Baray-Santuk Nutrition for Under-2s and Mothers Project (BS-NUM)

01 March 2015 to 30 April 2019 * Baray-Santuk Operational District, Kompong Thom Province
* Primary Beneficiaries: 3,800 households with approximately 22,000 members, specifically 4,000 boys and girls under-2 from within this group and born during the life of the project (and an additional 2750 3-5 year olds indirectly)
* Budget: TOTAL 1,000,000USD
Donor/s: Canadian Foodgrains Bank, the government of Czech Republic, ADRA Canada, and ADRA Czech Republic

The proposed target area has been selected in careful consideration of a number of factors. Seeking areas which are currently underserved and relatively remote (off the main road) has been a key priority. Avoiding overlap with other NGO programmes has been another including not overlapping with the target villages and communes from the 2002-2006 ADRA Child Survival project. The target area consists of 44 villages in 9 communes within the Baray-Santuk Operational District. 2013 provincial data shows a population in this area of 56,904 and 11,538 households. About 10 percent of the population is under-5: 2863 boys under-5; and 2916 girls under-5. There are 16,840 Women of Reproductive Age (WRA).

The project will target approximately 40 percent of the overall household population as direct beneficiaries, about 3,800 households with a total population of 22,000 and 4,000 boys and girls under-2 (2,000 boys, 2,000 girls) who are living or will be born during the life of the project. This group represents the households with children who are in their child-bearing years and are likely to have children in the project life and will most directly benefit from the project interventions. Particular emphasis during the life of the project will be to ensure that pregnant women and all children up to 2 years (the first 1000 days) are included in the range of behaviour change, growth monitoring, rehabilitation and other key protective interventions. An estimated 2,750 additional children ages 3 to 5 will also indirectly benefit from the project as well.

The Ministry of Planning have formalised a poverty identification system (latest report is round 6, 2011 data) and have identified 12% of the target area population households as “very poor” (ID Poor 1) and another 13.6 percent as “poor” (ID Poor 2, 2011). These classifications will be used for targeting of these households with financial/material support to adopt improved sanitation and safe drinking water facilities. Where prior ID Poor identification is not determined to be accurate, ADRA will conduct additional means testing of households’ assets to confirm the locally produced ID-Poor data and expand support to include poor households not officially classified as ‘poor’ or ‘very poor’. This can include an analysis of household assets, consumable items, access to land (both cultivable land and domestic), family composition, occupation, education levels, and access to year-round water supplies. Indirectly, all households will benefit from improved sanitation and hygiene creating a more healthy community environment, improved water supply making agricultural activities more sustainable and profitable leading to more food stability and diversity, and reduced instances of the need to temporarily migrate away from the district.

Families with children under two (4,000 including those born during the life of the project), young “parents-to-be”, and their other caregivers will be specifically targeted for awareness and nutrition rehabilitation for their children including understanding the impacts related to migration. Young children in particular are the most vulnerable to physical and mental stunting with lifelong impacts and mothers are at risk from both pregnancy related dangers as well as lacking the ability to maintain the full capacity to foster their children’s growth and wellbeing. The anthropometric baseline will focus on identifying the nutritional status of children under-2 using WHO/MOH growth charts and standard equipment. This study will identify children/households who need special assistance and will ensure that children needing a nutritional ‘boost’ are registered for nutritional rehabilitation. Also, all children can be efficiently tracked through ongoing ‘REFLECT’ group sessions with regular nutritional status checks. The initial study will also use focus groups to enquire into feeding, caring and health-seeking practices that will further identify households where more change is needed and inform future group sessions.