Transcript 1.0. Objectives:

NUTRITON ANNUAL REPORT 2000
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1.0. Objectives:
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To increase exclusive breast feeding rate from 65 to
75 percent
To attain 95% vitamin A supplementation coverage
in children under five
To attain universal iodized salt consumption
To initiate Iron supplementation for pregnant
women attending antenatal and prenatal care
services.
To attain BFHI status in all maternal health services
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2.0. Major Activities
Implemented in 2000
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Nutrition Surveillance (Nutrition monitoring)
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Commissioning of salt iodization for private
salt producers
Vitamin A supplementation
Procurement of Iron folate
Supplementary feeding for children under
five.
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3.0. Activities and Achievements
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Iodine Five iodizing machines were
commissioned by Ministry of trade and
industry (DOT) and handed over to 4 private
salt production associations. Training on
machine handling and salt iodization was also
given. In addition, additional supplies such as
Carts, containers, and donkey are in the
process of procurement.
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Iron: Iron foliate was procured and
distributed to all Zones.
Vitamin A : Vitamin A supplementation was
given to children between the ages of 6
months and 12 years in the drought affected
areas & IDP camps together with integrated
measles vaccination campaign in all Zones:
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Vitamin A con...
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13,371 children under five in the IDP camps of Gash Barka
15,000 children under five in the IDP camps of Debub
25,000 children in elementary schools of zoba Debub
3,249 children age 6 – 11 months in zoba Maekel
47,761 children age 12 – 59 months in zoba Maekel
21,740 children under five in zoba NRS
826 postpartum mothers in zoba Maekel
– 340 postpartum mothers in zoba NRS received Vit. A capsules.
– 25,000 children in Elementary schools in Zoba Debub received
vitamin A Capsules
– Hence, a total of 151,121 children were supplemented with Vit. A
– Supplementary food:
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3.2. Breastfeeding
This year Breastfeeding Week was taken up as an important
theme to Protect, Promote and Support breastfeeding. The
week focused on breastfeeding as a human right, as a right
of mothers to breastfeed their children and a fundamental
component in assuring a child's right to food, health and
care .The goal of this year was to go to all IDP camps and
drought affected with women's association of MOH and to
raise awareness on the first week of August. Based on these
the following achievements were gained:
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Anseba Zone: All health facilities celebrated the
breast-feeding week. Beside that there were contest
on breastfeeding and weaning issues in Keren.
There were 15,000 women who attended the
contest.
Debub: two days training /sensitization on breastfeeding was given to the friends of BFHI mainly
mothers, TBAs (traditional birth attendants)
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Maekel
Gala Nefhi
Serejega
Bereik
Asmara
Total
Out Reach
Community Mothers
878 mothers were trained
563
2,998
17,903
Health Facility Women's Association
Association
212
390
304
140
2,538
3,503
6557
530
29,795 mothers were trained
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Camps
Mai Haabar
900
Alba
839
Adi-Keshi
1672
Afabet
1309
Gaala Nefhi
878
Total
5598
Total 49,514 mothers were trained/sensitised
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3.3. Supplementary feeding
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Zoba Debub/ Host and IDP population
A target supplementary feeding and health
education program for malnourished children
and pregnant /lactating women started in
November in Zoba debub in IDPs and host
populations in 15 health centres. Endaghergis,
Shekaeyamo, and Adi Quala.
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Areza, May Dema, Adi Gulti, Zban Debri, Adi Guorto, Mai
Sagala, Adi Jhoni, May Mine, Dabre, Adi Quala and Bet
Gabriel.Due. For those who live in fur distances three
outreach sites serving remote villages at certain days of the
month is set up .The objective of the program is to increase
the caloric intake of the targeted group and nutritional
knowledge of the population.
Beneficiaries included
children < 5 years of age as well as pregnant and lactating
mothers. These activities, however, started late due to
shortage of DMK.
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Harena Camp
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Supplementary feeding program (SFP) run in Harena
camp for 3-4 months after measuring a global malnutrition
rate of 15%. The operation included a supplementary
feeding centre (SFC) and therapeutic feeding centre (TFC)
between 200-240 children and 200-280 pregnant / lactating
women attending each week .The SFC distributes weekly
supply of BP5 (940 Kcal/child/day) and HPB (940
Kcal/woman /day). Children also got weekly dose of
Vitamin C and Iron /Folic Acid. Nutritional screening done
on November showed a Global Malnutrition Rate of 4.2%.
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Therapeutic feeding centre
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Day care therapeutic feeding centre has treated
approximately 130 severely malnourished patients since it
was opens in September 2000 in Harena Camp, admission
criteria included children less than 5 year of age and whose
Wt/Ht < 70 % of median or Bilateral Odema. Patient s are
discharged from SFC once the W/t / H/t reaches > 80 %.
There has been a relatively high defaulter rate of 30%,
mostly among patients who had reached > 70% in Wt/ Ht
and were qualified to SFC. There have been no reported
deaths due to alnutrition since the camp was opened.
Currently there are fewer than 10 patients in the TFC.
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Buya IDP camp /NRSZ/ Galallo
sub Zone
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400 people from Buya IDP who came from Endeli
surrounding Gelaelo Sub –Zone were displaced in May 2000
And in November. Most of th4e severely malnourished
children were transferred to Massawa Hospital and to
therapeutic feeding centre in Harena camp. In December,
about 300 IDPs from Buya were transferred to Ghinda
camp. Food, tents and none food items were distributed
after their arrival to the camp. Mass vaccination against
measles and polio was given to all children and other routine
vaccination continued in all children < 5 of age.
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Gash - Barka
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Mekete camp (Afabet)
Targeted dry supplementary feeding and wet feeding is running in this
camp
The average length of stay in the wet feeding programme is about 10
weeks. The number of malnourished children participating in the
programme is dropping significantly. However, the number of lactating
mothers attending the programmes continue to rise regarding the wet
ration. Full milk mixed with sugar, oil, and biscuit to reach an amount of
about 400 Kcal per day is given. . A daily ration to children above 2 years
and have .the small children below 2.5 year's old received twice daily
/ration for a total daily Kcal 778 the beneficiary of the program have
been divided in two shift, in the morning and after noon about 3000
children and mothers are benefit The severely malnourished children are
treated in the health facility.
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Cont...
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Korokon, Tole Gamja and Kotobia (KTK)
Targeted supplementary feeding continues in
these three sites. This is only for children less
than five.
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Adi Keshi
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There are targeted supplementary feeding programmes and
therapeutic feeding centres in the health facility. A 12 –hour
therapeutic feeding centre was opened in Adi- Keshi in
November. Children are admitted when they are < 70 % W/H or
have bilateral oedema. During phase one, they are given F75 135
ml/kg/day in two –hourly feeds .In phase 2 F100 is given at the
rate of 150-200 ml/kg/day .At the moment, children are given
one milk meal to take at 8pm, and one BP5 biscuit to be taken
during the night. Enriched CSB(corn Soya blend) porridge are
given to children as their appetite improves and they gain weight.
When the children reach 75% W/H for one week they discharge
to the SFC. The physician from the health centre provides a
medical care.
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Nutrition Survey in IDP
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Nutrition Survey were conducted in IDP
– a) Afabet Camp the malnutrition rate was found to be
7.7%
– b) Korokon ,Kotobia and Teleggimja :- Total
Malnutrition rate 6.6%
– c) in Guluj Subzone in three villages (Goluj, Gergef, and
Tebeldia) Total malnutrition rate 11.1%
– d) Tessanei town. The global malnutrition rates 14.6.
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Drought affected
 Rapid
Nutrition Assessments in drought
affected area in Anseba Zone, Northern Red
sea zone and Southern red sea Zone was
conducted .The aim of this assessment was
to assess the nutritional impact of the
drought affected population.
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Anseba Zone:
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Among the most affected communities of the most
drought affected sub-Zobas in Anseba Zone in (7
community) the level of malnutrition in Habero and Hagas
are significantly high 16.1% respectively as compared only
to 8.3% in Geleb. (Seven sub-Zoba out of 11 were affected
by drought in Anseba region for the last two three year
these are Habero, Geleb, Asmat, Hagaz,Kerkebet ,Halhal
and Sela .Out of the total population of 335,462, about
193,258 was reported affected by drought ,which are about
58% of the total population of the region However ,it is
only 161,789 who are eligible for WFP's food
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Northern Red sea Zone:
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4 subzoba ,Nakfa ,Karora, sheab and Ginda were assessed
for their drought severity (15 community ) and the total
malnutrition rate was found 12% however the level of
malnutrition in some community such as Nakfa ,Karora,
Maihimey , Wekiro and Demas are in serious nutritional
situation with above 15% WFH.
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Southern Red sea zone:
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3 sub Zone ,Debub sub Zone (4 villages), Maekel sub Zone
(3 villages) and Araeta sub Zone (5 villages) were assessed
for their drought severity and the total malnutrition rate was :
13.9% however the level of malnutrition in some villages
such as:
Sub Zoba Debub (Kiloma, Abo) 21.2% and 14.2% zoba
Maekel (Edl, Afambo, Behbuy village) 16.4% 14.4% and 13
% and Sub zoba Araeta (Alati, Tio) 19.4% and 13.3%
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Main constrains in Implementation
 Disruption
of nutrition monitoring and delay in the
nutrition monitoring supplies (measuring board,
table….) Due to conflict
 Displacement of staff
 Irregularity of the distribution of supplementary
food And storage
 Limited production capacity of DMK factory
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Recommendation
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Host and other vulnerable groups living
outside of IDP camps often do not receive
attention when it comes to their nutritional
needs. IDP camps are often better served
with general rations and supplementary
feeding programs. More attention should be
paid to groups living outside of a camp
setting.
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