Support on prevention and treatment of Severe Acute Malnutrition (SAM) with medical complication through the implementation of Stabilization Center (SC) in seven earthquake affected districts of Nepal.( 2017-2018)

Children and women were the most vulnerable population at the aftermath of the great earthquake-2015. The earthquake resulted in deterioration of health and nutrition status of women and children in the highly affect districts. Kathmandu, Lalitpur, and Bhaktapur were the major affected districts and the nutritional status of children got worsen. According to the NDHS survey, more than 12% of the children of under five were affected with severe acute malnutrition in three affected districts. At the aftermath of earthquake, the prevalence increased dramatically due to lack of food, shelter, and infection.

After the emergency response, recovery phase brought along the training opportunity to all the government health workers, volunteers as well as staff of NGO partners on comprehensive nutrition intervention (five building blocks of nutrition). Additional activities of recovery phase that were not a part of response phase were management of children with moderate acute malnutrition and acute malnutrition among pregnant and lactating women; distribution of hygiene and cookery kits in Lalitpur district multisectoral coordination for nutrition promotion, nutrition corners establishment, urban kitchen gardening training etc. In this phase, 1484 children 6-59 month with severe acute malnutrition have been admitted in OTC, 9125 children with moderate acute malnutrition have been admitted in TSFCs and 7145 pregnant and lactating women with acute malnutrition have been admitted in TSFCs for treatment.

Social Development and Promotion Center (SDPC) provided nutrition program support in coordination with District Lead Support Agency (DLSA) in the three districts of the valley, Kathmandu, Lalitpur and Bhaktapur. During these periods, SDPC had supported the respective district counterparts in implementing major activities such as promotion of breastfeeding, complementary feeding, distribution of micronutrient supplements, and treatment of SAM children in Out-Patient therapeutic Centers (OTCs); MAM children and PLW with acute malnutrition in Targeted Supplementary Feeding Centers (TSFCs). With the experience of nutrition response and recovery phase for almost 18 months, SDPC now has a pool of trained and experienced human resources with fine understanding of the issues and constraints on the ground.

During recovery phase program implementation in valley, 1530 children with Severely Acute Malnutrition (SAM), 9475 children with Moderate Acute Malnutrition(MAM) and 7907 Pregnant and lactating Women(PLW) with acute malnutrition were identified and have been treated in OTCs and TCSFCs. Hospital based screening for the identification of these cases was one of the most remarkable strategies adopted in the context of urban areas. To achieved over said result more than 50 Nutrition district Officers, 200 Nutrition Volunteers followed by more than 100 trainers were movilized.