2019 GNC Annual Meeting

Categories: Events / News / No CommentsPosted on: June 26, 2019

Date: 2-4 July 2019
Location: Brussels ,Belgium

The GNC Annual meeting will take place in European Commission building, Rue Philippe Le Bon 3, Brussels from 2nd  to 4th of July 2019.

The objectives of the 2019 GNC Annual meeting are to galvanise action across the GNC partners for improved NiE preparedness and response

The Agenda of the meeting can be downloaded here:2019 GNC annual meeting agenda FINAL

The GNC annual meeting document can be downloaded here:

Background documents for the meeting:

Day 1 (2nd |July), presentations can be downloaded on the following links:

Objectives: To set the scene for the GNC Annual Meeting in terms of GNC strategy,objectives and focus;To examine global level programming initiatives and country level experienceand realities.

Day 2 (3rd July), presentations can be downloaded on the following links:

Objectives: To examine country level programming and global level experiences in High Impact Nutrition Interventions (HINI) and CMAM to improve the quality of NiE responses .

Work group 

 

 

Day 3 (4th July), presentations can be downloaded on the following links:

Objectives: To review progress of the Global Technical Assistance Mechanism for Nutrition (GTAM), key achievements and challenges in the implementation of the GTAM workplan for 2019 and confirm GTAM priorities for 2019-2020.

 

 

GTAM Panel Discussion Recording link :

Market Places related documents can be downloaded on the following links:Market Place Session Projects Showcased July 2019

 

Project #1

Name:Mija Ververs
Job Title:Senior Nutritionist/Health Scientist
Organization:CDC
Title of the project showcased:Nutritional care in Ebola Treatment centers – experiences and lessons learnt
Location of the project showcased:West Africa and DRC
Short description of the project showcased:Experiences and lessons learnt based on key informant interviews on how the nutritional care of patients with Ebola was organized in the 2014-2016 West Africa outbreaks as well as looking how it is done now in the Democratic Republic of Congo.

 

Project #2

Name:Ruth Situma
Job Title:Nutrition Specialist
Organization:UNICEF
Title of the project showcased:Global Technical Assistance Mechanism for Nutrition
Location of the project showcased:Global
Short description of the project showcased:What is Global Technical Assistance Mechanism for Nutrition? A common global approach endorsed by over 40 Global Nutrition Cluster partners to provide systematic, predictable, timely and coordinated nutrition technical support to countries in order to meet the nutrition rights and needs of people affected by emergencies. The Global Technical Assistance Mechanism for Nutrition (GTAM) is co-led by UNICEF as the Cluster Lead Agency and World Vision International.

 

Project #3

Name:Andi Kendle
Job Title:Director of Technical Rapid Response Team (Tech RRT)
Organization:International Medical Corps (IMC)
Title of the project showcased:Tech RRT
Location of the project showcased:Global
Short description of the project showcased:The Tech RRT is an emergency response mechanism formed in August 2015, led by International Medical Corps in consortium with Save the Children and Action Against Hunger, which aims to improve the quality and scale/reach of nutrition humanitarian responses. A pool of technical experts is available for deployments and remote work on short notice to support either the entire nutrition community or individual agencies in planning, leading and responding to humanitarian emergencies. Currently the Tech RRT team includes specialists in CMAM, IYCF-E, and Surveys and Assessment and Social Behavior. More information on the website: http://techrrt.org/ and on Twitter @TechRRT

 

Project #4

Name:Claudine Prudhon
Job Title:Infant and Young Child Feeding in Emergency (IYCF-E) researcher
Organization:Save the Children UK
Title of the project showcasedDevelopment of interventions to help women during emergencies to resume or increase breastfeeding
Location of the project showcasedSomalia and Zimbabwe
Short description of the project showcasedThis project aimed to evaluate relactation interventions in emergency settings through the development of easily operationalized standardized guidance for the implementation of relactation interventions. In this study, relactation interventions are defined as interventions to help women increase or resume breastfeeding.
The study had two phases:
1- Phase 1 was a qualitative study to review current breastfeeding protocols (CBP) aimed at helping women to resume or increase breastfeeding in existing Save the Children IYCF-E programmes.
2- Phase 2 was piloting the optimized breastfeeding protocols (OBP). Health facilities were randomized by simple random sampling to one of the two study arms, following CBP or OBP respectively. The IYCF counsellors at health facilities allocated to the OBP study arm were trained in the new protocol.
Around 50 caregiver- infant pairs were included in each group in Somalia and Zimbabwe and followed up for three months.
The study showed evidence of improved breastfeeding practices after three months attendance of the IYCF-E programme using the OBP protocol, consisting of weekly one-to-one counselling and bi-weekly mother-to-mother support groups. To our knowledge, this is the first study to demonstrate that improvement in breastfeeding practices can be achieved after a relatively short period of time in humanitarian emergency contexts.

 

Project #5

Name:Cécile Salpéteur HOAREAU
Job Title:Research project advisor in Nutrition & Health
Organization:Action Contre la Faim (ACF)
Title of the project showcased:Clinical trial on reduced RUTF dosage vs standard one (MANGO)
Location of the project showcased:Burkina Faso
Short description of the project showcased:Preliminary results of the MANGO trial which main objective is to estimate the efficacy and cost-efficacy of a reduced RUTF dosage compared to standard one among children 6-59 months suffering from uncomplicated SAM in Burkina Faso

 

Project #6

NameCaroline Antoine and Alexandra Rutishauser-Perera
Job TitleHealth referent ACF France and Senior Nutrition and Health Advisor ACF UK
OrganisationAction Contre la Faim (ACF)
Title of the project showcasedAleDia : Alliance for integrated e-DIAgnostic
Location of the project showcasedPilot testing and implementation of the project in Burkina Faso, Mali and Mauritania
Short description of the project showcasedDespite progress in reducing child mortality in the past two decades, treatable conditions such as diarrhea, pneumonia, malaria and malnutrition remain the leading causes of death among children under the age of five in low-income countries. IMCI and CMAM services are often not well coordinated, and children presenting with both an infection and severe acute malnutrition are at risk of not receiving the comprehensive treatment they need, resulting in delayed recovery and potentially death.This situation is particularly important given malnourished children’s higher risk of dying from an infection.The objective is to implement a common digital solution that includes both IMCI and CMAM clinical protocols, guiding primary health care workers in the evaluation, classification, treatment and follow-up of sick children.
The following components will contribute greatly to the success of this innovative digital solution.
1- e-Diagnosis and Clinical Decision Support: Facilitate Health Care Worker adherence to IMCI & CMAM protocols when diagnosing and treating ill children in outpatient health clinics
2- e-Learning and Capacity Building: Provide training to health care workers to ensure the application is used correctly and accepted by staff and to district health workers to build data-management skills for better analysis of the service.
3. Data Management: Real-time data collection will result in data being readily available for district health officers.
We are currently investigating potential funding opportunities to support the development and deployment of this digital solution. Action Against Hunger, Terre des hommes and World Vision International are confident that ALeDIA will have a lasting impact on the reduction of global child mortality. The comprehensive approach used for this project will reduce the heavy burden on healthcare workers and decrease fragmentation within health services by
ensuring that just one mobile device is required to manage all children aged under 5 who need treatment for common infections or acute malnutrition.

 

Project #7

Name:Sarah O’Flynn
Job TitleDirector, Emergency Nutrition
Organization:USAID Advancing Nutrition / Save the Children
Title of the project showcased:Presentation of the USAID Advancing Nutrition Project and the 2018 revision of the CMAM Training Guide
Location of the project showcased:United States
Short description of the project showcased:What is USAID Advancing Nutrition?USAID Advancing Nutrition is the agency’s flagship nutrition project, led by JSI Research & Training Institute, Inc. (JSI), and a diverse consortium of experienced partners. Launched in September 2018, USAID Advancing Nutrition provides technical support to and implementation of interventions across sectors and disciplines for USAID and its partners. The project’s multi-sectoral approach draws together global nutrition experience to design, implement and evaluate programs that address the root causes of malnutrition. Committed to using a systems approach, USAID Advancing Nutrition strives to sustain positive outcomes by building local capacity, changing behaviors and strengthening the enabling environment to save lives, improve health, build resilience, increase economic productivity and advance development.
The 2018 revision of the CMAM Training Guide will also be showcased.

 

Project #8

Name:Regine Kopplow
Job Title:Senior Advisor Food & Nutrition Security
Organization:Concern Worldwide
Title of the project showcased:The CMAM Surge Approach – progress and learning thus far
Location of the project showcased:13 countries mainly West and East Africa
Short description of the project showcased:Concern Worldwide used an initial framework to develop further and pilot the current CMAM Surge model in Kenya, beginning in 2012. To date, the approach has been implemented in 13 countries with support from multiple partners and donors.The CMAM Surge approach has eight basic steps to help government health teams respond to increases in SAM caseloads. These steps link an analysis of the local context, risks, health system capacity, and needs to specific response actions. The analysis process culminates in the setting of health facility-specific thresholds that, when crossed, move the health system from a normal implementation state into a higher phase of action (alert, serious, emergency) based on the severity of the shock. Passing a threshold then triggers pre-agreed-upon actions and capacity support from both government and non-government actors across health system levels.Like all health systems strengthening approaches, CMAM Surge is a long-term approach that increases system capacity over time. Evaluations of the approach show that with long-term investment, progress towards health system resilience and responsiveness can be gained.CMAM Surge is a useful entry point for introducing health systems strengthening concepts and that government health staff naturally expand these concepts into other parts of service delivery once they are mastered for CMAM. CMAM Surge is currently being implemented by Concern in Burundi, Chad, Ethiopia, Kenya, Niger, Pakistan and previously in Uganda. Other NGOs implementing the approach are Action Contre la Faim (ACF), COOPI, Croix-Rouge Française (CRF), GOAL, Save the Children, and International Rescue Committee (IRC) in Burkina Faso, Cameroon (pilot ended), Ethiopia, Mali, Mauritania, Niger, and Senegal.Many of the above listed actors came together in Nairobi in May 2019 to share experience, discuss changes to the operational guidelines and to map out a way forward for this promising approach. A Technical Working Group was launched with Terms of Reference still under development. The objective of the group is to have CMAM Surge become an integral component of the CMAM operational guidelines.

 

Project #9

Name:Laura Bramley
Job Title:Technical Advisor, Measures
Organization:Valid International
Title of the project showcased:A Study Comparing the Infant and Child Feeding Index (ICFI) with the Standard Infant and Young Child Feeding (IYCF) Indicators
Location of the project showcased:Burkina Faso
Short description of the project showcased:Assessment of infant and young child feeding (IYCF) practices is crucial for many nutrition interventions. The current standard IYCF indicators apply to children aged 0-23 months and are intended for large-sample surveys; they are less suited to the small samples needed for efficient monitoring and evaluation of sub-national programs and combine inefficiently with anthropometric surveys targeting children aged 6-59 months.Funded by OFDA, Save the Children and Valid International are conducting research in Burkina Faso, to compare the rapid Infant and Young Child Feeding Index (ICFI), a simplified IYCF indicator, to the standard IYCF indicators.The study is currently collecting data using the ICFI and the existing IYCF indicators on a sample of children aged 6-23 months to compare classifications by each indicator. ICFI data is also collected for children aged 24-59 months, along with detailed quantitative 24-hour food recall data. This data will be used to calculate minimum probability of nutrient adequacy for the minimum dietary diversity classification in the extended ICFI (children up to 59 months) and will validate the ICFI for the 24-59 months age group, which is currently not included in IYCF surveys.The resulting validated ICFI indicator set will require smaller sample sizes and allow IYCF assessments to be coupled with SMART surveys or rapid assessment survey methods (such as VI’s RAM), enabling lower-cost IYCF assessments while maintaining sufficient statistical precision. More affordable IYCF assessments will make more frequent assessments possible in smaller areas, improving M&E to design and implement more appropriate IYCF interventions.

 

Project #10

Name:Adama Coulibaly and Paul Kagayo
Job Title:MOH Mali and Co-Cluster Coordinator
Organization:MOH and UNICEF
Title of the project showcased:French Activités réalisées dans le cadre système d’informations nutritionnelles- EnglishActivities in line with nutrition information systems
Location of the project showcased:Mali
Short description of the project showcased:French Les différentes composantes d’activités qui génèrent les informations nutritionnelles dans le cadre de la surveillance nutritionnelle : Forces / Faiblesses / Opportunités / Menaces- EnglishThe different activities that generate nutrition information in the frame of a nutrition information surveillance system: Strength, Weaknesses, Opportunities and Threats

 

Project #11

NameDr. Wilfred Bengnwi
Job TitleNutrition Cluster Coordinator
OrganisationUNICEF
Title of the project showcasedLessons learnt from 2015 and 2019 Cyclone Idai Flood Response in Malawi
Location of the project showcasedMalawi
Short description of the project showcasedMalawi presents a unique setting on how it successfully institutionalized emergency response into its normal developmental agenda, thereby creating a resilient community to shocks, cyclones and droughts. The way Malawi has been able to do it is a best practice worth showcasing.

 

Project #12

Name:Colleen Emary
Job Title:Technical Advisor, Nutrition
Organization:World Vision International
Title of the project showcased:Integrated Nutrition and ECD for Moderately Acute Malnourished Children in Sudan
Location of the project showcased:Sudan
Short description of the project showcased:Background: Research demonstrates that maternal and child health programmes containing both positive stimulation and support for caregivers are more effective in promoting growth and optimal child development than standalone health and nutrition interventions. World Vision Sudan, implemented an early childhood development package developed by World Vision International, known as ‘Go Baby Go’ (GBG), within a supplementary feeding program for the prevention and treatment of MAM. Using a combination of caregiver group sessions and home visits, GBG is focused on early childhood psychosocial stimulation and care for 0-3 yrs with an aim of helping parents and other caregivers create a positive environment that maximizes their baby’s growth and development.Objective: To assess the effectiveness of combined early childhood psycho-social stimulation and care on the treatment outcomes of malnourished children integrated within existing nutrition programs.Methodology: The study was conducted at three established feeding centers in the south Darfur district. At two sites, attending caregivers and children received nutritional support plus the intervention (Go Baby Go). At a third site, caregivers received the nutrition intervention alone. The intervention was delivered by a cadre of community health workers trained in the GBG approach.Results: Better MAM treatment outcomes (cured, default and non-recovered) in the intervention group, compared to the group receiving the nutrition intervention alone.Conclusion: Combining an early childhood psycho-social stimulation and care package within an existing nutrition program is feasible, and may contribute to improved nutrition and development outcomes. Further research is needed to prove concept for scale-up.

 

Project #13

NameIris Bollemeijer
Job TitleNutrition Advisor
OrganisationInternational Medical Corps
Title of the project showcasedIMC’s nutrition surveillance system in South Sudan
Location of the project showcasedSouth Sudan
Short description of the project showcasedThe poster would describe a bit of the background of South Sudan and the need for a thorough nutrition surveillance system. More details are presented about the creation of this system, how it works, the challenges it has faced, the results to date and the way forward.

 

Project #14

Name:Colleen Emary
Job Title:Technical Advisor, Nutrition
Organization:World Vision International
Title of the project showcased:Using a food-based approach to address acute malnutrition in the fragile context of Burundi
Location of the project showcased:Burundi
Short description of the project showcased:Burundi is currently categorized as a ‘fragile’ context largely due to natural disasters and political shocks within the country. In such a context, one of the approaches World Vision Burundi (WVB) is using to address malnutrition is through ‘Positive Deviance/Hearth’ (PDH), an internationally recognized community-based intervention for families with underweight children (6–59 months), but published evidence of effectiveness of the food-based approach to rehabilitate MAM or SAM children is scarce. Monitoring data was collected by WVB between October 2017 to September 2018. Graduation rates were calculated at 3 months follow-up.WVB admitted 1,727 underweight children (WAZ<-1.0) 6-59 months of age into PDH. Of these admissions, 17.9% (n=309) met MAM criteria (yellow MUAC); and 0.8% (n=14) met SAM criteria (red MUAC). Following 12 consecutive days of Hearth sessions, 53.7% (n=166) of MAM children and 35.7% (n=5) of SAM children were rehabilitated to a MUAC of ≥12.5cm.The overall graduation rate at three months for all PDH-admitted children in their first round of Hearth was 64.0% (n=956), with a default rate of 2.7% (n=46). Of the MAM and SAM children admitted on day one of Hearth, 53.1% (n=164) of MAM and 50.0% (n=7) of SAM children graduated in three months.
Programme observations suggest that recovery of MAM children takes longer (an additional one to two Hearth sessions) than for children who are only underweight, but a food-based approach can be used to rehabilitate MAM and even SAM children in their homes and community even in fragile contexts.

 

Project #15

Name:Nora Hobbs
Job Title:Nutrition, Policy and Programme
Organization:WFP
Title of the project showcased:Fill the Nutrient Gap: a situation analysis for multi-sectoral decision-making on the prevention of malnutrition
Location of the project showcased:Several country examples, including refugee settings
Short description of the project showcased:The FNG assessment considers the availability, physical access and affordability of nutritious foods required for adequate nutrient intake. In addition, it identifies context-appropriate interventions that can be implemented by different sectors to enable people to choose more nutritious foods, and hence fill nutrient gaps.The market place presentation aims to sensitise and engage the humanitarian community on the concept and methods of the FNG assessment. For this, posters will present applications of FNG assessments in fragile contexts, including findings and recommendations from a couple of countries to illustrate how results were used to inform humanitarian responses.The FNG assessment engages stakeholders throughout the process and based on the findings they identify appropriate nutrition-specific and nutrition-sensitive interventions that can be implemented by different sectors using their existing delivery platforms.Analysis of bottlenecks and opportunities to improve the diets of nutritionally vulnerable groups through different sectors contributes to strengthening systems, an approach that reinforces the links between humanitarian and development programmes.

 

Project #16

Name:Said M. Yaqoob Azimi
Job Title:Information Management Specialist
Organization:UNICEF
Title of the project showcased:1-      Advancement on IMAM M&E mechanism and its linkage with evidence-based decision making2-      Findings on Afghanistan MUAC screening data and its program implicationNote that two projects will be showcased
Location of the project showcased:Afghanistan
Short description of the project showcased:1-      Advancement on IMAM M&E mechanism and its linkage with evidence-based decision makingBackground: Collection and provision of quality nutrition information is one of the key objectives of public nutrition directorate (PND). It enables PND to evidence-base decisions by identifying the drivers and the barriers of good practices, so all nutrition partners utilize that information to plan the intervention accordingly, thus improve effectiveness and efficiency of the services. In addition, availability of the evidence strengthens the capacity of nutrition sector to utilize the evidences to advocate, support and/or formulate the new policies and strategies to fill the policies and strategies’ gap. To fulfill the mentioned objective PND with support from UNCIEF has established an online reporting mechanism for nutrition services. The online Nutrition management information system (MIS), which includes data reporting and monitoring of nutrition services, is producing timely and accurate information which is being used for decision-making.Objectives: The objective is to describe improvements to the quality and use of national routine nutrition information and strengthening of the nutrition reporting and monitoring system.Results: National nutrition reporting timely submission rate (within the first 10 days of the new month) increased from 70% in 2017 to 95% in 2018 at a time of rapid nutrition intervention expansion (from 900 HFs to 1308 HFs). Nutrition Monitoring Checklist results was expanded and applied to 32 provinces with 1280 visits within 5 months’ time-period between October 2018 to Feb 2019. The monitoring mechanism indicated nutrition data accuracy of above 80%. In 2017, UNICEF supported the ministry of public health to develop an online reporting mechanism for nutrition (IMAM) services. The online nutrition Management Information System (MIS), which includes data reporting and monitoring of the services, is producing timely and accurate information for decision-making.2-      Findings on Afghanistan MUAC screening data and its program implicationObjective: To assess malnutrition situation using HMIS dataMethodology: routine HMIS screening dataResults: 2,262 HFs provide screening services and report via HMIS 14,611,854 under five visits 8,018,514 screening sessions conducted 271,272 SAM cases notifiedConclusion: Seasonality of malnutrition is confirmed by routine screening data. HMIS screening figures are compatible with local and national figures with some exceptions (outliers). The HMIS system is considered as a great opportunity to assess children nutrition status on a regular basis. The quality of screening data can be assured by implementing partners. There are considerable missed opportunities for screening and admission of SAM cases geographically (equity issues). Share of SHCs for screening services are 17%; while its share for SAM admission is only 6%. Lower level of screening by CHC and BHCs comparing their SAM admission contribution.Programmatic Implications: More analysis is required, maybe estimation of correction factor is a way to use routine screening data efficiently for planning Utilization of HMIS screening data can be a way for annual nutrition emergency planning and programming 

 

 

Project #17

Name:Esther Busquet
Job Title:Nutrition Advisor
Organization:International Medical Corps
Title of the project showcased:A Cost of the Diet analysis in Bria, Central African Republic
Location of the project showcased:Bria, Central African Republic
Short description of the project showcased:In November 2018, IMC conducted a Cost of the Diet analysis in Bria, CAR to determine if a nutritious diet was available and affordable for the people in Bria Town and PK3 IDP camp.Despite a general food distribution (GFD) ration for 20 days per month, and the availability of nutritious foods in the area, a typical family of nine (husband, two women, one grandmother, and 5 children) could not afford a nutritious diet in both Bria town and PK3 IDP camp. The very poor earn barely enough to meet their energy needs for the 10 days not covered by the GFD (using >95% of their monthly income), and poor people can only meet energy needs using 40% of their monthly income. Very poor households are unable to consume a nutritious diet in the 10 days not covered by the GFD and poor people can only do so when using 71% of their income for food.It is recommended to provide a full 30-day general ration to all people in Bria Town and PK 3 camp in order to ensure a nutritious diet for all.Measures should be taken to ensure a nutritious diet without dependency on GFD, such as increasing income within the most vulnerable households, ensuring access to land for both inhabitants of Bria town and IDPs in the camp in order to have at least a small plot to grow vegetables for the household, normalization of the food prices which increased significantly due to the conflict.

 

Project #18

Name:Shabib Al Qobati, Angeline Grant and Mija Ververs
Job Title:GNC IMO Help Desk, GNC Coordination Help Desk and  Senior Nutritionist/Health Scientist
Organization:UNICEF GNC-CT and CDC
Title of the project showcased:Mapping of number of SAM cases in need versus number of SAM cases admitted and in treatment – CDC and GNC GIS collaboration
Location of the project showcased:Global Support
Short description of the project showcased:The aim of the mapping tool is to compare immediate SAM needs to existing SAM treatment caseloads at district level. It seeks to identify districts where OTPs and SCs can anticipate an increase in admissions (and therefore require increased resources), on the basis of recent SMART survey data. The GNC and CDC will also showcase a map that seeks to compare cumulative admissions, over the course of a year, to annual cluster targets, at district level. The map seeks to determine which districts are on track to meet their annual targets and which districts require increased resources and support to scale-up the coverage of CMAM activities to meet needs.

 

 

 

2019 GNC Annual Meeting
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