Madagascar - Second Community Nutrition-Additional Financing

Page 1 INTEGRATED SAFEGUARDS DATA SHEET CONCEPT STAGE Report No.: AC2561 Date ISDS Prepared/Updated: 10/23/2006 I. BASIC INFORMATION A. Basic Project Data Country: Madagascar Project ID: P100966 Project Name: Second Community Nutrition-Additional Financing Task Team Leader: Montserrat Meiro-Lorenzo Estimated Appraisal Date: September 12, 2006 Estimated Board Date: November 21, 2006 Managing Unit: AFTH3 Lending Instrument: Specific Investment Loan Sector: Health (80%);Primary education (20%) Theme: Participation and civic engagement (P);Nutrition and food security (P);Child health (S) IBRD Amount (US$m.): 0.00 IDA Amount (US$m.): 10.00 GEF Amount (US$m.): 0.00 PCF Amount (US$m.): 0.00 Other financing amounts by source: BORROWER/RECIPIENT 5.00 5.00 B. Project Objectives [from section 2 of PCN] The objectives of the Project, which would remain unchanged, are to reduce chronic malnutrition among children under three and to improve the nutritional status of school-aged children, pregnant and lactating women in targeted project areas. The project consists of four components, which also remain unchanged and which have been rated satisfactory over the entire life of the project. However, on the basis of the lessons learned, activities financed with the additional resources would focus particularly on reaching pregnant and lactating women and children under two, as well as transferring day to day implementation and follow-up responsibilities gradually to the commune level. Finally, and within the context of the transition from the SEECALINE?s Project to the National Nutrition Program, the Project?s management unit would continue to transfer its competencies to the recently created National Nutrition Office (ONN). C. Project Description [from section 3 of PCN] Component 1: Community Nutrition Program, including: (i) growth monitoring and promotion for children under three; (ii) vitamin A supplementation for children under three and lactating women; (iii) referral of severely malnourished children at health services; (iv) information, Page 2 education and communication (IEC) and community mobilization; (iv) support to community- based activities aimed at improving nutrition, hygiene and sanitation in villages; and (vi) training of community nutrition workers and social workers. Component 2: School Nutrition Program: (i) iron/folate supplementation for enrolled primary school children; (ii) deworming of enrolled and non-enrolled children aged 3-14 years; (iii) IEC as well as nutrition and hygiene promotion in the classroom; (iv) monitoring of the iodization of salt; (v) support to school-based activities aimed at improving nutrition and hygiene in the school environment; and (vi) training of primary school teachers in nutrition and hygiene. Component 3: Intersectoral activities, including: (i) in the health sector, support to the MOH to contribute to the cost of the training program on the Integrated Management of Childhood Illness (IMCI); (ii) in the agriculture sector, support to a few pilot projects aimed at disseminating technical guidelines on improved diversification and storage of agricultural and food products. Component 4: IEC, Training and Project Management, including: (i) IEC, training, and MIS; and (ii) project coordination and management. The implementation arrangements under the requested Additional Financing would be the same as for the ongoing Project, and they are working well. SEECALINE will continue to operate in a decentralized fashion while gradually transferring the competencies to the ONN, on a region by region basis, starting through a pilot in two regions. D. Project location (if known) The Project will cover selected communes in all the regions of the national territory. E. Borrower