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
