United Nation Children’s Fund Kathmandu, Nepal

UNITED NATION CHILDREN’S FUNDKATHMANDU, 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

• To network with the nutrition community in Nepal.

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

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AM

Data Source: Nepal DHS 2011

The CMAM Model

CMAM Model• Core - Community Mobilization

• Treatment in Scale

• Referral by FCHVs

• Outpatient treatment - Uncomplicated cases

• Inpatient – Complicated

• Reduction of economic costs

Sub Health Post, Magaragadi. Bardiya

Health Post, Magaragadi, Bardiya

OTP Centers

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

Focus Group with FCHVs

Monitoring of CMAM Program

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

SAM Child, Roma (1 year old) being treated by the CMAM program

Thank you!