Working Group_Nutrition_5.7.14
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Working Group_Nutrition_5.7.14 Presentation Transcript

  • 1. Pioneering the Prevention of Malnutrition Under 2 Approach (PM2A): Challenges and Opportunities in Government Coordination Mercy Corps Experience Guatemala
  • 2. Mercy Corps Guatemala PM2A - PROCOMIDA General PM2A elements – Formative research – Behavior change communication – Health system strengthening – Preventive food rations Mercy Corps PM2A program funded by USAID/Food for Peace 2009 – 2015 – 50,000 mother-child units 2
  • 3. Program Design and Implementation Participants – Pregnant or lactating mothers and mothers of children under 24 months of age – Continuous enrollment (under 18 months of age) until last month of intervention Geographic focus – Alta Verapaz – Vulnerable municipalities (SESAN) Implementation through existing health structures (MOH contracts with NGO health providers) 3
  • 4. Research Components PM2A Research Program – 5 different rations, including two types of micro nutrients – No livelihood component IFPRI – Formative research – Longitudinal impact study – Operational evaluation – Cost study Mercy Corps – Anthropological studies – Barrier analysis – Impact evaluation 4
  • 5. Program Implementation Training and Distribution Points (TDP) 6 24 121 161 180 221 270 284 347 356 227 00 50 100 150 200 250 300 350 400 TDP Micro nutrients ExpansionsClose out Start up
  • 6. Health System in Guatemala 7 MOH Departmental Health area Health districtDepartmental Health area Departmental Health Area Health district Health District Health Dis999 99trict Direct MOH interventions Coverage Extension Program Local NGOLocal NGO Local NGO Health Center Health CenterHealth Center Health Posts Health Posts Health Posts Convergence Center Convergence Center Convergence Center
  • 7. Local Context In Guatemala, existing Title II programs already had a preventive approach; 2012 RFA includes specifically PM2A Signed agreements with Ministry of Health (MOH) and Secretary of Food Security (SESAN) IFPRI negotiation of research protocol with MOH Two different governments Presidential initiative within SUN: Zero Hunger Pact Negotiation to prevent duplication of rations (Zero Hunger Pact) with MOH 8
  • 8. Successes Adoption of model mothers and community health commissions by MOH Adoption of household action plan by SESAN Coordination with MOH – Interventions – Micro nutrients – Growth monitoring – Training Coordination with other NGOs Transfer of strategies and materials Hiring of key staff with experience in GOG institutions 9
  • 9. Challenges 10 Financial limitations of health provider NGOs due to late/incomplete disbursements by MOH Cross contamination of Control Groups Coordination with government food distribution to avoid overlap Sustainability High level of turn-over in key government personnel
  • 10. Thank you! Gracias B’antiox