HNO/HRP Nutrition sector plan 2018

Nutrition sector key issues to be addressed 2018? Serious nutrition situation with GAM between 10-14 % rates in northern Borno and parts of central Borno among other aggravating factors. Possible outbreak of water borne and diarrhoea diseases with negative impact on nutrition situation. Inadequate facilities for addressing malnutrition cases with medical complications. MUAC Screening of every child 6-59 months. Low coverage of MAM cases Slow achievement of set targets in Biu, Damboa, Gwoza, Kalabarge, Kukawa,Mobbar, Ngala and Nganzai ????????????????????

People In Need   INTERNALLY DISPLACED PERSONS RETURNEES HOST COMMUNITY PEOPLE IN INACCESSIBLE AREAS # OF GIRLS (6 - 59 Months) # OF BOYS (6 - 59 Months) # OF CHILDREN (6 - 59 Months) 18% of IDP Population = 316,312 18% of Returnee Population = 228,265 18% of Host community population = 3,738,770 18% of the people living in inaccessible area = 227,007 # OF WOMEN 8% of IDP Population = 140,583 8% of Returnee Population = 101,451 8% of Host community population = 1,661,676 8% of the people living in inaccessible area = 100,892 TOTAL 456,895 329,716 5,400,446 327,899 Total PiN 6,514,956 States # OF CHILDREN (6 - 59 Months) # OF WOMEN Total PiN Adamawa 645,356 286,825 932,181 Borno 1,008,772 448,343 1,457,115 Yobe 731,955 325,313 1,057,268   2,386,083 1,060,481 3,446,564 Bauchi 1,069,780 475,458 1,545,238 Gombe 380,983 169,326 550,309 Taraba 673,508 299,337 972,844 2,124,271 944,121 3,068,392

Proposed interventions 2018 Management of SAM with Medical complication Management of SAM without medical complication OTP Management of Moderate acute Malnutrition PLW & under 5 Infant and young child feeding – IYCF Micro nutrients deficiency control (Vit A, MNP, FeFo and de-worming Blanket Feeding supplementation children Under 5 and PLW. Monitoring and assessment ( SMART survey, KAP, NCA and Coverage assessments) Capacity building and training CBT/ Multi purpose Cash transfers on Nutrition

Targeting criteria Methodology People in Need   People in Need SAM without medical complication (6-59m) 18% of the population * SAM (WHZ)% * 9 SAM with Medical complication (6-59m) MAM < 5 18% of the population * MAM (WHZ)% * 2.6 MAM PLW 8% of the population * MUAC <221mm% * 1.5 BSFP <5 18% of the population BSFP PLW 8% of the population VIT A <5 Pregnant _ Iron 5% of the population*0.375 or 0.625 * PLW of PiN Population category * 0.375 Deworming (12-59m) (18% of the population)*90% MNP (6-23m) 6% of total population*.3335 or 0.625 * PLW of PiN Population category * 0.3335 IYCF -PLW

Proposed Intervention Targets Indicators Adamawa Borno Yobe Total PiN Target # OF CHILDREN Burden SAM 34,022 23,815 207,521 145,265 197,828 138,480 439,371 307,560 SAM OTP Burden 30,620 21,434 186,769 130,738 178,045 124,632 395,434 276,804 SAM SC Burden 3,402 2,382 20,752 14,526 19,783 13,848 43,937 30,756 # OF CHILDREN MAM 85,512 42,765 238,758 119,392 178,029 89,023 502,299 251,180 # OF CHILDREN BSFP 645,356 258,144 1,008,772 403,514 731,955 292,783 2,386,083 954,441 # OF CHILDREN VIT A 516,284 807,017 585,562 1,908,863 # OF CHILDREN MNP 161,418 112,992 252,321 176,627 183,084 128,161 596,823 417,780 # OF CHILDREN Deworming 580,821 464,654 907,894 726,321 658,759 527,007 2,147,475 1,717,982 Iron Folate PLW /MNT 67,291 53,833 105,533 84,426 76,296 61,037 249,120 199,296 IYCF PLW 286,825 200,778 448,343 313,843 325,313 227,722 1,060,481 742,343 MAM PLW 30,162 15,087 108,029 54,021 91,946 45,978 230,137 115,086 BSFP PLW 114,731 179,336 130,124 424,191   PiN Target Children <5 Beneficiaries 2,386,083 1,908,863 PLW Beneficiaries 1,060,481 742,343 3,446,564 2,651,206

Proposed Sector objectives 2017 2018 Improve equitable access to quality lifesaving services for management of acute malnutrition for children (boys and girls 6-59 months) and pregnant and breastfeeding women through systematic identification, referral and treatment of acutely malnourished cases. Promote access to services preventing under-nutrition for the vulnerable groups (children under five and pregnant and caregivers of children less than 2 years of age) focusing on infant and young child feeding in emergencies, micronutrient supplementation, and blanket supplementary feeding. Strengthen in scale the availability of quality services managing acute malnutrition for children (boys and girls 6-59 months) and pregnant and breastfeeding women through increasing access to treatment. Increase capacity to identify malnourished children and refer them for treatment as well promote services preventing undernutrition while supplementing for micro- nutrients deficiencies. Enhance routine monitoring of the emergency nutrition situation through regular assessment analysis of data, while strengthening coordination within the nutrition partners and other sectors.

Plenary discussion Strengthen in scale the availability of quality services managing acute malnutrition for children (boys and girls 6-59 months) and pregnant and breastfeeding women through increasing access to treatment. Increase capacity to identify malnourished children and refer them for treatment as well promote services preventing undernutrition while supplementing for micro- nutrients deficiencies. Enhance routine monitoring of the emergency nutrition situation through regular assessment analysis of data, while strengthening coordination within the nutrition partners and other sectors. What suggestions do we have to the proposed Sector objectives?? What indicators we can use to monitor the proposed objectives.

Nutrition sector response strategies Provision of quality care for treatment and management of acute malnutrition Strengthening community capacity and linkages to enhance early identification of malnutrition and referral to facilities and participate in the promotion and support of optimal infant and young child feeding practices Prevention and protection of vulnerable groups, against the deterioration of nutrition status and to mainstream gender and protection in programme delivery Strengthen nutrition surveillance systems to monitor the nutrition situation Strengthening nutrition sector coordination and partners engagement with and across other sectors such as Food Security, Health, WASH and Education when possible

Critical Discussions & Way forward 3rd Objective on assessment and coordination – Do we include this as nutrition sector objective MAM treatment in 2018, as the Guideline revision is initiated and commitment from WFP to undertake it :- Sector partners should also include this in their OPS Planning for supplies? – one project sheet managed by UNICEF on behalf of the sector with all sector supplies requirement Targeting – To be based on geographical coverage and take into consideration scale-up plans of the different partners.