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Cash Plus Intervention Program

In response to the challenges posed by the 2nd wave of the COVID-19 pandemic and subsequent floods during the monsoon season, as well as in preparation for a potential 3rd wave of the COVID pandemic, LIFE Nepal partnered with UNICEF Nepal to implement a comprehensive set of interventions. These included Risk Communication and Community Engagement (RCCE), Nutrition, Water & Sanitation Hygiene (WASH), and a Child Protection Programme in Madhesh Province, Nepal.

The overarching goal of these initiatives was to promote and sustain public health safety measures, specifically by preventing the loss of life to COVID-19. The response strategies involved supporting risk communication and psychosocial support, addressing urgent humanitarian needs of various vulnerable groups such as children, adolescents, People with Disabilities (PwD), and families. This became crucial due to the secondary impacts of renewed lockdown measures, leading to challenges like malnutrition, protection issues, and disruption of learning.

Through the implementation of these programs, LIFE Nepal gained valuable insights, recognizing that direct cash payments or transfers could significantly assist the poorest families in meeting their basic needs. This approach yielded a wide range of benefits, including increased household productive capacity, improved children’s school attendance, and enhanced mental health for adolescents. Moreover, the integration of cash transfers with other program components demonstrated the potential for additional benefits for both individuals and their households.

Hence, with technical and financial support from UNICEF Nepal, LIFE Nepal executed the “COVID-19 cash plus” intervention. This involved a combination of cash transfers and complementary programs aimed at promoting positive nutrition behaviors, including public health safety messages. The intervention was implemented from 20th October to 31st December 2021.
Access
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Challenges
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MUAC Screening and FCHV Engagement:
– Utilizing MUAC screening, 359 trained FCHVs screened 23,319 children, identifying 1,791 cases of Moderate Acute Malnutrition (MAM) and 244 cases of Severe Acute Malnutrition (SAM).
– FCHVs organized 716 mother group meetings and conducted door-to-door visits to 50,545 households in 15 days.
– NCV mobilized all 359 FCHVs for home visits, reaching an additional 18,762 households, surpassing the initial target of 11,000 households. Local volunteer mobilization proves to be a key strategy for efficient community outreach.

Tuk-Tuk Mobilization for Awareness:
– Tuk-Tuks were deployed in the targeted Palikas for 10 days, disseminating messages on nutrition, Risk Communication and Community Engagement (RCCE), and Water, Sanitation, and Hygiene (WASH).
– This approach effectively raised awareness among community members regarding nutrition, mask usage, vaccine promotion, and WASH practices. Tuk-Tuk mobilization with megaphone announcements emerged as a crucial tool for mass communication.

Practical-Based Capacity Building:
– Capacity-building training for staff and volunteers followed a practical-based (MTOT model) approach, enhancing knowledge on the Cash Plus intervention for LIFE Nepal’s personnel. This approach proved effective in facilitating learning.

Engagement of Elected Representatives and Government Officials:
– Elected representatives and government officials actively participated in province-level orientation and review meetings.
– Emergency support was provided to 502 vulnerable children, and reintegration support for alternative business was given to 100 families, with the presence and appreciation of elected representatives and authorized government officials.
– Involvement of elected representatives and government officials in program implementation and monitoring was highlighted as a crucial strategy to ensure accountability and responsiveness.

Distribution of Gender and Child-Friendly Materials:
– Gender and child-friendly materials such as sanitary pads, diapers, oil, bathing and washing soap, blankets, Bhadakuti/doctor sets, weight measurement machines, thermometers, carom boards, stationery, cloth baskets, dustbins, and recreational kits were distributed to six OCMCs in Madesh.
– Equipping OCMCs with these materials was emphasized as essential for effective and compassionate service delivery, contributing to stress reduction and recreation for survivors.
Project Area:

Rajbiraj municipality & Rajgardh rural municipality of Saptari district, Aurahi rural municipality and Janakpur sub-metropolitan city of Dhanusha district, Durga Bhagwati rural municipalities of Rautahat district in Madhesh Pradesh

Target Group

Children, adolescents, PwD (People with Disability), and families

Programme Duration:

October-December 2021

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