Presented by
Raphael Bajay Tchumah, COP Tubaramure - CRS
Evelyn Ngomirakiza, National Director-Pronianut – MOH GOB-Burundi...
Burundi: country profile and context
Burundi: CRS-IMC-MoH 2
• Population: 10.88 millions
• Administration: 17 provinces
• ...
Burundi: 2004 to 2008
Burundi: CRS-IMC-MoH 3
General state of nutrition:
• Post conflict period: IDPs, returnees, high foo...
State of children 2008
Burundi: CRS-IMC-MoH 4
2008-2009: Startup
(MOH treatment-oriented programs)
Burundi: CRS-IMC-MoH 5
Health Facility based-activities:
• Monitoring...
Initial protocol for treating SAM in
Burundi
Burundi: CRS-IMC-MoH 6
• REPUBLIQUE DU BURUNDI
• MINISTERE DE LA SANTE PUBLIQ...
2008-2009: A change year
Burundi: CRS-IMC-MoH 7
• 2008: CRS led with a consortium partner IMC implement
the first Title II...
2008: 1st Title II MYAP for Burundi
Burundi: CRS-IMC-MoH 8
MYAP-1 objective: to reduce chronic and transitory food
insecur...
Coverage of existing programs in 2008
Burundi: CRS-IMC-MoH 9
• All operating programs were limited to some province:
less ...
2009: enter the PM2A Burundi
Burundi: CRS-IMC-MoH 10
A new partnership with the Government of Burundi
• CRS and consortium...
USAID FFP PM2A in Burundi
SO: Malnutrition in
children under 2 years
of age is prevented in
Burundi
IR1: Access to quality...
PM2A key achievements
Burundi: CRS-IMC-MoH 12
Transferring capacity to the MoH, and the community:
• IMCI Training of Heal...
PM2A key achievements
Burundi: CRS-IMC-MoH 13
The way forward
Burundi: CRS-IMC-MoH 14
During life of Tubaramure the GoB developed a
set of National strategies that all ...
By 2014…
Burundi: CRS-IMC-MoH 15
• Burundi joined the SUN movement (2013)
• Increased levels of trained staff in preventio...
This presentation is made
possible by the generous
support of the American
people through the
support of the Office of
Foo...
Upcoming SlideShare
Loading in...5
×

Working Group_Nutrition_Burundi_5.7.14

150

Published on

Published in: Business, Travel
0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total Views
150
On Slideshare
0
From Embeds
0
Number of Embeds
0
Actions
Shares
0
Downloads
3
Comments
0
Likes
0
Embeds 0
No embeds

No notes for slide
  • Say: IN 2009 USAID Food for Peace - selected Burundi and Guatemala to operate five year FFP Title II programs focusingexclusively on PM2A (preventon of malnutrition for undertwos. Introduce the current setting in this slide -
  • Prior to the PM2A Title II launch in Burundi – the situation was.
  • Whatisthis slide represeting Slide title not clear? The photos do not show either the model or the MOH -
  • Is thisstart up the MYAP or the change in natiionalpolicies
  • Say in 2008 to 2009 the country wastransitioningfromconflict to post conflict
  • Slide and photo are not related
  • What a bout reseach issues and otherproblems how did the government and CRS interact?
  • Working Group_Nutrition_Burundi_5.7.14

    1. 1. Presented by Raphael Bajay Tchumah, COP Tubaramure - CRS Evelyn Ngomirakiza, National Director-Pronianut – MOH GOB-Burundi/ Basile Ndumbi Mukenge, Country Director IMC Core group meeting, Silver Spring, May 7, 2014
    2. 2. Burundi: country profile and context Burundi: CRS-IMC-MoH 2 • Population: 10.88 millions • Administration: 17 provinces • UNDP Rank: 178 out of 187 • HDI value : 0.335 (average of 0.475 for subsaharan countries) • Civil conflict from 1993 to 2005 • Disruption of public services and private investments • Extreme poverty: < $1.25 per day for 80% of the population • Nutrition (DHS 2010) : 58% Stunting 29% Underweight 6% Wasting and 11% Low birth rate
    3. 3. Burundi: 2004 to 2008 Burundi: CRS-IMC-MoH 3 General state of nutrition: • Post conflict period: IDPs, returnees, high food insecurity • Emergency and recuperative programs (WFP….) • No national orientation or guidelines on maternal and child nutrition • Lack of coordination for nutrition responses among INGOs and GOB • Small MOH department of nutrition in a multisectoral direction NGO-based Nutrition interventions: • Médecins-Sans-Frontières,(MSF) IMC, ACF, etc • Supplementation for more than 100,000 children per year (2007-2008)
    4. 4. State of children 2008 Burundi: CRS-IMC-MoH 4
    5. 5. 2008-2009: Startup (MOH treatment-oriented programs) Burundi: CRS-IMC-MoH 5 Health Facility based-activities: • Monitoring and Early warning for malnutrition cases through Integrated Child and maternal services • Reference of malnourrished children • Specific services: SFP, OTP and SSt • Products: F75, F100, Plumpynut, CSB/Veg oil, etc Community based activities: • Recuperative approach through PD/Hearth • Preventive approach through Food security activities, SBCC, care group, and SILC/IGA solidarity chain (goats), selected seeds, home visits/CHW (gender sensitive approaches) • Community screening: CHWs
    6. 6. Initial protocol for treating SAM in Burundi Burundi: CRS-IMC-MoH 6 • REPUBLIQUE DU BURUNDI • MINISTERE DE LA SANTE PUBLIQUE • PROGRAMME DE LUTTE CONTRE LES MALADIES • TRANSMISSIBLES ET CARENTIELLES • • • PROTOCOLE NATIONAL DE PRISE EN CHARGE INTEGREE • DES CAS DE MALNUTRITION AIGUE • • • • • • Mai 2008
    7. 7. 2008-2009: A change year Burundi: CRS-IMC-MoH 7 • 2008: CRS led with a consortium partner IMC implement the first Title II program in Burundi (MYAP-1), a recuperative program through Health structures and Positive Deviance HEARTH. • 2008: MOH and CONCERN Worldwide did First Pilot CMAM/CTC in Muyinga, • 2009: Integrated National Program for Food and Nutrition (PRONIANUT).
    8. 8. 2008: 1st Title II MYAP for Burundi Burundi: CRS-IMC-MoH 8 MYAP-1 objective: to reduce chronic and transitory food insecurity in the northern of Burundi (Kayanza, Kirundo and Muyinga): *** A combination of curative and preventive activities *** • Curative: stabilization services, OTP, SFP, PLWHIV, etc • Preventive: care groups, PDH, PHAST methodology, and other Food security activities (SBCC, SILC/IGA solidarity chain (goats), Community screening by trained CHWs
    9. 9. Coverage of existing programs in 2008 Burundi: CRS-IMC-MoH 9 • All operating programs were limited to some province: less than 10 out of 17 provinces in need. • Political circumstances limited INGO engagement throughout country.
    10. 10. 2009: enter the PM2A Burundi Burundi: CRS-IMC-MoH 10 A new partnership with the Government of Burundi • CRS and consortium partners engaged Government and stakeholders at national, provinicial and local levels in design of TUBARAMURE, « Let US help them grow • Continual dialogue with MOH, USAID and Tubaramure partners on the roll out and activities of the project including – Sharing of site visits with the MOH – Resolution of questions and concerns about the protocols of blanket feeding and the research – Close collaboration for the production of training modules, key program messaging and the strenghtening of local capacities, etc.
    11. 11. USAID FFP PM2A in Burundi SO: Malnutrition in children under 2 years of age is prevented in Burundi IR1: Access to quality health services IR2: Individual behaviours IR3: Adequate food
    12. 12. PM2A key achievements Burundi: CRS-IMC-MoH 12 Transferring capacity to the MoH, and the community: • IMCI Training of Health Facilities staff: from 0 in 2010 to 130 nurses from 60 Health Centers and 10 Medical Doctors from 5 districts/provincial hospitals. • Linking MCHN services to Community Growth Monitoring • Tubaramure: a public model for preventing malnutrition for under two children. • With the PM2A direct/indirect contribution: the IMCI national protocol, the IYCF guideline, the ANC and PNC protocols have been elaborated and widely disseminated… • Participation and close collaboration in the SUN movement
    13. 13. PM2A key achievements Burundi: CRS-IMC-MoH 13
    14. 14. The way forward Burundi: CRS-IMC-MoH 14 During life of Tubaramure the GoB developed a set of National strategies that all INGOs now adhere to… • Poverty Reduction Strategy Paper II (International Monetary Fund, 2012) • National Health Development Plan (2011-2015) • National Agriculture Investment Plan (2012-2017) • Multi-Sector Strategic Plan to Fight Malnutrition (2013 to 2017
    15. 15. By 2014… Burundi: CRS-IMC-MoH 15 • Burundi joined the SUN movement (2013) • Increased levels of trained staff in prevention approach. • the coordination mechanism has been set up through the SUN and REACH movements. • the National Integrated Program of Food and Nutrition is exercising leadership role • National action plan for 2014 includes fortification interventions • Lower demands for imported food aid and more demand for local foods and nutrition security interventions
    16. 16. This presentation is made possible by the generous support of the American people through the support of the Office of Food For Peace Office under terms of Cooperative Agreement No. AID-FFP-09-00004-00 through the Catholic relief services. 16 THANK YOU
    1. A particular slide catching your eye?

      Clipping is a handy way to collect important slides you want to go back to later.

    ×