Updates on iycf integrated with mnp child grant vit a and gmp programs
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Updates on IYCF- integrated with MNP & Child Grant, Vit A and GMP Programs. Pradiumna Dahal Nutrition Specialist, UNICEF. Vitamin A Coverage. UNICEF will focus on under-reached and unreached children (children 6-11 months and children in given in urban areas)

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Updates on iycf integrated with mnp child grant vit a and gmp programs

Updates on IYCF- integrated with MNP & Child Grant, Vit A and GMP Programs

Pradiumna Dahal

Nutrition Specialist, UNICEF


Vitamin a coverage
Vitamin A Coverage

UNICEF will focus on under-reached and unreached children (children 6-11 months and children in given in urban areas)

VAS modeling for 6-11 months children is proposed in Jumla, Kavre and Chitwan districts for 2012- 2013 aiming to scale up this approach to rest of country by 2017.


Protocol for vit a modeling
Protocol for Vit A Modeling

  • The Routine Vit A Biannual Supplementation continuedwith BCC focus on urban/Children 6-11 months.

  • After 6 months the child receive 100,000 IU vitamin A supplement (In HF or through FCHV- Only the first dose)

  • Integrated with routine measles vaccination - If the child is fails to receive routine Vit A biannual supplementation

  • The time gap should be more than 30 days


Anemia prevalence high in children the problem is serious among 6 23 months children
Anemia Prevalence High in Children: The Problem is serious among 6-23 months children

Percent of children age 6-59 months with anemia

Source: NDHS 2011



Iycf practices among under 5 children
IYCF Practices among Under 5 Children

Percent of children 6-23 months

Breastfeeding Status Under 6 Months

Recommended IYCF Practices among 6-23 months children


National programme

IYCF Community Promotion linked with MNP

National Programme

To Improve Anemia, Other micronutrient deficiencies and timely introduction of Complementary food

Feasibility study on MNP distribution

in two districts, Makawanpur and Parsa

Phase I

Piloting of the MNP program

(6 districts: 2010 Onwards) and roll out in 9 districts by 2012

Phase II

Scale up of the MNP Programme

by 2015

Phase III


Iycf mnp program goal
IYCF/MNP Program Goal

  • To improve the nutritional status of children aged 6 to 24 months by reducing prevalence of anemia and by improving complementary feeding and care practices.

Pilot Objectives

  • To identify an effective delivery mechanism to distribute MNPs integrated with IYCF counselling to children 6-24 months of age.

  • To use the findings of this pilot program to develop national strategy for nationwide scale up


Program districts for piloting 6 districts
Program Districts for Piloting- 6 districts

Phase 1: Makwanpur (May, 2010);

Palpa (June, 2010)

Phase 2: Rasuwa (Sept, 2010);

Gorkha (Jan, 2011)

Phase 3: Rupandehi (May, 2011); Parsa (June, 2011)


Distribution models

UNICEF/DOHS/LMD

DHO/DPHO

Procurement Department/UNICEF

Procurement Department/UNICEF

PHC/HP/SHP

DHO/DPHO

DHO/DPHO

FCHV

HP/SHP/PHC

Municipality Office

6 to 24 months Children

Ward Office

6 to 24 months Children

FCHV

6 to 24 months Children

Distribution Models

HEALTH FACILITY (RURAL MODEL)

FEMALE COMMUNITY HEALTH VOLUNTEERS

(RURAL MODEL)

MUNICIPALITY WARDS (URBAN MODEL)



Updates from external survey preliminary report new era infant and young child feeding practices
Updates from External Survey: Preliminary Report New EraInfant and Young Child Feeding Practices

External Survey: Preliminary Report New Era



Background

IYCF PROMOTION LINKED WITH CHILD GRANT (IYCF/CG)

Background

  • Since 2009/10, - GoN- Child Cash Grant (CG) (NRs 200/child for maximum 2 children) is provided for each child in Karnali. Dalit families in rest of the country

  • Disbursed through VDCs quarterly

  • Meant to be utilized for the improvement of nutritional status of the targeted children.

  • UNICEF- complemented Infant & Young Child Feeding (IYCF) training/Social mobilization in 4 districts


Objectives
Objectives

  • Improve Child Grant beneficiaries’ knowledge on IYCF, Hygiene and Sanitation and other key nutritional behaviours

  • Assist mothers and caretakers to identify the best possible locally available food - to improve the nutritional status of the children

  • Build capacity of health workers and volunteers on IYCF

Strategies

  • Advocacy:Capacity building

  • Orientation:

  • Process monitoring:

  • BCC

  • Evaluation



Challenges future direction
Challenges/Future direction

Challenges

  • Optimum utilization of the Cash Grant in improvement of nutritional status of targeted children.

  • Easy access to nutritious food for buying.

    Focus for 2012

  • Monitoring of the IYCF/CG programme.

  • Midline Evaluation of IYCF/CG

  • Promotion of locally available foods.

  • Sustainability - functioning/revitalization of the mother’s group meetings (MGM) and use of the VDC block grant.

  • Airing of IYCF messages, performance of street drama and advocacy meetings at the ward level.


Updates in

Growth Monitoring


Old Growth Monitoring Card

New Growth Monitoring Card

  • Unnecessarily covers under five children-not evidence based and also extra burden to health workers

  • Uses -3SD for lower line-thus only identifies severe malnutrition, which defeats the purpose of GMP promotion and its too late for action


Revised hmis formats for feasibility
Revised HMIS Formats for Feasibility

  • ..\Growth Monitoring\New card\HMIS Revised Formats\HMIS 7-Revised.xls

  • ..\Growth Monitoring\New card\HMIS Revised Formats\HMIS 17-Revised.xls

  • ..\Growth Monitoring\New card\HMIS Revised Formats\HMIS 31-Revised.xls

  • ..\Growth Monitoring\New card\HMIS Revised Formats\HMIS 32-Revised.xls



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PLEASE DON’T FEEL INFERIOR EATING INDIGENOUS FOOD…..FEEL PROUD AND HEALTHY and PROMOTE THEM


THANK YOU FOR YOUR ATTENTION!

Let us work together to make them smiling


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