Bangladesh Nutrition Cluster monthly meeting #33

Transcription

1 Bangladesh Nutrition Cluster monthly meeting #33 17 December 2017, 2:30 04:00 pm, IPHN Meeting minutes Rapporteur: Mohammad Mainul Hossain Rony, IMO and Abigael Nyukuri, NCC Agenda 1. Welcome and introductions 2. Review of the action points from the previous meeting 3. Update on F75 and F100 National Stock Status and Reporting IPHN 4. Rohingya Response Update - Nutrition Action Week and SMART Survey-ACF and UNICEF 5. SMART survey for Kurigram- TDH 6. Update on TSFP and BSFP Programme-WFP 7. National IYCF-E Guideline- NCC 8. Update on NC Nutrition Services Emergency Preparedness and Response Plans-NCC 9. District Nutrition Focal Persons Mapping Update- NC IMO 10. AOB 1. Welcome and introductions Dr. Murshidi, IPHN chaired the meeting. The meeting started with a round of introduction at 2.45 PM. 2. Review of the action points from the previous meeting Action point Government to follow up on BMS Prevention and management of BMS in CXB and coordinate with the army to control distribution of the BMS Hold bilateral meetings with partners who have submitted application to be included in the Nutrition Cluster membership Focal point/agency Dr. Mustafiz NC Team Status Pending On-going Circulate SMART Survey Preliminary Findings for Cox Bazaar ACF Done Follow up with Nutrition Sector to establish screening methodology used WFP to provide clarification on MAM treatment and MAM prevention target group and figures NCC WFP Done Done Page 1

2 Update on Results of the Nutrition Assessment in Cox NCC Done Follow up with Nutrition Sector data to include Screening results, new admissions a segregation of data by gender NCC Done Complete the Nutrition Partners Mapping IMO Not done due to lack of feedback Discussion: - The Nutrition Cluster Coordinator Informed Cluster Partners that the Cluster IMO will re-send the mapping template for partners to report on the different Nutrition sensitive activities that they are doing. 3. Update on F75 and F100 National Stock Status and Reporting Dr. Murshidi, IPHN briefed NC members the update on F75 and F100 National Stock Status and Reporting. Key updates; - There are adequate supplies of Therapeutic Milks in CMSD Stores and there is no foreseen pipeline break carton of F75 and 1,362 Cartons of F100 are available at CMSD carton F75 and 94 Cartons of F100 have been distributed to the different SAM Facilities around the country including Cox s Bazaar. Discussion - NCC expressed concern that most partners and health facilities were reporting pipeline breaks of Therapeutic Milks. She encouraged Partners to timely report on utilization of Therapeutic Milks and to make timely requests and follow up through their respective Civil Surgeon - NCC requested Partners to share training needs for new F75 and F100 reconstitution through the IOM 4. Rohingya Response Update - Nutrition Action Week and SMART Survey 4.1. Nutrition Action Week for the Rohingya Response-UNICEF Expected results of NAW: - To reach at least 80% of 220,946 children aged th months with vitamin A capsules, - To reach 80% of 118,427 children aged months with deworming tablets - To conduct screening for 176,756 children aged th months and refer malnourished children for nutrition treatment programme - To provide information on important breastfeeding practices and appropriate feeding practices Achievement Ministries, agencies and Partners who participated and Contributed to the exercise include Ministry of Health, UNICEF, WFP, SHED, ACF, Concern WW, ACF, CARE, SARPV, BRAC, PHD and World Vision Page 2

3 25,000 20,000 15,000 10,000 5,000 Target vs Cumulative Achievement 89% 92% 90% 93% 93% 84% 76% 79% 67% 84% 87% 85% 89% 88% 60% 79% 72% 75% 63% 56% 100% 80% 60% 40% 20% - Day 1 Day 2 Day 3 Day 4 Day 5 Day 6 Day 7 Day 8 Day 9 Day 10 0% Vitamin A Target %Screening (cumulative) Screening %Vitamin A (cumulative) Use of innovation: - Real-time daily reporting & analysis using online platform - NAW interactive dashboard in DHIS2 - Performance and supply tracking using SMS Discussion - NCC requested UNICEF to develop a 2 pager documentation on the Nutrition Action Week to be uploaded to the website and circulate among stakeholders. - Ministry of Health Participation in the activity was paramount and really made significant contributions to achievement of the targets 4.2. SMART surveys conducted at CXB for Rohingya Response. The below surveys were conducted by ACF with support from CDC in Cox Bazaar Kutupalong Refugee Camp Oct 22 nd - 28 th 2017 Makeshift and Spontaneous Settlements Oct 29 th - Nov 20 th 2017 Nayapara Refugee Camp Nov 20 th - 27 th 2017 Discussion: - GAM Rates were 24.3% in Kutuplaong Registered Camp, 19.3% in Makeshift and Spontaneous Camps and 14.3% in Nayapara Registered Camps. Complete table of results is annexed to this report - ACF will share the final report by January SMART survey for Kurigram- TDH TDH was not present in the meeting but shared feedback over to IMO Page 3

4 TDH completed SMART survey in Barguna district. Preliminary results to be shared next week. In Kurigram district, SMART survey is ongoing, hopefully the report will be ready by end of the month to share. 6. Update on TSFP and BSFP Programme-WFP Key points are: Fast Track enrolment 15 Nov 15 Dec and on-going Start of operation Where / How many BSFP sites TSFP sites pre-existing / ongoing 2 Registered Camps and 2 Makeshift settlements 1 ongoing Previously in place 4 02-Nov 2 sites at new Makeshift settlement 2 starting mid Dec Nov 2 sites in spontaneous settlements 2 starting mid Dec Nov 5 sites in spontaneous settlements 5 starting second Mid Dec 17 1 site in Kutupalong camp extension 1 starting second Mid Dec Dec 1 site in Kutupalong camp extension 1 starting end Dec17 Total up and running 15 2 nd half Dec 1 site in Kutupalong camp extension 1 starting end Jan 18 Call for proposal for 4 more sites starting from January 3 sites in Kutupalong camp extension 3 starting mid Feb 18 1 site in spontaneous settlements 1 starting end Feb 18 Total by end Jan Ready to Use Supplementary Food (RUSF) - WFP mentioned that they plan to use Ready to Use Therapeutic Food for treatment of MAM for Rohingya Response. The protocol to be used is shown below. Supplementary Food Ration Protocol Page 4

5 Type of Supplementary Food Daily Quantity (g) Calorie (Kcal) Quantity /distribution Distribution pattern RUSF 100 (1 Sachet) Sachets Two week apart (14 Days interval) SuperCereal plus packets (3 kg)* Two week apart (14 Days interval) 7. Presentation on IYCF: - NCC mentioned that there is need for partners who volunteered to review the BMS chapter of the IYCF-E Guideline shared by Isabelle the IYC-E Consultant - NCC presented the letter from Nutrition Sector requesting IPHN to provide guidance on confiscation of 23 MT of BMS in Cox Bazaar 8. AOB IPHN has sent a letter on IYCF practice and breast milk substitute to DG AFD, DC- CXB, Civil. Action points Focal point/agency Timeline IPHN to support Nutrition sector on confiscation of IPHN 27/12/ MT of BMS in Cox Bazar UNICEF to share a 2 Pager on Documentation of UNICEF 17/01/2018 Nutrition Action Week Share BMS Chapter and the relevant guidelines to NCC NCC 18/12/2017 Partners for feedback Partners to share Feedback on training needs for All NCC Partners 30/12/2017 reconstitution process for improved F75 and F100 Share Feedback to IMO on Mapping of Nutrition All NCC Partners 30/12/2017 Sensitive Activities Share Barguna Preliminary SMART Survey Findings TDH 25/12/2017 Share Final Report of SMART Survey for Cox Bazaar to NCC and IMO ACF 30/01/2016 The meeting ended at 4:30 PM. The Next Nutrition Cluster Meeting was tentatively scheduled at 16 January 2018 in IPHN Conference Room. The IMO will send an confirmation to all partners on the same. Page 5

6 Annex 1. Cox Bazaar SMART Survey Report Result Demographic: Population Kutupalong RC Makeshift Nayapara RC Subset All Households Registered Refugees New Arrivals All Households New Arrivals Old Arrivals All Households Registered Refugees New Arrivals All Household Members, % 2,202 1,414 (64.2%) 741 (33.7%) 6,146 5,249 (85.4%) 859 (14.0%) 3,093 1,746 (56.5%) 1,206 (39.0%) Average HH Size, mean (SD) 5.4 (2.7) 5.9 (2.8) 4.7 (2.3) 5.6 (2.3) 5.7 (2.4) 5.5 (2.1) 6.4 (2.6) 7.0 (2.7) 5.6 (2.2) Female 50.2% [ ] 50.4% [ ] 49.5% [ ] 51.4% [ ] 51.6% [ ] 50.4% [ ] 51.1% [ ] 50.6% [ ] 52.2% [ ] Women years 24.3% [ ] 24.8% [ ] 23.4% [ ] 23.7% [ ] 23.8% [ ] 23.2% [ ] 24.4% [ ] 25.4% [ ] 23.3% [ ] Page 6

7 Pregnant and lactating women 8.2% [ ] 6.9% [ ] 10.9% [ ] 9.8% [ ] 9.7% [ ] 10.2% [ ] 7.0% [ ] 5.4% [ ] 9.1% [ ] Pregnant women 2.0% [ ] 1.7% [ ] 2.6% [ ] 3.1% [ ] 3.2% [ ] 3.0% [ ] 2.2% [ ] 1.8% [ ] 2.7% [ ] Lactating women 6.2% [ ] 5.2% [ ] 8.4% [ ] 6.7% [ ] 6.5% [ ] 7.2% [ ] 4.9% [ ] 3.6% [ ] 6.5% [ ] Children 0 59 months 18.4% [ ] 15.7% [ ] 23.8% [ ] 20.3% [ ] 20.4% [ ] 19.7% [ ] 15.0% [ ] 12.1% [ ] 19.1% [ ] Results Anthropometric: Kutupalong RC Makeshift Nayapara RC Sample Indicator All REG & NA All NA & OA All REG & NA Page 7

8 Global Acute Malnutrition WHZ <-2 z +/- edema* 24.3% [ ] REG 21.8% [ ] NA 27.3% [ ] 19.3% [ ] NA 19.5% [ ] OA 20.0% [ ] 14.3% [ ] REG 12.2% [ ] NA 15.8% [ ] Severe Acute Malnutrition WHZ < -3 z +/- edema 7.5% [ ] REG 8.2% [4.7- NA 3.1% [ ] REG 0.6% [ ] 13.7] 3.0% 1.3% [ ] [ ] NA 6.6% [ ] OA 2.9% [ ] NA 2.0% [ ] Children 6-59 months Global Chronic Malnutrition HAZ < -2 z 43.4% [ ] REG 40.1% [ ] NA 47.5% [ ] 44.1% [ ] NA 44.1% [ ] OA 43.1% [ ] 44.4% [ ] REG 44.7% [ ] NA 44.3% [ ] Severe Chronic Malnutrition HAZ < -3 z 15.0% [ ] REG 15.0% [ ] NA 15.0% [ ] 12.0% [ ] NA 12.4% [ ] OA 8.0% [ ] 12.5% [ ] REG 11.7% [ ] NA 12.9% [ ] Global Underweight WAZ < -2 z 45.0% [ ] REG 43.2% [ ] 41.3% [ ] NA 41.1% [ ] 40.8% [ ] REG 38.7% [ ] Page 8

9 NA 47.1% [ ] OA 41.7% [ ] NA 42.6% [ ] Severe Underweight WAZ < -3 z 14.9% [ ] REG 14.9% [ ] NA 15.5% [ ] 11.2% [ ] NA 11.6% [ ] OA 7.9% [ ] 8.5% [ ] REG 7.2% [ ] NA 9.1% [ ] Result MUAC: Kutupalong RC Makeshift Nayapara RC Sample Indicator All REG & NA All NA & OA All REG & NA Children 6-59 months Global Acute Malnutrition MUAC < 125 mm +/- edema* 5.9% [ ] REG 6.1% [ ] NA 5.8% [ ] 8.6% [ ] NA 9.3% [ ] OA 3.6% [ ] 7.0% [ ] REG 4.4% [ ] NA 9.6% [ ] Page 9

10 Severe Acute Malnutrition MUAC < 115mm +/- edema* 0.7% [ ] REG 0% 1.3 % [ ] NA 1.7% [ ] OA 0% NA 1.4% [ ] 1.8% [ ] REG 1.1% [ ] NA 2.5% [ ] Infants 0-5 months Mean MUAC Measurement (SD) 118mm (15.51) mm (17.4) mm (13.2) -- Women yrs Low MUAC MUAC < 210 mm 7.3% [ ] REG 4.8% [ ] NA 13.4% [ ] 8.6% [ ] NA 9.4% [ ] OA 3.7% [ ] 3.5% [ ] REG 3.7% [ ] NA 3.4% [ ] Page 10

11 Participants Page 11

12 Page 12