Wednesday , December 19 2018
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Nutrition

The program commence with the screening of all children from 6-59 months with all pregnant (second and third trimester) and lactating mothers (with children under 6 months), correspondingly cases of malnutrition are identified according to standardized admission criteria (MUAC and/or WFH) by regular screening at JHAS/UNHCR clinics and therefore admitted.
Other cases may be referred from agencies working in the field; MEDAIR, IRC, IRD, IMC, TDH and other NGO’s who received MUAC training.

Nutrition Activities
The conducted activities through the nutrition program;
I. Management of Iron Deficiency Anemia in Pregnant women, all chronically ill and SAM children, by the following;
▪ Screening for blood hemoglobin status.
▪ Provision of standardized nutritional supplementation for prevention and treatment of iron deficiency anemia.
II. Integrated and Community – based Management for Acute Malnutrition (CMAM).
The program commence with the screening of all children from 6-59 months with all pregnant (second and third trimester) and lactating mothers (with children under 6 months), correspondingly cases of malnutrition are identified according to standardized admission criteria (MUAC and/or WFH) by regular screening at JHAS/UNHCR clinics and therefore admitted;
• Outpatient therapeutic program (OTP) for severely malnourished children (SAM); medication and Ready to Use Therapeutic Food (RUTF).
• Supplementary Feeding Program (SFP) for Moderate Acute malnutrition (MAM), among children, pregnant and lactating women; standard medication and Ready to Use supplementary Food (RUSF).
The follow-ups are conducted on weekly basis for SAM children where clinical examination is set and adequate plumpy nut is provided (RUTF ration calculated to secure 200 kcal/kg BWT/Day) until the next scheduled follow up. Likewise, biweekly follow-ups are conducted for MAM children and malnourished PLWs, clinical examination is done and anthropometric evaluation on which plumpy supp is given for two weeks (One sachet/Day).
• Other cases may be referred from agencies working in the field; MEDAIR, IRC, IRD, IMC, TDH and other NGO’s who received MUAC training, furthermore; Household and Hospitals follow-up visits are conducted for SAM/MAM children and PLW’s.

III. Infant and Young Child Feeding (IYCF) – Health education.
Group sessions and personal counseling sessions are conducted through JHAS/UNHCR urban clinics on Infant and Young child feeding – IYCF; from maternal nutrition, early initiation of breastfeeding, exclusive breast feeding from 0-6 months, introducing complementary foods to young children from 6-24 months, feeding sick children and re-establishing breast feeding.
Likewise these counseling sessions integrate other important topics like, anemia prevention, hygiene promotion, and early marriage with the inclusion of different general and reproductive key health messages.

IV. Milk formula distribution.
Under UNHCR, JHAS provides milk formula to ages (0-6 months) and (6-12 months) to be distributed to eligible children.
The prescription of milk formula is made according to restricted guidelines developed by the nutrition working group, where the assigned gynecologist/midwife assess the mother and accordingly added to receive milk formula, if not to support with IYCF counseling and re-lactation if applicable.