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Social and Behavior Change Communication Toolkit (nutrition specific) launched in Karachi under Accelerated Action Plan for Reduction of Stunting and Malnutrition(AAP). Mr Christopher Aaron Goldren, Regional Director of Action Against Hunger (ACF) based in France, attended the event and handed over the toolkit to Mr Mohammad Yousif Shaikh, Deputy Program Coordinator AAP, Provincial Task Force Secretariat for Nutrition, Planning & Development Department, Government of Sindh for its implementation across Sindh. The toolkit is available in Sindhi and Urdu, and it has been developed in consultation with all stakeholders under European Union funded program PINS-02 in collaboration with Government of Sindh. The toolkit consist of 28 cards, divided into five sessions, dealing with prioritized behaviors of mothers and communities. The main themes of the toolkit include identification, prevention, and treatment of malnutrition, diet and health care of pregnant and lactating mothers(PLW), mother and child care after delivery, children’s diet, lastly personal and environmental hygiene.

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Launch of SBCC Toolkit in Sindhi and Urdu

Social and Behavior Change Communication Toolkit (nutrition specific) launched in Karachi under Accelerated Action Plan for Reduction of Stunting and Malnutrition(AAP). Mr Christopher Aaron Goldren, Regional Director of Action Against Hunger (ACF) based in France, attended the event and handed over the toolkit to Mr Mohammad Yousif Shaikh, Deputy Program Coordinator AAP, Provincial Task Force Secretariat for Nutrition, Planning & Development Department, Government of Sindh for its implementation across Sindh. The toolkit is available in Sindhi and Urdu, and it has been developed in consultation with all stakeholders under European Union funded program PINS-02 in collaboration with Government of Sindh. The toolkit consist of 28 cards, divided into five sessions, dealing with prioritized behaviors of mothers and communities. The main themes of the toolkit include identification, prevention, and treatment of malnutrition, diet and health care of pregnant and lactating mothers(PLW), mother and child care after delivery, children’s diet, lastly personal and environmental hygiene.

It has been observed that due to lack of awareness regarding contraception and contraceptive practices amongst unprivileged people result in frequent pregnancies which in turn leads to poor health of mother, neonate, infant and child. Family Health Mela (community gatherings) are conducted once in a month at Union Council level where health indicators are low. So for 143 family health melas have been organized (Aug to Dec-2019) against the overall annual target of 348.

Melas have been proving to be a success story as all stakeholders viz. AAP Sectors, NGOs, CBOs gather under one platform to covey message regarding birth-spacing, stunting and wasting. These festivals have been given due importance by District Management. 9,600 clients out of 30,000 participants in these melas have sought Family planning services including 2,197 Married Women of Reproductive Age (MAWRA) who have been given Long Acting Reversible Contraceptives (LARCs) implants and Jaddelle thereby birth spacing 5 to 10 years.

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Family Health Melas

It has been observed that due to lack of awareness regarding contraception and contraceptive practices amongst unprivileged people result in frequent pregnancies which in turn leads to poor health of mother, neonate, infant and child. Family Health Mela (community gatherings) are conducted once in a month at Union Council level where health indicators are low. So for 143 family health melas have been organized (Aug to Dec-2019) against the overall annual target of 348.

Melas have been proving to be a success story as all stakeholders viz. AAP Sectors, NGOs, CBOs gather under one platform to covey message regarding birth-spacing, stunting and wasting. These festivals have been given due importance by District Management. 9,600 clients out of 30,000 participants in these melas have sought Family planning services including 2,197 Married Women of Reproductive Age (MAWRA) who have been given Long Acting Reversible Contraceptives (LARCs) implants and Jaddelle thereby birth spacing 5 to 10 years.

Meeting of the District Coordination Committee for Nutrition (DCCN) was held on 06 December 2019 at the Deputy Commissioner office, Sanghar to review implementation of all nutritional interventions in the district in order to reduce stunting and malnutrition among children under five years.

Addressing the meeting, the Deputy Commissioner Sanghar, Mr Mirza Nasir Ali said the Accelerated Action Plan (APP) is an important programme since it covers both nutrition specific and nutrition sensitive interventions. With regard to the WASH, he said that making villages Open Defecation Free (ODF) will result in betterment personal and environment hygiene in the neglected areas. Furthermore, he said that the Public Health Department (PHD) and WASH Sector work together for producing better results.

he participants of the event included Program Coordinators of AAP Mr. Shah Faisal Zahir, Ms. Fouzia Khan, Mr. Nazeer Kalhoro, Mr. Farooq Siddiqui, Mr. Abid Qureshi, Mr. Mir Allah Dad and Dr SahibJan Badar, District Coordination Officer Officer, Kashif Shamim Siddiqui, and others.

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District Coordination Committee for Nutrition

Meeting of the District Coordination Committee for Nutrition (DCCN) was held on 06 December 2019 at the Deputy Commissioner office, Sanghar to review implementation of all nutritional interventions in the district in order to reduce stunting and malnutrition among children under five years.

Addressing the meeting, the Deputy Commissioner Sanghar, Mr Mirza Nasir Ali said the Accelerated Action Plan (APP) is an important programme since it covers both nutrition specific and nutrition sensitive interventions. With regard to the WASH, he said that making villages Open Defecation Free (ODF) will result in betterment personal and environment hygiene in the neglected areas. Furthermore, he said that the Public Health Department (PHD) and WASH Sector work together for producing better results.

he participants of the event included Program Coordinators of AAP Mr. Shah Faisal Zahir, Ms. Fouzia Khan, Mr. Nazeer Kalhoro, Mr. Farooq Siddiqui, Mr. Abid Qureshi, Mr. Mir Allah Dad and Dr SahibJan Badar, District Coordination Officer Officer, Kashif Shamim Siddiqui, and others.

While speaking on the occasion of one- day Refresher Training of District Focal Persons(DFPs) for Vitamin A Supplementation(VAS) Program Manager AAP Dr MB Raja Dharejo emphasised on a need for integration of VAS with polio program as well as EPI/routine immunisation.

In view of high rate of vitamin-A deficiency among children and women PM AAP urged the DFPs to ensure maximum supplementation of vitamin- A in their respective districts since it is a significant public health problem.

The event was organised by Nutrition International in collaboration with Health Department, Government of Sindh and World Health Organisation(WHO).

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Refresher Training of District Focal Persons

While speaking on the occasion of one- day Refresher Training of District Focal Persons(DFPs) for Vitamin A Supplementation(VAS) Program Manager AAP Dr MB Raja Dharejo emphasised on a need for integration of VAS with polio program as well as EPI/routine immunisation.

In view of high rate of vitamin-A deficiency among children and women PM AAP urged the DFPs to ensure maximum supplementation of vitamin- A in their respective districts since it is a significant public health problem.

The event was organised by Nutrition International in collaboration with Health Department, Government of Sindh and World Health Organisation(WHO).

PPHI Sindh has embarked on a new initiative of establishing a kitchen garden within the premises of its health facilities in district Matiari.

The idea behind the initiative is to encourage families, who bring their Severely Acute Malnourished (SAM) children to PPHI OTP centres for treatment, to establish kitchen garden in similar ways at homes for fulfilling nutritional requirements.

By spreading this message of growing vegetables at home it is hoped that it would contribute towards increasing availability of fresh vegetables for consumption of children and PLWs(Pregnant and lactating women).

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Kitchen Garden within health facilities

PPHI Sindh has embarked on a new initiative of establishing a kitchen garden within the premises of its health facilities in district Matiari.

The idea behind the initiative is to encourage families, who bring their Severely Acute Malnourished (SAM) children to PPHI OTP centres for treatment, to establish kitchen garden in similar ways at homes for fulfilling nutritional requirements.

By spreading this message of growing vegetables at home it is hoped that it would contribute towards increasing availability of fresh vegetables for consumption of children and PLWs(Pregnant and lactating women).

Last month AAP Health Sector organised Training Session for Nutrition Information Management System (NIMS) at PPHI Regional Offices Mirpurkhas and Sukkur. Trainees were the NIS Assistants of PPHI and MIS person of NGOs along with DNC, IYCF Counsellors of PPHI and District Mangers of NGOs. This training was a follow up on the Provincial Steering Committee (PSC) decision regarding adoption of one MIS System for all AAP sectors. The training aimed at strengthening the capacity of MIS/NIS staff of PPHI and NGOs in arena of data entry, editing and reporting through NIMS and to enhance the reporting mechanism of AAP Health.

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Training on Nutrition Information Management System

Last month AAP Health Sector organised Training Session for Nutrition Information Management System (NIMS) at PPHI Regional Offices Mirpurkhas and Sukkur. Trainees were the NIS Assistants of PPHI and MIS person of NGOs along with DNC, IYCF Counsellors of PPHI and District Mangers of NGOs. This training was a follow up on the Provincial Steering Committee (PSC) decision regarding adoption of one MIS System for all AAP sectors. The training aimed at strengthening the capacity of MIS/NIS staff of PPHI and NGOs in arena of data entry, editing and reporting through NIMS and to enhance the reporting mechanism of AAP Health.

On Friday (29 November) District Coordination Committee for Nutrition (DCCN) meeting was held in a Darbar hall DC office Larkana. The meeting was chaired by Deputy Commissioner Mr Mohammad Noman Siddique along with Program Manager AAP Mr. Dr. MB Raja Dharejo. Mr. Asghar Soomro and Mr. Shafiq Jamro from Provincial Task Force Secretariat for AAP also participated in the meeting.

Assuring his full cooperation DC Larkana said that he would regularly monitor implementation of all nutrition interventions in the district in order to ensure smooth implementation for better results.

While sharing plans for capacity building of the DCCN, Program Manager AAP said that Task Force Secretariat for AAP is planning to facilitate Deputy Commissioners to establish nutrition cells. In this regard, UNICEF Pakistan is offering support for equipping the Nutrition Cell with technical and Human Resources. Furthermore, Program Manager AAP also reminded the forum of Chief Secretary’s (Sindh) notification for Sub-Divisional Coordination Committees for Nutrition(SCCN), and then requested DC Larkana to direct Assistant Commissioners(ACs) to conduct SCCN meetings on regular basis since it will enable the chair of DCCN to oversee effectiveness of implementation at field level.

At the end of DCCN meeting, certificates were distributed among participants who had completed a training program for managing patients (SAM cases) at Nutrition Stabilisation Centres, established under European Union funded Program for Improved Nutrition in Sindh(PINS).

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District Coordination Committee for Nutrition

On Friday (29 November) District Coordination Committee for Nutrition (DCCN) meeting was held in a Darbar hall DC office Larkana. The meeting was chaired by Deputy Commissioner Mr Mohammad Noman Siddique along with Program Manager AAP Mr. Dr. MB Raja Dharejo. Mr. Asghar Soomro and Mr. Shafiq Jamro from Provincial Task Force Secretariat for AAP also participated in the meeting.

Assuring his full cooperation DC Larkana said that he would regularly monitor implementation of all nutrition interventions in the district in order to ensure smooth implementation for better results.

While sharing plans for capacity building of the DCCN, Program Manager AAP said that Task Force Secretariat for AAP is planning to facilitate Deputy Commissioners to establish nutrition cells. In this regard, UNICEF Pakistan is offering support for equipping the Nutrition Cell with technical and Human Resources. Furthermore, Program Manager AAP also reminded the forum of Chief Secretary’s (Sindh) notification for Sub-Divisional Coordination Committees for Nutrition(SCCN), and then requested DC Larkana to direct Assistant Commissioners(ACs) to conduct SCCN meetings on regular basis since it will enable the chair of DCCN to oversee effectiveness of implementation at field level.

At the end of DCCN meeting, certificates were distributed among participants who had completed a training program for managing patients (SAM cases) at Nutrition Stabilisation Centres, established under European Union funded Program for Improved Nutrition in Sindh(PINS).

WASH Sector of AAP visits ODF village Mohan Kohli taluka shujabad district Mirpurkhas.

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WASH Sector of AAP visits ODF village Mohan Kohli taluka shujabad district Mirpurkhas

WASH Sector of AAP visits ODF village Mohan Kohli taluka shujabad district Mirpurkhas.

In her speech Ms. Naheed S. Durrani, Chairperson, Planning and Development Board, Government of Sindh, reiterated Government of Pakistan including Government of Sindh’s commitment to the agenda of developing human capital. “ It is not business as usual since we have learned some important lessons from our experience. Collective and integrated approach is critical for achieving the holistic impact. Isolated and fragmented work no longer needed hence we have to go beyond the call of duty” She added. Pointing out lacuna in implementation of various projects, Ms Durrani said that despite significant progress we still lag behind because there is a disconnect among different programs. For example, polio, HIV, EPI etc are implemented separately. Similarly, we are struggling with education sector. Enrollment has increased but quality of education still remains a big challenge. Lastly the Chairperson acknowledged UNICEF support for joining hands with Government of Sindh for improving status of children in the province.

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Joint Annual Review Meeting

In her speech Ms. Naheed S. Durrani, Chairperson, Planning and Development Board, Government of Sindh, reiterated Government of Pakistan including Government of Sindh’s commitment to the agenda of developing human capital. “ It is not business as usual since we have learned some important lessons from our experience. Collective and integrated approach is critical for achieving the holistic impact. Isolated and fragmented work no longer needed hence we have to go beyond the call of duty” She added. Pointing out lacuna in implementation of various projects, Ms Durrani said that despite significant progress we still lag behind because there is a disconnect among different programs. For example, polio, HIV, EPI etc are implemented separately. Similarly, we are struggling with education sector. Enrollment has increased but quality of education still remains a big challenge. Lastly the Chairperson acknowledged UNICEF support for joining hands with Government of Sindh for improving status of children in the province.

AAP Health Sector organized an event titled, “Training of Trainers (ToT)” from 13- 15th November 2019 in collaboration with UNICEF, Lady Health Workers (LHW) and Maternal, Neonatal and Child Health (MNCH) Programs on integrated parenting education package in Karachi, Sindh.  The purpose of the 3-day event was to prepare a pool of provincial and divisional trainers that would be rolled out through various existing platforms such as: Lady Health Workers, Community Health Workers; Family Care Workers/Social Workers, Health and Nutrition facilitators, Teachers, Civil Society Organizations and Faith Based Organizations and mass media in the province.

After receiving the training these frontline workers will cascade down knowledge and information to parents, caregivers, families and communities about positive parenting and importance of nurturing and responsive care from the early years of a child’s life.

Keeping in view a life course approach (conception to eight years of age), UNICEF has developed an integrated parenting education package. The package also includes the nurturing and responsive care in the interventions being provided through different services such as health and nutrition. This training will help in sensitizing parents, caregivers, families and communities on devastating consequence of violent punishment meted out as a form of discipline and help in creating conducive environment for better development of child.

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Training of Trainers (ToT)

AAP Health Sector organized an event titled, “Training of Trainers (ToT)” from 13- 15th November 2019 in collaboration with UNICEF, Lady Health Workers (LHW) and Maternal, Neonatal and Child Health (MNCH) Programs on integrated parenting education package in Karachi, Sindh.  The purpose of the 3-day event was to prepare a pool of provincial and divisional trainers that would be rolled out through various existing platforms such as: Lady Health Workers, Community Health Workers; Family Care Workers/Social Workers, Health and Nutrition facilitators, Teachers, Civil Society Organizations and Faith Based Organizations and mass media in the province.

After receiving the training these frontline workers will cascade down knowledge and information to parents, caregivers, families and communities about positive parenting and importance of nurturing and responsive care from the early years of a child’s life.

Keeping in view a life course approach (conception to eight years of age), UNICEF has developed an integrated parenting education package. The package also includes the nurturing and responsive care in the interventions being provided through different services such as health and nutrition. This training will help in sensitizing parents, caregivers, families and communities on devastating consequence of violent punishment meted out as a form of discipline and help in creating conducive environment for better development of child.