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18/11/2013 OCTOBER
Overview The Pakistan Nutrition Cluster in October continued
nutrition services for nutritionally vulnerable populations through
the implemen-
tation of the Community Management of Acute Malnutrition (CMAM)
programs in KP/FATA, Balochistan, Punjab and Sindh provinces.
The CMAM activities are based on four major components:
community outreach and mobilization, Supplementary Feeding
Programs
(SFPs) for the treatment of Moderate Acute Malnutrition (MAM) in
children 6-59 months and Pregnant and Lactating women (PLW),
Outpatient Therapeutic Feeding Programs (OTPs) for treatment of
children 6-59 months with Severe Acute Malnutrition (SAM) and
Stabilization Centers (SCs), where SAM children with medical
treatment receive treatment. Infant and Young Child feeding
counsel-
ing and education is integrated into all four components.
The Nutrition Cluster is currently active in three provinces
(Sindh, Balochistan and KP/FATA) and at the national level.
25,998 171,079
Children screened in
October
1,675,629 Children screened this
year
Children admitted in SFPs
this year
Children admitted in SFPs
in October
83,784 Children admitted in OTPs
this year
Children admitted in OTPs
in October
11,549 584 SFPs
Number of CMAM sites
operating in Pakistan
331OTPs (Male:82,941 Female:88,138
880,348
Provincial Overview
Care taker and PLW par-
ticipated in nutrition and
IYCF sessions this year.
201,395
60 SCs
(Male:11.749 Female:14,249) (Male:4.777 Female:6,772)
304,023
26,630
7,535
14,096
1,968
813
296,329
25,865
42,251
676,841
95,597
40,084
384,340
32,615
9,266
0 100,000 200,000 300,000 400,000 500,000 600,000 700,000
800,000
Screening
SFP
OTP
Screening
SFP
OTP
Screening
SFP
OTP
Screening
SFP
OTP
Screening
SFP
OTP
Khyber
Pakhtunkhwa
FATA
Punjab
Sindh
Balochistan
Achievement Yearly Target
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National Nutrition Cluster Update October 2013
Coordination Meetings
Recent monthly cluster coordination meetings were held on
September 16 and October 10. The meeting minutes are
available on the cluster website:
https://pak.humanitarianresponse.info/clusters/nutrition
Megan Gayford will conclude her contract as Nutrition Cluster
Coordinator for the National Cluster in the first week of
November. In the interim, Teshome Feleke, nutrition specialist
UNICEF will be acting NCC (contacts below).
CMAM Guideline Review
The National CMAM Guideline has been reviewed, with the support
of a consultant and under the leadership of the
cluster’s CMAM TWG, led by Merlin. A series of technical
meetings have taken place to reach agreement on the con-
tent of the revised Guideline. The guideline draft and key
changes were presented to a wide audience at the National
CMAM Review Workshop in Islamabad, supported by WFP and UNICEF.
The next steps are finalization of the CMAM
reporting chapter before review by the Technical Advisory Board
and Government endorsement.
IYCF Working Group
The IYCF working group, led by Save the Children has finalized
the limited set of IYCF indicators for inclusion in the
NIS. There is a plan to develop a National IYCF Guideline and
Strategy in early 2014.
IM Working group
The NIS online is now accessible at:
http://www.wfp.org.pk/nis/
http://www.wfp.org.pk/nis/
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Sindh Update
OTP: A total of 64 OTP sites are functional in 9 districts of
Sindh in October, 2013. These include 49 sites established in
re-sponse to the 2012 floods.
The OTP performance indicators show a cured rate of 90 percent,
which exceeds the sphere standards.
SFP: A total of 103 SFP sites are functional in 9 districts of
Sindh in September. Of the 103 sites, 49 were established during
the 2012 floods. WFP has continued supporting SFP program in
district Umerkot, Shikarpur and Tharparker to December 2013 through
PLAs with SHIFA, Merlin and IRC.The SFP performance indicators in
Sindh province show a cured rate of 98 percent, which ex-ceeds the
sphere standards.
Stablization Centers: 23 SCs are functional in 23 districts of
Sindh. STC, Merlin and ACF are now implementing EU funded CMAM
projects in Shikapur, Thatta and Badin respectively. World IDD day
was celebrated in Sindh on 31st October. A new Sindh Nutrition
Cluster Coordinator has commenced in late October. Dr Shahid Hanif
will be sitting two days per week with the Nutrition Cell. A Sindh
nutrition cluster meeting is planned in last week of November,
which will mainly be focusing on 2014 CMAM plans as well as
Nutrition PC-1 implementation.
SC graph also—please add Qutab Khyber Pakhtunkhwa Update
The Nutrition Cluster is currently sup-porting provision of
nutrition services through 92 nutrition centres (against the
Humanitarian Operational Plan 2013 target of 100) for IDPs in three
camps (Jalozai-4 centres, Togh Sarai-1 centre and New Durrani-1
centre). In addition for off-camp IDPs there is one centre each in
21 Union Councils (UC) of Dera Ismail Khan, 15 UCs of Kohat, 10 UCs
of Hangu, 24 UCs of Peshawar,7 UCs of Nowshera and 9 centres in
Kurram Agency of FATA. Services in all men-tioned areas will
continue till end De-cember 2013. The OTP cure rate is 95 per cent
and the Supplementary Feeding Programme (SFP) cure rate is 97 per
cent, both ex-ceeding sphere standards. In the month of October two
new imple-menting partners (LIFE and SSP ) have commenced CMAM and
IYCF interven-tions in Tank district of KP province.
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Balochistan Update
In October 2013, nutrition emergency intervention is implemented
through 66 CMAM sites (20 OTPs, 46 SFPs). 10 stabilization centers
are also functional in the province. Capacity building is vitally
important to enhance the ability of individuals and institutions to
perform functions, solve problems, and set and achieve ob-jectives
in a sustainable manner. Provincial Nutrition Cell with the
financial support from UNICEF orga-nized a five day training on
CMAM in the districts of Naseerabad & Jafferabad, training 76
Health Care providers on the said protocol during (27 August to 01
September, 2013). The value of capacity building is clearly in the
legacy it leaves of skilled master trainers and HCPs who are
resources for future train-ing, education and advocacy. This is a
key element in the sustainability of nutrition services in the
dis-trict. In the month of August 2013 PAOBK has commenced services
in the early recovery UCs of districts Naseerabad & Jafferabad.
Currently there are 46 SFPs and 20 OTPs and 06 ATFCs functional in
these two districts providing Nutrition Services to the Chil-dren
& PLWs.WFP has started a blanket SFP to earth-quake affected
households in Awaran and Kech dis-tricts.
OTP: A total of 144 OTP sites are functional in 12 districts of
Punjab in October 2013. . The OTP performance indi-cators show a
cured rate of 79 percent, which exceeds the sphere standards.
SFP: A total of 58 SFP sites are functional in 12 districts of
Punjab in October. WFP has continued supporting SFP program in
different districts.
The SFP performance indicators in Punjab province show a cured
rate of 94 percent, which exceeds the sphere standards.
Punjab Update
CLUSTER CONTACTS
National: Teshome Feleke , NCC: [email protected]/
03455006539
KP/FATA: Aien Khan, NCC: [email protected]/
03005002598
Balochistan: Dr Mohammed Faisal, NCC: mfai-
[email protected]/ 03323536493
Sindh: Shahid Hanif, NCC: [email protected]/
03349566037
Punjab: Qurrat Ul Ain, [email protected]/
03054560058
