United Nation Children’s Fund Kathmandu, Nepal Kusum Hachhethu Nutrition Intern

Why unicef in NEPAL?

Expectations Field experience To explore apparent and Hidden causes of undernutrition in Nepal To apply skills learnt from classes & enhance my knowledge To network with the nutrition community in Nepal.

Prevalence of Severe Acute Malnutrition in Nepal Data Source: Nepal DHS 2011

The CMAM Model

CMAM Model Core - Community Mobilization Treatment in Scale Referral by FCHVs Outpatient treatment - Uncomplicated cases Inpatient – Complicated Reduction of economic costs

OTP Centers Sub Health Post, Magaragadi. Bardiya

My Role: Situation Analysis : In-depth trend analysis of facility reported data on CMAM outcome indicators from five districts (Bardiya, Mugu, Achham, Jajarkot and Kanchanpur) Qualitative data collection: Field visit to Bardiya: Key-informant interviews, Focus Group Statistics and Monitoring : Revision of CMAM reporting forms and formats Revision of HMIS indicators on Nutrition

Focus Group with FCHVs Monitoring of CMAM Program

What I learnt? Field experience: Explore HH and socio-economic factors, and care practices associate with childhood undernutrition Observation: Sanitation and lack of care are the two biggest problems in Nepal. Its not just food insecurity. Recommendation: Integration of WASH program in all of CMAM district is extremely important for the effective treatment of acute malnutrition . How to conduct real life Monitoring - Indicators, reporting forms & formats Meetings - Nutrition interventions in Nepal & stakeholders involved

SAM Child, Roma (1 year old) being treated by the CMAM program

Thank you!