Nutrition Cluster Meeting As of 06 December 2013
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Nutrition Cluster Meeting as of 06 December 2013 National Nutrition Council Region 7 Agenda • Status of Agreements/Action Points from the Previous Meetings • Report of Activities – Rapid Nutrition Assessment – NIE Services – Nutrition Cluster Strategic Response Plan – Revised Targets • Updates from Nutrition Committees - Cebu Provincial Nutrition Committee - Cebu City Nutrition Committee - Lapu-lapu City Nutrition Committee • Updates from NGO/Humanitarian Partners • Agreements and Way Forward National Nutrition Council Region 7 Affected Areas and Partners Providing Nutrition Service Affected Affected Families Partner Type of Service Municipalities Bantayan 17,329 Childfund(?) Madrideos 9,545 Childfund(?) Sta Fe 6,226 Childfund(?) Daan Bantayan 14,000 World Vision RNA, BF/IYCF Promotion Medellin 10,445 Tabogon 2,078 World Vision RNA, BF/IYCF Promotion San Remegio 7,141 National Nutrition Council Region 7 Bogo City 15,420 Affected Areas and Partners Providing Nutrition Service Affected Population Affected Partner Type of Service Municipalities Poro 4,933 Tudela 1,771 Pilar 2,580 San Francisco 5,494 Municipal Nutrition RNA, Micronutrient Borbon 5,158 Committees & Supplementation, Health Offices IYCF Tabuelan 4,955 Tuburan 5,150 Sogod 3,494 National Nutrition Council Region 7 Evacuation Areas and Partners Providing Nutrition Service Evacuation Areas Population Partner Type of Service Cebu City Fluctuating Cebu City Nutrition RNA, Micronutrient Evacuation Centers Committee & Supplementation, Health office IYCF Lapu-lapu City Fluctuating Lapu-lapu City RNA, Micronutrient Evacuation Centers Nutrition Supplementation, Committee & IYCF Health office National Nutrition Council Region 7 Commitments from Partners • UNICEF/WFP - Therapeutic supplies for children with complications, supplies for blanket feeding, MNP, Vit A., MUAC Tapes • UNICEF - providing 50 weighing scales • IMC – Capability building activities for health and nutrition personnel National Nutrition Council Region 7 NIE SERVICES RENDERED as of : 12/06/2013 No. of Population No. of areas covered (EC, NUTRITION Service Served (Family or Remarks Community) Individual) 15 Municipalities 215 MAMs (19.1%) 9 Evacuation Centers 1. Nutrition Assessment 17,808 54 SAMs (0.3%) 19.1% of Target (Cebu Province) 15 Municipalities 2. Micronutrient 3,867 (Total Given) 9 Evacuation Centers Supplementation 3,693 (Cebu 26.44% of Target (Cebu (Vitamin A Supp. ) Province Province) 3. Infant and Young Child 1,210 15 Municipalities Feeding ( Mothers (Preg: 485 9 Evacuation Centers Assessed ) Lact:725) 1,092 4. Infant and Young Child National Nutrition Council Region(Preg 7: 444 15 Municipalities Feeding ( Mothers Lact: 648) 9 Evacuation Centers counseled ) NIE SERVICES RENDERED as of : 12/06/2013 No. of Population No. of areas covered (EC, NUTRITION Service Served (Family or Remarks Community) Individual) 5. Blanket Supplementary T BD - Feeding 6. Management of Severe Acute Malnutrition (Outpatient) 7. Management of Acute Malnutrition in Pregnant & Lactating Women 8. Management of Moderate Acute Malnutrition National Nutrition Council Region 7 Total 10,138 On-going Activities • Setting-up of breastfeeding spaces in communities & evacuation centers • Monitoring of EO 51 (Milk Code) • Arrangement of hospitals for referrals of SAM cases with complications • Distribution of nutrition IEC materials • Regular nutrition cluster meetings every Fri @ 2 pm National Nutrition Council Region 7 Capacity Development Activities • Nov. 14 - MUAC Training for BNSs ( 15 pax) • Dec. 2 - Orientation of health and nutrition workers on CMAM for Cebu City Evacuation Centers (20 pax) • Dec. 6 - MUAC Training for enumerators for MIRA National Nutrition Council Region 7 Team Deployment (2-6 December 2013) Mun/Evac Center Nutrition Team Composition RN RND BNS BHW Others Cebu City 3 6 6 (n)CHO Med Evacuation Sites team Lapu-Lapu City Sites 1 1 2 Daanbantayan 2 (Province) (n) Local health team Bantayan 1 2 1 DOHRep Madridejos 1 1 DOHRep San Remegio 1 1 MNPC NBogoational City N utrition Council Region 7 15 1 Nutrition Office Staff Cumulative Report as of 6 December (Cebu Province) Municipality/ Population Mid Upper Arm Circumference Vitamin Evacuation Site General 6-59 Mos Green Yellow Red A (Normal) (MAM) (SAM) M F M F M F M F Medellin, Cebu 52413 115 117 111 114 6 3 0 0 79 Daanbantayan, Cebu 76986 57 56 55 53 1 3 1 0 109 Bantayan, Cebu 77205 2365 2519 2344 2501 21 18 0 0 0 Madridejos, Cebu 36872 1373 1338 1288 1262 61 56 24 20 0 Sta. Fe, Cebu 28721 522 544 514 534 8 9 0 1 5 Bogo City 72117 4471 4067 4459 4055 9 11 3 1 0 San Remegio 53898 43 39 41 34 2 3 1 1 3500 Tabogon 34773 23 27 23 27 0 0 0 0 0 Borbon 32685 8 8 8 8 0 0 0 0 0 San Francisco 49436 13 20 13 19 0 1 0 0 0 Tabuelan 23295 4 5 4 5 0 0 0 0 0 Pilar 11729 8 11 8 9 0 2 0 0 0 Tudela 9823 11 9 11 9 0 0 0 0 0 Poro 24261 13 22 13 21 0 1 0 0 0 National Nutrition Council Region 7 Cumulative Report as of 6 December (Cebu Province) Municipality/ Infant & Young Child Feeding Milk Code Violation Available BF Space Evacuation Site Mother Assessed Mother Counselled No (X) If yes, If yes, from whom No Yes what type (X) (/) Yes Pregnant Lactating Pregnant Lactating (/) Bona, Medellin, Cebu 84 50 77 35 / Lactum, / / Nestogen Daanbantayan, 18 44 7 15 x x x x Cebu Bantayan, Cebu 117 173 115 173 / nestogen x x Madridejos, Cebu 185 261 166 239 x x x x Sta. Fe, Cebu 33 97 33 97 x x x X Bearbrand RAFI, Davao Med Bogo City 11 11 1 2 / X , Nutrilon Mission, TBKK San Remegio 8 7 8 7 / bearbrand RAFI x Tabogon 0 3 0 3 x x x x Borbon 0 7 0 7 x x x x San Francisco, 2 2 2 2 x x x x Camotes Tabuelan 0 5 0 5 x x x x Pilar 1 1 1 1 x x x x Tudela 1 1 1 1 x x x x Poro 1 1 1 1 x x x x National Nutrition Council Region 7 Cumulative Report as of 6 December (Evacuation Centers) Municipality/ Population Mid Upper Arm Circumference Vitamin Evacuation Site General 6-59 Mos Green Yellow Red A (Normal) (MAM) (SAM) M F M F M F M F Cebu City 84 87 91 76 3 0 0 1 115 Lapu-Lapu City 34 25 29 24 5 1 0 0 31 Mandaue City 1 3 1 3 0 0 0 0 4 National Nutrition Council Region 7 Cumulative Report as of 6 December (Evacuation Centers) Municipality/ Infant & Young Child Feeding Milk Code Violation Available BF Space Evacuation Site Mother Assessed Mother Counselled No (X) If yes, If yes, from whom No Yes what type (X) (/) Yes Pregnant Lactating Pregnant Lactating (/) Nestogen, Cebu City 11 29 11 26 / NGO x s26, Bonna Lapu-Lapu City / Bona, Bonamil, unknown x Nestogen, 4 10 4 3 Bearbrand Mandaue City 0 1 0 1 x x x x National Nutrition Council Region 7 Summary of RNA Results Estimated 6-59 mos No of 6-59 LGU General Population Population Assessed % Coverage Medellin, Cebu 52413 7925 232 2.9% Daanbantayan, Cebu 76986 11640 113 1.0% Bantayan, Cebu 77205 11673 4884 41.8% Madridejos, Cebu 36872 5575 2711 48.6% Sta. Fe, Cebu 28721 4343 1066 24.5% Bogo City 72117 10904 8538 78.3% San Remegio, Cebu 53898 8149 82 1.0% Tabogon, Cebu City 34773 5258 50 1.0% Borbon, Cebu 32685 4942 16 0.3% San Francisco, Cebu 49436 7475 33 0.4% Tabuelan, Cebu 23295 3522 9 0.3% Pilar, Cebu 11729 1773 19 1.1% Tudela, Cebu 9823 1485 20 1.3% National Nutrition Council Region 7 Poro, Cebu 24261 3668 35 1.0% Sogod 31758 4802 0 0.0% Total 615972 93134 17808 19.1% % MAM and % SAM as of 06 Dec. No of 6-59 Cases of LGU %MAM %SAM Assessed MAM Cases of SAM Medellin, Cebu 232 9 3.9% 2 0.9% Daanbantayan, Cebu 113 4 3.5% 1 0.9% Bantayan, Cebu 4884 39 0.8% 0 0.0% Madridejos, Cebu 2711 117 4.3% 44 1.6% Sta. Fe, Cebu 1066 17 1.6% 1 0.1% Bogo City 8538 20 0.2% 4 0.0% San Remegio, Cebu 82 5 6.1% 2 2.4% Tabogon 50 0 0.0% 0 0.0% Borbon, Cebu 16 0 0.0% 0 0.0% San Francisco, Cebu 33 1 3.0% 0 0.0% Tabuelan, Cebu 9 0 0.0% 0 0.0% Pilar, Cebu 19 2 10.5% 0 0.0% Tudela, Cebu 20 0 0.0% 0 0.0% National NutritionPoro, Cebu Council Region 735 1 2.9% 0 0.0% Sogod 0 0 0 Total 17808 215 1.2% 54 0.3% MAM & SAM Cases Identified 250 228 200 167 150 100 50 50 54 39 28 0 12 5 MAM SAM National Nutrition Council Region 7 Status of Affected BNSs No. of Partially No. of Totally LGU No. of BNS Damaged BNS Damaged BNS Homes Homes Bantayan 25 25 Sta. Fe 10 10 Madredijos 14 14 Bogo City (Partial) 29 3 6 Poro 17 12 Medellin 19 13 6 San Francisco 31 16 Tabogon 1 1 National Nutrition Council Region 7 Total 146 45 61 Nutrition Cluster Strategic Response Plan Strategic area/objective Activities 1. Promotion and protection of infant and young child feeding in emergencies (IYCF-E) as life-saving child survival interventions To promote, protect and support the a. Assessment of IYCF practices optimal IYCF-E as life-saving child survival b. Establishment of safe breastfeeding-friendly spaces/mother- intervention to at least 80% of both baby corners, breastfeeding corners, human milk banks, breastfed and non-breastfed children (0- breastfeeding kits 23 months) in all Yolanda-affected c.