Project information

Combatting Nepal’s issues with child malnutrition

Over a third of Nepal's under 5s are stunted due to malnutrition. NYF UK's nutrition camps go out to the most hard to reach locations to screen & treat children (700 per camp) for malnutrition & train caregivers (500 per camp) in good nutrition & hygiene practices to prevent the underlying causes.

Ongoing until malnutrition is no longer considered as public health issue in Nepal. At least 2 camps a year plus more depending on availability of funding.

Charity information: Nepal Youth Foundation UK (NYF UK)

Nepal Youth Foundation UK (NYF UK) logo
  • Need

    Need

    35% of Nepal’s children suffer from stunting & 30% are underweight. Levels are improving, but there is still a way to go to meet the Sustainable Development Goals Targets for Nepal to reduce its stunting to 31% and underweight levels to 25% by 2017. One of the main causes is there is a huge lack of knowledge amongst caregivers on good nutrition & hygiene practices (e.g. the benefits of breast feeding, how to source and prepare a nutritious meal, washing hands, how often to feed young children.)

    Solution

    Establish nutritional camps in hard to reach locations & screen over 700 children (per camp) for malnutrition & train 500 caregivers (per camp) from the local community in good nutrition & hygiene practices. Children diagnosed with severe malnutrition will be referred to our Nutritional Rehabilitation Homes (NRHs) for intensive residential treatment, mild cases will be treated on site. All children will also receive a medical check up, deworming tablets & any required medicines & vitamins.

  • Aims

    Aim 1

    Screen and treat children living in rural Nepal for malnutrition.


    Activities

    » Carry out a detailed pre-investigation to identify the rural areas that most need our support.
    » Three day nutritional camps will be established in the selected areas and managed by a fully trained team (including medics).
    » The team will screen each child from the local community for malnutrition using the World Health Organisation guidelines.
    » Mild cases will be treated on site by our nutritional team, severe cases will be referred to our Nutritional Rehabilitation Homes for residential care

    What success will look like

    Approximately 700 children per camp will be screened and treated for malnutrition.


    Aim 2

    Train caregivers living in rural Nepal in good nutrition & hygiene practices to prevent malnutrition


    Activities

    » As part of the camps our team will set up sessions in the villages to train the local community in good nutrition and hygiene practices.
    » Some of the topics will include the importance of breast feeding, frequency of feeding for young children, how to source and prepare a nutritious meal
    » Hygiene sessions will include washing hands, personal hygiene, meal preparation (e.g. washing dishes).

    What success will look like

    Approximately 500 members of the local community (per camp) will be trained in good nutrition and hygiene practices.


    Aim 3

    Severe cases of child malnutrition will be treated at our Nutritional Rehabilitation Homes (NRHs).


    Activities

    » Caregiver and child stay at our Nutritional Rehabilitation Home for approx. three weeks (until the child is appropriate weight and feeding well.)
    » During their stay the child receives regular highly nutritious meals and any underlying medical issues are addressed.
    » The caregiver receives training on nutrition and hygiene, which they can share with their community upon returning home.
    » Both child and caregivers are supported by our fully qualified nutrition team.

    What success will look like

    98% of children who are referred to our NRHs will leave nourished according to WHO standards, and in healthy medical condition. (2% can suffer with severe medical conditions.)


    Aim 4

    Children who receive treatment at Nutritional Rehabilitation Homes (NRH) remain properly nourished


    Activities

    » The training that caregivers receive whilst their stay at our NRHs ensures minimal numbers of children relapse.
    » The nutrition training topics include: food preparation and creating a balanced diet, food types and how they work, breast feeding and weaning.
    » Hygiene and care giving training topics include personal hygiene practices following WASH techniques, care during illness, Oral Rehydration Therapy.

    What success will look like

    90% of children in their follow up home visits once they have left our Nutritional Rehabilitation Homes are of an expected weight.


  • Impact

    Impact

    1) Reduced levels of children living with malnutrition (results in a reduced number of children facing longer term cognitive issues.)

    2) Increased levels of caregivers who are knowledgeable about good nutrition and hygiene practices and put their knowledge to use.

    Both changes will be demonstrated through project monitoring reports, case stories & anecdotal feedback from the government medical teams, key community representatives & governmental agencies who see first hand the issues.

    Risk

    As part of the caregivers' training we teach them how to grow their own garden kitchens and rear their own chickens. Bad weather could destroy the produce, disease could kill the chickens or they kill or sell them for ‘quick money’. In order to reduce these risks we train the villagers in how to overcome these issues. We also offer the villagers ongoing support (longer than the 3 days) to help them solidify their training.

    Reporting

    Donors to this project will receive regular email reports detailing the ongoing and forthcoming activities and any necessary changes that have been made to the project plans. We will also use our social media channels and website to keep donors up to date.

  • Budget

    Budget - Project Cost: £13,940

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      Amount Heading Description
      £1,140 Transport Vehicle rental/transportation for 2 camps and sending children and caregivers to NRHs
      £1,200 Accomodation Room and board for camp staff (for 2 camps)
      £2,200 Camp Supplies Supplies for 2 camps (medicine, super flour, demonstration items for nutrition education)
      £1,200 Salaries Professional fees of health workers and doctors at camps (for 2 camps)
      £1,780 Camp Management & Admin Pre camp investigations, coordinating with local government & communities, all reporting for 2 camps
      £5,340 NRH Treatment Treatment of children at NRH & care takers' costs
      £880 NRH Admin Reporting and managing of NRHs
      £200 Stationary Printing & stationary
  • Background

    Location

    The key areas for the camps are the communities with high concentration of malnourished children such as Sindhupalchowk, Lalitpur, Dhading, Kavre, Nuwakot. The Kathmandu Nutritional Rehabilitation Home (our flagship NRH) will be used as a hub for training all staff and coordination of the camps. We have 16 other NRHs located across the country on sites of District Hospitals.

    Please note that we will conduct a pre- camp investigation to ensure we select the areas that most need our support.

    Beneficiaries

    Primary beneficiaries: children (0 to 14 year olds) living in rural communities in Nepal.

    Secondary beneficiaries: the families and the communities belonging to these children.

  • Why Us?

    Why Us?

    NYF has been successfully operating our NRHs in Nepal for twenty years (we have a huge wealth of experience.) The Social Welfare Council (SWC), the government body designated to oversee INGOs, has described Nepal Youth Foundation as one of the most efficient INGOs in Nepal, praised for our grassroots thinking and logistics. Out of over 250 INGOs associated with the SWC, we sit within the top 15 for the programmes that we run but also by the financial efficiency of these programmes.

    Read more about the Charity running this project.

    People

    Sunita Riml

    Nutrition Coordinator, responsible for the complete nationwide Nutrition Project, including the Nutrition Outreach Camp.

    Dr. Samundra Bajimaya

    Consultant Pediatrician - check ups of the children at the NRHs & outreach camp, prescribes medicines, counsels parents & conducts training

    Sudha Maharjan

    Dietitian at NRH - creates menus, supervises the cooks in preparing meals, serving food & maintaining hygiene standards, supervises the nursing team.

WATCH this short film to find out how we help children fight malnutrition in Nepal.

Malnutrition has long term detrimental effects on a child’s development which not only affects the health of the child but ultimately the economy of the country. NYF’s efforts to tackle malnutrition is extremely crucial & the need is even more so in rural areas where malnutrition is highly prevalent

Dr. Krishna Khanal, Medical Superintendent of Lumbini Zonal Hospital