Nutrition Updates

AAH through OFDA Funded project, conducted facility-based MUAC screenings for children 6-59 months old across 14 health facilities, in three LGAs of Borno State. As a result, a total of 11,822 (5,262 males, 6,560 females) children were screened. Out of these, 1,583 (712 males, 871 females) children were severely acutely malnourished (SAM) among whom 1 (girl) had bilateral pedal oedema; 4,682 (1,993 males, 2,689 females) had moderate acute malnutrition, and the rest 5,556 (2,557 males, 2,999 females) children were found normal.

More so, 1,624 (712 boys, 912 girls) with severe acutely malnourished children were newly admitted for treatment and 1,315 (551 boys, 764 girls) children exited the program. Likewise, 1,205 (502 boys, 703 girls) children were discharged as cured, 16 (5 boys, 11 girls) were non-recovered, 0 death, 10 (4 boys, 6 girls) defaulters were recorded; the defaulted children were traced by the community-based health mobilizers and volunteers, main findings were linked to relocation with some having travelled for a prolonged period. More so, 51 (27 boys, 24 girls) children were transferred to stabilization centres for inpatient care and 33 (13 boys, 20 girls) to other OTP sites. For the micronutrient supplementation, 1,249 children (642 boys, 607 girls) received micronutrient supplementation powder, and their caregivers consistently received messages promoting optimal IYCF practices at the OTP facility levels. Under same grant, Action Against Hunger sensitized 40,287 (16,690 males, 23,597 females) clients on COVID -19 Infection prevention and control measures across facility sites.

Through Foreign Commonwealth & Development Office (FCDO) formerly known as DFID funded (SUNNY) project, Action Against Hunger conducted facility-based MUAC screenings for children 6-59 months old in Gujiba, Tarmuwa and Nangere LGAs of Yobe State. As a result, a total of 3,365 children were screened. Out of those, 237 children were found severely acutely malnourished (SAM), 1,250 were moderate acutely malnourished, and the rest 1,878 children were found normal. 237 severely malnourished children were enrolled for treatment in Action Against Hunger supported health facilities. Also, 336 children were successfully treated, cured and discharged from OTP while 25 children with SAM and medical complication were treated, cured and discharged back to community from ACF supported stabilization centre. Caregivers received messages on complementary feeding, improved hygiene practices, COVID-19 preventive measures, and other essential IYCF practices

ALIMA continue to provide lifesaving Nutrition services across all implementing sites. Nutrition interventions were conducted in all ALIMA ATFC, at Muna Clinic a total of 314 new SAM cases were admitted and 287 cases were discharged from the program. 39 SAM cases with complications were transferred out to ALIMA ITFC at UMTH.  In total, ALIMA supported ITFC at UMTH, admitted 168 new SAM cases with complications and discharged 159.

Nutrition interventions were also conducted in ATFC at Waterboard Reception Clinic where 58 new SAM cases were admitted and 50 were discharged from the program. In Askira and Hawul LGAs, 155 children suffering from SAM were admitted in ATFC and 12 complicated SAM cases were treated at the ITFC in Askira General Hospital.

14,359 caretakers completed the ALIMA facilitated MUAC – Mother training sessions; and 92% have shown mastery in the use of the MUAC tapes during the training post-test evaluations. The number of participants has been reduced in order to maintain social distancing during the training session.

MDM had 42 new SAM cases admissions in Garba Buzu clinic, 47 discharges and 47 exit kits distributed. A total of 737 children (6 months – 59 months) were screened using MUAC tape at the clinic while 729 (Green-386, yellow-213, orange- 89 and red-39) were screened in the communities. Kawar maila OTP had 65 new SAM cases admissions, 28 discharges and 10 exit kits. 3 SAM cases with complications were referred to MSF Fori stabilization center. 843 children (6 months – 59 months) were screened using MUAC tape at the clinic while 892 (Green-402, yellow- 341, orange- 115 and red 34) children were screened in the communities. El-Miskin clinic in Jere screened 896 (Green-489, yellow- 310, orange- 83 and red-14) children in the PHC clinic. The 14 SAM cases without complications were referred to ACF OTP while 4 SAM cases with complications were referred to stabilization centre. MdM in collaboration with the State Nutrition department conducted a three days intensive CMAM refresher training to 30 staff of the organization.

 

WHO screened 9,406 children for Malnutrition using MUAC by 8 WHO supported H2R teams in Adamawa State. Of this number, 60 (0.64%) children had MAM and their caregivers were counseled on proper nutrition, while 22 (0.2%) of them had SAM as demonstrated by Red on MUAC. The SAM cases were referred to the Outpatient Therapeutic Program (OTP) centers, while the SAM cases with medical complications were referred to the stabilization centers across the state for proper management.

 

Indicators

Adamawa

Borno

Yobe

# children screened (MUAC)

1,870

7,572

2,429

No. of MAM cases

14 (0.7%)

52 (0.7%)

135 (4.7%)

No. of SAM cases

2 (0.2%)

19 (0.1%)

20 (0.7%)

 

There is an observed gradual deterioration in the nutrition status of under-fives in Gubio, Nganzai LGA and other compromised locations. This is because of the suspension of CMAM activities by partners in these locations due to the worsening insecurity. WHO is now the only health care provider in these locations but the TOR of the WHO HTR MHTs remains to screen and refer (as may be necessary). Referred clients are only left with the option of coming to the Metropolitan LGAs (MMC/Jere) but they fail to do so either due to fear of insurgency along the routes or simply because they lack the means to embark on such trip. While WHO is seeking options of implementing modified CMAM package using the LGA personnel, a differential approach in delivery of Nutrition service packages to the security compromised locations as been agreed and drafted by the CMAM technical working group.