Nutrition and WASH project

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Provision of Nutrition (IYCF) and WASH assistance to conflict affected people in 20 remote villages in Sumprabum and Njang Yang Townships, Kachin State, Myanmar.

*We call IYCF the "Infant and Young Child Feeding"and WASH, "Water Sanitation and Hygiene"

Key Information

Location

2 remote areas in Northern Kachin State:

Sumprabum Township 

Njang Yang Township

Targeted people

3,252 people

 

546 targeted households

In the beneficiaries we have: Pregnant and lactating women, under 5 children, disable people, elderly people and youth.

1,689 males and 1,718 females

IDP Camps/Villages

20 targeted villages

This 20 villages are identified as the most vulnerable conflict affected communities in these remote areas.

Duration

2 years

Oct. 2018 - Sept. 2020

Staff Team

11 full time project staffs

8 Field Officers

1 Project Coordinator 

1 Assistant Project Coordinator

1 Monitoring, Evaluation, Accountability and Learning Officer

 

 

Partenership

Harp.F supplies to CHAD, grants but also capacity building regarding Maternal New-born Child Health (MNCH) and Infant and Young Child Feeding (IYCF) activities.

 

 

Context

The chosen townships of Sumprabum and Njang Yang are in the northern part of Kachin State. The project locations are under the control of the Kachin Independence Organization (KIO). 99% of the communities are farmers and hunters. Most of the locations are CHAD's targeted areas from previous projects. Honesty, friendliness and welcoming guests is the beauty of these communities. 

 

The reasons for choosing those villages are because they are isolated and marginalised due to political instability, lack of means of communication/access and a scarcity of basic infrastructure, lack of basic services and poverty. 

 

The media, newspapers and phone lines do not reach these areas to increase knowledge or change attitudes and build skills. Radio is the only source of information, however only 2 or 3 families own a radio due to poverty in the area. Living standards are low and nutrition and health behavior needs to be changes for the betterment of their lives. Further, the areas are mountainous and vehicles such as cars, tricycles, cycles and carts are unable to access the villages to transport children to school or to enable local farmers and hunters to access markets. Therefore, incomes are low, and the communities are deprived of basic services.

 

 

The communities have been facing the following problems for decades:

 

  • They do not have health services and mortality and morbidity rates are high 

  • The vulnerable include children, old people, and Pregnant Lactating Women 

  • There are no immunization services. Many households have large families (5 to 12 children) but often more than half of the children die infancy and early childhood. Mostly because of nutrition problems.

  • The high school drop-out rate is very important. Many children engage in risky livelihoods activities such as mining, become addicted to drugs or are victims of human trafficking 

  • Some villages have a shortage of water and/or inadequate storage facilities, especially during the dry summer months

 

 

Although the situation poses huge challenges and are a big concern for the communities, it can be improved with the proper interventions.  

Project goals

To increase the nutritional knowledge and practices of the Lactating and Pregnant Women (PLW) and under 5 children. 

We want the targeted communities have equitable access to adequate water and washing facilities, and improve hygiene knowledge.

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Project Activities

To implement the project, CHAD works with Community Mobilizers (CM). One CM is hired in each village. They have been receiving a monthly stipend for the full project period. 

 

CMs are local persons and the main project implementers in their respective villages, working on community development by community mobilizing, facilitation of awareness raising workshops/training, and distribution of project inputs. CHAD full-time project staffs support the CMs continuously by providing technical assistance, supervision and monitoring, and strengthening their capacities and performances.  

 

Working in this manner with the CMs is a means to develop a sense of ownership and build their confidence and competence so that they remain as the key resource persons and actively provide the communities with their knowledge and skills when the project will be completed.  

To conduct nutrition awareness workshops for Pregnant and Lactating Women (PLW) and mothers with U5 children

Facilitated by the trained CMs in their respective communities with the technical and logistic support of CHAD staffs. 

 

The sessions cover basic but effective infant and young child feeding practices, breastfeeding, balanced diet, hygienic nutrition and nutritious food preparation through participatory cooking demonstrations. This is linked to home gardening activities to provide fruits and vegetables in the diet which are a good source of micro-nutrients.

Nutrition promotion event

An event day has been organised in each target village for public awareness raising on nutrition and hygiene promotion for the entire community. A total of 40 events will have been conducted (20 events/year- one event/village). 

AWARENESS

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To increase the nutritional knowledge and practices of the Lactating and Pregnant Women (PLW) and under 5 children 

TOT Trainings for the Community Mobilisers 

 

“Training of Trainers” for improving nutrition and health knowledge of the Community Mobilisers 

To conduct one refresher training for the 23 CMs on Mother and Child Health and Nutrition (IYCF*) and growth monitoring

 

These trainings were conducted by the trained Field Officers from CHAD staff in the targeted villages. 

*IYCF:"Infant and Young Child Feeding"

TRAINING

To conduct quarterly weight and height monitoring of U5's children

Regular quarterly measurement of weight and height for U5's children are carried out by the CMs as well referring underweight and acutely malnourished children to the nearest clinic/hospital. 

The CMs have been trained on these techniques to make sure accurate measurement and monitoring takes place. 

 

 

Establishment and support of effective and efficient referral services for malnourished U5's children

 

Discussions solutions with  HARP-F have been making in order to improve the Health Service in those areas. Malnourished children and PLWs with danger signs are provided with cash assistance when referred for treatment.

FOLLOW-UP

Provision of baby clothes (layette)

Hygienic baby clothes (layette) will be distributed to 240 PLWs in the target villages within two years. This input is required to support safe and protective care of the new born babies through the provision of clean and hygienic clothing. 

 

To provide vegetable seeds for all the Households in the 20 targeted villages for two years 

Vegetable seeds (beans, mustard, eggplant, etc.) improve the availability of nutritious food and cooking practices with fresh vegetables grown in their own gardens.

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We want the targeted communities have equitable access to adequate water and washing facilities, and improve hygiene knowledge

SUPPLY

Community Awareness Raising

Awareness raising, facilitated by the CMs, have been provided for the whole community covering hygiene promotion, mother - child care, and safe water practices linked to water storage. 

Five sessions per location will have been delivered over the two years - a total of 100 session reaching 1,276 persons (50% of the target location’s population)

Conduct hygiene awareness-raising sessions for school children in the 20 villages

With the collaboration of school teachers, the Parent Teacher Association and the village administration, the project conducts hygiene awareness-raising sessions for school children at 20 schools in the 20 target communities. 

AWARENESS

Provision of hygiene kits for PLWs

To contribute to the nutrition interventions, basic hygiene kits will be distributed to the PLWs in the target areas.  A total of 400 hygiene kits will be distributed.

 

The hygiene kit provision is planned to promote the connection between nutrition and hygienic behavior of the mothers, children and communities and to encourage the communities to practice hygienic behavior. 

 

Soap distribution to students

1 piece of soap is distributed for each student at the hygiene awareness sessions.

Soap distribution to the schools

10 pieces of soap have been distributed in all the 20 schools in order to prevent from infectious diseases and promote healthy environment.

SUPPLY

COMING

Construction of village water storage facilities

The aim is improved village water storage capacity (for 10 of the 20 targeted villages) based on a community-led needs assessment conducted by the CHAD project team. That will be constructed by experienced local people and labor. 

 

Construction of hand washing stations

20 hand washing stations will be constructed in 20 schools of the target communities.

BUILDING

COMING

Nutrition and WASH Team 

Photos

©2019 by CHAD - Community Health And Development.

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