Showing posts with label blanket feeding. Show all posts
Showing posts with label blanket feeding. Show all posts

Wednesday, 6 April 2011

MALNUTRITION: NIGER: it's still a problem


 Photo: Jaspreet Kindra/IRIN
Ayesha Yaou with her family’s evening meal

MAGARIA, 6 April 2011 (IRIN) - The evening meal will be stewed leaves tasting somewhat like spinach, which the women pick every morning, yet crops were standing tall before the leafhoppers flew into Zinder in Niger and devoured anything green. The official response to a region on the edge of survival has been slow, but then the women went to see the Prefect.
It is after 6.30 in the evening in sandy and hot Dan Gouchy Haoussa, a village about a 1,000km east of Niamey, capital of Niger, and about 20km from the border with Nigeria. Nine children - the youngest about four years old and the oldest a teenager doing his homework - sit around a pot that Salamatou, one of their two mothers, has placed on the fire.
The stewed leaves of a wild bush called leptadenia hastate will be served when the tenth child, who is queuing at the only tap in the village, returns with water. It will be the family's first meal of the day.
More than 200,000 people in the district of Magaria have been living on meals like this for almost six months, but aid agencies warn that the worst is yet to come.
The traditional lean season, when farmers run out of previously harvested stocks of staple cereals like millet and sorghum, only starts in May, said Sylvain Musafiri, humanitarian officer at the UN Office for the Coordination of Humanitarian Affairs (OCHA).
It will be some time before the rains come, new crops can be planted, then harvested, and there will be food again. Help will not be on the way anytime soon. Pleas for assistance, sent to Niamey by a variety of local authorities, have so far gone unanswered.
The national administration is in transition - a military junta-backed government makes way for an elected civilian government this week - but Musafiri said he was concerned that an adequate response by the authorities would take longer.
Mamamadou Baraze, governor of Zinder Region, where Magaria is located, told aid workers he feared the situation could get worse than the crisis in 2010 if help did not arrive in time.
How did Salamatou's family and the residents of Dan Gouchy Haoussa end up in this situation? IRIN found a chasm between the people of rural Niger and the policy-makers and implementers in Niamey, but also discovered a group of people led by women fighting enormous odds for the right to food.
There is a strong case for the incoming government to address the structural causes of food insecurity in Niger: a rapidly expanding population, lack of rural infrastructure and agricultural support to boost food production in a country increasingly affected by uncertain weather.
A recent food security conference in Niamey discussed the gap that needs to be bridged if the nation's development goals are to be achieved, but which keeps getting wider because the country constantly has to tackle emergencies.

Was it the rains?
Niger produces about four million tons of cereals, so it has to import about 20 percent of its cereal needs, 10 percent of which is brought in by traders and the remainder by aid agencies, said Prof Maxime Banoin, an agronomist.
Magaria district is a tiny green belt in the Zinder Region along Niger's border with Nigeria, where the people, mainly small-scale farmers, produce crops of millet and sorghum that account for most of the semi-arid region's cereal production when rain falls for the expected two-month period.
"In 2010, the rains were good our crops were going very well," said Abdou Gibada, the headman of Dan Gouchy Haoussa. The men in the villages constructed additional storage bins in anticipation of a bumper harvest.
When my father was alive, the produce from the land was sufficient to feed all of us [including my two wives and five children], but when he died, the small patch of land I inherited was not adequate
Banoin noted that in 2010 the country had produced five million tons of cereals, including millet, sorghum and cowpeas - more than enough for its needs until the next harvest in 2011.
Gibada holds his composure as he talks about the misfortune that struck them in August 2010, when hordes of leafhoppers (of the family cicadellidae) flew in and ate the standing crops in more than 300 villages across the district.
Nouri Habsou, the agricultural extension worker based in the neighbouring village of Dan Tchiou, had not seen crop destruction on this scale in more than 20 years of experience. "I was helpless; I had no pesticides to offer." She informed her superiors in Magaria town, who alerted Niamey.
Disbelieving authorities in the capital dismissed the calls for help. "They said this particular species of the insect, which usually attacks sorghum plants, is never known to have attacked millet," said Ahmadou Ama, head of agriculture in Magaria.
Months later, towards the end of 2010, an agriculture official turned up to make an assessment. "He was shocked by what he saw, and in subsequent investigations agriculture scientists in Niamey have offered us a possible explanation for the change in the behaviour of the insect," said Ama.
"They said the rains were unseasonably heavy, which led to a very good millet crop attracting the insects, who would have usually gone for the sorghum crops, which would normally have been standing then." The explanations made their way back to Magaria, but no aid.

 Photo: Jaspreet Kindra/IRIN
Elders of Dan Gouchy Haussa: the villagers have struggled to be heard

Ayesha Yaou and the women
In the affected villages people had already eaten the previous harvest's reserves and started crossing the border to Nigeria in search of food. In October 2010 an assessment by local authorities found that more than 15 percent had fled with their families, and the household head of almost 50 percent of families had migrated.
By December all the able-bodied men in Dan Gouchy Haoussa had gone to Nigeria. The women, children and elderly, left behind, struggled on until February 2011.
"We just could not sit and wait to die, we had to get help," said Ayesha Yaou, 33, who has seven children. She decided to organize the women.
"Each family contributed 50 CFA [about US$0.11] towards the fare to hire a taxi to Magaria [town] to make representation to the Prefect [administrative head] of Magaria district." They warned him that mass migration might be imminent.
"We were moved by the plight - we calmed the people, tried to convince them not to leave,"´ said the Prefect, Inoussa Garba. "I then managed to get some rice, maize and millet for the people, but it was not enough."
In March 2011, Garba approached UN agencies and international and national NGOs working in the neighbouring town of Zinder for help. He said Care International, the aid NGO, would begin a cash-for-work programme in a few villages in April, and the World Food Programme (WFP) intended to start blanket feeding in the area but only in May, when the traditional lean season began.
Staple grains are readily available in the markets along the road between Magaria and Zinder, but few farmers have the money to buy. Most have eaten or sold their livestock, although some still have a few goats, chickens or ducks.
The children in Magaria village were healthy because the medical NGO, Médecins Sans Frontières-Switzerland, had been treating them, said Ayesha Yaou.
Olivier Bonnet, project manager of MSF-Switzerland in Magaria, said their organization, whose mandate was to respond to emergencies, had been forced into a developmental role because of a lack of resources at the local level and was providing some free essential medicines, and training personnel at primary healthcare centres.

Returning men
Violent flare-ups linked to the upcoming elections in Nigeria forced some of the men to return at the beginning of April 2011, but they brought little or no money.
In Nigeria many saved rice or millet from their meals, or odd bits of food they received while begging. The food was dried in the sun and sent back to their families with returning Nigeriens. At home the dried food is soaked in water and cooked with the leaves.
"There is no charge for this service [carrying food]," said Zakaria Yaou, 25, who came back to his village, Kinoma, in the last week of March. "One day the carrier might need to ask me to take food for his family." He spent three months in Nigeria ferrying water in a cart, but managed to bring home only about 3,000 CFA (almost $7) for his five children and two wives.
A big family has its drawbacks - one with 12 members would need at least 1,000 CFA (about $2) worth of millet every day. "When my father was alive, the produce from the land was sufficient to feed all of us [including my two wives and five children], but when he died, the small patch of land I inherited was not adequate," said Yaou.
Sanousi Atta, a professor of agriculture who led discussions on food supply at the conference in Niamey, identified large families, which split the limited ancestral agricultural land into plots as small as two hectares, as the biggest obstacle to achieving food insecurity in Niger.
The villagers in Kinoma do not want to talk about family planning, but IRIN met a group of women from Yaouri Kaba, a village near Magaria town, who said their local primary health centre was offering information on contraception.

Next season?
Ama, the head of agriculture in Magaria, said the rainy season was approaching and they needed a supply of seeds and fertilizer as incentives to make the demoralized men stay to plant for the next season, "otherwise we will enter a cycle of endless emergency".
The UN Food and Agriculture Organization said it intended distributing seeds ahead of the rainy season, which usually starts sometime in May or June.
Fertilizers are imported into the land-locked country mainly from Nigeria. The price of a 50kg bag used for growing millet is about 13,000 CFA ($30) and the ideal amount is about 100kg per hectare, but in Niger affordability limits the average application to just 2kg per hectare.
But for now, if anyone is listening, said Garba, the Prefect of Magaria, "We need food most urgently."
http://www.irinnews.org/report.aspx?reportID=92387

Monday, 4 April 2011

MALNUTRITION: NIGER: New approaches needed in tackling malnutrition

NIAMEY, 1 April 2011 (IRIN) -

 Photo: Claire Barrault/ECHO
Traditions around food often mean people do not eat the variety they need (file photo)

 Having experienced a series of droughts and food security crises over the past 40 years, Niger is now looking to move beyond simply countering emergencies, investing instead in development and recovery strategies - and changing gear in its efforts to feed a rapidly expanding, highly vulnerable population.
The need for new approaches in tackling malnutrition and chronic food insecurity has been one of the main themes of the Conférence Internationale sur la Sécurité Alimentaire et Nutritionnelle au Niger (CISAN), a two-day scientific and technical gathering in Niamey.
But is Niger ready to make the necessary changes? The country was at the epicentre of the Sahelian food crisis in 2010. Among those worst affected by the food shortages were children, with NGOs recording dramatic rates of severe acute malnutrition (SAM).
The government recognizes that tackling child malnutrition problems is crucial, and has been running an annual feeding scheme in partnership with the UN Children’s Fund (UNICEF) and the World Food Programme (WFP), targeting children aged 6-23 months. The programme reaches 200,000-300,000 children in a normal year, but the number shot past 600,000 in 2010 as the food crisis took hold.
“The timing is right,” said Guido Cornale, the UNICEF representative in Niger. He stressed that donors would be willing to invest more in nutrition interventions if they realized the country was serious about tackling malnutrition.
Development experts have warned that Niger requires long-term sustainable intervention if it is to avoid facing the same scenarios year in year out. Conference contributors emphasized the need to increase the quantity and quality of food and to secure better access to it, while also raising awareness about hygiene, the importance of a balanced diet and the nutritional value of different kinds of food.

Appeal for more resources
Dr Guero Maimouna from Niger’s Public Health Ministry (MSP) said the country had come through two crises in the past six years and had gained the necessary experience to take on bigger and longer-term interventions.
“But to do that we require resources. We are using our existing resources and money to handle the huge problem that we have at hand… We have a large population of malnourished children every year.”
Everyone is hoping the money that long-term interventions can attract will enable Niger to find sustainable solutions.
“You cannot rely on short-term emergency interventions - which are brought in at great cost - forever,” said Charlotte Dufour of the Food and Agriculture Organization (FAO). She stressed the importance of teaching people to do the best with what they had.

Traditional beliefs hamper progress
Recurring drought and the subsequent decline in agricultural production left Niger without food, but the main causes of malnutrition were traditional beliefs about food that prevented people from eating balanced meals, said Mele Djalo, head of health and social action in the prime minister’s office.
“For example, the Fula people, who live in the Maradi Region, do not eat fish; then we have ethnic groupings which consider chicken dirty; some don’t eat eggs, and so on. Creating awareness across these communities is a very difficult job and it requires resources,” she said.
The MSP’s Maimouna acknowledged that in some parts of Niger rations of fortified corn-soya blend, cooking oil and sugar were an attractive package for a family with no food or income: “They keep bringing their child back sick, as the mothers sell the rations given for the child.”
UNICEF’s Cornale said at the height of the 2010 food crisis they discovered that the monthly ration meant for a child lasted only a week. “We found that the families did not have any food and were consuming the rations.”
If you go to areas where there are no NGOs, there are no efforts under way to treat malnutrition
UNICEF then started a large cash transfer programme in the southwestern Maradi and Tahoua regions, targeting 35,000 households with about $126 each over three months to protect the children’s rations. An independent evaluation found the measure had been effective. “Families used 80 percent of the money to buy food,” Cornale said.
There are no national safety net programmes, but food was subsidized in times of crisis, and some emergency distributions were made.

Blanket feeding?
Conference participants debated whether communities should be trained to treat moderate malnutrition, which has a high incidence and affects almost half the children in some areas. An aid worker pointed out that communities were often unable to handle cases of malaria or even severe diarrhoea.
Stéphane Doyon, head of the Médecins Sans Frontières (MSF) nutrition campaign, said their research had shown it was more effective to provide blanket feeding for all children aged 6-24 months in vulnerable areas as a response to moderate chronic malnutrition, and rather use the limited resources, including personnel, to just treat children with SAM.
The mortality rate in children with moderate chronic malnutrition was 25 percent, while among those with SAM it was 75 percent.
Malam Kanta Issa of Forum Santé Niger (FORSANI), a local NGO comprising medical professionals, said there was a lack of budgetary support for improving health services. “If you go to areas where there are no NGOs, there are no efforts under way to treat malnutrition.” Aid workers pointed out that they had lobbied to get nutrition on the conference agenda.
Nevertheless, infant mortality has been a declining trend, and the UN Millennium Goal to reduce child mortality by two-thirds by 2015 might be the only one Niger is on track to achieve.
“There are 2,100 health posts in this country, which manage malnutrition in the rural areas,” UNICEF’s Cornale noted. “They seem to be doing their work.”


A breeder with cattle in the village of Danganari, 40km from Zinder in Southern Niger


http://www.irinnews.org/report.aspx?reportID=92344

Tuesday, 18 January 2011

MALNUTRITION: Pakistan: Battling Malnutrition Amid Access Challenges

07 January 2011
.

In his ongoing look at how WFP uses nutritional products in emergency situations, WFP programming officer Guillaume Foliot looks at the solutions found in the wake of the catastrophic flooding in Pakistan last summer, when access was a major challenge.
After the extensive monsoon flooding in Pakistan not only the provision of food but also of specific nutritional assistance was crucial for the survival of millions of people. Though the emergency situation created an environment where access continues to be limited WFP was able to introduce supplementary feeding programmes for particularly vulnerable populations alongside the general food distribution.

Challenges through Limited Access
Implementing nutritional interventions in Pakistan has proven very challenging due to the huge number of affected people, the immense damage and severe access problems after the devastating floods. The only way to introduce a large-scale blanket supplementary feeding programme aimed at preventing malnutrition was through the general food basket distribution.
The general food basket, consisting of fortified wheat flour and oil, is designed for a family of seven people. In addition, it contains one ration of ready-to-use supplementary food (Plumpy’Doz or a similar local product) for a child under the age of two as well as two rations of high-energy biscuits for children aged 2–12 years. The huge scale and complexity of the disaster did not allow for further nutritional interventions at the beginning of the emergency operation.

Targeted Supplementary Feeding
By mid-October WFP had reached about 2 million children aged between 6 months and 12 years through the blanket feeding programme. However, there were also increases in the incidence of severe and moderate malnutrition reported in some flood-affected areas, particularly among young children. As soon as access conditions improved, WFP together with UNICEF started to implement a targeted supplementary feeding programme. It provides nutritional support in form of Supplementary Plumpy and other fortified food to more than 12,000 young children and pregnant and lactating women through established medical facilities.
http://www.wfp.org/aid-professionals/blog/pakistan-battling-malnutrition-amid-access-challenges

Thursday, 29 April 2010

MALNUTRITION: Niger

28 April 2010 – The United Nations has joined forces with authorities in Niger to fight malnutrition among children under the age of two – often the most vulnerable to food shortages – in the West African nation, where a food crisis has affected more than half of its 14 million-strong population.
Some 800 children received their first of four supplementary food rations in the village of Koléram, in southern Niger, today, as part of a UN-backed blanket feeding operation to reach 500,000 children with food in areas where acute malnutrition rates are critical.
A monthly ration comprises more than eight kilograms of corn soy blend with sugar and nearly 1 kilogram of oil-enriched vitamin A.
For its part, UN World Food Programme (
WFP) is providing nearly 18 megatons of food to feed 500,000 children as part of the scheme, launched in response to a Government appeal issued in March.
http://www.un.org/apps/news/story.asp?NewsID=34513&Cr=&Cr1=