Philippines: Learning from Typhoon Haiyan GNC Annual meeting 13-15 October 2015 Overview • Philippine context • Nutrition response to Typhoon Haiyan – Initial Response – Revised response • Learning from Haiyan • Nutrition Cluster moving forward Context: The Philippines • Middle income country vulnerable to natural hazards • Nutrition situation: wasting 8%, stunting 30%, 34% EBF, 15% MDD, 39% and 25% anemiainfants (6-12 months) & PW • 2007- government adopted Cluster Approach • ‘Clusters’ = sectoral working groups until international response requested- then IASC support Super Typhoon Haiyan (Yolanda) • 8th Nov 2013: Typhoon Haiyan • Strongest typhoon ever recorded: 4.1 M affected (1.7 M children U5) in 3 regions • Hit at a very vulnerable time • International support and clusters ‘activated’ by IASC (November 18th 2013) Nutrition Cluster (NC) • 2013 National Nutrition Council (NNC) became government lead agency for NC • 20 cluster partners • Strategic Core Group • 4 working groups: CMAM, IYCF, Advocacy, Assessments Nutrition Response to Haiyan Initial Response: Nov 2013 • Limited capacity within government • National and 3 sub-national clusters • Initial response: – CMAM: children and PLW – Breastfeeding support and BMS Donation – MNS: children and PW Revised response (Feb 2014) • SMART survey (+3 mo) lower GAM (4%) than expected and high Stunting (31%) • Refocused SRP – managing SAM with preventive IYCF, – capacity building for IYCF, CMAM and NIE – IYCF counseling-BF+CF (+MN) – Strengthening health systems for nutrition service delivery • Implications – Revised SRP – SRP Targets recalibrated – PCAs reviewed/revised – Excess stock of RUTF re-allocated Learning (1) • Management of acute malnutrition is not necessarily the most appropriate response to a natural disaster • Shifting programme strategies in the middle of SRP takes time and is an intensive process (Partner capacity + Admin) • Building systems and capacity from outset is crucial to support future transition (IM) Learning (2) • • • Implementing Partner selection process should be documented and discussed with government and cluster members at national and regional levels Capacity mapping should be part of NC preparedness activities A capacity development plan (supporting existing systems and mechanisms) is useful to develop early on in the response (Provides framework and guidance) Learning (3) • • Standardized training packages (NiE and IM) for responding to nutrition emergencies should be integrated into existing packages IYCF response needs more guidance for non-BF, SOPs for reporting Code violations, support to CF during emergency response Learning (4) • Nutrition cluster (and TWGs) provided an opportunity for policy advocacy and national guidance/systems (eg: IMAM, IYCF-E) • Challenging to raise funds for preparedness (NonEmergency times)- need to link to SUN and CRF • Double hatting provided opportunities for linking emergency and development programmes and funding Philippines NC: Moving forward • ‘Transitioned’ back to govt leadership • Remains active with a focus on – Preparedness – long term nutrition programming linked to SUN • Challenges for govt, UNICEF, partners – Funding? – staffing numbers and capacity? – Lack of recognition of weaknesses (govt)
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