1. HNO/HRP Nutrition sector plan 2018

2. Nutrition sector key issues to be addressed 2018?
Serious nutrition situation with GAM between % 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
????????????????????

3. People In Need
INTERNALLY DISPLACED PERSONS
RETURNEES
HOST COMMUNITY
PEOPLE IN INACCESSIBLE AREAS
# OF GIRLS ( Months)
# OF BOYS ( Months)
# OF CHILDREN ( 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 ( 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

4. 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

5. 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 * PLW of PiN Population category * 0.375
Deworming (12-59m)
(18% of the population)*90%
MNP (6-23m)
6% of total population*.3335
or * PLW of PiN Population category *
IYCF -PLW

6. 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

7. Proposed Sector objectives
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.

8. 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.

9. 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

10. 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.