SSuummmmaarryy RReeppoorrtt oonn CChhiilldd WWeellll--bbeeiinngg FFYY 1122 Published in April 2013 by World Vision Mauritania © Table of Contents ACRONYMS .......................................................................................................................................... 4 1. Executive Summary ......................................................................................................................... 5 2. INTRODUCTION ............................................................................................................................... 6 3. Challenges and Enablers .................................................................................................................. 8 4. Influencing Factors .......................................................................................................................... 9 5. ACHIEVEMENTS ............................................................................................................................. 10 5.1. Improved the number of children in preschool prepared .................................................... 10 5.2. Improved Access and Quality of Education ........................................................................... 12 5.3. Improved nutritional status of children ................................................................................ 14 5.4. Improve the immunization status of children ....................................................................... 17 5.5. Increased households’ capacities to ensure basic food needs ............................................. 19 5.6. HEA ........................................................................................................................................ 21 5.7. Most Vulnerable Children ..................................................................................................... 23 6. CONCLUSION ................................................................................................................................. 24 7. ANNEXES ........................................................................................................................................ 25 CWB Mauritania Report - FY 12 Page 2 of 26 Main author, name and position: Jean Gabriel Carvalho, Operations director Sidina Ould Isselmou, Ministry Team Leader Quality Abdou Salam Tandia, Boghe base - MQ Specialist Kadiata Thiam, National Coord. Of Health / Nutrition / HIV AIDS Kalidou Ba, Nutrition Project Manager Mohamed Saleh Hamahoullah, Monitoring and Evaluation Coordinator Sidi Mohamed O. Ahmed, Rohup base - MQ Specialist In cooperation with: Moulaye Zein, Sponsorship Manager ADP managers of Rohup, Boghe and PIDA base Enok Diarra, Finance director Brahim Ould Sidi, Communications Officer Main Contact: Lilian Dodzo, Interim National Director, Cell phone: +222 36 69 19 75 CWB Mauritania Report - FY 12 Page 3 of 26 ACRONYMS ACANESE Community Action For Improvement Of Health And Nutritional Status Of Children ACANI Community Action For Improvement Of Child Nutrition ADP Area Development Programme AIM Health Access Maternal Infant and Child Health EPA Association of Parents ASSEDNA Association for Nutrition Education and Food BEAP Barkeol Emergency Assistance Program BPE Office of Parents CDCs Community Development Centres CRENAM Nutritional Recovery Centre for Acute malnutrition / Therapeutic Feeding Center for Moderate Malnutrition CS Country Strategy CSA Commissioner for Food Security CWBA / O Child Well Being Aspirations / Outcomes DRASS Regional Directorate of Health and Social HEA Emergency Humanitarian Affairs HH HouseHold KEAP Kankossa Emergency Assistance Project KEOP Kiffa Emergency Operation Program MAG Global Acute Malnutrition MAM Moderate Acute Malnutrition MSF Doctors Without Borders MDGs Millennium Development / Millennium Development Objectives / MDO WHO World Health Organization PD HEARTH Positive Deviance PECIMA Integrated Management of Acute Malnutrition EPI Enlarged Vaccination Programme SPAC Stock Food Safety Village SSF Health Without Borders STEP Tracking System Enhancement Program WASH Water, Sanitation & Hygiene WFP World Food Programme WV World Vision WV MRT World Vision Mauritania ZIP Area of Intervention Program CWB Mauritania Report - FY 12 Page 4 of 26 1. Executive Summary The World Vision Mauritania’s contribution to the improvement of the child well-being in 2012 is summarized in the following key findings: Improved the number of children in preschool Three thousand nine hundred and fourteen (3914) children aged 3 to 6 years are enrolled in pre-school with 53% of girls in 134 kindergartens promoted and supported by World Vision Mauritania Quality of Education Six (out of 15) of our ADPs are located in areas reported a success rate of upper primary classes that was higher than the national average of 50.10%. They are also the areas with the highest rates nationally. In 2010, the number of children registered in sponsorship not attending school represented 24% of the total number of school-age children go to school, while in 2012 it was only 6 % Improving health of Children Eight (8) ADPs are located in departments with a vaccination coverage rate (children fully immunized) higher than the national average. Ten (10) ADPs have coverage in Penta 3 higher than the national average of 78.4%, and only one (1) ADP has reached the set target of 95% by 2015 (MDGs). In 2010, the number of children fully immunized in sponsorship accounted for 2% of the total number of children aged under 5 years, whereas in 2012 there was a 26% increase (STEP). Fighting against malnutrition Ten (10) ADPs have high rates of global acute malnutrition, which are above the emergency threshold of 15% (according to WHO) with coordinated corrective actions for screening, management and referral of malnourished children. Only four ADPs located in the urban area of Nouakchott present rates of global acute malnutrition considered acceptable (6%). Households Livelihoods & resilience improvement Direct Food/Cash Distribution for more than 70,000 People during the whole period of Response. 119 projects were finalized as voucher for work activities. 450 Panicum tergidum plants planted. Completion of two thousand meters of dykes and bunds. Purchase and distribution of gardening seeds in favor of the 14 women's cooperatives. Deepening of 14 wells in favor of fourteen women's cooperatives. Committees’ management Training for 32 cereal banks in common Ghabra. Barkeol and Rheidei. CWB Mauritania Report - FY 12 Page 5 of 26 2. INTRODUCTION World Vision came and established a National Office in Mauritania in 1983 as a response to the drought that affected the whole region of West Africa. World Vision Mauritania operates in the regions of Nouakchott, Brakna, Mauritania Gorgol and Assaba (4 out of 13 regions). These Bases include 15 sponsorship funded ADPs (Area Development Program) in Mauritania, dispersed in the urban and rural areas: 4 in Nouakchott, 6 in Brakna, and 5 in Assaba. The organization efforts allowed to improve the life of 35.920 actually registered children in these ADPs (35.978 planned), working with 180 members of staff. The three pillars of programme design— Transformational Development - Emergency Response & Humanitarian Affairs – Advocacy—form the foundation of programmes supported by WV Mauritania. World Vision Mauritania’s strategy was approved in 2011 for the period of 2012-2014 by the region and focused in four strategic priorities in line with the well-being of children, the Child Well Being Aspirations, Outcomes and Targets. World Vision Mauritania National Strategy Map By 2014 WVM will have contributed to the improvement of the wellbeing of 183,251 children aged 0 to 18 years Improve Access to and Quality of Education in 13 administrative departments (Moughataas) Contribute to reducing mortality and morbidity of women and children in 13 administrative departments (Moughataas) Increase access to potable water and sanitation in 13 administrative departments (Moughataas) Improve the of resilience of households in 13 CWB Mauritania Report - FY 12 Page 6 of 26 administrative departments (Moughataas) Our 15 programmes were already designed1 when the National Strategy was approved. So, the mapping of our programmes showed a few number of programmes aligned with our 16 strategic national indicators. However, we can affirm that instead of this low alignment, many of our programmes are implemented activities which contribute to World Vision’s Child Well Being Aspirations and Outcomes. By associating our project interventions with the CWBA/O framework, the results of the data capturing within our programs highlight the degree of alignment of our interventions reported in 2012 that contribute to a specific Child Well Being Outcome as showed by the table below: Enjoy Good Educated for Life Children Children are t t t t Health Experience the Protected and Love of God Participation Level of Level of Level of Level of alignmen alignmen alignmen alignmen Children are well Children read, write, Children grow in their Children cared for in a nourished and use numeracy awareness and loving, safe, family and skills experience of God’s community environment love in an environment with safe places to play that recognizes their freedom Children Children make good Children enjoy positive Parents or caregivers protected from judgments, can relationships with peers, provide well for their infection, disease, protect themselves, family, and community