united nation children’s fund kathmandu, nepal
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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 - PowerPoint PPT PresentationTRANSCRIPT
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UNITED NATION CHILDREN’S FUNDKATHMANDU, NEPAL
Kusum Hachhethu
Nutrition Intern
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WHY UNICEF IN NEPAL?
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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.
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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
District
per
cen
t o
f S
AM
Data Source: Nepal DHS 2011
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The CMAM Model
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CMAM Model• Core - Community Mobilization
• Treatment in Scale
• Referral by FCHVs
• Outpatient treatment - Uncomplicated cases
• Inpatient – Complicated
• Reduction of economic costs
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Sub Health Post, Magaragadi. Bardiya
Health Post, Magaragadi, Bardiya
OTP Centers
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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
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Focus Group with FCHVs
Monitoring of CMAM Program
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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
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SAM Child, Roma (1 year old) being treated by the CMAM program
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Thank you!