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IYCF Support in Emergencies Mother-to-Mother Support Groups in the Dadaab Refugee Camps

IYCF Support in Emergencies Mother-to-Mother Support Groups in the Dadaab Refugee Camps. TOPS FSN Network Regional Knowledge Sharing Meeting Washington, DC: November 2012 Mary Lung’aho for CARE, UNHCR and Partners. Partners in IYCF Support in Dadaab. UNHCR UNICEF CARE GTZ IRC NCCK.

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IYCF Support in Emergencies Mother-to-Mother Support Groups in the Dadaab Refugee Camps

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  1. IYCF Support in EmergenciesMother-to-Mother Support Groupsin the Dadaab Refugee Camps TOPS FSN Network Regional Knowledge Sharing Meeting Washington, DC: November 2012 Mary Lung’aho for CARE, UNHCR and Partners

  2. Partners in IYCF Support in Dadaab • UNHCR • UNICEF • CARE • GTZ • IRC • NCCK • IMC • ACF • SAVE UK • MSF • KRCS

  3. Emergency Contexts: Population on Move

  4. Emergency Contexts: Congested Settings

  5. Emergency Contexts: Disrupted Families

  6. Emergency Contexts: Defensible Living Space

  7. Emergency Contexts: Organized Camps

  8. Dadaab Refugee Camps

  9. Creating a System of IYCF Support

  10. MtMSG Objectives • Share experiences • Ask questions and exchange information • Examine values and attitudes, discover patterns of behavior • Encourage women and communities to identify and solve their own problems • Make better decisions about feeding and care of their children • Provide SUPPORT for each other • Build self-confidence

  11. Camp-level Support Structure

  12. Capacity-Building: Knowledge & Skills • Training materials for Community Workers in Dadaab based on competencies outlined in: • WHO counselling courses • IFE Core Group Modules 1 & 2: for health and nutrition workers in emergency situations, including: Assessment of infant feeding Practical help with breastfeeding

  13. Experiential Learning Cycle: Skills Discuss skill Supervised field practice and feedback Demonstrate Practise in classroom

  14. Capacity-Building: IYCF Support Activities With: • Field Practice • Supportive supervision/mentoring • Referral • Routine programme monitoring • Periodic refresher training • Exchange visits • Quarterly meetings: share experiences, discuss ‘cases’ (‘peer’ mentoring)

  15. Field Practice

  16. Counselling Cards that can be used in MtMSG

  17. Impact ??? • Much of the impact is often assumed • Impact evaluation usually not possible: often no population level baseline or endline in emergencies • Thus: heavy reliance on monitoring data • But: lack of agreement on routine monitoring indicators Q: Possible to adapt or build upon indicator categories suggested for development programming?

  18. IYCF Routine Programme Monitoring Q1: How much did we do? • Implementation of activities: • # Training events • # / % MtMSG facilitators trained • # / % MtMSGs active • # / % MtMSG facilitators mentored • # Communications activities (videos, drama, IEC materials) • Monitoring records (pictorial)

  19. Activities: MtMSG Facilitator Training

  20. Activities: MtMSG Meetings

  21. Activities: Video Presentations (Messaging)

  22. Activities: Pictorial ‘record-keeping’/monitoring

  23. IYCF Routine Programme Monitoring Q2: How well did we do it? • Coverage: geographic/spatial coverage (MtMSGs per camp, health post, block) • Coverage: participation of target population (in MtMSGs) • Quality: % MtMSG facilitators who meet quality benchmarks • Quality: caregiver knowledge and attitudes • Quality: client satisfaction

  24. Coverage: Camps Blocks showing MtMSGs

  25. Quality: Supportive Supervision/Mentoring

  26. IYCF Programme Results Q3 (RESULTS - survey): Is anyone better off? • IYCF Practices (WHO indicators) • Health & nutritional status

  27. Exclusive Breastfeeding & Population Growth

  28. Results: Exclusive Breastfeeding

  29. Global Acute Malnutrition (GAM)

  30. Issues: Incentives

  31. Men’s Involvement

  32. Creating Excitement

  33. Charismatic Leadership

  34. THANK YOU!

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