1. SUAAHARA & ACF strategy to implement nutrition interventions in Sindhupalchowk

2. CMAM implementation strategy
Short term strategy (2-3 months)
Direct intervention with establishment of OTPs (Tent)
Screening by additional HR
Follow up, QC, supervision and monitoring
Mid term strategy (6-9 months)
Programme orientation to DHO/DPHO and other stakeholders
Training of HWs and FCHVs
Technical assistance to run OTPs by external HR
Long term strategy (4-6 months)
On the job training of HWs to run OTPs
Phase out of TA to run OTPs by external HR
Supportive supervision and monitoring

3. Additional activities with CMAM
IYCF-E (Protection, promotion and support of BF; Counselling sessions including care practices, monitoring and reporting of BMS; mother baby areas /baby friendly spaces)
Distribution of MNP (6-59 months, 1 sachet/child/day for first 30 days, other than SAM cases)
Support to Vitamin A supplementation (as and when organized by the government)
Linking PLW for IFA supplementation to health facilities or health tents

4. Logistics supply CHD LMD/UNICEF (Supplier) DHO/DLSA (Store house)
Implementing partner
Health facility

5. Implementation areas Out of 15 Ilakas, SUAAHARA Melamchi Nawalpur
Thulopakha
ACF
One OTP covering Syaule, Simpal Kavre, Selang
One Ilaka after consensus/discussion
There will be further discussion for OTP set up in remaining geographic area after field level experience in above mentioned areas

6. Questions Storage (DHO/DPHO or DLSA) and challenges
Supply request (Implementing partner to DHO/DPHO to CHD or else)
MNP supplementation strategy: duration, target age group, modality (uniformity for all)
Training duration to HWs and FCHVs and package
Assurance of uninterrupted supply chain of all commodities
Stabilization centre for complicated SAM??
Way for Mobilization of FCHVs for community out-reach activities??: needs guidance for uniformity