Standard Project Report 2016
Government — specifically the Department of Health Services , the Department of Family Planning , national nutrition services and community clinics — through a closure workshop at which an action plan for the way forward was formulated . In Kurigram , the previous cooperating partner , Terre des Hommes , continued to monitor nutrition status . The Government does not intend to scale up the nutrition programme nationally .
The MAM prevention programme for vulnerable populations among undocumented Myanmar nationals in Cox ’ s Bazar district started in February 2016 in the Kutupalong makeshift camp . The start of the same programme in the Leda makeshift site began in December when the delayed clinic construction was completed . The delay postponed enrolment processes , collection of beneficiary numbers and reduced the coverage of eligible beneficiaries . Conversely , the number of pregnant and lactating women ( PLW ) was higher because of demographic underestimations at the planning stage and the significant influx of people from Myanmar , beginning in the final quarter of the year .
The four treatment performance indicators reported — recovery rate , defaulter rate , mortality rate and non-response rate — all met the target values as outlined by SPHERE . Additionally , MAM treatment recovery and defaulter rates showed a slight improvement from last year . The reason for the lowered default rate was likely a result of increased efforts to keep beneficiaries in treatment ; specifically , better tracking of absences , home visits for absentees , collection of mobile phone numbers to follow up with absent participants and counselling for caregivers and family members on the importance of finishing treatment .
Though still above targeted values , IMCN performance indicators in Cox ’ s Bazar district were worse than in other implementation areas . This could be attributed to challenges in access following cyclone Roanu ’ s impact on the Moheshkhali sub-district , which resulted in increased absenteeism and defaulting , higher reported illnesses , difficulties in conducting courtyard sessions and cluster screenings and waterlogged clinics . Mitigation measures were taken to reduce the negative effect as much as possible , including making an adjustment of the distribution schedule , adding distribution days for absent beneficiaries , conducting household visits in the affected areas and increasing screening in the affected areas for early detection of undernutrition .
In 2015 , the coverage for MAM treatment was reported by a Semi-Quantitative Evaluation of Access and Coverage ( SQUEAC ) survey . However with the latest planned SQUEAC survey to be conducted in March 2017 , the data was not available at the time of reporting . Similarly , the participation rate for MAM prevention is pending nutrition surveys to be conducted in January / February 2017 .
MAM treatment and prevention beneficiaries were provided with nutrition education and counselling as well as a nutritious food rations . Pregnant and lactating women and caregivers of children aged 6-59 months received nutrition counselling at the health facilities each time they collected their rations of specialised nutritious foods ( typically distributed fortnightly ) as well as during household visits . Courtyard sessions were measured by the output of ‘ number of men or women exposed to nutrition messaging supported by WFP ’ and had good levels of achievement , though additional efforts should be made to engage men in these sessions . This good result is attributed mostly to a mass campaign in Kurigram in the first quarter of the year as well as new community nutrition volunteers added to the Moheshkhali sub-district in the last quarter based on an analysis of behaviour change communication conducted in June 2016 .
Programme monitoring surveys showed that 87 percent reported exclusively breastfeeding their infants up to six months , which is much higher than the set target , last year ’ s data and the national average ( 55 percent ). The proportion of children aged 6-23 months who receive foods from four or more food groups was 81 percent , was also higher than the target and last year . However , these findings may be more reflective of knowledge of IMCN guidelines and the best way to respond to surveys , rather than practice .
A few facilities were activated this year that were not foreseen in the planning , resulting in a slight over-achievement in the number of health centres / sites assisted . WFP provided most of the planned training to health service providers in Kurigram and Satkhira districts .
Component 2 : School feeding Strategic Objective 4 : Reduce undernutrition and break the intergenerational cycle of hunger . Outcome : Increased equitable access to and utilization of education .
WFP increased its school feeding coverage , leading to more primary schools and more schoolchildren reached when compared to last year and a 174 percent achievement against the plan . Increased coverage is mostly due to the addition of new schools in the Gaibandha district ( located in the Rangpur division of northern Bangladesh ) in August through a United States Department of Agriculture ( USDA ) McGovern-Dole school feeding grant as well as the students who received a take-home ration of dried fruits ( dates ), donated by the Kingdom of Saudi Arabia . The McGovern-Dole grant gave schools not yet covered under the Government ’ s school feeding programme the opportunity to be assisted , thus increasing the number of schools against the plan .
Bangladesh , People ' s Republic of ( BD ) 20 Country Programme - 200243