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Scaling Up the Nutrition Response

in The Philippines

Key Challenges & Lessons Learnt

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Needs Assessment and Analysis

Needs Assessment and Analysis (1/2)

• Primary Needs analysis showed high GAM-SRP Targets• Government-led needs analysis had limited nutrition

focus • Limited capacity of AWG to adapt existing methods for

L3 level disaster-Coordination Team taking over AWG (during initial months)

• MIRA-1 (limited nutrition focus) & MIRA-2 was not linked to planning (timing and methodology)

• SMART survey (3 months post Haiyan) showed GAM prevalence 2x lower than expected-SRP Targets overestimated?- Revised Targets

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Needs Assessment and Analysis (2/2)

• Limited Technical capacity in nutrition surveys and analysis (Trained FNRI team busy with NNS)

• Coordinated assessments were OCHA driven• High number of meetings and clearance protocols-

bottleneck to cluster needs analysis• Time difference, tight deadlines affected HQ remote

support on needs analysis• Disconnect between sub-national and national

discussions• Limited use of response monitoring data to complement

needs assessment

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Strategic Response Planning

Strategic Response Planning (1/2)

• SRP and prioritization centrally-prepared; minimal regional consultation

• Limited number of partners and low capacity in CMAM• Overstretched HR capacity of government (ongoing 3

emergencies)• OCHA-driven process with tight deadlines and no

flexibility, in-depth assessment and strategic discussion• Project Proposal development – less consultative

(UNICEF/WFP and Partner centric)- limited government involvement

Strategic Response Planning (2/2)

• Scale up delayed heavily due to paperwork/approvals (PCA/FLA)

• Lack of clear arrangements for shifting government capacities to affected areas from other regions-limited number of government staff for response

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Resource mobilisation

Resources…

1.Finance

2.Supply

3.People

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Resource Mobilisation: FUNDING

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Funding challenges

• 7 of 8 partners were funded through UNICEF and WFP, which delayed nutrition cluster capacity to scale up due to administrative procedures of delayed fund release

• Government Funding was not tapped for nutrition Haiyan SRP planning and implementation ($10 M SRP funding covered through UNICEF, WFP and ACF)

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Resource Mobilisation: SUPPLY

Photo Courtesy: WFP Philippines

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Supplies challenges

• Prepositioned supplies stocks stretched - 3 ongoing emergencies

• Partners brought CMAM supplies, limited consultation -led to duplication and excess

• Limited CMAM capacity- limited ability to distribute excess supplies

• Supplies for MNPs and RUSF only planned for 6 months in SRP- negatively impacted service delivery of MAM and MNP programmes after May 2014

Resource Mobilisation: HUMAN RESOURCE CAPACITY

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Human Resources-Challenges

• Limited DOH technical staff/capacity to respond- high staff retirement

• Local government personnel were morally destabilized due to losing relatives and infrastructure damage

• Still a need to develop and cost a capacity development plan as part of preparedness efforts

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Implementation and Monitoring

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Cluster SRP achievements

IYCF counselling (pregnant and children 0-23 months)

MNP beneficiaries (6-59 months)

BSFP beneficiaries *(6-59 months)

-

20,000

40,000

60,000

80,000

100,000

120,000

140,000

160,000

180,000

200,000

102%

49%

MAM admissions (6-59 months)

SAM admissions (6-59 months)

- 1,000 2,000 3,000 4,000 5,000 6,000 7,000

Achieved Target

42%

80%

137%

As of end August 2014

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Implementation and Monitoring-Challenges (1/2)

• Delayed programme implementation due to administrative delays (PCA/FLA)

• Gap in supplies for MAM/MNPs due to pull out of WFP

• IYCF counseling challenging due to limited partner and government capacity

• WGs focused on technical discussions rather than operational support at beginning

• No approved national CMAM guidelines, lack of CMAM capacity

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Implementation and Monitoring-Challenges (2/2)

• Some SRP indicators (IFA and Vit A) linked to routine reporting system- incomplete/under reporting

• IYCF counseling indicator not reported by govt (only NGOs)

• Community nutrition volunteers are overworked