2 ANALYSIS OF ACHIEVEMENTS BY MAJOR ACTIVITIES
2.1 Activities Carried Out in FY 2062/63
2.1.1 Prevention of malnutrition
2.1.2 Protection and promotion of breastfeeding/complementary feeding (Infant and Young Child Feeding – IYCF)
- Developed and approved National Strategy for Infant and Young Child Feeding (an integral part of the comprehensive National Nutrition Policy and Strategy);
- Celebrated Breastfeeding Week (August 1-7) in all districts with rallies, talk programmes, adolescent orientation and School health program etc;
- Conducted one day orientation to HWs (including doctors, nurses and paramedics) in four teaching hospitals in Kathmandu valley;
- Conducted survey on availability of breast milk substitutes at the local market of Kathmandu;
- Developed promotional messages for exclusive breastfeeding through mass media and distributed of booklets on breastfeeding for health workers;
- Conducted ToT and participant training on IYCF Counselling to HWs;
- Conducted two-day IYCF orientation to all Nutrition Focal Persons and Health Education Technicians in five regions;
- Developed a low cost fortified blended complementary food for social marketing campaign and its promotional materials designed and tested.
2.1.3 Growth monitoring for screening and prevention of PEM
- Conducted regular growth monitoring at Hospital, PHC, Health Posts, Sub Health Posts and Outreach clinics;
- Distributed growth monitoring and counselling card;
- Completed evaluation study of growth monitoring activities in selected health facilities of 4 districts in CDR in July 2004;
- A booklet on measurement of mid-upper arm circumference (MUAC) was developed and distributed to all FCHVs throughout Nepal;
- Mid-upper arm circumference (MUAC) measuring tapes (Shakir Tape) distributed to FCHVs.
- Salter scales distributed to D(P)HOs;
- Conducted orientation about proper method of growth monitoring practices and counselling activities to health workers including FCHVs in Syanja and Parbat districts;
2.1.4 Control of IDD
- Finalised Iodised Salt Regulation and its implementing Guideline;
- Conducted regular supervision and monitoring of iodized salt conducted at STC's warehouses;
- Iodized Salt Social Marketing Campaign V continued in Rupandehi, Kapilvastu, Nawalparasi, Dhanusha, Siraha and Dang districts;
- IDD month celebrated throughout the country in the month of February for intensification of promotional activities;
- Surveillance on consumption of iodized salt along with Vitamin A was continued by conducting a mini survey. FCHV registers used for Intensification of Antenatal Iron Supplementation Program (IAISP) was also used for this purpose;
- Second edition of €œA booklet on Iodine Deficiency Disorders for health workers and program managers€ was published;
- National scale survey for tracking the process towards prevention of iodine deficiency disorders in Nepal completed;
- Renewed Indian Grant in IDD control program;
- Published IDD calendar for community level for promotional activities.
2.1.5 Control of Vitamin A deficiency disorder
- Continued mass biannual distribution of high-dose vitamin A capsules to children between 6 to 59 months throughout the country;
- Continued nutrition education activities through media, community-level health workers and agriculture extension workers;
- Conducted mini-surveys to assess the outreach supplementation programme;
- Continued postpartum vitamin A supplementation through health institutions and FCHVs;
- Continued pilot intervention for treatment of night-blind pregnant women with low dose vitamin A capsules in three districts;
- Continued case treatment with vitamin A through health facilities;
- Initiated community-based nutrition reactivation training to HWs with emphasis on Vitamin A in selected districts;
- Conducted a workshop to revise IEC materials on nutrition, especially on Vitamin A;
2.1.6 Control of iron deficiency anaemia (IDA)
- Continued distribution of iron and folate tablets to pregnant and lactating women through Hospital, PHCC, HPs, SHPs ORCs, and FCHVs;
- Scaled up Intensification of Maternal And Neonatal Micronutrient Program (IMNMP) in 13 new districts (Rupendehi, Sarlahi, Rautahat, Jumla, Dailekh, Bardia, Doti, Baitadi, Kanchanpur, Kailali, Surkhet, Salyan, and Pyuthan);
- Continued production of wheat flour fortified with iron, folic acid and vitamin A few mills on voluntary basis;
- Received commitment of KfW to provide financial assistance to procure 40 million iron tablets for the fiscal year 2062/63;
- Initiated advocacy on use of low cost iron tablets to pregnant and postnatal women attending Maternity Hospital in Kathmandu;
- Conducted surveillance on consumption of iron along with Vitamin A mini survey continued during October and April rounds;
2.1.7 Deworming
- Continued regular biannual deworming of children aged 1-5 years along with vitamin A capsule distribution;
- Continued deworming of pregnant women as per the Policy and protocol;
- Included reporting of deworming of pregnant women in HMIS;
- Explore school Deworming program.
2.1.8 Miscellaneous
Developed National School Health and Nutrition Strategy.
