DRAFT - TOR 11 June 2014 Nutrition Information Working Group Nutrition Cluster, South Sudan 1. Background The South Sudan became a new country as of July 9, 2011. The Country faces various challenges in different sectors of health, nutrition, food security and water and sanitation. From nutrition point of view, acute malnutrition in both its moderate and severe forms continues to be a problem of public health significance in South Sudan in view of its direct underlying relationship to increased risk of severe illness and death in young children and also its deleterious effects on overall child growth and development. The situation is further compounded by high levels of micronutrients (vitamin and mineral) deficiencies and factors such as food insecurity and poor hygiene and sanitation conditions, which predispose children to the vicious cycle of malnutrition, infection and poor overall growth. The magnitude of malnutrition, its extent and chronic nature poses a big challenge towards efforts to improve overall health and development in a country, already characterized by high levels of childhood malnutrition in all categories. In general, there is lack of a clear understanding of the level and causes of the nutrition problem across all the 10 states in South Sudan. For this reason, the nutrition cluster organized a Nutrition Information WG to provide technical support in streamlining of nutrition survey planning, implementation, information management and reporting. 2. Main objectives of the TWG 2.1. Planning Functions: Determine and share with partners the pre-harvest/lean period and post-harvest periods in South Sudan Development of seasonal matrix on counties where nutrition survey to be conducted Technical support to partners in planning for surveys; (includes review of plans & pre-survey meeting with agencies as necessary) Technical support to the cluster and IMO on changing the tool and indicators. How the reporting rates can be increased. 2.2. Development and sharing of documents: Guidance note on SMART nutrition surveys to be reviewed & updated periodically, based on global updates and practical experience from conducting surveys here in SS Standardized questionnaire for SMART nutrition survey Standardized questionnaires for other modules (health, mortality, food security, WASH & IFYC) Data-entry template for food security, WASH & IYCF Harmonized KAP survey questionnaires and guidance 1 Additional guidance notes on surveys for IDP, Refugees and mixed communities Standardized rapid assessment guidance note and reporting format for various population IDP, refugees, returnees, including guidance on sampling methodologies for rapid MUAC screening Agree on standardized methodology and questionnaire for conducting causal analysis of nutrition in the country In collaboration with other cluster develop joint survey/assessment tools/formats and conduct joint surveys. In collaboration with other cluster develop the reporting tool for Nutrition cluster which will be aligned to the DHIS and Health cluster tools. Ensure that analysis from the data coming in from partners is analyzed and shared with the cluster partners on regular basis. 2.3. Training on nutrition survey, Reporting tool (TOT): Identify training needs/gaps on surveys and reporting tools Plan and provide/coordinate appropriate SMART survey training at country, state and county levels; (oversight of training conducted) Plan and provide/coordinate appropriate Information Management trainings at County, State and National level. 2.4. Ensuring quality of nutrition surveys: Establish and implement a transparent and rigorous validation process to undertake quality-check of nutrition survey data-bases and reports and ensure consistency and an acceptable level of methodological rigor. Provide individual feed-back for partners on validation of data sets and reports Conduct workshop on pre-harvest and postharvest survey results for dissemination of lesson learning from the process 2.5. Ensuring quality of partner reports: Establish a group of Information Managers to do a technical analysis of the data coming in from partners Provide feedback on the Reporting tools and how they can be modified to ensure better quality data. 2.6. Survey information management: Ensure timely compilation of and dissemination of nutrition survey results and analysis including mapping of overview of GAM and SAM by county and graphs of Gam and Sam by state level (routine IM function) to nutrition cluster and other interested stakeholder (other clusters, UN and donor agencies) Ensure data base / respiratory of survey results is kept updated (routine IM function) Support state clusters in dissemination of validated surveys & use of results in nutrition program planning 2.7. Monitoring Functions: Ensure appropriate nutrition survey monitoring mechanisms are in place Provide supports in monitoring of surveys Ensure that the monitoring Matrix is updated every month. 2 Ensuring and motivating all the partners in complying to reporting formats and reporting deadlines. 2.8. Liaison and Coordination Functions: Coordinate with nutrition actors within the sector, to ensure nutrition surveys that are conducted are timely and relevant/appropriate Maintain appropriate survey related links with national and local authorities, state institutions, local civil society and other relevant actors and ensure appropriate coordination and information exchange with them; Coordinate/participate whenever emergency response in surveys is required Represent the cluster in discussions with survey related issues on humanitarian coordination meetings. Coordinate and liase with partners who are not reporting regularly to encourage them on reporting. 2.9. Information Management Function: Standardizing the DHIS with nutrition indicators and align it with Monthly reporting tool of Nutrition Cluster. Align Monthly Nutrition Reporting Format and database with the changing needs and indicators. Review the monitoring framework on regular basis to establish the progress. Suggest different kinds of Analysis of the data which is being collected by the Nutrition Reporting Tool. Review IEC materials to be printed for advocacy. Making use of open forums such as Google docs to get reviews from and get surveys done on cluster performance. Work on cluster IM strategy to be in place. 2.10. Advocacy for: Development of Government guidelines for Nutrition surveys/assessments for South Sudan That a National Nutrition Survey should be conducted (need further discussion/clarity on what should be included in this survey) Advocate for appropriate funding for conducting surveys Advocate for funding for supportive supervision for surveys More involvement of MOH in ownership of surveys Advocate on revising the indicators for reporting if there is a need. 3. Formulation of the TWG The TWG will be composed of technical staff representing the nutrition partners in South Sudan and should include individuals with technical expertise in surveys and Information Management from UN agencies (UNICEF, WFP & OCHA), MOH/RSS, NGOs and private consultants. Also Centre for Statistics for Planning The members of the TWG will be endorsed during the Cluster Partners or by SAG and will be reviewed periodically to ensure that there is an appropriate mix of skills. 3 There will be rotating membership of TWG under SAG guidance For validation process it is essential to have key technical experts with solid survey, Information management and statistical background. Need to clarify how many people are required for validation FSL, WASH, Health Cluster representatives should be involved in analysis aspect following validation. 4. Accountability Performance accountability benchmarks for TWG to be determined The NIWG is accountable to the Strategic Advisory Group of the Nutrition Cluster and will report back to SAG periodically The NIWG also provides reports on activity and accomplishments to Nutrition partners during cluster coordination meetings. 4. Meetings Regular TWG meetings to take place in the pre survey planning and post survey validation period (every two weeks) Regular meeting to take place in changing the reporting tool perhaps every week. Any other issue? 4