nutrition cluster monthly meeting/ sana’a/aden ... · web viewsome of the feedback from partners...

اليمن التغذية كتلهhttps://

www.humanitarianresponse.info/en/operations/yemen/nutrition

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Yemen Nutrition Cluster https://www.humanitarianresponse.info/en/operations/yemen/nutrition

Nutrition Cluster Monthly Meeting/ Sana’a/Aden28 October 2020

Chair: Nutrition cluster Coordinator- Isaack ManyamaVenue: Online- through UNICEF zoom link provided by the nutrition cluster.

Agenda1: Review of the action points from the previous meeting2: Key updates from the nutrition cluster TWGs (CMAM, IYCF and NITWG) (30min) 3: Nutrition situation update (Programme data and reporting)-30min4: Timeline for 2021 HNO/HRP (10min)5: Analysis of low coverage and defaulter rates in districts with low coverage tool -15min 6: Updated on Humanitarian Response plan accountability-15min7: AOB

Update on the Yemen Humanitarian Funding (YHF)-5min TFC (MOPHP)-5min

1. Review of the action points from the previous meeting

Action pointNutrition Cluster Meeting Held 28th Sept 2020

Responsible Timeline Status

Nutrition Cluster to organize a meeting with MOPHP on stoppage of monthly submission of nutrition programme data (OTP/TSFP, IYCF, BSFP etc)

WHO/UNICEF/WFP/MOPHP/cluster

29th Sept Done

MOPHP to confirm if the note to GHOs to submit all nutrition reports by 3rd of subsequent months include allowing nutrition sites sharing reports to NGOs partners operational in their respective areas

MOPHP 29-Sep Done

Conduct extrapolation analysis on reporting rates and admissions for programme data and estimate what % of beneficiaries might be missed due to reporting

NCCT/UNICEF Fist week of October Pending

CMAM TWG to hold meeting to discuss request from GHOs to resume to MUAC/WHZ admissions criteria and provide guidance accordingly

CMAM TWG First week of October Done

Nutrition cluster Monthey meeting Meeting minutes



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Action points Nutrition Cluster Meeting Held 28th Sept 2020

Responsible Timeline Status

Partners to provide feedback/inputs on the nutrition cluster capacity analysis report

Partners 5th October Done

Capacity analysis report to be discussed further during the mid Year review with particular attention to partners support to GHO (supportive supervision and capacity building)

NCCT/partners 5th October Done

The Nutrition Cluster to organize a meeting to discuss ICRC RUSF donation in WFP/cluster TSFP prioritized districts in the Northern Yemen as it disrupts the existing routine TSFP supported by WFP

MOPHP/ WFP/ICRC/UNICEF

1st October Done

Compile and analyse the admission trends based on the available monthly reports submitted from the some of the governorates in Southern Yemen and presented during the mid Year review

NCCT 5th October Done

Action point Responsible Timeline Status

Revision of the COVID impact assessment tool based on the guidance from CMAM and IYCF

NCCT/CMAM/IYCF TWGs 14 September Pending

Arabic version of the TFC Covid-19 adapted guidance to be disseminated to partners.

WHO, NCCT 2nd Week September Not done

To improve the response rate and better understanding of the impact of COVID-19 on nutrition service delivery & utilization, the UN agencies to draft tool that will be administered to their respective partners

UNICEF, WHO,WFP, NCCT

3rd Week September

Drafting done with CMAM/

IYCF TWGsMOPHP, WHO, UNICEF to hold a meeting to harmonize TFC operational modalities and strategies

WHO,UNICEF,MOPHP September Done in October

NCCT in coordination with the SAG to develop one pager COVID-19 sensitive communication strategy for Nutrition cluster

SAG, NCCT by end of September

Not done

Follow up of Actions Points


Follow up of Pending Action Points (August and September)



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Nutrition Cluster COVID-19 Communication Strategy: Nutrition cluster awaits the finalization of the National COVID-19 Communication Strategy which would largely inform development of the Nutrition Cluster COVID-bbbbb19 communication strategy. YAD has volunteered to support the nutrition cluster in the development of the communication strategy.

GHO Nutrition Reporting : Nutrition Cluster, WFP, WHO, UNICEF and MoPHP held a meeting and MoPHP. The MoPHP have drafted a memo to be signed by the Minister directing the GHO to resume sharing of nutrition reports Nutrition cluster, UNICEF, WFP, WHO and partners at the same time. The memo is expected in the first week of November.

Arabic version of the TFC Covid-19 adapted guidance : The guidance is under review by the MoPHP. Further updates to be provided in the next cluster meeting.

Action points Focal Point/agency Timeline Nutrition Department (MOPHP) to circulate a memo to GHOs to resume monthly programme data sharing with UN and NGOs partners

MOPHP 1st week of Nov 2020

2. Key updates from the nutrition cluster TWGs (CMAM, IYCF and NITWG)CMAM TWG updateThe CMAM TWG have held two meetings, below are the key deliberations and actions from the meeting.

- WFP shared communication regarding decision to stop BSFP for PLWs in the months of August through December 2020 due to global shortage

- CMAM TWG has assigned a sub group to develop a concept note for piloting of Family MUAC in Yemen

- Deliberations held on possibility of resuming Weight for Height Measurements currently discouraged by the CMAM Covid-19 Adaptations Guidance. Follow up is planned with Covid 19 task force and WHO for their advice to inform decision by CMAM TWG on the matter

- The CMAM TWG will be finalizing discussion on selected Covid-19 impact indicators for monitoring at health facility/ nutrition sites. Further engagement with health workers network on reporting on the indicators, therefore plans to translate indicators to simple Arabic questions for collection through WhatsApp. More updates in the coming cluster meeting.

IYCF TWG- The IYCF TWG had not met




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- Partners seek in previous meetings to know the possibility of resuming Mother to Mother Support Groups. The TWG is not able to provide guidance due to their being no clear guidance to guide resumption of Mother to Mother Support groups yet

- The group will review the current Yemen IYCF toolkit in line with the GNC guidance provided

Nutrition Information TWG: NITWG meeting held 4 October NITWG. Key deliberations and decisions were:

- Annual NITWG workplan finalized and approved by the members. The workplan will be shared with partners

- The group reviewed CoVID-19 indicators thereafter shared with CMAM and IYCF TWGs for further review and final recommendations.

- Risk monitoring indicators to be drafted and reviewed by NITWG - NITWG will be producing a Quarterly Technical bulletin. A sub group was formed to draft the

outline of the bulletin- Donor group request to join NITWG was accepted and a formal communication would be sent

out for the nominated donor member to join the next meetings

Action points Focal Point/agency Timeline

CMAM TWG to prepare summary update that will be shared with all nutrition cluster partners on the recent technical discussions on safe resumption to using Z-score admission criteria

CMAM TWG 1st week of Nov 2020

CMAM TWG to prepare summary update that will be shared with all nutrition cluster partners on the recent technical discussions on safe resumption to using Z-score admission critieria

CMAM TWG 1st week of Nov 2020

IYCF TWG to review the IYCF response tools to be in line with the GNC global guidance

IYCF TWG November

3. Nutrition situation update (Programme data and reporting)




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In the reporting period January to September 2020, only 6 out of 10 activities (Figure 1) have attained 80% of the period targets. Treatment coverage for acute malnutrition among under-fives and MNPs supplementation remained low ( 69% of children with SAM; 64% of children with SAM with Complications; 60% of children with MAM, 38% children received MNPs).

Figure 1: Achievements in 9 months towards Nutrition Cluster Targets

Aden data had been compiled and reported for the pending months. Reporting rate for SAM in the month of September was 78% for Aden Hub

SAM with complications reporting rate was 71%. Reporting Rate for the three months (July-Sep 2020) is less than 2019, and this because the TFCs supported by UNICEF in the North have not submitted the data in Sana’a and Sa’ada hubs

MAM reporting was 53%. MAM Reporting Rate for the three months (July, August and Sept 2020) was less than 2019; i.e 70%, 62%,53% respectively compared to 83%,85%, 81% in 2019. The low reporting rate in 2020 confounds interpretation and comparison of the treatment of SAM and MAM among under-five children, pregnant and lactating women as it can be seen in figure 2 below.

Only 36 out of 138 Mobile Teams were functional as at August 2020

Figure 2: SAM and MAM New Admissions 2019 and 2020




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SAM and MAM Performance in Jan –Sep2019Program People in need Cluster Target New Admission Vs People in Need Achieved Vs Target

SAM 357,487 321,739 271,188 76% 84%SAM with Comp 35,749 21,449 14,092 39% 66%MAM 1,451,435 937,878 481,827 33% 51%PLW AM 1,140,532 639,210 469,942 41% 74%

SAM and MAM Performance in Jan –Sep2020Program People in need Cluster Target New Admission Vs People in Need Achieved Vs Target

SAM 322,176 289,953 149,501 46% 52%

SAM with Comp 35,797 25,058 12,036 34% 48%MAM 1,595,268 996,128 447,682 28% 45%PLW AM 1,140,532 672,194 445,678 39% 66%

Supplies Stock Outs Status Out of 311 OTPs sites that reported RUTF supplies status only 3 had stock out for 4 weeks None of the 13 TFCs sites that reported had stock outs Out of 851 TSFP that reported RUSF stock outs only 5 had stock outs for 4 weeks None of the 851 BSFP sites reported stock outs

Impact of COVID 19 on utilization of nutrition sites and mitigation measures Sep 2020 (Update-NGOs ) The Impact of COVID-19 on the utilization nutrition services by programmes was as follows based on

the updates received from NGOs; 9% of the OTP sites, 11% of TFC sites, 22% of TSFP sites and 33% of the BSFP

According to the September update partners, the drop in attendance was reported in 11% of OTP sites, 23% of TFC sites and 15% of TSFP sites out sites that NGOs had reported.

Drop in attendance attributable to COVID19 were reported in over 56% for OTPs, 100% for TFCs, 32% for TSFPs, 10% of the BSFPs sites out the NGOs reported sites.

Use of PPEs was 100% in TFCs sites remained considerably low in OTP sites (48%), TSFP sites (22%) and BSFP sites (34%) out of the NGOs reported sites. For details please refer to the attached presentation.

Action points Focal Timeline




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Point/agency Nutrition cluster partners whose some of their geographical coverage is not reflected in the nutrition cluster 4Ws and mapping to contact the nutrition cluster information manager bilaterally to sort out the differences

Partners October- 1st Wk Nov

4: Timeline for 2021 HNO/HRP The ICCM has kicked-off discussions on 2021 HPC. Timeline for HNO and HRP has been shared

with the partners. Nutrition cluster and other clusters are participating in Joint Inter-cluster Analysis Framework

(JIAF) consultations. JIAF is the approach through which joint analysis on humanitarian needs is conducted lead by OCHA.

Key activities and tentative timelines are as follows;Clusters share revised severity scales and PiN calculation

methodologies 25 OctoberIPC AMN Analysis Workshops NovemberClusters draft HNO cluster chapters 19 November Cluster PIN and severity data submitted to OCHA 19 NovemberCluster engagement with line ministries 19-25 NovClusters submit HNO report narratives and infographics 26 NovClusters draft HRP chapters 21 Nov to 10 DecCluster share first draft of HRP narratives 10-DecHNO Published 17 DecHRP Published 23 Dec

5: Analysis of low coverage and defaulter rates in districts with low coverage tool The nutrition cluster coordinator informed partners that had received feedback from few partners on deep dive tool and their inputs were valuable and had been incorporated. Some of the feedback from partners was suggesting it the deep dive be done at district and others suggested be at nutrition site level.

It was discussed and agreed that in order to have better understanding of the constraints and find appropriate context specific solutions, the deep dive be conducted at site level although the location of the deep dive will be done at district level. What was pending was the preparation of guidance note on how the deep dive tool will be completed. Action point: Nutrition cluster to prepare the deep dive guidance for the district level team

6: Updated on Humanitarian Response plan accountability




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Nutrition cluster and other clusters have developed HRP Accountability Guidance for each activity in the 2020 HRP with view to improve collective accountability in the humanitarian response in Yemen

Nutrition cluster coordinated the HRP accountability survey facilitated OCHA to track the status of the nutrition cluster accountability chain and the constraints that negatively impact the ability of partners to implement nutrition responses.

A total of 35 partners participated in the survey. The summary report indicated accountability constraints were reported in 19 Governorates and 155

districts Next steps: It was agreed that a short trainings session should be organized for partners to

understand the Nutrition Cluster HRP Accountability chain to enable partners understand respond objectively.

Action points Focal Point/agency TimelineNutrition Cluster to organize Ad hoc meeting to review the HRP-Accountability survey results for the nutrition cluster and re-orient partners on the nutrition cluster HRP-Accountability tool to ensure common understanding among all partners.

NCCT/partners November 2020

7: AOBa. Update on the Yemen Humanitarian Funding (YHF)A total of $75 Million was available for YHF SA 1 2020Up to 9 clusters are eligible to apply for the YHF; FSAC, RRM, Health, Protection, WASH, Nutrition, Education, SNFI, and CCCM.

a. Priority 1: High priority gaps in interventions for people in most acute needs in the hardest of the hard to reach areas.

b. Priority 2: Covering gaps in clusters’ ongoing emergency response for people in acute need, focusing on (i) critically underfunded protection programmes, (ii) IDP response, and (iii) Pre-positioning critical life-saving emergency items in line with the national contingency plan. The first two sub-components will be presented by the Clusters, the national contingency plan will be presented by OCHA.

While for priority 1, OCHA will provide guidance in areas will be prioritized based YHF allocation strategy, clusters will be preparing their allocation priority strategy for parameter 2. The nutrition cluster prioritization strategy will be guided by the following criteria: High to very high prevalence of acute malnutrition, areas with low treatment coverage for SAM and MAM (≤49%); areas where IPC-AMN projected nutrition situation deteriorate; areas with multiple vulnerabilities (WASH, Health, Food insecurity) and IDP areas. A tool for capturing this information and others specific for nutrition cluster has been developed and will shared with partners for completion.




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Tentative key milestones: Dates Key milestones

4 Nov CC submit their ppt presentation + priorities templates to the HFU

8&9 Nov CC defenses to the AB

10 Nov CC submit list of standard indicators and activities to HFU for GMS set-up

10-11 Nov Allocation strategy is finalized and approved by the AB

12 Nov HFU briefing to YHF partners on SA1 strategy and process

12/14 Nov SA1 launch

b. TFC (MOPHP)MoPHP, UNICEF and WHO have held discussions to review the TFC operational package to standardize provision of TFC services in all TFC sites. It is agreed, partners will be consulted in the process.

Action points Focal Point/agency TimelineUpdate nutrition cluster partners on the next steps of the YHF including nutrition cluster prioritization in line with the YHF strategy

NCCT As soon as possible

Nutrition cluster to organize a meeting for all partners implementing TFC with MOPHP

NCCT/MOPHP November

MOPHP/UNICEF/WHO to involve TFC partners in development of the TFC package before it is finalized

MOPHP/WHO/UNICEF Once the initial draft is available

Partners implementing TFC to consult the MOPHP-nutrition department on the TFC services they are providing and when intending to initiate new TFC sites

Partners As soon as possible


nutrition cluster monthly meeting/ sana’a/aden ... · web viewsome of the feedback from partners...

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