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

2. Why unicef in NEPAL?

3. 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.

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

5. The CMAM Model

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

7. OTP Centers Sub Health Post, Magaragadi. Bardiya

8. 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

9. Focus Group with FCHVs
Monitoring of CMAM Program

10. 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

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

12. Thank you!