United Nation Children’s Fund Kathmandu, Nepal
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Transcript of United Nation Children’s Fund Kathmandu, Nepal
UNITED NATION CHILDREN’S FUNDKATHMANDU, 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
• To network with the nutrition community in Nepal.
Prevalence of Severe Acute Malnutrition in Nepal
Bardiya Achham Mugu Kanchanpur Jajarkot0
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Rate of SAM in the five CMAM districts
SAM
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Data Source: Nepal DHS 2011
The CMAM Model
CMAM Model• Core - Community Mobilization
• Treatment in Scale
• Referral by FCHVs
• Outpatient treatment - Uncomplicated cases
• Inpatient – Complicated
• Reduction of economic costs
Sub Health Post, Magaragadi. Bardiya
Health Post, Magaragadi, Bardiya
OTP Centers
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
Focus Group with FCHVs
Monitoring of CMAM Program
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
SAM Child, Roma (1 year old) being treated by the CMAM program
Thank you!