W Zimbabwe Nutrition Cluster https://www.humanitarianresponse.info/en/operations/Zimbabwe Zimbabwe Nutrition Cluster monthly meeting 27 March 2020, 09:30 to 12:00, Zoom Online Meeting Meeting minutes Chair: Nutrition Cluster Coordinator, Agnes Kihamia, Nutrition Cluster Note taker: IMO, Nakai Munikwa, Nutrition Cluster Agenda 1. Welcome and introductions 2. Nutrition Cluster Contingency Plan in the context of COVID – 19 by NCC/MoHCC 3. Updates on SC and OTP admissions, Screening for acute malnutrition activities in 25 priority districts by MoHCC 4. Nutrition Cluster and Food Security cluster linkage and partners responsibilities by UNICEF 5. Pellagra updates 6. Update from partners 7. AoB Action point Focal point/agency Timeline Status [from the previous meeting minutes] [from the previous [from the previous [Status update, for example: completed, ongoing, meeting minutes] meeting minutes] pending. You may want to specify here why the action point was not completed] Share protocol for MAM treatment with Sector Partners MoHCC - Nyadzayo 1/31/2020 Done Cluster Coordinator Zimbabwe Nutrition Cluster monthly meeting, Agnes Kihamia 27 March 2020, Meeting minutes [email protected] , +263775920472 Page 1 W Zimbabwe Nutrition Cluster https://www.humanitarianresponse.info/en/operations/Zimbabwe Main Agenda Items Discussion point/cluster partner Focal Action points Timeline point/agency Nutrition Cluster Contingency Plan in the context of COVID – 19 by Follow up on nutrition programming in COVID-19 era: NCC and Updates by NCC/MoHCC: 1) How will CHWs be equipped to carry on with their MoHCC next work. Protective gear for frontline workers could be meeting. a contingency plan to ensure that they are protected. 2) Key messages for nutrition and COVID-19 to be drafted. 3) SOPs on how we can continue working to be drafted and shared. Updates on SC and OTP admissions, Screening for acute Presentation of results to show breakdown between SAM NC IMO Share malnutrition activities in 25 priority districts by IMO/ MoHCC: and MAM. information DHIS results for Dec 2019 to Feb 2020 were shared. before the Prioritise mentorship of health workers to ensure that NC partners next Admissions in Umguza district were 120 for January but of those, 80 children are managed adequately. meeting. were prisoners who were given RUTF. Partners to assist Provinces and districts with mentorship RUTF requirement is calculated using expected SAM cases and it’s activities so as to improve nutrition data quality from unfair on the target population to use the product for other Districts. As soon as populations even if the need is present. MoHCC possible There could be a possibility of finding another pipeline for nutrition Admission criteria being used for adults to be shared commodities to use for adults with HIV or TB or prisoners who are malnourished. Harare has a high number of admissions in Jan 2020 because of active screening campaigns that were carried out. Cluster Coordinator Zimbabwe Nutrition Cluster monthly meeting, Agnes Kihamia 27 March 2020, Meeting minutes [email protected] , +263775920472 Page 2 W Zimbabwe Nutrition Cluster https://www.humanitarianresponse.info/en/operations/Zimbabwe Responsibility between food security and nutrition cluster linkage Include MoHCC on all levels in the SOPs and include their WFP and By next activities: roles and responsibilities. Revise as proposed. UNICEF meeting SOPs that were developed were shared. The SOPs have been in SOPs need to be updated in the context of COVID-19 since WFP and By next place since December and things have not been moving. The these were developed before COVID-19. UNICEF meeting linkages were supposed to be operational now, but it seems coordination is slow. In MoHCC, SBCC is the term that is usually used and C4D supports SBCC. So, it is encouraged to use the term SBCC. All Continuously Screening is a risky thing to do during food distributions and might not be feasible. Getting protective gear for VHWs might be Screening can still go on using mother MUAC where each impossible given that most countries are under lock-down. mother owns a MUAC tape and VHW collects information MoHCC, By 31 March Screening is also an essential service and the country might lose and records. Discussion to still go on and outcome to be UNICEF children to malnutrition other than to COVID-19 shared with all partners. Pellagra update: A study was conducted by the City of Harare which looked at Report to be shared by mid-April. Draft already available. Mr. Nyadzayo Mid-April Pellagra cases reported from Oct 2019 to Jan 2020. Study looked at case definition and how health facilities were Small group to work on Pellagra to be assigned so more diagnosing Pellagra, looking and knowledge of Pellagra by health traction is realised in this issue. workers. SCI: SMART survey done by SCI in Matobo, Binga Kariba and Beit-Bridge. SCI proposed to share SMART survey results in the next Mthulisi-SCI 9th April Report Shared with MoHCC. meeting. Challenges where MoHCC has suspended all other non-COVID-19 Meetings and workshops that are not related to COVID-19 activities. have been limited to prevent spread of the virus. Cluster Coordinator Zimbabwe Nutrition Cluster monthly meeting, Agnes Kihamia 27 March 2020, Meeting minutes [email protected] , +263775920472 Page 3 W Zimbabwe Nutrition Cluster https://www.humanitarianresponse.info/en/operations/Zimbabwe Goal: No action point identified Working in Masvingo, Buhera, Chipinge and Mutare rural districts. In Masvingo- Supported health worker sensitisation meeting – 49HW participated. Supported refresher training for VHWs and social mobilisation for community leaders on active screening. 70% of Health facilities had completed their VHW refresher training. COVID-19 might delay their progress in Manicaland. Aiming to integrate COVID meetings with nutrition sensitisation meetings. WV Zimbabwe: No action point identified Working in Mudzi Makoni and Mt Darwin districts. Developed plans with the districts but this has been halted because of the current emergency. Mash Central Sensitisation meetings have been postponed also. Plan International: No action point identified Waiting for SOPs from WFP so that they can programme together during food distributions. Distributions by WFP had been put on hold. Waiting for guidance from management. WFP: As soon as National ToT was done. Provincial ToTs were not done in all Follow up with WFP on SOPs for food distributions and NCC update is provinces. integration with active screening and update partners. available OPHID: Working from home. Facilities have limited their activities to purely emergency activities. Mentoring nurses remotely using WhatsApp. Getting reports from nurses through WhatsApp. Cluster Coordinator Zimbabwe Nutrition Cluster monthly meeting, Agnes Kihamia 27 March 2020, Meeting minutes [email protected] , +263775920472 Page 4 W Zimbabwe Nutrition Cluster https://www.humanitarianresponse.info/en/operations/Zimbabwe Commercial farm workers in Makoni are not being covered by food World Vision to verify this and report back since they are WV distributions and this is leading to high malnutrition cases. also working in the province. Zimbabwe UNICEF: Partners have been supported to cover 25 priority districts. Partners and MoHCC are encouraged to report on time so as All Provincial sensitisation meetings have been done except for Mash to improve evidence-based programming and for fund- Central. raising. Other districts have no partners, and provincial and district Agnes and nutritionists have been capacitated to spearhead active case finding As a cluster we need to map CHWs so that in case we get a MoHCC at community level and management at facility level. chance to buy PPE for frontline workers we have the Looking into mother-led MUAC for screening in the COVID-19 era. information readily available. Seke district has a high number of SAM cases being realised. Mathieu If there is a partner that might want to work in Seke together with UNICEF to get in touch with UNICEF. AOB HRP: The HRP document was presented to the Government for final Discussion between Faith, Agnes and MoHCC on HRP and Agnes, Faith, validation. Recently a revised HRP, which includes COVID-19 MAM treatment. Consider expanding beyond 25 districts MoHCC response, was sent to the Government for validation. since numbers of acute malnutrition coming from other Do we think we want to expand beyond the 25 districts on the districts is quite high. expanded protocol for MAM treatment? Mash East had started Share government appeal with everyone. Discussion to find Handrea and using the extended protocol. out how the government appeal and HRP can complement Mathieu each other. Agnes The final version of the HRP to be shared. RapidPro support: NC partners Mash Central and Mash East need support to be trained on Partners asked to support in collection of contact lists for RapidPro so that they also start reporting. VHWs and Health facilities. Coordination: Agnes Cluster Coordinator Zimbabwe Nutrition Cluster monthly meeting, Agnes Kihamia 27 March 2020, Meeting minutes [email protected] , +263775920472 Page 5 W Zimbabwe Nutrition Cluster https://www.humanitarianresponse.info/en/operations/Zimbabwe Provincial level MoHCC colleagues could be asked to participate in Since partners from the provincial level are also the national coordination level meeting. participating MoHCC could also participate. Discussion on this to be held and decision to be made before the next meeting. Participants