Nutrition Sector Coordination• 4th June 2015

Agenda• Introduction• Opening

Remarks• Review of last Nutrition Sector Coordination Meeting Action points• Sector Updates

5Ws - updateNutrition Gap MatrixNutrition Assessment Tool

• Discussion on Effective Coordination Linkages between Abuja & NE States for Emergency Response in NE

• Presentation on IDP settlements and their nutrition needs - Stéphanie DAVIOT (IOM)• Presentation on Multi-Micronutrient support to IDPs in NE - (UNICEF)• Updates from sector members on sector activities• AoB

Action Points of 21st May 2015Action Responsibility Deadline

ACF Available 3 pager to be shared Sector coordinator 25th May 2015Collection of the specific screening data Sector coordinator 1st June 2015IOM data has been made publically available, the IOM data and documents will be shared by sector coordinator. Sector coordinator 25th May 2015All Partners to share 5Ws at least two days before NSCM All Partners NSCM Presentation to be shared with all partners Najeeb 25th May 2015Compiled screening data and analysis done before the next meeting

Sector Coordinator 3rd June 2015

In the future the FSO to be shared with all the partners regularly Sector coordinator Discussion on strategy for Defaulter tracing in next NSCM Sector coordinator 4th June 2015List of all CMAM sites in all states available at IDP camps for proper referral pathways Najeeb 25th May 2015

Nutrition Emergency Response UpdatesNorth-East Nigeria

Nutrition Activities in Nigeria NEJanuary – April 2015

• Screening in IDP camps• CMAM• IYCF• Community Sensitization & Key Messages delivery

Presence of CMAM in NE by StatesJanuary – April 2015

Legend - total Children Reached

  0 - 120  120 - 400  400- 800  800 - 1200

Total Children <5 and PLWs reached in NE – January – April 2014

Adamawa Borno Yobe0

1000

2000

3000

4000

5000

6000

7000

8000

9000

1686

4384

8443

659

2014

0

Chart Title

Total Children <5 Total PLWs

14513; 84%

2673; 16%

Total Children <5 Total PLWs

CMAM , NE , January – April2015

Admission Discahrged Recovered Died DefaultedNon-recovered -

2,000

4,000

6,000

8,000

10,000

12,000

14,000

16,000

14,513

11,941

9,595

145

2,019

182

9595; 80%

145; 1%

2019; 17%

182; 2%

Breakup of Discharged

Recovered DiedDefaulted Non-recovered

CMAM , NE , State Performance , January – April 2015

Admission Discahrged Recovered Died Defaulted Non-recovered0

1000

2000

3000

4000

5000

6000

7000

8000

9000

1686 1579 1204

28 347 0

43843740

2587

31

1103

19

8443

66225804

86569 163

Chart Title

Adamawa Borno Yobe

SAM Admission TrendsJanuary – April 2015

Adamawa Borno Gombe Yobe0

500

1000

1500

2000

2500

3000

403

918

234

1789

486787

398

1447

355

1043690

2360

442

1636

781

2847Chart Title

Jan-Admission Feb-Admission Mar-Admission Apr-Admission

Nutrition Sector NE Emergency ResponseGap Analysis

Nutrition Emergency Gap Analysis for North-East Nigeria

SN STATES GeoZones LGA NAMES Pop 2015

Total IDPs CMAM IYCF MMN Screening/Assessments

Nutrition Awareness Food Vouchers other CMAM IYCF MMN Screening/

AssessmentsNutrition

Awareness Food Vouchers other

IOM Apr 2015 On-Going PlanedAdamawa 4,046,960 27,612 30

1 Adamawa NEZ Demsa 230,254   2 Adamawa NEZ Fufore 264,790 962 3 Adamawa NEZ Ganye 209,606 350 6 4 Adamawa NEZ Girie 166,057 13,311 5 Adamawa NEZ Gombi 187,050   6 Adamawa NEZ Guyuk 227,104   6 7 Adamawa NEZ Hong 216,043   8 Adamawa NEZ Jada 215,209   9 Adamawa NEZ Larmurde 144,096  

10 Adamawa NEZ Madagali 172,229   11 Adamawa NEZ Maiha 142,067   12 Adamawa NEZ Mayo-Belwa 195,608   13 Adamawa NEZ Michika 198,384   14 Adamawa NEZ Mubi North 192,981   6 15 Adamawa NEZ Mubi South 164,705 357 16 Adamawa NEZ Numan 115,890 418 17 Adamawa NEZ Shelleng 190,422   18 Adamawa NEZ Song 246,153 381 6 19 Adamawa NEZ Teungo 66,476 887 20 Adamawa NEZ Yola North 253,242 2,140 21 Adamawa NEZ Yola South 248,593 8,806 6

Borno 5,515,517 120,872 76 1 Borno NEZ Abadam 133,105   2 Borno NEZ Askira/Uba 183,476   6 3 Borno NEZ Bama 358,719   6 4 Borno NEZ Bayo 104,935   5 5 Borno NEZ Biu 233,940 859 6 6 Borno NEZ Chibok 87,831  5 7 Borno NEZ Damboa 307,681   5

Nutrition Sector Vulnerability Index –

Priority Listing of most vulnerable LGAs• SAMRT Survey GAM/SAM/MAM• GAM/SAM/MAM on screening in IDP camps• Established/Not Established CMAM• Established/Not Established IYCF• Established Community outreach with Key Messages• Overall WASH situation• Food Security Scoring Fews Net• Food Security Scoring Cadre Harmonise

Revised Timeline of Joint Assessment for Returnees in NE

Date Activity Responsibility/Venue

25 May Send out notice of meeting to ISWG Choice (OCHA)

27 May Organize ISWG meeting to review ToR for the assessment and share assessment protocol and questionnaire

NEMA

27 May – 2 June Sector Harmonize assessment tools and protocol Sector working meeting 3 -5 June Collation of assessment tools NEMA/OCHA

8 -12 June Upload questionnaire on smart phones UNICEF

16 June ISWG meeting NEMA

17 June Travel to Yola Adamawa State Yobe State

18 – 19 June Pre assessment training and use of smart phone UNICEF/OCHA/NEMA 20 June Departure June 22 – 3 July Assessment in Yobe, Borno and Adamawa States Yobe, Borno and Adamawa States July 6– 10 Analysis UNICEF (consultant)

July 15 Submission of report Consultant

Nutrition Assessment Tool• N.1) Is there a reliable informant/source for this section (refer to the assessment protocol, if no skip this

section)?• □ Yes □ No informant/source• If yes, specify:

• N.2) Are there any functioning health facilities/services in the community?• □ Yes □ No• N. 2.1) CMAM Center (facility or community based) Treatment of acute malnutrition• □ Not Established □ Established □ Functioning

• □ Inpatient therapeutic feeding (TF) only □ In- & outpatient TF □ Outpatient TF only

• Note: If CMAM center established go to 2.2 otherwise skip to 3.1

Nutrition Assessment Tool• N. 2.2) Any increase of number of under five children in CMAM centres if established & functioning• □ Yes □ No □ Don’t know

• If yes: □ 1. Not significant □ 2 □ 3 □4 □ 5. Significant

• N. 2.3) What are the stock level of the nutrition supplies (RUTF and Routine Medicines)?• □ Adequate □ Insufficient □ Don’t know

• N. 3.1) Has the community/health staff identified any problems in feeding children <2 years since crisis started?

• 3.1.a. Exclusive breast feeding (0-6months) □ Yes □ No □ Don’t know• If yes, why?

Nutrition Assessment Tool• 3.1.b. Initiation of complementary feeding (6-8• months) □ Yes □ No □ Don’t know• If yes, why?

• 3.1.c. Child feeding practices (9-23 months) □ Yes □ No □ Don’t know• If yes, why?

• N. 4) Micronutrient supplementation programs (e.g., vitamin A, iron)• □ Yes □ No □ Don’t know• N. 5) General food distribution• □ Yes □ No □ Don’t know• N. 6) Other nutrition programs? Please specify:

Way forward• Expansion of CMAM in HFs in host communities

• Systematic Screening in IDP Camps and Host Communities

• Provision of Multi-Micronutrients

• Expansion of IYCF in all IDP Camps and Host Communities

Our Children and Women are in need of our assistance in NE !!!!