SUN MOVEMENT POOLED FUND PROJECT WINDOW II NARRATIVE REPORT FOR March, 2020

SUN MOVEMENT POOLED FUND PROJECT WINDOW II NARRATIVE REPORT FOR March, 2020

CS-SUNN’s Vision

A country where every citizen is food and nutrition secured.

CS-SUNN’s Mission

To mobilize Non-State Actors to advocate, generate evidence, build capacity and stimulate communities to scale up nutrition in Nigeria.

An overview of Civil Society – Scaling Up Nutrition in Nigeria (CS-SUNN)

About Us

The Civil Society – Scaling Up Nutrition in Nigeria (CS-SUNN) is a non-governmental, non-profit making coalition, made up of organizations with a shared vision to transform Nigeria into a country where every citizen is food and nutrition secured. We pursue this lofty goal by engaging government and non-state actors to raise awareness, sustain commitment and actions to effectively tackle under-nutrition in Nigeria. The coalition was formally launched on the 7th of August 2014.

We have a common vision with clearly defined roles and responsibilities, clear accountability and sustainability framework. The guiding principles of the alliance include; Evidence based decision-making, Gender mainstreaming, Equity, Feed- back, Diversity, Value for money Transparency and Integrity.

Objectives

  • To advocate for effective coordination of all nutrition stakeholders and programs in Nigeria
  • To create a platform through which Civil Society Organizations can effectively advocate for improved nutrition in Nigeria
  • To advocate and engage government to create nutrition budget lines in some key Federal and state Ministries in Nigeria as well as include CSOs in nutrition interventions as appropriate
  • To encourage and strongly advocate for the establishment of an effective and functional nutrition surveillance monitoring and evaluation systems
  • To build the capacity of CS-SUNN members to effectively engage in the pursuit of improved nutrition in Nigeria.

Members spread of the coalition

Although the coalition is still mobilizing to grow its membership, we have members who have been mobilized and are listed as members, see list on our website @ www.cs-sunn.org/coalitionmembers .

CS-SUNN Secretariat

The coalition’s secretariat is located at Plot 203 Cadastral Zone B02. Off Oladipo Diya Way, Durunmi District, Abuja. This is where all of the coalition’s programs and activities are coordinated from. The Secretariat is headed by the Executive Secretary.

Background on the SUN Movement Pooled Fund Window II

Presently, Nigeria is implementing the SUN Movement Pooled Fund (Window ll) which is a source of funding for catalytic and innovative projects to support Multi-Sector/Stakeholder Platforms in SUN Countries to increase the effectiveness and impact of national efforts to end malnutrition in all its forms. The objective of Window II of the Pooled Fund is to strengthen linkages and joint collaboration within the Multi-sector/Stakeholder Platform at both the national and sub-national level. Grant support will improve the delivery of multi-sectoral nutrition activities that impact nutrition outcomes for nutritionally vulnerable groups including: women, girls and adolescents, and communities at the local level. The Pooled Fund grants will promote engagement of additional relevant actors in the implementation, monitoring, and evaluation of multi-sectoral and multi-stakeholder national plans for nutrition, at national and sub-national level.

In Nigeria, five states are currently implementing the project; Enugu, Gombe, Kaduna, Kano and Oyo. This report captures the activities conducted in project state for the month of March.

State Specific Monthly Summaries Report:

1 GOMBE STATE

NUTRITION EDUCATION DURING ANC AND PNC

The Pooled Fund team in Gombe State, led by the state coordinator, the State Nutrition Officer (SNO) and CS-SUNN Nutrition Champion held nutrition education activity with mothers and caregivers attending post-natal care at one of the primary health care centers located at, Dogon Ruwa in Kaltungo local government area of the state.

The facility which happens to be one of the Community Management of Acute Malnutrition (CMAM) sites in the state has the highest number of Severely Acute Malnourished children receiving treatment. While educating the mothers on nutrition, the state SNO emphasized on the importance of exclusive breastfeeding, good hygiene and the right combination of food for mother and child. She warned them against selling all their nutritious farm products, which leaves them without food, and appreciated the state and federal governments for providing Ready to Use Therapeutic Food (RUTF) for the children suffering from Severe Acute Malnutrition (SAM), which had visible impact on the children.

The nutrition champion who also interacted with the health care providers, nursing mothers, care givers and husbands also advice the husbands to support their wives to attend ante natal and postnatal care, and feed their families with good food from the available farm produce, as most of them are farmers.

It was observed that generally malnutrition in Gombe State is always higher during the rainy or farming season also referred to as lean period, because at that time, the farmers most have sold all their farm produce leaving none for the family to feed on.

C:UsersPROJECT OFFICERDesktopWINDOW 2 PICSGombe State Nutrition Education 1.jpg C:UsersPROJECT OFFICERDesktopWINDOW 2 PICSGombe State Nutrition Education.jpg

ADVOCACY ENGAGEMENTS TO COMMUNITY/TRADITIONAL LEADERS

The coalition conducted advocacy visit to some Traditional/Community leaders in some communities in Gombe on EBF. The coordinator, who led the team together with 3 members of the coalition and a partner from ANRiN, visited the palace of the District Head of Pantami in Gombe Local Government; (Alhaji Yakubu Adamu) who had invited other six (6) village heads to be present at the visit, the team was receive and was welcome.

The coordinator went ahead to explain the reason behind the visit and went on to explain the nutrition situation of the state, and equally explained why it is important for mothers to exclusively breastfeed their babies for the first 6 months, and the need for husbands to support their wives. He reiterated the need for mothers to take adequate diet during pregnancy to give birth to a healthy child.

The coalition went on to ask and advocate for the support of the traditional leaders to encourage leaders and members of households on Exclusive Breastfeeding and the danger of malnutrition. The ANRiN partner, Bome Aaron also went on to seek the support of the leaders in advising head of households to allow their wives to attend ANCs and PNCs.

The District Head of Pantami, Alh. Yakubu Adamu, who expressed happiness over the visit, said many children in the community are malnourished and attributed the problem to poverty and lack of awareness, but assured CS-SUNN that he will revert the message to his people especially family heads to support their wives during pregnancy and EBF as preventive measures. The visits ended with presentation of CS-SUNN souvenirs by the state chapter.

CS-SUNN team also went on to pay an Advocacy visit to the District head of Bolari, another community leader in the Local Government, with key messages on EBF and other preventive measures of malnutrition. The District Head in the company of some community heads under his domain described CS-SUNN’s visit as a welcome development ,because according to him his people lack awareness on issues as this, and called on Government to upgrade the Health facility in the community to a CMAM Centre, considering the status of malnutrition in the community.

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ACHIEVEMENTS SO FAR

In the 2020 Gombe state budget, nutrition has a budget of close to 500 million naira, with the breakdown as follows;

  • Food and Nutrition 30m under Min of Agriculture
  • production of RUTF 30m Min of Science
  • Development of Nutrition Lab 10m under Min of science
  • Accelerated Nutrition Results 50m under Min of Budget and Donor
  • food and Nutrition program 20m
  • ANRIN 300m Min of Health
  • CMAM 20million, Min of health

CHALLENGES

  • Due to the global pandemic of Covid 19, the coalition had to suspend the remaining activities for the quarter.
  • Late response and budget approval from secretariat delayed implementation of some activities.
  • Lack of Logistics/Running cost to implement activities scheduled for the quarter.
2 OYO STATE

ACTIVITY 1.1.2 ONE DAY MEDIA ENGAGEMENT ON INFANT AND YOUNG CHILD FEEDING PRACTICE

In line with the Pooled Fund Project, CS-SUNN Oyo state chapter conducted a one-day quarterly media engagement on infant and young child feeding practice. The meeting was held at the state capital with the present of CS-SUNN coalition members in the state, other at the meeting include the state Nutrition Officer (SNO) and media partners.

The state coordinator in his presentation presented the objectives of the meeting with an Overview about CS-SUNN Mission, Vision, and Strategy while the SNO Dr. Alarape presented paper on Infant and young child Feeding practices, with emphasis on breastfeeding.

The role of media was thereafter presented by Oyo state CS-SUNN coordinator and afterward there was discussion on how media can be engaged in passing the right information on nutrition matter to the community and how media can assist in featuring coalition (CS-SUNN) and relevant nutrition stakeholders in their programs.

The media also took some time to ask questions and clarifications on the paper presented by Dr. Alarape and presentation by the Oyo state CS-SUNN coordinator. The meeting also witnessed a break out session where the media personnel that were present held a brief meeting and resolved to collaborate with the CS-SUNN coalition and relevant stakeholder in reporting nutrition activities in the state.

The meeting was brought to a close by 2:00pm with a prayer said by a Mrs. Oduneye; a representative of Nutrition Society of Nigeria.

C:UsersPROJECT OFFICERDesktopWINDOW 2 PICSOyo state media engagement group photograph.JPG C:UsersPROJECT OFFICERDesktopWINDOW 2 PICSoyo state media engagement meeting.JPG

3 KADUNA STATE.

ACTIVITY 1.3.1: NUTRITION EDUCATION

Improved nutrition, results to progress in health, education, employment, empowerment of women and the reduction of poverty and inequality, and can lay the foundation for peaceful, secure and stable societies. Hence, the involvement of traditional rulers, religious leaders, and community heads in promoting Infant and Young Child Feeding practices will improve Maternal and Child Health Nutrition significantly. Therefore, strengthening linkages among key stakeholders at the community level to achieve an improved nutrition outcome for nutritionally vulnerable groups including: women, girls and adolescents, and communities at the local level is of paramount interest even in the attainment of Sustainable Development Goals (SDGs).

Four (4) PHCs and communities where identified by the State chapter in its and advocacy visits where conducted accordingly to initiate activities for the first quarter of the 2020 activities. Identified communities include:

  1. Ungwan Sanusi community/PHC
  2. Kagoro community/PHC
  3. Barnawa community/PHC
  4. Makera community/PHC.

CS-SUNN conducted visit to each of the PHC facility in the identified community to deliver Nutrition education to pregnant mothers and ANC attendees the sessions were anchor by members of the coalition. The leads introduced the sessions by enquiring on knowledge of the caregivers (pregnant women) in the clinic based on life cycle of nutrition from conception to delivery of babies.

Barnawa and Makera PHCs

At Barnawa and Makera PHCs the sessions deliberated on breastfeeding, adequate diet and complimentary feeding after which the discussion started by finding out what the women already know about the topics introduced.

  • However, there was some level of knowledge on need for breast-feeding most of the pregnant women lacked proper information on key practices like the need for adequate feeding at conception through prenatal period.
  • We continued the discussions by showing them pictures from the counselling cards and hand fliers to further help their understanding of the topics.
  • The team went on to explained to them the health benefits of breastfeeding, eating properly and proper attachment. Emphasis where made on early initiation of breast milk with 30 minutes to 1hour after delivery.

The meeting also allowed questions and clarifications to be asked and answered were provided.

At Ungwan Sanusi and Kagoro community

The use of the IYCF counselling cards were also employed. A major challenge identified in this facility was that caregivers are reluctant to attend ANC sessions.

The message passed to the pregnant women in the ANC sessions among others include;

  • The need to feed properly during conception through prenatal to delivery and after delivery. This will enable the mother to feed adequately and sufficiently and has significant impact on health of both mother and baby.
  • The importance of regular attendance of ANC for health of both the mother and child and to participate in all due vaccination.
  • The importance of early initiation within the first 30 minutes after delivery.
  • The importance of exclusive breastfeeding within the first 6 month of child’s life and preparation for complimentary feeding as the child approaches the age of 6months of age. This will prevent malnutrition of the baby.
  • The importance of proper hygiene practices and improve caregiver’s health seeking behaviour.

Evaluation Findings:

There was active participation during the sessions; there is still a lot of knowledge gap as regards to breastfeeding. E.g.

  • there was poor information on proper attachment of babies while breast feeding and
  • They were ignorant on implication of mixed feeding i.e giving babies other food aside breast-feeding before 6months, as most women were working mothers.
  • There was believe in traditional/cultural practices of giving water to babies while breastfeeding.
  • Kagoro PHC has volunteers that can be trained on how to set up a sustainable support groups for mothers at the PHC

Conclusions/ Recommendation:

There is a need to facilitate the setting up of support groups in these communities so that nutritional messages will not only be passed from nutritional focal persons or health workers to caregivers but form caregivers to caregivers. This will go a long way ensuring the sustainability of the project.

  1. The activities were well appreciated by the participants and more visits were sought by the various facilities.
  2. There is need for IEC material to be distributed to the ANC attendants to keep the knowledge they have acquired in their minds.
  3. More flip chart for nutrition counselling need to be developed, as the ones used were inadequate.
  4. More of these activities should be facilitated at the community level as they need more of such messages to improve on nutrition information at the community level.

C:UsersPROJECT OFFICERDesktopWINDOW 2 PICSKadunna State Nutrition Education at PHC Barnawa.jpg C:UsersPROJECT OFFICERDesktopWINDOW 2 PICSKaduna State Nutrition Education Session at PHC Kagoro.jpg

ACTIVITY 1.3.5.: FOOD DEMONSTRATION

In line with the Pooled Fund Project activities, CS-SUNN Kaduna embarked on a food demonstration at the PHC at Angwan Sanusi to orient and educate breastfeeding mothers especially those with babies of 6months and above on food diversification.

The objectives were to increase awareness and relevance of food diversification to caregiver through Nutrition education and food demonstration. Appropriate complementary feeding practices from 6months to 2yearsa and Proper hygiene practices.

The activity was led by member of the CS-SUNN Coalition Hadiza Abdulsalam, the activity was held at the CMAM Corner located within the PHC, the message passed to the caregiver among others include;

  • The need to feed properly while breast feeding to facilitate adequate flow of breast milk and adequately feed the baby with support of household members
  • The importance of regular attendance of health facility as the need arises would improve health of child and to participate in all due vaccination.
  • The importance of hygiene and proper commentary feeding practices with adequate dietary diversification from above 6-month of child’s life was emphasized.

The session then went on to introduce preparation for complimentary feeding as the child approaches the age of 6months of age, which will prevent malnutrition of the baby.

Evaluation Findings

The session was so interesting. Both caregivers and the health workers in the facility really liked the meals; moi moi and the kunun geda.

Conclusions/ Recommendation:

The activity was successful. CS-SUNN Kaduna should develop strategy to monitor improvement on nutrition of the participants.

C:UsersPROJECT OFFICERDesktopWINDOW 2 PICSKaduna state.jpg C:UsersPROJECT OFFICERDesktopWINDOW 2 PICSKadunna state food demonstration.jpg

ADVOCACY ENGAGEMENTS TO TRADITIONAL RULERS, RELIGIOUS LEADERS, COMMUNITY HEADS ON INFANT AND YOUNG CHILD FEEDING PRACTICES

Advocacy to the four communities within the Kaduna South LGA were successful conducted as facilitated by the nutrition focal person of the LGA. Hajia Fatima. Communities visited include Barnawa, Makera, Ungwan Sanusi and Kagoro communities’ accordingly. In each of the visit, the team introduced CS-SUNN and the pooled fund project, which focuses on improving maternal and child health outcomes. The visit further aims at:

  1. Creating awareness on nutrition issues among the traditional rulers, religious leaders, and community heads.
  2. To secure their buy-ins and support towards improved nutrition knowledge and practices within their communities and
  3. To build a sustainable relationship among the stakeholders to champion change in nutrition response in their immediate localities.

The team was led to the district head through his secretary and were accorded a warm reception. The district head appreciated the visit by the CSSUNN Kaduna State chapter while listening keenly to the purpose of their visit. The team informed him the coalition of Civil Society Organization working on Nutrition in the State (CS-SUNN), stating that our target is to reach out to pregnant women, children and even fathers as the case may be on the importance of Exclusive Breastfeeding for a period of six month and a complimentary feeding afterward.

Brief presentation and discussion to sensitize the community leaders

The team discussed on the important of proper nutrition to mother and child and the need to promote infant and young child feeding practices at the community level. Furthermore, the importance of the first 1000, the need for mother to Exclusively Breastfeed for six month and appropriate complimentary feeding when the baby is above six month and hygiene practices were all deliberated on.

In response, the community leaders jointly agreed that there is need to sensitize the community members. The community leaders also were thankful appreciate CS-SUNN and its partners for identifying their communities for the project activities and they promised their maximum support for all the activities in the communities. In addition, promise to provide relevant supports towards the project and the upcoming town hall meeting.

Evaluation Findings

  1. The project was welcome with high expectation by the community leaders and are indeed happy about it.
  2. The community have not had intervention to improve their knowledge even in the recent upsurge of poor nutrition indices in the state.
  3. The nutrition focal person also expressed desire to scale up her skills in supporting nutrition intervention the LGA.

Outcome:

  1. Each of the communities committed to making available a hall to support the town hall meeting for a token amount and suggested that a light refreshment be provided during the event.
  2. The secretary of the community leaders was directed to facilitate mobilization of participants for the town hall meeting which was scheduled to hold on Tuesday 24 March 2020.
  3. District Head and the various mobilized all the stakeholders for the Town Hall meeting.

Conclusions/ Recommendation:

The advocacy visit was successfully with the various community leaders in each of the identified communities.

C:UsersPROJECT OFFICERDesktopWINDOW 2 PICSKaduna Advocacy Visit with the WDC members and the Sarki (village head).jpg C:UsersPROJECT OFFICERDesktopWINDOW 2 PICSKadunna State Advocacy engagement with the District head.jpg

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