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UNICEF NYHQ National Nutrition Information Systems October 2013

UNICEF NYHQ National Nutrition Information Systems October 2013. Background. Why are experiences of national nutrition information systems important for community-based SAM treatment ? Programming trends to expand SAM management in-country

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UNICEF NYHQ National Nutrition Information Systems October 2013

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  1. UNICEF NYHQ National Nutrition Information Systems October 2013

  2. Background Why are experiences of national nutrition information systems important for community-based SAM treatment? • Programming trends • to expand SAM management in-country • to integrate SAM management into national/govt systems • to link SAM management to preventative action (& stunting agenda) • Programme trends mirrored in information • So we need to: • Understand how SAM data from a wide range of sources comes together at national level • See SAM information within broader efforts around nutrition information collection /analysis/usage

  3. Delivery Situation & Early Warning Performance Elements of national nutrition information system GAM/SAM Surveillance IYCF status Micronutrient (National / Sub-National Level) • Routine information e.g.: • SAM Admissions • IYCF counselling • MN distribution • (National & Sub-National Level) • SAM performance indicators • IYCF + MN KAP trends • (National & Sub-National Level) Nutrition Information Needs Geographical Coverage (National & Sub-National Level) Supply Availability (Sub-National Level) Food security Health situation Sanitation and hygiene (National & Sub-National Level) • Intervention Coverage • (National & Sub-National Level) Annual Budgets for Nutrition interventions (National Level) Country profile (pop. data; risks; DRR etc.) Surveys (MICS, SMART, etc.) Routine data; coverage surveys; KAP studies Method Routine data etc. Coverage Monitoring Network UNICEF Country Reports FEWS-NET; VAM Source UNICEF Country Reports NGO Reports MoH Surveys (National) NGO Surveys (Sub-National)

  4. Generic example: nutrition information / reporting system Programme performance Situational / Impact Programme delivery Vertical programme CMAM programme Vertical programme • Survey • Survey • Survey Vertical programme • Coverage surveys • KAP studies/ surveys • Surveillance District / Province / National District / Province / National District / Province / National District / Province / National Govt/UN/NGOs HMIS Govt/UN/NGOs HMIS MoH

  5. Country SAM reporting systems As of 2012, 51 COs (of 62 reporting) have CMAM/SAM reporting system* • Information comes together at national level differently across countries • Govt + UNICEF play a significant role in bringing together SAM info at national level * UNICEF Global SAM Management Update 2012

  6. Country examples • Pakistan: how CMAM output data(+) comes together at national level • Viet Nam: challenges of bringing together nutrition information reporting streams

  7. Pakistan: Nutrition programming context • UNICEF continues to be a major supporter of nutrition programming, particularly for CMAM. • Main programme interventions: • CMAM (MUAC screening; OTPs; SFPs), • Micronutrient supplementation • IYCF messaging • Changing programming landscape in Pakistan: • Increased government ownership of nutrition programming (inc. CMAM) • Increased non-UNICEF supported NGO activity (e.g. NGO consortia in Sindh) • Increased programming focus shift from emergency to development (from CMAM to IYCF/MN.

  8. Pakistan national nutrition information system

  9. NIS information flow (KP/FATA)

  10. Reporting flow (KP/FATA)

  11. NIS system

  12. NIS key findings: challenges Macro level • Standardization issues (2 provinces use; MRP) • Utilization and reporting flow issues (analysis; usage) • Sustainability issues (resource heavy) Technical • Content gaps • Quality issues • IT technical issues

  13. Viet Nam: Nutrition programming context • Government-led nutrition programming • Development focus on stunting: • National Targeted Programmes – (Nutrition [PEMC] and Maternal & Child Health (IYCF; MN) • NGO programmes (IYCF ‘franchise’) • Introduction of IMAM pilot • (Government-led / UNICEF-supported)

  14. Current Nutrition Data Flow VHW collects individual dataand compiles monthly summary Village PEMC (IYCF & Vit A); MCH; monthly Monthly meeting at commune: Commune Nutrition Focal Point (or commune head) compiles data monthly in hard copy (inc IMAM) Commune 25th each month PEMC (IYCF & Vit A); MCH monthly IMAM; & general report monthly District HC /Hospital Monthly meeting: District Nutrition FP collects specific programme reports Monthly meeting: District planning FP collects general and specific programme reports 30th each month

  15. Current Nutrition Data Flow (cont.) District Nutrition FP compiles programme reports monthly; sends either monthly / quarterly summary to province via letter & email District planning FP compilesgeneral report (& IMAM) monthly; sends either monthly / quarterly summary to province via letter & email District HC /Hospital Complexity of reporting lines PEMC (Vit A) quarterly PEMC (IYCF); Quarterly MCH: Monthly IMAM General reports Monthly/quarterly 5thof month IMAM (inpatient) IMAM (inpatient) Provincial Hospital Curative data Curative & IMAM data IMAM (inpatient) Preventive Health Centre receives; data and compiles Reproductive Health Centre (Nutrition FP) receives data and compiles Health Service Department/Planning receivesdata and compiles Province

  16. Current Nutrition Data Flow (cont.) Annual Nutrition survey data PHCcompiles and sends via email & letter RHC Nut FPcompiles and sends via email & letter HSD/Planningcompiles and sends via email & letter Province Complexity of reporting lines continues PEMC (IYCF ); Quarterly MCH: Monthly PEMC (Vit A) quarterly General reports Monthly/quarterly NIN (NSS) NIN (PEMC) MCH Regional institution Obstetrics hospital south MoH (Cabinet Office) National MoH

  17. Other experiences of national systems • Data generation • Advances in coherence, quality, standardization & technology • But:Quality / credibility; politics; timeliness (surveys & routine systems) • Coherence (different reporting lines / staff / frequencies / indicators etc.) • Resources & capacity (technology; info collection) • Data analysis • Sudan Darfur Update; Pakistan Cluster Update; • FSNAU; WCARO DevInfo & monthly report • But:Need for clarity of roles for analysis; capacity; breadth of analysis • Data utilization • For advocacy and fundraising (Ethiopia & Sudan); programme adaptation (Kenya MYRs adjusted targets, strategy, funding needs etc.) • But: Translation to programmeadaptation; politics; level of info needed for programmestaff

  18. Implications / Next steps A. For bringing CMAM reporting together at country level: • Advocate for government ownership at national level & build capacity • Standardization of indicators/ & forms; develop tools & technology; clarify reporting lines • Strengthen analysis & utilization of data B. For linking CMAM with other nutrition/multi-sector reporting: • Advocate for Government buy-in & ownership • Map, assess and harmonize / streamline • Strengthen integrated data analysis • Data utilization

  19. Thank you

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