This proposal aims to reduce malnutrition in children aged 6-59 months who were affected by floods in

southern Punjab. The proposed strategy will involve integrating immunization and health care services
with community awareness initiatives, dietary interventions, and support for exclusive breastfeeding
during the critical window of time for these young children’s growth.

The first step is to conduct a series of risk assessments both at an individual level and in specific areas hit
by flooding as well as vulnerability mapping that identify those most likely to suffer from malnutrition.
Following this assessment, mobile medical camps can be set up throughout the area providing
vaccinations against common childhood diseases such as measles or diphtheria which have been linked
to compromised nutrition status along with vital micronutrient supplements including Vitamin A
capsules.

Community stakeholders will also need to be educated about the importance of feeding infants food
other than just milk after their sixth month alongside continued full nutritional nursing through exclusive
breastfeeding until they are around two years old. Alongside direct outreach campaigns designed
primarily towards women caregivers balanced food distribution should accompany assistance packages
provided in response flood ravished communities where possible so that families do not turn solely onto
carbohydrate laden starchy staples when additional sources of cognitively beneficial foods are
unaffordable or unavailable even within short term emergencies like the floods covered here though
more attention needs given on access shortfall issues underlying this problem beyond service coverage
provisioning initiatives targeted solely at individuals belonging vulnerable populations among whom
morbidity weights heavier viz consequential mortality outcomes originating due onset earlier stage
illhealth episodes incurring high financial medicine related costs incurred while seeking appropriate
treatment upto levels guaranteeing desirable clinical recovery mechanisms being implemented
otherwise positive progress expected witnessed envisaged thus far forwarded results expect reflect
further enhancement soon planned rolled scale activities pursued consequentially current initiative
merits wider population considerations provide holistic public private interface budgetary allocations
stringent supplier client functional modifications recommended advanced courses action eventually
system feature finely fine tune begin fully operationalize associated transformational pathways
committed advocated striving alleviate lasting impacts currently adverse conditions observed presently
entailing eventual right management practices guaranteed utmost preventative scopes undertaken
already outreaching encouraging sustained guarantees longlasting powerful solutions upon elaboration
phases procedures integrated accordance established design features now considered

I propose introducing a program that integrates immunization and health care services to improve
nutrition status of flood affected children aged 6-59 months in Southern Punjab. The program’s goal
would be to provide vulnerable, underserved communities with access essential healthcare services and
nutritional support so they can recover from the effects of poor health and malnutrition caused by
floods. As part of this initiative, we will establish vaccination centers in areas where populations are
especially at risk due to food insecurity or limited medical resources following flooding. We plan on
using local workers trained in basic health accompaniment (BHA) and community mobilization systems
for effective service delivery such as PHC Framework & NHM Guidelines for Mother and Child Health
Services4 . Additionally, Integrated Managers RNTCP/JSY will help promote collaborations between
public and private sectors, leading toward improved operational efficiency within the project scope.
Apart from mobile teams providing door-to-door information dissemination and utilizing existing village
level mechanisms like Bal Mitra Task Force (BMTF), an online/offline data system modeled after NRCS
India’s NFHS 5 could also be explored for regular monitoring progress of coverage under these missions
up until completion.. Allocation necessary funds from State Budgets towards successful implementation
is highly recommended through additional required allocations determined via A6 model which helps
accurately determine corresponding formula computation according to resource allocation needs
identified when conducting complete assessments of state budgets requirements

A proposal to integrate immunization and health care services in order to improve malnutrition status of
flood affected children up to 6-59 months in Southern Punjab can be structured as follows:

Objective: To increase the availability, access and affordability of quality basic healthcare and primary
vaccination services for improved nutrition among flood-affected families with young children.

Strategies :

1. Strengthen existing nutrition education activities within heavily impacted communities through
establishment of community support groups; sessions conducted by NGO representatives or village level
workers who deliver elements on infant feeding practices such as exclusive breastfeeding, balanced diet
etc. Bimonthly meetings/sessions could include sharing updates from local medical service providers
regarding upcoming preventive programs like measles rubella vaccines & other special DRPs
(communication strategy).

2. Increase maternal knowledge about routine childpreventative /vaccination programs through

targeted campaigns utilizing traditional channels e.g., broadcast media including TV ,Radio spots etc . A
monthly call centre helpline should also be established alongside training doctors& paramedics for their
better understanding about DRPS pertaining UTI’S pneumonia DPT Polio Measles Rubella At least one
KAP study should also be done prior each campaign launch

3 Reaching out underserved populations in southern Punjab