Text of Operation Timbang Plus Minimum Health Standards
Presentation title08 October 2020 Officer-in-Charge, NSD Guidance in the OPT in the context of the pandemic Bonus: Electronic OPT tool for Acute Malnutrition Outline The COVID-19 pandemic has threatened food security and nutrition Hunger, declining incomes and accessibility to food have worsened Movement restrictions have affected the local health and nutrition workers to conduct routine activities, including OPT Plus Source: https://www.washingtonpost.com/graphics/world/2020/04/11/meet- health-care-workers-spearheading-philippiness-fight-against-coronavirus/ Delivery during the COVID-19 Epidemic Services in the Context of COVID19 Pandemic visits, community outreach…strict observance of infection prevention and control (IPC) measures”. instead of the weight and length/height measuring tools to limit health care provider contact with the infant or child collection 1/3 Refer to DOH-Department Memorandum 2020-0157 for the guidelines on cleaning and disinfection in various settings as an IPC measure against COVID-19 Thoroughly disinfect the weight and height/length measuring tools, MUAC tapes, and other frequently-touched and between measurements 20 seconds) measurers’ hands/gloves collection 2/3 OPT members of OPT team until its time to measure. Wear face masks, face shield and gloves when taking measurements. Sample photo during immunization in Camarines Norte. Both mother and health worker are maintaining safe physical distance and wearing face masks/shield. Click to edit title Key Considerations for in-person data collection 3/3 MUAC measurement to potentially consider using this opportunity to train mothers/caregivers on how to take MUAC measurements of their children. Utilize the video on how to measure MUAC downloadable in NNC website Click to edit title Guidance on OPT and GMP in the Context of the Pandemic Click to edit title the Pandemic 1/4 OPT Plus results collected prior to the localized quarantine should have been used as basis to provide interventions and monitor nutritional status localized quarantine during OPT Plus (1st quarter) should be consolidated and processed, and submitted to NNC Recording and reporting for the Field Health Service Information System (FHSIS) shall be sustained per DOH-Department Circular 2020- 0167. Recording and Reporting OPT, Nutrition Screening, and Growth Monitoring Results Click to edit title the Pandemic 2/4 Recording and Reporting OPT, Nutrition Screening, and Growth Monitoring Results MUAC of children aged 6-59 months with normal nutritional status and no bilateral pitting edema should be measured monthly for 6 to 23 months old quarterly for 24 to 59 months old. If the child has normal MUAC but has bilateral pitting edema, immediately refer to a trained staff at the nearest barangay health center or rural health unit for further assessment and appropriate management Pandemic 3/4 Recording and Reporting OPT, Nutrition Screening, and Growth Monitoring Results MUAC of children identified severely acute malnourished (SAM) shall be measured every 2 weeks and moderately acute malnourished (MAM) every month until MUAC is greater than 12.5cm. Monthly reports should be generated at city/municipal level through the health officer and the nutrition action officer. Quarterly and annually consolidated and analyzed reports should be submitted to the next higher level. Click to edit title Pandemic 4/4 Recording and Reporting OPT, Nutrition Screening, and Growth Monitoring Results Growth monitoring results of children measured using traditional weight and height measuring tools and MUAC can be recorded in the e-OPT tool for Acute Malnutrition Conduct regular follow up of children using SMS, Facebook messenger and other available virtual platforms and during home visits Growth Monitoring and Promotion Activities 1/3 Scenario Normal Nutritional Status months old months old 59 months old Monthly monitoring Quarterly Follow-up through virtual platforms, home visits, and primary health care facilities Click to edit title Growth Monitoring and Promotion Activities 2/3 Scenario Normal Nutritional Status months old months old months old Follow-up through virtual platforms, home visits, and primary health care facilities Click to edit title Growth Monitoring and Promotion Activities 3/3 Scenario SAM children MAM children0 to <6 months old 6 to 23 months old 24 to 59 months old During months old • Visits to non-emergency concerns to primary health care facilities are suspended. • Follow-up through virtual platforms and home visits Click to edit title Electronic Operation Timbang Plus (eOPT+) Tool for Acute Malnutrition Click to edit title Recap of the (original) eOPT+ tool 1/2 Microsoft excel-based tool which may be used for data collection Age in months weight-for-height) Click to edit title Recap of the (original) eOPT+ tool 2/2 Facilitates detection of errors (and their correction), such as: Out of range values (e.g. flags errors in keying in weights and heights) error messages to flag users) Overaged children not counted (automatic crossing- out of names of children >59 months) Click to edit title Key Features of the Updated e-OPT Tool Labelled as “Acute Malnutrition Tool” to distinguish it from the regular tool Distinct color on data entry worksheets so users can easily differentiate from original tool Has only one version (for 1000 children only)— previously for 500 and 1000 children separately Click to edit title Key Features of the Updated e-OPT Tool Step by step instructions are located on the first sheet named ‘Instructions’ On the ‘NutStatus_Tool’ sheet, user can also click the link for easier navigation to the instructions Click to edit title New Feature: Automated dropdown Renamed as “Community-level eOPT Tool Can be used for Purok/ Zone, Barangay, and Evacuation Center Dependent dropdown list for Region, Province and City/Municipality Click to edit title New Feature: Estimated population Province-level multipliers for estimating the total number of 0-59 and 6-59 months old children are automatically generated after user enters the province/city name Click to edit title New Feature: MUAC Requires the following minimum set of data to be entered, otherwise auto- generated results will not be displayed Name of mother or caregiver Full name of child Sex No data on name of mother or caregiver (required): Click to edit title New Feature: Weight for Length/Height Requires the following minimum set of data to be entered, otherwise auto- generated results will not be displayed Name of mother or caregiver Full name of child Sex Click to edit title New Feature: Improved error-checking feature If a child’s name was entered more than once, the second or repeated entries will not be tallied in the summary (first entry will be considered) ‘Summary’ Sheet: Click to edit title New Feature: Additional Information on the Summary Sheet Space added to show estimated number of 06-59 months old children measured Click to edit title New Feature: Additional Information on the Summary Sheet Summary breakdown of MUAC status by age group Number of IPs measured Click to edit title New Feature: Improved BNS Printout The ‘BNS_Printout’ worksheet will help BNSs locate children: o Alphabetically Click to edit title New Feature: Auto-generated List of children List of MAM and SAM Click to edit title New Feature: Auto-generated List of children List of Wasting and Severely Wasting Click to edit title Find Opportunities to build capacity of workers and community along nutrition assessment Call to Actions for NAOs Ensure: • Quality of data • Use of local data in planning and appropriate interventions • Adherence to set guidelines, e.g. timely submission of reports, tools • Regular maintenance of measuring equipment (calibration, verification Continue supervision of community workers along OPT Plus and growth monitoring activities while adhering to minimum health protocols Click to edit title Thank you! 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