Nutrition

Integrated response to malnutrition among internal displayed person (IDPs) in Mangalla Payam.
It was a live saving 6-months project funded by KAPU AFRICA
 
CSI approaches to the community

Before the detail implementation of the nutrition project, the community support initiative approached the community through the number of steps which includes:

  1. Meeting with the RRC coordinator in the camp and briefed him about the new intervention.
  2. The CSI organized for the inception meeting in which other relevant stakeholders such as CHD, RRC, community leaders, and the line ministries departments were called and the project details were discussed.
  3. During the project implementation process, they CSI M&E officer was engaged periodically with the community members through conducting accountability meetings and community engagement mechanism.
  1. IYCF counsellors training on MIYCN approaches and Social Behavior Change C communication pathways.
  2. lead mother refresher training on prevention measures of covid-19
  3. lead mother refresher training on kitchen gardening and cooking demonstration
  4. local community leaders and pastors were trained on MIYCN practices, ECD and GBV referral pathways
  5. identification and training of traditional birth attendance and grandmothers on MIYCN, ECD and early childhood risks
  6. lead mothers training on Home hygiene promotion as preventive measures for childhood illness
  7. community sensitization to lead mothers on detection of malnourished cases and immunization coverage and provision of linkages and referral
  8. lead mothers training on family MUAC approaches to scale up nutrition intervention in the community
  9. Screening of children between 6 months and 59 years with acute malnutrition and pregnant women in the second trimesters and mothers of infant below 6 months referred them to the health facilities.
  10. Admission of PLWs who meet the admission criteria and children with MUAC <12.4mm into TSFP program and children with <11.5 mm without medical complication into OTP Program.
  11. Provision of CSB++ to PLWs and Children U5 who were admitted in to the program.
  12. Defaulters tracing by the community outreach volunteers and provision of individual counselling’s to the caregivers of the children in the program.

NUTRITION PROJECT CHALLENGES

  1. During the implementation of nutrition project in Mangalla, there were a number of challenges that faced the project, they include:
  2. Community movement and ration sharing which led to the increases in defaulter rates long stay in the program and non-responding.
  3. Cultural practices, such as food taboos and hinder the women’s nutrition by restricting the consumption of food varieties.
  4. The lack of hygiene promotion integration was identified to have been the leading causes of relapses and delay cure.

RECOMMENDATIONS:

CSI recommended the following point to be put into consideration while planning a new nutrition intervention.

  1. Men should be considering as well in the capacity building for nutrition, this is because men are the head in decision making in every household and women are not in charge of resources. In addition, domestic violent may result from any activity done by the women that has not been approved by men, and this call for the full understanding of the malnutrition implication in maternal and child mortality and morbidities.
  2. Hygiene promotion activities should be integrated as well in nutrition intervention, since the primary causes of malnutrition involves infection of disease, caregivers and other child care stakeholders such as TBAs should be train on hygiene promotion strategies.