National Nutrition Services Newsletter Institute of Public Health Nutrition, Ministry of Health and Family Welfare ISSUE 1 VOLUME 1 May 2014 Table of Contents: Overview of NNS - 1 Editorial Note - 1 Introduc�on - 1 Messages -2 Highlights and achievements -3 Monitoring & Informa�on Management -7 Coverage of key nutri�on indicators -8 Partnerships -9 Publica�ons on nutri�on -10 Upcoming Ac�vi�es -11 Editorial Board -9 Overview of NNS Editorial Note National Nutrition Services (NNS), IPHN is implemented through an Operational Plan of the MOHFW’s Health, Population, and Nutrition Sector Development Plan (HPNSDP) from 2011 to 2016. NNS is the lead organization for the implementation of nutrition related activities throughout the country. I am pleased to announce the 1st publication of the National Nutrition Services quarterly Newsletter by IPHN. This newsletter serves to share and document NNS’ performance in reaching the population of Bangladesh with critical, proven nutrition interventions as per the NNS Operational Plan. The newsletter reports on current status, progress and coverage of NNS supported services at facility levels and also on community-based nutrition activities, including campaigns. The Line Director (LD) of NNS provides overall leadership of NNS, overseeing program and budget management for the achievement of program results. The LD NNS works closely with other LDs of the Directorate General Health Services (DGHS) and Directorate General Family Planning (DGFP) in order to implement programmes for nutrition effectively. NNS supports the delivery of nutrition services and interventions with the support of stakeholders at all levels, including the government and development partners. Introduction This is a quarterly newsletter published by the National Nutrition Services (NNS) of the Institute of Public Health Nutrition (IPHN), under the Ministry of Health and Family Welfare (MOHFW). The purpose of this newsletter is to disseminate the progress and coverage of NNS’ programmes and interventions using information and evidence. Such information will strengthen monitoring of nutrition activities and inform policy makers on priorities, gaps and effective strategies for nutrition in Bangladesh. NNS Newsletter 2014 I express my sincere thanks to the entire team of NNS for their support and contribution to publishing this newsletter. I thank the Honorable Secretary, MoHFW, and the Director Generals of DGHS & DGFP for their continuous support to NNS, and acknowledge the contribution of health managers and other service providers who collaborate with NNS. Finally, I would also like to acknowledge the commitment and efforts of IPHN staff and development partners in making this newsletter a successful monitoring, knowledge sharing and advocacy tool for improving nutrition in the population of Bangladesh. _______________ Dr. Nasreen Khan Deputy Program Manager, NNS Institute of Public Health Nutrition DGHS, Mohakhali, Dhaka 1 Na�onal Nutri�on focus Messages It is a great satisfaction for me to be acquainted with the first publication of the National Nutrition Services (NNS) newsletter, under the Health, Population and Nutrition Sector Development Program (HPNSDP) of the Ministry of Health and Family Welfare (MoH&FW), Bangladesh. This newsletter is a worthwhile publication as it enables stakeholders from government and partners to receive regular information and updates about the activities NNS. I hope that this information will be used to improve planning, implementation and development of nutrition strategies for Bangladesh. I would like to thank everyone who directly worked on publishing this newsletter and I expect NNS will continue this effort to generate subsequent published editions. ________________ Mr. M. M. Neazuddin Honorable Secretary Ministry of Health and Family Welfare Bangladesh I am very glad to recognize the publication of NNS newsletter. For building a healthy nation, nutrition is an essential part. In our country, people are getting health services through community based health facility at community level. According to recent HPNSDP implementation strategy, it was planned to provide nutrition services to people by staffs of DGHS and DGFP. NNS program focuses on maternal and child nutrition services as well as adolescent nutrition. I express gratitude to IPHN and NNS for publishing this newsletter. __________________ Prof. Dr. Deen Mohd. Noorul Huq Director General Directorate General of Health Services Mohakhali, Dhaka It is a gratification for me to know that, National Nutrition Services (NNS) is going to publish this newsletter. This newsletter gives some programmatic information to understand the current nutrition information and interventions of NNS that will guide policy makers to plan effectively for the future national nutrition services in Bangladesh. In Bangladesh morbidity and mortality due to malnutrition is quite high though substantial improvement has been made in last decade. To reduce morbidity and mortality rate of children we need to focus on nutrition services. It is just starting of a journey towards information sharing culture as a periodical statement. It is great pleasure for me to learn that National Nutrition Services under Health Population and Nutrition Sector Development Program (HPNSDP) of Ministry of Health and Family Welfare (MoH&fw), Bangladesh is going to publish the NNS Newsletter (Issue 1). MoH&FW has made a crucial decision to shift away from a standalone nutrition project approach to mainstreaming nutrition across all primary health care services. Nutrition is an integral part of all primary health care facilities. This newsletter is a very useful publication as it enables to get recent activities of NNS and information on nutrition services all over the Bangladesh I would like to appreciate everyone who are involved in publishing this newsletter. _________________ Md. Nur Hossain Talukder Director General Directorate General of Family Planning Kawranbazar, Dhaka ______________________ Dr. Syed Abu Jafar Md. Musa Director PHC and Line director MNC&AH Directorate General of Health Services, Mohakhali, Dhaka I am very delighted to let all know that the National Nutrition Services (NNS) of current sector program of Ministry of Health and Family Welfare is going to publish first issue of newsletter. The Government of Bangladesh has planned to accelerate the progress in reducing the high rates of maternal and child undernutrition by mainstreaming of nutrition interventions into health (DGHS) and family planning (DGFP) services, scaling-up the provision of area-based community nutrition. I would like thank all staffs of NNS and IPHN for their contribution to ensure nutrition services and publication of the newsletter as well. I would also thank our development partners for their supports to NNS. I would also like to thank Honorable Secretary, MoH&FW, and Director General of DGHS & DGFP for their support to NNS. I am hopeful that NNS will continue developing newsletter and share with all stakeholders. It is a great pleasure to know about the publication of 1st issue of NNS newsletter of this year. National Nutrition service (NNS) is one of the operational plans of the HPNSDP, that plans to deliver maternal and child nutrition services by mainstreaming and scaling-up the implementation of nutrition interventions into health (DGHS) and family planning (DGFP) services. The maternal & child malnutrition rate in Bangladesh is still remaining high though some remarkable progress was made in recent years. NNS is trying hard to meet target and then it will be an enormous achievement and milestone for our country. I am thankful to staffs of NNS and IPHN for their valuable contribution for publication of the newsletter. I also appreciate contribution and involvement of other stakeholders and development partners for their continuous support to NNS. I look ahead to continuing publication of NNS newsletter. _______________________ Dr. Mohammad Hedayetul Islam Director, IPHN & Line Director, NNS Directorate General of Health Services Mohakhali, Dhaka _______________________ Dr. Md. Moudud Hossain Programme Manager, NNS Directorate General of Health Services Mohakhali, Dhaka NNS Newsletter 2014 2 Na�onal Nutri�on focus Highlights and achievements Growth Monitoring & Promotion (GMP) Capacity and coordination at sub-national levels Nutrition interventions have been implemented at Community Clinics, Union level, Upazilla level and at tertiary level health & family planning facilities through service providers of DGHS and DGFP. − − − Health facilities in 130 upazilas in 19 districts are now equipped with essential nutrition equipment, including height boards, weighing scales, MUAC tape and growth monitoring cards 482 medical officers in 64 districts were designated as Medical Officer (Public Health Nutrition) for coordinating activities of NNS at the upazila level. 7,569 service providers of 50 upazilas were trained on a standardised basic nutrition package Figure 2: Launching GMP card at IPHN auditorium Achieved (2011-2013) 62691 Target (2011-2016) 70000 Vitamin-A Plus Campaign 60000 50000 18948 SAM 195 0 IYCF Bi-annual Vitamin-A Plus campaign is implemented to help prevent vitamin-A deficiency disorders which have consequences on child morbidity and mortality. During these bi-annual campaigns, children aged 6-59 months are 9276 10000 620 20000 2076 30000 7834 40000 28475 Number of person GMP is an important tool for assessment of nutritional status followed by appropriate, tailored nutrition counselling to parents. It also serves as a motivational tool to actively engage caregivers in the growth of their children. Activities of GMP also include referral of severe growth faltering cases and follow-up of referrals for treatment. CMAM Basic Nutri�on Figure 1. Training conducted under the operational Plan of NNS Behavioral Change Communication (BCC) BCC programs include policy NNS’ communication, advocacy, social mobilization and interpersonal communication at community and facility levels, including: − − − − − Televising IYCF TV spots jointly with Alive and Thrive 13 episodes of nutrition quiz show on TV for school students 13 episodes of nutrition quiz show on TV for the parents of less than 2 years old children 45 episodes of radio program each of 10 min duration titled PUSHTI PALA has been developed Development of 2 mobile phone applications to raise nutrition awareness among the targeted people Figure 3: Launching of Vit-A plus campaign supplemented with a preventive dose of Vitamin A. Additionally, deworming tablets are administered to children 24 to 59 months. In 2013, Vitamin-A plus campaign was organized th th on 12 March and 5 October . The following coverage of children (20 million reached) has been achieved in 2013: On 12th March both vitamin-A & Deworming was distributed and on 5th October only Vitamin-A tablet was distributed. 3 NNS Newsletter 2014 Na�onal Nutri�on focus st nd 96% in 1 round and 98% in 2 round vitamin-A coverage (6-11 month children) 97% both of the rounds for vitamin-A coverage (12-59 month children) 96% deworming coverage (24-59 month children) Micronutrient Supplementation and food fortification Iron folate acid supplementation to adolescent girls and pregnant women is a priority intervention of NNS. NNS also promotes provision of zinc supplements with Oral Rehydration Saline (ORS) as part of the protocol for the management of acute diarrhea. NNS supports Bangladesh Small and Cottage Industries Corporation (BSCIC) of Ministry of Industry to undertake initiative for introduction of appropriate technology for salt production, improving salt iodization plants and enforcing salt iodization laws. Some key outcomes and developments include: 200 million tablets of IFA procured and distributed to all health facilities in 64 districts Jobs aids and reminder tools developed for improve compliance of pregnant mothers in receiving and consuming adequate dose of IFA during pregnancy Micronutrient Initiative (MI), in collaboration with UNICEF, continues to support twice-yearly vitamin A, zinc, iron and folic acid supplementation to support the government´s efforts to scale up the coverage through different programs 195 health managers and service providers trained (through 8 batches of Training of Trainers) on Community Based Management of Acute Malnutrition Standard job aids and monitoring tools developed and disseminated (eg. wall charts, registers, in-patient cards) Infant and Young Child Feeding (IYCF) IYCF service includes counseling to caregivers on appropriate exclusive breastfeeding and complementary feeding practice. Some key developments include: Revised national law on Breast-Milk Substitutes (BMS) Code passed in 2013 With support from the Breastfeeding Foundation (BBF) and the United Nations Children’s Fund (UNICEF), a national BMS Code monitoring system has been established in all districts of the country IYCF counseling guideline for fieldworkers has been prepared and disseminated to 64 districts National IYCF training conducted, including training of trainers. Total of 232 trainers from national level and 2,783 health service providers from 15 upazilas trained in 2013. 63 Baby Friendly Hospital Initiative (BFHI) hospitals established. Mandatory law on vitamin A fortification of edible oil law passed Management of Acute Malnutrition To ensure maximum coverage and access to adequate care for acutely malnourished children, a number of combined facility and community based strategies and programmes have been supported. These include: 36 district hospitals are trained and equipped in in-patient management of Severe Acute Malnutrition (SAM) IMCI-N corners in 130 upazillas are fully functioning for starting to actively screen and refer for acute malnutrition NNS Newsletter 2014 4 Na�onal Nutri�on focus Establishment of Integrated Management of Childhood Illness (IMCI) and Nutrition Corner Nutrition has been integrated into IMCI corners at Upazila Health Complexes (UHCs) across the country. Basic training has been provided to health providers on establishment and operation of IMCI-N corners in 50 Upazilas. Monitoring system and tools for IMCI-N have been revised and standardized to include nutrition indicators Monthly progress report on IMCI-N corner: 25000 Number of patients 383 245 229 55 79 47 29 29 50 33 36 52 11 2 16 14 23 60 56 30 31 34 450 400 350 300 250 200 150 100 50 0 18 19 33 Number of Upazillas Number of upazillas among total number of 482 which provided monthly IMCI-N revised online report on different Nutrition indicators (January –March, 2014) 20000 15000 10000 5000 0 January January February 8000 7000 6000 5000 4000 3000 2000 1000 0 February Chittagong division March February March Dhaka division Number of patients Number of patients Status of monthly revised IMCI -N online report January February March March 6000 5000 4000 3000 2000 1000 0 January Rajshahi division Source: Online HMIS, MIS-DGHS 5 NNS Newsletter 2014 Na�onal Nutri�on focus Number of upazillas among total number of 482 which provided monthly IMCI-N revised online report on different Nutrition indicators (Jan –March, 2014) (continued) 12000 Number of patients Number of patients 14000 10000 8000 6000 4000 2000 0 January February 2000 1800 1600 1400 1200 1000 800 600 400 200 0 January March Khulna division Number of patients Number of patients March Sylhet division 2500 2000 1500 1000 500 0 January February February 4000 3500 3000 2500 2000 1500 1000 500 0 March January Barisal division February March Rangpur division Source: Online HMIS, MIS-DGHS School Nutrition Education Program NNS provides nutrition education materials & technical guidance to school children, teachers and guardians on how to improve their diets and nutritional practices. support for healthy food and physical activities. A training manual has been developed and a dissemination workshop conducted 480 teachers (3 day) have been trained 2,400 secondary school students have been trained A collaborative approach and strategy has been developed jointly with the School Health Program of Essential Service Delivery (ESD), Centre for Communicable Diseases (CDC), and Monitoring & Evaluation (ME). NNS Newsletter 2014 Food Safety National Food Safety Policy has been prepared and submitted to the MOHFW for approval. Food Safety Act, 2013 has been approved Establishment of National Food safety Laboratory (NFSL): NFSL was established in the IPH premises. Bangladesh National Food Safety Network establishment is under process. National Codex Point is strengthened. Food borne disease surveillance system started through Institute of Disease Control and Research (IEDCR). Food Safety Emergency (FSERP) was prepared. Response Plan Training of the Sanitary Inspector of DGHs is going on. Guideline for Risk Categorization of Food Products and Business in Bangladesh and 6 Na�onal Nutri�on focus Guideline for Food Inspection in Bangladesh for Food Inspection have been prepared. Monitoring & Information Management To increase the public awareness and education about food safety is going on. Establishment of ‘Nutrition Information and Planning Unit (NIPU)’: Since NNS has started its implementation with a concept of ‘Mainstreaming’ with DGHS and DGFP, the need for selecting standard indicators for monitoring and evaluation of activities, outcomes and results for nutrition has been recognized. As nutrition activities are implemented by field staff of DGHS & DGFP; it has been agreed to integrate nutritional indicators into existing information management systems of the Government rather than establishing parallel stand-alone systems. Efforts have been made to incorporate nutritional indicators into existing community clinic, DGHS and DGFP reporting system processes and tools. A monitoring team has been formed with representatives from different relevant Government Institutions to monitor nutrition training programs and other regular field activities. Standardised supervision checklists were also developed for different nutritional activities. Standard nutrition indicators to assess effective coverage of interventions was also defined to measure scale-up and identify gaps. These indicators have been integrated during 2013 into DGHS, DGFP and community clinic registers and reporting system. These revised HMIS tools have since been rolled-out in 10 upazilas. 3 operational research studies have been conducted through independent research organization. Training on ‘Human Resource Development’ , ‘Financial Management’, ‘Computer Training’ and other capacity building initiatives related to nutrition, for physicians & relevant staffs of DGHS and DGFP have been completed. In October 2013, a ‘Nutrition Information and Planning unit (NIPU)’ was established at NNS to improve the availability and quality of routine nutrition data from the Health sector, as well as increased capacity to analyze and utilize nutrition information available in Bangladesh to adequately inform planning and programming on nutrition. NIPU will also work with relevant Government Ministries, departments and partners to support overall M&E framework of NNS/OPWith the support of partners, including UNICEF, DFID, MI, HKI, etc. NNS and NIPU are currently developing a workplan strategy to strengthen the integration of standard nutrition indicators in health and family planning services. NNS is also working with other partners in institutionalizing existing nutrition surveillance systems (ie. FSNSP – more elaboration needed here). Improved nutrition information and analysis from the Health sector will also enable the identification of critical bottlenecks and subsequent implementation of corrective actions to address them. It is expected improved collection, analysis and that dissemination of information related to nutrition will allow NNS, stakeholders, partners and policymakers to measure progress, identify gaps and priorities related to coverage of essential interventions supported by the NNS OP. In past months, NIPU has worked in collaboration with DGHS HMIS team and FP-MIS to revise monitoring systems, tools and training guideline to incorporate nutrition indicators at Community Clinic and UHC levels (IMCI-N corners). 482 443 434 482 500 100 130 200 32 300 200 400 36 No. of upazillas 600 482 482 Key achievements: 0 Figure 4: Facility and campaign based nutrition initiatives 7 nutrition indicators integrated into CC registers/reporting formats (revised HMIS tools) 4 nutrition indicators integrated into IMCI-N tools Laptop, internet connection provided to 173 upazilas Online registration/ reporting system started on September 2013 7 upazilas starting to report regularly IMCI-N reporting, including on nutrition, will start soon Coverage, Area maps can be outputted from web platform 7 Na�onal Nutri�on focus In this circumstance, our Information and Planning Unit within the Institute of Public Health and Nutrition (IPHN) to support the planning and monitoring of implementation, inform costing and budgeting for direct nutrition interventions and to identify disparities in nutrition programming. National nutrition supply planning tool drafted NNS quarterly bulletin first issue disseminated Coverage of key nutrition indicators In this section, we can show some standard nutrition indicators on which are from recently revised HMIS Community Clinic tools. Currently, almost 1185 CCs from 39 upazilas are reporting monthly on those nutrition indicators which are shown from the month of May 2013 to March 2014. 744 733 391 232 173 27 30 20 10 M ar -14 Feb-14 Jan-14 Dec-13 Nov-13 Oct-13 Sep-13 Aug-13 40 0 47 Jul-13 18 220 223 50 % of pregnant mother 779 Jun-13 900 800 700 600 500 400 300 200 100 0 M ay-13 Number of CCs A harmonised set of nutrition indicators has been identified for integration in the Health Management Information System (HMIS), a significant step towards mainstreaming of nutrition within the health services. HMIS is now responsible to collect, modify and customize the different type of data from almost all health facilities through their data management software (DHIS2). However, it is quite difficult to daily monitor the nutrition indicators by their limited number of staff. CC case based repor�ng ANC1 Number of CCs provided nutrition related monthly report in their case by case online report 100 % of childr en 60 40 20 0 Male Female Percentage of Children Exclusively Breastfed from birth up to 6 months ANC3 ANC4+ Percentage of Women completed different ANC visits % of childr en 80 ANC2 5.0 4.5 4.0 3.5 3.0 2.5 2.0 1.5 1.0 0.5 0.0 Male Female Percentage of Wasted children 0-59 months who are scree ned by WHZ 8 Na�onal Nutri�on 5.0 4.5 4.0 3.5 3.0 2.5 2.0 1.5 1.0 0.5 0.0 % of childr en % of childr en focus Male Male Female Percentage of Stunted Children 0-59 months who are screened by HAZ 100 90 80 70 60 50 40 30 20 10 0 Female Percentage of Underweight Children 0-59 months who are screened by WAZ 100 % of pregnant mother % of childr en 5.0 4.5 4.0 3.5 3.0 2.5 2.0 1.5 1.0 0.5 0.0 92.52 80 60 40 20 28.08 13.28 27.59 39.11 44.03 24.75 21.64 19.05 27.76 22.84 0 Male Female Percentage of Children (6-23 months) who are fed 4 or more food gro ups Councelling during pregnancy Percentage of Women received at Counseling during pregnancy Figure 5: Community clinic reporting status in revised online form of different nutrition indicators (May 13 - March 14) Partnerships As the umbrella organization for the implementation of nutrition related activities throughout the country, the NNS has been working closely with other stakeholders and partners. NNS has established effective linkages with development partners, including UN agencies, NGOs and other national institutions. Key partners include UNICEF, WHO, Save the Children (SC), World Vision (WV), Strengthening Partnerships, Results and Innovations in Nutrition Globally (SPRING) for which has joint workplans and/or MOUs. Annual joint workplan with UNICEF focuses on strengthening existing capacities and systems at national and sub-national levels, for improved scale-up and quality of both nutrition specific and nutrition sensitive strategies, under the mainstreaming approach. Specific support includes supplies, technical assistance and monitoring. UN Renewed Efforts Against Child Hunger (REACH) is also collaborating with NNS on the production of a National Nutrition Situation analysis and Joint National Advocacy and Communication Strategy. Ongoing collaboration to strengthen the Scaling Up Nutrition (SUN) movement is also progressing with the SUN Multistakeholder platform. The MoU between Save the Children, NNS and Revitalization of Community Health Care Initiatives in Bangladesh (RCHCIB) covers; sharing resources, operationalizing the study and maximizing coordination for priority nutrition interventions as per the NNS OP, in Muladi of Barisal, Satkania of Chittagong and Kulaura of Maulavibazar till November, 2015. The MoU with World Vision covers sharing resources and maximizing coordination with NNS and Community Clinics Project to build capacity through nutrition training of different health providers in Muktagacha & Fulbaria Upazila of Mymensingh district till 30 June, 2016. SPRING is collaborating with NNS to improve the nutritional status of women and young children in the Barisal and Khulna divisions in a phased 9 Na�onal Nutri�on focus programme approach from October 2011 to September 2014 in 40 upazillas of Bangladesh. Bangladesh Knowledge Management Initiative (BKMI) for supporting to strengthen the capacity of the IPHN to plan, design, implement, monitor and evaluate SBCC activities for creating evidence based communicating messages in order to improve people’s lives. It has already developed e-toolkit that containing message on various aspect of health, population and nutrition as well as e-learning course. A monitoring checklist for BCC/IEC also been developed to monitor SBCC activities at the field level. Publications on nutrition (2011-2013) The following are a list of materials that have been published on nutrition in the recent years, by NNS and its partners. These publications and materials are available and can be requested from NNS/IPHN. GMP card (for female)- page:1 GMP card (for female)- page: 2 10 Na�onal Nutri�on focus Upcoming activities for next quarter − Launching of the NNS website, dashboard and National Nutrition Situation analysis − Launching of an orientation toolkit on Direct Nutrition Interventions for public health managers and practitioners − Supporting operationalization of IMCI&N corners in all UHCs and District Hospitals, including reporting and information management systems − Supporting DGFP in integrating standard nutrition indicators into their MIS-FP in 23 Upazilas − Scale-up in-patient management of SAM in 100 additional hospitals Nationally − Training of health personnel and service providers on a Basic Nutrition Package − Expanding Community Clinic based Nutrition service delivery − Developing National Micronutrient Deficiency Control Strategy − Cabinet approval of National Nutrition Policy − Development of a Joint National Advocacy and Communication Strategy on Undernutrition − National Multisectoral Nutrition Knowledge Sharing Event Editorial Board Advisors M. M. Neazuddin Secretary Ministry of Health and Family Welfare (MOHFW) Prof. Dr. Deen Mohd. Noorul Huq Director General Directorate General of Health Services (DGHS) Md. Nur Hossain Talukder Director General Directorate General of Family planning (DGFP) Roxana Quader Additional Secretary Ministry of Health and Family Welfare (MOHFW) Professor Dr. Abul Kalam Azad ADG (Planning and Development) and Director Management Information System Directorate General of Health Services Dr. Subash Kumar Saha ADG (Admin) Directorate General of Health Services (DGHS) Editor in-chief Dr. Mohammad Hedayetul Islam Director IPHN & Line Director, NNS, DGHS Managing Editor Dr. Md. Moudud Hossain Program Manager, NNS, IPHN, DGHS Acknowledgement All staff of IPHN and NNS Editor Dr. Nasreen Khan Deputy Program Manager, NNS, IPHN, DGHS Members 1. Dr. Md. Abdul Jalil Deputy Director, IPHN and Program Manager, NNS 2. Dr. Md. Abdul Hannan Assistant Director, NNS, IPHN 3. Dr. Taherul Islam Khan 4. Program Manager, NNS, IPHN Dr. Tapan Kumar Biswas Deputy Program Manager, NNS, IPHN 5. Dr. Alamgir Murshedi Deputy Program Manager, NNS, IPHN 6. Dr. Faruk Ahmed Deputy Program Manager, NNS, IPHN 7. Dr. Mir Mobarak Hossain Deputy Program Manager, NNS, IPHN Content compilation & Analysis Nutrition Information Planning Unit (NIPU) National Nutrition Services (NNS), IPHN Photo Credit IPHN & UNICEF 11 Nutri�on Related BCC Posters focus Published by: National Nutrition Services (NNS); Institute of Public Health Nutrition (IPHN) Web: www.iphn.gov.bd; Email: [email protected]
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