","8806","","","","","","Action Against Hunger (AAH) / Action contre la faim (ACF)","","","","","","","","","","","","","","","Government","Development","OFDA ( U.S. Office of Foreign Disaster Assistance)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","23175","","Management of severe acute malnutrition","","","","SAM child","Enfants de 6 à 59 mois","District de Manni","Community-based|Primary health care center","","Les activités de prise en charge de la Malnutrition Aigüe (PCIMA) sont assurées dans tous les centres de santés du district sanitaire de Manni. Cela concerne aussi bien la prise en charge en ambulatoire (PCA) pour la MAS/MAM et la prise en charge en interne (PCI) pour les cas de MAS avec complications.
Les activités d’appui consistent essentiellement à la formation et au recyclage des agents de santé, les visites d’appuis techniques à travers des supervisions régulières pour la PCA et la PCI, appui en équipements médico-techniques et en intrants pour la prise en charge. Au niveau de la PCI ACF-F fait la subvention des repas des accompagnant(e)s depuis septembre 2012 ainsi que les soins médicaux (médicaments, consommables et examens biologiques) et évacuations des malades des CSPS vers les CREN.
","La SQUEAC c´est une évaluation semi-quantitative parce que combinant des données quantitatives et qualitatives:
Données quantitatives: données de routine (admissions, abandons, indicateurs de performance) et données collectées (cas couverts et cas non couverts) au cours d’enquêtes sur petites et grandes zones.
Données qualitatives: informations (opinions, connaissances sur la malnutrition, connaissances du programme de PEC, perception de la malnutrition, recours aux soins, facteurs limitant la PEC…) collectées auprès la communauté, des acteurs et bénéficiaires impliqués dans le service.
","ACF effectue des évaluations périodiques de la couverture du programme PCIMA, la dernière évaluation a été réalisée en mai 2013. Pour voir l’évolution de la couverture et la mise en route des recommandations de l’évaluation passée, une seconde évaluation a été réalisée en février 2014, huit mois après la précédente évaluation qui avait montré un taux de couverture actuelle de de 26,1% [IC 95% : 17,1- 37,7%]. L´outil SQUEAC permet d´assurer à moindre coût un monitoring régulier des programmes et d´identifier les zones de couverture faible ou élevée ainsi que les raisons expliquant ces situations. L’ensemble de ces informations permet de planifier des actions spécifiques et concrètes dans le but d’améliorer la couverture des programmes concernés.
La méthodologie SQUEAC se compose de trois étapes principales:
Etape 1: Identification des zones de couverture élevée ou faible et des barrières à l’accessibilité
Etape 2: Vérification des hypothèses sur les zones de couverture faible ou élevée au moyen d’enquêtes sur petites zones
Etape 3: Estimation de la couverture globale
","La population du district sanitaire de Manni est estimee a 168 963 habitants en 2014 (RGPH 2006) dont les enfants de 6 a 59 mois representent 18,55% (31 343).","52,4% [IC 95% : 43,1 - 61,8%]","Point","Les prévalences selon l’indice Poids/Taille de la malnutrition dans la province de la Gnagna étaient estimées en septembre 2013 à 7,5% [5,8-9,6%] pour la Malnutrition Aigüe Globale (MAG) et à 1,2% [0,6-2,6%] pour la Malnutrition Aigüe Sévère (MAS).","","None","","","Others, please specify below","","Management","","Communication","","Infrastructure","","Others, please specify below","","","","","","","","","","","","","Les résultats indiquent une forte évolution de la couverture car elle est le double de celle retrouvée à la dernière évaluation. Cette situation est à mettre en lien avec une forte amélioration des activités de dépistages passifs au niveau des centres de santé ainsi que l’implication des animateurs communautaires pour la sensibilisation et la recherche des absents (personnels du GRET ONG partenaire qui se charge du volet communautaire). La disponibilité et l’implication des personnels surtout au niveau des CSPS pourraient être un point fort du district sanitaire ce qui contribue beaucoup à l’amélioration de sa couverture. L’absence des hameaux de culture, présents dans les autres districts sanitaires, notamment Bogandé, permet d’éviter les déplacements des populations pendant les périodes des récoltes, et serait grandement responsable pour cette forte couverture.
","","English" "23187","ACF-France programme communautaire: Prise en Charge de la Malnutrition Aiguë dans le district de Bogande","English","Community/sub-national","","BFA","Burkina Faso","Bogande, Burkina Faso","Rural","completed","05-2012","05-2014","Action Contre la Faim – France (ACF-F) intervient dans la région de l´Est du Burkina Faso depuis 2008 et dans la province de la Gnagna depuis 2009. Le projet d’appui à la Prise en charge de la malnutrition aigüe (PCIMA) a commencé en mai 2012 puis reconduit en juillet 2013 et prendra fin en mai 2014. L´appui donné au district de Bogandé est fait depuis la Base d’ACF située à Bogandé. Le projet actuel, financé par OFDA a pour objectif de contribuer à la réduction de morbidité et mortalité associées à la malnutrition aigüe au Burkina Faso.
","Ce programme a été identifié par le biais du projet «Coverage Monitoring Network» (CMN). Le projet CMN est une initiative inter-agence qui vise à accroître et d'améliorer le suivi de la couverture de la gestion communautaire de la malnutrition aiguë (CMAM) programmes à l'échelle mondiale, et renforce les capacités des professionnels nationaux et internationaux de la nutrition. Sa vocation est de fournir un support technique et des outils aux programmes de PCMA afin de les aider à évaluer leur impact, de partager et capitaliser les leçons apprises sur les facteurs influençant leur performance. Le projet met l'accent sur le renforcement des compétences en méthodologie SQUEAC et SLEAC. Il est mis en œuvre par un consortium dirigé par ACF International, et comprend Save the Children, Concern Worldwide, International Medical Corps, Helen Keller International et Valid International. Le projet est financé par la Commission européenne, Direction générale de l'aide humanitaire et de la protection civile (ECHO) et le Bureau du Foreign Disaster Assistance des États-Unis (OFDA) de l'USAID. Pour en savoir plus, s'il vous plaît visitez le site Web de la CMN à
http://www.coverage-monitoring.org/
Veuillez suivre le lien ci-dessous pour accéder au rapport complet du CMN sur la couverture du projet PCMA dans le district de Bogande (2013 and 2014):
","","","","","","","Action Against Hunger (AAH) / Action contre la faim (ACF)","","","","","","","","","","","","","","","Government","Development","Bureau du Foreign Disaster Assistance des États-Unis (OFDA) ","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","23186","","Management of severe acute malnutrition","","","","SAM child","Enfants de 6 à 59 mois","District de Bogande","Primary health care center","","Les activités de prise en charge de la Malnutrition Aigüe (PCIMA) sont assurées dans les centres de santés publiques et confessionnelles du district sanitaire de Bogandé. Cela concerne aussi bien la prise en charge en ambulatoire (PCA) pour la MAS/MAM et la prise en charge en interne (PCI) pour les cas de MAS avec complications.
Les activités d’appui d’ACF consistent essentiellement à la formation et au recyclage des agents de santé, les visites d’appuis techniques à travers des supervisions régulières pour la PCA et la PCI, appui en équipements médico-techniques et en intrants pour la prise en charge. Au niveau de la PCI ACF-F fait la subvention des repas des accompagnantes depuis septembre 2012 ainsi que les soins médicaux (médicaments, consommables et examens biologiques) et évacuations des malades vers les CREN.
","La SQUEAC c´est une évaluation semi‐quantitative parce que combinant des données quantitatives et qualitatives:
Données quantitatives: données de routine (admissions, abandons, indicateurs de performance) et données collectées (cas couverts et cas non couverts) au cours d’enquêtes sur petites et grandes zones.
Données qualitatives: informations (opinions, connaissances sur la malnutrition, connaissances du programme de PEC, perception de la malnutrition, recours aux soins, facteurs limitant la PEC…) collectées auprès la communauté, des acteurs et bénéficiaires impliqués dans le service.
","ACF effectue des évaluations périodiques de la couverture du programme PCIMA, la dernière évaluation a été réalisée en mai 2013, dans la province de la Gnagna (District sanitaire Bogandé). Pour voir l’évolution de la couverture et la mise en route des recommandations de l’évaluation passée, une seconde évaluation a été réalisée en février 2014 (03 au 23 février 2014), huit mois après la précédente évaluation qui avait montré un taux de couverture actuelle de 30,2% [IC 95% : 20,8- 41,6%].
L' investigation de la couverture du programme de prise en charge de la MAS dans le district a été conduite en utilisant la méthodologie « Semi Quantitative Evaluation of Access and Coverage » (SQUEAC). L´outil SQUEAC permet d´assurer à moindre coût un monitoring régulier des programmes et d´identifier les zones de couverture faible ou élevée ainsi que les raisons expliquant ces situations. L’ensemble de ces informations permet de planifier des actions spécifiques et concrètes dans le but d’améliorer la couverture des programmes concernés.
La méthodologie SQUEAC se compose de trois étapes principales:
L’étape 1 consiste à identifier les zones de couverture élevée ou faible et des barrières à l’accessibilité
L’étape 2 permet de vérifier des hypothèses sur les zones de couverture faible ou élevée au moyen d’enquêtes sur petites zones
L’étape 3 permet d’estimer la couverture globale à travers la construction d’un « a priori » (basé sur les barrières et les boosters), de l’Évidence Vraisemblable et d’un « post priori » basé sur la recherche de cas.
","Les enfants de 6 à 59 mois représentent 17,85% (61736) du population du district sanitaire de Bogande","38,8% [IC 95% : 29,8 - 48,6%]","Point","","","None","","","Others, please specify below","","Management","","Others, please specify below","","Infrastructure","","Others, please specify below","","","","","","","","","","","","","Cette couverture faible est à mettre en lien avec les préoccupations des mères (charge de travail) ainsi qu’une méconnaissance de l’importance des soins nutritionnels (malnutrition perçue souvent comme maladie traditionnelle) entrainant un recours de première intention au traitement traditionnel, limitant ainsi l’accès aux soins en dépit de sa gratuité pour les enfants malnutris. L’investigation a par ailleurs mis en évidence une faiblesse du système de dépistage actif et de suivi des absents au traitement, ce qui pose la question de la pérennisation de ces activités en l’absence de soutien technique continu.
En plus de ces barrières à l’accessibilité communes dans l’ensemble du District Sanitaire de Bogandé, la distance est ressortie comme un frein supplémentaire à l’accessibilité dans les zones concernées.
Nonobstant ces barrières et la faible évolution de la couverture il faut rappeler que des efforts considérables sont mis en oeuvre sur le terrain par les différents acteurs dans le cadre des activités de PCIMA, tant au niveau communautaire que sur le plan de la prise en charge dans les structures de santé. Dans le contexte actuel et pour espérer un désengagement total d’ACF dans le District Sanitaire de Bogandé quant aux activités de prise en charge de la malnutrition, il apparaît aujourd’hui impératif d’entreprendre des mesures correctrices afin de consolider les acquis et continuer d’améliorer la couverture et l’accessibilité au traitement pour les malnutris.
","","English" "23192","ACF programme communautaire: Prise en Charge de la Malnutrition Aiguë dans le district de Diapaga","English","Community/sub-national","","BFA","Burkina Faso","Diapaga, Burkina Faso","Rural","on-going","03-2008","","ACF met en oeuvre depuis 2008 un programme d’appui à la prise en charge de la malnutrition aiguë dans le district sanitaire de Diapaga, s’articulant autour de plusieurs volets :
Au niveau du système de santé:
- Un volet d’appui technique et logistique aux formations sanitaires pour la détection et la prise en charge des cas de malnutrition aiguë sans complications dans 30 Centre de Santé et de Promotion Sociale (CSPS) et des cas de malnutrition aiguë sévère avec complications médicales dans 3 Centre de Renutrition et d’Education Nutritionnelle (CREN).
- Un volet « subvention des soins » garantissant une exemption de paiement pour les personnes souffrant de malnutrition aiguë (modérée et sévère) admises dans les structures. Un projet pilote visant à l’exemption totale de paiement pour tous les enfants de moins de 5 ans a par ailleurs été démarré en novembre 2011 dans les 5 aires sanitaires de la commune de Logobou.
Au niveau communautaire:
- Un système de détection, référencement et suivi des cas de malnutrition aiguë s’appuyant sur un réseau d’Agents de Santé à Base Communautaire (ASBC) co-animé en partenariat avec une ONG locale (APDC).
- Des activités de sensibilisation et d’éducation à la santé dans le but d’apprécier et et d’améliorer les performances du programme en termes de couverture et d’accessibilité.
","Ce programme a été identifié par le biais du projet «Coverage Monitoring Network» (CMN). Le projet CMN est une initiative inter-agence qui vise à accroître et d'améliorer le suivi de la couverture de la gestion communautaire de la malnutrition aiguë (CMAM) programmes à l'échelle mondiale, et renforce les capacités des professionnels nationaux et internationaux de la nutrition. Sa vocation est de fournir un support technique et des outils aux programmes de PCMA afin de les aider à évaluer leur impact, de partager et capitaliser les leçons apprises sur les facteurs influençant leur performance. Le projet met l'accent sur le renforcement des compétences en méthodologie SQUEAC et SLEAC. Il est mis en œuvre par un consortium dirigé par ACF International, et comprend Save the Children, Concern Worldwide, International Medical Corps, Helen Keller International et Valid International. Le projet est financé par la Commission européenne, Direction générale de l'aide humanitaire et de la protection civile (ECHO) et le Bureau du Foreign Disaster Assistance des États-Unis (OFDA) de l'USAID. Pour en savoir plus, s'il vous plaît visitez le site Web de la CMN à
http://www.coverage-monitoring.org/
Veuillez suivre le lien ci-dessous pour accéder au rapport complet du CMN sur la couverture du projet PCMA dans le district de Diapaga (2012-2014):
http://www.coverage-monitoring.org/wp-content/uploads/2013/04/SQUEAC_BURKINA_Diapaga_2012.pdf
","","","","","","","Action Against Hunger (AAH) / Action contre la faim (ACF)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","23191","","Management of severe acute malnutrition","","","","SAM child","Enfants de 6 à 59 mois","District de Diapaga ","Community-based|Primary health care center","","","Des evaluations de la couverture ont été realisées chaque annee depuis le debut du programme. Celles-ci ont revele des niveaux de couverture actuelle globalement faibles (couverture 2010: 21,8% [IC 95%: 13,2%-32,2%], couverture 2011: 17,6% [IC 95%: 7,8%-31,6%], couverture 2012: 32,1% [IC 95%: 21,9%-44,4%], couverture 2014: 43,6% [34,2%-53,2%] ), avec cependant une progression relevee au cours de la precedente SQUEAC (Semi-Quantitative Evaluation of Access and Coverage).
La SQUEAC c´est une évaluation semi‐quantitative parce que combinant des données quantitatives et qualitatives:
Données quantitatives: données de routine (admissions, abandons, indicateurs de performance) et données collectées (cas couverts et cas non couverts) au cours d’enquêtes sur petites et grandes zones.
Données qualitatives: informations (opinions, connaissances sur la malnutrition, connaissances du programme de PEC, perception de la malnutrition, recours aux soins, facteurs limitant la PEC…) collectées auprès la communauté, des acteurs et bénéficiaires impliqués dans le service.
","L´outil SQUEAC permet d´assurer à moindre coût un monitoring régulier des programmes et d´identifier les zones de couverture faible ou élevée ainsi que les raisons expliquant ces situations. L’ensemble de ces informations permet de planifier des actions spécifiques et concrètes dans le but d’améliorer la couverture des programmes concernés.
La méthodologie SQUEAC se compose de trois étapes principales:
L’étape 1 consiste à identifier les zones de couverture élevée ou faible et des barrières à l’accessibilité
L’étape 2 permet de vérifier des hypothèses sur les zones de couverture faible ou élevée au moyen d’enquêtes sur petites zones
L’étape 3 permet d’estimer la couverture globale à travers la construction d’un « a priori » (basé sur les barrières et les boosters), de l’Évidence Vraisemblable et d’un « post priori » basé sur la recherche de cas.
","La population est estimee en 2013 a 444 852 habitants avec 18,32% d’enfants d’age compris entre 6 et 59 mois.","43,6% [34,2%-53,2%]","Point","Les prevalences de la malnutrition selon d’indice Poids/Taille en z-score dans la Region Sanitaire de l´Est etaient estimees en 2013 a 9,3%1(8,3%-10,4%) pour la Malnutrition Aigue Globale (MAG) et a 1,7% (1,3%-2,3) pour la Malnutrition Aigue Severe (MAS)","","None","","","Communication","","Management","","Management","","Others, please specify below","","Others, please specify below","","Communication","","Others, please specify below","","Communication","","","","","","","Le résultat de couverture montre une nette amélioration en quasiment deux ans. Malgré tout, des faiblesses « basiques » (prise du PB au mm, rapportage) identifiés dans les évaluations précédentes sont toujours d’actualité après 3 ans de programmes. Au niveau de la prise en charge de la MA au sein des structures de santé, on note une réelle difficulté d’appropriation et de pérennité. Les activités liées à la prise en charge intégrée de la malnutrition aigue sont souvent perçues comme une charge de travail supplémentaire, et non intégrée au travail quotidien du centre de santé. Ceci peut entrainer un manque d’intérêt de la part des agents de santé, et une difficulté dans la collaboration avec les équipes ACF, ce qui est un frein à la pérennité une fois ACF parti. Un réel travail doit être fait conjointement avec l’ECD afin de pouvoir changer ces perceptions au niveau communautaire, on note que les barrieres sur la connaissance de la communaute sur la malnutrition restent presentent apres plus de 3 ans de programme NAC (Etude Causale de la malnutrition). L’approche NAC doit etre remise en cause avec une plus forte integration des agents de sante et des relais communautaires (ASBC) afin d’en assurer la perennite et un plus fort impact.
","","English" "23194","ACF programme communautaire: Prise en Charge de la Malnutrition Aiguë dans le district de Fada N’Gourma","English","Community/sub-national","","BFA","Burkina Faso","Fada N’Gourma, Burkina Faso","Rural","on-going","08-2012","","ACF à travers le programme nutrition santé appuie le DS de Fada à la prise en charge de la malnutrition aigüe depuis août 2012 suite à la crise alimentaire de 2012 au sahel. Ces appuis se font par le renforcement des capacities à travers les formations, les dotations de matériels médico techniques, la subvention des évacuations et des soins médicaux, et des visites d’appuis techniques lors des séances de prise en charge. Au niveau communautaire, ACF travaille en partenariat avec le GRET qui mène des activités de sensibilisations, de dépistage, de Visite à Domicile (VAD) à travers des animateurs.
","Ce programme a été identifié par le biais du projet «Coverage Monitoring Network» (CMN). Le projet CMN est une initiative inter-agence qui vise à accroître et d'améliorer le suivi de la couverture de la gestion communautaire de la malnutrition aiguë (CMAM) programmes à l'échelle mondiale, et renforce les capacités des professionnels nationaux et internationaux de la nutrition. Sa vocation est de fournir un support technique et des outils aux programmes de PCMA afin de les aider à évaluer leur impact, de partager et capitaliser les leçons apprises sur les facteurs influençant leur performance. Le projet met l'accent sur le renforcement des compétences en méthodologie SQUEAC et SLEAC. Il est mis en œuvre par un consortium dirigé par ACF International, et comprend Save the Children, Concern Worldwide, International Medical Corps, Helen Keller International et Valid International. Le projet est financé par la Commission européenne, Direction générale de l'aide humanitaire et de la protection civile (ECHO) et le Bureau du Foreign Disaster Assistance des États-Unis (OFDA) de l'USAID. Pour en savoir plus, s'il vous plaît visitez le site Web de la CMN à
http://www.coverage-monitoring.org/
Veuillez suivre le lien ci-dessous pour accéder au rapport complet du CMN sur la couverture du projet PCMA dans le district de Fada N’Gourma:
http://www.coverage-monitoring.org/wp-content/uploads/2014/05/ACF-SQUEAC-BF-GOURMA-2014-VF.pdf
","","","","","","","Action Against Hunger (AAH) / Action contre la faim (ACF)","","","","","","","","","","","","","","","Government","Development","L’Agence Suédoise de Développement International (ASDI)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","23193","","Management of severe acute malnutrition","","","","SAM child","Enfants de 0 à 59 mois","District de Fada N’Gourma","Community-based|Primary health care center","","Les interventions concernaient au départ deux communes à savoir Matiacoali et Diabo. En mai 2013, l’appui d’ACF au district s’est étendu à l’ensemble des 6 communes dans les 39 Centre de Santé et de Promotion Sociale (CSPS), le CHR et le Centre de Récupération et d’Education Nutritionnelle (CREN) confessionnel toujours avec un financement d’ASDI. Le programme appuie régulièrement le district dans la prise en charge. ACF assure également une approche NAC (Nutrition à Assise Communautaire) à travers son partenaire Groupe de Recherche et d’Echange Technologique (GRET) qui intervient dans le DS de Fada depuis 2009.
","La SQUEAC c´est une évaluation semi‐quantitative parce que combinant des données quantitatives et qualitatives:
- Données quantitatives: données de routine (admissions, abandons, indicateurs de performance) et données collectées (cas couverts et cas non couverts) au cours d’enquêtes sur petites et grandes zones.
- Données qualitatives: informations (opinions, connaissances sur la malnutrition, connaissances du programme de PEC, perception de la malnutrition, recours aux soins, facteurs limitant la PEC…) collectées auprès la communauté, des acteurs et bénéficiaires impliqués dans le service.
Une investigation de la couverture du programme de prise en charge de la MAS dans le district a été conduite du 15 janvier au 11 février 2014 en utilisant la méthodologie « Semi Quantitative Evaluation of Access and Coverage » (SQUEAC). L´outil SQUEAC permet d´assurer à moindre coût un monitoring régulier des programmes et d´identifier les zones de couverture faible ou élevée ainsi que les raisons expliquant ces situations. L’ensemble de ces informations permet de planifier des actions spécifiques et concrètes dans le but d’améliorer la couverture des programmes concernés.
La méthodologie SQUEAC se compose de trois étapes principales:
L’étape 1 consiste à identifier les zones de couverture élevée ou faible et des barrières à l’accessibilité
L’étape 2 permet de vérifier des hypothèses sur les zones de couverture faible ou élevée au moyen d’enquêtes sur petites zones
L’étape 3 permet d’estimer la couverture globale à travers la construction d’un « a priori » (basé sur les barrières et les boosters), de l’Évidence Vraisemblable et d’un « post priori » basé sur la recherche de cas.
Les analyses quantitatives et qualitatives ont revele un nombre relativement important de points d’attention en terme de depistage, acces et qualite de soins, freins et pesanteurs socioculturels, difficultes de notification des cas, qui, sans enlever l’appreciation positive de ce resultat meritent neanmoins le renforcement de l’accompagnement des activites de PeC dans le district.
L’implication communautaire: insuffisance de communication des ICP avec les ASBC et faible motivation des ASBC, faible implication des autorites et des leaders dans la PeC, faible interet des hommes dans la sante des enfants…
L’organisation des activités communautaires: bien que la population soit informee du role des ASBC au sein de la communaute, il y a une insuffisance de connaissance sur la malnutrition, le programme de prise en charge. Il devient donc important de revoir l’approche de sensibilisation communautaire pour en ameliorer l’impact et assurer une meilleure implication des agents de santé communautaire.
Les dysfonctionnements au niveau de la prise en charge: long temps d’attente, rejet ou limitation du nombre de cas PeC par jour, mauvais accueil, l’insuffisance de depistage systematique en consultation curative …
Les facteurs socio-culturels, notamment pour le recours aux soins, le refus de certains maris ou des interdictions faites aux meres, le recours a la geomancie, les pratiques ancrees nefastes.
L’occupation des mères: Travaux menagers, travaux champetres, faible implication des hommes…
Les problèmes de distance, d’enclavement ou d’eloignement temporaires dans les hameaux de culture, s’ils n’ont pas ete demontres comme un facteur determinant a la couverture (voir resultats de la petite enquete), peuvent avoir un impact sur la qualite du service, notamment au niveau de la gestion des intrants, et de la disponibilite des agents de sante. En effet, la fluctuation des admissions ne permet pas aux agents de santé d’évaluer correctement les quantités d’intrants nécessaires par mois.
Tous ces facteurs ont un impact négatif sur la fréquentation des services de PCIMA et méritent de se pencher sur l’amélioration de :
- La régularité et la qualité des dépistages
- La qualité de l’accueil et de la PCIMA
- L’identification et la recherche précoce des absents ou abandons
- Les méthodes de communication pour les changements de comportement en pratiques de soins
- La coordination des activités des ONG.
La Croix Rouge de Belgique, en partenariat avec la Croix Rouge burkinabè et les autorités sanitaires ont mis en oeuvre depuis 2007 un programm d’appui aux structures sanitaires dans neuf provinces réparties dans 3 régions (Sahel, Nord, Centre Ouest).Pour la région du Sahel, le passage à l’échelle s’est fait à partir de 2011 par des phases successives sous financement ECHO (European Community Humanitarian aid Office). Aujourd’hui, le programme couvre les 18 Centre de Santé et de Promotion Sociale (CSPS) du District Sanitaire de Gorom Gorom. Le programme est actuellement en phase 6, phase ayant débutée en mars 2013 qui prendra fin en janvier 2014. Cette phase prévoit de consolider l’appui au système de santé de la région du Sahel en vue d’accroitre son efficacité dans la prise en charge ambulatoire de la malnutrition aigüe à travers des appuis techniques et financiers touchant à la fois la qualité, la couverture, le suivi/évaluation et la capitalisation de la prise en charge de la malnutrition aigüe.
","Ce programme a été identifié par le biais du projet «Coverage Monitoring Network» (CMN). Le projet CMN est une initiative inter-agence qui vise à accroître et d'améliorer le suivi de la couverture de la gestion communautaire de la malnutrition aiguë (CMAM) programmes à l'échelle mondiale, et renforce les capacités des professionnels nationaux et internationaux de la nutrition. Sa vocation est de fournir un support technique et des outils aux programmes de PCMA afin de les aider à évaluer leur impact, de partager et capitaliser les leçons apprises sur les facteurs influençant leur performance. Le projet met l'accent sur le renforcement des compétences en méthodologie SQUEAC et SLEAC. Il est mis en œuvre par un consortium dirigé par ACF International, et comprend Save the Children, Concern Worldwide, International Medical Corps, Helen Keller International et Valid International. Le projet est financé par la Commission européenne, Direction générale de l'aide humanitaire et de la protection civile (ECHO) et le Bureau du Foreign Disaster Assistance des États-Unis (OFDA) de l'USAID. Pour en savoir plus, s'il vous plaît visitez le site Web de la CMN à
http://www.coverage-monitoring.org/
Veuillez suivre le lien ci-dessous pour accéder au rapport complet du CMN sur la couverture du projet PCMA dans le district de Gorom Gorom:
","","","","","","","International Committee of the Red Cross (ICRC)","","","","","","","","","","","","","","","Bilateral and donor agencies and lenders","European Commission Humanitarian Aid & Civil Protection (ECHO)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","23198","","Management of severe acute malnutrition","","","","SAM child","Enfants de 0 à 59 mois","District de Gorom Gorom","Community-based|Primary health care center","","Le cadre approprié pour la prise en charge de la malnutrition aiguë modérée est constitué des Centres de Santé et de Promotion Sociale (CSPS), des Centres Médicaux avec Antenne Chirurgicale (CMA) ou tout autre structure menant des activités de supplémentation alimentaire. En période d’urgence des Centres de Supplémentation Nutritionnelle (CSN) pourront être ouverts à cet effet.
Le cadre approprié de la prise en charge de la malnutrition sévère est le centre de récupération et d’éducation nutritionnelle (CREN). Son rôle principal est le traitement de la malnutrition sévère et l’éducation des familles en matière de nutrition.
Là où il n’existe pas de CREN, les CSPS doivent assurer une prise en charge en externe des cas adaptés à ce mode de traitement.
","La SQUEAC c´est une évaluation semi‐quantitative parce que combinant des données quantitatives et qualitatives:
Données quantitatives: données de routine (admissions, abandons, indicateurs de performance) et données collectées (cas couverts et cas non couverts) au cours d’enquêtes sur petites et grandes zones.
Données qualitatives: informations (opinions, connaissances sur la malnutrition, connaissances du programme de PEC, perception de la malnutrition, recours aux soins, facteurs limitant la PEC…) collectées auprès la communauté, des acteurs et bénéficiaires impliqués dans le service.
","Une investigation de la couverture du programme de prise en charge de la MAS dans le district a été conduite du 1 au 20 novembre 2013 en utilisant la méthodologie « Semi Quantitative Evaluation of Access and Coverage » (SQUEAC). L´outil SQUEAC permet d´assurer à moindre coût un monitoring régulier des programmes et d´identifier les zones de couverture faible ou élevée ainsi que les raisons expliquant ces situations. L’ensemble de ces informations permet de planifier des actions spécifiques et concrètes dans le but d’améliorer la couverture des programmes concernés.
La méthodologie SQUEAC se compose de trois étapes principales:
L’étape 1 consiste à identifier les zones de couverture élevée ou faible et des barrières à l’accessibilité
L’étape 2 permet de vérifier des hypothèses sur les zones de couverture faible ou élevée au moyen d’enquêtes sur petites zones
L’étape 3 permet d’estimer la couverture globale à travers la construction d’un « a priori » (basé sur les barrières et les boosters), de l’Évidence Vraisemblable et d’un « post priori » basé sur la recherche de cas.
Aux recommandations ci-dessus sont ajoutées des recommandations spécifiques à l’attention:
De la Croix Rouge de Belgique:
-Evaluation des Centre d’Accueil Pour Nutrition (CAPN),
-Définition de la stratégie communautaire sur plusieurs années,
-Réflexion de concert avec la DRS et les DS (en impliquant les CISSE et les Points Focaux Nutrition) au concept CAPN et ses orientations en vue d’une meilleure intégration dans le système sanitaire,
-Travail conjoint avec la Direction Régionale de la Santé et les District Sanitaire sur un système harmonisé de collecte des données communautaires incluant tous les paramètres de suivi de la MAS (base de données complémentaires)
-Renforcement des ressources humaines des formations sanitaires en personnel additionnel,
-Révision de l’organisation terrain depuis le pôle technique jusqu’au positionnement des agents de terrain.
De la Direction régionale de la Santé du Sahel:
-Suivi de la mise en oeuvre des recommandations,
-Accompagnement du district dans la mise en oeuvre des recommandations,
-Mise en place d’un système harmonisé de collecte des données communautaires incluant tous les paramètres de suivi de la MAS (base de données complémentaires)
-Augmentation des ressources humaines dans les centres de santé,
-Recherche d’un système de motivation des agents de santé des CSPS (FBR, primes) conjointement avec les districts.
Du District sanitaire de Gorom Gorom :
-Restitution formelle des résultats de la SQUEAC,
-Evaluation de la mise en oeuvre des recommandations de la SQUEAC dans les cadres de concertation périodiques,
-Renforcement de la concertation entre acteurs de mise en oeuvre du programme,
-Recherche d’un système de motivation des Agents de santé communautaire (ASBC),
-Renforcement des compétences des agents de santé (formation, supervision),
-Renforcement des ressources humaines des CSPS,
-Amélioration des connaissances des populations sur la malnutrition et le programme de PEC,
-Recherche d’un système de motivation des agents de santé des CSPS (FBR, primes),
-Recherche des moyens pour faire face aux barrières géographiques.
L’Association de Solidarité et Coopération Internationale (LVIA) et son partenaire Medicus Mundi Italie (MMI) apportent un soutien à la Direction Régionale de la Santé du Centre-Ouest et au District sanitaire de Koudougou depuis mai 2013 pour la mise en oeuvre de la Prise en Charge Intégrée de la Malnutrition Aiguë (PCIMA). L’appui de LVIA-MMI au District Sanitaire (DS) de Koudougou porte principalement sur le renforcement des capacités des agents de santé pour la mise en oeuvre de la PCIMA, l’appui au DS pour la réalisation des campagnes de dépistage trimestrielles, la subvention totale de la prise en charge des complications en interne (frais de transport, traitement diététique et médical, alimentation de l’accompagnant), l’acheminement et le stockage des Aliment Thérapeutique Prêt à l’Emploi (ATPE), et la fourniture de farines enrichies pour la consolidation après guérison des cas de MAS.
","Ce programme a été identifié par le biais du projet «Coverage Monitoring Network» (CMN). Le projet CMN est une initiative inter-agence qui vise à accroître et d'améliorer le suivi de la couverture de la gestion communautaire de la malnutrition aiguë (CMAM) programmes à l'échelle mondiale, et renforce les capacités des professionnels nationaux et internationaux de la nutrition. Sa vocation est de fournir un support technique et des outils aux programmes de PCMA afin de les aider à évaluer leur impact, de partager et capitaliser les leçons apprises sur les facteurs influençant leur performance. Le projet met l'accent sur le renforcement des compétences en méthodologie SQUEAC et SLEAC. Il est mis en œuvre par un consortium dirigé par ACF International, et comprend Save the Children, Concern Worldwide, International Medical Corps, Helen Keller International et Valid International. Le projet est financé par la Commission européenne, Direction générale de l'aide humanitaire et de la protection civile (ECHO) et le Bureau du Foreign Disaster Assistance des États-Unis (OFDA) de l'USAID. Pour en savoir plus, s'il vous plaît visitez le site Web de la CMN à
http://www.coverage-monitoring.org/
Veuillez suivre le lien ci-dessous pour accéder au rapport complet du CMN sur la couverture du projet PCMA dans le district de Koudougou:
http://www.coverage-monitoring.org/wp-content/uploads/2014/05/SQUEAC_Rapport_KOUDOUGOU_2014.pdf
","","","","","","","Other","Medicus Mundi Italie (MMI)","","","","","National NGOs","Association de Solidarité et Coopération Internationale (LVIA)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","23201","","Management of severe acute malnutrition","","","","SAM child","Enfants de 6 à 59 mois","District de Koudougou","Primary health care center","","La prise en charge ambulatoire des cas de MAS est assurée au niveau des 62 Centre de Santé et de Promotion Sociale (CSPS) du district, ainsi que de 7 Centre de Récupération et d'Education Nutritionnelle (CREN) gérés par des organisations confessionnelles. La prise en charge des complications en interne (PCI) est assurée au niveau du CHR de la ville de Koudougou et du Centre Médical Maximilien Kolbé de Sabou.
","La SQUEAC c´est une évaluation semi‐quantitative parce que combinant des données quantitatives et qualitatives:
Données quantitatives: données de routine (admissions, abandons, indicateurs de performance) et données collectées (cas couverts et cas non couverts) au cours d’enquêtes sur petites et grandes zones.
Données qualitatives: informations (opinions, connaissances sur la malnutrition, connaissances du programme de PEC, perception de la malnutrition, recours aux soins, facteurs limitant la PEC…) collectées auprès la communauté, des acteurs et bénéficiaires impliqués dans le service.
","Une investigation de la couverture du programme de prise en charge de la MAS dans le district a été conduite du 17 février au 14 mars 2014 en utilisant la méthodologie « Semi Quantitative Evaluation of Access and Coverage » (SQUEAC). L´outil SQUEAC permet d´assurer à moindre coût un monitoring régulier des programmes et d´identifier les zones de couverture faible ou élevée ainsi que les raisons expliquant ces situations. L’ensemble de ces informations permet de planifier des actions spécifiques et concrètes dans le but d’améliorer la couverture des programmes concernés.
La méthodologie SQUEAC se compose de trois étapes principales:
L’étape 1 consiste à identifier les zones de couverture élevée ou faible et des barrières à l’accessibilité
L’étape 2 permet de vérifier des hypothèses sur les zones de couverture faible ou élevée au moyen d’enquêtes sur petites zones
L’étape 3 permet d’estimer la couverture globale à travers la construction d’un « a priori » (basé sur les barrières et les boosters), de l’Évidence Vraisemblable et d’un « post priori » basé sur la recherche de cas.
Les principales barrières étaient en lien avec le contexte socio-culturel (méconnaissances sur la malnutrition, stigmatisation et honte, recours à la medicine traditionnelle en lien avec les croyances, voyage et déplacements des mères, manqué d’implication des hommes dans la santé des enfants) et avec des insuffisances au niveau de la qualité de la prise en charge (enfants MAS dans le programme MAM, sous notification des abandons, dépistage passif non systématique, manque d’informations données aux mères).
Parmi les facteurs influençant positivement l’accessibilité, la couverture géographique des formations sanitaires est à souligner. Le niveau de couverture constaté est également le résultat des actions entreprises dans le cadre du passage à l’échelle appuyé par LVIAMMI et les organisations locales : les campagnes de dépistage, la gratuité de la prise en charge, les actions de sensibilisation ont favorisé une bonne connaissance de l’existence du traitement, et une réaction en chaîne face à l’efficacité du celui-ci.
","","English" "23207","LVIA-MMI programme communautaire: Prise en Charge de la Malnutrition Aiguë Sévère dans le district de Nanoro","English","Community/sub-national","","BFA","Burkina Faso","Nanoro, burkina faso","Rural","on-going","05-2012","","L’Association de Solidarité et Coopération Internationale (LVIA) et son partenaire Medicus Mundi Italie (MMI) apportent un soutien à la Direction Régionale de la Santé du Centre-Ouest et au District sanitaire de Nanoro depuis mai 2012 pour la mise en oeuvre de la Prise en Charge Intégrée de la Malnutrition Aiguë (PCIMA). L’appui de LVIA-MMI au District Sanitaire (DS) de Nanoro porte principalement sur le renforcement des capacités des agents de santé pour la mise en oeuvre de la PCIMA, l’appui au DS pour la réalisation des campagnes de dépistage, la subvention des traitements pour la prise en charge des complications, l’acheminement des ATPE et la fourniture de farines enrichies pour la consolidation après guérison des cas de MAS.
","Ce programme a été identifié par le biais du projet «Coverage Monitoring Network» (CMN). Le projet CMN est une initiative inter-agence qui vise à accroître et d'améliorer le suivi de la couverture de la gestion communautaire de la malnutrition aiguë (CMAM) programmes à l'échelle mondiale, et renforce les capacités des professionnels nationaux et internationaux de la nutrition. Sa vocation est de fournir un support technique et des outils aux programmes de PCMA afin de les aider à évaluer leur impact, de partager et capitaliser les leçons apprises sur les facteurs influençant leur performance. Le projet met l'accent sur le renforcement des compétences en méthodologie SQUEAC et SLEAC. Il est mis en œuvre par un consortium dirigé par ACF International, et comprend Save the Children, Concern Worldwide, International Medical Corps, Helen Keller International et Valid International. Le projet est financé par la Commission européenne, Direction générale de l'aide humanitaire et de la protection civile (ECHO) et le Bureau du Foreign Disaster Assistance des États-Unis (OFDA) de l'USAID. Pour en savoir plus, s'il vous plaît visitez le site Web de la CMN à
http://www.coverage-monitoring.org/
Veuillez suivre le lien ci-dessous pour accéder au rapport complet du CMN sur la couverture du projet PCMA dans le district de Nanoro:
http://www.coverage-monitoring.org/wp-content/uploads/2014/05/SQUEAC_Rapport_NANORO_2014.pdf
","","","","","","","Other","Medicus Mundi Italie (MMI)","","","","","National NGOs","Association de Solidarité et Coopération Internationale (LVIA)","","","","","","","","Bilateral and donor agencies and lenders","European Commission Humanitarian Aid & Civil Protection (ECHO)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","23206","","Management of severe acute malnutrition","","","","SAM child","Enfants de 6 à 59 mois","District de Nanoro","Primary health care center","","Sur le plan sanitaire, le district est divisé en 20 aires de santé. La structure de santé de référence est le Centre Médical avec Antenne chirurgicale (CMA) de Nanoro, géré par les religieux camiliens.
","La SQUEAC c´est une évaluation semi‐quantitative parce que combinant des données quantitatives et qualitatives:
Données quantitatives: données de routine (admissions, abandons, indicateurs de performance) et données collectées (cas couverts et cas non couverts) au cours d’enquêtes sur petites et grandes zones.
Données qualitatives: informations (opinions, connaissances sur la malnutrition, connaissances du programme de PEC, perception de la malnutrition, recours aux soins, facteurs limitant la PEC…) collectées auprès la communauté, des acteurs et bénéficiaires impliqués dans le service.
","Une investigation de la couverture du programme de prise en charge de la MAS dans le district a été conduite du 17 février au 14 mars 2014 en utilisant la méthodologie «Semi Quantitative Evaluation of Access and Coverage» (SQUEAC). L´outil SQUEAC permet d´assurer à moindre coût un monitoring régulier des programmes et d´identifier les zones de couverture faible ou élevée ainsi que les raisons expliquant ces situations. L’ensemble de ces informations permet de planifier des actions spécifiques et concrètes dans le but d’améliorer la couverture des programmes concernés.
La méthodologie SQUEAC se compose de trois étapes principales:
L’étape 1 consiste à identifier les zones de couverture élevée ou faible et des barrières à l’accessibilité
L’étape 2 permet de vérifier des hypothèses sur les zones de couverture faible ou élevée au moyen d’enquêtes sur petites zones
L’étape 3 permet d’estimer la couverture globale à travers la construction d’un « a priori » (basé sur les barrières et les boosters), de l’Évidence Vraisemblable et d’un « post priori » basé sur la recherche de cas.
Ces différentes barrières soulignent la complémentarité nécessaire entre une prise en charge de qualité au niveau des formations sanitaires et des activités de mobilisation communautaire adaptées au contexte. La poursuite et le réajustement des actions entreprises, sur la base des constats dégagés par l’investigation, permettront d’atténuer les barrières et d’améliorer la couverture de la PCIMAS. Pour être suivies d’effet, les réorientations proposées nécessiteront une implication de tous les acteurs impliqués dans la prise en charge de la malnutrition.
Facteurs positifs (boosters):
- Appréciation de la prise en charge: Gratuité, Perception positive du traitement, Efficacité du traitement
- Recours au CSPS pour le traitement de la malnutrition, traitement connu
- Connaissances sur la malnutrition
- Implication des acteurs clés au niveau de la communauté (ASC, TPS, leaders)
- Activités des ASC : campagnes de dépistage, suivi des cas
Pour assurer les activités de Prise en charge Communautaire de la Malnutrition Aiguë (PCMA), le DS de Pama bénéficie d’un appui de l’ONG Action Contre la Faim-France (ACF-F), aussi bien pour la Prise en Charge Ambulatoire (PCA) que pour la Prise en Charge en Interne (PCI). ACF a marqué sa présence dans la Province en deux phases : 1) un appui à distance à partir de Fada de janvier à Août 2010 et de novembre 2010 à novembre 2011, et 2) l’implantation d’une base à Pama à partir de Mai 2012 avec un personnel permanent sur place. Entre temps, l’ONG a suspendu ses interventions dans la province d’août à novembre 2010 et de novembre 2011 à mars 2012 suite à un manque de financement. Pour un besoin de pérennité, ACF intervient dans le district sanitaire en partenariat avec une ONG locale, TIN TUA (""développons-nous nous-même""). Elle conduit les activités de Nutrition à Assises Communautaire (NAC): mobilisation communautaire, conduite des campagnes de dépistage et de sensibilisation en collaboration avec le DS et implication des leaders communautaires et collectivités.
","Ce programme a été identifié par le biais du projet «Coverage Monitoring Network» (CMN). Le projet CMN est une initiative inter-agence qui vise à accroître et d'améliorer le suivi de la couverture de la gestion communautaire de la malnutrition aiguë (CMAM) programmes à l'échelle mondiale, et renforce les capacités des professionnels nationaux et internationaux de la nutrition. Sa vocation est de fournir un support technique et des outils aux programmes de PCMA afin de les aider à évaluer leur impact, de partager et capitaliser les leçons apprises sur les facteurs influençant leur performance. Le projet met l'accent sur le renforcement des compétences en méthodologie SQUEAC et SLEAC. Il est mis en œuvre par un consortium dirigé par ACF International, et comprend Save the Children, Concern Worldwide, International Medical Corps, Helen Keller International et Valid International. Le projet est financé par la Commission européenne, Direction générale de l'aide humanitaire et de la protection civile (ECHO) et le Bureau du Foreign Disaster Assistance des États-Unis (OFDA) de l'USAID. Pour en savoir plus, s'il vous plaît visitez le site Web de la CMN à
http://www.coverage-monitoring.org/
Veuillez suivre le lien ci-dessous pour accéder au rapport complet du CMN sur la couverture du projet PCMA dans le district de Pama:
","","","","","","","Action Against Hunger (AAH) / Action contre la faim (ACF)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","23209","","Management of severe acute malnutrition","","","","SAM child","Enfants de 6 à 59 mois","District de Pama","Community-based|Primary health care center","","Le DS de Pama compte 11 Centres de Santé et de Promotion Sociale (CSPS) normalisés, un Centre Médical avec Antenne chirurgicale (CMA) avec en son sein un Centre de Récupération et d’Education Nutritionnelle (CREN). Le District met en oeuvre le Paquet Minimum d’Activités (PMA), et la prise en charge de la malnutrition aigüe est assurée dans toutes les formations sanitaires.
Pour un besoin de pérennité, ACF intervient dans le district sanitaire en partenariat avec une ONG locale, TIN TUA (""développons-nous nous-même""). Elle compte 9 facilitateurs communautaires installés dans les trois communes de la province de la Kompienga et d’un coordinateur des activités terrain qui supervise les activités.
","La SQUEAC c´est une évaluation semi‐quantitative parce que combinant des données quantitatives et qualitatives:
Données quantitatives: données de routine (admissions, abandons, indicateurs de performance) et données collectées (cas couverts et cas non couverts) au cours d’enquêtes sur petites et grandes zones.
Données qualitatives: informations (opinions, connaissances sur la malnutrition, connaissances du programme de PEC, perception de la malnutrition, recours aux soins, facteurs limitant la PEC…) collectées auprès la communauté, des acteurs et bénéficiaires impliqués dans le service.
","Une investigation de la couverture du programme de prise en charge de la MAS dans le district a été conduite du 19 Juin au 02 Juillet 2013en utilisant la méthodologie «Semi Quantitative Evaluation of Access and Coverage» (SQUEAC). Cette investigation intervient 6 mois après la SQUEAC précédente (novembre-décembre 2012) qui avait abouti á une couverture de la période de 40,6% (IC 95%: 28.9 - 54.2). L´outil SQUEAC permet d´assurer à moindre coût un monitoring régulier des programmes et d´identifier les zones de couverture faible ou élevée ainsi que les raisons expliquant ces situations. L’ensemble de ces informations permet de planifier des actions spécifiques et concrètes dans le but d’améliorer la couverture des programmes concernés.
La méthodologie SQUEAC se compose de trois étapes principales:
L’étape 1 consiste à identifier les zones de couverture élevée ou faible et des barrières à l’accessibilité
L’étape 2 permet de vérifier des hypothèses sur les zones de couverture faible ou élevée au moyen d’enquêtes sur petites zones
L’étape 3 permet d’estimer la couverture globale à travers la construction d’un « a priori » (basé sur les barrières et les boosters), de l’Évidence Vraisemblable et d’un « post priori » basé sur la recherche de cas.
Au niveau des facteurs qui influencent de façon négative la couverture, l’insuffisance d’informations données aux populations sur la prise en charge, la méconnaissance des signes et des causes de la malnutrition continuent à être les barrières principales identifiées au cours de cette SQUEAC comme l’a déjà été lors de l’investigation de décembre 2012. En plus une nouvelle importante barrière a été identifiée : la stigmatisation (mères avec enfants malnutris). Certaines mères avec enfants MAS sont enceintes et le fait d’avoir eu des naissances rapprochées constituent une honte aux yeux des populations. Par ailleurs les naissances rapprochées ont été identifiées par la communauté comme cause la MA ou appellation du marasme.
Dans les facteurs qui influencent de façon positive la couverture, la bonne opinion de la PCA à travers les guéris MAS qui sont dans la communauté et le dépistage actif trimestriel réalisé par le district avec ses partenaires sont des booster importants signalés dans la SQUEAC. En plus l’admission par le PB pour les moins de 65 cm n’est plus une barrière. En effet seul l’âge de 6 mois est désormais considéré pour les admissions par le PB.
","","English" "23212","LVIA-MMI programme communautaire: Prise en Charge de la Malnutrition Aiguë dans le district de Réo","English","Community/sub-national","","BFA","Burkina Faso","reo, burkina faso","Rural","on-going","05-2012","","L’Association de Solidarité et Coopération Internationale (LVIA) et son partenaire Medicus Mundi Italie (MMI) apportent un soutien à la Direction Régionale de la Santé du Centre-Ouest et au District sanitaire de Réo depuis mai 2012 pour la mise en oeuvre de la Prise en Charge Intégrée de la Malnutrition Aiguë (PCIMA). L’appui de LVIA-MMI au District Sanitaire (DS) de Réo porte principalement sur le renforcement des capacités des agents de santé pour la mise en oeuvre de la PCIMA, l’appui au DS pour la réalisation des campagnes de dépistage trimestrielles, la subvention totale de la prise en charge des complications en interne (frais de transport, traitement diététique et médical, alimentation de l’accompagnant), l’acheminement et le stockage des ATPE, et la fourniture de farines enrichies pour la consolidation après guérison des cas de MAS.
","Ce programme a été identifié par le biais du projet «Coverage Monitoring Network» (CMN). Le projet CMN est une initiative inter-agence qui vise à accroître et d'améliorer le suivi de la couverture de la gestion communautaire de la malnutrition aiguë (CMAM) programmes à l'échelle mondiale, et renforce les capacités des professionnels nationaux et internationaux de la nutrition. Sa vocation est de fournir un support technique et des outils aux programmes de PCMA afin de les aider à évaluer leur impact, de partager et capitaliser les leçons apprises sur les facteurs influençant leur performance. Le projet met l'accent sur le renforcement des compétences en méthodologie SQUEAC et SLEAC. Il est mis en œuvre par un consortium dirigé par ACF International, et comprend Save the Children, Concern Worldwide, International Medical Corps, Helen Keller International et Valid International. Le projet est financé par la Commission européenne, Direction générale de l'aide humanitaire et de la protection civile (ECHO) et le Bureau du Foreign Disaster Assistance des États-Unis (OFDA) de l'USAID. Pour en savoir plus, s'il vous plaît visitez le site Web de la CMN à
http://www.coverage-monitoring.org/
Veuillez suivre le lien ci-dessous pour accéder au rapport complet du CMN sur la couverture du projet PCMA dans le district de Pama:
http://www.coverage-monitoring.org/wp-content/uploads/2014/05/SQUEAC_Rapport_REO_2014.pdf
","","","","","","","Other","Medicus Mundi Italie (MMI)","","","","","National NGOs","Association de Solidarité et Coopération Internationale (LVIA)","","","","","","","","Bilateral and donor agencies and lenders","European Commission Humanitarian Aid & Civil Protection (ECHO)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","23211","","Management of severe acute malnutrition","","","","SAM child","Enfants de 6 à 59 mois","District de Réo","Primary health care center","","Sur le plan sanitaire, le District sanitaire de Réo est divisé en 40 aires de santé, et comporte 36 CSPS, 4 CM et 5 CREN.
","La SQUEAC c´est une évaluation semi‐quantitative parce que combinant des données quantitatives et qualitatives:
Données quantitatives: données de routine (admissions, abandons, indicateurs de performance) et données collectées (cas couverts et cas non couverts) au cours d’enquêtes sur petites et grandes zones.
Données qualitatives: informations (opinions, connaissances sur la malnutrition, connaissances du programme de PEC, perception de la malnutrition, recours aux soins, facteurs limitant la PEC…) collectées auprès la communauté, des acteurs et bénéficiaires impliqués dans le service.
","Une investigation de la couverture du programme de prise en charge de la MAS dans le district a été conduite du 17 février au 14 mars 2014 en utilisant la méthodologie «Semi Quantitative Evaluation of Access and Coverage» (SQUEAC). L´outil SQUEAC permet d´assurer à moindre coût un monitoring régulier des programmes et d´identifier les zones de couverture faible ou élevée ainsi que les raisons expliquant ces situations. L’ensemble de ces informations permet de planifier des actions spécifiques et concrètes dans le but d’améliorer la couverture des programmes concernés.
La méthodologie SQUEAC se compose de trois étapes principales:
L’étape 1 consiste à identifier les zones de couverture élevée ou faible et des barrières à l’accessibilité
L’étape 2 permet de vérifier des hypothèses sur les zones de couverture faible ou élevée au moyen d’enquêtes sur petites zones
L’étape 3 permet d’estimer la couverture globale à travers la construction d’un « a priori » (basé sur les barrières et les boosters), de l’Évidence Vraisemblable et d’un « post priori » basé sur la recherche de cas.
Les actions de mobilisation communautaire entreprises pour soutenir le passage à l’échelle de la PCIMA ont favorisé une bonne connaissance de l’existence du traitement au niveau de la communauté. L’influence des cas guéris favorise par ailleurs une perception positive de l’efficacité du traitement, encourageant le recours aux soins spontané.
Au total, le faible niveau de couverture mis en évidence au cours de cette investigation souligne la nécessité de consolider les actions entreprises dans le cadre du passage à l’échelle. Les réorientations devront notamment prendre en compte les défis posés par les difficultés d’accessibilité géographique,
","","English" "23214","CICR programme communautaire: Prise en Charge de la Malnutrition Aiguë dans le district de Sebba","English","Community/sub-national","","BFA","Burkina Faso","Sebba, burkina faso","Rural","on-going","07-2007","","Le Croix Rouge de Belgique (CRB) et la Croix Rouge Burkinabè travaillent en partenariat avec le service de la santé depuis 2007 dans la région du Sahel au Burkina Faso. Ce partenariat est orienté vers le renforcement des capacités en ce qui concerne la Prise en Charge de la Malnutrition Aiguë sous financement ECHO. Aujourd’hui, le programme couvre les 13 CSPS dans le district du Sebba aussi que 23 CAPN (Centre d’Accueil Pour Nutrition). Le programme est actuellement en phase 6, phase ayant débutée en mars 2013 qui prendra fin en janvier 2014. Cette phase prévoit de consolider l’appui au système de santé de la région du Sahel en vue d’accroitre son efficacité dans la prise en charge ambulatoire de la malnutrition aigüe à travers des appuis techniques et financiers touchant à la fois la qualité, la couverture, le suivi/évaluation et la capitalisation de la prise en charge de la malnutrition aigüe.
","Ce programme a été identifié par le biais du projet «Coverage Monitoring Network» (CMN). Le projet CMN est une initiative inter-agence qui vise à accroître et d'améliorer le suivi de la couverture de la gestion communautaire de la malnutrition aiguë (CMAM) programmes à l'échelle mondiale, et renforce les capacités des professionnels nationaux et internationaux de la nutrition. Sa vocation est de fournir un support technique et des outils aux programmes de PCMA afin de les aider à évaluer leur impact, de partager et capitaliser les leçons apprises sur les facteurs influençant leur performance. Le projet met l'accent sur le renforcement des compétences en méthodologie SQUEAC et SLEAC. Il est mis en œuvre par un consortium dirigé par ACF International, et comprend Save the Children, Concern Worldwide, International Medical Corps, Helen Keller International et Valid International. Le projet est financé par la Commission européenne, Direction générale de l'aide humanitaire et de la protection civile (ECHO) et le Bureau du Foreign Disaster Assistance des États-Unis (OFDA) de l'USAID. Pour en savoir plus, s'il vous plaît visitez le site Web de la CMN à
http://www.coverage-monitoring.org/
Veuillez suivre le lien ci-dessous pour accéder au rapport complet du CMN sur la couverture du projet PCMA dans le district de Sebba:
http://www.coverage-monitoring.org/wp-content/uploads/2014/05/RAPPORT-SQUEAC-SEBBA.pdf
","","","","","","","International Committee of the Red Cross (ICRC)","","","","","","","","","","","","","","","Bilateral and donor agencies and lenders","European Commission Humanitarian Aid & Civil Protection (ECHO)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","23213","","Management of severe acute malnutrition","","","","SAM child","Enfants de 6 à 59 mois","District de Sebba","Primary health care center","","Le cadre approprié pour la prise en charge de la malnutrition aiguë modérée est constitué des Centres de Santé et de Promotion Sociale (CSPS), des Centres Médicaux avec Antenne Chirurgicale (CMA) ou tout autre structure menant des activités de supplémentation alimentaire. En période d’urgence des Centres de Supplémentation Nutritionnelle (CSN) pourront être ouverts à cet effet.
Le cadre approprié de la prise en charge de la malnutrition sévère est le centre de récupération et d’éducation nutritionnelle (CREN). Son rôle principal est le traitement de la malnutrition sévère et l’éducation des familles en matière de nutrition. Là où il n’existe pas de CREN, les CSPS doivent assurer une prise en charge en externe des cas adaptés à ce mode de traitement.
","La SQUEAC c´est une évaluation semi‐quantitative parce que combinant des données quantitatives et qualitatives:
Données quantitatives: données de routine (admissions, abandons, indicateurs de performance) et données collectées (cas couverts et cas non couverts) au cours d’enquêtes sur petites et grandes zones.
Données qualitatives: informations (opinions, connaissances sur la malnutrition, connaissances du programme de PEC, perception de la malnutrition, recours aux soins, facteurs limitant la PEC…) collectées auprès la communauté, des acteurs et bénéficiaires impliqués dans le service.
","Une investigation de la couverture du programme de prise en charge de la MAS dans le district a été conduite du 1 au 20 novembre 2013 en utilisant la méthodologie « Semi Quantitative Evaluation of Access and Coverage » (SQUEAC). L´outil SQUEAC permet d´assurer à moindre coût un monitoring régulier des programmes et d´identifier les zones de couverture faible ou élevée ainsi que les raisons expliquant ces situations. L’ensemble de ces informations permet de planifier des actions spécifiques et concrètes dans le but d’améliorer la couverture des programmes concernés.
La méthodologie SQUEAC se compose de trois étapes principales:
L’étape 1 consiste à identifier les zones de couverture élevée ou faible et des barrières à l’accessibilité
L’étape 2 permet de vérifier des hypothèses sur les zones de couverture faible ou élevée au moyen d’enquêtes sur petites zones
L’étape 3 permet d’estimer la couverture globale à travers la construction d’un « a priori » (basé sur les barrières et les boosters), de l’Évidence Vraisemblable et d’un « post priori » basé sur la recherche de cas.
Points forts:
- Les ASC / AV sont actifs avec leurs activités
- Le CSPS est le premier recours aux soins
- Il existe une bonne connaissance et une appréciation du traitement ATPE.
Barrières à l’accessibilité des soins qui limitent la couverture:
- La distance et l’inaccessibilité géographique des certains villages, surtout en saison des pluies.
- La qualité de la prise en charge de la Malnutrition Aigüe Sévère au niveau CSPS : Pas de dépistage systématique aux cours des consultations, temps d’attente trop long, manque de communication entre les AS et les mères concernant le traitement, mauvais accueil au CSPS.
- Manque de connaissance de la malnutrition et du programme : les mères voient que l’enfant est malade mais ne savent pas de quelle maladie l’enfant souffre ni pourquoi. Elles vont au CSPS car c’est là où elles soignent les enfants malades mais pas parce qu’elles connaissent le programme.
ACF a démarré en mars 2011 un programme d’appui au district sanitaire de Danané pour la mise en oeuvre de la PCIMA. Ce programme, débuté dans le cadre de la crise humanitaire consécutive aux violences post-électorales dans l’Ouest de la Côte d’Ivoire, est progressivement passé d’un mode opératoire de «substitution» - justifié par les importants dysfonctionnements du système de santé au plus fort de la crise – à un accent mis sur l’intégration de la prise en charge dans le système de santé existant.
","Ce programme a été identifié par le biais du projet «Coverage Monitoring Network» (CMN). Le projet CMN est une initiative inter-agence qui vise à accroître et d'améliorer le suivi de la couverture de la gestion communautaire de la malnutrition aiguë (CMAM) programmes à l'échelle mondiale, et renforce les capacités des professionnels nationaux et internationaux de la nutrition. Sa vocation est de fournir un support technique et des outils aux programmes de PCMA afin de les aider à évaluer leur impact, de partager et capitaliser les leçons apprises sur les facteurs influençant leur performance. Le projet met l'accent sur le renforcement des compétences en méthodologie SQUEAC et SLEAC. Il est mis en œuvre par un consortium dirigé par ACF International, et comprend Save the Children, Concern Worldwide, International Medical Corps, Helen Keller International et Valid International. Le projet est financé par la Commission européenne, Direction générale de l'aide humanitaire et de la protection civile (ECHO) et le Bureau du Foreign Disaster Assistance des États-Unis (OFDA) de l'USAID. Pour en savoir plus, s'il vous plaît visitez le site Web de la CMN à
http://www.coverage-monitoring.org/
Veuillez suivre le lien ci-dessous pour accéder au rapport complet du CMN sur la couverture du projet PCMA dans le district de Danané:
http://www.coverage-monitoring.org/wp-content/uploads/2013/02/Ivory_Coats_Danan%C3%A9_Nov_2012.pdf
","","","","","","","Action Against Hunger (AAH) / Action contre la faim (ACF)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","23231","","Management of severe acute malnutrition","","","","SAM child","Enfants de 6 à 59 mois","District de Danané","Primary health care center","","Ce programme, initié pendant la période de post-crise immédiate, a d’abord été mis en oeuvre dans 6 aires sanitaires pour la prise en charge des cas MAS en ambulatoire et au niveau de l’hôpital de Danané pour la prise en charge des cas MAS avec complications au niveau de l’UNT. Le programme a ensuite été progressivement étendu jusqu’à couvrir la totalité des aires sanitaires du district (17 structures de santé).
","La SQUEAC c´est une évaluation semi‐quantitative parce que combinant des données quantitatives et qualitatives:
Données quantitatives: données de routine (admissions, abandons, indicateurs de performance) et données collectées (cas couverts et cas non couverts) au cours d’enquêtes sur petites et grandes zones.
Données qualitatives: informations (opinions, connaissances sur la malnutrition, connaissances du programme de PEC, perception de la malnutrition, recours aux soins, facteurs limitant la PEC…) collectées auprès la communauté, des acteurs et bénéficiaires impliqués dans le service.
Une investigation de la couverture du programme de prise en charge de la MAS dans le district a été conduite du 06 au 29 novembre 2012 en utilisant la méthodologie «Semi Quantitative Evaluation of Access and Coverage» (SQUEAC). L´outil SQUEAC permet d´assurer à moindre coût un monitoring régulier des programmes et d´identifier les zones de couverture faible ou élevée ainsi que les raisons expliquant ces situations. L’ensemble de ces informations permet de planifier des actions spécifiques et concrètes dans le but d’améliorer la couverture des programmes concernés.
La méthodologie SQUEAC se compose de trois étapes principales:
L’étape 1 consiste à identifier les zones de couverture élevée ou faible et des barrières à l’accessibilité
L’étape 2 permet de vérifier des hypothèses sur les zones de couverture faible ou élevée au moyen d’enquêtes sur petites zones
L’étape 3 permet d’estimer la couverture globale à travers la construction d’un «a priori» (basé sur les barrières et les boosters), de l’Évidence Vraisemblable et d’un « post priori » basé sur la recherche de cas.
Au total, cette faible couverture est le reflet de l’impact particulièrement négatif des ruptures en intrants nutritionnels sur l’accessibilité au service. Outre le défaut de prise en charge des cas MAS admis dans le programme, les ruptures d’ATPE répétées et prolongées contribuent en effet à renforcer l’effet des autres barrières à l’accessibilité telles que la distance et les difficultés d’accès géographique, l’indisponibilité des mères pendant la période des travaux agricoles, ainsi que la barrière financière liée aux coûts de transport et aux éventuels frais liés à une consultation. Au niveau des structures de santé, l’absence d’intrants ne permet pas aux agents d’assurer une prise en charge adéquate des cas MAS, entraînant des insuffisances dans la qualité de la prise en charge et une démotivation des agents (sous-notification des abandons, quantité d’ATPE délivrée non adéquate, relâchement ou suspension des activités de dépistage passif).
Le faible niveau de couverture est également à mettre en lien avec la transition difficile entre le dispositif d’appui renforcé mis en oeuvre par ACF pendant la période de post-crise immédiate et l’intégration complète des activités de PCIMA dans le système de santé existant. D’importants moyens ont en effet été déployés lors du démarrage des activités, avec un accent particulier mis sur les activités de sensibilisation et le système de dépistage. Ces efforts ont amélioré la compréhension de la malnutrition dans la communauté et ont permis de traiter un grand nombre de cas : le programme apparaît aujourd’hui bien connu et très apprécié. Les activités communautaires ont cependant connu un relâchement au cours des derniers mois suite à la diminution des modalités d’appui aux ASC, responsable d’une importante démotivation. L’investigation a par ailleurs révélé l’existence d’insuffisances au niveau du monitoring des activités communautaires, ne permettant pas un bon suivi. L’efficacité du volet communautaire apparaît pourtant particulièrement cruciale dans un contexte encore marqué par une méconnaissance de la maladie et un recours de première intention à la médecine traditionnelle.
","","English" "23234","ACF programme communautaire: Prise en Charge de la Malnutrition Aiguë dans le district de Toulepleu","English","Community/sub-national","","CIV","Côte d'Ivoire","Toulepleu, cote d'ivoire","Rural","on-going","05-2011","","A la suite de Danané et Zouan Hounien, ACF a démarré en mai 2011 un programme d’appui au district sanitaire de Toulepleu pour la mise en oeuvre de la PCIMA. Le programme, démarré sous forme d’équipes d’ Unité Nutritionnelle Thérapeutique Ambulatoire (UNTA) mobiles, est progressivement passé d’un mode opératoire de «substitution» - justifié par les importants dysfonctionnements du système de santé au plus fort de la crise – à un accent mis sur l’intégration de la prise en charge dans le système de santé existant.
","Ce programme a été identifié par le biais du projet «Coverage Monitoring Network» (CMN). Le projet CMN est une initiative inter-agence qui vise à accroître et d'améliorer le suivi de la couverture de la gestion communautaire de la malnutrition aiguë (CMAM) programmes à l'échelle mondiale, et renforce les capacités des professionnels nationaux et internationaux de la nutrition. Sa vocation est de fournir un support technique et des outils aux programmes de PCMA afin de les aider à évaluer leur impact, de partager et capitaliser les leçons apprises sur les facteurs influençant leur performance. Le projet met l'accent sur le renforcement des compétences en méthodologie SQUEAC et SLEAC. Il est mis en œuvre par un consortium dirigé par ACF International, et comprend Save the Children, Concern Worldwide, International Medical Corps, Helen Keller International et Valid International. Le projet est financé par la Commission européenne, Direction générale de l'aide humanitaire et de la protection civile (ECHO) et le Bureau du Foreign Disaster Assistance des États-Unis (OFDA) de l'USAID. Pour en savoir plus, s'il vous plaît visitez le site Web de la CMN à
http://www.coverage-monitoring.org/
Veuillez suivre le lien ci-dessous pour accéder au rapport complet du CMN sur la couverture du projet PCMA dans le district de Toulepleu:
http://www.coverage-monitoring.org/wp-content/uploads/2013/02/SQUEAC_Rapport_Toulepleu_RCI_2012.pdf
","","","","","","","Action Against Hunger (AAH) / Action contre la faim (ACF)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","23233","","Management of severe acute malnutrition","","","","SAM child","Enfants de 6 à 59 mois","District de Toulepleu","Community-based|Primary health care center","","Les cas MAS sans complications sont pris en charge en UNTA au niveau des 8 Etablissement Sanitaire de Premier Contact (ESPC). Une UNT a été ouverte récemment (en octobre) au sein de l’hôpital général pour la prise en charge des cas MAS avec complications, qui jusqu’alors devaient être transférés vers l’UNT de Zouan Hounien. Les intrants thérapeutiques sont fournis par l’UNICEF. Un volet Centre de Nutrition Supplémentaire (CNS) existe également dans les 8 ESPC pour la prise en charge des cas de malnutrition aigüe modérée (MAM), appuyé par le PAM. Outre le support aux structures de santé, ACF a également développé des activités à base communautaire: celles-ci ont pour but de dépister et référer les cas de malnutrition aigüe et de diffuser des messages de sensibilisation et de prévention.
","La SQUEAC c´est une évaluation semi‐quantitative parce que combinant des données quantitatives et qualitatives:
Données quantitatives: données de routine (admissions, abandons, indicateurs de performance) et données collectées (cas couverts et cas non couverts) au cours d’enquêtes sur petites et grandes zones.
Données qualitatives: informations (opinions, connaissances sur la malnutrition, connaissances du programme de PEC, perception de la malnutrition, recours aux soins, facteurs limitant la PEC…) collectées auprès la communauté, des acteurs et bénéficiaires impliqués dans le service.
Une investigation de la couverture du programme de prise en charge de la MAS dans le district a été conduite du 6 au 19 novembre 2012 en utilisant la méthodologie « Semi Quantitative Evaluation of Access and Coverage » (SQUEAC). L´outil SQUEAC permet d´assurer à moindre coût un monitoring régulier des programmes et d´identifier les zones de couverture faible ou élevée ainsi que les raisons expliquant ces situations. L’ensemble de ces informations permet de planifier des actions spécifiques et concrètes dans le but d’améliorer la couverture des programmes concernés.
La méthodologie SQUEAC se compose de trois étapes principales:
L’étape 1 consiste à identifier les zones de couverture élevée ou faible et des barrières à l’accessibilité
L’étape 2 permet de vérifier des hypothèses sur les zones de couverture faible ou élevée au moyen d’enquêtes sur petites zones
L’étape 3 permet d’estimer la couverture globale à travers la construction d’un « a priori » (basé sur les barrières et les boosters), de l’Évidence Vraisemblable et d’un « post priori » basé sur la recherche de cas.
Other lessons learnt
La régularité de l’approvisionnement en ATPE et l’impact du volet communautaire ont ainsi été relevés parmi les facteurs ayant favorisé une bonne accessibilité.
Malgré des constats encourageants, la couverture est apparue plombée par un certain nombre de barrières. Il s’agit notamment :
- au niveau district et central, de l’insuffisance de la clarification des critères d’entrée et de sortie du programme, de la faible supervision des activités des centres de santé et du volet communautaire ;
- au niveau des structures de santé, du manque d’implication du personnel de santé pour les activités de nutrition tant au niveau des centres de santé que dans les communautés de l’aire de santé, ce qui se traduit par un recrutement des cas non optimal ;
- au niveau communautaire, des contraintes financières, des longues distances à parcourir pour se rendre au centre de santé, l’enclavement de certains villages et campements et enfin de l’insécurité chronique dans la zone ;
Dans le contexte actuel de pérennisation des activités de PCIMA, la question d’une plus grande implication du personnel de santé et celui du renforcement du volet communautaire constituent des enjeux essentiels en vue d’une amélioration de la couverture et de l’accessibilité au traitement.
","","English" "23236","ACF programme communautaire: Prise en Charge de la Malnutrition Aiguë dans le district de Zouan Hounien","English","Community/sub-national","","CIV","Côte d'Ivoire","Zouan Hounien","Rural","on-going","04-2011","","Suite aux résultats de l’enquête nutritionnelle SMART de 2010 faisant état d’une situation préoccupante dans la région de l’Ouest, ACF a démarré en avril 2011 un programme d’appui au district sanitaire de Zouan Hounien pour la mise en oeuvre de la PCIMA dans l’ensemble du district. Ce programme, initié pendant la période de post-crise immédiate, a d’abord été mis en oeuvre dans 7 aires sanitaires pour la prise en charge des cas MAS en ambulatoire en UNTA et au niveau de l’hôpital de Zouan Hounien où une UNT a été créée. Le programme a ensuite été progressivement étendu jusqu’à couvrir la totalité des aires sanitaires du district (15 structures de santé).
","Ce programme a été identifié par le biais du projet «Coverage Monitoring Network» (CMN). Le projet CMN est une initiative inter-agence qui vise à accroître et d'améliorer le suivi de la couverture de la gestion communautaire de la malnutrition aiguë (CMAM) programmes à l'échelle mondiale, et renforce les capacités des professionnels nationaux et internationaux de la nutrition. Sa vocation est de fournir un support technique et des outils aux programmes de PCMA afin de les aider à évaluer leur impact, de partager et capitaliser les leçons apprises sur les facteurs influençant leur performance. Le projet met l'accent sur le renforcement des compétences en méthodologie SQUEAC et SLEAC. Il est mis en œuvre par un consortium dirigé par ACF International, et comprend Save the Children, Concern Worldwide, International Medical Corps, Helen Keller International et Valid International. Le projet est financé par la Commission européenne, Direction générale de l'aide humanitaire et de la protection civile (ECHO) et le Bureau du Foreign Disaster Assistance des États-Unis (OFDA) de l'USAID. Pour en savoir plus, s'il vous plaît visitez le site Web de la CMN à
http://www.coverage-monitoring.org/.
Veuillez suivre le lien ci-dessous pour accéder au rapport complet du CMN sur la couverture du projet PCMA dans le district de Zouan Hounien:
","","","","","","","","","","","","","","","","","","","","","","International NGOs","Action Against Hunger (AAH) / Action contre la faim (ACF)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","23235","","Management of severe acute malnutrition","","","","SAM child","Enfants de 6 à 59 mois","District de Zouan Hounien","Primary health care center","","Ce programme a d’abord été mis en oeuvre dans 7 aires sanitaires pour la prise en charge des cas MAS en ambulatoire en UNTA et au niveau de l’hôpital de Zouan Hounien où une UNT a été créée. Le programme a ensuite été progressivement étendu jusqu’à couvrir la totalité des aires sanitaires (15) du district.
","La SQUEAC c´est une évaluation semi‐quantitative parce que combinant des données quantitatives et qualitatives:
Données quantitatives: données de routine (admissions, abandons, indicateurs de performance) et données collectées (cas couverts et cas non couverts) au cours d’enquêtes sur petites et grandes zones.
Données qualitatives: informations (opinions, connaissances sur la malnutrition, connaissances du programme de PEC, perception de la malnutrition, recours aux soins, facteurs limitant la PEC…) collectées auprès la communauté, des acteurs et bénéficiaires impliqués dans le service.
Une investigation de la couverture du programme de prise en charge de la MAS dans le district a été conduite du 15 novembre au 7 décembre 2012 en utilisant la méthodologie «Semi Quantitative Evaluation of Access and Coverage» (SQUEAC). L´outil SQUEAC permet d´assurer à moindre coût un monitoring régulier des programmes et d´identifier les zones de couverture faible ou élevée ainsi que les raisons expliquant ces situations. L’ensemble de ces informations permet de planifier des actions spécifiques et concrètes dans le but d’améliorer la couverture des programmes concernés.
La méthodologie SQUEAC se compose de trois étapes principales:
L’étape 1 consiste à identifier les zones de couverture élevée ou faible et des barrières à l’accessibilité
L’étape 2 permet de vérifier des hypothèses sur les zones de couverture faible ou élevée au moyen d’enquêtes sur petites zones
L’étape 3 permet d’estimer la couverture globale à travers la construction d’un « a priori » (basé sur les barrières et les boosters), de l’Évidence Vraisemblable et d’un « post priori » basé sur la recherche de cas.
Cette faible couverture est à mettre en lien avec une méconnaissance des signes de malnutrition et un recours de première intention au traitement traditionnel, responsables d’un recours tardif au traitement. Cette situation apparaît favorisée par la barrière financière que représente l’accès aux soins en dépit du système de gratuité ciblée, et par les faiblesses du volet communautaire. La régularité et le suivi des activités de dépistage apparaissent en effet insuffisants et ont été affectés par la baisse des indemnités financières octroyées aux ASC.
Le faible niveau de couverture reflète également l’impact très négatif des ruptures récurrentes en intrants nutritionnels qu’a connu le district au cours des derniers mois: au-delà des conséquences sur les abandons, les ruptures participent en effet à une démotivation des acteurs impliqués dans les activités de PCIMA et à une baisse de la qualité de prise en charge.
Outre ces barrières à l’accessibilité communes à l’ensemble du district, l’implication de la population dans les activités d’exploitation artisanale de l’or est ressortie comme un frein supplémentaire à l’accessibilité dans les zones concernées, caractérisées par une couverture plus faible.
L’importance de ces barrières et le faible niveau de couverture ne doivent cependant pas faire oublier les efforts considérables mis en oeuvre par les différents acteurs pour la mise en oeuvre des activités de PCIMA, tant au niveau communautaire que sur le plan de la prise en charge dans les structures de santé. Dans le contexte actuel de pérennisation des activités de PCIMA, il apparaît aujourd’hui primordial d’entreprendre des mesures correctrices afin de consolider les acquis et améliorer la couverture et l’accessibilité au traitement pour les malnutris.
Action Contre la Faim Espagne (ACF-E) met en place un programme de renforcement des capacités de prise en charge de la malnutrition aiguë dans tout le cercle sanitaire de Kita depuis juillet 2012 (une partie seulement du cercle était couvert depuis 2011). La prise en charge de la malnutrition aigüe sur Kita se fait au niveau du CSRef (Centre de santé de référence, situé à Kita) pour les enfants MAS avec complications (en URENI), au niveau des CScom (centres de santé communautaires) pour les enfants MAS sans complications (en URENAS) et MAM (en URENAM). Il est aussi à noter que des Agents de santé communautaire (65) ont été formés en 2012 au dépistage et à la prise en charge de la MAM.
ACF-E supporte techniquement et logistiquement les autorités sanitaires pour le dépistage et la PEC de la malnutrition aigüe sur toutes les aires de santé fonctionnelles du cercle de Kita à travers 2 projets: un financé par ECHO depuis 2012 (35 CScom) et un autre nommé PASAN, financé par AECID depuis 2011 (6 CScom8) et pour lequel ACF-E est en appui à une ONG nationale (Stop Sahel).
","Ce programme a été identifié par le biais du projet «Coverage Monitoring Network» (CMN). Le projet CMN est une initiative inter-agence qui vise à accroître et d'améliorer le suivi de la couverture de la gestion communautaire de la malnutrition aiguë (CMAM) programmes à l'échelle mondiale, et renforce les capacités des professionnels nationaux et internationaux de la nutrition. Sa vocation est de fournir un support technique et des outils aux programmes de PCMA afin de les aider à évaluer leur impact, de partager et capitaliser les leçons apprises sur les facteurs influençant leur performance. Le projet met l'accent sur le renforcement des compétences en méthodologie SQUEAC et SLEAC. Il est mis en œuvre par un consortium dirigé par ACF International, et comprend Save the Children, Concern Worldwide, International Medical Corps, Helen Keller International et Valid International. Le projet est financé par la Commission européenne, Direction générale de l'aide humanitaire et de la protection civile (ECHO) et le Bureau du Foreign Disaster Assistance des États-Unis (OFDA) de l'USAID. Pour en savoir plus, s'il vous plaît visitez le site Web de la CMN à
http://www.coverage-monitoring.org/
Veuillez suivre le lien ci-dessous pour accéder au rapport complet du CMN sur la couverture du projet PCMA dans le district de Kita:
","","","","","","","Action Against Hunger (AAH) / Action contre la faim (ACF)","","","","","","","","","","","","","","","Bilateral and donor agencies and lenders","European Commission Humanitarian Aid & Civil Protection (ECHO)","Spanish Agency for International Development Cooperation (AECID)","Bilateral and donor agencies and lenders","Other","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","23243","","Management of severe acute malnutrition","","","","SAM child","Enfants de 6 à 59 mois","District de Kita","Primary health care center","","Le District sanitaire de Kita est constitué de 46 aires de santé. 3 sont toujours considérés comme non fonctionnelles6 (Kolé, Niantasso, Sanko). L’aire de santé de Sibikily vient d’être dotée en personnel et ACF-E leur a fait une formation sur la PEC de la malnutrition aigüe.
","La SQUEAC c´est une évaluation semi‐quantitative parce que combinant des données quantitatives et qualitatives:
Données quantitatives: données de routine (admissions, abandons, indicateurs de performance) et données collectées (cas couverts et cas non couverts) au cours d’enquêtes sur petites et grandes zones.
Données qualitatives: informations (opinions, connaissances sur la malnutrition, connaissances du programme de PEC, perception de la malnutrition, recours aux soins, facteurs limitant la PEC…) collectées auprès la communauté, des acteurs et bénéficiaires impliqués dans le service.
Une investigation de la couverture du programme de prise en charge de la MAS dans le district a été conduite en decembre 2013 en utilisant la méthodologie « Semi Quantitative Evaluation of Access and Coverage » (SQUEAC). Une première évaluation de la couverture du programme nutritionnel a été menée en mars 2013 et montrait des taux de couverture actuelle de 24,9% [IC95% : 14,5%-39,2%]. L´outil SQUEAC permet d´assurer à moindre coût un monitoring régulier des programmes et d’identifier les zones de couverture faible ou élevée ainsi que les raisons expliquant ces situations. L’ensemble de ces informations permet de planifier des actions spécifiques et concrètes dans le but d’améliorer la couverture des programmes concernés.
La méthodologie SQUEAC se compose de trois étapes principales:
L’étape 1 consiste à identifier les zones de couverture élevée ou faible et des barrières à l’accessibilité
L’étape 2 permet de vérifier des hypothèses sur les zones de couverture faible ou élevée au moyen d’enquêtes sur petites zones
L’étape 3 permet d’estimer la couverture globale à travers la construction d’un « a priori » (basé sur les barrières et les boosters), de l’Évidence Vraisemblable et d’un « post priori » basé sur la recherche de cas.
Au total, cette investigation met en avant le besoin de poursuivre le travail entrepris par les équipes d’ACF-E en collaboration avec les autorités sanitaires, le personnel des CScom et les relais communautaires. L’implication des ASC dans la PEC de la MAS est à envisager.
L’hypothèse d’hétérogénéité de la couverture a été confirmée, avec des zones de plus haute couverture dans les villages proches des CScom (<5kms) où des RC mènent des activités de dépistage et de sensibilisation et des zones de plus faible couverture dans les villages éloignés des CScom, d’autant plus si peu de dépistage des enfants malnutris aigus est effectué.
En octobre 2012, Helen Keller International (HKI) a entreprit de mettre en oeuvre le programme de renforcement des activités de prévention et de prise en charge de la malnutrition aigüe à assise communautaire dans le district sanitaire de Koutiala, dans la région de Sikasso. Les deux axes principaux du programme de HKI sont le renforcement des capacités des prestataires sanitaires dans 40 Centre de Santé Communautaire (CSCom) du district et la mobilisation communautaire dans 18 aires de santé. Le but du projet étant de renforcer les compétences des prestataires sanitaires et communautaires pour la prévention, et le traitement de la malnutrition aigüe.
","Ce programme a été identifié par le biais du projet «Coverage Monitoring Network» (CMN). Le projet CMN est une initiative inter-agence qui vise à accroître et d'améliorer le suivi de la couverture de la gestion communautaire de la malnutrition aiguë (CMAM) programmes à l'échelle mondiale, et renforce les capacités des professionnels nationaux et internationaux de la nutrition. Sa vocation est de fournir un support technique et des outils aux programmes de PCMA afin de les aider à évaluer leur impact, de partager et capitaliser les leçons apprises sur les facteurs influençant leur performance. Le projet met l'accent sur le renforcement des compétences en méthodologie SQUEAC et SLEAC. Il est mis en œuvre par un consortium dirigé par ACF International, et comprend Save the Children, Concern Worldwide, International Medical Corps, Helen Keller International et Valid International. Le projet est financé par la Commission européenne, Direction générale de l'aide humanitaire et de la protection civile (ECHO) et le Bureau du Foreign Disaster Assistance des États-Unis (OFDA) de l'USAID. Pour en savoir plus, s'il vous plaît visitez le site Web de la CMN à
http://www.coverage-monitoring.org/
Veuillez suivre le lien ci-dessous pour accéder au rapport complet du CMN sur la couverture du projet PCMA dans le district de Koutiala:
http://www.coverage-monitoring.org/wp-content/uploads/2014/01/Rapport-SQ...
","","","","","","","Helen Keller International (HKI)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","23245","","Management of severe acute malnutrition","","","","SAM child","Enfants de 6 à 59 mois","District de Koutiala","Community-based|Primary health care center","","Le but du projet étant de renforcer les compétences des prestataires sanitaires et communautaires pour la prévention, et le traitement de la malnutrition aigüe en faisant les actions suivantes:
- Formations des prestataires sur le protocole national de la PECIMA qui n’ont pas bénéficiés des dernières formations.
- Formation des prestataires à communiquer avec les mères des enfants sur les bonnes pratiques nutritionnelles à travers la promotion des Actions Essentielles en Nutrition.
- Formation sur le social BCC (Négociation pour le changement de comportement).
- Supervision formative au niveau des CSCom pour maintenir la qualité des services PECIMA offerts.
- Supervision formative Groupes de Mères dans le dépistage des enfants dans les communautés et la référence des cas vers les CSCom.
A Koutiala ces activités se sont traduites par:
- La formation sur le protocole National de 41 agents des CSCom et formation de 122 autres sur les Actions essentielles en nutrition et la communication.
- La supervision formative dans au moins 18 CSCom par mois cela depuis février 2013.
- La formation de 216 membres de groupes de mères pour le dépistage et la référence des enfants souffrant de malnutrition aigüe. Les groupes de mères ont à leur tour organisé des sessions de sensibilisation auxquelles 4687 mères ayant des enfants de moins de 5 ans ont participé.
- Les actions du projet ont aussi porté sur l’organisation de réunions de monitorage des activités PECMA regroupant tous les DTC (Directeur technique de Centre de santé) et l’équipe cadre du district. Au cours de ces réunions, en plus du monitorage, des sessions de formations sur les principales lacunes identifiées par le superviseur et sur les rapports furent tenues
Des réunions communautaires dans les CSCom ayant des groupes de mères ont été organisées dans 18 CSCom. Les principaux responsables des aires de santé ont participé à ces réunions, dont l’un des objectifs était de présenter le travail des membres des groupes de mères et solliciter l’appui des responsables des aires de santé dans la mobilisation communautaire pour le dépistage et la référence des cas de malnutrition aigüe.
","La SQUEAC c´est une évaluation semi‐quantitative parce que combinant des données quantitatives et qualitatives:
Données quantitatives: données de routine (admissions, abandons, indicateurs de performance) et données collectées (cas couverts et cas non couverts) au cours d’enquêtes sur petites et grandes zones.
Données qualitatives: informations (opinions, connaissances sur la malnutrition, connaissances du programme de PEC, perception de la malnutrition, recours aux soins, facteurs limitant la PEC…) collectées auprès la communauté, des acteurs et bénéficiaires impliqués dans le service.
Une investigation de la couverture du programme de prise en charge de la MAS dans le district a été conduite du 24 novembre au 8 décembre 2013en utilisant la méthodologie « Semi Quantitative Evaluation of Access and Coverage » (SQUEAC). L´outil SQUEAC permet d´assurer à moindre coût un monitoring régulier des programmes et d’identifier les zones de couverture faible ou élevée ainsi que les raisons expliquant ces situations. L’ensemble de ces informations permet de planifier des actions spécifiques et concrètes dans le but d’améliorer la couverture des programmes concernés.
La méthodologie SQUEAC se compose de trois étapes principales:
L’étape 1 consiste à identifier les zones de couverture élevée ou faible et des barrières à l’accessibilité
L’étape 2 permet de vérifier des hypothèses sur les zones de couverture faible ou élevée au moyen d’enquêtes sur petites zones
L’étape 3 permet d’estimer la couverture globale à travers la construction d’un « a priori » (basé sur les barrières et les boosters), de l’Évidence Vraisemblable et d’un « post priori » basé sur la recherche de cas.
La méconnaissance de la malnutrition a été ressortie comme première barrière a l’accès aux soins au cours des trois étapes de l´investigation malgré le nombre très élevé de cas de MAS dans le district. Ni les signes de la maladie -spécialement du Kwashiorkor- ni les causes ne sont identifiés. La manque de connaissance sur des aspects de prévention de la malnutrition est en lien avec l’insuffisance de sensibilisation et de communication pour le changement de comportement en matière de pratique de l’alimentation du nourrisson et du jeune enfant, un des points fondamentaux du programme nutrition de HKI.
Le dépistage n´est pas suffisant ni fait de façon routinière: il n´y a pas un dépistage actif régulier dans la communauté, seulement il est fait pendant la campagne de masse, même s´il y a des relais communautaires dans le village. Les GM sont plus actives mais les occupations les empêchent de le faire pendant tout l´année. Au niveau des structures de santé, le dépistage passif des enfants qui arrivent aux CSCom n´est pas systématique dans la plupart des centres. Les activités de dépistage sont essentielles compte tenu la sévérité de l´état des cas admis dans le programme, bien soit par la non reconnaissance de la maladie ou par des autres raisons soulevées comme l´utilisation de la médicine traditionnelle, la distance, les occupations des mères ou le manque de moyens financières. Le suivi des GM et les réunions périodiques avec les leaders communautaires sont essentiels pour diminuer les barrières à la couverture au niveau communautaire.
La problématique des abandons du programme, élevés et précoces, semble être en lien avec divers aspects du service qu´influencent l´opinion des bénéficiaires comme les très communs ruptures d´intrants - même si en termes d´intrants nutritionnelles les ruptures sont plus fréquentes pour le traitement des cas modérés (PPS), la population ne connait pas la différence entre les deux produits (le nom en langue local est le même). En fait la communication au niveau de l´URENAS entre le personnel et les mères est très faible. L´information sur la maladie, le traitement et le fonctionnement du service donnée aux accompagnants des enfants MAS est presque inexistante même quand le temps d´attente est souvent longue. Tous ces aspects appréciés par la communauté et liés à la qualité du service doivent être pris en compte sans oublier les autres faiblesses plus techniques identifiées, comme le non-respect du protocole et la sous notification des abandons, qu’influencent aussi la couverture.
Le programme santé/nutrition IRC (International Rescue Committee) appui le district sanitaire de Ménaka dans la prise en charge de la malnutrition aigüe (modère et sévère) chez les enfants de 6-59 mois. Ce programme a démarré effective en octobre 2013 et a été mis en oeuvre dans 11 aires de santé de 3 communes (Ménaka, Andeboukane et Alata) du district. Il soutient les activités nutritionnelles dans les centres fonctionnels.
","Ce programme a été identifié par le biais du projet «Coverage Monitoring Network» (CMN). Le projet CMN est une initiative inter-agence qui vise à accroître et d'améliorer le suivi de la couverture de la gestion communautaire de la malnutrition aiguë (CMAM) programmes à l'échelle mondiale, et renforce les capacités des professionnels nationaux et internationaux de la nutrition. Sa vocation est de fournir un support technique et des outils aux programmes de PCMA afin de les aider à évaluer leur impact, de partager et capitaliser les leçons apprises sur les facteurs influençant leur performance. Le projet met l'accent sur le renforcement des compétences en méthodologie SQUEAC et SLEAC. Il est mis en œuvre par un consortium dirigé par ACF International, et comprend Save the Children, Concern Worldwide, International Medical Corps, Helen Keller International et Valid International. Le projet est financé par la Commission européenne, Direction générale de l'aide humanitaire et de la protection civile (ECHO) et le Bureau du Foreign Disaster Assistance des États-Unis (OFDA) de l'USAID. Pour en savoir plus, s'il vous plaît visitez le site Web de la CMN à
http://www.coverage-monitoring.org/
Veuillez suivre le lien ci-dessous pour accéder au rapport complet du CMN sur la couverture du projet PCMA dans le district de Ménaka:
http://www.coverage-monitoring.org/wp-content/uploads/2014/05/Rapport-SQUEAC_M%C3%A9naka_VF1.pdf
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","23247","","Management of severe acute malnutrition","","","","SAM child","Enfants de 6 à 59 mois","District de Ménaka","Primary health care center","","Ce programme PECIMA appuie 5 centres de santé communautaires (CSCom) fonctionnels et 6 aires non-fonctionnelles à travers des cliniques mobiles pour la pris en charge ambulatoire des enfants MAS/MAM (URENAS/URENAM) et pour administrer les soins primaires à la population.
Les autorités sanitaires et leaders communautaires sont parties prenantes dans la mise en oeuvre et le suivi des activités programmées á traves divers rencontres organisées. Ce partenariat est matérialise par une convention signé par IRC, le District sanitaire et le président de l’ASACO.
Le programme s’articule autour des stratégies suivantes:
- Les CSCom bénéficient d’un appui en ressources humaines qualifiées, en matériel et intrants pour assurer une prise en charge de la malnutrition aigüe gratuite et de qualité en respectant les protocoles au Mali. Les activités sont suivies par un Médecin Superviseur et appuyé par un Infirmier Polyvalent en charge de la réception et stockage des médicaments, et de l’approvisionnement des CSCom et des équipes mobiles - les médicaments sont commandés à l’UNICEF intrants nécessaires á la prise en charge de la MAS; pour la MAM, les commandes d’intrants sont faites au PAM. Certaines réhabilitations au niveau des structures sanitaires appuyées ont et réalisées afin d’améliorer le circuit des patients et les conditions de travail/d’accueil.
- Référencement au CSRef de Ménaka des enfants présentant les complications lors du suivi. Apres stabilisation, ces enfants sont ramenés dans leurs CSCom d’origine pour poursuivre leurs traitements en ambulatoire. Le transport aller-retour est assuré par IRC.
- Dépistage systématique de tous les enfants consultant les structures sanitaires appuyées par IRC est fait par le périmètre brachial, le Z-score et la recherche des oedèmes.
- Un réseau de relais communautaires est mis en place au niveau des 5 CSCom en collaboration avec les leaders communautaires et l’équipe du CSCom. Ces relais communautaires sont formés sur la sensibilisation, le dépistage de la malnutrition aigüe et référencement des cas suspects (jaune/rouge/oedème). Les relais sont supervisés par 2 Officiers Activités Communautaires qui organisent le planning des campagnes de dépistage, des messages de sensibilisation en fonction des problèmes rencontrés et tiennent des réunions mensuelles pour la planification des activités.
La SQUEAC c´est une évaluation semi‐quantitative parce que combinant des données quantitatives et qualitatives:
Données quantitatives: données de routine (admissions, abandons, indicateurs de performance) et données collectées (cas couverts et cas non couverts) au cours d’enquêtes sur petites et grandes zones.
Données qualitatives: informations (opinions, connaissances sur la malnutrition, connaissances du programme de PEC, perception de la malnutrition, recours aux soins, facteurs limitant la PEC…) collectées auprès la communauté, des acteurs et bénéficiaires impliqués dans le service.
Une investigation de la couverture du programme de prise en charge de la MAS dans le district a été conduite du du 14 mars au 9 avril 2014 en utilisant la méthodologie «Semi Quantitative Evaluation of Access and Coverage» (SQUEAC). L´outil SQUEAC permet d´assurer à moindre coût un monitoring régulier des programmes et d’identifier les zones de couverture faible ou élevée ainsi que les raisons expliquant ces situations. L’ensemble de ces informations permet de planifier des actions spécifiques et concrètes dans le but d’améliorer la couverture des programmes concernés.
La méthodologie SQUEAC se compose de trois étapes principales:
L’étape 1 consiste à identifier les zones de couverture élevée ou faible et des barrières à l’accessibilité
L’étape 2 permet de vérifier des hypothèses sur les zones de couverture faible ou élevée au moyen d’enquêtes sur petites zones
L’étape 3 permet d’estimer la couverture globale à travers la construction d’un « a priori » (basé sur les barrières et les boosters), de l’Évidence Vraisemblable et d’un « post priori » basé sur la recherche de cas.
Les barrières identifiées lors de l´étude ont soulevé les faiblesses du volet communautaire du programme PECIMA d´IRC. Le manque total de relais communautaires dans les aires de santé non-fonctionnelles et l´insuffisance d´activité, tant sur le plan du dépistage que de la sensibilisation, sont déterminants pour diminuer des barrières comme la méconnaissance du programme et de la malnutrition et palier le recours tardive aux soins des enfants.
La distance, avec toutes les facteurs liés comme le temps, le cout et la disponibilité de moyens pour se déplacer, c´est une barrière qui ressorti dans les aires de santé fonctionnelles. Mais également, dans les aires où les cliniques mobiles se déplacent, les communautés sont éloignés entre eux et avec un difficile accès ce qui fait que les équipes n´arrivent à toutes les zones et donc les populations doivent se déplacer.
Au niveau de la prise en charge, les barrières comme les ruptures d´intrants ainsi que certaines déficiences dans l´application du protocole, qui certainement ont un impact direct sur la couverture du programme, ont été soulevés. Le dépistage passive n´est pas systématique pour les enfants en consultation et par rapport aux enfants qui sont admis dans le programme, le suivi de cas au niveau individuel, surtout des cas problématiques comme des absences et abandons est presque inexistant. Finalement, il faut remarquer l´importance du suivi au niveau programme: assurer la qualité des données pour pouvoir faire un monitorage de routine des indicateurs.
","","French" "23250","IRC programme communautaire: Prise en Charge de la Malnutrition Aiguë dans le district de Nara","English","Community/sub-national","","MLI","Mali","Nara, Mali","Rural","on-going","09-2013","","L´IRC (International Rescue Committee) a démarré en septembre 2013 un programme d´appui au district sanitaire que comprends, entre autres activités, la prise en charge de la malnutrition aigüe sévère. Ce programme PECIMA a été mis en oeuvre dans 10 aires de santé fonctionnelles de 8 communes du district.
","Ce programme a été identifié par le biais du projet «Coverage Monitoring Network» (CMN). Le projet CMN est une initiative inter-agence qui vise à accroître et d'améliorer le suivi de la couverture de la gestion communautaire de la malnutrition aiguë (CMAM) programmes à l'échelle mondiale, et renforce les capacités des professionnels nationaux et internationaux de la nutrition. Sa vocation est de fournir un support technique et des outils aux programmes de PCMA afin de les aider à évaluer leur impact, de partager et capitaliser les leçons apprises sur les facteurs influençant leur performance. Le projet met l'accent sur le renforcement des compétences en méthodologie SQUEAC et SLEAC. Il est mis en œuvre par un consortium dirigé par ACF International, et comprend Save the Children, Concern Worldwide, International Medical Corps, Helen Keller International et Valid International. Le projet est financé par la Commission européenne, Direction générale de l'aide humanitaire et de la protection civile (ECHO) et le Bureau du Foreign Disaster Assistance des États-Unis (OFDA) de l'USAID. Pour en savoir plus, s'il vous plaît visitez le site Web de la CMN à
http://www.coverage-monitoring.org/
Veuillez suivre le lien ci-dessous pour accéder au rapport complet du CMN sur la couverture du projet PCMA dans le district de Nara:
http://www.coverage-monitoring.org/wp-content/uploads/2014/05/Rapport-SQUEAC_Nara_VF1.pdf
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","23249","","Management of severe acute malnutrition","","","","SAM child","Enfants de 6 à 59 mois","District de Nara","Primary health care center","","Le programme à Nara s’articule autour des stratégies suivantes:
- Gratuité des soins dans les CSCom: Assurer une gratuite de soins chez les enfants de moins de 5 ans souffrant de MAS. Les CSCom bénéficient d’un appui en ressources humaines (équipe mobile qui passe dans les CSCom selon le jour d’affluence (Foire/Marché hebdomadaire): une fois par CSCom par semaine), en matériel et intrants pour assurer de façon optimale les activités de prise en charge en respectant le protocole national du Mali. Aussi la réhabilitation des espaces d’accueil dans les CSCom appuyés afin de faciliter la réalisation des activités, suivies par le Médecin Superviseur.
- Référence et contre référence des cas compliqués: Les enfants présentant des complications lors du suivi sont référés au CSRéf de Nara pour une meilleure prise en charge. Après la stabilisation, ces enfants retournent dans leur CSCom d’origine pour poursuivre leur traitement. Le transport aller-retour de ces patients est assuré par IRC.
- Dépistage systématique au niveau des CSCom: Tous les enfants consultés dans les structures sanitaires appuyées par IRC bénéficient d’un dépistage systématique fait par le Périmètre brachial, le Z score et la recherche des oedèmes.
- Renforcement du volet communautaire: Le dépistage de la malnutrition aigüe, la reference des cas, la sensibilisation, la recherche des absents et des abandons sont des activités développées par lesanimateurs communautaires du projet en synergie avec les agents terrain du partenaire local CSPEEDA et les relais communautaires. Le réseau de relais communautaires est mis en place au niveau
La SQUEAC c´est une évaluation semi‐quantitative parce que combinant des données quantitatives et qualitatives:
Données quantitatives: données de routine (admissions, abandons, indicateurs de performance) et données collectées (cas couverts et cas non couverts) au cours d’enquêtes sur petites et grandes zones.
Données qualitatives: informations (opinions, connaissances sur la malnutrition, connaissances du programme de PEC, perception de la malnutrition, recours aux soins, facteurs limitant la PEC…) collectées auprès la communauté, des acteurs et bénéficiaires impliqués dans le service.
Une investigation de la couverture du programme de prise en charge de la MAS dans le district a été conduite du du 14 mars au 3 avril 2014 en utilisant la méthodologie «Semi Quantitative Evaluation of Access and Coverage» (SQUEAC). L´outil SQUEAC permet d´assurer à moindre coût un monitoring régulier des programmes et d’identifier les zones de couverture faible ou élevée ainsi que les raisons expliquant ces situations. L’ensemble de ces informations permet de planifier des actions spécifiques et concrètes dans le but d’améliorer la couverture des programmes concernés.
La méthodologie SQUEAC se compose de trois étapes principales:
L’étape 1 consiste à identifier les zones de couverture élevée ou faible et des barrières à l’accessibilité
L’étape 2 permet de vérifier des hypothèses sur les zones de couverture faible ou élevée au moyen d’enquêtes sur petites zones
L’étape 3 permet d’estimer la couverture globale à travers la construction d’un « a priori » (basé sur les barrières et les boosters), de l’Évidence Vraisemblable et d’un « post priori » basé sur la recherche de cas.
Les barrières identifiées auprès de l´étude ont soulevées les faiblesses du volet communautaire du programme PECIMA d´IRC. La méconnaissance de la malnutrition, en termes de non reconnaissance des signes ainsi que des causes ou conséquences de la maladie, c´est une barrière qu´a ressorti auprès de toutes les étapes de l´investigation et ce qui semble gagner de l’importance dans les zones plus éloignés des CSCom, comme a été constaté à travers l’enquête dans les petites zones. La méconnaissance du programme est beaucoup ressortie, mais uniquement dans les zones plus distantes. En effet, dans le contexte de Nara, la distance n´est pas seulement une barrière essentielle à l’accès pour les bénéficiaires (mais aussi pour le programme: les activités de sensibilisation et de dépistage, que sont déjà globalement insuffisantes –ni continus ni régulières ni à niveau communautaire ni des CSCom- sont Presque inexistants dans les aires reculées.
Ces barrières que contribuent à la présentation tardive des admissions expliquent la sévérité des cas qu´arrivent aux centres ainsi que le faible niveau de couverture, et sont en plus augmentés par autres aspects déficitaires de la prise en charge (application correcte du protocole) et du suivi: suivi de cas au niveau individuel (des absences, recherche des abandons) et au niveau programme (qualité des données, monitorage des indicateurs de routine).
","","English" "23252","IMC programme communautaire: Prise en Charge de la Malnutrition Aiguë dans le district de Amdam","French","Community/sub-national","","TCD","Chad","Sila, Chad","Rural","on-going","07-2010","","L’histoire de la PCIMA dans le district d’Amdam avait commencé avec l’arrivée de MSF-Hollande, Septembre 2007 avec un programme de soins de santé primaire (consultation curative, CPN), nutrition sous clinique mobile et appui en personnel à l’hôpital du district. En 2010, avec l’appui d’ECHO, International Medical Corps redémarrera la PCIMA avec 16 sites et depuis Novembre 2012 jusqu'à nos jours, le district compte actuellement 19 sites de prise en charge CNA/CNS et 1 centre de stabilisation à l’hôpital du District. Parmi les 19 sites CNA/CNS, 3 sont fixes et 16 cliniques mobiles.
","Ce programme a été identifié par le biais du projet «Coverage Monitoring Network» (CMN). Le projet CMN est une initiative inter-agence qui vise à accroître et d'améliorer le suivi de la couverture de la gestion communautaire de la malnutrition aiguë (CMAM) programmes à l'échelle mondiale, et renforce les capacités des professionnels nationaux et internationaux de la nutrition. Sa vocation est de fournir un support technique et des outils aux programmes de PCMA afin de les aider à évaluer leur impact, de partager et capitaliser les leçons apprises sur les facteurs influençant leur performance. Le projet met l'accent sur le renforcement des compétences en méthodologie SQUEAC et SLEAC. Il est mis en œuvre par un consortium dirigé par ACF International, et comprend Save the Children, Concern Worldwide, International Medical Corps, Helen Keller International et Valid International. Le projet est financé par la Commission européenne, Direction générale de l'aide humanitaire et de la protection civile (ECHO) et le Bureau du Foreign Disaster Assistance des États-Unis (OFDA) de l'USAID. Pour en savoir plus, s'il vous plaît visitez le site Web de la CMN à
http://www.coverage-monitoring.org/.
Veuillez suivre le lien ci-dessous pour accéder au rapport complet du CMN sur la couverture du projet PCMA dans le district de Amdam:
","","","","","","","","","","","","","","","","","","","","","","Bilateral and donor agencies and lenders","European Commission Humanitarian Aid & Civil Protection (ECHO)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","23251","","Management of severe acute malnutrition","","","","SAM child","Enfants de 6 à 59 mois","District de Amdam","Community-based|Primary health care center","","Le District d’Amdam compte 4 zones de responsabilité et selon les possibilités du financement International Medical Corps était en mesure de mettre en oeuvre son programme de nutrition dans toutes les zones de responsabilité d’Amdam avec 2 CNA fixes et 11 cliniques mobiles (des Juillet 2010 jusqu’en Octobre 2012) Depuis Novembre le réseau de clinique mobile a été augmentée avec l’ouverture de 6 nouveaux sites, ce qui donne un total de 16 cliniques mobiles et 3 CNA fixe sur l’ensemble du District.
","La SQUEAC c´est une évaluation semi‐quantitative parce que combinant des données quantitatives et qualitatives:
Données quantitatives: données de routine (admissions, abandons, indicateurs de performance) et données collectées (cas couverts et cas non couverts) au cours d’enquêtes sur petites et grandes zones.
Données qualitatives: informations (opinions, connaissances sur la malnutrition, connaissances du programme de PEC, perception de la malnutrition, recours aux soins, facteurs limitant la PEC…) collectées auprès la communauté, des acteurs et bénéficiaires impliqués dans le service.
Une investigation de la couverture du programme de prise en charge de la MAS dans le district a été conduite du du 14 mars au 3 avril 2014 en utilisant la méthodologie «Semi Quantitative Evaluation of Access and Coverage» (SQUEAC). Une première enquête utilisant la méthodologie SQUEAC était réalisée par International Medical Corps en Avril 2012 et avait trouvé un taux de couverture de 34%. L´outil SQUEAC permet d´assurer à moindre coût un monitoring régulier des programmes et d’identifier les zones de couverture faible ou élevée ainsi que les raisons expliquant ces situations. L’ensemble de ces informations permet de planifier des actions spécifiques et concrètes dans le but d’améliorer la couverture des programmes concernés.
La méthodologie SQUEAC se compose de trois étapes principales:
L’étape 1 consiste à identifier les zones de couverture élevée ou faible et des barrières à l’accessibilité
L’étape 2 permet de vérifier des hypothèses sur les zones de couverture faible ou élevée au moyen d’enquêtes sur petites zones
L’étape 3 permet d’estimer la couverture globale à travers la construction d’un « a priori » (basé sur les barrières et les boosters), de l’Évidence Vraisemblable et d’un « post priori » basé sur la recherche de cas.
Certaines insuffisances ont été identifiées lors de cette enquête notamment l’insuffisance d’engagement du personnel soignant du Ministère de la sante travaillant dans les centres de santé fonctionnels pour le succès du programme. Ceux-ci nous ont semblé considérer le programme de Nutrition comme étant une affaire des ONG. Le travail mené par les relais communautaires nécessite un suivi rapproché bien qu’il y a nécessité d’augmenter leur nombre il faut d’abord encadrer ceux qui existent déjà afin d’améliorer leur performance dans le travail.
Il y a une certaine adéquation entre les tendances des admissions et le calendrier saisonnier. Ce qui signifierait que le programme répond d’une manière ou d’une autre aux besoins mais cela est à prendre avec réserve parce qu’étant donné que l’hypothèse de la distance et l’inaccessibilité font partie des barrières majeures au programme il y a lieu de penser que ces tendances d’admissions traduiraient juste une indication sur la réalité.
L’amélioration de la sensibilisation communautaire à travers une augmentation du nombre des relais communautaires, l’augmentation de sites dans les villages lointains ainsi que le renforcement de la clinique mobile surtout dans les zones éloignées: Teleguey et Koutoufare constituent pour le moment des solutions incontournables pour l’amélioration de la couverture nutritionnelle dans le district d’Amdam.
","","French" "23254","IMC programme communautaire: Prise en Charge de la Malnutrition Aiguë dans le district de Iriba","French","Community/sub-national","","TCD","Chad","Iriba, Chad","Rural","on-going","07-2010","","L’histoire du PCIMA dans le district d’Iriba a débuté avec l’arrivée des réfugiés Soudanais en 2004. Il était mis en oeuvre par les humanitaires dans les centres de santé des camps d’Amnaback, Touloum et Iridimi. Depuis Juillet 2010, en plus des centres nutritionnels des camps, International Medical Corps avait ouvert pour la population hôte 1 CNS et CNA fixe dans le centre de santé d’Iriba ainsi que 20 sites CNA et CNS de clinique mobile dans la zone de responsabilité d’Iriba soit dans un rayon d’environ 25 km autour de la ville d’Iriba depuis. A partir d’octobre 2012, International Medical Corps a élargi son rayon d’action dans le district d’Iriba couvrant 13 zones de responsabilité dont 5 fonctionnelles et 8 non fonctionnelles sous le financement ECHO.
","Ce programme a été identifié par le biais du projet «Coverage Monitoring Network» (CMN). Le projet CMN est une initiative inter-agence qui vise à accroître et d'améliorer le suivi de la couverture de la gestion communautaire de la malnutrition aiguë (CMAM) programmes à l'échelle mondiale, et renforce les capacités des professionnels nationaux et internationaux de la nutrition. Sa vocation est de fournir un support technique et des outils aux programmes de PCMA afin de les aider à évaluer leur impact, de partager et capitaliser les leçons apprises sur les facteurs influençant leur performance. Le projet met l'accent sur le renforcement des compétences en méthodologie SQUEAC et SLEAC. Il est mis en œuvre par un consortium dirigé par ACF International, et comprend Save the Children, Concern Worldwide, International Medical Corps, Helen Keller International et Valid International. Le projet est financé par la Commission européenne, Direction générale de l'aide humanitaire et de la protection civile (ECHO) et le Bureau du Foreign Disaster Assistance des États-Unis (OFDA) de l'USAID. Pour en savoir plus, s'il vous plaît visitez le site Web de la CMN à
http://www.coverage-monitoring.org/.
Veuillez suivre le lien ci-dessous pour accéder au rapport complet du CMN sur la couverture du projet PCMA dans le district de Iriba:
","","","","","","","","","","","","","","","","","","","","","","Bilateral and donor agencies and lenders","European Commission Humanitarian Aid & Civil Protection (ECHO)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","23253","","Management of severe acute malnutrition","","","","SAM child","Enfants de 6 à 59 mois","District de Iriba","Community-based|Primary health care center","","Le District d’Iriba compte 22 zones de responsabilité et selon les possibilités du financement International Medical Corps n’était en mesure de mettre en oeuvre son programme de nutrition que dans la seule zone de responsabilité d’Iriba et ses environs soit dans un rayon de plus ou moins 25 km autour de la ville d’Iriba depuis Juillet 2010 jusqu’en Octobre 2012 à travers un CNA fixe et des sites de cliniques mobiles. Depuis Octobre 2012, le programme a commencé à être étendu vers toutes les zones de responsabilité du District.
","La SQUEAC c´est une évaluation semi‐quantitative parce que combinant des données quantitatives et qualitatives:
Données quantitatives: données de routine (admissions, abandons, indicateurs de performance) et données collectées (cas couverts et cas non couverts) au cours d’enquêtes sur petites et grandes zones.
Données qualitatives: informations (opinions, connaissances sur la malnutrition, connaissances du programme de PEC, perception de la malnutrition, recours aux soins, facteurs limitant la PEC…) collectées auprès la communauté, des acteurs et bénéficiaires impliqués dans le service.
Une investigation de la couverture du programme de prise en charge de la MAS dans le district a été conduite du du 14 mars au 3 avril 2014 en utilisant la méthodologie «Semi Quantitative Evaluation of Access and Coverage» (SQUEAC). Une première enquête utilisant la méthodologie SQUEAC était réalisée par International Medical Corps en Avril 2012 et avait trouvé un taux de couverture de 36%. L´outil SQUEAC permet d´assurer à moindre coût un monitoring régulier des programmes et d’identifier les zones de couverture faible ou élevée ainsi que les raisons expliquant ces situations. L’ensemble de ces informations permet de planifier des actions spécifiques et concrètes dans le but d’améliorer la couverture des programmes concernés.
La méthodologie SQUEAC se compose de trois étapes principales:
L’étape 1 consiste à identifier les zones de couverture élevée ou faible et des barrières à l’accessibilité
L’étape 2 permet de vérifier des hypothèses sur les zones de couverture faible ou élevée au moyen d’enquêtes sur petites zones
L’étape 3 permet d’estimer la couverture globale à travers la construction d’un « a priori » (basé sur les barrières et les boosters), de l’Évidence Vraisemblable et d’un « post priori » basé sur la recherche de cas.
Certaines insuffisances ont été identifiées lors de cette enquête notamment l’insuffisance d’engagement du personnel soignant du Ministère de la sante travaillant dans les centres de santé fonctionnels pour le succès du programme. Celui-ci nous a semblé considérer le programme de Nutrition comme étant une affaire des ONG. Le travail mené par les relais communautaires nécessite un suivi rapproché bien qu’il y a nécessité d’augmenter leur nombre il faut d’abord encadrer ceux qui existent déjà afin d’améliorer leur performance dans le travail. Une certaine négligence dans la complétude des fiches individuelles des cas était relevée notamment le non enregistrement systématique des villages d’origine ainsi que la mesure du périmètre Brachial des enfants.
Il y a une certaine adéquation entre les tendances des admissions et le calendrier saisonnier. Ce qui signifierait que le programme répond d’une manière ou d’une autre aux besoins mais cela est prendre avec réserve parce qu’étant donné que l’hypothèse de la distance et l’inaccessibilité font partie des barrières majeures au programme il y a lieu de penser que ces tendances d’admissions ne traduiraient pas la réalité.
L’amélioration de la sensibilisation communautaire à travers une augmentation du nombre des relais communautaires ainsi que la mise en oeuvre de la stratégie de cliniques mobiles surtout dans les zones non fonctionnelles constituent pour le moment des solutions incontournables pour l’amélioration de la couverture nutritionnelle dans le district d’Iriba.
","","French" "33410","GNPR 2016-2017: Prevention and management of acute malnutrition (q39)","English","Other","","BLZ","Belize","Belize","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to the prevention and treatment of acute malnutrition. More actions and programmes be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","33411","","Management of severe acute malnutrition","","","","SAM child","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "33412","GNPR 2016-2017: Prevention and management of acute malnutrition (q39)","English","Other","","BRN","Brunei Darussalam","Brunei Darussalam","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to the prevention and treatment of acute malnutrition. More actions and programmes be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","33413","","Management of severe acute malnutrition","","","","SAM child","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "33414","GNPR 2016-2017: Prevention and management of acute malnutrition (q39)","English","Other","","BWA","Botswana","Botswana","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to the prevention and treatment of acute malnutrition. More actions and programmes be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","33415","","Management of severe acute malnutrition","","","","SAM child","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "33416","GNPR 2016-2017: Prevention and management of acute malnutrition (q39)","English","Other","","CIV","Côte d'Ivoire","Cote d'Ivoire","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to the prevention and treatment of acute malnutrition. More actions and programmes be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","33417","","Management of severe acute malnutrition","","","","SAM child","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "33418","GNPR 2016-2017: Prevention and management of acute malnutrition (q39)","English","Other","","CMR","Cameroon","Cameroon","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to the prevention and treatment of acute malnutrition. More actions and programmes be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","33419","","Management of severe acute malnutrition","","","","SAM child","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "33420","GNPR 2016-2017: Prevention and management of acute malnutrition (q39)","English","Other","","DJI","Djibouti","Djibouti","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to the prevention and treatment of acute malnutrition. More actions and programmes be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","33421","","Management of severe acute malnutrition","","","","SAM child","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "33422","GNPR 2016-2017: Prevention and management of acute malnutrition (q39)","English","Other","","FJI","Fiji","Fiji","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to the prevention and treatment of acute malnutrition. More actions and programmes be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","33423","","Management of severe acute malnutrition","","","","SAM child","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "33424","GNPR 2016-2017: Prevention and management of acute malnutrition (q39)","English","Other","","IRN","Iran (Islamic Republic of)","Iran (Islamic Republic of)","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to the prevention and treatment of acute malnutrition. More actions and programmes be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","33425","","Management of severe acute malnutrition","","","","SAM child","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "33426","GNPR 2016-2017: Prevention and management of acute malnutrition (q39)","English","Other","","MNG","Mongolia","Mongolia","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to the prevention and treatment of acute malnutrition. More actions and programmes be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","33427","","Management of severe acute malnutrition","","","","SAM child","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "33428","GNPR 2016-2017: Prevention and management of acute malnutrition (q39)","English","Other","","MOZ","Mozambique","Mozambique","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to the prevention and treatment of acute malnutrition. More actions and programmes be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","33429","","Management of severe acute malnutrition","","","","SAM child","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "33430","GNPR 2016-2017: Prevention and management of acute malnutrition (q39)","English","Other","","MWI","Malawi","Malawi","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to the prevention and treatment of acute malnutrition. More actions and programmes be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","33431","","Management of severe acute malnutrition","","","","SAM child","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "33432","GNPR 2016-2017: Prevention and management of acute malnutrition (q39)","English","Other","","PRK","Democratic People's Republic of Korea","Democratic People's Republic of Korea","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to the prevention and treatment of acute malnutrition. More actions and programmes be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","33433","","Management of severe acute malnutrition","","","","SAM child","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "33434","GNPR 2016-2017: Prevention and management of acute malnutrition (q39)","English","Other","","SLB","Solomon Islands","Solomon Islands","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to the prevention and treatment of acute malnutrition. More actions and programmes be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","33435","","Management of severe acute malnutrition","","","","SAM child","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "33436","GNPR 2016-2017: Prevention and management of acute malnutrition (q39)","English","Other","","SLV","El Salvador","El Salvador","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to the prevention and treatment of acute malnutrition. More actions and programmes be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","33437","","Management of severe acute malnutrition","","","","SAM child","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "33438","GNPR 2016-2017: Prevention and management of acute malnutrition (q39)","English","Other","","STP","Sao Tome and Principe","Sao Tome and Principe","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to the prevention and treatment of acute malnutrition. More actions and programmes be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","33439","","Management of severe acute malnutrition","","","","SAM child","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "33440","GNPR 2016-2017: Prevention and management of acute malnutrition (q39)","English","Other","","SWE","Sweden","Sweden","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to the prevention and treatment of acute malnutrition. More actions and programmes be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","33441","","Management of severe acute malnutrition","","","","SAM child","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "33442","GNPR 2016-2017: Prevention and management of acute malnutrition (q39)","English","Other","","SYR","Syrian Arab Republic","Syrian Arab Republic","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to the prevention and treatment of acute malnutrition. More actions and programmes be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","33443","","Management of severe acute malnutrition","","","","SAM child","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "33444","GNPR 2016-2017: Prevention and management of acute malnutrition (q39)","English","Other","","TGO","Togo","Togo","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to the prevention and treatment of acute malnutrition. More actions and programmes be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","33445","","Management of severe acute malnutrition","","","","SAM child","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "33446","GNPR 2016-2017: Prevention and management of acute malnutrition (q39)","English","Other","","TJK","Tajikistan","Tajikistan","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to the prevention and treatment of acute malnutrition. More actions and programmes be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","33447","","Management of severe acute malnutrition","","","","SAM child","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "33448","GNPR 2016-2017: Prevention and management of acute malnutrition (q39)","English","Other","","TON","Tonga","Tonga","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to the prevention and treatment of acute malnutrition. More actions and programmes be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","33449","","Management of severe acute malnutrition","","","","SAM child","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "33450","GNPR 2016-2017: Prevention and management of acute malnutrition (q39)","English","Other","","UZB","Uzbekistan","Uzbekistan","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to the prevention and treatment of acute malnutrition. More actions and programmes be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","33451","","Management of severe acute malnutrition","","","","SAM child","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "33452","GNPR 2016-2017: Prevention and management of acute malnutrition (q39)","English","Other","","VEN","Venezuela (Bolivarian Republic of)","Venezuela (Bolivarian Republic of)","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to the prevention and treatment of acute malnutrition. More actions and programmes be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","33453","","Management of severe acute malnutrition","","","","SAM child","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "33454","GNPR 2016-2017: Prevention and management of acute malnutrition (q39)","English","Other","","ZAF","South Africa","South Africa","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to the prevention and treatment of acute malnutrition. More actions and programmes be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","33455","","Management of severe acute malnutrition","","","","SAM child","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "33456","GNPR 2016-2017: Prevention and management of acute malnutrition (q39)","English","Other","","ZWE","Zimbabwe","Zimbabwe","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to the prevention and treatment of acute malnutrition. More actions and programmes be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","33457","","Management of severe acute malnutrition","","","","SAM child","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "33458","GNPR 2016-2017: Prevention and management of acute malnutrition (q39)","English","Other","","GRC","Greece","Greece","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to the prevention and treatment of acute malnutrition. More actions and programmes be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","33459","","Management of severe acute malnutrition","","","","SAM child","","","","","Components of the SAM programme: inpatient treatment.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "33460","GNPR 2016-2017: Prevention and management of acute malnutrition (q39)","English","Other","","LSO","Lesotho","Lesotho","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to the prevention and treatment of acute malnutrition. More actions and programmes be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","33461","","Management of severe acute malnutrition","","","","Adolescents|Adult men and women|Infants and young children|Preschool-age children (Pre-SAC)|SAM child","","","","","Target groups: children 0-5 months with SAM, children 6-59 months with SAM, adolescents, adults. SAM is assessed among children 0-5 months by weight-for-length <-3Z score, bilateral pitting oedema, unable to breastfeed. SAM is assessed among children 6-59 months by weight-for-height or weight-for-length <-3Z score, mid-upper arm circumference (MUAC) <115 mm, bilateral pitting oedema. Components of the SAM programme: inpatient treatment, outpatient treatment. Admission criteria for children 0-5 months with SAM to inpatient care: serious clinical condition or medical complications, recent weight loss or failure to gain weight, ineffective breastfeeding, any bilateral pitting oedema, less than minus 3 SD W/L. Admission criteria for children 6-59 months with SAM to inpatient care: medical complications, severe bilateral pitting oedema, poor appetite and/or breastfeeding problems. Discharge criteria: regained appetite and/or breastfeeding effectively, weight-for-height or weight-for-length ≥ –2 Z-score, MUAC ≥ 125 mm, no bilateral pitting oedema for at least 2 weeks.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "33462","GNPR 2016-2017: Prevention and management of acute malnutrition (q39)","English","Other","","BDI","Burundi","Burundi","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to the prevention and treatment of acute malnutrition. More actions and programmes be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","33463","","Management of severe acute malnutrition","","","","Adolescents|Adult men and women|Infants and young children|Preschool-age children (Pre-SAC)|SAM child","","","","","Target groups: children 0-5 months with SAM, children 6-59 months with SAM, adolescents, adults. SAM is assessed among children 0-5 months by weight-for-length <-3Z score, bilateral pitting oedema, weight loss, inability to suckle. SAM is assessed among children 6-59 months by weight-for-height or weight-for-length <-3Z score, mid-upper arm circumference (MUAC) <115 mm, bilateral pitting oedema, P/T<-3Z. Components of the SAM programme: inpatient treatment, outpatient treatment. Admission criteria for children 0-5 months with SAM to inpatient care: serious clinical condition or medical complications, recent weight loss or failure to gain weight, ineffective breastfeeding, any bilateral pitting oedema. Admission criteria for children 6-59 months with SAM to inpatient care: medical complications, severe bilateral pitting oedema, poor appetite and/or breastfeeding problems. Discharge criteria: regained appetite and/or breastfeeding effectively, weight-for-height or weight-for-length ≥ –2 Z-score, MUAC ≥ 125 mm, no bilateral pitting oedema for at least 2 weeks.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "33464","GNPR 2016-2017: Prevention and management of acute malnutrition (q39)","English","Other","","GMB","Gambia","Gambia","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to the prevention and treatment of acute malnutrition. More actions and programmes be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","33465","","Management of severe acute malnutrition","","","","Adult men and women|Infants and young children|Preschool-age children (Pre-SAC)|SAM child","","","","","Target groups: children 0-5 months with SAM, children 6-59 months with SAM, adults. SAM is assessed among children 0-5 months by weight-for-length <-3Z score, bilateral pitting oedema. SAM is assessed among children 6-59 months by weight-for-height or weight-for-length <-3Z score, mid-upper arm circumference (MUAC) <115 mm, bilateral pitting oedema. Components of the SAM programme: inpatient treatment, outpatient treatment. Admission criteria for children 0-5 months with SAM to inpatient care: serious clinical condition or medical complications, recent weight loss or failure to gain weight, ineffective breastfeeding, any bilateral pitting oedema. Admission criteria for children 6-59 months with SAM to inpatient care: medical complications, severe bilateral pitting oedema, poor appetite and/or breastfeeding problems. Discharge criteria: regained appetite and/or breastfeeding effectively, weight-for-height or weight-for-length ≥ –2 Z-score, MUAC ≥ 125 mm, no bilateral pitting oedema for at least 2 weeks.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "33466","GNPR 2016-2017: Prevention and management of acute malnutrition (q39)","English","Other","","MDG","Madagascar","Madagascar","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to the prevention and treatment of acute malnutrition. More actions and programmes be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","33467","","Management of severe acute malnutrition","","","","Infants and young children|Preschool-age children (Pre-SAC)|SAM child|School age children (SAC)","","","","","Target groups: children 0-5 months with SAM, children 6-59 months with SAM, children 5-15 years of age. SAM is assessed among children 0-5 months by weight-for-length <-3Z score, bilateral pitting oedema. SAM is assessed among children 6-59 months by weight-for-height or weight-for-length <-3Z score, mid-upper arm circumference (MUAC) <115 mm, bilateral pitting oedema. Components of the SAM programme: inpatient treatment, outpatient treatment. Admission criteria for children 0-5 months with SAM to inpatient care: serious clinical condition or medical complications, ineffective breastfeeding, any bilateral pitting oedema. Admission criteria for children 6-59 months with SAM to inpatient care: medical complications, severe bilateral pitting oedema, poor appetite and/or breastfeeding problems. Discharge criteria: regained appetite and/or breastfeeding effectively, weight-for-height or weight-for-length ≥ –1.5 Z-score, MUAC ≥ 125 mm, no bilateral pitting oedema for at least 2 weeks, 15% weight gain.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "33468","GNPR 2016-2017: Prevention and management of acute malnutrition (q39)","English","Other","","BEN","Benin","Benin","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to the prevention and treatment of acute malnutrition. More actions and programmes be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","33469","","Management of severe acute malnutrition","","","","Adult men and women|Infants and young children|Lactating women (LW)|Pregnant women (PW)|Preschool-age children (Pre-SAC)|SAM child|School age children (SAC)","","","","","Target groups: children 0-5 months with SAM, children 6-59 months with SAM, children 5-18 years of age, adults, pregnant women, lactating women. SAM is assessed among children 0-5 months by weight-for-length <-3Z score, bilateral pitting oedema. SAM is assessed among children 6-59 months by weight-for-height or weight-for-length <-3Z score, mid-upper arm circumference (MUAC) <115 mm, bilateral pitting oedema. Components of the SAM programme: inpatient treatment, outpatient treatment. Admission criteria for children 0-5 months with SAM to inpatient care: serious clinical condition or medical complications, recent weight loss or failure to gain weight, ineffective breastfeeding, any bilateral pitting oedema. Admission criteria for children 6-59 months with SAM to inpatient care: medical complications, severe bilateral pitting oedema, poor appetite and/or breastfeeding problems, weighing less than 3 kg even if more than 6 months. Discharge criteria: weight-for-height or weight-for-length ≥ –1.5 Z-score, no bilateral pitting oedema for at least 2 weeks, W/H >-1.5
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "33470","GNPR 2016-2017: Prevention and management of acute malnutrition (q39)","English","Other","","NER","Niger","Niger","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to the prevention and treatment of acute malnutrition. More actions and programmes be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","33471","","Management of severe acute malnutrition","","","","Adult men and women|Infants and young children|Preschool-age children (Pre-SAC)|SAM child|School age children (SAC)","","","","","Target groups: children 0-5 months with SAM, children 6-59 months with SAM, children 5-18 years of age, adults. SAM is assessed among children 0-5 months by weight-for-length <-3Z score, bilateral pitting oedema. SAM is assessed among children 6-59 months by mid-upper arm circumference (MUAC) <115 mm, bilateral pitting oedema. Components of the SAM programme: inpatient treatment, outpatient treatment. Admission criteria for children 0-5 months with SAM to inpatient care: serious clinical condition or medical complications, recent weight loss or failure to gain weight, ineffective breastfeeding, any bilateral pitting oedema. Admission criteria for children 6-59 months with SAM to inpatient care: medical complications, severe bilateral pitting oedema. Discharge criteria: weight-for-height or weight-for-length ≥ –2 Z-score, MUAC ≥ 125 mm, no bilateral pitting oedema for at least 2 weeks.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "33472","GNPR 2016-2017: Prevention and management of acute malnutrition (q39)","English","Other","","HTI","Haiti","Haiti","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to the prevention and treatment of acute malnutrition. More actions and programmes be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","33473","","Management of severe acute malnutrition","","","","Adult men and women|Infants and young children|Preschool-age children (Pre-SAC)|SAM child|School age children (SAC)","","","","","Target groups: children 0-5 months with SAM, children 6-59 months with SAM, children 6-18 years of age, adults. SAM is assessed among children 0-5 months by weight-for-length <-3Z score, bilateral pitting oedema. SAM is assessed among children 6-59 months by weight-for-height or weight-for-length <-3Z score, mid-upper arm circumference (MUAC) <115 mm, bilateral pitting oedema. Components of the SAM programme: inpatient treatment, outpatient treatment. Admission criteria for children 0-5 months with SAM to inpatient care: serious clinical condition or medical complications, recent weight loss or failure to gain weight, ineffective breastfeeding, any bilateral pitting oedema. Admission criteria for children 6-59 months with SAM to inpatient care: medical complications, severe bilateral pitting oedema, poor appetite and/or breastfeeding problems. Discharge criteria: regained appetite and/or breastfeeding effectively, weight-for-height or weight-for-length ?–1 Z-score, MUAC ≥ 115 mm, no bilateral pitting oedema for at least 2 weeks.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "33474","GNPR 2016-2017: Prevention and management of acute malnutrition (q39)","English","Other","","MRT","Mauritania","Mauritania","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to the prevention and treatment of acute malnutrition. More actions and programmes be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","33475","","Management of severe acute malnutrition","","","","Adult men and women|Infants and young children|Preschool-age children (Pre-SAC)|SAM child|School age children (SAC)","","","","","Target groups: children 0-5 months with SAM, children 6-59 months with SAM, children 8-18 years of age, adults. SAM is assessed among children 0-5 months by weight-for-length <-3Z score, bilateral pitting oedema. SAM is assessed among children 6-59 months by weight-for-height or weight-for-length <-3Z score, mid-upper arm circumference (MUAC) <115 mm, bilateral pitting oedema. Components of the SAM programme: inpatient treatment, outpatient treatment. Admission criteria for children 0-5 months with SAM to inpatient care: serious clinical condition or medical complications, recent weight loss or failure to gain weight, ineffective breastfeeding, any bilateral pitting oedema. Admission criteria for children 6-59 months with SAM to inpatient care: medical complications, severe bilateral pitting oedema, poor appetite and/or breastfeeding problems. Discharge criteria: weight-for-height or weight-for-length ≥ –2 Z-score, MUAC ≥ 125 mm, no bilateral pitting oedema for at least 2 weeks.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "33476","GNPR 2016-2017: Prevention and management of acute malnutrition (q39)","English","Other","","KEN","Kenya","Kenya","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to the prevention and treatment of acute malnutrition. More actions and programmes be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","33477","","Management of severe acute malnutrition","","","","Adult men and women|Infants and young children|Preschool-age children (Pre-SAC)|SAM child|School age children (SAC)","","","","","Target groups: children 0-5 months with SAM, children 6-59 months with SAM, children up to 18 years of age, adults. SAM is assessed among children 0-5 months by weight-for-length <-3Z score, bilateral pitting oedema. SAM is assessed among children 6-59 months by weight-for-height or weight-for-length <-3Z score, mid-upper arm circumference (MUAC) <115 mm, bilateral pitting oedema. Components of the SAM programme: inpatient treatment, outpatient treatment. Admission criteria for children 0-5 months with SAM to inpatient care: serious clinical condition or medical complications, recent weight loss or failure to gain weight, ineffective breastfeeding, any bilateral pitting oedema. Admission criteria for children 6-59 months with SAM to inpatient care: medical complications, severe bilateral pitting oedema, poor appetite and/or breastfeeding problems. Discharge criteria: regained appetite and/or breastfeeding effectively, weight-for-height or weight-for-length ≥ –2 Z-score, MUAC ≥ 115 mm, no bilateral pitting oedema for at least 2 weeks.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "33478","GNPR 2016-2017: Prevention and management of acute malnutrition (q39)","English","Other","","LBR","Liberia","Liberia","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to the prevention and treatment of acute malnutrition. More actions and programmes be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","33479","","Management of severe acute malnutrition","","","","Infants and young children|Preschool-age children (Pre-SAC)|SAM child|School age children (SAC)","","","","","Target groups: children 0-5 months with SAM, children 6-59 months with SAM, children up to 8 years of age. SAM is assessed among children 0-5 months by bilateral pitting oedema. SAM is assessed among children 6-59 months by weight-for-height or weight-for-length <-3Z score, mid-upper arm circumference (MUAC) <115 mm, bilateral pitting oedema. Components of the SAM programme: inpatient treatment, outpatient treatment. Admission criteria for children 0-5 months with SAM to inpatient care: serious clinical condition or medical complications, recent weight loss or failure to gain weight, ineffective breastfeeding, any bilateral pitting oedema. Admission criteria for children 6-59 months with SAM to inpatient care: medical complications, severe bilateral pitting oedema, poor appetite and/or breastfeeding problems. Discharge criteria: regained appetite and/or breastfeeding effectively, weight-for-height or weight-for-length ≥ –1.5 Z-score, MUAC ≥ 125 mm, no bilateral pitting oedema for at least 2 weeks.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "33480","GNPR 2016-2017: Prevention and management of acute malnutrition (q39)","English","Other","","COG","Congo","Congo","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to the prevention and treatment of acute malnutrition. More actions and programmes be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","33481","","Management of severe acute malnutrition","","","","HIV cases|Infants and young children|Lactating women (LW)|Pregnant women (PW)|Preschool-age children (Pre-SAC)|SAM child|TB cases","","","","","Target groups: children 0-5 months with SAM, children 6-59 months with SAM, pregnant women, lactating women, patients with HIV or TB, refugees. SAM is assessed among children 0-5 months by weight-for-length <-3Z score, bilateral pitting oedema. SAM is assessed among children 6-59 months by weight-for-height or weight-for-length <-3Z score, mid-upper arm circumference (MUAC) <115 mm, bilateral pitting oedema. Components of the SAM programme: inpatient treatment, outpatient treatment. Admission criteria for children 0-5 months with SAM to inpatient care: serious clinical condition or medical complications, recent weight loss or failure to gain weight, ineffective breastfeeding, any bilateral pitting oedema. Admission criteria for children 6-59 months with SAM to inpatient care: medical complications, severe bilateral pitting oedema, poor appetite and/or breastfeeding problems, if the caregiver suffers from a major illness or dies so that her replacement asks that the patient be followed in a hospital setting, or she does not wish to take care of the malnourished child or she is unable to do so, presence of one of the criteria of """"treatment failure"""": weight loss during 2 consecutive weighings; weight loss of more than 5% of body weight at any visit; stagnant weight during 3 consecutive weighings; weighing less than 3 kg even if more than 6 months. Discharge criteria: regained appetite and/or breastfeeding effectively, weight-for-height or weight-for-length ≥ –1.5 Z-score, MUAC ≥ 125 mm, no bilateral pitting oedema for at least 2 weeks.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "33482","GNPR 2016-2017: Prevention and management of acute malnutrition (q39)","English","Other","","JAM","Jamaica","Jamaica","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to the prevention and treatment of acute malnutrition. More actions and programmes be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","33483","","Management of severe acute malnutrition","","","","Infants and young children|Preschool-age children (Pre-SAC)|SAM child","","","","","Target groups: children 0-5 months with SAM, children 6-59 months with SAM. SAM is assessed among children 0-5 months by bilateral pitting oedema, other physical signs (moon face, loose skin, old man's face, apathy/lethargy). SAM is assessed among children 6-59 months by bilateral pitting oedema, other physical signs (moon face, loose skin, old man's face, apathy/lethargy). Components of the SAM programme: inpatient treatment, outpatient treatment. Admission criteria for children 0-5 months with SAM to inpatient care: serious clinical condition or medical complications, recent weight loss or failure to gain weight, any bilateral pitting oedema. Admission criteria for children 6-59 months with SAM to inpatient care: medical complications, severe bilateral pitting oedema, poor appetite and/or breastfeeding problems. Discharge criteria: regained appetite and/or breastfeeding effectively, improvement of nutritional status as indicated by Nutrition Officer.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "33484","GNPR 2016-2017: Prevention and management of acute malnutrition (q39)","English","Other","","YEM","Yemen","Yemen","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to the prevention and treatment of acute malnutrition. More actions and programmes be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","33485","","Management of severe acute malnutrition","","","","Infants and young children|Preschool-age children (Pre-SAC)|SAM child","","","","","Target groups: children 0-5 months with SAM, children 6-59 months with SAM. SAM is assessed among children 0-5 months by bilateral pitting oedema, visible wasting. SAM is assessed among children 6-59 months by weight-for-height or weight-for-length <-3Z score, mid-upper arm circumference (MUAC) <115 mm, bilateral pitting oedema. Components of the SAM programme: inpatient treatment, outpatient treatment. Admission criteria for children 0-5 months with SAM to inpatient care: serious clinical condition or medical complications, recent weight loss or failure to gain weight, ineffective breastfeeding, any bilateral pitting oedema. Infants under 6 months with SAM are always admitted to inpatient care. Admission criteria for children 6-59 months with SAM to inpatient care: medical complications, severe bilateral pitting oedema, poor appetite and/or breastfeeding problems. Discharge criteria: no bilateral pitting oedema for at least 2 weeks, 15% weight gain maintained for 2 consecutive visits.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "33486","GNPR 2016-2017: Prevention and management of acute malnutrition (q39)","English","Other","","LAO","Lao People's Democratic Republic","Lao People's Democratic Republic","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to the prevention and treatment of acute malnutrition. More actions and programmes be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","33487","","Management of severe acute malnutrition","","","","Infants and young children|Preschool-age children (Pre-SAC)|SAM child","","","","","Target groups: children 0-5 months with SAM, children 6-59 months with SAM. SAM is assessed among children 0-5 months by bilateral pitting oedema. SAM is assessed among children 6-59 months by mid-upper arm circumference (MUAC) <115 mm, bilateral pitting oedema. Components of the SAM programme: inpatient treatment, outpatient treatment. Admission criteria for children 0-5 months with SAM to inpatient care: serious clinical condition or medical complications, ineffective breastfeeding, any bilateral pitting oedema. Admission criteria for children 6-59 months with SAM to inpatient care: medical complications, severe bilateral pitting oedema, poor appetite and/or breastfeeding problems. Discharge criteria: no bilateral pitting oedema for at least 2 weeks, 20% weight gain maintained for two consecutive visits.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "33488","GNPR 2016-2017: Prevention and management of acute malnutrition (q39)","English","Other","","PAK","Pakistan","Pakistan","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to the prevention and treatment of acute malnutrition. More actions and programmes be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","33489","","Management of severe acute malnutrition","","","","Infants and young children|Preschool-age children (Pre-SAC)|SAM child","","","","","Target groups: children 0-5 months with SAM, children 6-59 months with SAM. SAM is assessed among children 0-5 months by weight-for-length <-3Z score, weight-for-length <-3Z score, bilateral pitting oedema. SAM is assessed among children 6-59 months by mid-upper arm circumference (MUAC) <115 mm, bilateral pitting oedema. Components of the SAM programme: inpatient treatment, outpatient treatment. Admission criteria for children 0-5 months with SAM to inpatient care: serious clinical condition or medical complications, recent weight loss or failure to gain weight, ineffective breastfeeding, any bilateral pitting oedema, No appetite for RUTF. Admission criteria for children 6-59 months with SAM to inpatient care: medical complications, severe bilateral pitting oedema, poor appetite and/or breastfeeding problems. Discharge criteria: regained appetite and/or breastfeeding effectively, MUAC ≥ 115 mm, no bilateral pitting oedema for at least 2 weeks.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "33490","GNPR 2016-2017: Prevention and management of acute malnutrition (q39)","English","Other","","TZA","United Republic of Tanzania","United Republic of Tanzania","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to the prevention and treatment of acute malnutrition. More actions and programmes be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","33491","","Management of severe acute malnutrition","","","","Infants and young children|Preschool-age children (Pre-SAC)|SAM child","","","","","Target groups: children 0-5 months with SAM, children 6-59 months with SAM. SAM is assessed among children 0-5 months by weight-for-length <-3Z score, bilateral pitting oedema, visible signs of wasting. SAM is assessed among children 6-59 months by weight-for-height or weight-for-length <-3Z score, mid-upper arm circumference (MUAC) <115 mm, bilateral pitting oedema. Components of the SAM programme: inpatient treatment, outpatient treatment, community outreach. Admission criteria for children 0-5 months with SAM to inpatient care: serious clinical condition or medical complications, recent weight loss or failure to gain weight, ineffective breastfeeding. Admission criteria for children 6-59 months with SAM to inpatient care: medical complications, severe bilateral pitting oedema, poor appetite and/or breastfeeding problems. Discharge criteria: regained appetite and/or breastfeeding effectively, weight-for-height or weight-for-length ≥ –2 Z-score, MUAC ≥ 125 mm, no bilateral pitting oedema for at least 2 weeks.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "33492","GNPR 2016-2017: Prevention and management of acute malnutrition (q39)","English","Other","","KHM","Cambodia","Cambodia","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to the prevention and treatment of acute malnutrition. More actions and programmes be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","33493","","Management of severe acute malnutrition","","","","Infants and young children|Preschool-age children (Pre-SAC)|SAM child","","","","","Target groups: children 0-5 months with SAM, children 6-59 months with SAM. SAM is assessed among children 0-5 months by weight-for-length <-3Z score, bilateral pitting oedema, visible wasting. SAM is assessed among children 6-59 months by weight-for-height or weight-for-length <-3Z score, mid-upper arm circumference (MUAC) <115 mm, bilateral pitting oedema. Components of the SAM programme: inpatient treatment, outpatient treatment. Admission criteria for children 0-5 months with SAM to inpatient care: serious clinical condition or medical complications, recent weight loss or failure to gain weight, ineffective breastfeeding, any bilateral pitting oedema, visible wasting. Admission criteria for children 6-59 months with SAM to inpatient care: medical complications, severe bilateral pitting oedema, poor appetite and/or breastfeeding problems. Discharge criteria: regained appetite and/or breastfeeding effectively, weight-for-height or weight-for-length ≥ –2 Z-score, MUAC ≥ 125 mm, no bilateral pitting oedema for at least 2 weeks, 15% weight gain maintained for 2 consecutive visits.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "33494","GNPR 2016-2017: Prevention and management of acute malnutrition (q39)","English","Other","","MYS","Malaysia","Malaysia","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to the prevention and treatment of acute malnutrition. More actions and programmes be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","33495","","Management of severe acute malnutrition","","","","Infants and young children|Preschool-age children (Pre-SAC)|SAM child","","","","","Target groups: children 0-5 months with SAM, children 6-59 months with SAM. SAM is assessed among children 0-5 months by weight-for-length <-3Z score, bilateral pitting oedema. SAM is assessed among children 6-59 months by weight-for-height or weight-for-length <-3Z score, bilateral pitting oedema. Components of the SAM programme: inpatient treatment, outpatient treatment. Admission criteria for children 0-5 months with SAM to inpatient care: serious clinical condition or medical complications, recent weight loss or failure to gain weight, ineffective breastfeeding, any bilateral pitting oedema. Admission criteria for children 6-59 months with SAM to inpatient care: medical complications, severe bilateral pitting oedema, poor appetite and/or breastfeeding problems. Discharge criteria: regained appetite and/or breastfeeding effectively, weight-for-height or weight-for-length ≥ –2 Z-score, no bilateral pitting oedema for at least 2 weeks, BMI-for-age >-2 Z-score.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "33496","GNPR 2016-2017: Prevention and management of acute malnutrition (q39)","English","Other","","CPV","Cabo Verde","Cape Verde","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to the prevention and treatment of acute malnutrition. More actions and programmes be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","33497","","Management of severe acute malnutrition","","","","Infants and young children|Preschool-age children (Pre-SAC)|SAM child","","","","","Target groups: children 0-5 months with SAM, children 6-59 months with SAM. SAM is assessed among children 0-5 months by weight-for-length <-3Z score, bilateral pitting oedema. SAM is assessed among children 6-59 months by weight-for-height or weight-for-length <-3Z score, bilateral pitting oedema. Components of the SAM programme: inpatient treatment, outpatient treatment. Admission criteria for children 0-5 months with SAM to inpatient care: serious clinical condition or medical complications, recent weight loss or failure to gain weight, ineffective breastfeeding, any bilateral pitting oedema. Admission criteria for children 6-59 months with SAM to inpatient care: medical complications, severe bilateral pitting oedema, poor appetite and/or breastfeeding problems. Discharge criteria: regained appetite and/or breastfeeding effectively, weight-for-height or weight-for-length ≥ –2 Z-score, no bilateral pitting oedema for at least 2 weeks.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "33498","GNPR 2016-2017: Prevention and management of acute malnutrition (q39)","English","Other","","BTN","Bhutan","Bhutan","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to the prevention and treatment of acute malnutrition. More actions and programmes be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","33499","","Management of severe acute malnutrition","","","","Infants and young children|Preschool-age children (Pre-SAC)|SAM child","","","","","Target groups: children 0-5 months with SAM, children 6-59 months with SAM. SAM is assessed among children 0-5 months by weight-for-length <-3Z score, bilateral pitting oedema. SAM is assessed among children 6-59 months by weight-for-height or weight-for-length <-3Z score, bilateral pitting oedema. Components of the SAM programme: inpatient treatment. Admission criteria for children 0-5 months with SAM to inpatient care: serious clinical condition or medical complications, recent weight loss or failure to gain weight, any bilateral pitting oedema. Admission criteria for children 6-59 months with SAM to inpatient care: medical complications, severe bilateral pitting oedema, poor appetite and/or breastfeeding problems. Discharge criteria: regained appetite and/or breastfeeding effectively, weight-for-height or weight-for-length ≥ –2 Z-score.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "33500","GNPR 2016-2017: Prevention and management of acute malnutrition (q39)","English","Other","","IRQ","Iraq","Iraq","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to the prevention and treatment of acute malnutrition. More actions and programmes be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","33501","","Management of severe acute malnutrition","","","","Infants and young children|Preschool-age children (Pre-SAC)|SAM child","","","","","Target groups: children 0-5 months with SAM, children 6-59 months with SAM. SAM is assessed among children 0-5 months by weight-for-length <-3Z score, bilateral pitting oedema. SAM is assessed among children 6-59 months by weight-for-height or weight-for-length <-3Z score, bilateral pitting oedema. Components of the SAM programme: inpatient treatment. Admission criteria for children 0-5 months with SAM to inpatient care: serious clinical condition or medical complications, recent weight loss or failure to gain weight, any bilateral pitting oedema. Admission criteria for children 6-59 months with SAM to inpatient care: medical complications, severe bilateral pitting oedema. Discharge criteria: weight-for-height or weight-for-length ≥ –2 Z-score, no bilateral pitting oedema for at least 2 weeks.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "33502","GNPR 2016-2017: Prevention and management of acute malnutrition (q39)","English","Other","","LKA","Sri Lanka","Sri Lanka","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to the prevention and treatment of acute malnutrition. More actions and programmes be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","33503","","Management of severe acute malnutrition","","","","Infants and young children|Preschool-age children (Pre-SAC)|SAM child","","","","","Target groups: children 0-5 months with SAM, children 6-59 months with SAM. SAM is assessed among children 0-5 months by weight-for-length <-3Z score, bilateral pitting oedema. SAM is assessed among children 6-59 months by weight-for-height or weight-for-length <-3Z score, bilateral pitting oedema. Components of the SAM programme: inpatient treatment. Admission criteria for children 0-5 months with SAM to inpatient care: serious clinical condition or medical complications, recent weight loss or failure to gain weight, ineffective breastfeeding, any bilateral pitting oedema. Admission criteria for children 6-59 months with SAM to inpatient care: medical complications, severe bilateral pitting oedema, poor appetite and/or breastfeeding problems. Discharge criteria: regained appetite and/or breastfeeding effectively, weight-for-height or weight-for-length ≥ –2 Z-score, no bilateral pitting oedema for at least 2 weeks.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "33504","GNPR 2016-2017: Prevention and management of acute malnutrition (q39)","English","Other","","BOL","Bolivia (Plurinational State of)","Bolivia (Plurinational State of)","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to the prevention and treatment of acute malnutrition. More actions and programmes be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","33505","","Management of severe acute malnutrition","","","","Infants and young children|Preschool-age children (Pre-SAC)|SAM child","","","","","Target groups: children 0-5 months with SAM, children 6-59 months with SAM. SAM is assessed among children 0-5 months by weight-for-length <-3Z score, bilateral pitting oedema. SAM is assessed among children 6-59 months by weight-for-height or weight-for-length <-3Z score, bilateral pitting oedema. Components of the SAM programme: inpatient treatment. Discharge criteria: regained appetite and/or breastfeeding effectively, weight-for-height or weight-for-length ≥ –2 Z-score, no bilateral pitting oedema for at least 2 weeks.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "33506","GNPR 2016-2017: Prevention and management of acute malnutrition (q39)","English","Other","","GIN","Guinea","Guinea","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to the prevention and treatment of acute malnutrition. More actions and programmes be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","33507","","Management of severe acute malnutrition","","","","Infants and young children|Preschool-age children (Pre-SAC)|SAM child","","","","","Target groups: children 0-5 months with SAM, children 6-59 months with SAM. SAM is assessed among children 0-5 months by weight-for-length <-3Z score, bilateral pitting oedema. SAM is assessed among children 6-59 months by weight-for-height or weight-for-length <-3Z score, mid-upper arm circumference (MUAC) <115 mm, bilateral pitting oedema, recent weight loss. Components of the SAM programme: inpatient treatment, outpatient treatment. Admission criteria for children 0-5 months with SAM to inpatient care: serious clinical condition or medical complications, recent weight loss or failure to gain weight, ineffective breastfeeding, any bilateral pitting oedema. Admission criteria for children 6-59 months with SAM to inpatient care: medical complications, severe bilateral pitting oedema, poor appetite and/or breastfeeding problems, major illness or death of the caregiver so that their replacement requests that the patient be followed in a hospital setting, or she does not wish to take care of the malnourished child or she is unable to do so, presence of one of the criteria of treatment failure: weight loss during 2 consecutive weighings; weight loss of more than 5% of body weight at any visit; stagnant weight during 3 consecutive weighings; weighing less than 3 kg even if more than 6 months. Discharge criteria: regained appetite and/or breastfeeding effectively, weight-for-height or weight-for-length ≥ –1.5 Z-score, MUAC ≥ 125 mm, no bilateral pitting oedema for at least 2 weeks, weight gain > 15%.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "33508","GNPR 2016-2017: Prevention and management of acute malnutrition (q39)","English","Other","","AFG","Afghanistan","Afghanistan","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to the prevention and treatment of acute malnutrition. More actions and programmes be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","33509","","Management of severe acute malnutrition","","","","Infants and young children|Preschool-age children (Pre-SAC)|SAM child","","","","","Target groups: children 0-5 months with SAM, children 6-59 months with SAM. SAM is assessed among children 0-5 months by weight-for-length <-3Z score, bilateral pitting oedema. SAM is assessed among children 6-59 months by weight-for-height or weight-for-length <-3Z score, mid-upper arm circumference (MUAC) <115 mm, bilateral pitting oedema. Components of the SAM programme: inpatient treatment, outpatient treatment, community outreach. Admission criteria for children 0-5 months with SAM to inpatient care: serious clinical condition or medical complications, ineffective breastfeeding, any bilateral pitting oedema, severe wasting. Admission criteria for children 6-59 months with SAM to inpatient care: medical complications, severe bilateral pitting oedema, poor appetite and/or breastfeeding problems, < 4kg. Discharge criteria: weight-for-height or weight-for-length ≥ –2 Z-score, MUAC ≥ 125 mm, no bilateral pitting oedema for at least 2 weeks.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "33510","GNPR 2016-2017: Prevention and management of acute malnutrition (q39)","English","Other","","VNM","Viet Nam","Viet Nam","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to the prevention and treatment of acute malnutrition. More actions and programmes be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","33511","","Management of severe acute malnutrition","","","","Infants and young children|Preschool-age children (Pre-SAC)|SAM child","","","","","Target groups: children 0-5 months with SAM, children 6-59 months with SAM. SAM is assessed among children 0-5 months by weight-for-length <-3Z score, bilateral pitting oedema. SAM is assessed among children 6-59 months by weight-for-height or weight-for-length <-3Z score, mid-upper arm circumference (MUAC) <115 mm, bilateral pitting oedema. Components of the SAM programme: inpatient treatment, outpatient treatment. Admission criteria for children 0-5 months with SAM to inpatient care: any bilateral pitting oedema, WHZ<-3. Admission criteria for children 6-59 months with SAM to inpatient care: medical complications, severe bilateral pitting oedema, poor appetite and/or breastfeeding problems. Discharge criteria: weight-for-height or weight-for-length ≥ –2 Z-score, MUAC ≥ 125 mm, no bilateral pitting oedema for at least 2 weeks.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "33512","GNPR 2016-2017: Prevention and management of acute malnutrition (q39)","English","Other","","GHA","Ghana","Ghana","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to the prevention and treatment of acute malnutrition. More actions and programmes be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","33513","","Management of severe acute malnutrition","","","","Infants and young children|Preschool-age children (Pre-SAC)|SAM child","","","","","Target groups: children 0-5 months with SAM, children 6-59 months with SAM. SAM is assessed among children 0-5 months by weight-for-length <-3Z score, bilateral pitting oedema. SAM is assessed among children 6-59 months by weight-for-height or weight-for-length <-3Z score, mid-upper arm circumference (MUAC) <115 mm, bilateral pitting oedema. Components of the SAM programme: inpatient treatment, outpatient treatment. Admission criteria for children 0-5 months with SAM to inpatient care: serious clinical condition or medical complications, any bilateral pitting oedema, visible wasting. Admission criteria for children 6-59 months with SAM to inpatient care: medical complications, severe bilateral pitting oedema, poor appetite and/or breastfeeding problems. Discharge criteria: regained appetite and/or breastfeeding effectively, weight-for-height or weight-for-length ≥ –2 Z-score, MUAC ≥ 125 mm, no bilateral pitting oedema for at least 2 weeks, clinically well and alert.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "33514","GNPR 2016-2017: Prevention and management of acute malnutrition (q39)","English","Other","","ZMB","Zambia","Zambia","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to the prevention and treatment of acute malnutrition. More actions and programmes be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","33515","","Management of severe acute malnutrition","","","","Infants and young children|Preschool-age children (Pre-SAC)|SAM child","","","","","Target groups: children 0-5 months with SAM, children 6-59 months with SAM. SAM is assessed among children 0-5 months by weight-for-length <-3Z score, bilateral pitting oedema. SAM is assessed among children 6-59 months by weight-for-height or weight-for-length <-3Z score, mid-upper arm circumference (MUAC) <115 mm, bilateral pitting oedema. Components of the SAM programme: inpatient treatment, outpatient treatment. Admission criteria for children 0-5 months with SAM to inpatient care: serious clinical condition or medical complications, any bilateral pitting oedema. Admission criteria for children 6-59 months with SAM to inpatient care: medical complications, severe bilateral pitting oedema, poor appetite and/or breastfeeding problems. Discharge criteria: weight-for-height or weight-for-length ≥ –2 Z-score, MUAC ≥ 125 mm, no bilateral pitting oedema for at least 2 weeks.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "33516","GNPR 2016-2017: Prevention and management of acute malnutrition (q39)","English","Other","","LBN","Lebanon","Lebanon","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to the prevention and treatment of acute malnutrition. More actions and programmes be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","33517","","Management of severe acute malnutrition","","","","Infants and young children|Preschool-age children (Pre-SAC)|SAM child","","","","","Target groups: children 0-5 months with SAM, children 6-59 months with SAM. SAM is assessed among children 0-5 months by weight-for-length <-3Z score, bilateral pitting oedema. SAM is assessed among children 6-59 months by weight-for-height or weight-for-length <-3Z score, mid-upper arm circumference (MUAC) <115 mm, bilateral pitting oedema. Components of the SAM programme: inpatient treatment, outpatient treatment. Admission criteria for children 0-5 months with SAM to inpatient care: serious clinical condition or medical complications, any bilateral pitting oedema. Admission criteria for children 6-59 months with SAM to inpatient care: medical complications, severe bilateral pitting oedema, poor appetite and/or breastfeeding problems. Discharge criteria: weight-for-height or weight-for-length ≥ –2 Z-score, MUAC ≥ 125 mm.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "33518","GNPR 2016-2017: Prevention and management of acute malnutrition (q39)","English","Other","","PHL","Philippines","Philippines","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to the prevention and treatment of acute malnutrition. More actions and programmes be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","33519","","Management of severe acute malnutrition","","","","Infants and young children|Preschool-age children (Pre-SAC)|SAM child","","","","","Target groups: children 0-5 months with SAM, children 6-59 months with SAM. SAM is assessed among children 0-5 months by weight-for-length <-3Z score, bilateral pitting oedema. SAM is assessed among children 6-59 months by weight-for-height or weight-for-length <-3Z score, mid-upper arm circumference (MUAC) <115 mm, bilateral pitting oedema. Components of the SAM programme: inpatient treatment, outpatient treatment. Admission criteria for children 0-5 months with SAM to inpatient care: serious clinical condition or medical complications, recent weight loss or failure to gain weight, ineffective breastfeeding, any bilateral pitting oedema, depression of the mother/caregiver, or other adverse social circumstances. Admission criteria for children 6-59 months with SAM to inpatient care: medical complications, severe bilateral pitting oedema, poor appetite and/or breastfeeding problems. Discharge criteria: regained appetite and/or breastfeeding effectively, weight-for-height or weight-for-length ≥ –2 Z-score, MUAC ≥ 125 mm, no bilateral pitting oedema for at least 2 weeks.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "33520","GNPR 2016-2017: Prevention and management of acute malnutrition (q39)","English","Other","","PNG","Papua New Guinea","Papua New Guinea","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to the prevention and treatment of acute malnutrition. More actions and programmes be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","33521","","Management of severe acute malnutrition","","","","Infants and young children|Preschool-age children (Pre-SAC)|SAM child","","","","","Target groups: children 0-5 months with SAM, children 6-59 months with SAM. SAM is assessed among children 0-5 months by weight-for-length <-3Z score, bilateral pitting oedema. SAM is assessed among children 6-59 months by weight-for-height or weight-for-length <-3Z score, mid-upper arm circumference (MUAC) <115 mm, bilateral pitting oedema. Components of the SAM programme: inpatient treatment, outpatient treatment. Admission criteria for children 0-5 months with SAM to inpatient care: serious clinical condition or medical complications, recent weight loss or failure to gain weight, ineffective breastfeeding, any bilateral pitting oedema, disability, depression of the caregiver, or other adverse social circumstances. Admission criteria for children 6-59 months with SAM to inpatient care: severe bilateral pitting oedema. Discharge criteria: regained appetite and/or breastfeeding effectively, weight-for-height or weight-for-length ≥ –2 Z-score, MUAC ≥ 125 mm, no bilateral pitting oedema for at least 2 weeks.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "33522","GNPR 2016-2017: Prevention and management of acute malnutrition (q39)","English","Other","","MLI","Mali","Mali","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to the prevention and treatment of acute malnutrition. More actions and programmes be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","33523","","Management of severe acute malnutrition","","","","Infants and young children|Preschool-age children (Pre-SAC)|SAM child","","","","","Target groups: children 0-5 months with SAM, children 6-59 months with SAM. SAM is assessed among children 0-5 months by weight-for-length <-3Z score, bilateral pitting oedema. SAM is assessed among children 6-59 months by weight-for-height or weight-for-length <-3Z score, mid-upper arm circumference (MUAC) <115 mm, bilateral pitting oedema. Components of the SAM programme: inpatient treatment, outpatient treatment. Admission criteria for children 0-5 months with SAM to inpatient care: serious clinical condition or medical complications, recent weight loss or failure to gain weight, ineffective breastfeeding, any bilateral pitting oedema. Admission criteria for children 6-59 months with SAM to inpatient care: medical complications, severe bilateral pitting oedema, poor appetite and/or breastfeeding problems, weighing less than 3 kg even if more than 6 months. Discharge criteria: weight-for-height or weight-for-length ≥ –1.5 Z-score, MUAC ≥ 125 mm, no bilateral pitting oedema for at least 2 weeks.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "33524","GNPR 2016-2017: Prevention and management of acute malnutrition (q39)","English","Other","","SLE","Sierra Leone","Sierra Leone","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to the prevention and treatment of acute malnutrition. More actions and programmes be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","33525","","Management of severe acute malnutrition","","","","Infants and young children|Preschool-age children (Pre-SAC)|SAM child","","","","","Target groups: children 0-5 months with SAM, children 6-59 months with SAM. SAM is assessed among children 0-5 months by weight-for-length <-3Z score, bilateral pitting oedema. SAM is assessed among children 6-59 months by weight-for-height or weight-for-length <-3Z score, mid-upper arm circumference (MUAC) <115 mm, bilateral pitting oedema. Components of the SAM programme: inpatient treatment, outpatient treatment. Admission criteria for children 0-5 months with SAM to inpatient care: serious clinical condition or medical complications, recent weight loss or failure to gain weight, ineffective breastfeeding, any bilateral pitting oedema. Admission criteria for children 6-59 months with SAM to inpatient care: medical complications, severe bilateral pitting oedema, poor appetite and/or breastfeeding problems. Discharge criteria: regained appetite and/or breastfeeding effectively, weight-for-height or weight-for-length ≥ –2 Z-score, MUAC ≥ 125 mm, no bilateral pitting oedema for at least 2 weeks, > -1.5 Z-score for children in districts where there is no MAM programme. RUTF is provided until they are discharged.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "33526","GNPR 2016-2017: Prevention and management of acute malnutrition (q39)","English","Other","","BGD","Bangladesh","Bangladesh","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to the prevention and treatment of acute malnutrition. More actions and programmes be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","33527","","Management of severe acute malnutrition","","","","Infants and young children|Preschool-age children (Pre-SAC)|SAM child","","","","","Target groups: children 0-5 months with SAM, children 6-59 months with SAM. SAM is assessed among children 0-5 months by weight-for-length <-3Z score, bilateral pitting oedema. SAM is assessed among children 6-59 months by weight-for-height or weight-for-length <-3Z score, mid-upper arm circumference (MUAC) <115 mm, bilateral pitting oedema. Components of the SAM programme: inpatient treatment, outpatient treatment. Admission criteria for children 0-5 months with SAM to inpatient care: serious clinical condition or medical complications, recent weight loss or failure to gain weight, ineffective breastfeeding, any bilateral pitting oedema. Admission criteria for children 6-59 months with SAM to inpatient care: medical complications, severe bilateral pitting oedema, poor appetite and/or breastfeeding problems. Discharge criteria: regained appetite and/or breastfeeding effectively, weight-for-height or weight-for-length ≥ –2 Z-score, MUAC ≥ 125 mm, no bilateral pitting oedema for at least 2 weeks, infections have been treated.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "33528","GNPR 2016-2017: Prevention and management of acute malnutrition (q39)","English","Other","","BFA","Burkina Faso","Burkina Faso","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to the prevention and treatment of acute malnutrition. More actions and programmes be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","33529","","Management of severe acute malnutrition","","","","Infants and young children|Preschool-age children (Pre-SAC)|SAM child","","","","","Target groups: children 0-5 months with SAM, children 6-59 months with SAM. SAM is assessed among children 0-5 months by weight-for-length <-3Z score, bilateral pitting oedema. SAM is assessed among children 6-59 months by weight-for-height or weight-for-length <-3Z score, mid-upper arm circumference (MUAC) <115 mm, bilateral pitting oedema. Components of the SAM programme: inpatient treatment, outpatient treatment. Admission criteria for children 0-5 months with SAM to inpatient care: serious clinical condition or medical complications, recent weight loss or failure to gain weight, ineffective breastfeeding, any bilateral pitting oedema. Admission criteria for children 6-59 months with SAM to inpatient care: medical complications, severe bilateral pitting oedema, poor appetite and/or breastfeeding problems. Discharge criteria: regained appetite and/or breastfeeding effectively, weight-for-height or weight-for-length ≥ –2 Z-score, MUAC ≥ 125 mm, no bilateral pitting oedema for at least 2 weeks.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "33530","GNPR 2016-2017: Prevention and management of acute malnutrition (q39)","English","Other","","IDN","Indonesia","Indonesia","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to the prevention and treatment of acute malnutrition. More actions and programmes be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","33531","","Management of severe acute malnutrition","","","","Infants and young children|Preschool-age children (Pre-SAC)|SAM child","","","","","Target groups: children 0-5 months with SAM, children 6-59 months with SAM. SAM is assessed among children 0-5 months by weight-for-length <-3Z score, bilateral pitting oedema. SAM is assessed among children 6-59 months by weight-for-height or weight-for-length <-3Z score, mid-upper arm circumference (MUAC) <115 mm, bilateral pitting oedema. Components of the SAM programme: inpatient treatment, outpatient treatment. Admission criteria for children 0-5 months with SAM to inpatient care: serious clinical condition or medical complications, recent weight loss or failure to gain weight, ineffective breastfeeding, any bilateral pitting oedema. Admission criteria for children 6-59 months with SAM to inpatient care: medical complications, severe bilateral pitting oedema, poor appetite and/or breastfeeding problems. Discharge criteria: regained appetite and/or breastfeeding effectively, weight-for-height or weight-for-length ≥ –2 Z-score, MUAC ≥ 125 mm, no bilateral pitting oedema for at least 2 weeks.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "33532","GNPR 2016-2017: Prevention and management of acute malnutrition (q39)","English","Other","","SDN","Sudan","Sudan","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to the prevention and treatment of acute malnutrition. More actions and programmes be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","33533","","Management of severe acute malnutrition","","","","Infants and young children|Preschool-age children (Pre-SAC)|SAM child","","","","","Target groups: children 0-5 months with SAM, children 6-59 months with SAM. SAM is assessed among children 0-5 months by weight-for-length <-3Z score, bilateral pitting oedema. SAM is assessed among children 6-59 months by weight-for-height or weight-for-length <-3Z score, mid-upper arm circumference (MUAC) <115 mm, bilateral pitting oedema. Components of the SAM programme: inpatient treatment, outpatient treatment. Admission criteria for children 0-5 months with SAM to inpatient care: serious clinical condition or medical complications, recent weight loss or failure to gain weight, ineffective breastfeeding, any bilateral pitting oedema. Admission criteria for children 6-59 months with SAM to inpatient care: medical complications, severe bilateral pitting oedema, poor appetite and/or breastfeeding problems. Discharge criteria: regained appetite and/or breastfeeding effectively, weight-for-height or weight-for-length ≥ –2 Z-score, MUAC ≥ 125 mm, no bilateral pitting oedema for at least 2 weeks.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "33534","GNPR 2016-2017: Prevention and management of acute malnutrition (q39)","English","Other","","SWZ","Eswatini","Eswatini","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to the prevention and treatment of acute malnutrition. More actions and programmes be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","33535","","Management of severe acute malnutrition","","","","Infants and young children|Preschool-age children (Pre-SAC)|SAM child","","","","","Target groups: children 0-5 months with SAM, children 6-59 months with SAM. SAM is assessed among children 0-5 months by weight-for-length <-3Z score, bilateral pitting oedema. SAM is assessed among children 6-59 months by weight-for-height or weight-for-length <-3Z score, mid-upper arm circumference (MUAC) <115 mm, bilateral pitting oedema. Components of the SAM programme: inpatient treatment, outpatient treatment. Admission criteria for children 0-5 months with SAM to inpatient care: serious clinical condition or medical complications, recent weight loss or failure to gain weight, ineffective breastfeeding, any bilateral pitting oedema. Admission criteria for children 6-59 months with SAM to inpatient care: medical complications, severe bilateral pitting oedema, poor appetite and/or breastfeeding problems. Discharge criteria: regained appetite and/or breastfeeding effectively, weight-for-height or weight-for-length ≥ –2 Z-score, MUAC ≥ 125 mm, no bilateral pitting oedema for at least 2 weeks.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "33536","GNPR 2016-2017: Prevention and management of acute malnutrition (q39)","English","Other","","TLS","Timor-Leste","Timor-Leste","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to the prevention and treatment of acute malnutrition. More actions and programmes be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","33537","","Management of severe acute malnutrition","","","","Infants and young children|Preschool-age children (Pre-SAC)|SAM child","","","","","Target groups: children 0-5 months with SAM, children 6-59 months with SAM. SAM is assessed among children 0-5 months by weight-for-length <-3Z score, bilateral pitting oedema. SAM is assessed among children 6-59 months by weight-for-height or weight-for-length <-3Z score, mid-upper arm circumference (MUAC) <115 mm, bilateral pitting oedema. Components of the SAM programme: inpatient treatment, outpatient treatment. Admission criteria for children 0-5 months with SAM to inpatient care: serious clinical condition or medical complications, recent weight loss or failure to gain weight, ineffective breastfeeding, any bilateral pitting oedema. Admission criteria for children 6-59 months with SAM to inpatient care: medical complications, severe bilateral pitting oedema, poor appetite and/or breastfeeding problems. Discharge criteria: regained appetite and/or breastfeeding effectively, weight-for-height or weight-for-length ≥ –2 Z-score, MUAC ≥ 125 mm, no bilateral pitting oedema for at least 2 weeks.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "33538","GNPR 2016-2017: Prevention and management of acute malnutrition (q39)","English","Other","","UGA","Uganda","Uganda","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to the prevention and treatment of acute malnutrition. More actions and programmes be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","33539","","Management of severe acute malnutrition","","","","Infants and young children|Preschool-age children (Pre-SAC)|SAM child","","","","","Target groups: children 0-5 months with SAM, children 6-59 months with SAM. SAM is assessed among children 0-5 months by weight-for-length <-3Z score, bilateral pitting oedema. SAM is assessed among children 6-59 months by weight-for-height or weight-for-length <-3Z score, mid-upper arm circumference (MUAC) <115 mm, bilateral pitting oedema. Components of the SAM programme: inpatient treatment, outpatient treatment. Admission criteria for children 0-5 months with SAM to inpatient care: serious clinical condition or medical complications, recent weight loss or failure to gain weight, ineffective breastfeeding, any bilateral pitting oedema. Admission criteria for children 6-59 months with SAM to inpatient care: medical complications, severe bilateral pitting oedema, poor appetite and/or breastfeeding problems. Discharge criteria: regained appetite and/or breastfeeding effectively, weight-for-height or weight-for-length ≥ –2 Z-score, MUAC ≥ 125 mm, no bilateral pitting oedema for at least 2 weeks.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "33540","GNPR 2016-2017: Prevention and management of acute malnutrition (q39)","English","Other","","VUT","Vanuatu","Vanuatu","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to the prevention and treatment of acute malnutrition. More actions and programmes be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","33541","","Management of severe acute malnutrition","","","","Infants and young children|Preschool-age children (Pre-SAC)|SAM child","","","","","Target groups: children 0-5 months with SAM, children 6-59 months with SAM. SAM is assessed among children 0-5 months by weight-for-length <-3Z score, bilateral pitting oedema. SAM is assessed among children 6-59 months by weight-for-height or weight-for-length <-3Z score, mid-upper arm circumference (MUAC) <115 mm, bilateral pitting oedema. Components of the SAM programme: inpatient treatment, outpatient treatment. Admission criteria for children 0-5 months with SAM to inpatient care: serious clinical condition or medical complications, recent weight loss or failure to gain weight, ineffective breastfeeding, any bilateral pitting oedema. Admission criteria for children 6-59 months with SAM to inpatient care: medical complications, severe bilateral pitting oedema, poor appetite and/or breastfeeding problems. Discharge criteria: regained appetite and/or breastfeeding effectively, weight-for-height or weight-for-length ≥ –2 Z-score, MUAC ≥ 125 mm, no bilateral pitting oedema for at least 2 weeks.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "33542","GNPR 2016-2017: Prevention and management of acute malnutrition (q39)","English","Other","","COL","Colombia","Colombia","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to the prevention and treatment of acute malnutrition. More actions and programmes be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","33543","","Management of severe acute malnutrition","","","","Infants and young children|Preschool-age children (Pre-SAC)|SAM child","","","","","Target groups: children 0-5 months with SAM, children 6-59 months with SAM. SAM is assessed among children 0-5 months by weight-for-length <-3Z score, bilateral pitting oedema. SAM is assessed among children 6-59 months by weight-for-height or weight-for-length <-3Z score, mid-upper arm circumference (MUAC) <115 mm, bilateral pitting oedema. Components of the SAM programme: inpatient treatment, outpatient treatment. Admission criteria for children 0-5 months with SAM to inpatient care: serious clinical condition or medical complications, recent weight loss or failure to gain weight, ineffective breastfeeding, any bilateral pitting oedema. Admission criteria for children 6-59 months with SAM to inpatient care: medical complications, severe bilateral pitting oedema, poor appetite and/or breastfeeding problems. Discharge criteria: regained appetite and/or breastfeeding effectively, weight-for-height or weight-for-length ≥ –2 Z-score, no bilateral pitting oedema for at least 2 weeks.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "33544","GNPR 2016-2017: Prevention and management of acute malnutrition (q39)","English","Other","","IND","India","India","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to the prevention and treatment of acute malnutrition. More actions and programmes be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","33545","","Management of severe acute malnutrition","","","","Infants and young children|Preschool-age children (Pre-SAC)|SAM child","","","","","Target groups: children 0-5 months with SAM, children 6-59 months with SAM. SAM is assessed among children 0-5 months by weight-for-length <-3Z score, bilateral pitting oedema. SAM is assessed among children 6-59 months by weight-for-height or weight-for-length <-3Z score, mid-upper arm circumference (MUAC) <115 mm, bilateral pitting oedema. Components of the SAM programme: inpatient treatment. Admission criteria for children 0-5 months with SAM to inpatient care: serious clinical condition or medical complications, recent weight loss or failure to gain weight, ineffective breastfeeding, any bilateral pitting oedema. Admission criteria for children 6-59 months with SAM to inpatient care: medical complications, severe bilateral pitting oedema, poor appetite and/or breastfeeding problems. Discharge criteria: regained appetite and/or breastfeeding effectively, weight-for-height or weight-for-length ≥ –2 Z-score, MUAC ≥ 125 mm, no bilateral pitting oedema for at least 2 weeks.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "33546","GNPR 2016-2017: Prevention and management of acute malnutrition (q39)","English","Other","","GNB","Guinea-Bissau","Guinea-Bissau","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to the prevention and treatment of acute malnutrition. More actions and programmes be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","33547","","Management of severe acute malnutrition","","","","Infants and young children|Preschool-age children (Pre-SAC)|SAM child","","","","","Target groups: children 0-5 months with SAM, children 6-59 months with SAM. SAM is assessed among children 0-5 months by weight-for-length <-3Z score, MUAC <115 mm. SAM is assessed among children 6-59 months by weight-for-height or weight-for-length <-3Z score, mid-upper arm circumference (MUAC) <115 mm, bilateral pitting oedema. Components of the SAM programme: inpatient treatment, outpatient treatment. Admission criteria for children 0-5 months with SAM to inpatient care: recent weight loss or failure to gain weight, ineffective breastfeeding, any bilateral pitting oedema. Admission criteria for children 6-59 months with SAM to inpatient care: medical complications, severe bilateral pitting oedema, poor appetite and/or breastfeeding problems. Discharge criteria: weight-for-height or weight-for-length ≥ –1.5 Z-score, MUAC ≥ 125 mm, no bilateral pitting oedema for at least 2 weeks.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "33548","GNPR 2016-2017: Prevention and management of acute malnutrition (q39)","English","Other","","SAU","Saudi Arabia","Saudi Arabia","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to the prevention and treatment of acute malnutrition. More actions and programmes be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","33549","","Management of severe acute malnutrition","","","","Infants and young children|Preschool-age children (Pre-SAC)|SAM child","","","","","Target groups: children 0-5 months with SAM, children 6-59 months with SAM. SAM is assessed among children 0-5 months by weight-for-length <-3Z score. Components of the SAM programme: inpatient treatment, outpatient treatment. Admission criteria for children 0-5 months with SAM to inpatient care: serious clinical condition or medical complications, recent weight loss or failure to gain weight, ineffective breastfeeding, any bilateral pitting oedema. Admission criteria for children 6-59 months with SAM to inpatient care: medical complications, severe bilateral pitting oedema, poor appetite and/or breastfeeding problems. Discharge criteria: regained appetite and/or breastfeeding effectively, weight-for-height or weight-for-length ≥ –2 Z-score, no bilateral pitting oedema for at least 2 weeks.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "33550","GNPR 2016-2017: Prevention and management of acute malnutrition (q39)","English","Other","","TCD","Chad","Chad","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to the prevention and treatment of acute malnutrition. More actions and programmes be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","33551","","Management of severe acute malnutrition","","","","Infants and young children|Preschool-age children (Pre-SAC)|SAM child","","","","","Target groups: children 0-5 months with SAM, children 6-59 months with SAM. SAM is assessed among children 0-5 months by weight-for-length <-3Z score. SAM is assessed among children 6-59 months by weight-for-height or weight-for-length <-3Z score, mid-upper arm circumference (MUAC) <115 mm, bilateral pitting oedema. Components of the SAM programme: inpatient treatment, outpatient treatment. Admission criteria for children 0-5 months with SAM to inpatient care: serious clinical condition or medical complications, recent weight loss or failure to gain weight, ineffective breastfeeding. Admission criteria for children 6-59 months with SAM to inpatient care: medical complications, severe bilateral pitting oedema, poor appetite and/or breastfeeding problems. Discharge criteria: weight-for-height or weight-for-length ≥ –2 Z-score, MUAC ≥ 125 mm, no bilateral pitting oedema for at least 2 weeks.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "33552","GNPR 2016-2017: Prevention and management of acute malnutrition (q39)","English","Other","","ATG","Antigua and Barbuda","Antigua and Barbuda","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to the prevention and treatment of acute malnutrition. More actions and programmes be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","33553","","Management of severe acute malnutrition","","","","Infants and young children|Preschool-age children (Pre-SAC)|SAM child","","","","","Target groups: children 0-5 months with SAM, children 6-59 months with SAM. SAM is assessed among children 0-5 months by weight-for-length <-3Z score. SAM is assessed among children 6-59 months by weight-for-height or weight-for-length <-3Z score. Components of the SAM programme: inpatient treatment, outpatient treatment, follow up in community health clinics/centers. Admission criteria for children 0-5 months with SAM to inpatient care: serious clinical condition or medical complications, recent weight loss or failure to gain weight. Admission criteria for children 6-59 months with SAM to inpatient care: medical complications, poor appetite and/or breastfeeding problems, failure to gain weight. Discharge criteria: regained appetite and/or breastfeeding effectively, weight-for-height or weight-for-length ≥ –2 Z-score.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "33554","GNPR 2016-2017: Prevention and management of acute malnutrition (q39)","English","Other","","BLR","Belarus","Belarus","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to the prevention and treatment of acute malnutrition. More actions and programmes be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","33555","","Management of severe acute malnutrition","","","","Infants and young children|Preschool-age children (Pre-SAC)|SAM child","","","","","Target groups: children 0-5 months with SAM, children 6-59 months with SAM. SAM is assessed among children 0-5 months by weight-for-length <-3Z score. SAM is assessed among children 6-59 months by weight-for-height or weight-for-length <-3Z score. Components of the SAM programme: inpatient treatment, outpatient treatment. Admission criteria for children 0-5 months with SAM to inpatient care: recent weight loss or failure to gain weight. Admission criteria for children 6-59 months with SAM to inpatient care: delay in the rate of physical development. Discharge criteria: regained appetite and/or breastfeeding effectively.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "33556","GNPR 2016-2017: Prevention and management of acute malnutrition (q39)","English","Other","","KAZ","Kazakhstan","Kazakhstan","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to the prevention and treatment of acute malnutrition. More actions and programmes be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","33557","","Management of severe acute malnutrition","","","","Infants and young children|Preschool-age children (Pre-SAC)|SAM child","","","","","Target groups: children 0-5 months with SAM, children 6-59 months with SAM. SAM is assessed among children 0-5 months by weight-for-length <-3Z score. SAM is assessed among children 6-59 months by weight-for-height or weight-for-length <-3Z score. Components of the SAM programme: inpatient treatment, outpatient treatment. Admission criteria for children 0-5 months with SAM to inpatient care: serious clinical condition or medical complications, recent weight loss or failure to gain weight, ineffective breastfeeding. Admission criteria for children 6-59 months with SAM to inpatient care: medical complications, poor appetite and/or breastfeeding problems. Discharge criteria: regained appetite and/or breastfeeding effectively, weight-for-height or weight-for-length ≥ –2 Z-score.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "33558","GNPR 2016-2017: Prevention and management of acute malnutrition (q39)","English","Other","","CHL","Chile","Chile","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to the prevention and treatment of acute malnutrition. More actions and programmes be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","33559","","Management of severe acute malnutrition","","","","Infants and young children|Preschool-age children (Pre-SAC)|SAM child","","","","","Target groups: children 0-5 months with SAM, children 6-59 months with SAM. SAM is assessed among children 0-5 months by weight-for-length <-3Z score. SAM is assessed among children 6-59 months by weight-for-height or weight-for-length <-3Z score. Components of the SAM programme: inpatient treatment, outpatient treatment. Admission criteria for children 0-5 months with SAM to inpatient care: serious clinical condition or medical complications, recent weight loss or failure to gain weight. Admission criteria for children 6-59 months with SAM to inpatient care: medical complications. Discharge criteria: regained appetite and/or breastfeeding effectively, weight-for-height or weight-for-length ≥ –2 Z-score.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "33560","GNPR 2016-2017: Prevention and management of acute malnutrition (q39)","English","Other","","MEX","Mexico","Mexico","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to the prevention and treatment of acute malnutrition. More actions and programmes be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","33561","","Management of severe acute malnutrition","","","","Infants and young children|Preschool-age children (Pre-SAC)|SAM child","","","","","Target groups: children 0-5 months with SAM, children 6-59 months with SAM. SAM is assessed among children 0-5 months by weight-for-length <-3Z score. SAM is assessed among children 6-59 months by weight-for-height or weight-for-length <-3Z score. Components of the SAM programme: inpatient treatment. Admission criteria for children 0-5 months with SAM to inpatient care: serious clinical condition or medical complications, recent weight loss or failure to gain weight, ineffective breastfeeding, any bilateral pitting oedema. Admission criteria for children 6-59 months with SAM to inpatient care: medical complications, severe bilateral pitting oedema, poor appetite and/or breastfeeding problems. Discharge criteria: regained appetite and/or breastfeeding effectively, weight-for-height or weight-for-length ≥ –2 Z-score, no bilateral pitting oedema for at least 2 weeks.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "33562","GNPR 2016-2017: Prevention and management of acute malnutrition (q39)","English","Other","","SVK","Slovakia","Slovakia","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to the prevention and treatment of acute malnutrition. More actions and programmes be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","33563","","Management of severe acute malnutrition","","","","Adult men and women|Elderly|Infants and young children|Preschool-age children (Pre-SAC)|SAM child","","","","","Target groups: children 0-5 months with SAM, children 6-59 months with SAM, adults, elderly. SAM is assessed among children 0-5 months by weight-for-length <-3Z score, MUAC. SAM is assessed among children 6-59 months by weight-for-height or weight-for-length <-3Z score. Components of the SAM programme: inpatient treatment, outpatient treatment. Admission criteria for children 0-5 months with SAM to inpatient care: serious clinical condition or medical complications, recent weight loss or failure to gain weight, ineffective breastfeeding. Admission criteria for children 6-59 months with SAM to inpatient care: medical complications, poor appetite and/or breastfeeding problems. Discharge criteria: regained appetite and/or breastfeeding effectively, weight-for-height or weight-for-length ≥ –2 Z-score.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "33564","GNPR 2016-2017: Prevention and management of acute malnutrition (q39)","English","Other","","ERI","Eritrea","Eritrea","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to the prevention and treatment of acute malnutrition. More actions and programmes be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","33565","","Management of severe acute malnutrition","","","","Infants and young children|Preschool-age children (Pre-SAC)|SAM child","","","","","Target groups: children 0-59 months with SAM. SAM is assessed among children 0-5 months by weight-for-length <-3Z score, bilateral pitting oedema. Components of the SAM programme: inpatient treatment, outpatient treatment. Admission criteria for children 0-5 months with SAM to inpatient care: serious clinical condition or medical complications, recent weight loss or failure to gain weight, ineffective breastfeeding, any bilateral pitting oedema. Admission criteria for children 6-59 months with SAM to inpatient care: medical complications, severe bilateral pitting oedema, poor appetite and/or breastfeeding problems. Discharge criteria: regained appetite and/or breastfeeding effectively, weight-for-height or weight-for-length ≥ –2 Z-score, MUAC ≥ 125 mm, no bilateral pitting oedema for at least 2 weeks.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "33566","GNPR 2016-2017: Prevention and management of acute malnutrition (q39)","English","Other","","OMN","Oman","Oman","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to the prevention and treatment of acute malnutrition. More actions and programmes be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","33567","","Management of severe acute malnutrition","","","","Infants and young children|Preschool-age children (Pre-SAC)|SAM child","","","","","Target groups: children 0-59 months with SAM. SAM is assessed among children 0-5 months by weight-for-length <-3Z score. Components of the SAM programme: inpatient treatment. Admission criteria for children 0-5 months with SAM to inpatient care: serious clinical condition or medical complications, recent weight loss or failure to gain weight, any bilateral pitting oedema. Admission criteria for children 6-59 months with SAM to inpatient care: medical complications, severe bilateral pitting oedema. Discharge criteria: regained appetite and/or breastfeeding effectively, weight-for-height or weight-for-length ≥ –2 Z-score, no bilateral pitting oedema for at least 2 weeks.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "33568","GNPR 2016-2017: Prevention and management of acute malnutrition (q39)","English","Other","","MDA","Republic of Moldova","Republic of Moldova","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to the prevention and treatment of acute malnutrition. More actions and programmes be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","33569","","Management of severe acute malnutrition","","","","Infants and young children|Preschool-age children (Pre-SAC)|SAM child","","","","","Target groups: children 0-59 months with SAM. SAM is assessed among children 0-5 months by weight-for-length <-3Z score. Components of the SAM programme: inpatient treatment. Admission criteria for children 0-5 months with SAM to inpatient care: serious clinical condition or medical complications, recent weight loss or failure to gain weight, ineffective breastfeeding. Admission criteria for children 6-59 months with SAM to inpatient care: poor appetite and/or breastfeeding problems. Discharge criteria: regained appetite and/or breastfeeding effectively, weight-for-height or weight-for-length ≥ –2 Z-score.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "33570","GNPR 2016-2017: Prevention and management of acute malnutrition (q39)","English","Other","","DZA","Algeria","Algeria","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to the prevention and treatment of acute malnutrition. More actions and programmes be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","33571","","Management of severe acute malnutrition","","","","Infants and young children|Preschool-age children (Pre-SAC)|SAM child","","","","","Target groups: children 0-59 months with SAM. SAM is assessed among children 0-5 months by weight-for-length <-3Z score. Components of the SAM programme: inpatient treatment. Admission criteria for children 0-5 months with SAM to inpatient care: serious clinical condition or medical complications. Admission criteria for children 6-59 months with SAM to inpatient care: medical complications. Discharge criteria: regained appetite and/or breastfeeding effectively, weight-for-height or weight-for-length ≥ –2 Z-score.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "33572","GNPR 2016-2017: Prevention and management of acute malnutrition (q39)","English","Other","","TUN","Tunisia","Tunisia","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to the prevention and treatment of acute malnutrition. More actions and programmes be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","33573","","Management of severe acute malnutrition","","","","Infants and young children|Preschool-age children (Pre-SAC)|SAM child","","","","","Target groups: children 0-59 months with SAM. SAM is assessed among children 0-5 months by weight-for-length <-3Z score. Components of the SAM programme: inpatient treatment, outpatient treatment. Admission criteria for children 0-5 months with SAM to inpatient care: serious clinical condition or medical complications, recent weight loss or failure to gain weight. Admission criteria for children 6-59 months with SAM to inpatient care: medical complications, severe bilateral pitting oedema. Discharge criteria: regained appetite and/or breastfeeding effectively, weight-for-height or weight-for-length ≥ –2 Z-score, MUAC ≥ 125 mm, no bilateral pitting oedema for at least 2 weeks.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "33574","GNPR 2016-2017: Prevention and management of acute malnutrition (q39)","English","Other","","NAM","Namibia","Namibia","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to the prevention and treatment of acute malnutrition. More actions and programmes be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","33575","","Management of severe acute malnutrition","","","","HIV cases|Infants and young children|Lactating women (LW)|Pregnant women (PW)|Preschool-age children (Pre-SAC)|SAM child|TB cases","","","","","Target groups: children 0-59 months with SAM, children 5-14 years of age, pregnant women, lactating women, people living with HIV, TB patients. SAM is assessed among children 6-59 months by weight-for-height or weight-for-length <-3Z score, mid-upper arm circumference (MUAC) <115 mm, bilateral pitting oedema. Components of the SAM programme: inpatient treatment, outpatient treatment. Admission criteria for children 0-5 months with SAM to inpatient care: serious clinical condition or medical complications, recent weight loss or failure to gain weight, ineffective breastfeeding, any bilateral pitting oedema. Admission criteria for children 6-59 months with SAM to inpatient care: medical complications, severe bilateral pitting oedema, poor appetite and/or breastfeeding problems. Discharge criteria: weight-for-height or weight-for-length ≥ –2 Z-score.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "33576","GNPR 2016-2017: Prevention and management of acute malnutrition (q39)","English","Other","","SEN","Senegal","Senegal","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to the prevention and treatment of acute malnutrition. More actions and programmes be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","33577","","Management of severe acute malnutrition","","","","Infants and young children|Preschool-age children (Pre-SAC)|SAM child","","","","","Target groups: children 0-59 months with SAM. SAM is assessed among children 6-59 months by weight-for-height or weight-for-length <-3Z score, mid-upper arm circumference (MUAC) <115 mm, bilateral pitting oedema. Components of the SAM programme: inpatient treatment, outpatient treatment. Admission criteria for children 0-5 months with SAM to inpatient care: serious clinical condition or medical complications, recent weight loss or failure to gain weight, any bilateral pitting oedema. Admission criteria for children 6-59 months with SAM to inpatient care: medical complications, severe bilateral pitting oedema, poor appetite and/or breastfeeding problems. Discharge criteria: regained appetite and/or breastfeeding effectively, weight-for-height or weight-for-length ≥ –2 Z-score, MUAC ≥ 125 mm, no bilateral pitting oedema for at least 2 weeks.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "33578","GNPR 2016-2017: Prevention and management of acute malnutrition (q39)","English","Other","","MMR","Myanmar","Myanmar","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to the prevention and treatment of acute malnutrition. More actions and programmes be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","33579","","Management of severe acute malnutrition","","","","Preschool-age children (Pre-SAC)|SAM child","","","","","Target groups: children 6-59 months with SAM. SAM is assessed among children 6-59 months by weight-for-height or weight-for-length <-3Z score, mid-upper arm circumference (MUAC) <115 mm, bilateral pitting oedema. Components of the SAM programme: inpatient treatment, outpatient treatment. Admission criteria for children 6-59 months with SAM to inpatient care: medical complications, severe bilateral pitting oedema, poor appetite and/or breastfeeding problems. Discharge criteria: regained appetite and/or breastfeeding effectively, weight-for-height or weight-for-length ≥ –2 Z-score, MUAC ≥ 125 mm, no bilateral pitting oedema for at least 2 weeks.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "33580","GNPR 2016-2017: Prevention and management of acute malnutrition (q39)","English","Other","","COM","Comoros","Comoros","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to the prevention and treatment of acute malnutrition. More actions and programmes be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","33581","","Management of severe acute malnutrition","","","","Infants and young children|Preschool-age children (Pre-SAC)|SAM child","","","","","Target groups: children 0-59 months with SAM. SAM is assessed among children 6-59 months by weight-for-height or weight-for-length <-3Z score, mid-upper arm circumference (MUAC) <115 mm, bilateral pitting oedema. Components of the SAM programme: inpatient treatment. Admission criteria for children 0-5 months with SAM to inpatient care: serious clinical condition or medical complications, any bilateral pitting oedema. Admission criteria for children 6-59 months with SAM to inpatient care: medical complications, severe bilateral pitting oedema. Discharge criteria: regained appetite and/or breastfeeding effectively, weight-for-height or weight-for-length ≥ –2 Z-score, MUAC ≥ 125 mm, no bilateral pitting oedema for at least 2 weeks.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "33582","GNPR 2016-2017: Prevention and management of acute malnutrition (q39)","English","Other","","GTM","Guatemala","Guatemala","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to the prevention and treatment of acute malnutrition. More actions and programmes be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","33583","","Management of severe acute malnutrition","","","","Infants and young children|Preschool-age children (Pre-SAC)|SAM child","","","","","Target groups: children 0-59 months with SAM. SAM is assessed among children 6-59 months by weight-for-height or weight-for-length <-3Z score, mid-upper arm circumference (MUAC) <115 mm, bilateral pitting oedema. Components of the SAM programme: inpatient treatment, outpatient treatment. Admission criteria for children 0-5 months with SAM to inpatient care: serious clinical condition or medical complications, recent weight loss or failure to gain weight, any bilateral pitting oedema. Admission criteria for children 6-59 months with SAM to inpatient care: medical complications, severe bilateral pitting oedema, poor appetite and/or breastfeeding problems. Discharge criteria: regained appetite and/or breastfeeding effectively, MUAC ≥ 125 mm, no bilateral pitting oedema for at least 2 weeks.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "33584","GNPR 2016-2017: Prevention and management of acute malnutrition (q39)","English","Other","","GBR","United Kingdom","United Kingdom","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to the prevention and treatment of acute malnutrition. More actions and programmes be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","33585","","Management of severe acute malnutrition","","","","SAM child","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "33586","GNPR 2016-2017: Prevention and management of acute malnutrition (q39)","English","Other","","RUS","Russian Federation","Russian Federation","","","","","These programmes and actions were reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to the prevention and treatment of acute malnutrition. More actions and programmes be accessed through the country page.
","WHO (2018) Global Nutrition Policy Review. Country progress in creating enabling policy environments for promoting healthy diets and nutrition
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global Nutrition Policy Review 2016–2017 is the report of the second comprehensive analysis of nutrition-related policy environment, coordination mechanisms, available capacities and actions being taken in 176 Member States (91%) and one area which responded to the survey carried out between July 2016 and December 2017.
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","33587","","Management of severe acute malnutrition","","","","SAM child","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","",""