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PA00WPSV.Pdf Reporting fiscal year FY 2020 Awardee Name and Host Country Nascent Solutions Inc. Host/implementation country Cameroon Award Number 72DFFP18FA00006 Activity Name Increasing food Security Amongst IDP In Ngoketunjia Division Activity Start Date 10/01/2018 Activity End Date 03/31/2020 Submission Date 06/25/2020 List of ARR documents uploaded in FFP ARR Narrative and Indicator Table (to be PRT done in Oct 2020) Awardee HQ Contact Name Beatrice Wamey 85 S. Bragg St., Suite 500, Alexandria, VA 22312 703-333-5822 [email protected] Host Country Office Contact Name Henry Njakoi +237 7759 6804 [email protected] Bureau for Democracy, Conflict, and Humanitarian Assistance International Food Relief Partnership Grant No.: 72DFFP18FA00006 Increasing food Security Amongst IDP In Ngoketunjia Division Implemented by Nascent Solutions Final Report Submitted June 25, 2020 The International Food Relief Partnership is made possible by the generous support of the American people through the United States Agency for International Development (USAID) under Grant number 72DFFP18FA00006. The project was implemented by Nascent Solutions Inc. DISCLAIMER: The author’s views expressed in this publication do not necessarily reflect the views of the United States Agency for International Development of the United States Government. Contents Executive Summary ............................................................................................................................ 3 Activity Results .................................................................................................................................. 3 Award Summary ................................................................................................................................. 5 Results Framework ............................................................................................................................. 6 Major Activities Implemented .............................................................................................................. 7 Challenges, Achievements, And Lessons Learned ............................................................................. 11 Outcome reporting ........................................................................................................................... 13 Output reporting ............................................................................................................................... 14 List of Acronyms CHW Community Health Workers HHS Household Hunger Survey IDP Internally Displaced Person(s) IFRP International Food Relief Partnership UNOCHA United Nations Office for Coordination of Humanitarian Assistance USAID United States Agency for International Development WASH Water, Sanitation, And Hygiene Title page photo caption: A group of beneficiaries in Babungo community of Ngoketunjia Division after receiving their food rations. Photo Credit: Nascent Solutions 2019. Nascent Solutions Inc., Grant No.: 72DFFP18FA00006 P a g e 2 Executive Summary The USAID-funded IFRP Grant No. 72DFFP18FA00006 aimed to reduce the prevalence of malnutrition among children aged 6-36 months in Ngoketunjia Division of the North West Region of Cameroon. The project’s two objectives were: 1. Reduce household hunger amongst 9,500 IDP in 1,900 households, and 2. Increase knowledge of positive health practices amongst 1,900 household heads. The project reached 1,970 direct beneficiaries and 10,225 indirect beneficiaries. 75MTof Harvest Lentil Pro was distributed to 1,970 households in 13 target communities in Ngoketunjia Division, exceeding the target of 1,900. Additionally, 1,196 persons were trained on positive health practices, particularly handwashing, disease prevention, safe food preparation, safe water treatment and positive dietary practices. Households experiencing moderate to severe hunger decreased by 7.9 and 19.7 percentage points, respectively. Activity Results # Performance Indicator Oct 2018 - March 2020 figures Notes 1 Percentage of households in each At final evaluation: 225 households household hunger score (HHS) 54.7% recalled food anxiety 10+ times in sampled during category outcome the past four weeks; baseline and final. 39.2% recalled food anxiety 3-10 times in the past four weeks; 6.1% recalled food anxiety <3 times in the past four weeks 2 Metric tonnage of Harvest Lentil 75 Pro received at Bamenda warehouse 3 Number of persons attending 13 stakeholders meeting (output) 4 Number of beneficiaries 1,995 All IDP. registered (output) 5 Number of people who received Harvest Lentil Pro (output) Direct 1,970 All IDP. Indirect 10,225 All IDP. 6 Quantity of Harvest Lentil Pro 75 (5,337 boxes) Total across 2 distributed distributions. 7 Number of people receiving 1,196 All IDP. training on safe food preparation and positive water and sanitation practices Nascent Solutions Inc., Grant No.: 72DFFP18FA00006 P a g e 3 Cost-efficiency performance Cost of commodities $222,341.27 Cost of transportation, distribution, $149,959.00 management, etc. Total cost of project $372,300.27 Total number of beneficiaries 12,195 Average cost per beneficiary $30.53 Average cost per beneficiary per month (18- $1.70 month project) Nascent Solutions Inc., Grant No.: 72DFFP18FA00006 P a g e 4 Award Summary Introduction The United States Agency for International Development (USAID) funded an International Food Relief Partnership (IFRP) project in Ngoketunjia Division of the North West Region of Cameroon. Grant 72DFP18FA00006 was implemented by Nascent Solutions Inc. The project aimed to address food insecurity amongst 1,900 households in Ngoketunjia impacted by the socio-political unrest in the North West Region. These households are composed of internally displaced persons (IDP). Food distributions are used to attract IDP and their household members to health clinics, where they receive Harvest Lentil Pro and training on food preparation and positive water and sanitation (WASH) practices. For simple reasons of proximity, food distribution at a clinic site is likely to increase uptake of health services. As such, this project indirectly assisted in improving the overall health of IDP households. The Challenge in Ngoketunjia Division The socio-political crisis in Cameroon began in late 2016, and so far, more than 400,000 people in the English-speaking regions have been displaced by violence, food insecurity and their inability to maintain their livelihoods in their communities of origin. Many internally displaced persons currently stay in Ngoketunjia Division, temporarily sheltered by benevolent families. As of February 2018, UNOCHA estimated there were 42,000 IDP in Ngoketunjia Division. Evidence suggests that IDP children disproportionately suffer poor health outcomes compared to non-displaced children, largely due to food insecurity. A majority of IDP - largely women and children - are poor and food insecure. Project Objectives The project has two immediate objectives: 1. Reduce household hunger amongst 9,500 IDP in 1,900 households; 2. Increase knowledge of positive health practices amongst 1,900 household heads. Nascent Solutions Inc., Grant No.: 72DFFP18FA00006 P a g e 5 Results Framework Objective 2: Increase Objective 1: Reduce Goal: Increase food household hunger knowledge of positive security amongst 9,500 amongst 9,500 IDP health practices amongst IDP from 1,900 households. 1,900 heads of families Activities: Activities 1.1 – Ship and transport 2.1- Train 1,900 IDP commodities heads of household on 1.2 - Organize food preparation and stakeholder meetings nutrition practices 1.3 – Registration 2.2-Train 1,900 IDP of beneficiaries heads of households on 1.4 - Distribute and positive water, monitor the use of sanitation, and hygiene Harvest Lentil Pro practices Key: Items for which Nascent is directly and fully responsible Items for which Nascent is not directly or fully responsible; various entities will be working toward these outcomes Nascent Solutions Inc., Grant No.: 72DFFP18FA00006 P a g e 6 Major Activities Implemented Stakeholder meeting Nascent Solutions organized a stakeholder meeting on 21 June 2019 as part of its commitment to working with local stakeholders in Ngoketunjia Division. Stakeholders represented in this meeting were community health workers (CHW) and the representative of the district medical officer. Due to the socio-political crisis, traditional rulers and some government administrators were unavoidably absent. Nascent brought in 13 participants from the 13 communities of Ngoketunjia Division to receive a briefing on the project and its activities. The meeting fully met its objectives, as the participants understood the project content, and accepted the responsibility to commence work thereafter. Stakeholders and CHW at the stakeholder meeting in Ndop Registration of beneficiaries Due to the insecurity prevailing in the division during this period, registration of beneficiaries and the baseline survey were carried out simultaneously in July 2019. These two activities were limited to safe communities at the time. A total of 1,995 beneficiaries were registered from the 13 communities in the division, exceeding the target of 1,900. When registration began, some communities abstained due to fear and threats from various armed groups. Gradually, all 13 communities participated in registration due to Nascent’s outreach efforts through trusted community leaders. Nascent Solutions Inc., Grant No.: 72DFFP18FA00006 P a g e 7 Beneficiaries registered # Community # registered % registered
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