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United Nation Children’s Fund Kathmandu, Nepal

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

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United Nation Children’s Fund Kathmandu, Nepal

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  1. United Nation Children’s FundKathmandu, Nepal KusumHachhethu 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 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!

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