Health cluster Lessons Learned

Workshop

21st May 20152pm WHO conference room

Nutrition WG

Strengths

Before TC Pam Immediately after (first 72hrs)

Emergency phase (72hrs to 6 weeks)

3 existing (Itps) at three provincial-level hospitals (VCH, Lenekal, Santo) (but no following WHO protocol)

Selected HWs from five provincial-level hospitals received UNICEF/MoH led IYCF training, including IFE (infant feeding in emergencies)

WHO seconded Nutritionist to MoH

Joint statement on appropriate feeding in emergencies signed by MoH DG and UNICEF Rep

Immediate set-up on Nutrition WG (for emergency response)

Immediate mobilisation of UNICEF NIE specialist

Procured emergency nutrition supplies

Strengthened existing Itps by providing essential supplies (amoxicillin, VAS, therapeutic milks, abendazole etc)

Integrated acute malnutrition screening and IYCF into measles campaign.

Set up nutrition surveillance for efate (tapping WHO)

Trained HFs on IYCF counselling and MUAC screening in Efate

Weakness Before TC Pam Immediately after

(first 72hrs)Emergency phase (72hrs to 6 weeks)

Shortage of nutrition supplies for Itp

Outpatient treatment Programmes for Severe Acute Malnutrition without complications (SAM)

Emergency Preparedness Response Plan

Contingency supplies

Acute malnutrition screening

Lack of NiE capacity by NGO partners

Lack of NGO partners in nutrition

First exposure to humanitarian architecture for most in NWG

Distribution of supplies

Acute malnutrition screening of all children at HFs.

Referral of identified SAM cases

Reporting mechanisms on SAM admissions.

NGO partner coverage

Recommendations – moving forward

1. Nutrition emergency preparedness and response plan (EPRP)

2. Transition from Nutrition Working Group to Nutrition Committee

(led by MoH nutrition coordinator) after HAP period.

3. Continued procurement of nutrition supplies (therapeutic

milk/amoxicillin, Vitamin A, albendazole, Resomal, Rutf)

4. Continue monitoring and reporting of Itps and Otps

5. Annual refresher training for NiE (IYCF, SAM etc)

6. Strengthen Baby Friendly Hospital Initiative

7. Regular monitoring, reporting and action on milk code violations

Questions?