South Sudan: RMF UNICEF Malnutrition Treatment and Prevention Program Jonglei State
85% of the Admitted SAM Cases Fully Recovered: Q1 2017
June 07, 2017
Dr. Taban Martin Vitale
Summary of Activities
The overall goal of this project is to reduce the global acute malnutrition (GAM) rate to an acceptable level of less than 15% in each of the payams assigned to RMF. This will be in line with standards set by the South Sudan National Nutrition Program.
Implemented activities in line with RMF-sponsored activities and project objectives:
- Facilitated the participation of RMF in the joint rapid response mechanism mission conducted by WFP and UNICEF in Kandak, Mogok Payam in Ayod County.
- Facilitated the participation of RMF in the joint rapid response mechanism mission conducted by WFP and UNICEF in Katdalok, Kuach Deng Payam in Ayod County.
- Re-established an OTP in Jiech previously run by COSV.
- Procured and provided more stationery for the OTP/SC/TSFP sites in Ayod and Boma.
- Supported the printing of M&E tools for the nutrition activities in Ayod and Boma.
- Supported the routine running of OTP/SC/TSFP activities in Ayod and Boma.
- Supported the welfare of relocated nutrition staff members in Ayod and Boma.
- Continued to procure and provide in-kind support (soaps, salt, and sitting mats) for the infant and young child feeding (IYCF) mother-to-mother support groups.
- Improved storage and accommodation facilities at OTP/TSFP/SC sites in Ayod and Boma.
- Facilitated in-country travel of nutrition staff between Juba and different nutrition centers in Ayod and Boma with UNHAS flights.
- Coordinated and delivered nutrition supplies to RMF sites in Ayod and Boma through the logistic cluster and regular UNHAS flights.
- Continued support of high-speed Wi-Fi internet service in the Juba office to enable easy coordination.
- Continued facilitation of RMF’s team to participate in all coordination activities/meetings at national and state levels.

Results &
ACCOMPLISHMENTS

Lifesaving Nutrition
Serving Malnourished Children
85% of the admitted SAM cases fully recovered, which is a good indicator, as the proportion of recovered children was above the 75% recommended by South Sudan’s MOH and international protocols.
- 7,869 and 10,532 children under 5 were screened for signs of acute malnutrition during this quarter in Ayod and Boma counties, respectively.
- 177 and 222 severely acute malnourished (SAM) children were identified and referred to OTPs in Ayod and Boma, respectively, for management during the reporting quarter.
- 833 and 144 moderately acute malnourished (MAM) children in Ayod and Boma counties, respectively, were enrolled in a supplementary feeding program during this quarter.

Supporting Mothers
Nutrition and Education
During this reporting period:
- 3,779 and 2,347 pregnant and lactating women (PLW) were screened for signs of acute malnutrition in Ayod and Boma counties, respectively.
- 964 and 93 pregnant and lactating women were enrolled in a supplementary feeding program in Ayod and Boma counties, respectively.
- 4,493 and 4,215 mothers and caregivers in Ayod and Boma, respectively, received appropriate messages on IYCF, strengthening malnutrition prevention measures.
- 10 and 6 IYCF mother-to-mother support groups in Ayod and Boma, respectively, were supported and continued to deliver IYCF services.

Technology
Enabling Communication
RMF continued to support satellite phone services through payment of monthly subscription fees, as this is the only means of communication in those hard to reach areas where RMF works and where routine phone services are not available.
RMF’s Juba-based team, visiting nutrition staff from the various field locations, and JTH staff continued benefiting from the high-speed Wi-Fi internet service installed in RMF’s office. The high-speed Wi-Fi internet access enables easy coordination for RMF’s Juba team and visiting nutrition teams from various field locations.

Medical Services
Assisting Those in Need
Some of the children and adults come to our units due to health-related problems, since there are no healthcare services in most of our areas of operation.
Conditions our team sees:
- Malaria
- Respiratory Tract Infections
- Diarrheal Diseases
- Intestinal Worm Infestation
- Skin Infections
- Gunshot Wounds
- Enteric Fever

Providing for Staff
Daily Essentials
RMF’s relocated staff in various nutrition treatment centers of Ayod and Boma received adequate essential foodstuffs from Juba and continued to provide quality CMAM and IYCF services. (All our areas of intervention are hard to reach, and purchasing basic foodstuffs there is not possible.)
Our nutrition field-based teams continued to have clean, safe drinking water through usage of the provided water purifying equipment.

Boma and Ayod
Improved Quality of Life
The communities in Boma and Ayod in particular are delighted with our services. During the reporting quarter, a total of 399 SAM and 977 MAM children, as well as 1,057 PLW were enrolled in our feeding program, respectively, hence improving quality of life for children and pregnant and lactating women.
The populations in our catchment areas are benefiting from regular educational information on nutrition, health, and sanitation.

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