Health cluster Lessons Learned Workshop Nutrition WG 21

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Health cluster Lessons Learned Workshop Nutrition WG 21 st May 2015 2 pm WHO

Health cluster Lessons Learned Workshop Nutrition WG 21 st May 2015 2 pm WHO conference room

Strengths Before TC Pam Immediately after (first Emergency phase (72 hrs to 6 72

Strengths Before TC Pam Immediately after (first Emergency phase (72 hrs to 6 72 hrs) weeks) 3 existing (Itps) at three provincial-level hospitals (VCH, Lenekal, Santo) (but no following WHO protocol) Joint statement on appropriate feeding in emergencies signed by Mo. H DG and UNICEF Rep Immediate set-up on Selected HWs from five Nutrition WG (for provincial-level emergency response) hospitals received UNICEF/Mo. H led IYCF Immediate training, including IFE mobilisation of UNICEF (infant feeding in NIE specialist emergencies) WHO seconded Nutritionist to Mo. H Procured emergency nutrition supplies Strengthened existing Itps by providing essential supplies (amoxicillin, VAS, therapeutic milks, abendazole etc) Integrated acute malnutrition screening and IYCF into measles campaign. Set up nutrition surveillance for efate (tapping WHO) Trained HFs on IYCF counselling and MUAC screening in Efate

Weakness Before TC Pam Immediately after (first 72 hrs) Emergency phase (72 hrs to

Weakness Before TC Pam Immediately after (first 72 hrs) Emergency phase (72 hrs to 6 weeks) Shortage of nutrition supplies for Itp Lack of Ni. E capacity by NGO partners Distribution of supplies Outpatient treatment Programmes for Severe Acute Malnutrition without complications (SAM) Lack of NGO partners in nutrition Emergency Preparedness Response Plan Contingency supplies Acute malnutrition screening First exposure to humanitarian architecture for most in NWG Acute malnutrition screening of all children at HFs. Referral of identified SAM cases Reporting mechanisms on SAM admissions. NGO partner coverage

Recommendations – moving forward 1. Nutrition emergency preparedness and response plan (EPRP) 2. Transition

Recommendations – moving forward 1. Nutrition emergency preparedness and response plan (EPRP) 2. Transition from Nutrition Working Group to Nutrition Committee (led by Mo. H nutrition coordinator) after HAP period. 3. Continued procurement of nutrition supplies (therapeutic milk/amoxicillin, Vitamin A, albendazole, Resomal, Rutf) 4. Continue monitoring and reporting of Itps and Otps 5. Annual refresher training for Ni. E (IYCF, SAM etc) 6. Strengthen Baby Friendly Hospital Initiative 7. Regular monitoring, reporting and action on milk code violations

Questions?

Questions?