Emergency Nutrition Cluster Meeting Note 1 May 2015 Time: 11.00 am Venue: UNICEF Nepal, Conference Room Participants: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. Mr. Giri Raj Subedi, Chief, Nutrition Section, Child Health Division Allison Prather, Nutrition, WFP Pooja Pandey Rana, Deputy Chief of Party, SUAAHARA Program. Daniel Verschneick, MNCH Team leader, USAID Debendra Adhikari, Nutrition Specialist, USAID Esther Indriani, MCH & Nutrition Specialist, World Vision, South Asia Region Minraj Gyawali, Program Officer (Nutrition), NPC/ NNFSS Geeta Sharma, Program Manager, PSI Sujay Nepali Bhattacharya, HoD: Nutrition and Health, ACF Pradiumna Dahal, Nutrition Specialist, UNICEF Shersingh Dahit, IMAM officer, UNICEF Dibya Manadhara, unicef Sanjay Rijal, unicef Prakash Chandra Joshi, unicef Taranath Acharya, Health Team Leader, UMN Madhukar Shrestha, Hellen Keller International. Diplov Sapkota, NIL Swetha Manohar, NIL Sher Bahadur Rana, Plan International Uttam Acharya, Technical Coordinator, CHD, SUAAHRA Anirudra Sharma, Nutrition Specialist, UNICEF Neera Sharma Save the children Nitesh Shrestha NTAG Gogi Grewal WB Yara Seeir, ACF Laura Brye, SUAAHARA Leela Mulukutta, International Medical Corps Joerg Eich Helping hands Germany Jagannath Sharma SABAL Meeting Agenda 1. Review and updates of meeting notes 2. Update on ongoing response 3. Nutrition assessment of districts 4. 5. 6. 7. 8. 9. Partnership and programme initiation Supply needs analysis (therapeutic food, supplementary food, MNPs, IEC/BCC materials) Provisions of supplementary feeding Funding status Endorse of IFE additional notes AOB Discussions 1. Review and update of previous meeting notes: The five building blocks for nutrition response agreed in the previous meeting has been changed and agreed that the nutrition response will have six building blocks. The supplementary feeding will be two types as follows: Blanket distribution of supplementary food to the pregnant/lactating women and the children under 5 years of age. Targeted distribution of supplementary food for the management of MAM (prevention of SAM) Instead of 30 MT BH-5 (High Energy Biscuits), ACF will supply only 18 MT because 12 MT has been diverted to address the crisis in Yemen. The TOR of DLSA proposed by Ms. Pooja Pandey and agreed in the previous meeting will be translated and officially circulated to all concerned affected district health/public health offices and cluster members. The TOR will be translated by Mr. Min Raj Gyawali, the nutrition officer of NNFSS. The roster of trained people on nutrition in emergencies will be updated and mobilized those trained people for emergency nutrition response and recovery process of current disaster. In collaboration with Suaahara, ACF will support training/capacity building activities in four the most affected districts. In those districts, Suaahara will mobilize the trained personnels/volunteers for CMAM interventions in the districts. 2. Update on ongoing response: WFP is providing General Food Distribution (GFD) with 10 kg rice/family in the following districts: Dhading, Dolakha, Gorkha, Kavre, Nuwakot, Rasuwa and Sindhupalchok. WFP also updated that they are bringing the 266 metric tons of Plumpy Dose from Pakistan to Nepal for blanket supplementary feeding programme. Plumpy dose will be arriving in Nepal in next week and distribution will be started. 3. Rapid Nutrition Assessment: As per the previously agreed in the cluster meeting, simplified Rapid Assessment Tool has been developed and circulated to all cluster members. This will also be circulated to all affected districts. Concerned DLSA, who are assigned for the districts will be collecting the information and sending to nutrition cluster information management focal points by Sunday/latest Monday, 4 April 2015. 4. Partnership and Program initiation: ACF and Suaahara will have further bilateral discussion in regards to the activities to be taken in four districts (Sindhupalchok, Rasuwa, Gorkha, and Nuwakot). The response action will be initiated rom next week through capacity building training of Suaahara staff by ACF Similarly, UNICEF has initiated the PCA process with the national institutions/NGOs. The PCA process will be completed next week and response actions will be initiated in Ramechhap, Kavre, Kathmandu, Lalitpur and Bhaktapur. ACF will also on process of having contract with partner organization that will take at least one week. 5. Supply needs analysis UNICEF has been planning for required amount of the supply for the 12 affected districts. The supply will be made available by the end of next week at earliest. DSLAs also need to plan the requirements of the IEC/BCC materials in the respective districts and need to be sent to CHD for request. UNICEF will print 10,000 pieces of IMAM counselling cards for volunteer’s facilitation at community levels for all 12 districts. Similarly, IYCF related materials will also be printed in coordination with cluster members. Suaahara has 5000 of each IEC/BCC material related to WASH and Nutrition and ready to provide electronic version to the members for further printing. WFP will take lead in supplying the Supplementary feeding and UNICEF will on RUTF and MNP. 6. Funding status: The joint flash appeal has been made for 10 million USD. Nutrition cluster members are requested to fill the project sheet for the flash appeal. Once the project sheet will be received, it will be compiled appropriately based on the capacity of the cluster members and forward to UNOCHA on Sunday. 7. Endorsement of IFE additional notes A joint statement on untargeted distribution of infant formula and breast milk substitutes in emergencies has been prepared as a part of the IFE joint statement of done by MoHP, WHO and UNICEF. As per the recommendation done by the working group, the statement has been endorsed by the Nutrition cluster. For this, MOHP nutrition section has also been agreed to apply as a part of IFE guidance note. Mr. Min Raj Gyawali will translate the joint statement on untargeted distribution of infant formula and breast milk substitutes in emergencies and a brief summary will be made from the joint statements and prepare for the media advocacy. The statement will then be signed by all the cluster members on Sunday, 3 May 2015 cluster meeting and apply for promotion, protection and support for breast feeding and infant and young child feeding. Child Health Division of MoHP (CHD) will take the lead for its circulation via media and the cluster members will support in distributing in the relevant camps and settlements in the respective districts. It was agreed in the cluster meeting again that the IYCF-E, supplementary feeding including plumpydose and BP-5 will be the components of comprehensive nutrition in emergency response package/training, for this, WFP and ACF will make the contents and forward to the cluster coordinator for integration with IMAM training package. 8. AOB HKI/Sabal will support in Okhaldhunga and Ramechhap. Next meeting will be held in Sunday, May 3 at 11 am as usual.