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Final Report Emergency Humanitarian Nutrition and Health Response for Vulnerable Children in the Gaza Strip th st September 16 2010 through October 31 2011 November 2011 Table of Contents Content Page number List of Abbreviations 3 List of Tables 4 List of Figures 5 Executive Summary 6 Background and Project Justification 11 National context and problem analysis 13 Project description 20 Key Indicators 20 Outcomes 20 Target Population 21 Project Strategy and Methodology 22 Timeframe 24 Preparations 24 Key achievements 25 Recruitment of project staff 25 Health education materials 26 Procurement of equipment, disposables, milk and drug 27 Mapping 27 Design of work 28 Training of NECC and the project team 29 Project monitoring plan 29 Baseline 30 Coordination and integration 31 Program management and control 32 Community acceptance 33 Results according to the project indicators 34 Rafah area 34 Beneficiaries targeted 34 Children enrolment status 38 Anaemia status 41 Malnutrition status 45 Follow up in Shijaia and Darraj areas 51 Health education 56 Staff training 58 Drugs and formula distribution 60 Laboratory tests 61 Referral 62 Summary of the Project Indicators Results 62 Challenges 67 Deviation from the work plan 68 Visibility 68 Sustainability 69 Lessons learned 70 References 72 | P a g e 2 List of Abbreviations CBC Complete Blood Count D Darraj Clinic DCA DanChurch Aid EHN Emergency Humanitarian Nutrition FAO Food and Agriculture Organization GS Gaza Strip Ht Height IDA Iron Deficiency Anaemia MOH Ministry of Health MOSA Ministry of Social Affairs NECC Near East Council of Churches NGOs Non Governmental Organizations NIS New Israeli Shekels Q Quarter R Rafah Clinic S Shijaia Clinic SD Standard Deviation UNICEF The United Nations Children's Fund UNRWA United Nations for Refugees Work Agency WFP World Food Program WHO World Health Organization Wt Weight | P a g e 3 List of Tables Table Page number Table 1: Distribution of screened families according to certain 38 demographic characteristics Table 2: Distribution of the enrolled cases by their status 39 Table 3: Classification of severity of anaemia 41 Table 4: Distribution of the surveyed children by anaemia and its 42 severity Table 5: Change in the status of anaemia cases per enrolment 44 period Table 6: Distribution of the surveyed children by malnutrition 46 related factors Table 7: Change in the status of malnourished cases admitted to 49 the program per period of enrolment Table 8: Distribution of recovered malnutrition cases by type and 51 central tendency measurements by days Table 9: Change in the status of children assessed in the first 52 project/s Table 10: Beneficiaries of Shijaia and Darraj health centres visiting 54 well baby clinic Table 11: Change in cases enrolled in Darraj and Shijaia treatment 55 program Table 12: Distribution of health education activities 56 Table 13: Effect of health education on mothers’ knowledge as 57 demonstrated in the pre post tests Table 14: Distribution of training days by topics and dates 59 Table 15: Distribution of drugs and therapeutic food dispensed 60 Table 16: Distribution of lab tests conducted 61 Table 17: Referral to other organizations 62 Table 18: Summary table illustrating indicators status 62 | P a g e 4
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