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  • Vision

    The overall goal of the Nutrition Support Program Sindh (NSP) is to improve the nutritional status of male and female children under five years and that of pregnant and lactating women, with a priority focus on malnourished amongst the poor and other disadvantaged, including women, the girl-child,children with disabilities, ethnic and religious minorities, and socially marginalized occupational and settler groups in nine districts of Sindh province.

  • Mission

    • A 1 point % per year reduction in the proportion of children less than 05 years old who are stunted, with current provincial rate of stunting as 50%

    • A 30% reduction in the proportion of children less than 05 years with severe acute malnutrition

    • Proportion of women of reproductive age who are anemic (Hb<12g/dL) reduced from current 60% to 50%

    More specifically the Nutrition Support Program Sindh will contribute towards achieving the following objectives

    • Ensuring availability of Infant and Young Child Feeding (IYCF) and Community based Management of Severe Acute Malnutrition (CMAM) services to the  population of the nine districts in the province of Sindh with a focus on economically, socially and physically disadvantaged by 2016;

    • Reducing the levels of micronutrient malnutrition among male and female children (including children with disabilities) less than five, pregnant and lactating women in the nine districts of Sindh by 2016; and

    • Strengthening institutional capacity for effective implementation, research and evaluation of the nutrition interventions at all levels

  • Background

    Sindh is the 2nd largest province of Pakistan and is divided into 23 districts, 113 talukas/ tehsils and 1,703 Union Councils with current estimated population over 42.400 million (1998 census projected). Of these approximately 53% are men while 47% are women. 15% of the population is children under five years of age with 16.94 rural and 12.95 urban based populations of under five years’ children. There are 18 District Headquarter Hospitals, 44 Taluka Headquarter Hospital, and 125 Rural Health Centres in Sindh. The program aims to contribute to human development in Sindh by improving the nutritional outcomes of the population of Sindh thereby improving the health status of the communities. The Program further seeks to address the endemic malnutrition and micronutrient deficiencies in Sindh through appropriate large scale and cost effective interventions, which is also a national priority. The program will contribute to achievement of MDGs 01, 04 and 05 by improving nutritional status of male and female children and women.

     

    Fateful flood of July to September 2010 was one of greatest human disasters whereby Indus River had inundated large swaths of the terrains of Pakistan, affecting one third of its geographical area and more approximately 20 million people including 9.00 million in Sindh with 7.2 million residents and the rest 1.800 million souls consisting of 876,249 households along with more than 2.500million livestock displaced to Internally Displaced Peoples (IDPs) camps. Six months after the disaster, there were still areas covered with stagnant water in Sindh province and thousands of people living in camps. While a majority of the people returned to their villages, they have done so to destroyed homes, crops and livelihoods.

     

    • Organogram

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      Partners

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      Micronutrient Initiative

      MI Pakistan continues to focus on saving lives and improving the health of women and children through better nutrition.

      Our priorities are to:

      • Expand vitamin A supplementation to children in hard-to-reach areas.
      • Initiate and increase complementary zinc supplementation for treatment of childhood diarrhoea.
      • Increase the production of adequately iodized salt and its use in households.
      • Expand the use of Sprinkles or multiple micronutrient powders in the feeding of children aged 6 to 24 months to reduce anaemia.
      • Increase the number of women of child-bearing age consuming fortifiedwheat flour to increase iron and folic acid consumption.

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      World Health Organization (WHO)

      We are the directing and coordinating authority on international health within the United Nations’ system.

      We do this by:

      • Providing leadership on matters critical to health and engaging in partnerships where joint action is needed;
      • Shaping the research agenda and stimulating the generation, translation and dissemination of valuable knowledge;
      • Setting norms and standards and promoting and monitoring their implementation;
      • Articulating ethical and evidence-based policy options;
      • Providing technical support, catalysing change, and building sustainable institutional capacity; and
      • Monitoring the health situation and assessing health trends.

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      World Food Program

      WFP is the food aid arm of the United Nations system. Food aid is one of the many instruments that can help to promote food security, which is defined as access of all people at all times to the food needed for an active and healthy life. ¹ The policies governing the use of World Food Programme food aid must be oriented towards the objective of eradicating hunger and poverty. The ultimate objective of food aid should be the elimination of the need for food aid.

      Targeted interventions are needed to help to improve the lives of the poorest people - people who, either permanently or during crisis periods, are unable to produce enough food or do not have the resources to otherwise obtain the food that they and their households require for active and healthy lives.

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      United Nation International Children Education Fund (UNICEF)

      Children in Pakistan face a variety of serious challenges ranging from malnutrition and poor access to education and health facilities to exploitation in the form of child labour. Their low status in society can leave them victim to daily violence at home and in school as well as to organise trafficking and sexual exploitation. Girls are specially affected as conservative attitudes may impede them attending or finishing school. Recent natural disasters have increased the vulnerability of thousands of children. In 2005 a devastating earthquake killed an estimated 73,000 people, leaving 3.3 million people de homeless.Children in Pakistan face a variety of serious challenges ranging from malnutrition and poor access to education and health facilities to exploitation in the form of child labour. Their low status in society can leave them victim to daily violence at home and in school as well as to organise trafficking and sexual exploitation. Girls are specially affected as conservative attitudes may impede them attending or finishing school. Recent natural disasters have increased the vulnerability of thousands of children. In 2005 a devastating earthquake killed an estimated 73,000 people, leaving 3.3 million people de homeless.

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      Lady Health Worker Program for Family Planning and Primary Health Care

      • Launched in 1993-94; the largest CBI in SE Asia. Links communities with Health Facilities.
      • By Recruitment & deployment of 110,000 countrywide LHWs; while 23,185 LHWs in Sindh Province.
      • By providing promotive, preventive, curative, rehabilitative services to the target population.
      • By cultivating community participation through enhanced awareness, attitude change, and mobilization.
      • To Increase immunization coverage in children aged 12-23 months (fully vaccinated)
      • Focusing Maternal & Child Health by contributing towards reduction of IMR (from 85 to 55/1000 LBs) and decline in the MMR (from 400 to 180/100,000 Live Births)
      • Expansion of Family Planning services in urban slums and rural areas. Increase in Contraceptive Prevalence Rate (CPR) from 22% to 42% (rural) & 40% to 58% (urban)
      • Improvement of nutritional status of mothers & children.

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      MNCH Program

      Established in 1978, the Expanded Programme on Immunization (EPI) currently aims to vaccinate approximately Six million children aged 0-11 months against nine target diseases (Childhood Tuberculosis, Poliomyelitis, Diphtheria, Pertussis, Tetanus, Hepatitis B, Haemophilus Influenza Type b, Pneumonia, Measles) and the pregnant ladies against Tetanus.

       

      Since the launch of the programme, the implementation of immunization activities has been carried out by the provinces themselves. The role of federal cell was only restricted to the provision of policy and technical guidelines, coordination for international assistance, surveillance and monitoring. Additionally, the programme also facilitated provincial health departments by procurement and supply of requisite vaccines and other logistics.

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      Expanded Program on Immunization (EPI)

      Established in 1978, the Expanded Programme on Immunization (EPI) currently aims to vaccinate approximately Six million children aged 0-11 months against nine target diseases (Childhood Tuberculosis, Poliomyelitis, Diphtheria, Pertussis, Tetanus, Hepatitis B, Haemophilus Influenza Type b, Pneumonia, Measles) and the pregnant ladies against Tetanus.

       

      Since the launch of the programme, the implementation of immunization activities has been carried out by the provinces themselves. The role of federal cell was only restricted to the provision of policy and technical guidelines, coordination for international assistance, surveillance and monitoring. Additionally, the programme also facilitated provincial health departments by procurement and supply of requisite vaccines and other logistics.

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