WFP Regional Bureau for Asia and the Pacific - 2016 SPRs RBB 2016 SPRs by country | Page 543

Standard Project Report 2016
project benefits and to ensure participation of women and marginalized groups in project activities.
In terms of promoting women's participation in lead roles in the management of assistance, WFP will advocate for
having an increased number of women in leadership positions in the community led project management
committees known as User Committees, when the FFA component starts its implementation in 2017. This is aimed
at empowering women to take on leadership roles through which they can increase their decision making power so
that balanced voices and opinions are included in any community decisions. In addition, during food and cash
distribution activities, WFP will have separate waiting areas for women and men, and will also give priority to
pregnant women as well as the elderly and the disabled. Help and complaints mechanisms will be made
available to beneficiaries both at distribution sites and via the toll-free line "Namaste WFP" (Hello WFP), to
seek information about WFP activities in their villages. Trained women will be available to respond to
gender-sensitive calls, including those that may be protection-related.
As the FFA component of the PRRO was not implemented in 2016 due to the late start resulting from long delays in
government approval of the projects, outcome monitoring was not done by WFP in 2016, hence the data for gender
indicators could not be collected. A full outcome monitoring cycle will be implemented in 2017 when the FFA
component is also implemented and WFP will then report on the gender indicators.
Protection and Accountability to Affected Populations
WFP’s partner Save the Children organized monthly meetings to discuss the progress of programme activities and
provided bi-weekly and fortnightly updates on the ongoing status at Village-Development-Committee (VDC) and
health-post level. Members of the government-led Health Facility Operations Management Committee at the VDC
level, female community health volunteers, local leaders and social activists were regularly invited for these
meetings to exchange information in an effort to increase accountability to all stakeholders.
Nutrition assistants and health workers explained to the parents and caregivers the reasons why their child needed
treatment. After registration, a reference number was assigned for each child. The daily ration of 92 grams of
Plumpy'Sup per child per day (equivalent to 14 sachets) was then distributed, as per the treatment protocol.
Furthermore, it was ensured that upon admission, the children received vitamin A supplements as appropriate,
following World Health Organization (WHO) guidelines to detect clinical signs of vitamin A deficiency.
Nutrition assistants and health workers provided clear messages to the mothers and caregivers during infant and
young child feeding counseling, especially on how much Plumpy'Sup the children will receive, and the need to feed
the correct amount of the ready-to-use supplementary food (RUSF). The repercussions of non-consumption of the
RUSF and other nutritious food was also highlighted. Demonstrations on the use of the Plumpy'Sup were also
conducted at the health posts or at the community level. The female community health volunteers and nutrition
assistants closely monitored the the moderate acute malnutrition (MAM) children on a regular basis by visiting as
many households as possible to see whether the children—particularly children who defaulted or appeared not to
respond to treatment—were taking the RUSF as per the given instructions.
To better inform parents and caregivers, posters, flipcharts and brochures were widely used at the health posts and
during community outreach to clearly impart knowledge about malnutrition in children, sources of vitamins and
minerals, major nutritional elements found in food, importance of breastfeeding, complementary feeding, amount
and frequency of food, and hygiene and sanitation. Posters that highlighted benefits of the MAM treatment
programme under the national integrated management of acute malnutrition guidelines, with details of the
Plumpy'Sup and the rations that children will receive, were displayed prominently during outreach programs. Flyers
and brochures introduced the Plumpy'Sup, its effects on creating healthy and active children, the amount that each
child is entitled to receive and how to use it in the correct manner. Signboards showing the contributions from the
Government, WFP and partners Save the Children and the United Nations Children's Fund (UNICEF) were put up
at each health post and displayed the total estimated numbers of both MAM and severe-acute-malnutrition-afflicted
children.
As no outcome monitoring was conducted by WFP in 2016, the protection indicators relating to beneficiaries being
informed about the programme and their safety while travelling to and from assistance sites were not separately
measured. However, from the information and education campaign conducted at health post and village level, it
could be acertained that people were generally informed about the MAM treatment programme. Similarly, no safety
and security incidents were reported from beneficiaries as indicated by the partner Save the Children. However, the
parents and caregivers could always report any such incidents and seek support from government health staff,
WFP monitoring staff, and nutrition assistants during community level screening programs and at the health posts.
Nepal, State of (NP)
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