Outpatient Care SFP Using Plumpy Doz to prevent malnutrition SouthSudan 2011 From Relief to SelfReliance Nutrition and Food Security Department Alexandra RutishauserPerera and Stien Gijsel ID: 420143
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Slide1
1
Inpatient care
Outpatient Care
SFPSlide2
Using
Plumpy
Doz to prevent malnutrition ?
South-Sudan 2011
From Relief to Self-Reliance
Nutrition and Food Security Department
Alexandra Rutishauser-Perera and Stien Gijsel
All content in this document is the property of International Medical Corps and should not be reproduced without prior written consent. Slide3
Plumpy Doz
PPD in SS
Ready to use supplementary food (RUSF) originally developed to reduce the incidence of acute Malnutrition during at-risks periods.
Recommended daily dose:
3 teaspoonfuls. 3 times a day.
Pot of 325g :
Quantity required for one child in one week.
Particularly suited to children aged 6 to 36 monthsSlide4
PPD ( which programs)
PPD in SS
Can help reduce the incidence of Global Acute Malnutrition in regions affected by serious food insecurity .
Mainly suited to humanitarian emergencies with a large number of under 3 at risk of Malnutrition.
Can be associated with Blanket feeding.
Provide daily dose of micronutrients, high quality proteins and essential fatty acids.Slide5
5
Inpatient care
Outpatient Care
SFP
Catching Acute Malnutrition Early
Plumpy
DozSlide6
South Sudan context
20 years of civil war, peace agreement 2005
Independent since mid 2011Plagued with intertribal fighting
Akobo CountyAgro-pastoralist community
Very remote, and challenging environmentLimited coverage of targeted
SFP programmes (<30% of need)Slide7
South Sudan program IMC
Primary Health Care centreFull Community Management of Acute Malnutrition (CMAM) for returnees and communities from mid-2011
Kala Azar ( in one HF)Slide8Slide9
Strategy for PPD
National Strategy designed by WFPOnly for 6-24 months due to restricted supply and link with the 1,000 days approach
Plumpy doz
intervention during the hunger gap of 2011 Planned for 6 months (April – September), reality June – October)No TSFP during the interventionSlide10
Community sensitization:
a big component of the program
Meetings
Announcements
Posters
Public speaking
Requires
a Strong IYCF
componentSlide11Slide12
Post Distribution Monitoring
Random selection of children in the community (60/month during this intervention).
Control the acceptance of the product, the quantity of PPD remaining in the house, the hygiene and IYCF practices.Slide13
Context during and after the intervention
Deterioration of the Food security with very bad crops
High movement of population continuing todayIncrease of cattle raidingSlide14
Results
The 2010 and 2011 post-harvest surveys show no significant difference
Strong reason to believe that malnutrition rate would have been worst without the interventionSlide15
Successes
Positive reception by
the community and beneficiariesLarge coverage (estimated on 95-100 %)
Although movement of population, beneficiaries came on distribution daysPerceived as food for children only– shared with other children
(pots increased storage of supplies as used for lentils, herbs, oil etc….)Slide16
Challenges
Double dipping and sharingSecurity
Poor IYCF remainedMalnutrition rates increased post-harvest, and hunger gap 2012Slide17
Food for thoughts
Effectiveness and impact difficult to measureUnderlying causes remain
Dependency on foreign aid/supplySlide18
Study
Defourny I, Minetti
A, Harczi G, Doyon S, Shepherd S, et al. (2009) A Large-Scale Distribution of Milk-Based Fortified Spreads: Evidence for a New Approach in Regions with High Burden of Acute Malnutrition. Despite the annual hunger gap season, the prevalence of children with MUAC<110 mm between May and August decreased by half, rising slightly in September and October .
The expected rise in new cases of malnutrition during the hunger gap period in 2007 was not only arrested, but reversed during the period of blanket distribution of RUF.Slide19
Thank you