Cluster
CLNUT
Nutrition
Cluster Objectives
CO1
Scale up access to quality integrated lifesaving nutrition preventive and protection minimum package services to contribute to preventing malnutrition, reducing morbidity and mortality among children under-two in crisis affected and vulnerable populations
CO2
Improve access to quality lifesaving nutrition services to treat severe and moderate acute malnutrition among under-fives, pregnant and lactating women focusing among the youngest, poorest and with increased mortality risk.
CO3
Contribute to the reduction of malnutrition among girls, boys and PLW in prioritized localities through preventive multi-sectoral responses.
CO4
Improve understanding of the nutrition situation in prioritized localities with critical levels of acute malnutrition through evidence generating assessments and inter-sectoral analysis to guide planning and decision making.
Cluster Activities
CA1
Conduct counselling of Pregnant women and caregivers of children 0-23 months on MYCN (cost per one beneficiary)
CA2
Conduct SMART surveys
CA3
Cost for Providing food for care takers at SC treatment facilities per child admitted for average of 7 days ($3 per day)
CA4
Deworming for under-under-fives
CA5
Support running costs for SC
CA6
Early detection of malnutrition among under 5 through MUAC mass screenings/ referral and regular at household level) per locality
CA7
Early Detection of malnutrition through Growth Monitoring and promotion at health facility for 0-23mo children
CA8
Provide emergency blanket supplementary Feeding programme for children 6-59 months
CA9
Provide emergency blanket supplementary feeding programme for PLW
CA10
Food Based Prevention of Acute Malnutrition for per PLW
CA11
Food Based Prevention of Acute Malnutrition (increasing access to nutrition foods) for 6-23months
CA12
Global Acute Malnutrition (GAM) Treatment in PLW
CA13
Iron and Folic Acid supplementation during pregnancy
CA14
Moderate Acute malnutrition (MAM) treatment for children 6-59m
CA15
Micronutrient supplementation through MNPs (home fortification) of children aged 6-23 per child
CA16
Nutrition surveillance training (Sessions)
CA17
Outpatient management of severe acute malnutrition (SAM) without medical complication for children 6-59mo in OTP
CA18
Inpatient management of severe acute malnutrition (SAM) with medical complications for children 0-59 months
CA19
Provision of referral costs for SAM children with medical complications
CA20
Vitamin A supplementation per child (two doses)
CA21
Enabler 1: IYCF/E message dissemination
CA22
Enabler 2: Rapid and fully assessment of IYCF/E practices
CA23
Ebaler 3: Mother-to-Mother and Father-to-Father support groups
CA24
Enabler 4: Strengthen and scale up breastfeeding corners at primary and secondary health care levels
CA25
Enabler 5: Care of children in special circumstances; Support for the non-breastfed child, LBW, HIV and Infant Feeding
CA26
Enabler 6: Implementation, monitoring, and control of the International Code of Marketing of Breastmilk Substitutes
CA27
Enabler 7: Baby friendly hospital intervention.
CA28
Enabler 8: Strengthen the existing Mother Support Groups & establish new ones
CA29
Enabler 9: Early childhood development-related services
CA30
Enabler 10: Management of small & nutritionally at-risk Infants under 6-months & their mothers
CA31
Enabler 11: Increase coverage geographical coverage of nutrition services as per guidance from the FMOH, Nutrition sector and lead agencies for those interventions
CA32
Enabler 12: Strengthen the role of community cadre in active case finding and referral (CNVs, MSGs & mothers of SAM children)
CA33
Enabler 13: Support rehabilitation of OTP/TSFP to meet the minimum service requirement
CA34
Enabler 14: Consideration of Non- food supplies for OTP/TSFP/SC sites not provided by the UN agencies
CA35
Enabler 15: Provide logistic support to transport supplies from the SMOH warehouse to nutrition sites where requested
CA36
Enabler 16: Improving warehousing conditions
CA37
Enable 17: Preventing and mitigating nutrition supplies leakage
CA38
Enabler 18: Training services providers on CMAM (SAM without complications and Moderate acute malnutrition) (refresher and basic training)
CA39
Enabler 19: Training of service providers on IYCF related interventions
CA40
Enabler 20: Training on Baby Friendly Hospital Initiative (BFHI)
CA41
Enabler 21: Training of service providers on micronutrient supplementation
CA42
Enabler 22: Fill capacity gaps as appropriate depending on the availability of resources and priority
CA43
Enabler 23: Procurement of core supplies
CA44
Enabler 24: Conduct coverage assessments in prioritized localities
CA45
Enabler 25: Conduct nutrition situation and response monitoring in the field
CA46
Enabler 26: Information Management training (basic training) (Sessions)
CA47
Enabler 27: Support implementation of other assessments (SMART, S3M, MICS, DHIS etc.) as needed
CA48
Enabler 28: Conduct joint annual SC/CMAM assessments
CA49
Enabler 29: Monitoring nutrition programme performance (as per sphere standards)
CA50
Enabler 30: Conduct regular monitoring of the nutrition interventions in operational areas
CA51
Enabler 31: Conduct joint supportive monitoring and supervision with the Federal and SMOHs
CA52
Enabler 32: Conduct on Job training/ supportive supervision
CA53
Enabler 33: Monitor core supplies availability on monthly basis and provide update to the sector
CA54
Enabler 34: Conduct early warning and early warning reporting and analysis of evolving nutrition situation feeding programs
CA55
Enabler 35: Train nutrition sector partners on GBV referrals (and PSEA)
CA56
Enabler 36: Train nutrition frontline workers on GBV referrals (and PSEA)
CA57
Enabler 37: Disseminate GBV key messages through nutrition outreach and services (where GBV services are available)
CA58
Enabler 38: Train partners on the different types of nutrition disabilities and services availability for persons with nutrition disabilities
CA59
Enabler 39: Train relevant frontline workers, local and national staff on the different types of nutrition disabilities and good nutrition practices for persons with disabilities
CA60
Enabler 40: Raise awareness to the communities on the different types of nutrition disabilities and available services to support them
CA61
Enabler 41: Conduct accessible feedback and complaint mechanisms on quarterly basis
CA62
Enabler 42: Information on the services provided is posted at nutrition facilities in accessible formats and local languages
CA63
Enabler 43: Accessible feedback and complaint mechanisms available at nutrition facilities
CA64
Enabler 44: Provision of WASH kits to children 0 to 59 months of age with SAM with complication in the SCs and children 6-59 months with SAM/MAM and PLWs attending nutrition centers (OTP/TSFP).
CA65
Enabler 45: Establishing Gender segregated latrine, shower and washing station with the provision of water and soap in all OTP/TSFP & SCs sites. (provision of simple incinerators in collaboration with health facilities where possible)
CA66
Enabler 46: Support the promotion of WASH services at health facilities/CMAM sites (OTP/TSFP/SCs) and the provision of regular awareness raising at nutrition sites
CA67
Enabler 47: Train nutrition staff on IPC and hygiene promotion- also important integration.
CA68
Enabler 48: Conduct screening (MUAC/Oedema) of all children under five (6-59 months) visiting any health facility (Public or private) and refer to appropriate CMAM sites OTPs/TSFPs or SCs
CA69
Enabler 49: Conduct screening of all PLWs and refer those having acute malnutrition to nutrition treatment centers.
CA70
Enabler 50: Conduct Growth Monitoring to serve as an early detection of deterioration of nutrition situation in children under 5 years.
CA71
Enabler 51: Integrate CMAM services and treatment of childhood illnesses (IMCI) programme.
CA72
Enabler 52: Integrating IYCF and nutrition education into maternal and child health (MCH), anti-natal Care, maternity wards, delivery, Post Natal Care, and Adolescent related package of services.
CA73
Enabler 53: Supported health facilities to report on the state disease surveillance system
CA74
Enabler 54: Improve the intake of micronutrient-rich and energy foods among vulnerable households in most affected areas
CA75
Enabler 55: Contribute to the improvement of the food security status and nutritional status of targeted population through a livestock-based intervention, kitchen garden, and Poultry.
CA76
Enabler 56: Provide Key nutrition messages in schools during morning gathering/assembly
CA77
Enabler 57: Training of students, teachers and school mother groups on importance of immunization, MUAC screening, early case finding and referral. It may includes distribution of MUAC tapes and other nutrition/health materials.
CA78
Enabler 58: Establish a referral system in schools to health centers and to reach defaulting mothers which will lead to reducing mortality and morbidity of Severe Acute Malnutrition (SAM) children.
CA79
Enabler 59: Train nutrition sector partners/ nutrition experts on identifying and referral of vulnerable cases and protection related risks to protection experts
CA80
Enabler 60: Identify and refer children at risk of under-nutrition under-five children, PLW with breastfeeding difficulties producing milk or children with disabilities or children with difficulties in suckling and swallowing to nearby nutrition sites/specialist
CA81
Enabler 61: On the importance of balanced diet, use of healthy foods against unhealthy foods/ fast food, uses and advantages of fortified foods, early detection, and treatment of nutrition problems, IYCF, use of nutrition supplies for malnourished children and the importance of using micronutrients
CA82
Enabler 62: Early detection of malnutition amoung under 5 children by mother MUAC (household)
CA83
Support rehabilitation of SC to meet the minimum package for SC services as per WHO guidance
CA84
Training of State level monitors and assistants on inpatient management of SAM (SC) - 10 days (basic Training) per person (Sessions)
CA85
Training of State level monitors and assistants on inpatient management of SAM (SC) (Refresher Training) per person
CA86
HWs training on inpatient management of SAM (SC) (Basic training) - 7 days per person (Sessions)
CA87
Training of managers of hospitals, locality managers, media on monitoring and reporting of the international code of BMS regulation - 7 days including baby Friendly hospital (Sessions)
CA88
Scaling up the operations of nutrition surveillance (States)
CA89
HWs training on inpatient management of SAM (SC) (Refresher training) - 5 days per person (Sessions)