HEWs Refresher Training refreshment.pptx

This power point is very important for both learners and teachers

1. HEWs Refresher Training

2. Table of Contents: Table of Contents Objectives of the programme IMAM performance indicators Partners Discharging criteria Programme targets Supply delivery & store management Screening/targeting Supply delivery_ Assurance Project MUAC measurement Reporting Admission criteria Major challenges of the programme Beneficiary registration Recommendations Distribution Discussion Health & nutrition messages  

3. Objectives of TSFP Treatment of moderate undernutrition Prevention of deterioration of MAM to SAM Prevention of morbidity and mortality related to undernutrition Improving the nutritional status of PLW /avert low birth weight and stunting

4. Who are the targets? U5 years old children (6 – 59 months) Pregnant women Breastfeeding women with a child < 6 months old

5. Screening/Targeting Better to make it a separate day from distribution days Is conducted every month (coverage >85%) Every screened U5/PBWGs should be recorded on the CHIS card/screening register CHIS card/screening register is a source document for IMAM

6. Screening/Targeting

7. Screening/Targeting

8. Screening/Targeting

9. Screening/Targeting

10. Screening Report all the screened U5/PBWGs by sex Provide a ration card Don’t record MAM cases on registration book on Screening Day

11. MUAC Measurement

12. MUAC Measurement

13. MUAC Measurement

14. Admission Criteria U5 years old children (6 – 59 months) MUAC : > 11.5cm <12.5 cm Pregnant and Breastfeeding women MUAC : <23cm

15. Admission Criteria Don’t Admit OTP cases on IMAM Not eligible

16. Registering Beneficiaries Register every beneficiary on the day of distribution . Every data should be recorded.

17. Registering Beneficiaries/follow up card Fill out a follow-up/admission card for every beneficiary. Record all data required. Every beneficiary must sign (fingerprint) when collecting ration.

18. Registering Beneficiaries/follow up card Unacceptable

19. Registering Beneficiaries/follow up card

20. Registering Beneficiaries/follow up card No MUAC measurement File follow up cards by serial number

21. What is not recorded is NOT DONE ! Waanti hin galmoofne HIN HOJATAMNE!

22. WFP’s “Do No Harm” principle is to avoid exposing people/beneficiaries to additional risks/suffering through our actions.

23. Distribution Distribution is biweekly (every 15 days) Start as early as possible Implement a crowd control method Priority to disabled, sick, and elderly.

24. Distribution Collecting any money at the distribution site from beneficiaries is prohibited..

25. Distribution_ Ration Size RUSF for U5 children => 15 sachets/visit => 30 sachets per month SCP (CSB++) for PBWGs => 3 packets on 1 st visit, and 2 next => 5 packets per month Don’t give SCP (CSB++) to U5 children

26. Distribution _Education Objectives of the treatment Length of stay in the programme Admission and discharging criteria Distribution frequency and ration size Avoiding of sharing and selling RUSF/SCP Bringing empty sachets of RUSF Post free hotline number of WFP ( 6063 )

27. Health and Nutrition Messages Breast feeding Complementary feeding/child care Additional meal for PBWGs Super Cereal Plus preparation

28. Health and Nutrition Messages Super Cereal Plus preparation + Water SCP (CSB++) 5 – 10 minutes 30 minutes 5x/day

29. IMAM Performance Indictors Cured ( Fayye / fayyite ): MUAC > 12.5cm/23 cm ( for 2 visits ) Defaulter ( Addaan kute / kutte ): Absent for 2 visits (1 month) Relapse ( Kan fayyee irra deebin dhibame ): MAM cases again within 90 days after cured Non-responder ( kan jijjirame hin agarsiisne ): Not cured after 4 months (8 visits)

30. Discharging criteria Pregnant women => during delivery Breastfeeding women => when her child becomes 6 months old

31. Supply Delivery & Store Management

32. Supply Delivery & Store Management Store needs to be clean , ventilated , and secured Use plastic sheets/wood/cartoon for stacking Good stacking of RUSF and SCP separately Work with kebele administration Consistently use bin card and update after every delivery and distribution.

33. Supply Delivery & Store Management

34. Supply Delivery _ Assurance Project Collected the signature specimen of HEWs and stamp of HP/kebeles. Only those HEWs who gave their signature specimen will sign and receive a supply LMS will be implemented to report the delivery of a supply HEWs should thoroughly read the waybill brought by drivers and write a receipt remark accordingly. Report received supply

35. Assurance Project

36. LESS Project: Last Mile Real time recording at CP sites

37. WFP Ethiopia Supply Chain Hubs 436,000 MT Storage Capacity in Ethiopia Shire: 3000 mt Mekelle: 32,100 mt Semera: 35,000 mt Kombolcha: 21,100 mt Dire Dawa: 100,200 mt Jijiga : 36,100 mt Adama : 162,700 mt Gambella : 10,900 mt Gondar: 23,200 mt Gode : 13,100 mt

38. LESS PROCESS before LMS Dispatch Receipt Departs Waybill Waybill 1 2 3 Transporter bring back receipt confirmation up to 1 hour few hours/days up to 1 hour some days/weeks AS IS PROCESS 5 Record the receipt few minutes LESS Station LESS Station WFP Warehouse CP Warehouse 4 Process can take from days to weeks to even months at times!!

39. CURRENT PROCESS After LMS IMPLMENTATION Dispatch Receipt Departs Waybill Waybill 1 2 3 Transporter bring back receipt confirmation up to 1 hour few hours/days up to 1 hour some days/weeks 5 Record the receipt (manual) few minutes LESS Station LESS Station WFP Warehouse CP Warehouse 4 4 Send the receipt confirmation up to few hours Online confirmation of Receipt via a mobile based platform 5 Record the receipt (automatic) few seconds

40. All relevant information compressed and stored in a QR code LESS Waybill with QR code

41. Receipt Waybill Dispatch Details Receipt Details

42. Receipt Waybill

43. Mobile App Synchronize/Refresh data Exit application in order to configure WiFi connection Scan the QR code on Waybill See receipts not sent yet

44. The App reads compressed data from QR code Mobile App Please fill all the receipt confirmation details before scanning and attach a picture of the filled, stamped and signed waybill using the application.

45. Mobile App CORRECT : Confirm if the receiving location, warehouse and consignee match Waybill location and actual location match… Waybill location and actual location don’t match… NOT CORRECT: If not correct, change information  Y ou are at different receiving location and warehouse

46. Click and search Mobile App Choose the right information from the list Waybill location/consignee and actual location/consignee don’t match… Then press APPLY

47. Mobile App DIFFERENCE: Look at the commodities and eventually set the differences found NO DIFFERENCE: directly go to NEXT (No lost Units) Click to change

48. Mobile App Differences can be specified for: commodity packaging and unit net weight CPs/NGOs SHOULD FILL THE WAYBILL ON RECEIPT DETAIL WHICH INCLUDS CLARIFICATION AND OSERVATION PART OF THE WAYBILL BEFORE RETERUNING TO THE TRANSPORTER/DRIVER. Enter Good and Lost units

49. Mobile App Set the actual Arrival and End of discharge (offloading) Then press NEXT

50. Set the actual Arrival and End of discharge (offloading) Select the month and day Select the time AM = morning PM = afternoon/ evening 1. 2.

51. Mobile App A text with the Remarks should be specified (information about loss/damage, wrong location) Confirmation that the recorded receipt is complete and accurate, is required Attach photos of the signed paper Waybill Then press SEND

52. Attach a picture of the waybill and possible dammage 1. 2.

53. Receipt Waybill YOU DPPB staff YOU

54. Receipt Waybill CPs/NGOs SHOULD FILL THE WAYBILL ON RECEIPT DETAIL WHICH INCLUDS CLARIFICATION AND OSERVATION PART OF THE WAYBILL BEFORE RETERUNING TO THE TRANSPORTER/DRIVER.

55. Attach pictures of the waybill, commodities and damage 1. 3. 4. 2.

56. Mobile App An additional confirmation is requested, the user can Review the receipt Or press SEND

57. Mobile App If there is no internet connection, receipt confirmation is stored If the internet connection is back , click this icon to send again The user can also see the list of pending receipts 1

58. Major Challenges of the programme Delay of distribution Misuse/theft and Market Sale of RUSF Absence of timely reporting incidents Absence of taking action after incidents (Gov’t)

59. Transporters Health institutions (Health Posts) Beneficiaries Shop Owners Source of Misuse/Market Sale:

60. Deterioration of nutritional status of U5 and PBWG Interruption of donations from donors ( Relief food distribution pause ) Consequences of Misuse/Market Sale:

61. Siraro Woreda - Shelo Belela HP Shashemene Woreda - Chulule Habera HP Negele Arsi – Alge , Chiri Lalu, As hoka,and Mudhi Arjo ATJK – many HPs in 2021 & 1 case 2023. Reported Misuse Incidents:

62. Shala Woreda – Wel – ilalti Gololcha Woreda – Weregu Kewe & Daro Cheka Shenen Kolu Woreda – Lafto Rifenso & Chebi Kame Reported Misuse Incidents:

63. Good Experience Gololcha Woreda of Arsi Zone sentenced 2 shop owners to 1 year imprisonment and fined 50,000 Birr.

64. Good Experience Shenen Kolu Woreda experience. Trade Office took the trade licenses of 4 shops

65. Recommendations: Strengthening Regulatory Task Forces Teaching the community through different media (E.g. Asela FM Radio) Conducting search and confiscation exercises at least once per month (including at checkpoints) Implementing RTD for red-handed sellers

66. Discussion

67. GALATOOMAA! Horaa Bulaa Deebanaa !