Background & Context Analysis
 Prolonged water logging in south western districts of Satkhira, 
  Khulna  and  Jessore  in  July/August  2011,  affected  the 
  vulnerable population. 
 WFP & ACF, with local partners, intervened with emergency 
  interventions, focusing FS/livelihood, WASH & small nutrition 
  surveillance to address their immediate needs
 A  number  of  assessments  and  surveys  (ACF’s  nutrition 
  surveillance, nutrition survey, HKI, FS assessment WFP, FAO 
  and Shushilan, JNA for recovery) were carried in 2011, which  
   showed deteriorated nutrition situation. 
 Findings  from  those  surveys/assessments  led  to  the 
  development  of  a  nutrition  programme  to  address  acute 
  malnutrition. 
  Objective of the Programme: 
  Principal objective:
          To  reduce the risk of mortality and morbidity among the 
   most vulnerable population affected by water logging
  Specific objectives:
  To reduce the risk of mortality and morbidity linked to
      severe acute malnutrition among children under 5 years
      old in areas affected by water logging
  To prevent the deterioration of nutrition status of children 
   (6-59) and maternal -Pregnant & Lactating Women (PLW) 
   nutritional status in the most affected areas
                                               Upazilas
    
                              Tala           Satkhira Sadar Dehhata Assasuni 
                     Dhandia                Bali                Kulia        Kadakat
                     Islam Kat              Dhulihar            Parulia       
                     Jalalpur               Labsa                             
                     Khalilnagar            Satkhira Sadar                    
        Unions       Khalishkali            Jhaudanga                         
                     Khesra                                                   
                     Kamira                                                   
                     Nagarghata                                               
                     Tala Sadar                                               
                     Tentulia                                                 
  Target beneficiaries: (6 – 59 months/PLW)
  Approximately, 2,500 children will be screened and 
   among them, about 600  children aged 6-59 months 
   are expected to be with Severe Acute Malnutrition 
   (SAM)
  Complicated  SAM and MAM cases will be referred 
   to the three Upazila Health Complex (UHCs) and 
   the District Hospital to receive inpatient treatment.
  All  children aged 6-59 months with moderate acute 
   malnutrition (MAM) will be identified– expected 
   number  7,400
   All PLW with moderate acute malnutrition (MAM) 
   will be identified– expected number 6,300
     Main activities of the current project
   Activity- 1
   Training and coaching of national staff of Shushilan and GoB health 
      structure staff-Community Clinic (CC) and Upazila Health Complex(UHC) 
      for the implementation of the CMAM approach, including detection and 
      treatment of MAM/SAM cases.
    
   Activity- 2
   Community and center based screening for under five children and 
      pregnant and lactating mothers for acute malnutrition and referral for 
      appropriate treatment, depending on condition; community mobilization 
      and health/nutrition education 
   Activity- 3
   Setting up and running of Outpatient Therapeutic Programme(OTP), 
      Sterilisation Centre (SC) through partner and UHC; and of MAM centres 
      in CC
   Activity- 4
   Progress monitoring and reporting