There have been multiple deployments to Yemen. Technical areas include CMAM and IYCF-E
Reason for request:
Yemen is current gripped by a combination of civil conflict and drought that has left an estimated 21.2 million people (82% of the population) in need of some form of humanitarian assistance, including 10.3 million who are in acute need. An estimated 14 million people are currently food insecure, including 7 million people who do not know where their next meal will come from.
In 2016, the nutrition cluster agreed on a joint CMAM programme scaling up, with the objective of drastically increasing the geographical coverage, programme convergence and updating the National CMAM guidelines in line with international standards.
The main objective of the TRRT advisor was to:
- Provide technical and strategic support to MoPHP and Nutrition Cluster partners to update/develop nutrition national standards, protocols and guidelines related to CMAM in line with the international standards.
- Reviewed and updated the Yemeni CMAM National guidelines according to the guidance from the SAG including updating it with current technical knowledge and best practices in line with international standards.
- Reviewed the Nutrition Cluster CMAM Scale-up strategy and plan.
- Reviewed and revised the CMAM M&E tools and indicators including the reporting tools and programme monitoring and mentoring checklists.
Attach any necessary background documents that you are able to share
- The revised interim Yemen CMAM National Guidelines
- Review of the CMAM Scale up Plan – Yemen
- Joint monitoring and mentoring visit report.
Reason for request:
Since mid-March 2015, conflict in Yemen has spread to 21 of Yemen’s 22 governorates prompting a large-scale protection crisis and compounding an already dire humanitarian crisis brought on by years of poverty, poor governance, conflict and ongoing instability.
IYCF: The 2013 Yemen National Demographic and Health Survey (YDHS) estimated that as little as 10% of children under six months were exclusively breastfed. In addition to breastmilk, 26% of infants under six months were given water, while 3% were given non-milk liquids and juice, and 30% were given milk other than breastmilk. Furthermore, 24% of infants under six months were given complementary foods and breastmilk. By the age of 6-9 months only 65% were given complementary foods. 44% of infants under six months were fed using a bottle with a nipple.
According to a Knowledge Attitude and Practices (KAP) survey conducted by UNICEF in 2015, 57% of mothers indicated that infants should be breastfed immediately after birth; however 14% believe that a baby should not be breastfed within the first 24 hours after birth and 10% believe that the first food a newborn should receive is water and sugar. While 60% of both males and females believe that a newborn should receive nothing other than breastmilk during the first 6 months, 94% of mothers gave their children water, 60% gave them Breastmilk Substitutes (BMS), 42% gave their children juice, and 33% gave their children infant formula the night before the interview.
Following a review on IYCF practices in Yemen in November 2016, using a tool from WHO the need for a national IYCF Strategy was identified by the MoPHP and partners. The main objective of this deployment was therefore to support the development of this national strategy. The second key objective was the development of an IYCF in Emergencies (IYCF-E) response plan.
Outcome: Stated outcome of the deployment including statistics if applicable (i.e. number of people trained and on what, assessment results, and any other outputs/documents that were completed during the deployment)
- Development of the final draft National IYCF Strategy for 2017-2021
- Development of a draft IYCF-E Response Plan for 2017
- Strengthening of the IYCF TWG through: revision of the ToRs; organization and chairing of several meetings during deployment; and the development of an action plan for Q2.
- Revision of the national BMS Reporting Format and set-up of a reporting mechanism.
- Revision of the Joint Statement on IYCF – endorsed by the NC.
- Revision of key IYCF indicators for intersectoral assessments – shared with ICCM.
- Capacity building through: orientation on IYCF-E and BMS for 26 nutrition cluster members; one day training on IYCF for 17 Save the Children (8) and Ministry of Social Affairs (9) CP staff; and provision of an orientation session on IYCF for Save the Children’s media and communications team.
 Yemen National Demographic and Health Survey 2013
 Any food being marketed or otherwise represented as a partial or total replacement of breastmilk, whether or not suitable for that purpose. For example – infant formula.
 Maternal New-Born and Child Health in Yemen, UNICEF KAP Survey Report