South Sudan: RMF UNICEF Malnutrition Treatment and Prevention Program Jonglei State
Nutrition Staff Receive Mentorship and Training: Q1 2018
June 02, 2018
Odongo Bonny Oryem
Summary of Activities
- With additional support from OFDA, WFP, and UNICEF, our Mogok CMAM center was able to scale up activities by opening two additional outreach centers for the management of under-5 SAM and MAM cases. This has widened access and uptake of the services.
- With support from RMF headquarters, all our CMAM sites in Ayod and Boma were fully funded in terms of operating costs throughout the reporting quarter.
- Facilitated the maintenance of our CMAM sites in Ayod and Boma throughout the reporting quarter.
- Supported the operations of all nutrition centers in Ayod and Boma.
- Continued to support the 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. This enhances communication and coordination of RMF’s programs and program sites.
- Facilitated routine in-country travel of nutrition staff between Juba and different nutrition centers in Ayod and Boma with UNHAS flights.
- Through good coordination with the nutrition cluster, logistics cluster, and others, as well as regular UNHAS flights, RMF delivered adequate nutrition supplies to all our sites in Ayod and Boma.
- Continued support of high-speed Wi-Fi internet service in the Juba office and in Jiech and Boma to enable easy communication and coordination.
- A stabilization center (SC) was established in Jiech.
- IMA World Health provided and delivered the setup items for the stabilization center (SC) in Jiech.
Staff Receive Training and Mentorship
All our sites in Pibor, as well as 2 sites in Mogok and Jiech of Ayod County, received a monitoring and supervisory visit by our M&E coordinator, who mentored staff members on the current national guidelines in malnutrition management.
Existing nutrition staff members were supported, mentored, and refreshed on CMAM/IYCF through continued on-site supervision conducted by the nutrition program managers. In addition, RMF participated in the joint rapid response mechanism mission conducted in Ayod by UNICEF/WFP, during which our nutrition staff members were mentored and a number of SAM/MAM children and PLW enrolled in the feeding program.
Screenings and Treatment
Severe and Moderately Malnourished Children (SAM and MAM)
- 10,212 and 6,743 children under 5 were screened for signs of acute malnutrition during the first quarter of 2018 in Ayod and Boma counties, respectively.
- 399 and 124 severely acute malnourished (SAM) children were identified and referred to OTPs in Ayod and Boma, respectively, for therapeutic management during this reporting quarter.
- 26 SAM children with medical complications were referred to the RMF SC in Ayod, where they received treatment.
- 1,014 and 223 moderately acute malnourished (MAM) children in Ayod and Boma counties, respectively, were enrolled in a supplementary feeding program during this quarter.
Screenings and Treatment
Pregnant and Lactating Women (PLW)
- 5,033 and 3,730 pregnant and lactating women (PLW) were screened for signs of acute malnutrition in Ayod and Boma counties, respectively.
- 817 and 180 pregnant and lactating women were enrolled in a supplementary feeding program in Ayod and Boma counties, respectively, during the reporting quarter.
Support and Educational Training
Infant and Young Child Feeding (IYCF)
- 3,678 and 2,678 mothers and caregivers in Ayod and Boma, respectively, received appropriate messages on IYCF, strengthening malnutrition prevention measures.
- 16 and 6 IYCF mother-to-mother support groups in Ayod and Boma, respectively, were supported (with knowledge and in-kind materials) and continued to deliver IYCF services.
Partnership with Additional Agencies
Working Together to Bring Aid
RMF signed a renewed field level agreement (FLA) with World Food Programme (WFP). In addition, RMF coodrinated nutrition activities with UNICEF, UN agencies, the nutrition cluster, and other nutrition partners, both at the national and state levels.
With additional support from WFP, RMF chartered a flight to deliver iron sheets and other construction materials for the storerooms in Gorwai.
Caring for RMF Staff
Providing Food and Water
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.
Click to enlarge
- The project aims to provide treatment to about 2,108 and 2,422 SAM children in Ayod and Boma, respectively.
- The project aims to provide treatment and multi-micronutrients to about 4,888 and 1,679 MAM children in Ayod and Boma, respectively.
- The project aims to provide treatment and multi-micronutrients to about 1,596 and 448 PLW in Ayod and Boma, respectively.
Age: 13 Months
During a routine screening of children for signs of acute malnutrition, RMF Community Nutrition Volunteers found that Nyajima, a 13-month-old girl, was suffering from severe acute malnutrition (SAM) with medical complications. The young girl’s weight was 5.5 kg and her MUAC 10.9 cm. Her mother is a widow, Nyarock Chany Kueth, and Nyajima is the fifth child in the family, born in Pajiek Payam. On admission to the RMF stabilization center (SC), Nyajima’s mother further explained their situation at home, which caused the child to become underweight and thin: the mother and daughter only eat one meal per day, mostly wild fruits. RMF’s clinicians approached the mother and child as a whole. Nyajima was admitted to the RMF stabilization center, where she began receiving quality nutrition and medical management under the close supervision of qualified medical staff. Her mother, Nyarock Chany Kueth, was also given a food ration to provide for her meals during the inpatient treatment of Nyajima.
On the second day of treatment, Nyajima started to gain weight with a good appetite, and her medical complications started to resolve. On the third day, the clinician decided to transfer Nyajima to begin outpatient therapeutic feeding, where she required only six weeks in the program and was then discharged to the supplementary feeding program and to be registered for WFP general food distribution, together with the food security and livelihoods program.
Puok Koang Kai
Age: 18 Months
Puok Koang Kai is an 18-month-old boy born in the village of Jiech in Wau Payam, Ayod County. During a routine screening for signs of acute malnutrition, RMF Community Nutrition Volunteers identified Puok as suffering from severe acute malnutrition: his weight was 6.3 kg and MUAC 10.9 cm. When Puok and his mother, Nyaweika Deng Thuop, arrived at the outpatient therapeutic center, they were welcomed by RMF’s senior nutrition nurse at the facility. During their talk and treatment, Puok and his mother were approached as a whole. The mother explained the situation in her home and the general situation in the community: children only survive on cow’s milk and wild fruits, which is a scant diet and hard for the child to survive on.
Puok Koang Kai was enrolled in the outpatient therapeutic program (OTP) to start routine medical treatment and ready-to-use therapeutic foods, as seen in his recovery picture below. RMF also referred the child’s mother, Nyaweika, to be registered for the blanket supplementary feeding program and WFP general food distribution, together with the food security and livelihoods program.