FINAL- Summary Nutrition Cluster Coordination Meeting – KPK/FATA

03:00 pm – 05:30 pm, Thursday 28 th August, 2014 At WFP Conference Room Peshawar.

Dr. Muhammad Shahid Hanif, Nutrition Cluster Coordinator – KPK/FATA chaired the meeting on behalf of Dr. Qaiser DD RH-provincial nutrition focal person.

The Provincial Nutrition Cluster Coordination meeting was held on 28 August 2014, at Conference hall, UNWFP Provincial office, approximately twenty four participants from Government, UN Agencies, National and International NGOs participated in the meeting. OPENING REMARKS: Nutrition Cluster Coordinator chaired the opening session. Meeting started with quick round of introduction of participants. The Chair welcomed the participants and thanked nutrition cluster members for attending the meeting on a short notice and requested all the members for sharing emergency program data with Nutrition cluster and other relevant authorities for accurate reporting. Review of action points from last meeting: • Action points of the last meeting were reviewed and feedback was given to all partners, the status of pending action points was discussed in detail i.e. “WFP will check and inform if they can support supplementary feeding activities in district Tank, South Waziristan, uncovered areas of Kohat (CERD’s intervention areas) and Peshawar/Nowshera (Relief Pakistan’s intervention areas).” In response- WFP mentioned the constraints-WFP team is trying their best to facilitate the supplies issues, and will come back with positive developments if any.

PROCEEDINGS:

Brief from Nutrition Cluster Coordinator: NCC shared a presentation on overall programmatic updates and current coverage of all emergency nutrition intervention along with Bannu newly started intervention. A detail presentation was presented to all participants on emergency nutrition interventions in KPK/FATA. (See attached) Nutrition Cluster Updates August 28 .pdf Participants were given a snapshot on overall situation; Approximately 1 million North Waziristan Agency (NWA) residents have been registered as having left their homes after the launch of the military operation on 15 June. As of 19 August, the Government reported registering over 1 million people (over 96,000 families); 74 per cent are women and children. National Database Registration Authority has verified 54,092 families (56 per cent) of the total registered families. The Humanitarian Country Team is undertaking a vulnerability assessment to identify those with genuine humanitarian needs within the registered population. The majority of the displaced are now in Bannu District, Khyber Pakhtunkhwa (KP). Prior to the displacement, Bannu District had a population of some 1.2 million people but with these extra families staying in Bannu, additional

FINAL- Summary Nutrition Cluster Coordination Meeting – KPK/FATA 03:00 pm – 05:30 pm, Thursday 28th August, 2014 strain has been put on the normal social services facility and facilities, such as health care, the market, and water services However representative from UN-OCHA has explained the size of families vary so therefore PDMA is in process re-standardize the number of individual per family that might go down to 6.7 individuals which will lower the overall number of IDPs significantly. ERF- NCC has mentioned that the number of proposals for ERF funding was very low, despite the flexibility was given to expand the proposed operation in Karak and Lakki districts apart from Bannu, which was communicated earlier last month. However Cluster has requested for few more days when the deadline was passed but in total 6 only proposals were received and now are under review by ERF advisory board. . Nutrition Response Updates for NWA • Twenty nutrition sites in the Government run health facilities are operational in Bannu district through support from UNICEF/WFP. • 20 nutrition sites in DIK and six sites in Tank are also operational through NGO partners and supported by UNICEF/WFP , providing services for IDPs in hosting communities. • IDP Assisted so far- 9,298 children of 6-59 month age (boys: 4,613; girls: 4,685) and 3,414 PLW have been assessed for acute malnutrition. 223 children (including 116 boys & 107 girls) were identified as severely acute malnourished and admitted into Outpatient Therapeutic Programme (OTP) and 238 children (including 116 boys,122 girls) were identified as moderately malnourished and enrolled in the Supplementary Feeding Programme (SFP). Micronutrient supplements were provided to 5,305 children (2572 boys & 2733 girls) to prevent micronutrient deficiency. • 2,091 mothers and care takers coming to these nutrition sites have been provided with messages on infant and young child feeding, maternal nutrition and importance of hygiene. • Contingency partnership agreement with Relief Pakistan has been activated to establish ten more nutrition sites in health facilities in district Bannu for providing nutrition services to an estimated target population of 200,000. The location of 10 new sites has been finalized in consultation with the District Health Officer, Bannu. The partner NGO still awaits NOC to start implementation. • Proposals for ERF funding were submitted to cluster by partners, for Bannu, Lakki and Karak districts and are still under review by ERF Manager; total allocation for NWA response for nutrition cluster through ERF is 670,000 USD. • Blanket supplementary feeding program is on-going for district Bannu and DIK, so far WFP has provided supplementary feeding to 66582 children 6-59 months, and i.e. 33291 HHs were assisted as of August 26 th .

A. Partners Updates:

1. UNICEF: A total of 126 nutrition sites are active through UNICEF support in KP/FATA. Contingency partnership agreement with Relief Pakistan has been activated to establish ten more nutrition sites in health facilities in district Bannu for providing nutrition services to an estimated

FINAL- Summary Nutrition Cluster Coordination Meeting – KPK/FATA 03:00 pm – 05:30 pm, Thursday 28th August, 2014 target population of 200,000. The location of 10 new sites has been finalized in consultation with the District Health Officer, Bannu. The partner NGO still awaits NOC to start implementation. NCC has requested UNICEF to process the PCAs for supplies once partners will secure ERF funding.

2. UNWFP BSFP program is ongoing for Bannu and DIK so far the distribution reached to 67,184 children 6-59 months while 33,592 households have been assisted through the program. The total food distributed is 168 MTs. 3. WHO WHO has requested to all active partners that all the referrals to stabilization centre should be recorded and in case of refusal it shall be informed to WHO focal person immediately. WHO is going to organize a refresher training for SC staff in coming weeks

4. MERLIN ( Peshawar, Nowshera & Bannu)

MERLIN is currently working in two districts Peshawar and Nowshera IDPs camp in 13 and 02 sites 0perational respectively integrated with Health supported by ERF and in kind donations from UNICEF and WFP through PCA and FLA. MERLIN have also planned to start preventive part of nutrition in 16 union councils integrated with newly started nutrition activities by DGHS KPK/FATA. In addition to this MERLIN have also submitted proposal to ECHO for 08 Union Councils for integrated health and nutrition activities.

5. ACTED

Acted is currently working in Peshawar and Kohat implementing ECHO funded food security and livelihood project along with awareness rising for nutrition component. For karak, Bannu, FR Bunnu, D.I.Khan, Kurrum agency, Orakzai agency and Khyber agency two more projects are confirmed and waiting NOC while three proposals have been submitted to different donors.. Currently Acted has NOC only for Peshawar and Kohat. In Kohat 112 families of NWA have been identified as well more than 200 in Peshawar while assessment is being carried out for identification of new IDPs in both districts.

6. ACF international:

ACF international is currently working in 05 union councils in district Kohat implementing integrated program of food security, WASH and nutrition. ACF is planning for post KAP survey in the mid of September, 2014. Proposal has been submitted to ECHO for extention of two more union councils in district Kohat as well emergency nutrition support in district Bannu for NWA IDPs.

7. FPHC ( Kohat and DI Khan)

FINAL- Summary Nutrition Cluster Coordination Meeting – KPK/FATA 03:00 pm – 05:30 pm, Thursday 28th August, 2014 Currently FPHC is working in district Kohat and DI Khan in 20 union councils, 10 union councils in each district. Activities in Kohat are supported by UNICEF and in D. I. Khan district by ERF. Supplies for both districts are provided by UNICEF and WFP. Activities in DI Khan will be closed after October, 2014 while in Kohat the project is up to November 15, 2014. In addition to this proposal has been submitted to ERF for emergency nutrition programme in district Bannu.

8. Prime Foundation

Prime foundation is currently working in 10 UC’s of DI Khan supported by UNICEF and WFP, while new proposal has been submitted to ERF for district Lakki Marwat.

9. PEACE

PEACE is working in four districts of KPK (Kurram, Nowshera, Hangu and Kohistan) supported by UNICEF and WFP. In district Kohistan PEACE is working in 04 union councils implementing only SFP program. Some of the areas are very remote where they are not able to access nutrition program. They have intended to extend the program and also start OTP component due to having high prevalence of malnutrition in district Kohistan. PEACE has mentioned a duplication issue with UNICEF/DoH integrated nutrition program in district Nowshera, NCC assured to resolve this issue along with all involved.

10. CDO (Swabi)

CDO is currently working in district South Waziristan implementing nutrition programme in 06 union councils. CDO were operating from neighbouring district through mobile teams in the month of Ramadan while they are now static in district South Waziristan having only OTP programme.

11. Relief Pakistan Relief Pakistan has mentioned a possible duplication issue with UNICEF/DoH collaborative integrated nutrition program in Nowshera and Peshawar; RP has mentioned that they were functional in those areas since longer, and now the duplication has confused the situation. Cluster coordinator stressed that UNICEF and DoH shall sit with RP and bring up the possible solution; cluster coordinator will facilitate the process to reach an agreement. 12. CERD

CERD is currently doing emergency nutrition program in Hangu and Kohat.

Action Points agreed and to follow until next meeting:

Action Point Who When

FINAL- Summary Nutrition Cluster Coordination Meeting – KPK/FATA 03:00 pm – 05:30 pm, Thursday 28th August, 2014 Restoration of NIS reporting systems All partners will send xml Fortnightly files to cluster coordinator and CC national IMO UNICEF. Formation/activation of IYCF TWG UNICEF 1st week of September Closing PCAs/FLAs in coming months - UNICEF and UNICEF/WFP 10 th WFP should anticipate for extension of no extension September Address the issue of stand -alone, OTPs or SFPs. WFP/UNICEF 1st week of September Stabilization centers - strengthen ing of the referral DoH/WHO /all active 1st week of mechanism. Refusals should be immediately partners September reported to WHO SAM/M AM cases tracking from NWA IDPs in other All partners Immediately districts.

Training Needs assessment – partners to share list of All partners 10 th trained staff and requirements of trainings September

Tripartite meeting among UNICEF, Relief, Merli n Cluster coordinator 1st week of DoH to discuss issue of duplication in Nowshera and /DoH/Unicef September Peshawar. Share the case studies/ success stories on (Mother All partners 1st week of support groups/CMAM/IYCF/best Practices). each month.

Participants:

1. M Salman - FPHC 22. Asmat Kamal - CDO Swabi 2. Dr. Asif Rehman - Prime 23. Masood - PEACE 3. Jahangir -CERD 24. Mushtaq Hassan - Relief Pakistan 4. Dr. Abdullah - FPHC 25. Dr. Ambreen Qazi - UNICEF 5. Haroon Hayat - CERD 26. Dr . M Shahid Hanif - NCC 6. Taj Ali - CERD 27. Dr. Mazhar - WHO 7. Shahi Mulk - CERD 8. Alam Zeb - CRDO 9. Asfandyar - Merlin 10. Fazal Dad - ACF 11. Dr. Ijaz Habib - WFP 12. Tahir Nawaz - WFP 13. Dr. Nawaz - CAMP 14. Fayaz Gul - CAMP 15. Dr. Sadaqat Hussain - HMRB 16. Abdul Jabbar - UNOCHA 17. Mushtaq Ahmed - NIDA 18. Jave Ali - PEI 19. Dr. Bilal Khan - PEI 20. Ashraf - IWS 21. Aliya tayyaba - CDO Pakistan

FINAL- Summary Nutrition Cluster Coordination Meeting – KPK/FATA 03:00 pm – 05:30 pm, Thursday 28th August, 2014