Improving Community Level Capacity for Management of Severe
Acute Malnutrition (SAM) (ICCMAM Project) among New Arrival, IDPs and Host Communities in Mafa LGA of Borno State. Green Concern for Development (GREENCODE) with the support of OCHA- NHF will be working with community structures in both Konduga LGA in improving local capacity in the management of moderate/severe acute malnutrition among under five (lt5 (0-59 months)) children of new arrivals, IDPs and host community’s households affected by the insurgency in Borno state. Population arriving from the inaccessible areas have particularity high prevalence of acute malnutrition, a SMART survey conducted in Bama in August 2018 indicated a very high prevalence of GAM among the new arrival compared to those that have been in the camp GAM by WHZ – 37.5% (reception site) while 7.8% (rest of camp) . Similar situation is observed in all the 9 reception sites in Bama, Dikwa, Gwoza, Kalabarge, Kukawa, Mobbar and Ngala, through the screening of new arrivals. Population in host communities continue to grapple with serious nutrition situation, routine monitoring of the prevalence of acute malnutrition though the nutrition and food security surveillance Findings indicate that Borno State has a GAM rate of 9.1 per cent and a SAM rate of 0.8 percent – SMART Survey, August, 2018.
In the six (6) months period GREENCODE will support the capacity strengthen of community structures to support acute malnutrition treatment by organizing community level training for community volunteers, mass MUAC screening, procurement/distribution of locally formulated nutrition supplements, conduct counselling and referral to other INGO’s OTPs/stabilization centers, set-up mother-to-mother support groups, training of community nutrition mobilisers, Hygiene/Sanitation, training of lead mothers, cooking demonstration, training of religious leaders, training of religious leaders on the involvement of IYCF/CMAM. Under this project GREENCODE will be reaching and improving nutrition for 8,000 Green Concern for Development (GREENCODE) with the support of OCHA- NHF will be working with community structures in both Konduga LGA in improving local capacity in the management of moderate/severe acute malnutrition among under five (lt5 (0-59 months)) children of new arrivals, IDPs and host community’s households affected by the insurgency in Borno state. Population arriving from the inaccessible areas have particularity high prevalence of acute malnutrition, a SMART survey conducunder 5 children and 600 adults. In addition, adult beneficiaries will receive IYCF¬E interventions through IYCF messages, trainings and mother to mother group sessions and hygiene education to help prevent diseases and acute malnutrition among st children 0 to 23 months. BSFP will also be implemented in both locations for children 6 to 59 months to help prevent children who are malnourished from deteriorating further and also prevent the others from acute malnutrition, especially those who are malnourished as a result of inadequate dietary intake. The community outreach component, which entails the recruitment of Community Nutrition Volunteers (CNVs), will be implemented on a large scale within the communities in order to identify children with acute malnutrition on time and refer them to the nutrition OTP and stabilization centres. The CNVs will be trained on identification of acute malnutrition within the community through use of MUAC tapes and referral forms. While religious leaders and other key stakeholders will be train for them to understand and engage in the involvement in IYCF/CMAM.
In addition, active case finding in which CNVs will work closely with the community mobilisers in the centres. They will also conduct house-to-house (home) follow up for those in the project to include defaulter tracing and gather information on reasons for absenteeism and defaulting as well as education on key hygiene messages to improve linkages between WASH and nutrition for better health outcomes The project strategy is to provide integrated nutrition interventions for malnourished children and women Konduga LGA of Borno