WFP Regional Bureau for Asia and the Pacific - 2016 SPRs RBB 2016 SPRs by country | Página 540

Standard Project Report 2016
the Plumpy'Sup rations and providing key messages on health and nutrition to the beneficiaries. Additionally, Save
the Children was responsible for compiling monthly reports that indicated the number of beneficiaries reached and
the quantity of supplementary food distributed.
At the national level, coordination of nutrition activities was done through the nutrition cluster, in which WFP was an
active member. WFP helped coordinate MAM treatment working group meetings each month to share project
information and resolve issues pertaining to both operations and policy guidance. At the field level, WFP’s MAM
treatment programme was integrated with other on-going activities, such as UNICEF's severe acute malnutrition
(SAM) treatment programme and infant and young child feeding (IYCF) programme, to promote synergies between
the interventions. Children were screened in the community and at the health posts by mobilising both the female
community health volunteers and nutrition assistants, and coordinated services were provided to children suffering
from severe or moderate acute malnutrition, following appropriate counselling and treatment protocols.
While Save the Children was WFP’s sole cooperating partner in the MAM treatment programme, they generously
contributed USD 123,500 to the project during 2016 to cover the associated costs of implementing activities.
Performance Monitoring
As the start-up of food-assistance-for-assets (FFA) was delayed, no performance monitoring was done for this
component in 2016. With regard to the nutrition component, due to limited available resources to conduct technical
monitoring, WFP did not undertake a separate outcome monitoring in 2016 for the moderate acute malnutrition
(MAM) treatment programme. Instead, WFP followed the results of its partner Save the Children’s technical
monitoring and reporting of outcomes.
WFP and Save the Children initiated regular monitoring and supervision of project activities following an action plan.
WFP’s monitoring staff made weekly site visits to monitor the food distributions and provide guidance to Save the
Children’s nutrition assistants, female community health volunteers and other health workers on WFP’s standards
and norms for storage, handling and distribution of Plumpy'Sup and record keeping. Registration of children aged
6-59 months was done at health posts, and each beneficiary was given a beneficiary card which they were required
to show at each distribution. Save the Children helped to regularly update the beneficiary cards and the MAM
registers during each visit, accurately recording the services provided to beneficiaries such as Plumpy'Sup
distributions, referrals for medical services, mid-upper arm circumference (MUAC) measurements, observations on
medical conditions, and check-ups required at the next visit.
WFP's monitoring staff worked closely with Save the Children's nutrition assistants and health-post staff during the
screening process, checking records against the results of the MUAC measurements taken so that
inadvertent misdiagnosis and incorrect treatment were avoided. This helped to ensure that technical services such
as as anthropometric assessment, MUAC measurements, and assessments of weight, height and oedema were
accurately provided with minimum errors and omissions, contributing to the provision of quality health care
services.
Save the Children deployed nutrition assistants with sound technical training to ensure that malnourished children
aged 6-59 months could be correctly identified and referred for treatment. The nutrition assistants followed set
protocols for the identification and referrals. Severely malnourished children (with MUAC below 11.5 cm or weight
for height (WFH) z score above or equal to 3 (<-3SD) or bilateral pitting oedema) were referred for treatment to the
nearest health post. Children with MAM (with MUAC equal to or more than 11.5 cm (>-11.5) and less than 12.5 cm
(<12.5) without oedema), were admitted to the MAM treatment programm