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PRESIDENT’S OFFICE REGIONAL ADMINISTRATION AND LOCAL GOVERNMENT
THE UNITED REPUBLIC OF TANZANIA
FOR COMPREHENSIVE SUPPORTIVE SUPERVISION IN IMPLEMENTATION OF THE
NATIONAL MULTISECTORAL NUTRITION RESPONSE IN REGIONS AND LGA’s
TOOL KIT
MARCH 2018
NATIONAL MULTISECTORAL NUTRITION RESPONSE IN REGIONS AND LGA’s i
FOR COMPREHENSIVE SUPPORTIVE SUPERVISION IN IMPLEMENTATION OF THE
NATIONAL MULTISECTORAL NUTRITION RESPONSE IN REGIONS AND LGA’s
TOOL KIT
MARCH 2018
NATIONAL MULTISECTORAL NUTRITION RESPONSE IN REGIONS AND LGA’s
NATIONAL MULTISECTORAL NUTRITION RESPONSE IN REGIONS AND LGA’sii iii
LIST OF ABBREVIATIONS .............................................................................................................................................iv
FOREWORD ........................................................................................................................................................................v
SECTION 1:
GENERAL INTRODUCTION .......................................................................................................................................... 1
1.1 Malnutrition status
1.2 Why the tool kit? .............................................................................................................................................. 2
1.3 The use of tool kit in supportive supervision ............................................................................................ 2
1.4 Advantages of supportive supervision as opposed to traditional supervision? ................................ 2
1.5 The importance of supportive supervision ................................................................................................ 3
1.6 Objectives of supportive supervision in the implementation of the NMNAP ..................................... 4
1.7 How to use these tool kit ............................................................................................................................... 4
1.8 The process for developing the tool kit ...................................................................................................... 4
SECTION 2:SCOPE AND ROLES OF MINISTRY RESPONSIBLE FOR REGIONAL ADMINISTRATION ANDLOCAL GOVERNMENT, REGIONAL SECRETARIATS (RS) AND LOCAL GOVERNMENTAUTHORITIES (LGA) IN SUPPORTIVE SUPERVISION FOR NUTRITION ................................................................. 5
2.1 Introduction ..................................................................................................................................................... 5
2.2 The role of PO-RALG in supervising Regional Secretariats ..................................................................... 5
2.2.1 Areas to be covered by PO-RALG during supervision to Regional Secretariats .......................................5
2.3 The role of Regional Secretariats in supervising LGAs ............................................................................. 6
2.3.1 Areas to be covered in supervising LGAs .........................................................................................................6
2.4 The role of Local Government Authorities (LGAs) ..................................................................................... 6
2.4.1 Areas to be covered during supervision at Ward and Village Levels .........................................................6
SECTION 3:CHECKLISTS FOR SUPPORTIVE SUPERVISION AT DIFFERENT LEVELS ........................................................ 7
3.1 Purpose of checklists ..................................................................................................................................... 7
3.2 The six checklists and information contained .......................................................................................... 7
SECTION 4:
4.1 Introduction ..................................................................................................................................................... 8
4.2 Setting up a supportive supervision system ............................................................................................. 8
4.3 Formation of supervision teams .................................................................................................................. 8
4.4 Planning supportive supervisory visits ....................................................................................................... 9
4.5 Code of conduct for supervisors of supportive supervision visits ........................................................ 9
4.6 Conducting the Supportive Supervision visit ............................................................................................ 9
4.7 Performance Ranking and interpretation ................................................................................................ 10
4.8 Providing immediate Feedback ................................................................................................................. 10
4.9 Reporting ........................................................................................................................................................ 10
4.9.1 Scoring areas of assessment for each checklist .........................................................................................10
APPENDIXES
Appendix 1: National Nutrition Monitoring and Supervision Checklist for supervising Regions ............. 11
Appendix 2: Nutrition Monitoring and Supervision Checklist for Councils ................................................... 14
Appendix 3: Nutrition Monitoring and Supervision Checklist for facility ....................................................... 22
Appendix 4: Nutrition Monitoring and Supervision Checklist for Community ............................................. 34
Appendix 5: Nutrition Monitoring and Supervision Checklist for Private sector .......................................... 39
Appendix 6: Supervision Checklist: For NGOs, CBOs and FBOs at National, Regional, Council and ........... Community levels ............................................................................................................................... 41
Appendix 7: List of participants who developed the supportive supervision tool kit ................................. 42
TABLE OF CONTENTS
TABLE OF CONTENTS
NATIONAL MULTISECTORAL NUTRITION RESPONSE IN REGIONS AND LGA’s
NATIONAL MULTISECTORAL NUTRITION RESPONSE IN REGIONS AND LGA’siv v
AAS Assistant Administrative Secretary
CDO Community Development Officer
CMSCN District/Council Steering Committee on Nutrition
CMT Council Management Team
CSOs Civil Society Organizations
CUAMM Italian NGO - Doctors with Africa
DACC District AIDS Control Coordinator
DAICO District Agriculture, Irrigation and Cooperative Officer
DCC District Consultative Committee
DED District Executive Director
DEO District Education Officer
DHO District Health Officer
DLFO District Livestock and Fisheries Officer
DMO District Medical Officer
DNuO District Nutrition Officer
DQA Data Quality Assessment
DRCHCo District Reproductive and Child Health Coordinator
ECD Early Childhood Development
FBOs Faith Based Organizations
HLSCN High-Level Steering Committee on Nutrition
IGN Iodine Global Network
IFA Iron Folic Acid
IMAM Integrated Management of Acute Malnutrition
LGAs Local Government Authorities
MIYCAN Maternal Infant Young Child and Adolescent Nutrition
MKUKUTA Mkakati wa Kupambana na Kupunguza Umaskini Tanzania
MoALF Ministry of Agriculture Livestock and Fisheries
MOFP Ministry of Finance and Planning
MOHCDGEC Ministry of Health, Community Development, Gender, Elderly and Children
MTEF Medium Term Expenditure Framework
NCD Non-Communicable Diseases
NGOs Non-Governmental Organizations
NI Nutrition International
NMNAP National Multisectoral Nutrition Action Plan
NSC Nutrition Steering Committee
PANITA Partnership in Nutrition in Tanzania
PMO Prime Minister’s Office
PO-RALG President’s Office – Regional Administration and Local Government
RACC Regional AIDS Control Coordinator
RAS Regional Administrative Secretary
RCC Regional Consultative Committee
RCHWCo Regional Community Health Workers Coordinator
REO Regional Education Officer
RHO Regional Health Officer
RIVO Regional Immunization and Vaccination Officer (RIVO)
RMO Regional Medical Officer
RMSCN Regional Multisectoral Steering Committee on Nutrition
RNuO Regional Nutrition Officer
RRCHCo Regional Reproductive and Child Health Coordinator
RS Regional Secretariat
RSWO Regional Social Welfare Officer
SBCC Social Behaviour Change Communication
TASAF Tanzania Social Action Fund
TDHS Tanzania Demographic and Health Survey
UNICEF United Nations Children’s Fund
USAID United States Agency for International Development
VASD Vitamin A Supplementation and Deworming
VC Village Council
VIDO Vaccine and Immunization District Officer
WDC Ward Development Committee
WFP World Food Programme
LIST OF ABBREVIATIONS
FOREWORD
Investing in nutrition contributes to national economic prosperity in various ways, including increases productivity, economic growth and facilitates poverty reduction through improved
physical work capacity, cognitive development, school performance, economic activity and health by reducing sickness and deaths.
Addressing malnutrition increases GDP
growth and reduces national budgetary costs
for custodial care and malnutrition-related
lost lives. Investing in nutrition is one of the
“best buys” for economic development as it
helps businesses and assists in social mobility,
through a more productive workforce and a
more affluent consumer base.
Thus, addressing malnutrition is a political choice to foster security, peace and stability. Nationally, it will greatly contribute to Tanzania’s political agenda of peace and stability and propelling the country into income country (MIC) status by 2025. Globally,
The development of these tool kit marks a key point in the way that supervision for nutrition is done. Instead of using the traditional vertical hierarchical approach to monitor performance, supportive supervision provides a mechanism for an interactive approach between supervisors and supervisees, that guides and coaches workers to promote compliance with standards of practice to assure delivery of quality services. In this process, the supervisors and supervisees work together as a team to meet common goals and objectives as articulated by the National Multisectoral Nutrition Action Plan (NMNAP) 2016/17 – 2020/21 that was approved by the High-Level Steering Committee on Nutrition in October 2016 and launched by the Prime Minister, Hon. Majaliwa Kassim Majaliwa in Dodoma on 6th September 2017.
These tool kit will guide PO-RALG, Regional Secretariats (RS) and Local Government Authority (LGA) supervisory teams in providing oversight and ensuring accountability in implementation of the NMNAP. Critically it will also help develop the implementation capacity of nutrition frontliners at various levels to support Regional Commissioners in implementing the “Nutrition Compacts” that they signed with the Minister of State PO-RALG on behalf of Vice-President. The checklists in the appendixes provide quick reference to the supervision teams and should be adapted to the local contexts.
NATIONAL MULTISECTORAL NUTRITION RESPONSE IN REGIONS AND LGA’svi
I call upon all internal and external stakeholders to start using this tool kit in doing our supportive supervision for nutrition. I would also like to request the various stakeholders to continue to support us in the implementation and refining of the tool kit as experience and insights are gained.
Dr. Zainab A.S. Chaula,Acting Permanent Secretary,President’s Office-Regional Administration and Local Government
I would like to thank all those who participated in the extensive consultation that developed this tool kit: Mr. Stephen J. Motambi - Assistant Director Nutrition Services – PO-RALG, Mariam Nakuwa – Nutrition Officer PORALG and Mwita J. M. Waibe - Nutritionist and Health Policy Analyst of PO-RALG, led the process with huge support from Nutrition Officers at Regional and District/Town/City Council levels; UNICEF provided financial and technical support and Dr. Festo Kavishe, who was the NMNAP Lead Facilitator and writer, moderated and synthesized various inputs into this document. Others are PMO, nutrition sensitive MDAs (MOHCDGEC, MOFP, MoALF, TFNC), Ministry of Health Zanzibar (Nutrition Unit), UN Agencies (UNICEF and WFP), Development Partners (USAID), The World Bank and several nutrition focused NGOs (NI, CUAMM, IMA World Health, Save the Children, Mwanzo Bora, PANITA, ENRICH, IGN).
1.1 Malnutrition status;
Taking a long-term perspective, the undernutrition situation could best be described as (i) very high and constant over time and in all Regions of the country during the 1960s, 1970s and early 1980s; (ii) responding to specific interventions during the mid-1980s and 1990s; (iii) progressing too slowly despite good economic progress in the early 2000s; and (iv) improving but still unacceptably high with a double burden of undernutrition and over nutrition during the 2010s.
The levels of stunting in children 0-59 months reduced from a prevalence of 50 percent in the 1990s to 34 percent in the 2015/16 TDHS, but still above the average of 30 percent for Africa and falls within the category of “high” in public health significance. Due to the rate of population growth outstripping the rate of reduction, the absolute numbers of stunted children increased from below 2.0 million in the early 2000’s to about 3.0 million in 2010.
However, a decline was observed in 2015 with 2.7 million stunted children. During the same period, the prevalence of underweight declined from 25 percent to 14 percent close to meeting the MDG1 target of halving underweight by 2015.
GENERAL INTRODUCTION
01
A review of the nutrition
status trends based
on anthropometric
measurements confirms
that there have been
some significant declines
in the prevalence of
undernutrition during the
last two decades.
The levels of stunting in children 0-59
months reduced from a prevalence of 50
percent in the 1990s to
children under five years of age estimated
to be acutely malnourished in 2015 of whom 100,00 were categorized as severe.
wasting in children 0-59 months, declined
from 8 percent in 1992 to 4.5 percent in
2015/16
34%
600,000
8%
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NATIONAL MULTISECTORAL NUTRITION RESPONSE IN REGIONS AND LGA’s
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In the same vein, wasting in children 0-59 months, declined from 8 percent in 1992 to 4.5 percent in 2015/16 reaching the WHA 2025 target of below 5 percent (see figure 3). However, due to the huge population and rapid population increase, the absolute numbers of those acutely malnourished are high and also increasing, with some 600,000 children under five years of age estimated to be acutely malnourished in 2015 of whom 100,00 were categorized as severe. The risk of death is much higher amongst children with severe acute undernutrition, and as such require concomitant efforts as part of a comprehensive program which focuses on the alleviation of chronic undernutrition.
1.2 Why the tool kit?
1. These tool kit were developed to assist in providing supportive supervision to nutrition stakeholders in implementation of the national multisectoral nutrition response at the Regional and Local Government Authority (LGA) levels. The roles and responsibilities for each stakeholder are defined by the separate terms of reference (TOR) of the Regional and Council Multisectoral Steering Committees on Nutrition (R&CMSCN) developed concurrently with these tool kit.
2. The tool kit identifies the roles of National level, Regional Secretariats (RS) and LGAs in supervising the implementation of the national multisectoral nutrition response, which for the period 2016/17 – 2020/21 is embodied by the National Multisetoral Nutrition Action Plan (NMNAP) that was approved by the High-Level Steering Committee on Nutrition (HLSCN) in October 2016. The tool kit also offers six checklists on nutrition monitor ing and supportive supervisions at the various levels: Regional, Council, facility, community, CSOs and the private sector.
1.3 The use of tool kit in supportive supervision
3. The tool kit will facilitate Supportive supervision process happen, aiming at guiding, monitoring, and coaching workers to promote compliance with standards of practice and assure the delivery of quality services. The supervisory process permits supervisors and supervisees the opportunity to work as a team to meet common goals and objectives, which in this respect are articulated in the National Multisectoral Nutrition Action Plan (NMNAP) of 2016-2021.
1.4 Advantages of supportive supervision as opposed to traditional supervision?
4. In the past, supervision for nutrition from the central level was conducted by programme leaders and partners in a vertical hierarchical manner, based on the interventions being implemented. There was no critical engagement of the lower level experts in conducting such exercises. This approach caused variations between partners and local experts from respective locations. Furthermore, adopting supportive supervision was challenged by limited implementation capacity at all levels
5. Moreover, top down challenged by inefficient personnel to offer supervisors often lack the technical, managerial and supervisory skills needed to effectively evaluate nutrition interventions across sectors for which they may not be responsible. In addition to assessing performance, supervisors are also expected to mentor, monitor interventions, evaluate management and ensure that the interventions are implemented properly.
Mentorship is a system of practical training and consultation, that fosters the ongoing professional development to yield sustainable high-quality nutrition outcomes.
6. Moving from traditional, hierarchical supervision systems to more supportive
Table 1: Comparison of traditional and supportive supervision (Adopted from Marquez and Kean, 2002)
Action Supportive supervision Traditional supervision
Who performs supervision?
External supervisors designated by the service delivery organization (PO-RALG in our case); staff from other stakeholders; colleagues from the same team (internal supervision); Regional and Council Multisectoral Steering Committees on Nutrition; Ward, Village/Mtaa community health committees; and staff themselves through self-assessment
External supervisors designated by the service delivery organization
When does supervision happen?
Continuously: during routine work; team meetings, committee meetings; and visits by external supervisors
During periodic visits by external supervisors
What happens during supervision encounters?
Observation of performance and comparison to standards; provision of corrective and supportive feedback on performance; discussion with clients; provision of technical updates or tool kit; onsite training; use of data and client input to identify opportunities for improvement; joint problem- solving; follow-up on previously identified actions
Inspection of facility; review of records and supplies; supervisor makes most of the decisions; reactive problem-solving by supervisor; little feedback or discussion of supervisor observations
What happens after supervision encounters?
Actions and decisions recorded; ongoing monitoring of weak areas and improvements; follow-up on prior visits and problems
No or irregular follow-up
ones requires innovative thinking, buy-in by stakeholders and time to change attitudes, perceptions, mindsets and practices. Due to its usefulness in improving performance in a more sustainable way, various partners now recognize the importance of supportive supervision in implementing their programs.
1.5 The importance of supportive supervision.
7. The process of supportive supervision promotes quality, strengthens relationships within the system, focusing on the identification and resolution of problems, helps to optimize the allocation of resources and promotes high standards, teamwork and improved two-way communication. When
done well, supportive supervision accelerates the achievement of goals and objectives.
8. Supportive supervision also ensures uniformity to set standards, identifying problems and solving them in a timely manner and making follow-up on decisions reached during previous supervision visits. It should be noted that, supportive supervision should promote an encouraging, joint problem solving atmosphere in which to identify and
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NATIONAL MULTISECTORAL NUTRITION RESPONSE IN REGIONS AND LGA’s4 5
address skills, attitudes and practices needing improvement. When strengths are found announce them in public; but when problems are found, discuss them in private directly with the person or team concerned.
1.6 Objectives of supportive supervision in the implementation of the NMNAP
9. The main objective of supportive supervision in the implementation of the NMNAP is to support the performance of nutrition implementers through enhancing their skills, knowledge and abilities with the aim of improving the impact of nutrition interventions at Regional and Local Government Authorities.
1.7 How to use these tool kit
10. In using these tool kit, supervisors and supervisees should adapt it to their local context and their specific sectors, ensuring basic standards are met. While the Tool kit are mainly meant to be used by supervisors of nutrition programs, they are crafted in such a way that the checklists can also be used by anyone interested in understanding the performance of nutrition interventions from the Regional to the community level. It is important that users of the tool kit share their results and experiences with others so that improvements can be made.
1.8 The process for developing the tool kit
11. This tool kit was developed through an extensive multi-stakeholder consultative process organized by PO-RALG and funded by UNICEF. PO-RALG led the process with huge support from Nutrition Officers at Regional and District/Town/City Council levels. Other key participants were PMO, nutrition sensitive MDAs (MOHCDGEC, MOFP, MoALF, TFNC), Ministry of Health Zanzibar (Nutrition Unit), UN Agencies (UNICEF and WFP), Development Partners (USAID), The World Bank and several nutrition focused NGOs (NI, CUAMM, IMA World Health, Save the Children, Mwanzo Bora, PANITA, ENRICH, IGN).
The initial draft was developed in a workshop held in Morogoro (August 21-25, 2017), followed by a task team review workshop held in Dodoma October 30th – November 3rd 2017, which developed the second draft. The second draft was validated by a workshop held also in Dodoma November 13-15th, 2017. The Dodoma workshops and writing of this document were facilitated by Dr. Festo Kavishe, who was the Lead Facilitator and writer of the National Multisectoral Nutrition Action Plan (NMNAP). The full list of participants in the development of these tool kit is shown in appendix 7.
SCOPE AND ROLES OF MINISTRY RESPONSIBLE FOR REGIONAL ADMINISTRATION AND LOCAL GOVERNMENT, REGIONAL SECRETARIATS (RS) AND LOCAL GOVERNMENT AUTHORITIES (LGA) IN SUPPORTIVE SUPERVISION FOR NUTRITION
02
2.1 Introduction
12. Cascading supportive supervision from the national to the community level and ensuring participation of various key nutrition stakeholders at the appropriate level is key to its successful implementation and sustainability. Supportive supervision should also follow the overarching strategy of the NMNAP, which is “Multisectoral Community-Centered approach”. Thus, supportive supervision should ensure the development of capacity (of implementers and systems) at all levels to support the community level to address the malnutrition challenge. After all, it is at the community level that malnutrition develops and it is at that level that the impact of interventions will be felt most.
2.2 The role of PO-RALG in supervising Regional Secretariats
13. President’s Office, Regional Administration
and Local Government (PO-RALG) is the key implementing arm of government within the framework of the ‘Decentralization by Devolution’ policy of the Government of Tanzania. As far as nutrition is concerned, PO-RALG has the mandate to coordinate, supervise and provide technical support to Regions and Local Government Authorities. Therefore, PO-RALG must ensure the provision of adequate support to LGAs and Regional Secretariats by strengthening their capacities to undertake planning, implementation and monitoring of nutrition activities in accordance with the decentralization by devolution policy.
2.2.1 Areas to be covered by PO-RALG during supervision to Regional Secretariats
14. The supportive supervision at Regional level will be conducted by the National/PO-RALG team. The team provides supportive supervision to the Regional Secretariat (RS) every quarter. The team will conduct the supportive supervision on RS’s nutrition interventions. Using a checklist (see Appendix
NATIONAL MULTISECTORAL NUTRITION RESPONSE IN REGIONS AND LGA’s
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1-6), the team shall cover the following assessment areas: -
üHuman ResourceüPlanning and budgetingüFinance and expenditureüMultisectoral coordinationüLogistic and suppliesüTechnical issues – though not in the check
list it is important to get a feeling of the technical capacity of technical persons at their workplace.
2.3 The role of Regional Secretariats in supervising LGAs
15. The mandate of Regional secretariats is to supervise and provide technical support to Local Government Authorities (LGAs). In this regard, they are responsible for ensuring that adequate support is provided to LGAs for strengthening their capacities to undertake planning, implementation and monitoring of nutrition activities in line with the Decentralization by Devolution (D by D) policy.
2.3.1 Areas to be covered in supervising LGAs
16. The supervision at LGA’s level initiated by PO-RALG shall be conducted by a team of experts from PO-RALG combined with officials appointed by the Regional Administrative Secretary(RAS), which should include nutritionists and others. While initiated by RS shall be composed of a team of Regional Secretariat (RS) officials.
17. The team provides supportive supervision at LGAs quarterly and using a checklist (see Appendix 2), shall cover the following areas:üHuman ResourceüPlanning and BudgetingüFinance and ExpenditureüLogistic and suppliesüTechnical issues (Nutrition specific and
sensitive interventions) based on the sevenkey result areas of the NMNAP 1
2.4 The role of Local Government Authorities (LGAs)
18. Local government Authorities remain the main implementers in delivering public services. In this regard, their responsibilities include implementing nutrition activities in accordance with the National Multisectoral Nutrition Action Plan (NMNAP) and policies and procedures of the government of Tanzania. They also ensure appropriate and fair amount of resources are available for nutrition activities at the district, ward and village level. Finally, LGAs play a vital
role in monitoring progress and in coordination with other stakeholders implementing nutrition interventions in their respective Councils.
2.4.1 Areas to be covered during supervision at Ward and Village Levels
19. The supervision at Ward and Village levels as initiated by RS shall be conducted by a team composing members from RS and LGA’s. The exercise should be conducted on quarterly basis.
20. The areas of focus during supportive supervision at Ward and Village level include:
üInvolvement of the committees in planning and budgeting
üOrientation and follow up of WDCs and VC on nutrition
üInclusion of nutrition agenda in WDCs and VC meetings
üFunctionality of nutrition agenda from WDCs and VC
üCommunication between WDC/VC and higher level committees
1 The seven NMNAP key result areas (KRAs) are (1) Maternal, Infant, Young Child and Adolescent Nutrition (MIYCAN), (2) Micronutrients (3) Integrated Management of Acute Malnutrition (IMAM) (4) Diet Related Non-Communicable Diseases (DRNCD) (5) Multisectoral Nutrition Sensitive Interventions (6) Multisectoral Nutrition Governance and (7) Multisectoral Nutrition Information System.
CHECKLISTS FOR SUPPORTIVE SUPERVISION AT DIFFERENT LEVELS
03
3.1 Purpose of checklists
21. The purpose of the supportive supervision checklist is to serve as a guiding tool for use by PO-RALG, RS and LGA supervisory teams in overseeing nutrition implementation at the Regional Secretariat (RS), Local Government Authorities (LGAs), Ward and Village. The checklists are designed for quick reference that can be read individually or used for orientation of supportive supervision teams. In this regard, the checklist provides its users with important information to improve the quality of supervision in a structured and systematic way.
22. The checklists are important because they can be used to: -üEnsure standardization and harmonization
in conducting supportive supervision of nutrition interventions at the different levels.
üGuide the supervisory team during the supervision process.
üProvide guidance on planning and implementation of comprehensive nutrition supportive supervision at RS and LGAs levels.
3.2 The six checklists and information contained
23. Six checklists have been developed for use. These are: -
üAppendix 1: Nutrition Monitoring and Supervision Checklist at Regions
üAppendix 2: Nutrition Monitoring and Supervision Checklist at Councils
üAppendix 3: Nutrition Monitoring and Supervision Checklist at facility level
üAppendix 4: Nutrition Monitoring and Supervision Checklist at Community
üAppendix 5: Nutrition Monitoring and Supervision Checklist at Private sector
üAppendix 6: Supervision Checklist for NGOs, CBOs and FBOs at Council and Community levels.
24. Key assessment areas covered in each checklist include: üNutrition Governance (human resources)
üPlanning and budgeting (including sources of funds, expenditures),
üMultisectoral Nutrition Coordination
üLogistics and supply, and
üTechnical issues based on Key Result Areas (only for Regions, Councils and community levels)
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PROCEDURES AND TASKS FOR SUPPORTIVE SUPERVISION
04
4.1 Introduction
25. This section describes supportive supervision procedures to be undertaken before, during and after supervision that include setting up the system, planning, getting started, conducting supportive supervision, immediate feedback, wind up, report writing and follow up activities.
26. The process of supportive supervision could be summarized in four main steps: -
üStep 1: Set up a supportive supervision system. An understanding of the context is important to be able to mobilize appropriate support. Make supervisors part of the training process.
üStep 2: Plan regular supervision visits: Work with supervisors to plan and conduct supportive supervision.
üStep 3: Conduct supervisory visits. Prepare in advance for supervisory visits. Set expectations for performance, monitor and assess performance to identify gaps and solve problems in positive ways.
üStep 4: Follow up activities identified by the visits, stay motivated and build sustainability of the system.
4.2 Setting up a supportive supervision system
27. A critical first step in setting up a supportive supervision system is an agreement on its need and change of mindset and attitudes of both supervisors and supervisees who have been accustomed to the traditional hierarchical inspectorial type of supervision. Determined to make this change, PO-RALG has decided to institute this system in the supervision of the implementation of the NMNAP. To be able to supervise in the different geographical and cultural contexts, supervisory teams need to understand the multisectoral community centred strategic approach of the NMNAP and the Decentralization and Devolution approach of PO-RALG.
4.3 Formation of supervision teams
28. The organizer of supportive supervision shall appoint a team of not less than three people of different educational backgrounds and professions. The team shall have a team leader and be composed of experts with a mixture of competencies and skills according to area of supervision. The team leader shall play
the role of a catalyst and facilitator between the supervisory team and the office to be supervised. He/she should make sure that good communication has been done prior to the departure of the supervisory team to the head office of the site where supervision is to be conducted. He/she should inform the management the purpose of the supervision, the composition of the supervisory team, areas or scope of the supervision as well as the duration of the supervision exercise. The team leader should make sure that the rehearsal of supervision tools has been done before the exercise so that the team should get deep understanding as to why the supervision is being conducted.
4.4 Planning supportive supervisory visits
29. This is the stage where activities to be performed during the supportive supervision are identified and scheduled from initial to last stage of the activity. From this stage, the supervision initiator should establish the goals of the supervision, allocate the budget, prepare necessary documents and staff, and communicate with officials of the intended location about the scheduled supervision.
30. Essential documents that should be made available for the perusal of supportive supervision team members prior, during and after supervision include: -üLetter of (notification) bearing number and
names of officials
üSupervisor code of conducts
üSupervision checklists
üReports from previous supportive supervision
31. Timing and duration of visits: Deciding on the timing and duration of the supportive supervision exercise should be part of the planning process and be agreed in advance
between the supervisory team and those being supervised, at least two weeks before the supervision is conducted. This will allow for both parties to be available and prepare effectively f or a successful mission.
4.5 Code of conduct for supervisors of supportive supervision visits
32. During the planning stage, the supervisory team should discuss how they should behave when conducting supportive supervisory visits. Team members, individually and collectively should demonstrate and abide by the following ethical values: -üRespect
üPresentation including dressing codes
üCommunication (interaction)
üMode of providing technical support (Avoid promise beyond your control)
üEmotion control
üPunctuality
üAccountability
4.6 Conducting the Supportive Supervision visit
33. At this stage, the supervisory team travels to the supervision site where the team leader shall introduce the team to the RAS/DED/WEO/VEO etc., and explain the purpose and the duration of the supportive supervision mission.
34. After consultation with RAS or DED, the team should start conducting the supervision. At this stage, the team leader shall ask to meet with key staff for interaction from whom the needed information should be obtained including different documents to enable the supervision activity. As far as the concept of supportive supervision is concerned, the activity should be accompanied by provision of technical
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support, coaching and mentoring to the supervisees where necessary. The supporting supervisor should behave like a colleague.
35. In carrying out the supportive supervision, the following methods are to be used: -� Briefing meetings with relevant Officials
and do face to face interviews with them and community members where necessary.
� Observation through Field work and visits.
� Review and verification of relevant documents
� Focused group discussions
� Coaching
� Exit (debriefing) meeting with VEO/WEO/DED/RAS
4.7 Performance Ranking and interpretation
36. Adherence and compliance to standards and performance is translated into a score of five arranged chronologically from excellent to poor performance. The interpretation of the scale is elaborated in Table below.
Table 2: Performance Scale and interpretation Score Concept 5 4 3 2 1
Performance Excellent Very Good Good Fair Poor
Percentage 80 – 100 60 – 79 40 – 59 20 - 39 0 – 19
Frequency Always Often Sometimes Rarely Never
Agreement Strongly Agree Agree
Neither agree/ nor disagree
Disagree Strongly Disagree
4.8 Providing immediate Feedback
37. The supportive supervisory team should make sure immediate feedback is provided to RS or LGA officials during and after the activity. This means the team should work collaboratively with RS and LGA’s officers to make sure that
cooperation is strengthened and everything is going smoothly. In case of any obstacles, do not hesitate to contact the officer in charge for remedial of the situation.
38. After completing their work, the team must make sure the summary of the activity is made, highlighting key issues. The team leader shall provide brief feedback to RAS or DED/MED the head of their host office. The debrief should start by appreciating their supervisees on the areas they did well followed by comments on areas needing improvements and recommend way forwards identifying responsible persons and timelines. The team leader should be cooperative, diplomatic and humorous while debriefing.
39. The comprehensive supervision feedback should be given back to supervisees in the period of not more than 14 days after completion of activity.
4.9 Reporting
40. Both hard and soft copies of the supportive supervision report should be submitted 14 days after the completion of the activity. The data obtained from the supervision should be discussed by all team members for agreement on issues discovered during the activity and systematically analyzed, interpreted and finally written. The report should be concise and well organized, presenting the assessment in an objective and clear manner.
4.9.1 Scoring areas of assessment for each checklistArea of assessment in checklist
Maximum score Comments
Human Resources 5
Planning and Budgeting 5
Multisectoral coordination 5
Logistics and supplies 5
Total score 20
Ap
pen
dix
1:
Nat
iona
l Nut
riti
on M
onit
orin
g an
d Su
perv
isio
n Ch
eckl
ist f
or s
uper
visi
ng R
egio
ns
Regi
on…
……
……
……
……
……
…...
......
......
......
......
......
......
......
......
..……
.
Date
of s
uper
visi
on…
……
……
……
……
……
……
……
……
……
……
……
Area
s of a
sses
smen
tDe
scri
ptio
nSc
ore
guid
eM
eans
of v
erifi
catio
nRe
spon
seSc
ore
Rem
arks
Chec
k th
e: -
1. H
UMAN
RES
OUR
CES
(Tot
al sc
ore
30)
Num
ber o
f Nut
ritio
n O
ffice
rs (p
rofe
ssio
nals
) em
ploy
ed a
t the
Reg
iona
l le
vel (
Assi
gn 1
0 po
ints
if th
ere
are
3 or
mor
e nu
triti
on o
ffice
rs, 5
poi
nts
if le
ss th
an 3
and
0 if
non
e)10
Regi
onal
hum
an re
sour
ce d
atab
ase
(Sen
iorit
y lis
t),
Is th
ere
an a
ppoi
nted
Reg
iona
l Nut
ritio
n O
ffice
r?
5Pr
esen
ce o
f a le
tter
of a
ppoi
ntm
ent a
s a se
ctio
n le
ader
.
Does
th
e ap
poin
ted
Regi
onal
N
utrit
ion
Offi
cer
have
a
lett
er
of
appo
intm
ent a
nd jo
b de
scrip
tion?
Che
ck in
the
pers
onal
file
.5
Lett
er o
f app
oint
men
t, si
gned
job
desc
riptio
n,
Avai
labi
lity
of
adeq
uate
an
d re
liabl
e w
orki
ng
offic
e sp
ace
and
equi
pmen
t 5
Avai
labi
lity
of w
orki
ng o
ffice
spac
e fo
r nut
ritio
nist
s,
tabl
es, c
hairs
and
wor
king
tool
s.
Is th
ere
any
evid
ence
of a
tten
ding
on
job
train
ings
/wor
ksho
ps re
late
d to
nut
ritio
n?
5Av
aila
bilit
y of
trai
ning
doc
umen
t, w
orks
hop
feed
back
fil
es, c
ertif
icat
e of
att
enda
nce
2. P
LANN
ING
AND
BUDG
ETIN
G
(Tot
al o
f 50
poin
ts)
Is th
ere
a Re
gion
al N
utrit
ion
stra
tegi
c pl
an? (
10 p
oint
s for
yes
, 0 fo
r no)
10
Regi
onal
Nut
ritio
n st
rate
gic
plan
doc
umen
t
Are
Nut
ritio
n ac
tiviti
es in
corp
orat
ed in
the
Regi
onal
ann
ual p
lans
an
d bu
dget
as p
er to
o ki
t fro
m P
O-R
ALG?
(10
poin
ts if
fully
, 5 p
oint
if
part
ially
and
0 if
not
don
e)10
Regi
onal
ann
ual p
lans
and
bud
get (
MTE
F) th
at h
ave
inco
rpor
ated
the
Regi
onal
mul
tisec
tora
l act
iviti
es a
nd
budg
et.
Does
the
plan
ning
of n
utrit
ion
activ
ities
adh
ere
to a
mul
ti-se
ctor
al
appr
oach
?10
At le
ast o
ne a
ctiv
ity p
er n
utrit
ion
sens
itive
im
plem
entin
g se
ctor
in th
e Re
gion
al a
nnua
l pla
ns a
nd
budg
et (M
TEF/
).
Has
the
Reg
iona
l m
utlis
ecto
ral
nutr
ition
act
ion
plan
bee
n al
loca
ted
fund
ing
in t
he c
urre
nt f
inan
cial
yea
r as
bud
gete
d? (
10 p
oint
s if
as
budg
eted
, 7 p
oint
s if o
ver 5
0%; 5
poi
nts i
f <50
%; a
nd 0
if n
one)
10To
tal a
mou
nt o
f fun
d al
loca
ted
for N
utrit
ion
in th
e Re
gion
al a
nnua
l pla
ns a
nd b
udge
t (M
TEF/
SBAS
S)
base
d on
Reg
iona
l nut
ritio
n ac
tion
plan
.
Wha
t ar
e th
e so
urce
s of
the
nut
ritio
n bu
dget
in
the
Regi
on f
or t
he
curr
ent f
inan
cial
yea
r? (1
0 po
ints
if fr
om a
ll ex
pect
ed s
ourc
es, 3
poi
nts
from
Gov
ernm
ent,
2 po
ints
bas
ket f
und,
2 p
oint
s de
velo
pmen
t fun
d, 2
po
ints
OC,
1 p
oint
for o
ther
stak
ehol
ders
)
10To
tal a
mou
nt o
f fun
d al
loca
ted
for N
utrit
ion
in th
e Re
gion
al a
nnua
l pla
ns a
nd b
udge
t (M
TEF/
SBAS
S).
NATIONAL MULTISECTORAL NUTRITION RESPONSE IN REGIONS AND LGA’s
NATIONAL MULTISECTORAL NUTRITION RESPONSE IN REGIONS AND LGA’s12 13
3. IM
PLEM
ENTA
TIO
N O
F AC
TIVI
TIES
AND
FIN
ANCI
AL
EXPE
NDIT
URE
(TOT
AL O
F 30
PO
INTS
)
Impl
emen
tatio
n of
the
plan
ned
Nut
ritio
n ac
tiviti
es in
the
repo
rtin
g pe
riod
(5 p
oint
s if o
ver 7
5%; 4
poi
nts i
f 60-
<75%
; 3 p
oint
s if >
50-<
60%
; 2
poin
ts if
20-
<50%
; 1 p
oint
if 1
-<20
%; a
nd 0
poi
nts i
f non
e im
plem
ente
d.5
Regi
onal
fina
ncia
l rep
ort
Expe
nditu
re V
s allo
cate
d fu
nds f
or th
e di
ffere
nt fu
ndin
g so
urce
s
Gove
rnm
ent f
unds
(5
poi
nts i
f ove
r 75%
; 4 p
oint
s if 6
0-<7
5%; 3
poi
nts i
f >50
-<60
%; 2
poi
nts i
f 20
-<50
%; 1
poi
nt if
1-<
20%
; and
0 p
oint
s if n
one
impl
emen
ted
5Re
gion
al fi
nanc
ial r
epor
t
Bask
et F
und
(5 p
oint
s if o
ver 7
5%; 4
poi
nts i
f 60-
<75%
; 3 p
oint
s if >
50-<
60%
; 2 p
oint
s if
20-<
50%
; 1 p
oint
if 1
-<20
%; a
nd 0
poi
nts i
f non
e im
plem
ente
d5
Regi
onal
fina
ncia
l rep
ort
Deve
lopm
ent F
und
(5 p
oint
s if o
ver 7
5%; 4
poi
nts i
f 60-
<75%
; 3 p
oint
s if >
50-<
60%
; 2 p
oint
s if
20-<
50%
; 1 p
oint
if 1
-<20
%; a
nd 0
poi
nts i
f non
e im
plem
ente
d5
Regi
onal
fina
ncia
l rep
ort
OC
(5 p
oint
s if o
ver 7
5%; 4
poi
nts i
f 60-
<75%
; 3 p
oint
s if >
50-<
60%
; 2 p
oint
s if
20-<
50%
; 1 p
oint
if 1
-<20
%; a
nd 0
poi
nts i
f non
e im
plem
ente
d5
Regi
onal
fina
ncia
l rep
ort
Oth
er S
take
hold
ers
(5 p
oint
s if o
ver 7
5%; 4
poi
nts i
f 60-
<75%
; 3 p
oint
s if >
50-<
60%
; 2 p
oint
s if
20-<
50%
; 1 p
oint
if 1
-<20
%; a
nd 0
poi
nts i
f non
e im
plem
ente
d5
Regi
onal
fina
ncia
l rep
ort.
4. M
ULTI
SECT
ORA
L NU
TRIT
ION
COO
RDIN
ATIO
N (T
OTAL
OF
50 P
OIN
TS)
Pres
ence
of a
nnua
l nut
ritio
n w
ork
plan
alig
ned
with
NM
NAP
10
Regi
onal
ann
ual w
ork
plan
Func
tiona
l M
ulti-
Sect
oral
Nut
ritio
n St
eerin
g Co
mm
ittee
(M
SCN
): (1
0 po
ints
if fu
lly fu
nctio
nal;
5 po
ints
if p
artia
lly fu
nctio
nal;
0 po
ints
if n
on-
func
tiona
l)10
Avai
labi
lity
of si
gned
mee
ting
min
utes
Is th
e co
mpo
sitio
n of
MSC
N c
onsi
sten
t with
the
TOR
of th
e RM
SCN
(10
poin
ts if
fully
con
sist
ent,
7 po
ints
if m
ostly
con
sist
ent,
5 po
ints
if a
bout
50
% c
onsi
sten
t, 1
poin
t if i
t exi
sts b
ut n
ot c
onsi
sten
t with
TO
R)10
TOR,
cop
y of
app
oint
men
t let
ters
in M
SCN
file
,
Does
MSC
N a
ppea
r in
the
Regi
on’s
mee
ting
cale
ndar
?5
Regi
onal
’s m
eetin
g ca
lend
ar
Are
stak
ehol
ders
’ im
plem
enta
tion
repo
rts
subm
itted
in
the
MSC
N
mee
tings
?5
Repo
rt in
thei
r file
s and
then
cro
ss-c
heck
with
the
Regi
onal
ann
ual p
lans
and
bud
get (
MTE
F/SB
ASS)
.
Are
stak
ehol
ders
’ car
ryin
g ou
t act
ions
as a
gree
d?5
Chec
k th
e m
inut
es o
f MSC
N a
nd im
plem
entin
g re
port
Are
perio
dic
supp
ortiv
e su
perv
isio
n co
nduc
ted?
5Pe
riodi
c su
ppor
tive
supe
rvis
ion
repo
rt.
5. L
OGI
STIC
S AN
D SU
PPLY
(T
otal
of 1
0 po
ints
)
Are
the
nutr
ition
equ
ipm
ent a
nd su
pplie
s dis
trib
utio
n pl
an a
nd
logi
stic
al a
rrang
emen
ts in
pla
ce? (
10 p
oint
s if a
ll in
pla
ce; 5
poi
nts i
f pa
rtia
lly in
pla
ce; 0
if n
one
in p
lace
)10
Requ
isiti
on /o
rder
ing
arra
ngem
ents
, Dis
trib
utio
n sc
hedu
les,
del
iver
y ar
rang
emen
ts
6.
MO
NIT
ORI
NG
AND
EVAL
UATI
ON
(Tot
al 4
0 po
ints
) Is
ther
e a
Nut
ritio
n In
form
atio
n Sy
stem
in p
lace
?
10Ve
rify
phys
ical
ly:
5Re
port
s are
pre
pare
d an
d se
nt o
ut to
the
appr
opria
te
leve
l (co
pies
of r
epor
ts w
ith c
over
ing
lett
ers)
2
5La
test
CH
NM
repo
rt
1
5La
test
BN
A re
port
2
5La
test
JM
NR
repo
rt
1
5N
utrit
ion
scor
ecar
d re
port
3
5N
utrit
ion
repo
rt g
ener
ated
from
HM
IS re
gist
ers
3
NATIONAL MULTISECTORAL NUTRITION RESPONSE IN REGIONS AND LGA’s
NATIONAL MULTISECTORAL NUTRITION RESPONSE IN REGIONS AND LGA’s14 15
Ap
pen
dix
2:
Nut
riti
on M
onit
orin
g an
d Su
perv
isio
n Ch
eckl
ist f
or C
ounc
ils
Regi
on:
……
……
……
……
……
……
…...
.……
……
......
......
...…
......
......
......
.....
Coun
cil N
ame:
……
……
……
……
……
……
……
……
……
……
…...
......
......
......
...
Date
of s
uper
visi
on:
……
……
……
……
……
……
……
……
……
……
……
……
……
Area
s of a
sses
smen
tDe
scrip
tion
Scor
e gu
ide
Mea
ns o
f ver
ifica
tion
Resp
onse
Scor
eRe
mar
k/Ac
tion
Nut
ritio
n go
vern
ance
1. H
UMAN
RES
OUR
CE F
OR
NUTR
ITIO
N (T
otal
of 3
0 po
ints
)
Num
ber o
f Nut
ritio
n O
ffice
rs (p
rofe
ssio
nals
) ava
ilabl
e in
a C
ounc
il (A
ssig
n 10
po
ints
if th
ere
are
3 or
mor
e nu
triti
on o
ffice
rs, 5
poi
nts i
f les
s tha
n 3
and
0 if
none
).10
Hum
an R
esou
rce
data
base
(sen
iorit
y lis
t)
Is th
ere
any
appo
inte
d Co
unci
l Nut
ritio
n O
ffice
r? (5
poi
nts f
or y
es, 0
poi
nts i
f no)
5Pr
esen
ce o
f a le
tter
of a
ppoi
ntm
ent a
s a se
ctio
n le
ader
.
Does
the
appo
inte
d Co
unci
l Nut
ritio
n O
ffice
r hav
e a
task
des
crip
tion
(Che
ck in
th
e pe
rson
al fi
le)?
5Pr
esen
ce o
f a si
gned
job
or ta
sk d
escr
iptio
n
Avai
labi
lity
of a
dequ
ate
and
relia
ble
wor
king
offi
ce sp
ace
and
equi
pmen
t for
N
utrit
ioni
sts
5O
ffice
spac
e, ta
bles
, cha
irs a
nd w
orki
ng to
ols (
com
pute
r, pr
inte
r).
Is th
ere
any
evid
ence
of a
tten
ding
on
job
train
ings
/wor
ksho
ps re
late
d to
nu
triti
on? (
Cons
ider
trai
ning
form
oth
er se
ctor
s)5
Avai
labi
lity
of d
ocum
ent t
augh
t, w
orks
hop
feed
back
file
s,
cert
ifica
te o
f att
enda
nce
2. P
LANN
ING
AND
BUD
GETI
NG (T
otal
of
60 p
oint
s)
Is th
ere
a Co
unci
l Nut
ritio
n st
rate
gic
plan
? (10
poi
nts f
or y
es, 0
for n
o)10
Avai
labi
lity
of C
ounc
il N
utrit
ion
Stra
tegi
c Pl
an
Are
nutr
ition
act
iviti
es in
corp
orat
ed in
to th
e Co
unci
l ann
ual p
lan
and
budg
et a
s pe
r too
l kit
from
PO
-RAL
G? (1
0 po
ints
if fu
lly, 5
poi
nts i
f par
tially
and
0 if
not
)10
Cou
ncil
annu
al p
lans
and
bud
get (
MTE
F), C
CHP
Does
the
plan
ning
of n
utrit
ion
activ
ities
adh
ere
to a
mul
ti-se
ctor
al a
ppro
ach?
10At
leas
t one
act
ivity
per
nut
ritio
n se
nsiti
ve se
ctor
in th
e Co
unci
l an
nual
pla
ns a
nd b
udge
t (M
TEF)
Has
the
Coun
cil m
utlis
ecto
ral n
utrit
ion
actio
n pl
an b
een
allo
cate
d fu
ndin
g in
cu
rren
t fin
anci
al y
ear a
s bud
gete
d? (1
0 po
ints
if a
s bud
gete
d, 7
poi
nts i
f ove
r 50
%; 5
poi
nts i
f <50
%; a
nd 0
if n
one)
10Co
unci
l ann
ual p
lans
and
bud
get (
MTE
F/SB
ASS)
bas
ed o
n Co
unci
l nut
ritio
n ac
tion
plan
.
Wha
t are
the
sour
ces o
f the
Cou
ncil
nutr
ition
bud
get f
or th
e cu
rren
t fin
anci
al
year
? (10
poi
nts i
f fro
m a
ll ex
pect
ed so
urce
s, 3
poi
nts f
rom
Gov
ernm
ent,
2 po
ints
bas
ket f
und,
2 p
oint
s dev
elop
men
t fun
d, 2
poi
nts O
C, 1
poi
nt fo
r oth
er
stak
ehol
ders
)
10Co
unci
l ann
ual p
lans
and
bud
get (
MTE
F/SB
ASS)
.
Do y
ou h
ave
a lis
t of n
utrit
ion
part
ners
wor
king
in th
e ar
ea5
Abst
ract
list
of w
orki
ng p
artn
ers i
n th
e Co
unci
l (DC
DO)
How
man
y of
them
hav
e pl
ans i
ncor
pora
ted
into
ann
ual C
ounc
il bu
dget
?5
CCH
P/M
TEF
Tota
l am
ount
of f
und
allo
cate
d fo
r nut
ritio
n ac
tiviti
es in
the
curr
ent f
inan
cial
ye
ar.
Show
am
ount
Annu
al w
ork
plan
s, C
CHP/
MTE
EF
Tota
l am
ount
of f
und
allo
cate
d fo
r nut
ritio
n ac
tiviti
es in
the
curr
ent r
epor
ting
perio
dSh
ow
amou
ntAn
nual
wor
k pl
ans,
CCH
P/M
TEEF
Tota
l am
ount
of G
over
nmen
t fun
d al
loca
ted
for n
utrit
ion
activ
ities
in th
e cu
rren
t rep
ortin
g pe
riod
Show
am
ount
Annu
al w
ork
plan
s, C
CHP/
MTE
EF
Gove
rnm
ent f
und
spen
t on
nutr
ition
Show
am
ount
Coun
cil q
uart
erly
fina
ncia
l rep
ort
Stak
ehol
ders
’ fun
ds sp
ent o
n nu
triti
on in
terv
entio
nsSh
ow
amou
ntQ
uart
erly
stak
ehol
ders
repo
rt
3. I
MPL
EMEN
TATI
ON
OF
ACTI
VITI
ES A
ND
FINA
NCIA
L EX
PEND
ITUR
E (T
otal
of 3
0 po
ints
)
Impl
emen
tatio
n of
the
plan
ned
Nut
ritio
n ac
tiviti
es in
the
repo
rtin
g pe
riod
(5
poin
ts if
ove
r 75%
; 4 p
oint
s if 6
0-<7
5%; 3
poi
nts i
f >50
-<60
%; 2
poi
nts i
f 20-
<50%
; 1
poin
t if 1
-<20
%; a
nd 0
poi
nts i
f non
e im
plem
ente
d.5
Coun
cil a
nnua
l rep
ort
Expe
nditu
re V
s allo
cate
d fu
nds f
or th
e di
ffere
nt fu
ndin
g so
urce
s
Gove
rnm
ent f
unds
: (5
poin
ts if
ove
r 75%
; 4 p
oint
s if 6
0-<7
5%; 3
poi
nts i
f >50
-<6
0%; 2
poi
nts i
f 20-
<50%
; 1 p
oint
if 1
-<20
%; a
nd 0
poi
nts i
f non
e im
plem
ente
d5
Coun
cil f
inan
cial
repo
rts
Bask
et F
und:
(5 p
oint
s if o
ver 7
5%; 4
poi
nts i
f 60-
<75%
; 3 p
oint
s if >
50-<
60%
; 2
poin
ts if
20-
<50%
; 1 p
oint
if 1
-<20
%; a
nd 0
poi
nts i
f non
e im
plem
ente
d5
Coun
cil f
inan
cial
repo
rts
Deve
lopm
ent F
und:
(5 p
oint
s if o
ver 7
5%; 4
poi
nts i
f 60-
<75%
; 3 p
oint
s if >
50-
<60%
; 2 p
oint
s if 2
0-<5
0%; 1
poi
nt if
1-<
20%
; and
0 p
oint
s if n
one
impl
emen
ted
5Co
unci
l fin
anci
al re
port
s
OC:
(5 p
oint
s if o
ver 7
5%; 4
poi
nts i
f 60-
<75%
; 3 p
oint
s if >
50-<
60%
; 2 p
oint
s if
20-<
50%
; 1 p
oint
if 1
-<20
%; a
nd 0
poi
nts i
f non
e im
plem
ente
d5
Coun
cil f
inan
cial
repo
rt
NATIONAL MULTISECTORAL NUTRITION RESPONSE IN REGIONS AND LGA’s
NATIONAL MULTISECTORAL NUTRITION RESPONSE IN REGIONS AND LGA’s16 17
Oth
er p
artn
ers (
NGO
s)(5
poi
nts i
f ove
r 75%
; 4 p
oint
s if 6
0-<7
5%; 3
poi
nts i
f >50
-<60
%; 2
poi
nts i
f 20-
<50%
; 1 p
oint
if 1
-<20
%; a
nd 0
poi
nts i
f non
e im
plem
ente
d5
Coun
cil f
inan
cial
repo
rts.
4. M
ULTI
-SEC
TORA
L NU
TRIT
ION
COO
RDIN
ATIO
N (T
otal
of 6
0 po
ints
)
Does
the
Coun
cil N
utrit
ion
Mul
tisec
tora
l ste
erin
g co
mm
ittee
exi
st? (
Yes =
10;
No
= 0)
10
Coun
cil’s
Cal
enda
r and
com
mitt
ee m
eetin
gs. L
ette
r of
appo
intm
ent o
f mem
bers
: (TA
MIS
EMI t
o en
sure
Cou
ncils
re
ceiv
e go
vern
men
t circ
ular
on
incl
udin
g st
eerin
g co
mm
ittee
m
eetin
gs in
the
Coun
cil’s
cal
enda
r).
Com
posi
tion
of th
e CM
SCN
con
sist
ent w
ith th
e TO
R? Ye
s (10
); Pa
rtia
l (5)
; No
(0)
10Th
e TO
R, a
ppoi
ntm
ent l
ette
rs
Num
ber o
f mee
tings
con
duct
ed? S
houl
d be
1 e
very
four
mon
ths
10M
inut
es o
f mee
tings
Does
CM
SCN
mee
tings
app
ear i
n Co
unci
l’s c
alen
dar (
Yes =
10
poin
ts; N
o =
0)10
Coun
cil’s
cal
enda
r
Did
the
CMSC
N fo
llow
the
stan
dard
age
nda
as st
ipul
ated
in th
e TO
R an
d di
d ea
ch se
ctor
pre
sent
? (Ye
s = 5
; par
tial =
3 a
nd N
o =
0)5
Invi
tatio
n le
tter
sM
inut
es o
f mee
tings
Wer
e de
cisi
ons a
nd a
ctio
ns a
gree
d an
d re
spon
sibl
e pe
rson
ass
igne
d? (Y
es =
5
poin
ts; N
o =
0)5
Min
utes
of m
eetin
gs
Are
agre
ed a
ctio
ns p
oint
s fol
low
ed u
p at
eac
h m
eetin
g? (Y
es =
5 p
oint
s; N
o 0)
5
Min
utes
of t
he p
revi
ous t
wo
mee
tings
Does
join
t mon
itorin
g su
perv
isio
n in
volv
e st
akeh
olde
rs (C
SO/P
rivat
e se
ctor
et
c.?
5M
onito
ring
supe
rvis
ion
repo
rt
5. L
OGI
STIC
S AN
D SU
PPLI
ESIs
the
nutr
ition
equ
ipm
ent a
nd su
pplie
s dis
trib
utio
n pl
an a
nd lo
gist
ical
ar
rang
emen
t in
plac
e?YE
S/N
ORe
quis
ition
/ord
erin
g ar
rang
emen
ts, d
istr
ibut
ion
Plan
s,
deliv
ery
arra
ngem
ent.
Is th
e av
aila
bilit
y of
ther
apeu
tic fo
ods a
s per
Cou
ncil’
s req
uire
men
t YE
S/N
OPh
ysic
al v
erifi
catio
n, B
NA,
Led
ger b
ook
Is th
e av
aila
bilit
y of
com
bine
d m
iner
als a
nd v
itam
ins a
s per
Cou
ncil
requ
irem
ents
?YE
S/N
O
Is th
e av
aila
bilit
y of
rehy
drat
ion
solu
tion
for m
alnu
triti
on a
s per
Cou
ncil
requ
irem
ents
?YE
S/N
O
Is th
e av
aila
bilit
y of
ferr
ous a
nd fo
lic a
cid
as p
er C
ounc
il re
quire
men
ts?
YES/
NO
Is a
vaila
bilit
y of
vita
min
A a
s per
Cou
ncil
requ
irem
ents
?YE
S/N
O
Is th
e av
aila
bilit
y of
zinc
as p
er C
ounc
il re
quire
men
ts?
YES/
NO
Are
ther
e ad
equa
te a
nd fu
nctio
nal w
eigh
ing
scal
es fo
r inf
ants
?YE
S/N
O
Are
ther
e ad
equa
te a
nd fu
nctio
nal w
eigh
ing
scal
es fo
r und
erfiv
es?
YES/
NO
Are
ther
e ad
equa
te a
nd fu
nctio
nal w
eigh
ing
scal
es fo
r adu
lts?
YES/
NO
Are
ther
e ad
equa
te a
nd fu
nctio
nal M
UAC
tape
s for
eac
h ag
e gr
oup?
YES/
NO
Are
ther
e ad
equa
te a
nd fu
nctio
nal h
eigh
t /le
ngth
boa
rds?
YES/
NO
Are
ther
e ad
equa
te a
nd u
sabl
e Z-
scor
e ch
arts
?YE
S/N
O
Are
ther
e ad
equa
te T
ool k
it/jo
b ai
ds fo
r exa
mpl
e CH
NM
, NAC
S, IY
CF, I
MAM
, DR
NCD
s, g
row
th m
onito
ring
tool
kit?
YES/
NO
6. M
ONI
TORI
NG A
ND E
VALU
ATIO
N (T
otal
40
poi
nts)
Is th
ere
a sy
stem
of M
&E o
f im
plem
enta
tion
of p
lann
ed n
utrit
ion
activ
ities
in th
e re
port
ing
perio
dYE
S/N
OFi
nanc
ial r
epor
t, qu
arte
rly re
port
s, J
MN
R (c
heck
act
iviti
es
impl
emen
ted)
7. M
ONI
TORI
NG A
ND E
VALU
ATIO
NIs
staff
trai
ned
on M
IYCA
N? I
f yes
how
man
y? (C
heck
if tr
aini
ng fo
llow
ed to
ol k
it ac
cord
ing
to th
e ke
y re
sult
area
s of t
he N
MN
AP)
YES/
NO
Num
ber
train
edDN
uO re
port
s/ tr
aini
ng re
port
file
s2
Are
ther
e st
aff tr
aine
d on
MIY
CAN
in th
e re
port
ing
perio
d. If
yes
how
man
y.YE
S/N
ON
umbe
r tra
ined
1
Any
avai
labl
e m
ater
ials
on
10 st
eps t
o su
cces
sful
bre
ast f
eedi
ng?
YES/
NO
Num
ber
train
ed
Phys
ical
ver
ifica
tion
of m
atrix
of 1
0 st
eps t
o su
cces
sful
bre
ast
feed
ing.
2
Is th
ere
any
brea
st-fe
edin
g ed
ucat
ion
happ
enin
g at
ant
enat
al a
nd p
ostn
atal
du
ring
the
visi
t? e
.g. C
are
and
posi
tioni
ng n
ippl
es, a
ttach
men
t, du
ratio
n of
br
east
feed
ing.
YES/
NO
If ye
s,
men
tion
type
of
educ
atio
n
Com
mun
ity a
war
enes
s, h
ealth
and
nut
ritio
n tim
e ta
ble
1
IEC
mat
eria
ls o
n br
east
feed
ing
avai
labl
e?YE
S/N
OPh
ysic
al v
erifi
catio
n - D
ispl
ayed
IEC
mat
eria
ls3
Num
ber o
f mot
hers
or c
areg
iver
s cou
nsel
led
on c
ompl
emen
tary
feed
ing
in th
e re
port
ing
perio
d?Pr
ovid
e nu
mbe
rM
TUH
A, B
NA
DNuO
con
solid
ated
repo
rt3
Num
ber o
f sen
sitiz
atio
n m
eetin
gs/a
dole
scen
ts se
nsiti
zed
on n
utrit
ion
issu
esPr
ovid
e nu
mbe
rsDN
uO re
port
s
IMAM
Are
ther
e st
aff tr
aine
d on
IMAM
. If y
es h
ow m
any?
YES
– pr
ovid
e nu
mbe
r/N
O
Are
ther
e st
affs t
rain
ed o
n N
ACS.
If y
es h
ow m
any?
YES
– pr
ovid
e nu
mbe
r/N
O
Man
agem
ent o
f SAM
offe
red
in h
ealth
faci
litie
s?YE
S/N
OIn
patie
nt S
AM re
gist
ers,
Out
patie
nt S
AM re
gist
ers
NATIONAL MULTISECTORAL NUTRITION RESPONSE IN REGIONS AND LGA’s
NATIONAL MULTISECTORAL NUTRITION RESPONSE IN REGIONS AND LGA’s18 19
Pres
ence
of i
n pa
tient
uni
t?YE
S/N
OPh
ysic
al v
erifi
catio
n
Pres
ence
of S
tore
for n
utrit
ion
supp
lies?
YES/
NO
Pres
ence
of a
room
for p
repa
ring
ther
apeu
tic m
ilk?
YES/
NO
Num
ber o
f SAM
/MAM
chi
ldre
n w
ith H
IV (a
dmitt
ed c
ases
) 0- 5
9 m
onth
s in
the
repo
rtin
g pe
riod
Prov
ide
num
ber
Num
ber o
f SAM
/MAM
chi
ldre
n w
ith H
IV (o
utpa
tient
cas
es) 0
- 59
mon
ths i
n th
e re
port
ing
perio
dPr
ovid
e nu
mbe
r
Num
ber o
f def
aulte
rs’ c
ases
of S
AM/M
AM (i
npat
ient
) 0 -
59 m
onth
s in
the
repo
rtin
g pe
riod
Prov
ide
num
ber
Num
ber o
f def
aulte
rs’ c
ases
of S
AM/M
AM (o
utpa
tient
) 6 -
59 m
onth
s in
the
repo
rtin
g pe
riod
Prov
ide
num
ber
Num
ber o
f cur
ed c
ases
of S
AM 0
- 59
mon
ths i
n th
e re
port
ing
perio
dPr
ovid
e nu
mbe
r
Num
ber o
f SAM
chi
ldre
n di
ed 0
- 59
mon
ths i
n th
e re
port
ing
perio
dPr
ovid
e nu
mbe
r
Num
ber o
f dis
char
ge S
AM c
ases
0- 5
9 m
onth
sPr
ovid
e nu
mbe
r
Are
adm
issi
on a
nd d
isch
arge
crit
eria
follo
wed
? (re
view
IMAM
tool
kit
in a
dvan
ce)
Prov
ide
num
ber
Num
ber o
f chi
ldre
n 6
-59
mon
ths s
cree
ned
with
MUA
C in
the
repo
rtin
g pe
riod
Prov
ide
num
ber
Num
ber o
f mal
nour
ishe
d Ch
ildre
n 6
-59
mon
ths i
dent
ified
with
Oed
ema
in th
e re
port
ing
perio
dPr
ovid
e nu
mbe
r
Num
ber o
f chi
ldre
n 6-
59 m
onth
s with
SAM
refe
rred
for c
linic
al se
rvic
esPr
ovid
e nu
mbe
r
Num
ber o
f chi
ldre
n w
ith M
AM 6
-59
mon
ths r
efer
red
to C
HW
for n
utrit
ion
coun
selli
ngPr
ovid
e nu
mbe
r
Mic
ronu
trie
nts
Num
ber o
f pre
gnan
t mot
hers
who
rece
ived
FEF
O (I
ron-
Fola
te) s
uppl
emen
tatio
nPr
ovid
e nu
mbe
rM
TUH
A 6
Does
the
frequ
ency
and
qua
ntity
of F
EFO
giv
en to
a m
othe
r con
sist
ent w
ith th
e AN
C to
ol k
it?YE
S/N
OPh
ysic
al v
erifi
catio
n of
MTU
HA
6Sam
ple
RCH
car
d 4
Num
ber o
f pos
tnat
al m
othe
rs re
ceiv
ing
the
FEFO
Pr
ovid
e nu
mbe
rM
TUH
A N
o 6
Is c
ouns
ellin
g pr
ovid
ed to
pre
gnan
t mot
hers
bef
ore
give
n th
e FE
FO (e
.g.,
use,
im
porta
nce,
side
effe
cts)
YES/
NO
Phys
ical
ver
ifica
tion
e.g.
Tim
e ta
ble
for c
ouns
elin
g, p
acka
ge o
f co
unse
ling,
sam
plin
g of
pre
gnan
t mot
hers
Do h
ealth
wor
kers
pro
vide
vita
min
A su
pple
men
tatio
n to
chi
ldre
n ac
cord
ing
to
the
tool
kit?
(100
,000
IU fo
r 6 -1
1 m
onth
s, a
nd 2
00,0
00 IU
for 1
2 - 5
9mon
ths)
YES/
NO
MTU
HA
and
CHN
M re
port
s, p
hysi
cal v
erifi
catio
n
Do h
ealth
wor
kers
pro
vide
zinc
and
ORS
to a
ll ch
ildre
n w
ith d
iarr
hea?
YE
S/N
OM
TUH
A (c
heck
No
of th
is b
ook)
If ye
s how
is zi
nc a
nd O
RS a
re p
rovi
ded?
St
ate
how
Phys
ical
ver
ifica
tion
Num
ber o
f chi
ldre
n 12
- 59
mon
ths g
iven
meb
enda
zole
in th
e re
port
ing
perio
dPr
ovid
e nu
mbe
rCH
NM
repo
rts
Wer
e m
icro
nutr
ient
pow
ders
ava
ilabl
e du
ring
the
repo
rtin
g pe
riod?
YES/
NO
MN
Ps re
port
s
Num
ber o
f chi
ldre
n gi
ven
MN
Ps 6
-59
mon
ths i
n th
e re
port
ing
perio
d
Part
icip
atio
n in
nat
iona
l eve
nts/
co
mm
emor
atio
n
CHN
M a
t Cou
ncil
leve
l
Was
CH
NM
exe
rcis
e co
nduc
ted
in J
une/
Dece
mbe
r? If
yes
wha
t was
the
cove
rage
(V
itam
in A
supp
lem
enta
tion,
dew
orm
ing
and
MUA
C sc
reen
ing)
?
Prov
ide
cove
rage
fig
ures
(giv
e 0
if no
t co
nduc
ted
Chec
k CH
NM
repo
rt, M
TUH
A N
o. 7
Are
CHN
M m
icro
pla
ns a
vaila
bilit
y?YE
S/N
O
Wer
e CH
NM
supp
lies e
noug
h?YE
S/N
OCh
eck
the
stoc
k if
any
Brea
stfe
edin
g w
eek
Was
Bre
astfe
edin
g co
unse
lling
con
duct
ed d
urin
g th
e br
east
feed
ing
wee
k?YE
S/N
OCh
eck
brea
stfe
edin
g w
eek
repo
rts
Are
ther
e an
y IE
C m
ater
ials
ava
ilabl
e on
bre
astfe
edin
g?YE
S/N
OPh
ysic
al v
erifi
catio
n
Was
sens
itiza
tion
done
?YE
S/N
OCh
eck
brea
stfe
edin
g w
eek
repo
rts
Grow
th m
onito
ring
Are
ther
e st
aff tr
aine
d on
gro
wth
mon
itorin
g? If
yes
how
man
y?YE
S –
prov
ide
num
ber/
NO
Trai
ning
repo
rt fr
om D
NuO
Are
anth
ropo
met
ric m
easu
rem
ents
take
n, p
lott
ed a
nd in
terp
rete
d pr
oper
ly?
YES/
NO
Data
col
lect
ion
tool
s, p
hysi
cal v
erifi
catio
n RC
H c
ard.
NATIONAL MULTISECTORAL NUTRITION RESPONSE IN REGIONS AND LGA’s
NATIONAL MULTISECTORAL NUTRITION RESPONSE IN REGIONS AND LGA’s20 21
Num
ber o
f chi
ldre
n 0
- 59
mon
ths w
hose
nut
ritio
n st
atus
was
ass
esse
d du
ring
the
repo
rtin
g pe
riod
Prov
ide
num
ber
MTU
HA
No.
7, N
ACs r
egis
ter
Num
ber o
f chi
ldre
n w
ith n
orm
al n
utrit
ion
stat
us in
the
repo
rtin
g pe
riod
Prov
ide
num
ber
Num
ber o
f mod
erat
ely
mal
nour
ishe
d ch
ildre
n in
the
repo
rtin
g pe
riod
Prov
ide
num
ber
Num
ber o
f sev
erel
y m
alno
uris
hed
child
ren
in th
e re
port
ing
perio
dPr
ovid
e nu
mbe
r
Diet
ary
rela
ted
Non-
Com
mun
icab
le
Dise
ase
Are
ther
e cl
inic
s for
non
-com
mun
icab
le d
isea
ses i
n th
e Co
unci
l?YE
S/N
OPh
ysic
al v
erifi
catio
n, N
CD re
gist
er
Is th
ere
any
nutr
ition
edu
catio
n pr
ovid
ed o
n go
od li
fe st
yle
prac
tice
and
non-
com
mun
icab
le d
isea
se?
YES/
NO
Com
mun
ities
aw
aren
ess,
DN
uO c
onso
lidat
ed re
port
Are
heal
th w
orke
rs tr
aine
d on
NCD
s? If
Yes,
how
man
yYE
S/N
O,
prov
ide
num
ber
DNuO
repo
rts
Are
nutr
ition
cou
nsel
ling
and
man
agem
ent o
f ind
ivid
uals
with
DRN
CDs
cond
ucte
dYE
S/N
OCl
ient
regi
ster
s
Nutr
ition
info
rmat
ion
syst
em
Is th
e m
inim
um n
utrit
ion
info
rmat
ion
syst
em p
ract
iced
? (re
fer t
he li
st b
elow
)YE
S/N
O
Phys
ical
ver
ifica
tion
Avai
labi
lity
of la
test
CH
NM
sum
mar
y re
port?
YES/
NO
Avai
labi
lity
of la
test
BN
A re
port?
YE
S/N
O
Avai
labi
lity
of n
utrit
ion
scor
ecar
d?YE
S/N
O
Avai
labi
lity
of J
MN
R re
port?
YE
S/N
O
Avai
labi
lity
of la
test
tech
nica
l nut
ritio
n re
port?
YES/
NO
NAC
S re
gist
ers f
illed
cor
rect
ly?
YES/
NO
Nutr
ition
sens
itive
issu
es
Avai
labi
lity
of n
utrit
ion
sens
itive
inte
rven
tions
in k
ey se
ctor
s: (a
s per
cur
rent
na
tiona
l mul
tisec
tora
l nut
ritio
n ac
tion
plan
): ag
ricul
ture
and
food
secu
rity;
he
alth
and
HIV
; edu
catio
n an
d ea
rly c
hild
hood
dev
elop
men
t; w
ater
, san
itatio
n an
d hy
gien
e (W
ASH
); so
cial
pro
tect
ion;
clim
ate
chan
ge. (
Each
sect
or sh
ould
be
aske
d in
depe
nden
tly)
YES/
NO
for
each
sect
or
men
tione
dM
ultis
ecto
ral N
utrit
ion
Annu
al W
ork
plan
, MTE
F
AGRI
CULT
URE
Prod
uctio
n of
hig
h nu
triti
ve va
lue
crop
sYe
s/N
o
Food
stor
age
and
pres
erva
tion
Docu
men
t m
etho
ds
Crop
Pos
thar
vest
han
dlin
gDo
cum
ent
met
hods
Valu
e ad
ditio
n in
itiat
ives
incl
udin
g fo
od p
roce
ssin
gDo
cum
ent
initi
ativ
es
LIVE
STO
CK a
nd F
ISH
ERIE
S
Valu
e ad
ditio
n in
itiat
ives
(e.g
. in
mea
t/m
ilk)
Docu
men
t
Smal
l ani
mal
/fis
h pr
oduc
tion
Docu
men
t Do
cum
ent
HEA
LTH
AND
HIV
Cove
rage
of p
regn
ant m
othe
rs u
sing
mat
erna
l hea
lth se
rvic
es in
clud
e fa
mily
pl
anni
ng, p
reve
ntio
n an
d tr
eatm
ent o
f HIV
and
mal
aria
serv
ices
.
Prov
ide
cove
rage
fig
ures
MTU
HA,
DRC
HCo
repo
rts
WAT
ER A
ND S
ANIT
ATIO
N W
ASH
Prop
ortio
n of
hou
seho
ld w
ith a
cces
s to
adeq
uate
cle
an a
nd sa
fe w
ater
Prov
ide
prop
ortio
nW
ater
eng
inee
r rep
orts
, Hea
lth O
ffice
r rep
orts
SOCI
AL P
ROTE
CTIO
N
Num
ber o
f poo
rest
hou
seho
lds b
enef
iting
from
TAS
AF’s
cond
ition
al c
ash
trans
fers
in th
e Co
unci
l.Pr
ovid
e nu
mbe
rTA
SAF
coor
dina
tor r
epor
ts, C
omm
unity
dev
elop
men
t offi
cer
repo
rts
Num
ber o
f poo
rest
hou
seho
lds b
enef
iting
from
con
ditio
nal c
ash
trans
fers
who
re
ceiv
ed n
utrit
ion
educ
atio
n du
ring
com
mun
ity se
ssio
ns in
the
Coun
cil.
Prov
ide
num
ber
Tim
e ta
ble,
less
on p
lan,
DN
uO, T
ASAF
EDUC
ATIO
N
Num
ber o
f girl
s enr
olle
d in
seco
ndar
y sc
hool
sPr
ovid
e nu
mbe
rEd
ucat
ion
Offi
cer r
epor
ts
CHIL
D CA
RE D
EVEL
OPM
ENT
(CCD
) AND
EAR
LY C
HIL
DHO
OD
DEVE
LOPM
ENT
(ECD
) INC
LUDI
NG E
ARLY
CH
ILD
STIM
ULAT
ION
Are
ther
e st
aff tr
aine
d on
CCD
/ECD
? If y
es h
ow m
any?
YES/
NO
;pr
ovid
e nu
mbe
rCC
D/EC
D tra
inin
g re
port
Num
ber o
f par
ents
/car
e gi
vers
with
und
er th
ree
year
s old
chi
ldre
n co
unse
lled
on C
CD/E
CD o
n th
e re
port
ing
perio
d in
the
Coun
cil.
Prov
ide
num
ber
CCD/
ECD
Coun
cil’s
repo
rt/D
SWO
repo
rt, D
NU
O re
port
NATIONAL MULTISECTORAL NUTRITION RESPONSE IN REGIONS AND LGA’s
NATIONAL MULTISECTORAL NUTRITION RESPONSE IN REGIONS AND LGA’s22 23
Ap
pen
dix
3:
Nut
riti
on M
onit
orin
g an
d Su
perv
isio
n Ch
eckl
ist f
or fa
cilit
y
Nam
e of
Reg
ion:
……
……
……
……
……
……
……
…...
.
Nam
e of
dis
tric
t: …
……
……
……
……
……
……
……
…
Nam
e of
adm
inis
trat
ive
unit
(Cou
ncil/
War
d/Vi
llage
/etc
.)
Nam
e of
faci
lity:
……
……
……
……
……
……
……
……
……
……
……
……
..
Type
of f
acili
ty (e
.g. h
ealth
, agr
icul
ture
, edu
catio
n, W
ASH
, soc
ial p
rote
ctio
n et
c.)
Date
of s
uper
visi
on: …
……
……
……
……
……
……
……
……
……
……
……
….
AREA
S O
F AS
SESS
MEN
TDE
SCRI
PTIO
NSC
ORE
GU
IDE
MEA
NS
OF
VERI
FICA
TIO
NRE
SPO
NSE
SCO
RERE
MAR
KS/
Actio
n
Hum
an R
esou
rce
How
man
y se
rvic
e pr
ovid
ers a
re in
the
faci
lity?
Pr
ovid
e nu
mbe
rSe
nior
ity li
st
Is th
ere
any
prof
essi
onal
nut
ritio
n off
icer
in th
e fa
cilit
y? If
yes
how
man
y?Ye
s/N
oPr
ovid
e nu
mbe
rSe
nior
ity li
st
Does
nut
ritio
n off
icer
(s) h
ave
an a
ppoi
ntm
ent l
ette
r and
Job
des
crip
tion?
Pers
onal
file
s
Is th
ere
adeq
uate
and
relia
ble
wor
king
spac
e an
d eq
uipm
ent f
or n
utrit
ion
offic
er?
Yes/
No
Offi
ce sp
ace,
tabl
es, c
hairs
and
oth
er w
orki
ng to
ols.
Is th
ere
any
serv
ice
prov
ider
who
is tr
aine
d on
pro
visi
on o
f nut
ritio
n se
rvic
es? I
f ye
s, h
ow m
any?
Yes/
No
Prov
ide
num
ber
Num
ber o
f tra
ined
per
sonn
el (t
rain
ing
book
, file
s)
Plan
ning
and
bud
getin
g fo
r Nu
triti
on
Did
the
faci
lity
plan
for n
utrit
ion
activ
ities
in th
e cu
rren
t fin
anci
al y
ear?
If y
es
(che
ck w
heth
er th
ey co
nfor
m to
NM
NAP
and
chec
k th
e to
tal a
mou
nt b
udge
ted
in
this
qua
rter)
Yes/
No
Chec
k bu
dget
Chec
k pl
an b
ooks
Are
the
faci
lity’s
nut
ritio
n pl
ans i
ncor
pora
ted
into
the
CCH
P? (c
heck
CHO
P)Ye
s/N
och
eck
CHO
P
Are
ther
e an
y pa
rtne
rs su
ppor
ting
nutr
ition
issu
es in
you
r are
a? If
yes
, how
m
any?
Chec
k CH
OP
Are
nutr
ition
par
tner
s’ p
lans
inco
rpor
ated
into
the
faci
lity
plan
s? (a
s an
atta
chm
ent)
Yes/
No
Chec
k pl
an b
ooks
Fina
nces
and
exp
endi
ture
Wha
t is t
he g
over
nmen
t’s c
ontr
ibut
ion
in y
our b
udge
t? (c
heck
sour
ce o
f fun
ds
belo
w)
Stat
e am
ount
Chec
k pl
an b
ooks
Oth
er C
harg
es (O
C)St
ate
amou
nt
Has
you
r fac
ility
con
trib
uted
fund
s to
the
nutr
ition
act
ion
plan
? (O
wn
Sour
ce)
Stat
e am
ount
Loca
l Gov
ernm
ent B
lock
Gra
nt?
Yes/
No
RBF?
Ye
s/N
o
Bask
et F
und?
Yes/
No
Oth
er so
urce
s? (s
peci
fy)
Yes/
No
Did
your
faci
lity
rece
ive
any
fund
for n
utrit
ion
plan
ned
activ
ities
in th
e cu
rren
t fin
anci
al y
ear?
Pr
ovid
e am
ount
Chec
k fin
anci
al re
port
, Pay
men
t Vou
cher
s, R
elea
se
lett
er).
If ye
s, w
hat w
ere
the
key
activ
ities
the
fund
was
use
d fo
r and
how
muc
h w
as
spen
t per
act
ivity
?Ch
eck
finan
cial
repo
rt, P
aym
ent V
ouch
ers,
Rel
ease
le
tter
).
Mul
tisec
tora
l Coo
rdin
atio
nDo
es th
e fa
cilit
y co
ordi
nate
its n
utrit
ion
activ
ities
with
oth
er fa
cilit
ies a
nd th
e M
ultis
ecto
ral s
teer
ing
com
mitt
ee o
n nu
triti
on?
Logi
stic
s and
supp
lies
Are
ther
e an
y pr
oble
ms r
elat
ed to
logi
stic
s and
supp
lies?
Prov
ide
list
If he
alth
faci
lity:
Are
the
orde
ring
proc
edur
es fo
r nut
ritio
n su
pplie
s (FE
FO, v
it A,
m
eben
dazo
le, t
hera
peut
ic fo
od a
nd a
nthr
opom
etric
tool
s) fo
llow
ed?
By lo
okin
g ta
rget
pop
ulat
ion
of e
ach
supp
ly, c
heck
R&
R an
d le
dger
Are
the
nutr
ition
supp
lies r
ecei
ved
as o
rder
ed?
chec
k is
sue
vouc
her,
ledg
er a
nd R
&R
Are
nutr
ition
stoc
ks w
ell m
anag
ed a
nd re
cord
s kep
t? (C
heck
arra
ngem
ent a
nd
reco
rds)
ph
ysic
al v
erifi
catio
n of
R&R
and
ledg
er
Are
ther
e an
y ro
utin
e m
aint
enan
ce p
lans
for a
vaila
ble
tool
s and
equ
ipm
ent?
Ph
ysic
al v
erifi
catio
n of
Fac
ility
pla
n bo
ok
TECH
NICA
L IS
SUES
NATIONAL MULTISECTORAL NUTRITION RESPONSE IN REGIONS AND LGA’s
NATIONAL MULTISECTORAL NUTRITION RESPONSE IN REGIONS AND LGA’s24 25
Mat
erna
l inf
ant y
oung
chi
ld a
nd
adol
esce
nt n
utrit
ion
(MIY
CAN)
1. S
uppo
rt a
nd p
rom
otio
n of
bre
astf
eedi
ng
Are
tool
kit
for M
IYCA
N a
vaila
ble
at th
e fa
cilit
y? (O
PD, R
CH, P
ostn
atal
)ph
ysic
al v
erifi
catio
n
Are
MIY
CAN
job
aids
ava
ilabl
e? (O
PD, R
CH, P
ostn
atal
)ph
ysic
al v
erifi
catio
n
Are
ther
e to
ol k
it an
d jo
b ai
ds fo
r MIY
CAN
from
the
train
ing?
If Ye
s whe
re a
re
they
? ph
ysic
al v
erifi
catio
n
Is
ther
e br
east
feed
ing
educ
atio
n ha
ppen
ing
at a
nten
atal
and
pos
tnat
al d
urin
g th
e vi
sit?
e.g
.. Ca
re o
f nip
ples
, pos
ition
ing
and
atta
chm
ent,
dura
tion
of b
reas
t fe
edin
g le
sson
pre
pare
d an
d tim
e ta
ble,
phy
sica
l ver
ifica
tion
Ar
e IE
C m
ater
ials
on
brea
stfe
edin
g av
aila
ble?
(OPD
, RCH
, Pos
tnat
al)
Indi
cate
whi
chav
aila
bilit
y of
IEC
mat
eria
ls, p
hysi
cal v
erifi
catio
n
2.
Tra
inin
gs o
n M
IYCA
N
Ar
e th
ere
staff
trai
ned
on M
IYCA
N?,
If Ye
s how
man
y?Pr
ovid
e nu
mbe
r C
heck
trai
ning
boo
k, fi
les
Th
e tra
inin
g w
as fo
r how
man
y da
ys?
Phys
ical
ver
ifica
tion
in th
e to
ol k
it
3.
Pro
vide
r pr
actic
es o
n br
east
feed
ing
Is
cou
nsel
ling
on b
reas
t fee
ding
tech
niqu
e do
ne p
rope
rly? (
OPD
, RCH
, Po
stna
tal)
Yes/
No
Phys
ical
ver
ifica
tion
and
prob
e o
n, e
arly
initi
atio
n,
excl
usiv
e br
east
feed
ing,
how
faci
lity
deal
s with
br
east
feed
ing
chal
leng
es
4.
Com
plem
enta
ry F
eedi
ng
Ar
e IE
C m
ater
ials
on
com
plem
enta
ry fe
edin
g av
aila
ble?
(OPD
, RCH
)Ye
s/N
oLi
st th
emPh
ysic
al v
erifi
catio
n
Is
com
plem
enta
ry fe
edin
g co
unse
lling
pro
vide
d to
mot
hers
and
car
egiv
ers?
(O
PD, R
CH, e
tc.),
if y
es, h
ow m
any
have
bee
n co
unse
lled
for r
espe
ctiv
e qu
arte
r?Pr
ovid
e nu
mbe
rPh
ysic
al v
erifi
catio
n: le
sson
pla
n, d
ata
sour
ce to
be
upda
ted
5.
HIV
and
Infa
nt F
eedi
ng
Is
info
rmat
ion,
edu
catio
n an
d co
mm
unic
atio
n (IE
C) m
ater
ials
on
HIV
and
infa
nt
feed
ing
avai
labl
e? (O
PD, R
CH, C
TC, M
ater
nity
war
d)Ye
s/N
o. If
yes
, lis
t m
ater
ials
avai
labi
lity
of IE
C m
ater
ials
, phy
sica
l ver
ifica
tion
Is
nut
ritio
n ed
ucat
ion
bein
g pr
ovid
ed to
mot
hers
and
car
egiv
ers?
(OPD
, RCH
, CT
C, M
ater
nity
war
d)Ye
s/N
o. If
yes
, lis
t se
rvic
esPh
ysic
al v
erifi
catio
n, n
umbe
r of c
areg
iver
. Che
ck,
MTU
HA
If
yes,
wha
t spe
cific
are
as o
f nut
ritio
n ed
ucat
ion
was
pro
vide
d?
List
are
asPh
ysic
al v
erifi
catio
n in
CTC
car
d,
6.
Gro
wth
mon
itori
ng
6.1
Avai
labi
lity
of fu
nctio
ning
mon
itori
ng to
ols
H
ow m
any
wei
ghin
g sc
ales
for I
nfan
ts?
Prov
ide
num
ber
Phys
ical
ver
ifica
tion
for f
unct
iona
lity
and
num
ber
H
ow m
any
wei
ghin
g sc
ale
for u
nder
five
chi
ldre
n?Pr
ovid
e nu
mbe
r
H
ow m
any
wei
ghin
g sc
ale
for a
dults
?N
umbe
r
H
ow m
any
heig
ht/ l
engt
h bo
ards
?N
umbe
r
H
ow m
any
BMI C
hart
s?
H
ow m
any
BMI f
or a
ge c
hart
s?
H
ow m
any
Z-sc
ore
char
ts (W
HO
)?
6.
2 Pr
ovid
er k
now
ledg
e on
ass
essm
ent
Ar
e th
ere
train
ed st
aff o
n gr
owth
mon
itorin
g? If
yes
, how
man
y?N
umbe
rTr
aini
ng b
ook,
file
s
Ar
e th
ere
tool
kit
and
job
aids
for g
row
th m
onito
ring
from
the
train
ing?
Ye
s/N
oPh
ysic
al v
erifi
catio
n
6.
3. P
rovi
der p
ract
ices
on
grow
th m
onito
ring
Ar
e An
thro
pom
etric
mea
sure
men
ts ta
ken,
plo
tted
and
inte
rpre
ted
prop
erly
? Ye
s/N
oPh
ysic
al v
erifi
catio
n, d
ata
colle
ctio
n to
ol
7.
Ser
vice
s Pro
vide
d
Ar
e th
ere
heal
th w
orke
rs tr
aine
d on
IYCF
, NAC
S?N
umbe
rTr
aini
ng re
port
s
H
ow m
any
preg
nant
wom
en h
ave
been
nut
ritio
nally
ass
esse
d an
d cl
assi
fied
in
last
qua
rter
?N
umbe
rN
ACS
regi
ster
H
ow m
any
preg
nant
wom
en h
ave
been
cou
nsel
led
on o
ptim
al n
utrit
ion?
Num
ber
NAC
S re
gist
er
H
ow m
any
mot
hers
of c
hild
ren
0-23
mon
ths h
ave
been
cou
nsel
led
on IY
CF la
st
quar
ter?
Num
ber
NATIONAL MULTISECTORAL NUTRITION RESPONSE IN REGIONS AND LGA’s
NATIONAL MULTISECTORAL NUTRITION RESPONSE IN REGIONS AND LGA’s26 27
7.
Rou
tine
grow
th m
onito
ring
and
pro
mot
ion
for
child
ren
unde
r fiv
eU
nder
five
child
regi
ster
(MTU
HA
7)
If
the
child
has
abn
orm
al g
row
th c
urve
, is h
ealth
wor
ker p
rovi
ding
ade
quat
e ad
vice
to c
are
give
r?
Yes/
No
chec
k th
e re
gist
ers a
nd p
robe
on
how
it is
don
e,
Obs
erve
and
che
ck N
ACS
regi
ster
and
MTU
HA
No.
7
Ar
e th
e w
eigh
ed/m
easu
red
child
ren
bein
g cl
assi
fied
acco
rdin
g to
thei
r nut
ritio
n st
atus
?Ye
s/N
oPh
ysic
al v
erifi
catio
n in
MTU
HA
7
Does
the
faci
lity
offer
SAM
man
agem
ent?
Ye
s/N
oM
TUH
A 5&
11, N
ACS
regi
ster
s, O
PD/IP
D, IM
AM re
gist
er
1.
Infr
astr
uctu
re
Is th
ere
an in
patie
nt U
nit (
War
d) fo
r SAM
?Ye
s/N
oPh
ysic
al v
erifi
catio
n
Is th
ere
a sp
ecia
lized
stor
e/ro
om fo
r SAM
trea
tmen
t pro
duct
s?Ye
s/N
oPh
ysic
al v
erifi
catio
n
2.
Supp
lies (
Phar
mac
y, S
tore
) (Ch
eck
the
avai
labl
e st
ock
com
pare
d to
the
expe
cted
case
s/ re
quir
emen
t)
Is th
ere
suffi
cien
t sto
ck o
f F75
?Ye
s/N
oPh
ysic
al v
erifi
catio
n le
dger
and
R&R
form
s
Is th
ere
suffi
cien
t sto
ck o
f F10
0?Ye
s/N
oPh
ysic
al v
erifi
catio
n le
dger
and
R&R
form
s
Is th
ere
suffi
cien
t sto
ck o
f RU
TF?
Yes/
No
Phys
ical
ver
ifica
tion
ledg
er a
nd R
&R fo
rms
Is th
ere
suffi
cien
t sto
ck o
f Res
omal
?Ph
ysic
al v
erifi
catio
n le
dger
and
R&R
form
s
Is th
ere
suffi
cien
t sto
ck o
f CM
V?Ye
s/N
oPh
ysic
al v
erifi
catio
n le
dger
and
R&R
form
s
3.
Tool
s &Eq
uipm
ent (
Avai
labi
lity,
num
ber
and
func
tiona
lity)
Is th
ere
a fu
nctio
ning
refri
gera
tor(s
) for
SAM
trea
tmen
t pro
duct
s?Ye
s/N
o/N
umbe
rPh
ysic
al v
erifi
catio
n on
ava
ilabi
lity,
func
tiona
lity
and
num
bers
.
Are
ther
e liq
uid
mea
surin
g ju
gs?
Yes/
No/
Num
ber
Phys
ical
ver
ifica
tion
on a
vaila
bilit
y, fu
nctio
nalit
y an
d nu
mbe
rs.
Is th
ere
a w
atch
?Ye
s/N
o/N
umbe
rPh
ysic
al v
erifi
catio
n on
ava
ilabi
lity,
func
tiona
lity
and
num
bers
.
Are
ther
e dr
inki
ng c
ups?
Yes/
No/
Num
ber
Phys
ical
ver
ifica
tion
on a
vaila
bilit
y, fu
nctio
nalit
y an
d nu
mbe
rs.
4.
Tool
s &Eq
uipm
ent (
Avai
labi
lity,
num
ber
and
func
tiona
lity)
Is th
ere
a fu
nctio
ning
refri
gera
tor(s
) for
SAM
trea
tmen
t pro
duct
s?Ye
s/N
o/N
umbe
rPh
ysic
al v
erifi
catio
n on
ava
ilabi
lity,
func
tiona
lity
and
num
bers
.
Are
ther
e liq
uid
mea
surin
g ju
gs?
Yes/
No/
Num
ber
Phys
ical
ver
ifica
tion
on a
vaila
bilit
y, fu
nctio
nalit
y an
d nu
mbe
rs.
Is th
ere
a w
atch
?Ye
s/N
o/N
umbe
rPh
ysic
al v
erifi
catio
n on
ava
ilabi
lity,
func
tiona
lity
and
num
bers
.
Are
ther
e dr
inki
ng c
ups?
Yes/
No/
Num
ber
Phys
ical
ver
ifica
tion
on a
vaila
bilit
y, fu
nctio
nalit
y an
d nu
mbe
rs.
Are
ther
e jo
b ai
ds a
nd to
ol k
it fo
r SAM
trea
tmen
t?Ye
s/N
oPh
ysic
al v
erifi
catio
n on
ava
ilabi
lity,
func
tiona
lity
and
num
bers
.
Is th
e ea
rly C
hild
hood
Dev
elop
men
t (EC
D) to
ol k
it av
aila
ble?
Yes/
No
Phys
ical
ver
ifica
tion
on a
vaila
bilit
y, fu
nctio
nalit
y an
d nu
mbe
rs.
Are
daily
and
mon
thly
regi
ster
s for
SAM
trea
tmen
t ava
ilabl
e?Ye
s/N
oPh
ysic
al v
erifi
catio
n on
ava
ilabi
lity,
func
tiona
lity
and
num
bers
.
Are
patie
nt n
utrit
ion
(feed
ing)
card
s ava
ilabl
e?Ye
s/N
oPh
ysic
al v
erifi
catio
n on
ava
ilabi
lity,
func
tiona
lity
and
num
bers
.
Are
refe
rral f
orm
s ava
ilabl
e?Ye
s/N
oPh
ysic
al v
erifi
catio
n on
ava
ilabi
lity,
func
tiona
lity
and
num
bers
.
Are
MUA
C ta
pes a
vaila
ble?
Yes/
No/
Num
ber
Phys
ical
ver
ifica
tion
on a
vaila
bilit
y, fu
nctio
nalit
y an
d nu
mbe
rs.
5.
Prac
tice
(Rev
iew
IMAM
tool
kit
in a
dvan
ce) (
OPD
, IPD
, RCH
)
Are
the
NAC
S an
d IM
AM to
ol k
it an
d pr
otoc
ols a
vaila
ble?
Yes/
No
Phys
ical
ver
ifica
tion
Are
the
adm
issi
on a
nd d
isch
arge
crit
eria
in tr
eatm
ent (
ITC/
OTC
) fol
low
ed?
(Che
ck a
dmis
sion
and
dis
char
ge fo
rms n
umbe
r pat
ient
s in
last
mon
th, p
robe
to
unde
rsta
nd h
ow c
hild
ren
are
adm
itted
and
dis
char
ged
in O
utpa
tient
The
rape
utic
pr
ogra
m)
Yes/
No
Chec
k IM
AM a
nd N
ACS
regi
ster
s
Is th
ere
refe
rral a
nd re
ferra
l fee
dbac
ks o
f SAM
pat
ient
s fro
m fa
cilit
y to
faci
lity?
Yes/
No
Chec
k re
ferra
l for
ms,
MTU
HA
5, 1
1
6.
Serv
ices
Pro
vide
d
NATIONAL MULTISECTORAL NUTRITION RESPONSE IN REGIONS AND LGA’s
NATIONAL MULTISECTORAL NUTRITION RESPONSE IN REGIONS AND LGA’s28 29
How
man
y ca
ses o
f SAM
/MAM
in c
hild
ren
0-59
mon
ths w
ere
adm
itted
in th
e re
port
ing
perio
d?N
umbe
r
Inpa
tient
s reg
iste
r and
out
patie
nt re
gist
er, N
ACS
How
man
y ca
ses o
f SAM
/MAM
in c
hild
ren
0 - 5
9 m
onth
s wer
e tr
eate
d as
ou
tpat
ient
s in
the
repo
rtin
g pe
riod?
Num
ber
Of t
he S
AM/M
AM c
hild
ren
0- 5
9 m
onth
s who
wer
e ad
mitt
ed (i
n-pa
tient
s) h
ow
man
y w
ere
HIV
pos
itive
in th
e re
port
ing
perio
d?N
umbe
r
Of t
he S
AM/M
AM c
hild
ren
0- 5
9 m
onth
s who
wer
e tr
eate
d as
out
patie
nts,
how
m
any
wer
e po
sitiv
e w
ith H
IV in
the
repo
rtin
g pe
riod?
Num
ber
How
man
y ca
ses o
f SAM
/MAM
inpa
tient
s (ch
ildre
n 0
- 59
mon
ths)
def
aulte
d tr
eatm
ent i
n th
e re
port
ing
perio
d?N
umbe
r
How
man
y ca
ses o
f SAM
/MAM
out
patie
nts (
child
ren
0 - 5
9 m
onth
s) d
efau
lted
trea
tmen
t in
the
repo
rtin
g pe
riod?
Num
ber
How
man
y ch
ildre
n (0
- 59
mon
ths)
with
SAM
wer
e cu
red
in th
e re
port
ing
perio
d?N
umbe
r
How
man
y ch
ildre
n (0
- 59
mon
ths)
with
SAM
die
d du
ring
the
repo
rtin
g pe
riod?
Num
ber
How
man
y ch
ildre
n (0
- 59
mon
ths)
with
SAM
wer
e di
scha
rged
in th
e re
port
ing
perio
d?N
umbe
r
How
man
y ch
ildre
n (0
-59
mon
ths)
with
SAM
wer
e re
ferr
ed fr
om th
e co
mm
unity
to
the
heal
th fa
cilit
y?
Num
ber
How
man
y ch
ildre
n (0
-59
mon
ths)
with
SAM
wer
e re
ferr
ed fr
om th
e he
alth
fa
cilit
y to
the
com
mun
ity?
Num
ber
Chec
k re
ferra
l for
ms
How
man
y ch
ildre
n 6-
59 m
onth
s wer
e sc
reen
ed w
ith M
UAC?
N
umbe
rCH
NM
Rep
ort
How
man
y ch
ildre
n 6-
59 m
onth
s wer
e fo
und
with
oed
ema
durin
g th
e re
port
ing
perio
d?
Num
ber
CHN
M R
epor
t
Diet
Rel
ated
Non
-Co
mm
unic
able
Dis
ease
s (D
RNCD
s)
Are
DRN
CD to
ol k
it av
aila
ble
at th
e fa
cilit
y?
Yes/
No
Phys
ical
ver
ifica
tion
of N
CD to
ol k
it
Are
ther
e H
ealth
Car
e W
orke
r tra
ined
on
DRN
CDs?
Yes/
Num
ber/
No
Trai
ning
boo
k/fil
e
Are
DRN
CDs i
nclu
ded
in n
utrit
ion
educ
atio
n se
ssio
ns?
Yes/
No
Phys
ical
ver
ifica
tion
(less
on p
lan,
tim
e ta
ble)
Is n
utrit
ion
coun
selin
g on
DRN
CD a
nd m
anag
emen
t don
e at
the
faci
lity?
Ye
s/N
oPh
ysic
al v
erifi
catio
n an
d pr
obe
How
man
y cl
ient
s are
rece
ivin
g nu
triti
onal
cou
nsel
ing
and
man
agem
ent o
n DR
NCD
s?N
umbe
rCl
ient
s’ re
gist
ers
Mic
ronu
trie
nt su
pple
men
tatio
n an
d de
wor
min
g
Avai
labi
lity
and
prov
isio
n of
Mic
ronu
trie
nts a
nd d
ewor
min
g (P
harm
acy,
RCH
ledg
ers)
(Che
ck a
vaila
ble
stoc
k co
mpa
re to
the
expe
cted
case
s/re
quir
emen
t)
Does
the
faci
lity
have
suffi
cien
t iro
n/fo
lic a
cid
(FEF
O)?
(den
omin
ator
for
just
ifica
tion
of sc
ore
rank
ing)
Yes/
No
Phys
ical
ver
ifica
tion
Does
the
faci
lity
have
suffi
cien
t vita
min
A (1
00,0
00 IU
and
200
,000
IU)?
(d
enom
inat
or fo
r jus
tific
atio
n of
scor
e ra
nkin
g)Ye
s/N
oPh
ysic
al v
erifi
catio
n, R
&R, a
nd le
dger
Does
the
faci
lity
have
suffi
cien
t zin
c? (d
enom
inat
or fo
r jus
tific
atio
n of
scor
e ra
nkin
g)Ye
s/N
oPh
ysic
al v
erifi
catio
n (in
Dia
rrhe
a Tr
eatm
ent C
orne
r)
Does
the
faci
lity
have
suffi
cien
t ora
l reh
ydra
tion
salt
(ORS
)? (d
enom
inat
or fo
r ju
stifi
catio
n of
scor
e ra
nkin
g)Ye
s/N
oPh
ysic
al v
erifi
catio
n (in
Dia
rrhe
a Tr
eatm
ent C
orne
r)
Does
the
faci
lity
have
suffi
cien
t Meb
enda
zole
? (de
nom
inat
or fo
r jus
tific
atio
n of
sc
ore
rank
ing)
Yes/
No
Phys
ical
ver
ifica
tion
Prac
tice
and
know
ledg
e as
sess
men
t (Po
stna
tal,
RCH
)
Are
preg
nant
mot
hers
giv
en F
EFO
? If Y
es, a
re th
e to
ol k
it fo
llow
ed?
Yes/
No
Chec
k M
TUH
A N
o. 6
and
tool
kit
for F
EFO
Is F
EFO
giv
en to
pos
tpar
tum
mot
hers
? Ye
s/N
oup
date
dat
a so
urce
,
Does
the
heal
th c
are
prov
ider
cou
nsel
the
mot
her b
efor
e gi
ving
FEF
O? (
e.g.
, use
, im
porta
nce,
side
effe
cts)
Yes/
No
Phys
ical
ver
ifica
tion,
less
on P
lan,
tim
etab
le
Does
the
heal
th w
orke
r pro
vide
Vita
min
A to
chi
ldre
n ac
cord
ing
to to
ol k
it?
(100
,000
IU fo
r 6-1
1mon
th, a
nd 2
00,0
00 IU
for 1
2-59
mon
ths)
Ye
s/N
oCh
eck
avai
labi
lity
of to
ol k
it, M
TUH
A N
o. 7
, RCH
1
Card
., ph
ysic
al v
erifi
catio
n
Does
the
heal
th w
orke
r pro
vide
meb
enda
zole
to a
ll ch
ildre
n ro
utin
ely?
(12-
59
mon
ths)
Ye
s/N
oCh
eck
MTU
HA
No.
7, R
HC1
, phy
sica
l ver
ifica
tion
Are
child
ren
6-59
mon
ths s
uppl
emen
ted
with
Vita
min
A?
Yes/
No
CHN
M R
EPO
RT
How
man
y w
omen
rece
ived
iron
/folic
aci
d su
pple
men
ts?
Num
ber
HM
IS, M
TUH
A N
A.6
How
man
y ch
ildre
n 6-
59 m
onth
s wer
e gi
ven
MN
P?N
umbe
rRe
gion
al Im
plem
enta
tion
repo
rt
Child
ren
12-5
9 m
onth
s dew
orm
ed
CHN
M R
EPO
RT
NATIONAL MULTISECTORAL NUTRITION RESPONSE IN REGIONS AND LGA’s
NATIONAL MULTISECTORAL NUTRITION RESPONSE IN REGIONS AND LGA’s30 31
Part
icip
atio
n in
nat
iona
l nu
triti
on re
leva
nt e
vent
s/
com
mem
orat
ion
CHNM
(RCH
)
Was
vita
min
A su
pple
men
tatio
n an
d de
wor
min
g co
nduc
ted
in J
une/
Dece
mbe
r?
Did
you
mee
t 90%
cov
erag
e?Ye
s/N
och
eck
CHN
M re
port
Ye
s/N
o
Wer
e su
pplie
s eno
ugh?
(bas
ing
on re
quire
men
t)Ye
s/N
oCh
eck
the
stoc
k if
any
Brea
stfe
edin
g w
eek
(RCH
)
Was
bre
astfe
edin
g co
unse
lling
con
duct
ed d
urin
g br
east
feed
ing
wee
k?Ye
s/N
oCh
eck
brea
stfe
edin
g w
eek
repo
rts
Are
ther
e an
y IE
C m
ater
ials
ava
ilabl
e on
the
10 st
eps o
f bre
astfe
edin
g?Ye
s/N
oCh
eck
avai
labi
lity
Was
bre
astfe
edin
g se
nsiti
zatio
n do
ne?
Yes/
No
Chec
k br
east
feed
ing
wee
k re
port
s
WAS
HN
utri
tion
sens
itive
issu
es
1.H
ealth
faci
lity
(OPD
, RCH
, Mat
erni
ty)
Is c
lean
and
safe
wat
er a
vaila
ble?
Yes/
No
Phys
ical
ver
ifica
tion
Do th
e he
alth
wor
kers
und
erst
and
the
five
criti
cal t
imes
for h
and
was
hing
? (p
robe
)Ye
s/N
oAv
aila
bilit
y of
SO
P an
d ob
serv
atio
n
Are
the
WAS
H jo
b ai
ds a
nd IE
C m
ater
ials
ava
ilabl
e at
the
faci
lity?
Ph
ysic
al v
erifi
catio
n
2.Ed
ucat
ion
inst
itutio
n
Is c
lean
and
safe
wat
er a
vaila
ble?
Yes/
No
Phys
ical
ver
ifica
tion
Do st
aff a
nd st
uden
ts u
nder
stan
d th
e fiv
e cr
itica
l tim
es fo
r han
d w
ashi
ng?
(pro
be)
Yes/
No
Avai
labi
lity
of S
OP
and
obse
rvat
ion
Are
the
WAS
H jo
b ai
ds a
nd IE
C m
ater
ials
ava
ilabl
e at
the
faci
lity?
Ye
s/N
oPh
ysic
al v
erifi
catio
n
3. C
entr
e fo
r th
e el
derl
y
Is c
lean
and
safe
wat
er a
vaila
ble?
Yes/
No
Phys
ical
Ver
ifica
tion
Do m
embe
rs a
nd c
are
prov
ider
s in
the
cent
re u
nder
stan
d th
e fiv
e cr
itica
l tim
es
for h
and
was
hing
? (pr
obe)
Yes/
No
Avai
labi
lity
of S
OP
and
obse
rvat
ion
Are
the
WAS
H jo
b ai
ds a
nd IE
C m
ater
ials
ava
ilabl
e at
the
faci
lity?
Ye
s/N
oPh
ysic
al V
erifi
catio
n
4.Ch
ildre
n ce
ntre
Are
clea
n an
d sa
fe w
ater
ava
ilabl
e?Ye
s/N
oPh
ysic
al V
erifi
catio
n
Do c
hild
ren
and
care
pro
vide
rs in
the
cent
re u
nder
stan
d th
e fiv
e cr
itica
l tim
es
for h
and
was
hing
? (pr
obe)
Yes/
No
obse
rvat
ion
Ar
e jo
b ai
ds a
nd IE
C m
ater
ials
ava
ilabl
e at
the
faci
lity?
Ye
s/N
oPh
ysic
al V
erifi
catio
n
NATIONAL MULTISECTORAL NUTRITION RESPONSE IN REGIONS AND LGA’s
NATIONAL MULTISECTORAL NUTRITION RESPONSE IN REGIONS AND LGA’s32 33
Feed
ing
prog
ram
s
1.
Hea
lth fa
cilit
y
Does
the
faci
lity
offer
any
food
to in
-pat
ient
s?Ye
s/N
oob
serv
e m
enu,
pre
para
tion
plac
e(ki
tche
n), s
tora
ge
2.
Educ
atio
n in
stitu
tion
Is th
e sc
hool
in th
e sc
hool
feed
ing
prog
ram
sYe
s/N
oPh
ysic
al v
erifi
catio
n on
men
u, p
repa
ratio
n pl
ace(
kitc
hen)
, sto
rage
Are
ther
e an
y fru
its a
nd v
eget
able
gar
den,
smal
l ani
mal
kee
ping
?Ye
s/N
o
3.
Cent
re fo
r th
e El
derl
y
Is th
ere
any
feed
ing
prog
ram
at t
he c
entr
e? S
tatu
sYe
s/N
o
Phys
ical
ver
ifica
tion
on m
enu,
pre
para
tion
plac
e(ki
tche
n), s
tora
ge
Are
ther
e an
y to
ol k
it fo
r eld
erly
feed
ing?
Yes/
No
Are
ther
e an
y fru
its a
nd v
eget
able
gar
den,
smal
l ani
mal
kee
ping
at t
he c
entr
e?Ye
s/N
o
4.
Child
ren
cent
re
Is th
ere
any
feed
ing
prog
ram
at t
he c
entr
e?
Yes/
No
chec
k st
atus
(Phy
sica
l ver
ifica
tion)
Are
ther
e an
y to
ol k
it fo
r Chi
ldre
n fe
edin
g?
Phys
ical
ver
ifica
tion
Are
ther
e an
y fru
its a
nd v
eget
able
gar
den,
smal
l ani
mal
kee
ping
??
NUTR
ITIO
N SU
PPLI
ES
Are
the
wei
ghin
g sc
ales
of i
nfan
ts, u
nder
five
and
adul
ts in
goo
d w
orki
ng
cond
ition
s as p
er n
eeds
at t
he R
egio
nal H
ospi
tal?
Ye
s/N
oPh
ysic
al v
erifi
catio
n
Are
Hei
ght /
leng
th b
oard
s ava
ilabl
e an
d fu
nctio
ning
?Ye
s/N
oPh
ysic
al v
erifi
catio
n
Are
ther
e th
e W
HO
Z sc
ores
cha
rts?
Yes/
No
Phys
ical
ver
ifica
tion
Are
ther
e M
UAC
tape
s for
all
age
grou
ps?
Yes/
No
Phys
ical
ver
ifica
tion
Pres
ence
of t
hera
peut
ic fo
ods,
test
kits
and
med
ical
supp
lies
Is th
ere
suffi
cien
t sto
ck o
f F75
? Ye
s/N
o
Phys
ical
ver
ifica
tion,
Bin
Car
d, L
edge
r boo
ks
(ava
ilabl
e st
ock
com
pare
d to
exp
ecte
d ca
ses)
Is th
ere
suffi
cien
t sto
ck o
f F10
0?Ye
s/N
o
Is th
ere
suffi
cien
t sto
ck o
f RU
TF?
Yes/
No
Is th
ere
suffi
cien
t sto
ck o
f CM
V?Ye
s/N
o
Is t
here
suffi
cien
t sto
ck o
f ReS
oMal
?Ye
s/N
o
Are
iodi
ne te
st k
its a
vaila
ble?
Yes/
No
Phys
ical
ver
ifica
tion
(from
the
Hea
lth O
ffice
r)
Is th
ere
adeq
uate
meb
enda
zole
for c
hild
ren
12 to
59
mon
ths?
Ye
s/N
oPh
ysic
al v
erifi
catio
n, B
in C
ard,
Led
ger b
ooks
(a
vaila
ble
stoc
k co
mpa
red
to e
xpec
ted
case
s)
Pres
ence
of N
utrit
iona
l sup
plem
ents
Is th
ere
suffi
cien
t sto
ck o
f Vita
min
A c
apsu
les?
Yes/
No
Stoc
k ta
king
repo
rt, p
hysi
cal v
erifi
catio
n, in
car
d,
Ledg
er (c
heck
the
avai
labl
e st
ock
com
pare
d to
ex
pect
ed c
ases
)
Is th
ere
suffi
cien
t sto
ck Ir
on-fo
lic a
cid/
(FEF
O)?
Yes/
No
Is th
ere
suffi
cien
t sto
ck Z
inc?
Is th
ere
suffi
cien
t mic
ronu
trie
nt p
owde
r?Ye
s/N
o
NATIONAL MULTISECTORAL NUTRITION RESPONSE IN REGIONS AND LGA’s
NATIONAL MULTISECTORAL NUTRITION RESPONSE IN REGIONS AND LGA’s34 35
Ap
pen
dix
4:
Nut
riti
on M
onit
orin
g an
d Su
perv
isio
n Ch
eckl
ist f
or C
omm
unit
y
Regi
on: …
……
……
……
……
……
……
……
……
……
.
Coun
cil:
……
……
……
……
……
……
……
……
…..
War
d: …
……
……
……
……
……
……
……
……
……
..
Villa
ge/M
taa:
……
……
……
……
……
……
……
……
……
…..
Date
……
……
……
……
……
……
……
……
……
……
..
Area
s of I
nter
vent
ion
Desc
ript
ion
Mea
ns o
f ver
ifica
tion
Resp
onse
Scor
e Re
mar
ks
NU
TRIT
ION
GO
VERN
ANCE
Hum
an R
esou
rce
Avai
labi
lity
of C
HW
/fro
ntlin
ers (
from
oth
er se
ctor
s) in
the
villa
ge/M
taa
Obs
erve
in W
EO/V
EOs O
ffice
Num
ber o
f CH
Ws t
rain
ed o
n nu
triti
on is
sues
train
ing
repo
rts,
vill
age
repo
rts
Num
ber o
f Nut
ritio
n Tr
aini
ngs r
ecei
ved
by C
HW
s Tr
aini
ng re
port
, vill
age
repo
rts
Nam
e of
Inst
itutio
n co
nduc
ted
nutr
ition
trai
ning
Re
port
ing
form
s, tr
aini
ng m
ater
ials
Plan
ning
and
Bud
getin
g
Is n
utrit
ion
inte
grat
ed in
you
r wor
kpla
n? (A
vaila
bilit
y of
wor
k pl
ans t
hat g
uide
th
eir d
aily
impl
emen
tatio
n).
Phys
ical
obs
erva
tion.
(nu
triti
on re
late
d ac
tiviti
es)
Inte
grat
ion
of fr
ontli
ners
’ wor
kpla
ns in
to th
e vi
llage
pla
ns
Villa
ge a
nnua
l pla
ns (n
utrit
ion
rela
ted
activ
ities
)
Logi
stic
s and
Sup
ply
Avai
labi
lity
of w
orki
ng g
ears
pro
vide
d e.
g.. b
icyc
le, r
ain
coat
, gum
boo
ts,
umbr
ella
, bag
etc
.ph
ysic
al v
erifi
catio
n
Cond
ition
of t
he w
orki
ng g
ears
pro
vide
d ph
ysic
al v
erifi
catio
n
TECH
NIC
AL IS
SUES
Mat
erna
l, In
fant
, You
ng
Child
and
Ado
lesc
ent
Nut
ritio
n (M
IYCA
N)
Fron
tline
rs w
ho re
ceiv
ed M
IYCA
N tr
aini
ngTr
aini
ng re
port
, vill
age
repo
rts
Inst
itutio
n co
nduc
ted
train
ing
Repo
rtin
g fo
rms,
regi
ster
s
Num
ber o
f pre
gnan
t wom
en in
the
catc
hmen
t vill
age
of C
HW
Regi
ster
Num
ber o
f lac
tatin
g w
omen
in th
e ca
tchm
ent v
illag
e of
CH
WRe
gist
ers
Num
ber o
f pre
gnan
t wom
en c
ouns
eled
on
MIY
CAN
by
CHW
Atte
ndan
ce li
st, C
HW
regi
ster
s
Num
ber o
f car
egiv
er se
nsiti
zed
on c
ompl
imen
tary
feed
ing.
/mee
ting
cond
ucte
d on
sens
itiza
tion
on m
eetin
g.M
onth
ly re
port
s. /p
robe
Num
ber o
f lac
tatin
g w
omen
cou
nsel
ed o
n ex
clus
ive
brea
st fe
edin
g by
CH
Ws
Atte
ndan
ce li
st, C
HW
regi
ster
s
Num
ber o
f hom
e de
liver
ies r
epor
ted
in a
mon
th in
the
villa
ge b
y CH
Ws,
how
m
any
preg
nant
wom
en h
ave
been
esc
orte
d by
TBA
Mon
thly
repo
rts,
CH
W re
gist
ers
Pres
ence
of h
ome
visi
ting
time
tabl
e to
com
mun
ity fr
ontli
ners
Chec
k fro
ntlin
er ti
met
able
Num
ber o
f hou
seho
lds v
isite
d fo
r pro
mot
ion
of b
ehav
ior c
hang
e in
Nut
ritio
n in
the
last
qua
rter
by
front
liner
sm
onth
ly re
port
s, a
nd q
uart
erly
repo
rts
Nut
ritio
n Su
ppor
t Gro
up
Exis
tenc
e of
nut
ritio
n su
ppor
t gro
ups i
n th
is v
illag
elis
t of g
roup
s. C
HW
Reg
iste
rs
Num
ber o
f nut
ritio
n su
ppor
t gro
ups.
CHW
Reg
iste
rs
Com
posi
tion
of N
utrit
ion
supp
ort g
roup
sBe
nefic
iarie
s reg
iste
rs e
.g..
preg
nant
wom
en, c
are
give
rs, a
dole
scen
ts, m
en, w
omen
, gen
der)
Mal
e pa
rtic
ipat
ion
in th
e nu
triti
on su
ppor
t gro
ups
regi
stra
tion
lists
, phy
sica
l ver
ifica
tion
Num
ber o
f mee
tings
hel
d in
the
last
qua
rter
gr
oup
mee
ting
sche
dule
, att
enda
nce
regi
ster
s,
mee
ting
min
utes
Num
ber o
f sup
port
gro
ups v
isite
d an
d m
essa
ge c
omm
unic
ated
in th
e la
st
quar
ter t
o co
mm
unity
fron
tline
rs, C
HW
sSu
ppor
tive
supe
rvis
ion
repo
rt, p
hysi
cal v
erifi
catio
n
Chal
leng
es n
orm
ally
face
d by
CH
Ws (
aske
d to
fron
tline
r),ch
eck
reco
rds,
min
utes
, pro
bing
NATIONAL MULTISECTORAL NUTRITION RESPONSE IN REGIONS AND LGA’s
NATIONAL MULTISECTORAL NUTRITION RESPONSE IN REGIONS AND LGA’s36 37
Inte
grat
ed M
anag
emen
t of
Sev
ere
Acut
e M
alnu
triti
on (I
MAM
)
Num
ber o
f all
front
liner
s tra
ined
on
Nut
ritio
n Sc
reen
ing
part
icip
ants
list
, rep
orts
Avai
labi
lity
of jo
b ai
dsph
ysic
al v
erifi
catio
n
Num
ber o
f chi
ldre
n sc
reen
ed fo
r mal
nutr
ition
in th
e M
onth
:
a. N
orm
al n
utrit
ion
stat
usM
onth
ly re
port
s
b. M
oder
ate
mal
nutr
ition
Mon
thly
repo
rts
c. S
ever
e ac
ute
mal
nutr
ition
Mon
thly
repo
rts
Num
ber o
f chi
ldre
n re
ferr
ed b
y CH
W to
the
heal
th fa
cilit
ies f
or m
alnu
triti
onre
ferra
l for
ms
Fee
dbac
k re
ceiv
ed fr
om th
e he
alth
faci
lity
(Yes
/No)
chec
k fe
edba
ck re
ferra
l for
ms
Mea
ns o
f rec
eivi
ng fe
edba
ck fr
om h
ealth
faci
litie
sch
eck
feed
back
refe
rral f
orm
s, C
HW
repo
rts
Follo
w-u
ps c
ondu
cted
to th
e ho
useh
olds
for m
alnu
triti
on c
ases
repo
rts
Mul
tisec
tora
l Nut
ritio
n Se
nsiti
ve In
terv
entio
ns1.
Ag
ricu
lture
/Liv
esto
ck
Num
ber o
f hou
seho
lds w
hich
pra
ctic
e ho
me
gard
enin
g an
d sm
all a
nim
al
keep
ing
(ask
fron
tline
rs)
Mon
thly
repo
rts
Num
ber o
f hou
seho
ld se
nsiti
zed
on se
curin
g di
vers
e fo
ods (
eith
er th
roug
h ow
n pr
oduc
tion,
buy
ing
or e
ven
thro
ugh
soci
al in
tera
ctio
n) (a
sk fr
ontli
ners
)M
onth
ly re
port
s
2.
Wat
er, S
anita
tion
and
Hyg
iene
(WAS
H)
CHW
s rec
eive
d tra
inin
g on
WAS
H#
of d
ays a
tten
ded
the
train
ing
Sens
itiza
tion
mee
ting
done
on
WAS
H b
y w
hom
Prob
e, se
nsiti
zatio
n re
port
s
Num
ber o
f hou
seho
lds h
ave
func
tiona
l han
dwas
hing
with
soap
faci
lity
mon
thly
repo
rts,
sele
ct ra
ndom
ly
Prop
ortio
n of
hou
seho
ld a
cces
sing
cle
an a
nd sa
fe w
ater
spot
che
cks,
pro
bing
, phy
sica
l ver
ifica
tion
Prop
ortio
n of
Hou
seho
lds w
ith im
prov
ed la
trin
es
phys
ical
ver
ifica
tion
3.
CCD
/ECD
Fron
tline
rs re
ceiv
ed tr
aini
ng o
n CC
D/EC
DTr
aini
ng m
ater
ials
, rep
orts
, job
aid
s, p
robe
, obs
erve
co
mm
unic
atio
n sk
ills,
CH
W se
nsiti
zatio
n re
port
s.
Pare
nts a
nd o
ther
car
egiv
ers d
o ac
tions
to st
imul
ate
the
child
righ
t fro
m
conc
eptio
n (e
.g. s
ingi
ng, t
ellin
g st
orie
s, p
layi
ng w
ith th
em, i
mita
ting
thei
r so
unds
and
wor
ds)
Obs
erve
par
ents
/ car
egiv
ers’
inte
ract
ion
with
chi
ldre
n
Are
ther
e pl
ayin
g m
ater
ials
for k
ids u
sing
loca
lly a
vaila
ble
mat
eria
ls?
Obs
erve
pre
senc
e of
pla
ying
mat
eria
ls
4.
Soci
al p
rote
ctio
n th
roug
h Ta
nzan
ia S
ocia
l Act
ion
Fund
(TAS
AF)
Num
ber o
f poo
rest
hou
seho
lds b
enef
iting
from
TAS
AF C
ash
Tran
sfer
s in
the
villa
ge
List
of b
enef
icia
ries
Num
ber o
f poo
rest
hou
seho
lds b
enef
iting
from
TAS
AF C
ash
Tran
sfer
s tha
t ha
ve re
ceiv
ed n
utrit
ion
coun
selin
g
regi
stra
tion
form
, les
son
plan
Wor
king
Too
ls &
Eq
uipm
ent
Avai
labi
lity
of jo
b ai
ds a
nd to
ol k
it to
fron
tline
rsCh
eck
the
avai
labi
lity
of jo
b ai
ds a
nd to
ol k
it
Avai
labi
lity
of d
aily
and
mon
thly
regi
ster
s Ch
eck
avai
labi
lity
of re
gist
ers
Avai
labi
lity
of re
ferra
l for
ms
Chec
k av
aila
bilit
y of
refe
rral f
orm
s
Avai
labi
lity
of n
utrit
ion
scre
enin
g to
ols (
MUA
C Ta
pes,
wei
ghin
g sc
ale,
etc
. Ch
eck
avai
labi
lity
of th
e sc
reen
ing
tool
s
Bene
ficia
ries
(pre
gnan
t w
omen
, lac
tatin
g w
omen
, men
, wom
en,
child
ren,
eld
erly
). Ta
ke
sam
ple
acco
rdin
g to
the
grou
p of
ben
efic
iari
es
Nut
ritio
n ad
vice
rece
ived
in th
e la
st 3
mon
ths
Chec
k th
e un
ders
tand
ing
of th
e co
nten
t am
ong
the
bene
ficia
ries
Type
of a
dvic
e re
ceiv
ed
Are
bene
ficia
ries p
rovi
ded
with
ade
quat
e an
d fu
nctio
nal i
nfor
mat
ion
on
nutr
ition
?
NATIONAL MULTISECTORAL NUTRITION RESPONSE IN REGIONS AND LGA’s
NATIONAL MULTISECTORAL NUTRITION RESPONSE IN REGIONS AND LGA’s38 39
Awar
enes
s of n
utrit
ion
supp
ort g
roup
Parti
cipa
tion
in n
utriti
on su
ppor
t gro
up
Bene
fit o
btai
ned
from
nut
ritio
n su
ppor
t gro
up
Nut
ritio
n ed
ucat
ion
rece
ived
from
hea
lth p
rovi
ders
at t
he h
ealth
faci
lity
chec
k th
e un
ders
tand
ing
of th
e un
ders
tand
ing
of
cont
ent
Nut
ritio
n ed
ucat
ion
rece
ived
from
the
CHW
sCh
eck
evid
ence
of t
he su
pple
men
t pro
vide
d
Supp
lem
ent r
ecei
ved
from
the
heal
th fa
cilit
yRC
H c
ard
num
ber 1
and
4
Obs
erva
tion,
RCH
car
d
Ap
pen
dix
5:
Nut
riti
on M
onit
orin
g an
d Su
perv
isio
n Ch
eckl
ist f
or P
riva
te s
ecto
r
Regi
on: …
……
……
……
……
……
……
……
……
……
.
Coun
cil:
……
……
……
……
……
……
……
……
…..
Date
……
……
……
……
……
……
……
……
……
……
..
Area
s of I
nter
vent
ion
Desc
ript
ion
Mea
ns o
f ve
rific
atio
nRe
spon
seSc
ore
Rem
arks
Nam
e of
org
aniz
atio
n:…
……
……
…...
......
......
......
......
......
......
......
......
......
......
......
.……
….
Type
of o
rgan
izat
ion:
Dea
ling
with
……
……
……
......
......
......
......
......
......
......
......
..……
….
Cert
ifica
te o
f inc
orpo
ratio
n: …
……
……
……
……
……
…...
......
......
......
......
......
......
......
......
.
Area
s of a
sses
smen
tDe
scrip
tion
Tota
l Sco
re M
eans
of v
erifi
catio
n R
espo
nse
Sco
reRe
mar
ks
Hum
an R
esou
rce
for
Nut
ritio
n (T
otal
of 3
0 po
ints
)Pr
esen
ce o
f a p
erso
n w
ith a
pro
fess
ion
rele
vant
to n
utrit
ion
in th
e or
gani
zatio
n/fir
m10
Hum
an R
esou
rce
data
base
/cer
tific
ates
Is th
ere
any
tool
kit
for p
rodu
ctio
n pr
oces
s?
5Av
aila
bilit
y of
mot
ivat
ion
pack
age
e.g.
tim
ely
sala
ry p
aym
ent,
cond
uciv
e w
orki
ng e
nviro
nmen
t, re
sult
of si
mpl
e el
ectr
onic
su
rvey
, bre
ast f
eedi
ng C
onne
r, ba
by c
are
site
s,
5M
edic
al e
xam
inat
ion
plan
and
repo
rt
5O
rient
atio
n re
port
5Ph
ysic
al v
erifi
catio
n
Plan
ning
and
bud
getin
g fo
r N
utri
tion
(Tot
al o
f 10
poin
tsAr
e th
ere
plan
ned
activ
ities
on
nutr
ition
?5
Firm
pla
nnin
g do
cum
ent
5Av
aila
bilit
y of
cor
pora
te so
cial
resp
onsi
bilit
y re
port
/rec
ords
NATIONAL MULTISECTORAL NUTRITION RESPONSE IN REGIONS AND LGA’s
NATIONAL MULTISECTORAL NUTRITION RESPONSE IN REGIONS AND LGA’s40 41
Logi
stic
s and
supp
lies
(Tot
al o
f 20
poin
ts)
Avai
labi
lity
of w
orki
ng g
ears
and
con
ditio
n of
wor
king
gea
rs5
Phys
ical
ver
ifica
tion.
Adeq
uate
spac
e fo
r equ
ipm
ent a
nd st
orag
e of
mat
eria
ls5
Stor
age
and
hand
ling
cond
ition
s5
Vent
ilatio
n of
the
prem
ise
Tech
nica
l iss
ues
(Tot
al 3
5 po
ints
)Is
Haz
ard
anal
ysis
crit
ical
con
trol
poi
nt sy
stem
adh
ered
to: -
e.g
. raw
mat
eria
ls,
rece
ptio
n, p
repa
ratio
n, st
orag
e, p
roce
ssin
g/ha
ndlin
g?10
Phys
ical
ver
ifica
tion
Avai
labi
lity
of sa
nita
tion
syst
em: c
lean
and
safe
wat
er, s
ewag
e sy
stem
and
was
te
disp
osal
mec
hani
sm.
6
Are
the
food
pro
duct
s ade
quat
ely
forti
fied?
4Pr
esen
ce o
f pre
mix
es, a
vaila
bilit
y of
dos
ifier
s/m
ixin
g de
vice
s,
labe
l, te
st k
its
Qua
lity
assu
ranc
e la
bora
tory
5Ph
ysic
al v
erifi
catio
n
Is p
acka
ging
and
labe
lling
stan
dard
s adh
ered
to?
5Ph
ysic
al v
erifi
catio
n as
per
regu
latio
n
Is th
ere
any
stan
dard
ope
ratin
g pr
oced
ures
?5
Phys
ical
ver
ifica
tion
Ap
pen
dix
6:
Supe
rvis
ion
Chec
klis
t: Fo
r N
GOs,
CBO
s an
d FB
Os
at N
atio
nal,
Regi
onal
, Cou
ncil
and
Com
mun
ity
leve
ls
Regi
on: …
……
……
……
……
……
……
……
……
……
Coun
cil:
……
……
……
……
……
……
Stre
et/P
lot n
umbe
r ……
……
……
……
……
……
……
……
Nam
e of
the
NGO
/CBO
/FBO
: ……
……
……
……
……
……
……
.
Date
of s
uper
visi
on: …
……
……
…
Area
s of a
sses
smen
tDe
scri
ptio
nM
eans
of v
erifi
catio
nRe
spon
seSc
ore
Rem
arks
Chec
k th
e: -
Regi
stra
tion
Is y
our o
rgan
izatio
n re
gist
ered
?Ce
rtifi
cate
of R
egis
tratio
n
Scop
e of
wor
k
Do th
e nu
triti
on in
terv
entio
ns im
plem
ente
d by
yo
ur o
rgan
izatio
n re
flect
ed in
the
MoU
?An
nual
wor
k pl
an im
plem
enta
tion
Wha
t is y
our t
arge
t gro
ups?
Proj
ect d
ocum
ent/
prop
osal
Wha
t is t
he c
over
age
of y
our n
utrit
ion
inte
rven
tions
?Pr
ojec
t doc
umen
t/pr
opos
al
Who
are
you
r im
plem
entin
g pa
rtne
rs?
Mem
oran
dum
of U
nder
stan
ding
/Pr
ojec
t doc
umen
t
Hum
an R
esou
rces
Avai
labi
lity
of h
uman
reso
urce
s fo
r nut
ritio
n an
d ot
her r
elat
ed d
isci
plin
esH
uman
Res
ourc
e da
taba
se
Plan
ning
and
Bud
getin
g
Is y
our g
ener
al p
lan
inte
grat
ed in
to th
e an
nual
go
vern
men
t pla
n (M
TEF)
? M
TEF
Nut
ritio
n Co
ordi
natio
n
Awar
enes
s and
par
ticip
atio
n in
the
mul
tisec
tora
l st
eerin
g co
mm
ittee
on
nutr
ition
N
utrit
ion
Stee
ring
com
mitt
ee
mee
ting
min
utes
Do y
ou p
lan
your
supp
ortiv
e su
perv
isio
n to
geth
er
with
the
Gove
rnm
ent?
Supp
ortiv
e su
perv
isio
n pl
ans a
nd
repo
rts
Do y
ou c
ondu
ct a
join
t sup
port
ive
supe
rvis
ion
with
Gov
ernm
ent (
Regi
onal
/Cou
ncil
Offi
cial
s)?
Supe
rvis
ion
repo
rt
Do y
ou p
artic
ipat
e an
d su
ppor
t com
mem
orat
ion
of n
utrit
ion
even
ts e
.g. C
hild
Hea
lth a
nd N
utrit
ion
Mon
th, W
orld
Bre
astfe
edin
g W
eek?
Com
mem
orat
ion
repo
rts
Do y
ou sh
are
impl
emen
tatio
n re
port
s with
Go
vern
men
t?
Impl
emen
tatio
n re
port
and
co
verin
g le
tter
NATIONAL MULTISECTORAL NUTRITION RESPONSE IN REGIONS AND LGA’s
NATIONAL MULTISECTORAL NUTRITION RESPONSE IN REGIONS AND LGA’s42 43
Ap
pen
dix
7:
List
of p
arti
cipa
nts
who
dev
elop
ed th
e su
ppor
tive
supe
rvis
ion
tool
kit
.
Tabl
e 1:
PAR
TICI
PAN
TS W
HO D
EVEL
OPE
D FI
RST
DRAF
T DU
RIN
G C
HECK
LIST
WO
RKSH
OP,
MO
ROG
ORO
, Aug
ust 2
1-25
, 201
7
SNN
AME
POSI
TIO
NIN
STIT
UTI
ON
1Tu
mai
ni M
ikin
doLe
ad F
acili
tato
r (ED
)PA
NIT
A
PO -
RALG
2ST
EPH
EN M
OTA
MBI
ADN
SPO
-RAL
G
3M
WIT
A J.
M. W
AIBE
NuO
PO-R
ALG
4M
ARIA
M N
AKU
WA
NuO
PO-R
ALG
5M
AGES
A JA
PHAR
IN
uOPO
-RAL
G
6ZU
HU
RA K
ARYA
PSW
OPO
-RAL
G
7JE
REM
IAH
MW
AMBA
NGE
NuO
PO-R
ALG
MIN
ISTR
IES,
DEP
ARTM
ENTS
AND
AGE
NCIE
S (M
DA)
8RA
YA M
. HAS
SAN
NuO
PEM
BA N
U-U
NIT
9PE
TER
KASW
AHIL
IN
uOM
OH
CDGE
C
10FR
ANCI
S M
ODA
HA
SRO
TFN
C
11AD
AM H
ANCY
RO -
Stat
istic
sTF
NC
12AS
HA
H. S
ALM
INN
uON
UTR
ITIO
N U
NIT
MO
H-Z
NZ
NUTR
ITIO
N O
FFIC
ERS
AT R
EGIO
NAL
AND
COUN
CIL
LEVE
LS
13RI
ZIKI
MBI
LIN
YIN
uOSU
MBA
WAN
GA R
RH
14EL
INA
KWEK
AM
NuO
MO
ROGO
RO M
UN
ICIP
AL C
OU
NCI
L
15PR
OSP
ER M
. MU
SHI
RNuO
RS-A
RUSH
A
16PR
ISCA
SH
IRAT
IDN
uOBU
TIAM
A DC
17DO
RICE
R. M
UN
ISI
NuO
RS-K
ILIM
ANJA
RO
18BE
RTH
A D.
MW
AKAB
AGE
DNuO
MU
HEZ
A DC
19.
TILI
ZA M
BULL
ADN
uOIR
INGA
-DC
20AS
IATU
H. M
BWAM
BODN
uOM
PWAP
WA-
DC
21.
AMAN
I MW
AKIP
ESIL
EM
NuO
MBE
YA C
C
22.
BERT
HA
NYI
GURN
uORS
-NJO
MBE
23.
NEE
MA
KWEB
ADN
uOM
LELE
DE-K
ATAV
I
24.
ANN
A AN
DREW
DNuO
LON
GIDO
-DC
25.
RACH
EL C
ASM
IRY
NuO
RRH
- PW
ANI
26.
NAO
MI A
. RU
MEN
YELA
MN
uOKI
GOM
A/UJ
IJI
27.
FEST
O S
. TIL
IAN
uOM
ERU
28.
JAN
ET M
NZA
VARN
uORS
-DAR
NATIONAL MULTISECTORAL NUTRITION RESPONSE IN REGIONS AND LGA’s
NATIONAL MULTISECTORAL NUTRITION RESPONSE IN REGIONS AND LGA’s44 45
CSO
s, F
BO
29N
ORB
ERT
MAS
SAY
Proj
ect M
anag
erPA
CT-T
Z
30EL
IA M
SEGU
Proj
ect M
anag
erAM
NET
(HI)
31N
EEM
A LA
ZARO
Proj
ect M
anag
erCU
AMM
-NJO
MBE
UNIT
ED N
ATIO
NS
32.
DIVY
A N
ARAY
ANBC
G/TF
NC
Tabl
e 2:
PAR
TICI
PAN
TS W
HO D
EVEL
OPE
D DR
AFT
2 O
F CH
ECKL
IST
DURI
NG
TAS
K FO
RCE
WO
RKSH
OP
HELD
AT
MIP
ANG
O H
OU
SE D
ODO
MA,
OCT
OBE
R 30
TH –
NO
VEM
BER
3RD
2017 No
NAM
EPO
SITI
ON
INST
ITU
TIO
N
1DR
. FES
TO K
AVIS
HE
Lead
Fac
ilita
tor
Cons
ulta
nt/U
NIC
EF
PO-R
ALG
2M
WIT
A J.
M. W
AIBE
NuO
PO-R
ALG
3M
ARIA
M N
AKU
WA
NuO
PO-R
ALG
4FE
STO
S. T
ILIA
NuO
PO-R
ALG
5M
AGES
A JA
PHAR
IN
uOPO
-RAL
G
6PR
OSP
ER M
. MU
SHI
NuO
PO-R
ALG
7ST
EPH
AN J
. MO
TAM
BIAD
NS
PO-R
ALG
8JE
REM
IAH
H. M
WAM
BAN
GEN
uOPO
-RAL
G
NUTR
ITIO
N O
FFIC
ERS
AT R
EGIO
NAL
AND
COUN
CIL
LEVE
LS
9N
EEM
A A.
KW
EBA
DNuO
Mle
le D
C
10TI
LIZA
MBU
LLA
DNuO
Iring
a DC
11BE
THA
NYI
GURN
uON
jom
be R
S
12DE
NN
IS M
ADEL
EKE
RNuO
Shin
yang
a RS
MIN
ISTR
IES,
DEP
ARTM
ENTS
AND
AGE
NCIE
S (M
DA)
13AD
AM H
ANCY
R.O
- St
atis
tics
TFN
C
14AL
OYC
E H
. KW
AYP/
Econ
omis
tPM
O
15FR
ANCI
S M
ODA
HA
Snr.
R.O
TFN
C
16PE
TER
KASW
AHIL
IN
uOM
OH
CDGE
C
CSO
s, F
BO
17JO
SEPH
L. M
UGY
ABU
SORE
G. N
UT.
CO
ORD
INAT
OR-
ASTU
TEIM
A W
orld
Hea
lth
18TU
MAI
N M
IKIN
DOEX
ECU
TIVE
DIR
ECTO
RPA
NIT
A
19SY
LVES
TER
NAN
DISP
ON
I-TZ
20H
ADIJ
A H
ALID
ICU
AMM
21DO
ROTH
Y M
SIM
BIRA
AFRI
CARE
– M
WAN
ZO B
ORA
UNIT
ED N
ATIO
NS
22H
ELEN
WES
TCo
nsul
tant
WFP
/BCG
23FE
RGU
S H
AMILT
ON
Cons
ulta
ntW
FP
NATIONAL MULTISECTORAL NUTRITION RESPONSE IN REGIONS AND LGA’s
NATIONAL MULTISECTORAL NUTRITION RESPONSE IN REGIONS AND LGA’s46 47
Tabl
e 3:
PAR
TICI
PAN
TS A
T VA
LIDA
TIO
N W
ORK
SHO
P, H
ELD
AT M
IPAN
GO
HO
USE
, DO
DOM
A, 1
3-15
NO
VEM
BER
2017
AN
D TH
OSE
WHO
SEN
T em
ail C
OM
MEN
TS B
UT
COU
LD N
OT
PART
ICIP
ATE
IN M
EETI
NG
S/N
Nam
ePo
sitio
nIN
STIT
UTI
ON
1DR
. FES
TO K
AVIS
HE
LEAD
FAC
ILIT
ATO
RIN
DEPE
NDE
NT
CON
SULT
ANT
PO-R
ALG
2M
WIT
A J.
M. W
AIBE
NuO
PORA
LG
3ST
EPH
EN J
. MO
TAM
BIAD
NS
PORA
LG
4M
AGES
A JA
PHAR
IN
uOPO
RALG
5M
ARIA
M N
KUM
BWA
SWO
PORA
LG
6FE
STO
S. T
ILIA
N
uOPO
RALG
7ZA
INAB
U K
ITEM
BESW
OPO
RALG
8JE
REM
IAH
H. M
WAM
BAN
GEN
uOPO
RALG
9PR
OSP
ER M
. MU
SHI
NuO
PORA
LG
10ZU
HU
RA H
. KAR
YAPS
WO
PORA
LG
MIN
ISTR
IES,
DEP
ARTM
ENTS
AND
AGE
NCIE
S (M
DAs)
11PE
TER
KASW
AHIL
IN
uOM
OH
CDGE
C
12FR
ANCI
S M
ODA
HA
SEN
. RES
EARC
H O
FFIC
ER
TFN
C
13SA
MSO
N M
APU
NDA
ECO
NO
MIS
TM
oFP
14AL
OYC
E H
. KW
AY
PRIN
CIPA
L EC
ON
OM
IST
PMO
15M
ARGA
RET
NAT
AIN
UTR
ITIO
N F
OCA
L PO
INT
MO
A
REGI
ONA
L AN
D DI
STRI
CT/C
OUN
CIL/
TOW
N NU
TRIT
ION
OFF
ICER
S
16M
ARIA
M A
THU
MAN
IRN
uORS
DO
DOM
A
17AN
NA
ANDR
EWRN
uORS
ARU
SHA
18M
WAN
AMVU
A ZU
BERI
RNU
ORS
-TAN
GA
19H
APPY
M. M
OSE
SRN
uORS
MO
ROGO
RO
20H
ERIE
TH K
IPU
YORN
uOM
TWAR
A
21TH
EDA
SIN
DERN
uOSI
NGI
DA
22JA
NET
ALL
AN M
ZAVA
RNuO
DAR
ES S
ALAA
M
23JO
SEPH
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NATIONAL MULTISECTORAL NUTRITION RESPONSE IN REGIONS AND LGA’s
NATIONAL MULTISECTORAL NUTRITION RESPONSE IN REGIONS AND LGA’s48 49
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