Kenya

Situation Report

Sector Status

Nutrition

370K
acutely malnourished children
54,900
children admitted for treatment (Jan-Apr)

Needs

  • Approximately 370,000 children (boys and girls) with acute malnutrition; 66,299 pregnant and lactating women and 84,000 older persons need services related to treatment of acute malnutrition.

  • Over five million caregivers are targeted with key messages and support to access essential and life-saving maternal, infant and young child services which include breastfeeding, complementary feeding, micronutrient supplementation and other essential services.

Response

  • Nutrition sector partners have continued to support sensitization of county technical teams on Family Mid-Upper Arm Circumference (MUAC) approach, which is an innovative approach that enhances early identification of acute malnutrition at household level by caregivers and is seen as programme adaptation strategy considering COVID-19 pandemic. All 47 county nutrition coordinators and partners in the counties have been sensitized on the approach with detailed roll out and implementation plans being shared. The rollout will be phased, starting with high malnutrition burden and high COVID-19 risk counties.

  • The sector is involved in the Long Rains Assessments (LRA) planning including adjustment of the process considering COVID-19 to incorporate virtual processes considering the need to ensure IPC measures are adhered to. There is ongoing adjustment of data collection tools and procedures, training package and technical assistance modalities.

  • As part of COVID-19 response, the sector is sensitizing non-ASAL counties on the integrated management of acute malnutrition programme with dedicated support for the treatment of severe acute malnutrition programme being availed for three months, targeting 10 counties (Kisumu, Siaya, Migori, Kakamega, Busia, Bungoma, Kisii, Homabay, Vihiga and Nyamira). As several of these counties have high HIV burden, the early case identification and management for acute malnutrition is expected to mitigate the excess risk malnourished children with HIV/TB could face in the context of COVID-19 .

  • Ready-to-Use Therapeutic Food (RUTF) procured to support the treatment of 40,444 severely malnourished children in ASAL counties and urban informal settlements.

  • About 23,190 severely malnourished children and 43,928 moderately malnourished children were admitted for treatment of severe acute malnutrition (SAM) between January to May 2020 while at total of 537,968 primary caregivers of children aged 0-23 months have received Infant and Young Child feeding (IYCF) counselling over the same reporting period.

  • More than 1,654 million children out of about 5.44 million (30.4 per cent of children aged 6 to 59 months) have received Vitamin A supplementation.

  • Nutrition Sector partners continue to undertake analysis and dissemination of service continuity data at coordination forums at National and county level as well as overseeing implementation of program improvement plans such as community level mobilization and messaging in the context of COVID-19. This has resulted to a slight increase in the number accessing nutrition services such as vitamin A supplements, SAM treatment and IYCF counselling in May compared to April 2020.

  • The sector is working on the design and roll out of a community surveillance and feedback mechanism through RapidPro with an aim of gathering nutrition situation data, community perspectives, beliefs and knowledge on nutrition and reinforcing the recommended health and nutrition practices.

  • Planned implementation of Moderate Acute Malnutrition programme in Nairobi county to reach moderately malnourished individuals: 16,167 children, 700 PLWs and 6,771 elderly expected to start by mid-July 2020.

  • The sector has supported the Ministry of Agriculture, Livestock, Fisheries and Cooperatives, in developing guidelines for sustaining healthy eating at household level during COVID-19. The guidelines aim to enhance easy access to safe and nutritious foods by promoting simple food production and preservation techniques. To augment this, the sector with support from FAO is working with the Government and has launched a national campaign for establishment of one million kitchen gardens, launched by the County officials in Makueni County.

Gaps

  • Nutrition Sector partners in collaboration with Ministry of Health have highlighted challenges in nutrition, including low coverage by community health workers, reduced funding for outreaches, stock out of essential commodities, and fear to access services.

  • Inadequate PPE to cover nutrition workforce in the counties as well as the community health volunteers is a major constraint.

  • Insufficient funds and commodities to facilitate the scale up of Integrated Management of Acute Malnutrition (IMAM), especially in the non-ASAL counties, and to cover refugee operations fully remains a challenge.

  • Inadequate funds to sustain continued risk communication and promotion of nutrition during the period.

  • Floods emergency and its associated impacts are affecting access to services for key populations as well as basic items like food and safe water that increases vulnerability of the affected population to malnutrition.

URL:

Downloaded: