CBNP (Communit Base Nutration Program )
Community Base Nutrition Program in Urozgan Province

The overall objective of the CBNP Project is to reduce preventable deaths, illness, and disability related to malnutrition through introduction and implementation

  • To Increase awareness regarding the nutrition through building capacity of the health staff, CHWs and the communities
  • To Improve behavior / key practices in regard to the nutrition at the community level.
  • To Involve and Strengthen community role.
  • To Improve early detection and prevention of malnutrition.
  • To Strengthening link of community & Health facilities

Main activities of the project are as following:
• Recruitment of the Technical and Administrative staff including CME instructors according to the proposal.
• Selection of 24 eligible students in 7 pre-identified provinces through a competitive procedure according to the CEM program student’s selection criteria.
• Establishment and quipping CME school according to the CME program policies.
• Establishment of skill laboratory and library for students.
• Provision of an enabling educational environment and safe dormitory for the students in Kabul city.
• Providing 2 years consisting 4 semesters theoretical and practical educational program for 24 students according to the CME program guidelines and standards.
• Registration of this program with the Afghanistan Midwifery and Nursing Education Board for evaluation and accreditation purpose.
• Handover of one copy of all documents of the students of this batch to the Ghazanfar Institute of Health science.

  • Community Mobilization Session

Male=9120 , Female = 9120 

  • Capacity Building Male =2561 , Female= 2120
  • Growth monitoring, Screening all Child < 5  Male=  8000 ,Female= 9484
  • children under five years old with SAM and MAM who are referred to health facilities Male = 4200 ,Female=4360
  • children 06-59 month received MNP through semi-annual campaigns Male =80530      ,Female =89523
  • Adolescent girls (10-19 years) received Iron Folic Acid tablets through the 3 round campaign in  Urozgan Female =123536

 

 

Community Based Primary Education
Community Based Primary Education Support in Afghanistan

To contribute in improving access of the Afghan children to the primary education in Afghanistan.

  • To increase access of the children to the primary education through establishing community-based primary school classes in the isolated villages located far from the government primary schools.
  • To support the health status of the children aged 6-9 years, students of the community-based primary school classes through provision of:
    • One glass of 250 ml milk and biscuit as healthy food during the day
    • .Provision of Hygiene kit once per quarter.

     

     

 

  • 20 children aged 6-9 years in each class.

1)10 Boys

2)10 Girls

6 Health Camps/Clinics
Establishment of 6 Health Camps/Clinics Covering 24 Sites Located in the Populated Sums of Kandahar City

To Improve access and increase utilization of quality and equity focused MNCH and immunization services for mothers, newborn, U5 children and adolescent girls in most deprived provinces and areas through 6 fixed health camps/clinics working as fixed health centers in 24 sites in the slums of Kandahar city.

·       To provide essential health care services for common diseases relevant to maternal and child health to Children and women

·       To provide essential nutrition services through screening and referral of children and PLWs, provision of multi-micronutrient supplement and promotion of infant and young child feeding.

·       To provide Routine immunization, polio vaccines and needed information to the communities and thus to increase coverage of polio vaccination for missed children.

·       To provide Social and Behavior Change (SBC) interventions mainly focus on mobilizing the target population to avail the services being provided through integrated health camps.

All services were provided through the HCs  project

  • Capacity Building

Male (     6          ) Female ( 8      ) 

  • out Patient Department OPD

Male (      13753          ) Female ( 36585         ) 

  • growth monitoring, Screening all Child < 5

Male (      15702      ) Female ( 17704         ) 

  • SAM and MAM Referred children under five years to Health Facility

Male (    531       ) Female ( 727      ) 

  • Screening and counselling of Pregnant and Lactating women of  nutrition Service

Female ( 13134      ) 

  • Immunization Service for <5 children

Male (      37997         ) Female (43384       ) 

  • Total women resaved Ante-Natal Care Visits( All Visits) ANC

Female (14072          ) 

  • Total women resaved Post -Natal Care Visits( All Visits) PNC

Female ( 4392  ) 

  • Total women resaved Family Planning FP and CYP Consoling

Female ( 2469  )

  • Total women resaved MMS and IFA

Female ( 14158 ) 

  • Total Children resaved MNP

Female ( 7931  ) Male (     7551         )

  • Of people (men, women) reached with key information on the health camp sites, available services and mobilizing them for availing the services.
  • Female ( 182659 ) Male ( 196720       )

Emergency Nuration Services
Implementation of Emergency Nutration Services for Children Under 5 Years, Pregnant and Lactating Women of the Nomad Population

To contribute toward reduction in mortality and morbidity related to Sever and Moderate Acute Malnutrition in children under 5 years of the age and pregnant and lactating women of the nomad population by introducing lifesaving nutritional intervention though implementation of IMAM.

·       To create an enabling environment for provision of nutrition services with implementation of IMAM strategy through capacity building and training of the staff of the nomad health clinics.

·       To improve social and behavior change of the nomad community regarding the nutrition status, identification and early case detection of the children and PLWs suffering malnutrition.

·       To assess the nutrition status of the nomad population for evidence based planning and decisions.

·       To decrease morbidity and mortality due to acute malnutrition in nomad population

  • 485433 OPD SAM&MAM U5 years children screened
  • 20484 U5 years children(Boys) treated from OPD MAM
  • 23539 OPD MAM, U5 years children(Girls) treated from OPD MAM
  • 9128 U5 years children(Boys) admitted in OPD SAM
  • 11860 OPD SAM, U5 years children(Girls) treated
  • 338786 PLWs OPD MAM screened.
  • 28050 PLWs admitted in OPD MAM
  • 16181 PLWs of OPD MAM treated

SRI (Strengthened Routine Immunization Project)

Strengthened Routine Immunization Program Through the Devlivery of Integrated Primary Heath Care Service. Acute Under Nutration Provention and Treatment Programs in Selected Districts of Helmand and Urozgan Provinces, Afghanistan

This project aims to establish 20 SHCs for strengthening routine EPI (Vaccination) through the delivery of integrated basic primary health care services and acute undernutrition prevention and treatment programs in selected districts of Helmand and Uruzgan provinces, Afghanistan.

  • To improve access to maternal and child routine immunization programs including BCG/OPV0 vaccination coverage in Helmand and Uruzgan provinces.
  • To improve community awareness of the benefits of maternal and child immunization and increase EPI services community acceptance
  • To contribute to the interruption of wild poliovirus transmission in Helmand and Uruzgan province
  • To prevent the occurrence of vaccine-preventable disease outbreak
  • To ensure access to undernutrition preventive and curative services in the target areas

To improve access to basic primary health care and sexual and reproductive health and rights services in the target areas

Ø  All services were provided through the SRI project

Ø  Out Patient Department  OPD >5

Male (      84534          ) Female ( 89123         ) 

Ø  Out Patient Department  OPD <5

Male (      45301        ) Female ( 31647     ) 

Ø  growth monitoring, Screening all Child < 5

Male (      43733      ) Female (49843          ) 

Ø  children under five years old with Resaved  SAM and MAM

Male (     5315      ) Female ( 5782     ) 

Ø  Screening ,Treatment and counselling  of Pregnant and Lactating women and  resaved Provided of  nutrition Service

Female ( 20460       ) 

Ø  Immunization Service for <5 children

Male (      151149          ) Female (155949        ) 

Ø  Immunization Service for Women including TT1-TT2-TT3-TT4

Female ( 24054 ) 

Ø  Mental Health and MHSS counselling

Female ( 845         ) 

Ø  Total women resaved Ante-Natal Care Visits( All Visits) ANC

Female (27421         ) 

Ø  Total women resaved Post -Natal Care Visits( All Visits) PNC

Female ( 8480  ) 

Ø  Total women resaved Family Planning  FP and CYP Consoling

Female ( 16572  )

Ø  Total Institutional Deliveries

Female ( 1320  )

Targeted Supplementary Feeding
Implementation Targeted Supplementay Feeding Program in Helmand and Urozgan Province

The overall goal of the project is to reduce incidence of mortality and morbidity related to acute malnutrition in children aged 6 to 59 months and pregnant and lactating women by improving their nutritional status through access to targeted supplementary feeding program.

  • To 231397 treat moderate acute malnourished children aged 6-59 months and 95925 acute malnourished pregnant and Breastfeeding women in target areas during the project period

To increase nutrition awareness of pregnant and Breastfeeding women and MAM children caregivers’ and promote optimal behaviors among them through social behavior change communication (SBCC)

  • Recruitment of TSFP Provincial coordinator, Provincial supervisors and administrative staff
  • Introduce the project to communities and local authorities including DoPH and Directorate of Economy of Helmand and Urozgan.
  • For strengthening coordination, presenting the TSFP project to PHCC and Nutrition Sub-committee meetings at the province level.
  • Singing provincial level MoU with the BPHS and Non-BPHS implementer NGOs for coordination of the TSFP project at the HFs they are managing.
  • Extending the contracts of the TSFP assistants in the 200 HFs who already recruited during last years of TSFP and working in the program since couple of years. for the recruiting process OPHCD will being considered Female Nutrition Nurses for implementation of this program.
  • Setting-up of TSFP food storage facilities.
  • Weekly-based data collection and entry in the online system as well monthly based data analysis and providing feedback to the weak performing TSFP sites at the province level.
  • Conducting monthly project review meetings at the province level and quarterly coordination and project review meeting at the regional level.
  • Timely prepare and submit food requests to the WFP SR regional office and follow up with them for timely supply of the food items to the capital of the provinces.
  • Printing of TSFP forms, registers, cards, and other HMIS and reporting tools and supply to the TSFP sites on quarterly bases.
  • OPHCD will start Training Need Assessment for TSFP Assistants during the first quarter after the official starting of the project. The result of the Assessment will be shared with Public Nutrition Directorate as well as WFP for conducting IMAM trainings.
  • Food Supplements are RUSF and Super Cereal and equipment refers to anthropometric i.e. MUAC Tape for Adults and Children and other relevant necessary tools.
  • Identify MAM-CH 6-59 months age and admit them in the program for treatment.
  • IMAM training will be conducted for all the TSFP Assistants.
  • RUSF distribution to all admitted MAM-CH.
  • Identify malnourished pregnant women (from the time of confirmed pregnancy) and lactating women with breastfeeding infant below 6 months age and admit them in the program for treatment.
  • Food ration distribution to all admitted AM-PLW.
  • Referral of MAM-CH and AM-PLW to relevant section of health facilities for receiving the required health care and services.
  • Provide social behavior change communication (SBCC) including MIYCN counselling to MAM-CH caregivers and PLW.
  • Conducting TSFP monitoring and supervision according to the complete Monitoring Plan.
  • Timely preparation/submission of TSFP monthly reports.
  • Regularly attend provincial nutrition sub-committee, regional nutrition cluster, PHCC and any other relevant nutrition meetings and present TSFP project activities.
  •  

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