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NewsWFP/T Loro, Sudan, 2007 WFP/T Loro, Sudan, 2007Report on WFP TrainingWorkshop in SudanBy Theresa Loro, WFP SudanTheresa Loro is a Senior Nutritionist working withWFP Sudan and has been based in Khartoum since2004 as a National Officer for Nutrition andHIV/AIDS focal person. Previously Theresaworked with UNICEF Sierra Leone as UNVNutritionist for 18 months, and has worked withthe Combined Agencies Relief Team (CART),UNICEF Sudan, and the Ministry of Agriculture inSouthern Sudan since 1990.From 6-8 May 2007, WFP Kadugli sub-office, incollaboration with the State Ministry of Health(SMOH) and UNICEF, conducted a three-dayHealth, Nutrition and HIV/AIDS MessagesPromotion Training Workshop in Kadugli locality,Sudan.The aim of the workshop was to promoteappropriate diets, healthy lifestyle measuresand protection against HIV that would help inreducing malnutrition and inappropriate feedingpractices in children, promote good hygieneand sanitation, and contribute towards theeradication of HIV/AIDS disease. This wouldcomplement the work of health workers fromMOH, UNICEF and collaborative partners inKadugli area.Workshop objectives• To build up capacities of WFP staff andcooperating partners (CPs) to impart keyhealth, nutrition and HIV awarenessmessages to beneficiaries at general fooddistribution (GFD) sites, using a communityapproach.• To develop and establish a joint healthpromotion educational strategy betweenWFP, MOH, UNICEF and CPs to raisecommunities’ awareness of key issuesthrough community women training. Thiscommunity based training would takeplacein pilot project selected locations of GFDareas.Thirty-two participants (18 men and 14 women)attended the workshop, representing eighteenGroup work presentationorganisations, the Government of Sudan (GOS),United Nations (UN) and non-governmentalorganisations (NGOs), including WFP staffselected from Kadugli, Kauda and Abyei.Additional representatives from the FederalMinistry of Health (FMOH) and SMOHattended the workshop.Professionals from the FMOH, SMOH, UNICEFand WFP nutrition unit were the main facilitatorsof fourteen training sessions. Field sessionsin selected community villages were used topractice application of the Training of Trainers(TOT). Participants also practiced formulatingtraining plans to train community-basedwomen in the delivery of health promotionmessages.OpportunitiesMost of the partners’ organisations’ participantshad an adequate background in health,nutrition, HIV/AIDS and health promotioneducational messages. This will strengthen thecommunity women training in the pilotproject’s locations.Collaborative partners involved in the pilotproject (SMOH and UNICEF) have mandatedstrategies and policies that encourage involvementof communities in health, nutrition, andHIV/AIDS and health promotion messagesdelivery.ChallengesAn evaluation of the training workshop wasundertaken. The short time allotted to trainingsessions limited discussion and interactionbetween trainers and facilitators, which led tosome dissatisfaction amongst participants(19.6%).The administration of the training budget tocover expenses needed good planning. A perdiem/transportation allowance has not beenconsidered/allowed in the training budgetplanning. This negatively influenced GOSPractical work in the community sessiontraining participants’ motivation as they areused to receiving payment in similar organisations’training exercises.The provision of one meal during the day wasinsufficient where participants were expectedto work for long hours.Follow upWFP field monitors and representatives fromCPs who participated in health promotion trainingare now engaged in a pilot project, responsiblefor the training of community women,selected from 5-6 locations in the GFD targetedareas. Awareness programmes shall be advocatedin these communities to disseminate keyhealth messages within the programme plannedactivities, including nutritional values andpreparation of food aid, HIV awareness, hygienepromotion, and diarrhoea management.Recommendations• SMOH, UNICEF and WFP should developclear strategies for community womentraining programmes.• SMOH, UNICEF and WFP should set outplans for community women training in thedesignated pilot project’s locations.• WFP-Khartoum should make sure thattraining equipments and materials areready before a community training plancommences.• Collaborative partners should ensure thatmore guidance in planning and communicationskills and on follow-up of communitywomen training are developed before pilotproject community training commences.• Literacy education partnering projectsshould be encouraged at project locations,as high illiteracy among the women is amajor contributing factor to poor nutritionalstatus.For more information, contact: Theresa Loro,WFP Sudan, email:Theresa.Loro@wfp.orgChanges in eligibility for specialisedfood for HIV positive adultsThe US government HIV/AIDS office on theuse of food in programming with PEPFAR(President's Emergency Plan for AIDS Relief)has changed policy with regard to food andnutrition programming.This policy change relates to adult patients whoare enrolled in Anti-Retroviral Therapy (ART)and care programmes. Effective immediately,U.S. Government Emergency Plan countryteams may provide food support to patients inART and care programmes with a Body MassIndex (BMI) less than 18.5 (previously the criteriawas
NewsWorkshop on the Integration of Community-basedManagement of Acute Malnutrition (CMAM)Date: April 28-April 30, 2008The Food and Nutrition TechnicalAssistance (FANTA) Project is hosting aCommunity-based Management of AcuteMalnutrition (CMAM) international workshopin Washington DC, sponsored byUSAID’s Office of Foreign DisasterAssistance and Office of Health, InfectiousDiseases and Nutrition. The workshop willbe organised jointly with United Nations(UN) and non-governmental organisation(NGO) partners.In recent years, CMAM has moved intomainstream programmes. Practices onceconfined to humanitarian emergencyprogramming are now being implementedin standard clinic settings. NationalMinistries of Health, not only NGOs, nowimplement CMAM. With the recent UNJoint Statement on Community-basedManagement of Severe Acute Malnutrition 1 ,this trend is expected to accelerate rapidly,putting extra strain on existing capacity fortraining and dissemination. Within thehumanitarian sphere there has been adiscernable evolution of CMAM programmingto address sustainability concerns,and to enable more effective integration intoexisting national health services. However,there remain a number of challenges.The April 2008 workshop is expected toprovide an opportunity to share currentpractices in the integration and scale-up ofCMAM. Organisers hope to attract presentersfrom Ministries of Health in countriesimplementing CMAM, as well as NGOs andother partners.Interested agencies and individuals shouldvisit the FANTA website (see below) for alist of workshop themes and sessions, andinstructions for registering and for submittingpresentations for consideration.Food and Nutrition Technical Assistance(FANTA) Project Academy for EducationalDevelopment, 1825 Connecticut Avenue.,NW, Washington, DC 20009-5721Tel: +1 202 884-8000 fax: +1 202 884-8432e-mail: fanta@aed.orghttp://www.fantaproject.org1See news piece, Field Exchange 31. p15. The JointStatement is available at:http://www.who.int/entity/nutrition/topics/statement_commbased_malnutrition/en/ENN led Management of Acute Malnutritionin Infants (MAMI) ProjectFunded by the UNICEF led InteragencyStanding Committee (IASC) Nutrition Cluster,the ENN is planning a review in 2008 of the fieldmanagement of acutely malnourished infantsunder six months of age.The management of malnutrition in infantsunder six months of age has been severelyhampered by a poor evidence base upon whichto base guidance materials 1 , and consequentlyhow best to support these infants in practice.Efforts have been made to ‘stop-gap’ the lack ofguidance to support field practitioners 2 andagencies have evolved guidance to meet theneeds of infants as they present. A body ofexperience in the management of this agegrouphas been accumulating over the past 5years amongst agencies. However in manyinstances, programme data are collected butnot analysed, or internal reports written butnot routinely shared with outside agencies.The ENN believe that reviewing and possiblyre-analysing ‘hidden field evidence’ is a criticalfirst step to gain some understanding of keyissues around management of malnutrition inthis age-group, e.g. overall admissionnumbers, programme coverage, agency guidancematerial, management practices and treatmentoutcomes.The Management of Acute Malnutrition inInfants (MAMI) Project will endeavour toestablish what is currently advised or recommendedregarding the management of acutemalnutrition in infants under six months in theform of guidelines, policies and strategies, bydifferent organisations and then determinewhat is carried out in practice.The review will involve an inter-agencycollaboration, with the formation of a steeringcommittee involving those agencies wishing tocontribute information and data. There willalso be a research advisory committee of‘experts’. The Centre for International Healthand Development, University College London(CIHD), will provide academic leadership andsupport while Action Contre la Faim (ACF)will be the lead for operational agencies.This review will engage with the currentreview process of severe malnutrition managementundertaken by WHO and theInternational Malnutrition Taskforce.Findings of the MAMI study will be sharedthrough the ENN regular publication, FieldExchange. Updates and the findings will beshared at the Global Nutrition Cluster meetingsand at international fora, such as the UNStanding Committee on Nutrition meeting in2009.A framework and detailed scope of thereview will be developed in consultation withthe steering committee and research advisorygroup. Any individuals or agencies, includinggovernment bodies, local and internationalNGOs and UN agencies, who would like toparticipate in this project should contact MarkoKerac, email: m.kerac@ich.ucl.ac.uk orMarie McGrath, ENN, email:marie@ennonline.net, tel: +44 (0)1865 249745For more information, including a questionnaireto gauge interest and data potential,visit: http://www.ucl.ac.uk/cihd/research/nutrition/mamiOr http://www.ennonline.net/research1Severe Malnutrition: Report of a Consultation to ReviewCurrent Literature (WHO, 2005)2A chapter on managing severe malnutrition in infantsunder six months was included in the Module 2 trainingresource (available at http://www.ennonline.net/ife) developedby the IFE Core Group, with input from externalexperts and guided by expert technical opinion and review.A mother with her infants enrolled inTahoua feeding centre in Niger, run byCONCERN and supported by WFPWFP/T Loro, Sudan, 200720
Page 1 and 2: January 2008 Issue 32ISSN 1743-5080
Page 3 and 4: Field ArticleA health centrein Zimb
Page 6: ResearchMUAC measurement in MalawiA
Page 9 and 10: Women and children,in the village o
Page 12 and 13: ResearchWHO growth reference forchi
Page 14 and 15: Training in ActionC Angood, Tanzani
Page 16 and 17: NewsNew Red CrossGuidelines forCash
Page 18 and 19: NewsNutriset and ValidNutrition sig
Page 22 and 23: Field ArticleSocio-CulturalDetermin
Page 24 and 25: Field Articletices such as buro) ar
Page 26 and 27: EvaluationReal timeevaluation ofPak
Page 28 and 29: PostscriptUNHCR CommentAnn Burton,
Page 30 and 31: Field ArticleEvaluation ofRelactati
Page 32 and 33: Field ArticleAdmission weights rang
Page 34 and 35: Sphere Project, 2006Sphere Project,
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