Click here to load reader

Operation Timbang Plus Minimum Health Standards

  • View
    3

  • Download
    1

Embed Size (px)

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!
Emai l us at:

Search related