jagomart
digital resources
picture1_Nutrition Therapy Pdf 144524 | Enu Issue 5 Jan Mar2010


 165x       Filetype PDF       File size 2.96 MB       Source: www.wvi.org


File: Nutrition Therapy Pdf 144524 | Enu Issue 5 Jan Mar2010
emergency nutrition update enu january march 2010 issue 5 in the spotlight nutrition surveillance welcome to the fifth edition of wv s emergency nutrition update and the launch of our ...

icon picture PDF Filetype PDF | Posted on 08 Jan 2023 | 2 years ago
Partial capture of text on file.
     EMERGENCY NUTRITION UPDATE
    ENU JANUARY-MARCH 2010 ISSUE 5
     ........................................................
     In the Spotlight Nutrition 
                                                 Surveillance
                                                 Welcome to the fifth edition of WV’s Emergency Nutrition Update 
                                                 and the launch of our ENU spotlight themes. As well as our usual 
                                                 selection of updated tools and guidelines, news from the field, 
                                                 research pieces and staff updates, our ENU’s will now also e 
                                                 including a section specifically focusing on a ey theme  area. 
                                                 his edition’s potlight theme will e Nutrition ureillance and 
                                                 help readers to understand further what does the literature and 
                                                 field e perience say aout these systems and what systems are 
                                                 currently recommended for use in WV programming. 
                                                 ‚‚†, ŠU‡ˆE†‡NE ’ “E”‚‰‰ENˆA‡‚N
                                                 Food Security Briefs for 
                                                 30 Countries Now Available from FAO
                                                 ­ood security has a significant impact on nutritional status. €ulished y the 
                                                 ­A‚ and EU, food security riefs, updated eery three months, proide a 
                                                 snapshot of the food security situation in oer ƒ„ countries. hese riefs 
                                                 are part of the EU­A‚ program ‘†ining ‡nformation and ˆecision ‰aing 
                                                 to ‡mproe ­ood ecurity’ designed to assist Šoernments, ˆonors, 
                                                 implementing agencies with decision‹maing related to food security issues. 
                                                 Each country rief coers topics such as cereal and liestoc pricesŒ and 
                                                 factors affecting the current food security situation. 
                                                 hey are aailale atŽ httpŽwww.foodsec.orgpus‘country.htm 
                                                 Inter-Agency Standing 
                                                 Committee (IASC) Gender E-Learning Course – 
                                                 Different Needs Equal Opportunities
                                                 As gender is a ey cross‹cutting issue in nutrition programming the following 
                                                 free ƒ hour self‹paced online course is eing highlighted here. ˜ased on the 
                                                 –„„™ ‡nteragency tanding ”ommittee’s š‡A”› Šender œandoo ‹ “Women, 
                                                 girls, oys and men, different needs ‹ eŸual opportunities”, the ‡A” Šender 
                                                 online course launched in ‰arch –„¢„ enales course participants toŽ 
                                                  • †earn how to effectiely integrate gender eŸuality into humanitarian 
                                                   programmes
                                                  • œae the opportunity to practice their sills through an interactie, online, 
                                                   simulated humanitarian crisis
                                                  • Earn a certificate in gender mainstreaming in humanitarian settings
                                                 o find out more go toŽ httpŽwww.iasc‹elearning.orghome
     ”hild in ‰ali    €hoto y •ustin ˆouglass –„„—
                                                                                                   1
        ........................................................
        ENU €‚†‡Šœ
        Nutrition Surveillance
                                                              Objectives of                                         Data Sources for Nutrition 
              What is nutrition                               Nutrition Surveillance                                Surveillance Systems
                                                                • o etter inform and influence                    ‡nformation for nutrition sureillance systems 
              surveillance, hat                                  programming decisions                             comes from a ariety of sources these include, 
                                                                • o monitor the condition of the population        nutrition sureys, health facility information‹
              methods are used,                                                                                     including clinic‹ased growth monitoring, 
                                                                • o identify potentially at ris areas šas an      rapid assessments, community‹ased growth 
              hat or is                                        early warning system›                             monitoring and sentinel site sureillance. 
                                                                • o identify trends in nutrition status oer       ‡nformation on the wide range of factors 
              World Vision                                        time.                                             affecting nutrition is also collected including, 
                                                                                                                    health, food security, water.
              doing in nutrition                                • o monitor interention outcomes.
                                                                • o uild capacity for monitoring nutrition        World Vision’s Contribution 
              surveillance                                       status of the population.                         to Nutrition Surveillance
                                                                • o facilitate information sharing.                World Vision most commonly contriutes to 
         Nutrition Surveillance is the “continuous            ‚n a national leel, Nutrition ureillance           Šoernment nutrition sureillance systems 
         collection and analysis of nutritional status data   systems are most often estalished y the             y sharing reports from nutrition sureys 
         in order to gie warning of impending crisis         Šoernments, with information proided y             and rapid assessments with goernment 
         or to mae policy and programmatic decisions         arious partners including NŠ‚s. ‡n crisis            authorities. World Vision also wors with 
         that will lead to improement in the nutrition       situations or areas of high ulneraility where       local health officials to strength community‹
         situation of the population. his ongoing            Šoernment systems are not functioning or             ased growth monitoring and promotion 
         scrutiny generally uses methods distinguished        where additional support is reŸuired, nutrition       systems. World Vision has plans to undertae 
         y their practicality, uniformity and freŸuently     sureillance systems hae een set up y non‹         a nutrition sureillance pro¦ect, using sentinel 
         their rapidity, rather than complete accuracy.       goernmental partners e.g. UN agencies or             site monitoring in East Africa in partnership 
         ‡ts main purpose is to detect changes in trends      NŠ‚s. he ­ood ecurity Analysis Unit for             with ”ˆ” – read elow for further details.
         or distriution in order to initiate inestigatie   omalia š­AU, httpŽwww.fsausomali.org› 
         or control measures.”¢                               managed y ­A‚ is one such e ample. 
         €lanned Nutrition entinel ites ureillance 
         ystem in Africa
        Submitted by Cyprian Ouma – WV Africa Region CMAM Advisor 
        Background                                                populations and “egistered ”hildren                 • location of the people at ris
        ‰ost Aˆ€s do nutrition and health sureys               • €roision of trends oer time                       • appro imate numer of people who are 
        in periods ranging from eery four to fie              • ‰ore in‹depth information on other                    affected
        years. hese are long gap periods wherey                 indicators lie maret trends and disease           • what is happening to them and how is it 
        the nutrition and food security status could              outreas                                             happening
        deteriorate without eing reported on a timely                                                                • seerity of the situation 
        asis to allow for immediate interention.              • “educed data turn‹around time wherey 
        ‡n order to address this, WV is planning to               data is readily aailale at the site itself        • eolution of the crisis oer time
        pilot a entinel ites ureillance ystem in           • ˆata to trigger more detailed nutritional           • what is already done y the households 
        Africa. his system focuses on undertaing                                                                      and communities plus the goernment, and 
        sureillance in a limited numer of sites                 sureys as and when reŸuired
        or population for the specific purpose of               • ‡mplementation with relatiely little capacity        other partners šfood – non food›
        detecting trends in the oerall welleing of              and integration into longer term monitoring         • reŸuired assistance šfood – non‹food›
        the community. he sites may e specific                  system                                            Pilot
        population groups or illages which coer 
        populations at ris.                                  ‡t is anticipated that the setting up of such         WV is currently planning to undertae a ¢– 
                                                              a nutrition sureillance system to collect,           month pilot sureillance system in partnership 
        ”ompared to one off sureys, such a system            analyse, interpret and report on information          with ”ˆ” in “wanda, «enya and two other 
        has arious potential adantages includingŽ           aout the nutritional status of populations           African countries to e decided, with funding 
          • “educed cost – †arge sureys costs                will assist to inform appropriate response            from WV East Africa “egional ‚ffice. 
            as much as ª–„,„„„ compared to less               strategies and improe an understanding of  a 
            e pensie sureillance systems                    range of things includingŽ                            he pilot sentinel sites will e estalished in 
                                                                • who are the people at ris                        ulnerale Aˆ€s ased on ˆ‡ report and 
          • ”lose monitoring of chronically ulnerale                                                              other documents. ˆata will e collected on 
                                                 ¢.  •˜, œaitch •€, aataai œand Valerde V ¢—¨© Nutrition ureillance Šenea Wœ‚
        2
        ........................................................
        a monthly asis from each of the selected          ¢› ”ommunityAˆ€ ‹ he ey unit of the            ƒ› At the National ‚ffice leel, the health and 
        illages in the Aˆ€ with a minimum numer             system is the community itself, usually           nutrition team will direct and coordinate 
        of ¢¬„ children assessed per Aˆ€ š¬ children          a illage. At this leel the sureillance         the oerall dissemination of the data. he 
        from ƒ„ samples›.                                     system will e operated from the Aˆ€              administratie functions of this national 
                                                                      where data related to health, food        office team will e to plan, superise, 
                                                                      and nutrition will e collected           support, and ealuate the routine operation 
              n areas faced ith a                                   either monthly or Ÿuarterly               of the system at the ¯onal and Aˆ€ leel. 
              crisis, the need for accurate                           šegŽ underweight, stunting,               ‡ts technical functions will e to receie, 
              data on a regular and timely                            wasting, diahorrea, measles etc›.         process, and analy®e summari®ed data 
                                                                      Verification, taulation, and             and information from ¯onal sureillance 
              basis is ey since it provides a                        summari®ation of data will e             groups. he interpretation of indicators 
              basis on hich to mae rational                         done at the community leel. At           will e undertaen y a multidisciplinary 
                                                                      specified interals the accumulated       group of e perts consisting of the 
              decisions for humanitarian                              data will e assemled and                health and nutrition section staff. ‚n 
              interventions                                           transmitted to the corresponding          the asis of their interpretation, specific 
                                                                      ¯onal leel group. After this, the        recommendations for sectoral action 
                                                                      Aˆ€ will receie from the ¯onal           will e formulated for action y ‚’s 
                                                                      leel a summary of the data               donors and other staeholders egŽ ‰oœ.  
                                                                      collected in the region šincluding        hese recommendations will, in turn, e 
        ˆata analysis will then e undertaen                 its own contriution› together with specific      transmitted to the support offices and 
        immediately and information disseminated              recommendations for action in its area of         adocacy teams where the appropriate 
        on a timely asis to the Aˆ€ management.              influence.                                        decisions will also e taen.
        he asic analysis that will e done and the 
        summary of indicators or main factors analy®ed     –› At the ¯onal leel, a inter‹sectoral group     Next Steps
        will e as followsŽ                                   of sponsorship, ˆ and œEA people                 A staeholders worshop with Šoerment, 
         • he proportion of children malnourished in         will e estalished to assess ¯onal               ”ˆ” and World Vision will e held in the 
           each sites ased on underweight, stunting          conditions, superise and support local           coming months to deelop concrete plans 
           and wasting                                        Aˆ€ sureillance actiities and recommend         for the implementation of this pilot pro¦ect.
         • ˆisease incidences in the sentinel sites           action. ˆata from this leel will e 
                                                              transmitted to the national leel only in      Watch this space for updates on the pilot. ‡n 
        As per the diagram aoe, the system will             summari®ed form and at specified Ÿuarterly     the meantime, for any additional Ÿueries please 
        operate at arious leels including community        interals.                                     contact ”yprian ‚uma.
¢.  •˜, œaitch •€, aataai œand Valerde V ¢—¨© Nutrition ureillance Šenea Wœ‚Aˆ€, ®onal and national.
                                                                                                                                                           3
        ........................................................
         NEW ­“‚‰ œE ­‡E†ˆ
        Statement on the Use of Alternative Sampling Designs 
        for Nutrition Surveys in Emergency Settings
        ­mergency ˆutrition Woring  roup, ˆutrition Centre of ­‰pertise – …ebruary Š‹Œ‹ 
        Background                                          ‡n light of the release of this guide in             ‰ortality estimates can proide aluale 
        Šoernment and humanitarian agencies                eptemer –„„—, and the on‹going capacity            information in emergency settingŒ howeer, 
        need population‹ased data to understand            uilding efforts within WV on monitoring and         the alternatie sampling designs as descried 
        the aggraating and underlying causal factors       ealuation methodologies še.g. ‰A“ and             in this guide are not appropriate for measuring 
        of undernutrition and to select the most            †²A›, there is a need for guidance as to if         mortality. he sample si®es of the ƒƒ ™ and 
        appropriate actions to improe the health,          and when alternatie sampling designs should         ™° ƒ designs are too small to proide a useful 
        nutrition and surial of the population.           e used in the conte t of WV programs.               epidemiologic measure of a rare eent such as 
        ‡n many cases, information on the seerity                                                               mortality. Wor to deelop and alidate new 
        of the situation and the causal factors of          Use of Alternative                                   methods to assess mortality—some of which 
        undernutrition is needed efore there can           Sampling Designs in World                            may e appropriate for use in complement 
        e any allocation of resources or planning                                                               with the ƒƒ ™ and ™° ƒ designs—is ongoing.
        of interentions. ‡n an emergency situation,        Vision Programs                                      he decision to use alternatie sampling 
        certain areas may need to e assessed               ‡n emergency settings, population‹ased              designs in WV field programs must e made 
        recurrently oer a relatiely short time            sureys are conducted to fulfil two main             on a case‹y‹case asis in consultation 
        period in order to determine what type of           o¦ectiesŽ ¢› to assess the seerity and            with a nutrition technical adisor. ‡f it is 
        assistance may e reŸuired and for how long.        magnitude of the situationŒ and –› to otain         determined that an alternatie sampling design 
        urey methods for use in emergency settings        data for prolem analysis and response               is appropriate, the methods outlined in the 
        therefore need to e oth time‹ and resource‹       planning. ‚¦ectie ¢ is usually accomplished        ­ANA Šuide should e followed. 
        efficient.                                          y measuring leels of acute malnutrition. he 
        he Alternative Sampling esigns  uide              second o¦ectie can e fulfilled y collecting      Resources
        for ­mergency Settings€  A  uide for survey         information on indicators related to moridity, 
                                                            coerage of accination serices, household          ­ANA‹– €ro¦ect. Alternative Sampling esigns 
        planning, data analysis and planning, pulished     food security, and water and sanitation.             for ­mergency Settings€ A  uide for Survey 
        y ­ANA‹–, outlines ƒ different sampling           he use of alternatie sampling designs for          ‚lanning, ata Collection and Analysisƒ ­ood 
        designs, all of which are appropriate for           field sureys is appropriate when time spent         and Nutrition echnical Assistance €ro¦ect 
        emergency settings, where the time spent            collecting data must e limited še.g. a surey       ‡‡ š­ANA‹–›, Academy for Educational 
        collecting data should e limited ut must e       using ‰A“ methodology is not possile›,            ˆeelopment, Washington ˆ”, –„„—. httpŽ
        sufficient to otain the necessary information      ut information on acute malnutrition and            www.fantapro¦ect.orgpulicationsasg–„„—.
        aout the population. he three designs             related indicators is reŸuired.                      shtml
        were deeloped to proide reliale methods 
        for rapid assessment of the prealence of            ....................................
        acute malnutrition and useful measures 
        of secondary indicators releant to needs 
        assessment and response planning, including 
        child and household‹leel indicators such as        NutritionŽ he hift of W­€s trategic ­ocus
        moridity prealence, accination coerage, 
        household food security, and access to water 
        and sanitation. hese designs can e used to                                                            Submitted by Marianna Stephens – ˆutrition 
        measure changes in these indicators oertime,            ‘W…‚ has revised its                           Advisor, WV …ood ‚rogramming Management 
        so are appropriate for ealuating program                                                                roup Ž…‚M ‘ 
        impact. he three sampling designs šƒƒ ™,                food baset to provide 
        ™°±ƒ, seŸuential design› descried in the 
        guide and are each hyrid designs coming                commodities that can                           œunger affects an estimated one illion 
        aspects of cluster sampling and †ot ²uality                                                             people around the world, mostly in Africa, 
        Assurance ampling š†²A›.                               better prevent and                             ‡ndia, and outheast Asia. œunger taes 
        ­ield applications hae shown that these                 treat undernutrition                           its toll on the indiidual and society from 
        designs proide meaningful and alid results,                                                           increasing the prealence of chronic diseases 
        and reŸuire sustantially less time and cost             including micronutrient                        and higher mortality to impaired mental and 
        for data collection than is reŸuired for                                                                physical deelopment to higher healthcare 
        carrying out a ƒ„ ƒ„ cluster design. As of               deficienciesƒ’                                 costs to lower economic output. ‡f we want 
        –„„¨, the designs are sufficiently alidated                                                            to achiee the ‰illennium ˆeelopment 
        for wide‹”‚N‡NUEˆ scale adoption, so                                                                   Šoals, we must urgently and effectiely 
        that real data collection needs can e met in                                                           address undernutrition. 
        a time‹ and cost‹efficient manner. he guide        World Vision ­€‰Š and W­€ hae wored alongside one another for ¢„ years to tacle 
        proides detailed instructions for the planning,    hunger related malnutrition, deeloping an understanding of the prolem, and oth haing 
        implementation, and analysis of data collected      een ery actie in uilding awareness of the prolem and aailale solutions. his past 
        y the ƒ designs.                                   •anuary, W­€ released their Nutrition ‡mproement Approach šN‡A› which has shifted its 
        he deelopment, testing and alidation of          strategic focus from food security šproiding enough calories› to including nutrition security 
        the three alternatie sampling designs was          šproiding nutrient‹rich food›. he new strategy places more focus on specific target groups. 
        completed y ­ANA‹– with ”atholic “elief           hese include children younger than two years, pregnant and lactating women, moderately 
        erices 𔓐›, ‚hio tate Uniersity š‚U›,        malnourished populations, people suffering from micronutrient deficiencies and people with 
                                                                                              –
        ae the ”hildren U š”U›, and a team of         chronic illnesses šœ‡VA‡ˆ, ˜›.                             (Focus - Continues on Page 5)
        statistical e perts at œarard chool of €ulic 
        œealth šœ€œ›.                                 –.  he World ­ood €rogramme Nutrition ‡mproement Approach, •anuary –„¢„.
        4
The words contained in this file might help you see if this file matches what you are looking for:

...Emergency nutrition update enu january march issue in the spotlight surveillance welcome to fifth edition of wv s and launch our themes as well usual selection updated tools guidelines news from field research pieces staff updates will now also e including a section specifically focusing on ey theme area his potlight ureillance help readers understand further what does literature perience say aout these systems are currently recommended for use programming uene eenan food security briefs countries available fao ood has significant impact nutritional status ulished y eu riefs eery three months proide snapshot situation oer hese part program ining nformation ecision aing mproe ecurity designed assist oernments onors implementing agencies with decisionmaing related issues each country rief coers topics such cereal liestoc prices factors affecting current hey aailale at httpwww foodsec orgpuscountry htm inter agency standing committee iasc gender learning course different needs equal oppor...

no reviews yet
Please Login to review.