Standard Project Report 2016
• Strategic Objective: Support or restore food security and nutrition and establish or rebuild livelihoods in fragile settings and following emergencies( SO2)
• Outcome: Stabilized or reduced undernutrition, including micronutrient deficiencies among children aged 6 – 59 months, pregnant and lactating women, and school-aged children
• Activity: Treatment of moderate acute malnutrition( MAM) through targeted supplementary feeding modality( TSFP) in Gorkha, Sindhupalchowk and Dolakha districts
During the planning phase of the MAM treatment programme, WFP worked closely with the Ministry of Health through the Child Health Division to design the programme’ s activities within the framework of the Government’ s integrated management of acute malnutrition( IMAM) programme, which was supported by the United Nations Children ' s Fund( UNICEF) and was implemented in many districts across Nepal. The basis for the deliberations was the growing need to assist children aged 6-59 months through a TSFP, given the increasing number of acutely malnourished children who were identified through government-led community-based screening in the earthquake-affected districts.
Although the treatment of MAM programme plan initially included 41,000 children in 14 districts, the limited resources available for the PRRO compelled WFP to reduce the beneficiary plan to 3,344 children aged 6-59 months in only three districts— Gorkha, Sindhupalchowk and Dolakha— which worst affected by the earthquakes in April and May 2015. The MAM treatment programme commenced in May 2016 after the initial training of partner staff on the identification process, food distribution management and reporting, community mobilisation and coordination with government health authorities in the districts. An individual take-home ration of Plumpy ' Sup, consisting of 92 grams per child per day for a total of three months, was planned to be distributed to the targeted children.
WFP also worked with Ministry of Health and UNICEF to develop the national IMAM implementation guidelines and organised a four-day master training of trainers on IMAM as a part of the process. Key officials from the Ministry of Health at the central level participated, and a total of 575 people were trained, including district health officials, nutrition focal persons and statisticians from the Child Health Division, and key staff from WFP’ s partner Save the Children and other national non-governmental organizations( NGOs).
Through the IMAM programme, the Government— in partnership with UNICEF and other stakeholders— provides antenatal care( ANC) and postnatal care( PNC) services such as general health check-ups for pregnant and lactating women at the health posts, immunisation, distribution of iron and vitamin A supplements, de-worming treatment and nutrition counselling under the maternal, infant and young child nutrition( MIYCN) programme, and counselling on breast-feeding and complementary feeding under the infant and young child feeding( IYCF) programme.
During the period from March to December 2016, children aged 6-59 months were screened to identify signs of MAM in the three districts of Dolakha, Sindhupalchowk and Gorkha and a total of a 2,962 children were identified as suffering from acute malnutrition. This was lower than the planned number expected to be supported. Although the provision of Plumpy ' Sup was initially planned for a much higher number of beneficiaries in 14 districts of the nutrition cluster, WFP could only reach the 2,962 beneficiaries identified with MAM in three districts in 2016 due to resource constraints under the PRRO. This resulted in a much lower achievement of the distribution than planned.
• Strategic Objective: Reduce risk and enable people, communities and countries to meet their own food and nutrition needs( SO3)
• Outcome: Risk reduction capacity of countries, communities and institutions strengthened
• Activity: Food assistance for assets( FFA) in Gorkha, Dhading and Nuwakot districts
WFP continued to collaborate with the Ministry of Federal Affairs and Local Development as well as with the NRA to develop the recovery component. Following a series of consultations between WFP, the NRA and the Ministry, WFP’ s PRRO project proposal was forwarded for approval in May 2016. In September 2016, the Ministry assigned their Monitoring and Evaluation Unit as the focal point for WFP and thereafter, WFP received the Government’ s approval for the PRRO in October 2016.
Discussions between WFP and the Ministry of Federal Affairs and Local Development during June and July 2016, helped to refocus the project activities and agree on the geographic areas of implementation; these discussions also took into consideration the initially limited resources available under the PRRO, and the trickling in of small contributions over several months. Joint planning also included mapping of complementary interventions, of both government and other agencies, being implemented in the earthquake-affected districts. Although the PRRO
Nepal, State of( NP) 18 Single Country PRRO- 200875