"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" "8820","Maziko: Nutrition Foundations for Women and Children ","English","Community/sub-national","","MWI","Malawi","Kasungu, Malawi|Ntchisi, Central Region, Malawi","Rural","on-going","01-2012","01-2015","
This project (Maziko) aims to benefit more than 236,000 women, girls and boys in two districts where stunting and malnutrition are widespread. Addressing under-five child stunting head-on, the project takes an integrated approach to preventing and treating malnutrition by addressing behaviour change in the areas of: feeding practices, agricultural production, water, sanitation and hygiene while also focusing on access to programs at the district and community level. The Maziko Project uses a model of behaviour change that has been proven to reach large numbers of households while also strengthening the community-based referral to health services.
","http://www.acdi-cida.gc.ca/CIDAWEB/cpo.nsf/vWebProjSearchEn/70D2D2C877D0...
","8657|7979","","","","","","CARE","Multi-year award for fiscal years 2011-12 to 2014-15","","","","","National NGOs","Agriteam Canada: Competitively Sourced Contract (Purchase of services for development assistance)","","","","","","","The Canadian International Development Agency (CIDA) will commit CA$6,049,015 for this project.","Bilateral and donor agencies and lenders","Canadian International Development Agency (CIDA)","The Maziko Project uses a model of behaviour change that has been proven to reach large numbers of households while also strengthening the community-based referral to health services.
","Expected results are: improved delivery of nutrition services, nutritional practices among vulnerable households, and an improved local enabling environment to sustain nutrition outcome. This will be achieved through for example: an improved ability of women and caregivers to prepare nutritious and micronutrient rich meals thanks to a deeper understanding of optimal nutrition and illness prevention practices for lactating women and children under five; as well as economic and social empowerment of the vulnerable women through increased access to nutrition services, financial resources, and leadership opportunities in community groups, increasing their role in health and nutrition decision making processes.
","","more than 236,000 ","Two districts (both in central region) out of the 27 with the highest prevalence of stunting","","","","Vulnerable groups","","","","","","","","","","","","","","","","","","","","","","","","","","English" "11499","Food by Prescription","English","Community/sub-national","","ETH","Ethiopia","Addis Ababa, Ethiopia|Amhara, Ethiopia|Dire Dawa, Ethiopia|Harari, Ethiopia|Oromia, Ethiopia|Southern Nations, Nationalities, and People's Region, Ethiopia|Tigray, Ethiopia","Urban|Rural|Peri-urban","on-going","01-2009","01-2013","
For pre-antiretroviral treatment and antiretroviral treatment patients, clinical malnutrition is a risk factor for HIV and mortality. Malnutrition can also negatively impact birth outcomes among HIV-positive women. As HIV infection progresses, challenges to maintenance of adequate nutritional status—mal-absorption of nutrients, hyper-metabolism, etc.—increase and can adversely affect adherence to and effectiveness of drug treatments.
Food by Prescription provides food and nutritional support to malnourished HIV+ individuals in the form of therapeutic and supplementary feeding at health facility levels. The project serves severely malnourished people living with HIV/AIDS, HIV+ pregnant women, HIV+ women in their first six months post-partum, their infants, and orphans and vulnerable children. To ensure the program’s success, USAID works with the Ethiopian Ministry of Health and HIV/AIDS Prevention and Control Office, as well as the Food and Nutrition Technical Assistance (FANTA) project. Food by Prescription serves as a critical component of PEPFAR, a broader effort to strengthen integration of nutrition into HIV services. In order to reduce the cost associated with importation of nutrients and food commodities, the project will also collaborate with the public and private sector to explore the possibility of local production for some of the required food commodities.
Expected Results:
Two qualitative data collection rounds were included, with the following objectives:
a) Adherence and compliance: The objective of the first was to elaborate and contextualize the findings of the quantitative impact study, by exploring ration utilization and participant perceptions of the costs and benefits of participation in the FBP program. It sought to validate the assumption that participants were receiving and consuming the rations prescribed as per the program protocol and to identify the constraining factors and solutions for improved participant adherence. This component of the study also addressed issues of service provider participation, and the barriers and constraints to delivery that may have impacted the effects of the program on individuals.
b) Default and non-response: While the first qualitative study sought to identify constraints to adherence from a group of “successful” participants, a second study was designed to investigate the experience of “unsuccessful” participants, aiming to identify possible limitations to adherence among individuals who either defaulted from the program or failed to respond to the intervention.
The objective of the second qualitative study was to understand in greater depth the range of reasons for default among FBP program participants, as well as the range of reasons for poor weight gain among other participants.
The study was designed as a quasi-experimental effectiveness evaluation, with a comparison group of clinics selected from a geographic area similar to those in which the intervention was being evaluated. Originally, the study was designed to reflect the existence of a food support program being implemented by WFP in limited urban areas for households containing individuals with HIV. As the WFP program was providing a household ration to participant households, there was a concern that the measured impact of the FBP program could be biased by the presence or absence of the WFP program.
Therefore, the study sample was stratified to include three cohorts of participants who were followed longitudinally: two groups of adult PLHIV meeting FBP enrollment criteria in ART clinics at selected health facilities, one from sites offering both the FBP program and the WFP program, and another from sites offering FBP only. Participants from these two groups were recruited for the study at the time when they enrolled in the FBP program. The third group, a comparison group, was composed of FBP-eligible adults recruited from FBP Phase II sites, i.e., where the program had not yet been rolled out but would do so during Year Two of the program.
However, after the FBP program and the impact study had commenced, the WFP program was phased out. Despite this, the three study groups were maintained, with the idea that the two treatment groups could be pooled eventually if the baseline characteristics of the two did not differ significantly.
","These programmes and actions were reported by countries for the WHO Global Nutrition Policy Review 2009-2010, Module 2 on Maternal, infant and young child nutrition. Please note that for simplicity, all interventions in a thematic module have been combined under the same programme for GINA, while they may not be implemented as a package and may have different partners. These data are currently being updated and completed through the GINA verification process. If you think you can help update and complete any of these data, please sign up to GINA and edit.
","WHO (2013) Global Nutrition Policy Review. What does it take to scale up nutrition action?
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global nutrition policy review is based on a questionnaire survey conducted during 2009–2010, in which 119 WHO Member States and 4 territories participated.
","","","","","","","Save the Children","","","","","","National NGOs","MMCWA","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","12067","","Breastfeeding promotion and/or counselling","","","","Infants (up to 1 year of age)","","","","","Promotion of breastfeeding was reported to the Global Nutrition Policy Review (GNPR) 2009-2010
","","","","National coverage","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "12068","GNPR 2009-2010: Maternal, infant and young child nutrition","English","National","","MMR","Myanmar","Myanmar","","","","","These programmes and actions were reported by countries for the WHO Global Nutrition Policy Review 2009-2010, Module 2 on Maternal, infant and young child nutrition. Please note that for simplicity, all interventions in a thematic module have been combined under the same programme for GINA, while they may not be implemented as a package and may have different partners. These data are currently being updated and completed through the GINA verification process. If you think you can help update and complete any of these data, please sign up to GINA and edit.
","WHO (2013) Global Nutrition Policy Review. What does it take to scale up nutrition action?
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global nutrition policy review is based on a questionnaire survey conducted during 2009–2010, in which 119 WHO Member States and 4 territories participated.
","","","","","","","Save the Children","","","","","","National NGOs","MMCWA","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","12406","","Deworming","","","","Infants and young children","","","","community, ","Deworming of children 0-2 years was reported to the Global Nutrition Policy Review (GNPR) 2009-2010
","","","","National coverage","","","","","","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","","","","","","","","","","","","","","","","","","","","","","","","" "12068","GNPR 2009-2010: Maternal, infant and young child nutrition","English","National","","MMR","Myanmar","Myanmar","","","","","These programmes and actions were reported by countries for the WHO Global Nutrition Policy Review 2009-2010, Module 2 on Maternal, infant and young child nutrition. Please note that for simplicity, all interventions in a thematic module have been combined under the same programme for GINA, while they may not be implemented as a package and may have different partners. These data are currently being updated and completed through the GINA verification process. If you think you can help update and complete any of these data, please sign up to GINA and edit.
","WHO (2013) Global Nutrition Policy Review. What does it take to scale up nutrition action?
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global nutrition policy review is based on a questionnaire survey conducted during 2009–2010, in which 119 WHO Member States and 4 territories participated.
","","","","","","","Save the Children","","","","","","National NGOs","MMCWA","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","12507","","Deworming","","","","Pregnant women (PW)","","","","community, ","Maternal deworming in pregnancy was reported to the Global Nutrition Policy Review (GNPR) 2009-2010
","","","","National coverage","","","","","","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","","","","","","","","","","","","","","","","","","","","","","","","" "12068","GNPR 2009-2010: Maternal, infant and young child nutrition","English","National","","MMR","Myanmar","Myanmar","","","","","These programmes and actions were reported by countries for the WHO Global Nutrition Policy Review 2009-2010, Module 2 on Maternal, infant and young child nutrition. Please note that for simplicity, all interventions in a thematic module have been combined under the same programme for GINA, while they may not be implemented as a package and may have different partners. These data are currently being updated and completed through the GINA verification process. If you think you can help update and complete any of these data, please sign up to GINA and edit.
","WHO (2013) Global Nutrition Policy Review. What does it take to scale up nutrition action?
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global nutrition policy review is based on a questionnaire survey conducted during 2009–2010, in which 119 WHO Member States and 4 territories participated.
","","","","","","","Save the Children","","","","","","National NGOs","MMCWA","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","13475","","Management of severe acute malnutrition","","","","Preschool-age children (Pre-SAC)","","","","in-patient, out-patient, health system, ","Management of SAM was reported to the Global Nutrition Policy Review (GNPR) 2009-2010. Protocol used: Management of severe PEM at village level
","","","","National coverage","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "12068","GNPR 2009-2010: Maternal, infant and young child nutrition","English","National","","MMR","Myanmar","Myanmar","","","","","These programmes and actions were reported by countries for the WHO Global Nutrition Policy Review 2009-2010, Module 2 on Maternal, infant and young child nutrition. Please note that for simplicity, all interventions in a thematic module have been combined under the same programme for GINA, while they may not be implemented as a package and may have different partners. These data are currently being updated and completed through the GINA verification process. If you think you can help update and complete any of these data, please sign up to GINA and edit.
","WHO (2013) Global Nutrition Policy Review. What does it take to scale up nutrition action?
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global nutrition policy review is based on a questionnaire survey conducted during 2009–2010, in which 119 WHO Member States and 4 territories participated.
","","","","","","","Save the Children","","","","","","National NGOs","MMCWA","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","13837","","Preventive malaria treatment","","","","Women of reproductive age (WRA)","","","","","Preventive treatment of malaria in women was reported to the Global Nutrition Policy Review (GNPR) 2009-2010
","","","","National coverage","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "12068","GNPR 2009-2010: Maternal, infant and young child nutrition","English","National","","MMR","Myanmar","Myanmar","","","","","These programmes and actions were reported by countries for the WHO Global Nutrition Policy Review 2009-2010, Module 2 on Maternal, infant and young child nutrition. Please note that for simplicity, all interventions in a thematic module have been combined under the same programme for GINA, while they may not be implemented as a package and may have different partners. These data are currently being updated and completed through the GINA verification process. If you think you can help update and complete any of these data, please sign up to GINA and edit.
","WHO (2013) Global Nutrition Policy Review. What does it take to scale up nutrition action?
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global nutrition policy review is based on a questionnaire survey conducted during 2009–2010, in which 119 WHO Member States and 4 territories participated.
","","","","","","","Save the Children","","","","","","National NGOs","MMCWA","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","13978","","Promotion of improved hygiene practices including handwashing","","","","All population groups","","","","","Promotion of handwashing or hygiene interventions was reported to the Global Nutrition Policy Review (GNPR) 2009-2010
","","","","National coverage","","","","","","Water, sanitation and hygiene interventions to prevent diarrhoea>>>Water, sanitation and hygiene interventions to prevent diarrhoea>>http://www.who.int/elena/titles/wsh_diarrhoea","","","","","","","","","","","","","","","","","","","","","","","","" "12144","GNPR 2009-2010: Maternal, infant and young child nutrition","English","National","","VNM","Viet Nam","Viet Nam","","","","","These programmes and actions were reported by countries for the WHO Global Nutrition Policy Review 2009-2010, Module 2 on Maternal, infant and young child nutrition. Please note that for simplicity, all interventions in a thematic module have been combined under the same programme for GINA, while they may not be implemented as a package and may have different partners. These data are currently being updated and completed through the GINA verification process. If you think you can help update and complete any of these data, please sign up to GINA and edit.
","WHO (2013) Global Nutrition Policy Review. What does it take to scale up nutrition action?
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global nutrition policy review is based on a questionnaire survey conducted during 2009–2010, in which 119 WHO Member States and 4 territories participated.
","","","","","","","Save the Children","","Asian Development Bank (ADB)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","12143","","Breastfeeding promotion and/or counselling","","","","Infants (up to 1 year of age)","","","","community, in-patient, out-patient, health system, ","Promotion of breastfeeding was reported to the Global Nutrition Policy Review (GNPR) 2009-2010
","","","","National coverage","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "12144","GNPR 2009-2010: Maternal, infant and young child nutrition","English","National","","VNM","Viet Nam","Viet Nam","","","","","These programmes and actions were reported by countries for the WHO Global Nutrition Policy Review 2009-2010, Module 2 on Maternal, infant and young child nutrition. Please note that for simplicity, all interventions in a thematic module have been combined under the same programme for GINA, while they may not be implemented as a package and may have different partners. These data are currently being updated and completed through the GINA verification process. If you think you can help update and complete any of these data, please sign up to GINA and edit.
","WHO (2013) Global Nutrition Policy Review. What does it take to scale up nutrition action?
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global nutrition policy review is based on a questionnaire survey conducted during 2009–2010, in which 119 WHO Member States and 4 territories participated.
","","","","","","","Save the Children","","Asian Development Bank (ADB)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","12274","","Complementary feeding promotion and/or counselling","","","","Infants and young children","","","","community, ","Behaviour change communication and/or counselling for improved complementary feeding was reported to the Global Nutrition Policy Review (GNPR) 2009-2010
","","","","National coverage","","","","","","Complementary feeding>>>Complementary feeding>>http://www.who.int/elena/titles/complementary_feeding","","","","","","","","","","","","","","","","","","","","","","","","" "12144","GNPR 2009-2010: Maternal, infant and young child nutrition","English","National","","VNM","Viet Nam","Viet Nam","","","","","These programmes and actions were reported by countries for the WHO Global Nutrition Policy Review 2009-2010, Module 2 on Maternal, infant and young child nutrition. Please note that for simplicity, all interventions in a thematic module have been combined under the same programme for GINA, while they may not be implemented as a package and may have different partners. These data are currently being updated and completed through the GINA verification process. If you think you can help update and complete any of these data, please sign up to GINA and edit.
","WHO (2013) Global Nutrition Policy Review. What does it take to scale up nutrition action?
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global nutrition policy review is based on a questionnaire survey conducted during 2009–2010, in which 119 WHO Member States and 4 territories participated.
","","","","","","","Save the Children","","Asian Development Bank (ADB)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","12380","Nutrition and HIV","Counselling on nutritional support&care for people living with HIV","","","","Pregnant/lactating women with HIV/AIDS","","","","community, ","Nutritional care and support for people living with HIV/AIDS was reported to the Global Nutrition Policy Review (GNPR) 2009-2010
","","","","National coverage","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "12144","GNPR 2009-2010: Maternal, infant and young child nutrition","English","National","","VNM","Viet Nam","Viet Nam","","","","","These programmes and actions were reported by countries for the WHO Global Nutrition Policy Review 2009-2010, Module 2 on Maternal, infant and young child nutrition. Please note that for simplicity, all interventions in a thematic module have been combined under the same programme for GINA, while they may not be implemented as a package and may have different partners. These data are currently being updated and completed through the GINA verification process. If you think you can help update and complete any of these data, please sign up to GINA and edit.
","WHO (2013) Global Nutrition Policy Review. What does it take to scale up nutrition action?
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global nutrition policy review is based on a questionnaire survey conducted during 2009–2010, in which 119 WHO Member States and 4 territories participated.
","","","","","","","Save the Children","","Asian Development Bank (ADB)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","12432","","Deworming","","","","Infants and young children","","","","community, ","Deworming of children 0-2 years was reported to the Global Nutrition Policy Review (GNPR) 2009-2010
","","","","National coverage","","","","","","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","","","","","","","","","","","","","","","","","","","","","","","","" "12144","GNPR 2009-2010: Maternal, infant and young child nutrition","English","National","","VNM","Viet Nam","Viet Nam","","","","","These programmes and actions were reported by countries for the WHO Global Nutrition Policy Review 2009-2010, Module 2 on Maternal, infant and young child nutrition. Please note that for simplicity, all interventions in a thematic module have been combined under the same programme for GINA, while they may not be implemented as a package and may have different partners. These data are currently being updated and completed through the GINA verification process. If you think you can help update and complete any of these data, please sign up to GINA and edit.
","WHO (2013) Global Nutrition Policy Review. What does it take to scale up nutrition action?
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global nutrition policy review is based on a questionnaire survey conducted during 2009–2010, in which 119 WHO Member States and 4 territories participated.
","","","","","","","Save the Children","","Asian Development Bank (ADB)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","12711","","Distribution of insecticide-treated bednets","","","","Family ( living in same household)","","","","community, ","Distribution of insecticide-treated bednets was reported to the Global Nutrition Policy Review (GNPR) 2009-2010
","","","","National coverage","","","","","","Insecticide-treated nets to prevent malaria and anaemia in pregnant women>>>Insecticide-treated nets to prevent malaria and anaemia in pregnant women>>http://www.who.int/elena/titles/bednets_malaria_pregnancy","","","","","","","","","","","","","","","","","","","","","","","","" "12144","GNPR 2009-2010: Maternal, infant and young child nutrition","English","National","","VNM","Viet Nam","Viet Nam","","","","","These programmes and actions were reported by countries for the WHO Global Nutrition Policy Review 2009-2010, Module 2 on Maternal, infant and young child nutrition. Please note that for simplicity, all interventions in a thematic module have been combined under the same programme for GINA, while they may not be implemented as a package and may have different partners. These data are currently being updated and completed through the GINA verification process. If you think you can help update and complete any of these data, please sign up to GINA and edit.
","WHO (2013) Global Nutrition Policy Review. What does it take to scale up nutrition action?
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global nutrition policy review is based on a questionnaire survey conducted during 2009–2010, in which 119 WHO Member States and 4 territories participated.
","","","","","","","Save the Children","","Asian Development Bank (ADB)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","13487","","Management of severe acute malnutrition","","","","Preschool-age children (Pre-SAC)","","","","in-patient, out-patient, health system, ","Management of SAM was reported to the Global Nutrition Policy Review (GNPR) 2009-2010. Protocol used: Protocol for treatment of severe acute malnutrition
","","","","National coverage","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "12144","GNPR 2009-2010: Maternal, infant and young child nutrition","English","National","","VNM","Viet Nam","Viet Nam","","","","","These programmes and actions were reported by countries for the WHO Global Nutrition Policy Review 2009-2010, Module 2 on Maternal, infant and young child nutrition. Please note that for simplicity, all interventions in a thematic module have been combined under the same programme for GINA, while they may not be implemented as a package and may have different partners. These data are currently being updated and completed through the GINA verification process. If you think you can help update and complete any of these data, please sign up to GINA and edit.
","WHO (2013) Global Nutrition Policy Review. What does it take to scale up nutrition action?
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global nutrition policy review is based on a questionnaire survey conducted during 2009–2010, in which 119 WHO Member States and 4 territories participated.
","","","","","","","Save the Children","","Asian Development Bank (ADB)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","13851","","Preventive malaria treatment","","","","Women of reproductive age (WRA)","","","","community, in-patient, out-patient, health system, ","Preventive treatment of malaria in women was reported to the Global Nutrition Policy Review (GNPR) 2009-2010
","","","","National coverage","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "12144","GNPR 2009-2010: Maternal, infant and young child nutrition","English","National","","VNM","Viet Nam","Viet Nam","","","","","These programmes and actions were reported by countries for the WHO Global Nutrition Policy Review 2009-2010, Module 2 on Maternal, infant and young child nutrition. Please note that for simplicity, all interventions in a thematic module have been combined under the same programme for GINA, while they may not be implemented as a package and may have different partners. These data are currently being updated and completed through the GINA verification process. If you think you can help update and complete any of these data, please sign up to GINA and edit.
","WHO (2013) Global Nutrition Policy Review. What does it take to scale up nutrition action?
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global nutrition policy review is based on a questionnaire survey conducted during 2009–2010, in which 119 WHO Member States and 4 territories participated.
","","","","","","","Save the Children","","Asian Development Bank (ADB)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","13887","Iron and/or folic acid","Promotion and implementation of properly timed cord clamping","","","","Newborns (up to 28 days of age)","","","","","Promoting and implementation of delayed cord clamping was reported to the Global Nutrition Policy Review (GNPR) 2009-2010
","","","","National coverage","","","","","","Cord clamping for the prevention of iron deficiency anaemia in infants: optimal timing>>>Cord clamping for the prevention of iron deficiency anaemia in infants: optimal timing>>http://www.who.int/elena/titles/cord_clamping","","","","","","","","","","","","","","","","","","","","","","","","" "12144","GNPR 2009-2010: Maternal, infant and young child nutrition","English","National","","VNM","Viet Nam","Viet Nam","","","","","These programmes and actions were reported by countries for the WHO Global Nutrition Policy Review 2009-2010, Module 2 on Maternal, infant and young child nutrition. Please note that for simplicity, all interventions in a thematic module have been combined under the same programme for GINA, while they may not be implemented as a package and may have different partners. These data are currently being updated and completed through the GINA verification process. If you think you can help update and complete any of these data, please sign up to GINA and edit.
","WHO (2013) Global Nutrition Policy Review. What does it take to scale up nutrition action?
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global nutrition policy review is based on a questionnaire survey conducted during 2009–2010, in which 119 WHO Member States and 4 territories participated.
","","","","","","","Save the Children","","Asian Development Bank (ADB)","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","14008","","Promotion of improved hygiene practices including handwashing","","","","All population groups","","","","community, in-patient, out-patient, health system, ","Promotion of handwashing or hygiene interventions was reported to the Global Nutrition Policy Review (GNPR) 2009-2010
","","","","National coverage","","","","","","Water, sanitation and hygiene interventions to prevent diarrhoea>>>Water, sanitation and hygiene interventions to prevent diarrhoea>>http://www.who.int/elena/titles/wsh_diarrhoea","","","","","","","","","","","","","","","","","","","","","","","","" "12239","GNPR 2009-2010: Maternal, infant and young child nutrition","English","Community/sub-national","","MMR","Myanmar","Myanmar","","","","","These programmes and actions were reported by countries for the WHO Global Nutrition Policy Review 2009-2010, Module 2 on Maternal, infant and young child nutrition. Please note that for simplicity, all interventions in a thematic module have been combined under the same programme for GINA, while they may not be implemented as a package and may have different partners. These data are currently being updated and completed through the GINA verification process. If you think you can help update and complete any of these data, please sign up to GINA and edit.
","WHO (2013) Global Nutrition Policy Review. What does it take to scale up nutrition action?
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global nutrition policy review is based on a questionnaire survey conducted during 2009–2010, in which 119 WHO Member States and 4 territories participated.
","","","","","","","Save the Children","","","","","","National NGOs","MMCWA","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","12238","","Complementary feeding promotion and/or counselling","","","","Infants and young children","","","","community, ","Behaviour change communication and/or counselling for improved complementary feeding was reported to the Global Nutrition Policy Review (GNPR) 2009-2010
","","","","","","","","","","Complementary feeding>>>Complementary feeding>>http://www.who.int/elena/titles/complementary_feeding","","","","","","","","","","","","","","","","","","","","","","","","" "12239","GNPR 2009-2010: Maternal, infant and young child nutrition","English","Community/sub-national","","MMR","Myanmar","Myanmar","","","","","These programmes and actions were reported by countries for the WHO Global Nutrition Policy Review 2009-2010, Module 2 on Maternal, infant and young child nutrition. Please note that for simplicity, all interventions in a thematic module have been combined under the same programme for GINA, while they may not be implemented as a package and may have different partners. These data are currently being updated and completed through the GINA verification process. If you think you can help update and complete any of these data, please sign up to GINA and edit.
","WHO (2013) Global Nutrition Policy Review. What does it take to scale up nutrition action?
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global nutrition policy review is based on a questionnaire survey conducted during 2009–2010, in which 119 WHO Member States and 4 territories participated.
","","","","","","","Save the Children","","","","","","National NGOs","MMCWA","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","12351","Nutrition and HIV","Counselling on nutritional support&care for people living with HIV","","","","Pregnant/lactating women with HIV/AIDS","","","","community, ","Nutritional care and support for people living with HIV/AIDS was reported to the Global Nutrition Policy Review (GNPR) 2009-2010
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "12239","GNPR 2009-2010: Maternal, infant and young child nutrition","English","Community/sub-national","","MMR","Myanmar","Myanmar","","","","","These programmes and actions were reported by countries for the WHO Global Nutrition Policy Review 2009-2010, Module 2 on Maternal, infant and young child nutrition. Please note that for simplicity, all interventions in a thematic module have been combined under the same programme for GINA, while they may not be implemented as a package and may have different partners. These data are currently being updated and completed through the GINA verification process. If you think you can help update and complete any of these data, please sign up to GINA and edit.
","WHO (2013) Global Nutrition Policy Review. What does it take to scale up nutrition action?
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global nutrition policy review is based on a questionnaire survey conducted during 2009–2010, in which 119 WHO Member States and 4 territories participated.
","","","","","","","Save the Children","","","","","","National NGOs","MMCWA","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","12691","","Distribution of insecticide-treated bednets","","","","Family ( living in same household)","","","","community, ","Distribution of insecticide-treated bednets was reported to the Global Nutrition Policy Review (GNPR) 2009-2010
","","","","","","","","","","Insecticide-treated nets to prevent malaria and anaemia in pregnant women>>>Insecticide-treated nets to prevent malaria and anaemia in pregnant women>>http://www.who.int/elena/titles/bednets_malaria_pregnancy","","","","","","","","","","","","","","","","","","","","","","","","" "12239","GNPR 2009-2010: Maternal, infant and young child nutrition","English","Community/sub-national","","MMR","Myanmar","Myanmar","","","","","These programmes and actions were reported by countries for the WHO Global Nutrition Policy Review 2009-2010, Module 2 on Maternal, infant and young child nutrition. Please note that for simplicity, all interventions in a thematic module have been combined under the same programme for GINA, while they may not be implemented as a package and may have different partners. These data are currently being updated and completed through the GINA verification process. If you think you can help update and complete any of these data, please sign up to GINA and edit.
","WHO (2013) Global Nutrition Policy Review. What does it take to scale up nutrition action?
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global nutrition policy review is based on a questionnaire survey conducted during 2009–2010, in which 119 WHO Member States and 4 territories participated.
","","","","","","","Save the Children","","","","","","National NGOs","MMCWA","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","12800","","Food distribution/supplementation for prevention of acute malnutrition","","","","Infants and young children","","","","community, ","Distribution of complementary foods was reported to the Global Nutrition Policy Review (GNPR) 2009-2010
","","","","","","","","","","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","","","","","","","","","","","","","","","","","","","","","","","","" "12239","GNPR 2009-2010: Maternal, infant and young child nutrition","English","Community/sub-national","","MMR","Myanmar","Myanmar","","","","","These programmes and actions were reported by countries for the WHO Global Nutrition Policy Review 2009-2010, Module 2 on Maternal, infant and young child nutrition. Please note that for simplicity, all interventions in a thematic module have been combined under the same programme for GINA, while they may not be implemented as a package and may have different partners. These data are currently being updated and completed through the GINA verification process. If you think you can help update and complete any of these data, please sign up to GINA and edit.
","WHO (2013) Global Nutrition Policy Review. What does it take to scale up nutrition action?
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global nutrition policy review is based on a questionnaire survey conducted during 2009–2010, in which 119 WHO Member States and 4 territories participated.
","","","","","","","Save the Children","","","","","","National NGOs","MMCWA","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","12835","","Food distribution/supplementation for prevention of acute malnutrition","","","","Lactating women (LW)|Pregnant women (PW)","","","","in-patient, health system, ","Providing maternal supplements of balanced energy and protein was reported to the Global Nutrition Policy Review (GNPR) 2009-2010
","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","" "12239","GNPR 2009-2010: Maternal, infant and young child nutrition","English","Community/sub-national","","MMR","Myanmar","Myanmar","","","","","These programmes and actions were reported by countries for the WHO Global Nutrition Policy Review 2009-2010, Module 2 on Maternal, infant and young child nutrition. Please note that for simplicity, all interventions in a thematic module have been combined under the same programme for GINA, while they may not be implemented as a package and may have different partners. These data are currently being updated and completed through the GINA verification process. If you think you can help update and complete any of these data, please sign up to GINA and edit.
","WHO (2013) Global Nutrition Policy Review. What does it take to scale up nutrition action?
http://www.who.int/nutrition/publications/policies/global_nut_policyrevi...
The Global nutrition policy review is based on a questionnaire survey conducted during 2009–2010, in which 119 WHO Member States and 4 territories participated.
","","","","","","","Save the Children","","","","","","National NGOs","MMCWA","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","13805","","Management of moderate malnutrition","","","","Preschool-age children (Pre-SAC)","","","","","Management of MAM was reported to the Global Nutrition Policy Review (GNPR) 2009-2010. Protocol used: Manual on Community nutrition Centre
","","","","","","","","","","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","","","","","","","","","","","","","","","","","","","","","","","","" "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.
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" "23232","ACF programme communautaire: Prise en Charge de la Malnutrition Aiguë dans le district de Danané","English","Community/sub-national","","CIV","Côte d'Ivoire","danané, cote d'ivoire","Rural","on-going","03-2011","","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" "23244","ACF-Espagne programme communautaire: Prise en Charge de la Malnutrition Aiguë dans le district de Kita","English","Community/sub-national","","MLI","Mali","kita, mali","Rural","on-going","07-2012","","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.