Re-establishing Basic Maternal, Newborn and Child health, and ...

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Five severely malnourished children ( Balangkayan, Hernani and Salcedo) were admitted and four of them are discharged cu
Re-establishing Basic Maternal, Newborn and Child health, and Nutrition in Communities Affected by Typhoon Hayian

Promoting child rights to end child poverty 1

The Nutrition Component of the Program • Community Based Management of Acute Malnutrition (CMAM) • Infant and Young Child Feeding (IYCF – E)

• Capacity Building Municipality

Number of Barangays

Number of children 6-59 months targeted for screening

Number of pregnant and lactating women targeted for screening

Number of pregnant and lactating mothers targeted for IYCF

Balangkayan

15

909

382

489

Hernani

13

775

334

437

Salcedo

41

2078

864

1080

69

3761

1580

2006

Total

Promoting child rights to end child poverty 2

1. Management of Severe Acute Malnutrition Table 2. Findings of MUAC screening in February to April 2014 in Eastern Samar (children 6-59 months)

February Municipality

Target children

Screened

Cover. in %

SAM cases

April

March MAM

Screened

Cover. in %

SAM cases

MAM cases

Screened

Cover in %

SAM cases

MAM cases

Balangkayan

909

570

62.7

1

1

580

63.8

1

2

542

59.6

0

2

775

418

54.0

0

2

669

86.4

0

1

685

88.5

0

1

2078

1932

93.0

1

60

1858

89.4

1

25

1217

58.6

0

16

3761

2920

77.6

2

63

3107

82.6

2

28

2444

65.0

0

19

Hernani

Salcedo Total

Promoting child rights to end child poverty 3

• Five severely malnourished children ( Balangkayan, Hernani and Salcedo) were admitted and four of them are discharged cured. • Four OTP sites • Only one child is in program • ToT training in management of severely acute malnutrition (CMAM) • Roll out CMAM training to health workers in Balangakayan and Hernani • Distribution of length boards, weighing scales and MUAC tapes

Promoting child rights to end child poverty 4

2. Infant and Young Child Feeding (IYCF) • • • •

ToT training to health workers and plan staff Roll out training to health workers and BNS Distribution of IEC materials Establishment of mothers and baby friendly breastfeeding spaces

Promoting child rights to end child poverty 5

Table 3. Facilities delivering IYCF Services by Trained Personnel Number Facilities delivering IYCF services Municipality Balangkayan Hernani Salcedo Total

Nutrition posts/others

Total

IYCF trained Community workers

BHS

RHU

Baby friendly spaces

1

1

1

6

9

12

4

1

1

3

9

13

7

1

1

25

34

40

12

3

3

34

52

65

Promoting child rights to end child poverty 6

II. Lessons Learned •

The problem seems more of chronic malnutrition than acute malnutrition. However, it needs to monitor the nutritional status of the under five children and PLWS

• There is a need of micronutrient programs addressing targeting women in reproductive age and adolescents • Dietary diversification • Support the implementation of the code of marketing of breast milk substitutes. • KAP assessment on IYCF practices for appropriate design of nutrition programs

• Poor correlation between MUAC and weight for height z-score • Capacity building of the health system in terms of SAM management

Promoting child rights to end child poverty 7