MANAGING ACUTE MALNUTRITION IN INFANTS (MAMI): WHERE ARE WE NOW? Nicki Connell, Emergency Nutrition Advisor, SCUS Date: 19 th October 2016
|
|
- Lizbeth Baker
- 5 years ago
- Views:
Transcription
1 MANAGING ACUTE MALNUTRITION IN INFANTS (MAMI): WHERE ARE WE NOW? Nicki Connell, Emergency Nutrition Advisor, SCUS Date: 19 th October 2016
2 Managing Acute Malnutrition in Infants (MAMI) Presentation Flow Background on the problem Updates: Research in Bangladesh on obtaining evidence on risk factors for infant malnutrition Prevalence survey data Prospective follow-up study Development of Community-MAMI (C-MAMI) guidance note 2
3 Prevalence of wasting (< 2 WLZ) in < 6m infants 3 Arch Dis Child 2011;96:
4 Deaths as % of admission in TFC in Afghanistan 4 Field Exchange, Vol 37, 2009
5 Background Acute malnutrition is a major global public health problem causing ~45% of all child deaths each year =6.3 mil in 2013 (WHO, Sept 2014) Over the last decade, management of Severe Acute Malnutrition (SAM) and Moderate Acute Malnutrition (MAM) in children aged 6 59 months has been revolutionized by a public health orientated model of care, "Community based Management of Acute Malnutrition" (CMAM) not the case for infants under 6 months 5
6 Background Typically the current national SAM guidelines only recommend inpatient/clinical care for infants <6m with SAM This is problematic: Cost to health system Cost to family Adherence to protocols High number of defaulters Risk of infection 6
7 Recent Updates by WHO in late 2013! Recommend outpatient management of malnutrition in infants BUT Lack of practical guidance on how to identify those at risk and how to manage those identified 7
8 Current definition of severe acute malnutrition (SAM) in infants <6m old Weight for length of less than 3 Z score Visible severe wasting Edema (bilateral pitting edema) 8
9 MAMI Research in Bangladesh Margaret A. Cargill Foundation December 2013 November 2016 Phased approach.. Now in Phase aviii, data analysis and dissemination 9
10 MAMI Research in Bangladesh Objectives To estimate the prevalence of infants<6m with acute malnutrition in the community av To develop an assessment tool/case definition checklist for infants<6m with acute malnutrition Anthropometric criteria/breastfeeding assessment/clinical criteria/ Other criteria e.g. lack of social support; disability; maternal education; source of water, sanitation, housing, maternal anthropometry To describe current outcomes following infant <6m with acute malnutrition 10
11 MAMI Research in Bangladesh Study components Prevalence survey: A group of infants have been identified from house to house searching for anthropometric measurements; in two distinct seasons av Prospective follow-up study: 3 groups of infants who are SAM (WFH <-3 and/oedema), Not SAM (WFH >-2, no oedema, MUAC >115) and with Low MUAC (MUAC <115); will be followed up until they are 180 days old 11
12 MAMI Research in Bangladesh Study Place av 12
13 MAMI Research in Bangladesh Methodology Prevalence Survey x2 (pre and post harvest) Study participants: infants aged <6months of either sex Targeted sample size: 742, Identified randomly among 106 villages av Check for age using appropriate documents Anthropometric measurements (Weight, Length, MUAC etc.) Check for edema Calculate the weight-for-length and Length-for-Age Z-score and Weightfor-Age Z-score using WHO Growth Standards 2006 Data entry electronically at field, transferred to central server in real time 13
14 14
15 15 Please note, all data presented in this webinar are provisional the team are still completing final analyses. These will be published in the coming months, so final results will be shared then.
16 Results Post Harvest 4.9% (BDHS 2014) Weight for Length 19.9% (BDHS 2014) %below 3 SD % below 2 SD % above + 2 SD Mean Z score n <1 mo <2 mo <3 mo <4 mo <5 mo <6 mo Overall Sex Male Female
17 Results Pre Harvest 4.9% (BDHS 2014) Weight for Length 19.9% (BDHS 2014) %below 3 SD % below 2 SD % above + 2 SD Mean Z score n <1 mo <2 mo <3 mo <4 mo <5 mo <6 mo Overall Sex Male Female
18 Results Post Harvest 3.6% (BDHS 2014) Weight for Age 19.0% (BDHS 2014) %below 3 SD % below 2 SD % above + 2 SD Mean Z score n <1 mo <2 mo <3 mo <4 mo <5 mo <6 mo Overall Sex Male Female
19 Results Pre Harvest 3.6% (BDHS 2014) Weight for Age 19.0% (BDHS 2014) %below 3 SD % below 2 SD % above + 2 SD Mean Z score n <1 mo <2 mo <3 mo <4 mo <5 mo <6 mo Overall Sex Male Female
20 Results Post Harvest Mid Upper Arm Circumference (mm) % below 115 mm % 115 <125 mm % 125 mm and above Mean MUAC n <1 mo ± <2 mo ± <3 mo ± <4 mo ± <5 mo ± <6 mo ± Overall ± Sex Male ± Female ±
21 Results Pre Harvest Mid Upper Arm Circumference (mm) % below 115 mm % 115 <125 mm % 125 mm and above Mean MUAC n <1 mo ± <2 mo ± <3 mo ± <4 mo ± <5 mo ± <6 mo ± Overall ± Sex Male ± Female ±
22 Results Breastfeeding status Did you feed anything to the baby other than breast milk in last 24 hours? (No/Yes) Post Harvest No 397 (53.5%) Yes 345 (46.5%) Pre Harvest No 470 (63.3%) Yes 272 (36.6%) 22
23 Prospective Follow-up Study Objective To take infants with acute malnutrition and compare them with infants without acute malnutrition, to identify what the risk factors for malnutrition are av Looked at a large number of variables in order to identify which are the critical risk factors Once we know the risk factors, we will know what to look for to identify nutritionally vulnerable infants and also ensure these are addressed when managing nutritionally vulnerable infants 23
24 24
25 25 av
26 MAMI Research in Bangladesh Methodology Prospective follow up study Group A: - Weight-for-length <-3 z-score and or - with presence of bilateral pitting oedema av weeks old of either sex Group B: - Weight-for-length -2 to <2 z-score - absence of bilateral pitting oedema weeks old and same sex of the corresponding child A Group C: - Mid Upper Arm Circumference <115 mm - Absence of any other signs of SAM weeks old of either sex 26
27 The results.. av 27
28 Socio economic Variables Infants were older in Group B compared to Groups A and C (will adjust for age) Household income per month was significantly lower in Group A compared to Groups B&C ($89 vs. $114) Lower number of households had electricity in Group A compared to groups B&C (61% vs %) 28
29 WASH Variables/ Mothers Anthropometry Type of toilet was significantly different between the groups Group A had more people with a pit latrine vs. a flushing toilet compared to groups B&C NB: Hand washing and source of water were not significantly different between the groups Both mother s BMI and MUAC were less in Group A compared to groups B&C 29
30 Infant Feeding Variables Duration of exclusive breastfeeding was shorter in Groups A&C at enrolment and end line (at end line Group B had an average of 20 weeks, vs Group A with 13 weeks and Group C with 16 weeks) At end line, significantly less infants were still being breastfed in Groups A&C than in Group B More infants in Group A and C were fed anything other than breastmilk at enrolment and end line 30
31 Results Infant Feeding Variables Variables Breastfeeding currently, at end line, n (%) Yes Group A (n=77) Group B (n=77) Group C (n=77) P value n=69 n=77 n=71 < (87) a 72 (93) b, d 70 (98) c, d Fed anything other than BF in last 24 hours, at enrolment, n (%) Yes 26 (34) a 10 (13) b, d 18 (23) a, d Fed anything other than BF in last 24 hours, at end line, n (%) Yes Frequency of BF (times/d), at enrolment* n=65 57 (88) a 11.8 ± 3.5 a (n=74) n=72 56 (78) a, b 13.5 ± 2.6 b (n=77) n=70 64 (91) a, c 12.4 ± 2.5 a (n=77) Frequency of BF (times/d), at end line* 9.9 ± 2.9 (n=60) 10.2 ±3.6 (n=72) 9.5 ± 2.9 (n=70) 0.93 *Mean ± SD; Median (IQR); ANOVA and Tukey test (as appropriate); Kruskal Wallis H test and Mann-Whitney U test (as appropriate); All tests of significance are Pearson Chi-Square test, unless mentioned; Level of significance <0.05; **Cells with different superscript letters are significantly 31 different;
32 Infant Feeding Variables Mothers in Groups A&C breastfed their infant less often than in Group B at enrollment and end line Mothers in Groups A&C were significantly less satisfied with how breastfeeding was going compared to Group B (showing confidence is extremely important) 32
33 Results Infant Feeding Variables Variables Mother's satisfaction with breastfeeding, at enrolment, % (n) Very satisfied Satisfied Neither satisfied nor dissatisfied Dissatisfied Very dissatisfied Mother's satisfaction with breastfeeding, at end line, % (n) Very satisfied Satisfied Neither satisfied nor dissatisfied Dissatisfied Very dissatisfied Group A (n=77) n=74 8 (6) a 48 (36) 22 (16) 19 (14) 3(2) n=63 6 (4) a 37 (23) 35 (22) 17 (11) 5(3) Group B (n=77) n=77 47 (36) b 33 (25) 10 (8) 5 (4) 5(4) n=72 28 (20) b, c 39 (28) 11 (8) 11 (8) 11 (8) Group C (n=77) n=77 24 (18) c 49 (38) 18 (14) 9 (7) 0 (0) n=70 9 (6) a, d 40 (28) 22 (16) 20 (14) 9 (6) *All tests of significance are Pearson Chi-Square test, unless mentioned; Level of significance <0.05; Cells with different superscript letters are significantly different P value <
34 Infant Feeding Variables Infants in Groups A&C were given animal milk at an earlier age compared to infants in Group B NB: Duration of breastfeeding was not significantly different between the groups 34
35 Clinical Illness and Maternal Mental Health More infants in Group A had at least 1 episode of illness that required hospitalization at enrolment and it further raised up to 40% at the end line Proportionately more mothers were depressed in Group A than in Groups B&C 35
36 Outcomes of all Groups at 6 months? Around a quarter of the infants remained suffering from SAM in Group A Infant deaths were more in Group A and the cause of death found to be SAM Five percent of the infants in Group C became SAM at the end of the follow up period who were not diagnosed as SAM with the current existing criteria 36
37 Key Next Steps With prevalence survey data, will adjust for all variables to determine if seasonality is a key driver For cohort data, will combine use of infant formula with use of animal milks, as this will be good for policy work For cohort outcomes, critical to note that at 6 months 1/3 had negative outcomes (death, SAM, loss to follow up) so current treatment protocols are not working 37
38 Community-MAMI Guidance Note INFANT: TRIAGE: CHECK FOR GENERAL CLINCIAL DANGER SIGNS OR SIGNS OF VERY SEVERE DISEASE (for infant only) (A)NTHROPOMETRIC / NUTRITIONAL ASSESSMENT (B)REASTFEEDING ASSESSMENT (C)LINICAL ASSESSMENT av MOTHER: (A)NTHROPOMETRIC / NUTRITIONAL ASSESSMENT (B)REASTFEEDING ASSESSMENT (C)LINICAL ASSESSMENT (D)EPRESSION/ ANXIETY/ DISTRESS 38
39 Community-MAMI Guidance Note ASSESS CLASSIFY ACT Ask, Identify, (MANAGE) Listen Analyze Inpatient referral and care Priority 1 enrolment av into C- MAMI outpatient-based care Priority 2 enrolment into C- MAMI outpatient-based care Reassurance and discharge with general advice only 39
40 Piloting the C-MAMI Tool Margaret A. Cargill Foundation II Piloting the C-MAMI tool in Bangladesh and Myanmar Operational pilot comparing two av districts with the existing protocol vs. the C-MAMI tool Rigorously evaluated, tool updated and finalised Long-term objective is to roll out a package of outpatient care for nutritionally vulnerable infants globally 40
41 C-MAMI Tool Available on en-net av 41
42 Thank you!
A RESEARCH AGENDA FOR ACUTE MALNUTRITION A STATEMENT FROM THE COUNCIL OF RESEARCH & TECHNICAL ADVICE ON ACUTE MALNUTRITION (CORTASAM)
A RESEARCH AGENDA FOR ACUTE MALNUTRITION A STATEMENT FROM THE COUNCIL OF RESEARCH & TECHNICAL ADVICE ON ACUTE MALNUTRITION (CORTASAM) Photo: Francois Lenoir for Action Against Hunger, Mauritania BACKGROUND
More informationCopyright May 2011, Ministry of Health and Child Welfare, Harare, Zimbabwe
MANAGEMENT OF ACUTE MALNUTRITION IN ZIMBABWE A QUICK REFERENCE GUIDE MINISTRY OF HEALTH AND CHILD WELFARE VERSION I (MAY 2011) Copyright May 2011, Ministry of Health and Child Welfare, Harare, Zimbabwe
More informationPreliminary Report. SMART NUTRITION Survey. Maungdaw and Buthidaung Townships, Maungdaw District, Rakhine State, Republic of the union of MYANMAR
Preliminary Report SMART NUTRITION Survey and Townships, District, Rakhine State, Republic of the union of MYANMAR September 2015 - October 2015 ACF Nutrition Programme Funded by I. INTRODUCTION Myanmar
More informationMODULE 6 MEASURING MALNUTRITION: INDIVIDUAL ASSESSMENT. Part 1: Fact sheet. Part 2: Technical notes. Part 3: Trainer s guide
MODULE 6 MEASURING MALNUTRITION: INDIVIDUAL ASSESSMENT Part 1: Fact sheet Part 2: Technical notes Part 3: Trainer s guide Part 4: Training resource list Harmonised Training Package (HTP): Resource Material
More informationAssessment of Factors Predisposing to Acute Malnutrition Among Under - Five Children Attending Tertiary Care Hospital.
Quest Journals Journal of Medical and Dental Science Research Volume 3~ Issue 5 (2016) pp: 01-05 ISSN(Online) : 2394-076X ISSN (Print):2394-0751 www.questjournals.org Research Paper Assessment of Factors
More informationNUTRITION & MORTALITY INDICATORS IN THE CADRE HARMONISÉ. Olutayo Adeyemi
NUTRITION & MORTALITY INDICATORS IN THE CADRE HARMONISÉ Olutayo Adeyemi OUTLINE Brief Introduction Measurement of nutrition basics Mortality basics Nutrition and mortality indicators in Cadre Harmonisé
More informationThe effects of using P&G Purifier of Water during the treatment of severe acute malnutrition
37th WEDC International Conference, Hanoi, Vietnam, 2014 SUSTAINABLE WATER AND SANITATION SERVICES FOR ALL IN A FAST CHANGING WORLD The effects of using P&G Purifier of Water during the treatment of severe
More informationMangement of severe acute malnutrition in Cambodian children 6-59 months
Mangement of severe acute malnutrition in Cambodian children 6-59 months 14 th LAO PEDIATRIC CONTINUING MEDICAL EDUCATION CONFERENCE March 1-2, 2018 Vientiane, Laos Ms. Sanne Sigh, Cand. scient. Human
More informationRelationship between mid upper arm circumference and weight changes in children aged 6 59 months
Binns et al. Archives of Public Health (2015) 73:54 DOI 10.1186/s13690-015-0103-y ARCHIVES OF PUBLIC HEALTH RESEARCH Open Access Relationship between mid upper arm circumference and weight changes in children
More informationInstitutional information. Concepts and definitions
Goal 2: End hunger, achieve food security and improved nutrition, and promote sustainable agriculture Target 2.2: by 2030 end all forms of malnutrition, including achieving by 2025 the internationally
More informationFood by Prescription. Nutrition in Care and Treatment of PLHIV
Food by Prescription 1 Alice Ndong M.Nutr Stellensbosch Nutrition and Dietetic Consultant Center for Nutrition Education and Research Presentation Integrating Nutrition into Therapeutic Feeding and HIV-Related
More informationDIETARY PRACTICES, MORBIDITY PATTERNS AND NUTRITIONAL STATUS OF LACTATING MOTHERS AMONG PASTORALIST COMMUNITIES IN ISIOLO COUNTY, KENYA
DIETARY PRACTICES, MORBIDITY PATTERNS AND NUTRITIONAL STATUS OF LACTATING MOTHERS AMONG PASTORALIST COMMUNITIES IN ISIOLO COUNTY, KENYA KAHURO EVAH WAIRIMU (BSC FND) H60/CTYIPT/21270/2012 DEPARTMENT OF
More informationMalawi s Experience Shows How Nutrition Services Can Help Meet the HIV Treatment and Epidemic Control Targets FANTA III
TECHNICAL BRIEF Food and Nutrition Technical Assistance III Project September 2018 Malawi s Experience Shows How Nutrition Services Can Help Meet the 90-90-90 HIV Treatment and Epidemic Control Targets
More informationNutrition News for Africa March
Nutrition News for Africa March 2015 Ackatia-Armah R, McDonald CM, Doumbia S, Erhardt JG, Hamer DH, Brown KH. Malian children with moderate acute malnutrition who are treated with lipid-based dietary supplements
More informationMALNUTRITION IN ADMITTED CHILDREN AGED 0-14 YEARS AT THE CHILDREN S WARD, NATIONAL REFERRAL HOSPITAL, HONIARA, SOLOMON ISLANDS.
MALNUTRITION IN ADMITTED CHILDREN AGED 0-14 YEARS AT THE CHILDREN S WARD, NATIONAL REFERRAL HOSPITAL, HONIARA, SOLOMON ISLANDS. MMED II DR Janella Solomon INTRODUCTION Growth assessment best defines the
More informationFig. 64 Framework describing causes and consequences of maternal and child undernutriton
9.0 PREVALENCE OF MALNUTRITION 118 This chapter presents the prevalence of the three types of malnutrition (wasting, stunting and underweight) by background characteristic and livelihood zones in children
More informationCMAM integration. Lessons learned from a community-based child survival program in Bangladesh
CMAM integration Lessons learned from a community-based child survival program in Bangladesh Chloe Puett, PhD Research Officer Action Against Hunger 28 May 2014: Session 4 IAEA : International Symposium
More informationSeverity of malnutrition and treatment responses in under five children in Bahir Dar Felegehiwot Referral Hospital, Northwest Ethiopia
Journal of Food and Nutrition Sciences 2014; 2(3): 93-98 Published online June 10, 2014 (http://www.sciencepublishinggroup.com/j/jfns) doi: 10.11648/j.jfns.20140203.18 Severity of malnutrition and treatment
More informationNUTRITION. Kate Godden RNutr (Public Health)
NUTRITION Kate Godden RNutr (Public Health) Aims 2 To present an overview of the different types of malnutrition of the impacts in terms of health, wealth and mortality cost-effective interventions To
More informationLESSONS FROM RESEARCH UNDER THE INTERMINISTRIAL SAM ALLIANCE
LESSONS FROM RESEARCH UNDER THE INTERMINISTRIAL SAM ALLIANCE Date: 29th July 2015 Venue: India International Centre (Multipurpose Hall) A multi stake holder consultation was held to disseminate findings
More informationChoosing the correct statistical test in research
Leading Article Choosing the correct statistical test in research Nalika Gunawardena 1 Sri Lanka Journal of Child Health, 2011; 40: 149-153 (Key words: Statistical test; research) Gone are the days where
More informationSeverity of Malnutrition and Treatment Responsesin Underfive Children in Bahir Dar Felegehiwotreferal Hospital, Northwest Ethiopia
Academic Journal of Nutrition 2 (3): 31-38, 2013 ISSN 2309-8902 IDOSI Publications, 2013 DOI: 10.5829/idosi.ajn.2013.2.3.83108 Severity of Malnutrition and Treatment Responsesin Underfive Children in Bahir
More informationSevere malnutrition in infants aged <6 months Outcomes and risk factors in Bangladesh: A prospective cohort study
Received: 20 December 2017 Revised: 29 May 2018 Accepted: 6 June 2018 DOI: 10.1111/mcn.12642 ORIGINAL ARTICLE Severe malnutrition in infants aged
More informationFACT SHEET N.1/SURVIE/NOVEMBRE 2009
FACT SHEET N.1/SURVIE/NOVEMBRE 2009 COTE D IVOIRE NUTRITION SURVEY JULY 2009 BACKGROUND UNICEF is continuously assessing the evolving nutritional status of children in Côte d Ivoire to inform programmers
More informationHIV AND INFANT FEEDING
HIV AND INFANT FEEDING UPDATED WHO GUIDELINES, 2016 Nigel Rollins Maternal, Newborn, Child and Adolescent Health WHO guidelines http://www.who.int/hiv/en/ Setting national recommendations for infant feeding
More informationMODULE 2. Children from Birth to Five Years of Age GUIDE TO ANTHROPOMETRY: A PRACTICAL TOOL FOR PROGRAM PLANNERS, MANAGERS, AND IMPLEMENTERS 28
MODULE 2 from Birth to Five Years of Age 28 INTRODUCTION What Does this Module Cover? Module 2 focuses on anthropometry of children from birth to years of age (0 60 completed months). It is broken into
More informationBreastfeeding comparisons between initiation, days and 6-8 weeks in
Breastfeeding comparisons between initiation, 10-14-days and 6-8 weeks in 2015-16 Breastfeeding comparisons at initiation, 10-14 days and 6-8 weeks in 2015/16 The following report includes information
More informationActions Sub-actions Evidence Category * 2e. Nutrition-related illness and disease prevention and management among pregnant and postpartum women
ANNEX 3 HEALTH: SUMMARY LIST OF ACTIONS AND SUB-ACTIONS Nutrition Interventions Delivered through Reproductive and Paediatric Health Services Evidence Category * 1. Family planning support for optimal
More informationPost-Nargis Periodic Review I
Post-Nargis Periodic Review I 9 Section 2: Fi n d i n g s This section presents the findings of both the quantitative and qualitative research conducted for the first round of the Periodic Review. Information
More informationMaternal Body Composition & Breastmilk Fat Content Among Lactating Mothers
Maternal Body Composition & Breastmilk Fat Content Among Lactating Mothers CeSSIAM, Quetzaltenango, Guatemala Ruijia Niu, Tufts University MPH Candidate Outline Projects & Training Method Results Brief
More informationNUTRITION CLUSTER BULLETIN GAZIANTEP, JUNE MILLION INTERNALLY DISPLACED. 5.7 K The Hub Target MILLION PLW AND CU5 IN NEED
NUTRITION CLUSTER BULLETIN GAZIANTEP, JUNE 2018 A delivery of lipidbased nutrient supplements arrives in an underground shelter in Humra on March 8, 2018. A child begins to consume a portion of the supplement
More informationMUAC as admission and/or discharge criteria in nutritional programs
MUAC as admission and/or discharge criteria in nutritional programs International symposium on Understanding moderate Malnutrition in Children for Effective Interventions Dr Sandra Cohuet 28/05/14, Wien
More informationJanuary March Anthropometric and Retrospective mortality Surveys In the Districts of Mandera, Kenya
January March 2009 Anthropometric and Retrospective mortality Surveys In the Districts of Mandera, Kenya TABLE OF CONTENTS 1. EXECUTIVE SUMMARY... 3 2. INTRODUCTION... 8 3. METHODOLOGY... 9 3.1 Type of
More informationEarly Child Development in 6 districts of Cambodia challenges for appropriate growth: 2016 data. Dr Laillou Arnaud UNICEF Cambodia
Early Child Development in 6 districts of Cambodia challenges for appropriate growth: 2016 data Dr Laillou Arnaud UNICEF Cambodia Stunting- Multisectorial pregnancy Pre-school Limited hygiene - - Limited
More informationHealth. goalglobal.org
Health goalglobal.org Health In recent years, unprecedented progress has been made in reducing maternal and child mortality, and in the fight against malnutrition and infectious diseases. The under-five
More informationManagement of under-nutrition in a crisis situation
Management of under-nutrition in a crisis situation WHO, Department of Nutrition for Health and Development UNICEF Nutrition Suppliers Meeting 5-6 October 2009 1 Outline Malnutrition classification, indicators
More informationMagnitude and Treatment Outcome of Severe Acute Malnutrition of 6-59 Months Children in Raya Alamata Woreda, Tigray Region, Ethiopia from
Science Journal of Public Health 2017; 5(5-1): 30-37 http://www.sciencepublishinggroup.com/j/sjph doi: 10.11648/j.sjph.s.2017050501.16 ISSN: 2328-7942 (Print); ISSN: 2328-7950 (Online) Magnitude and Treatment
More informationMadagascar. Monitoring, Evaluation, Accountability, Learning (MEAL) COUNTRY DASHBOARD MADAGASCAR
Monitoring, Evaluation, Accountability, Learning (MEAL) 2016 2020 COUNTRY DASHBOARD Madagascar The MEAL Results Framework identifies a wide range of desired results and associated indicators of progress
More informationGlobal database on the Implementation of Nutrition Action (GINA)
Global database on the Implementation of Nutrition Action (GINA) Strategic Plan for Nutrition 2011?2015 Published by: MOHSS Country(ies): Namibia Fecha: 2011 Fecha final: 2015 Published year: 2011 Type
More informationEXPERIENCES OF HIV INFECTED WOMEN REGARDING EXCLUSIVE BREAST FEEDING IN THE FIRST SIX MONTHS OF THE INFANTS S LIFE
EXPERIENCES OF HIV INFECTED WOMEN REGARDING EXCLUSIVE BREAST FEEDING IN THE FIRST SIX MONTHS OF THE INFANTS S LIFE Ms S Phakisi F r e e S t a t e S c h o o l o f N u r s i n g Dr J.M. Mathibe-Neke U N
More informationNutritional Assessment & Monitoring of Hospitalized Children
Nutritional Assessment & Monitoring of Hospitalized Children Kehkashan Zehra, Clinical Dietitian Sindh Institute of Urology & Transplantation, Karachi In Pakistan 42% of children aged < 5 years are stunted
More informationNutrition Update Severe acute malnutrition
Nutrition Update Assessing the nutritional status of children and the presence of anemia is an integral part of the IMCI ask, look and listen strategy. The risk of death from acute respiratory infection,
More informationLOCALLY PREPARED READY TO USE THERAPEUTIC FOOD FOR THE TREATMENT OF CHILDREN WITH SEVERE ACUTE MALNUTRITION: A RANDOMIZED CONTROLLED TRIAL
wjpmr, 2019,5(1), 159-164 SJIF Impact Factor: 4.639 Behera et al. Research Article WORLD JOURNAL OF PHARMACEUTICAL AND MEDICAL RESEARCH ISSN 2455-3301 www.wjpmr.com WJPMR LOCALLY PREPARED READY TO USE
More information2 nd WPHN Congress, UWC 30 th Aug 2 nd Sept, 2016
Food-based daily Grand Nutrition supplement and nutrition education reduce malnutrition in the 1000 days critical window of opportunity in rural Uganda 2 nd WPHN Congress, UWC 30 th Aug 2 nd Sept, 2016
More informationChildhood Undernutrition: a biological perspective
Childhood Undernutrition: a biological perspective Vinod Paul MD, PhD, FIAP, FNNF, FAMS ALL INDIA INSTITUTE OF MEDICAL SCIENCES, NEW DELHI WHO Collaborating Centre for Training an Research in Newborn Care
More informationNutritional assessment and growth monitoring in IMCI countries. Karimen León Flández MD Preventive Medicine and Public Health
Nutritional assessment and growth monitoring in IMCI countries Karimen León Flández MD Preventive Medicine and Public Health Survey Objectives -Describe how nutritional assesment is performed as part of
More informationGlobal database on the Implementation of Nutrition Action (GINA)
Global database on the Implementation of Nutrition Action (GINA) National Nutrition Action Plan 2012-2017 Published by: Ministry of Public Health and Sanitation Is the policy document adopted?: Yes Adopted
More informationNUTRITION and. Child Growth & Development. Washington, DC May 2-3, Kay Dewey. UC-Davis and Alive & Thrive
Clean, Fed & Nurtured: Joining forces to promote child growth and development NUTRITION and Child Growth & Development Washington, DC May 2-3, 2013 Kay Dewey UC-Davis and Alive & Thrive Nutrition Basics
More informationSEPTEMBER Integrated SMART Survey Nutrition, WASH, Food Security and Livelihoods. Garbatulla District. Kenya. Funded by
SEPTEMBER 2011 Integrated SMART Survey Nutrition, WASH, Food Security and Livelihoods Garbatulla District Kenya Funded by TABLE OF CONTENTS LIST OF TABLES... 3 LIST OF FIGURES... 3 ABBREVIATIONS... 4 Acknowledgements...
More informationSMART survey. Dadu district, Sindh Province, Pakistan. November 2014
SMART survey Dadu district, Sindh Province, Pakistan November 2014 Title: SMART survey Preliminary Report Place: Dadu District of Sindh Province, Pakistan Funded By: EU By: Basharat Hussain, Action Against
More informationImpact of infant feeding on growth trajectory patterns in childhood and body composition in young adulthood
Impact of infant feeding on growth trajectory patterns in childhood and body composition in young adulthood WP10 working group of the Early Nutrition Project Peter Rzehak*, Wendy H. Oddy,* Maria Luisa
More informationALGORITHM FOR MANAGING MALNUTRITION IN ADULTS
ALGORITHM FOR MANAGING MALNUTRITION IN ADULTS HISTORY ASSESS LOOK AND FEEL CRITERIA CLASSIFICATION TREATMENT/CARE Ask the client or refer to records: 1. Has the client lost weight in the past month/since
More informationGrowth Faltering: Stunting and Severe Acute Malnutrition. Child Growth Is Assessed by Comparing to a Reference Curve
Growth Faltering Growth Faltering: Stunting and Severe Acute Malnutrition Rebecca Stoltzfus, PhD Professor Division of Nutritional Sciences Cornell University Growth failure can involve linear growth retardation
More informationFood Security and Nutrition Assessment in the Karamoja Region
Food Security and Nutrition Assessment in the Karamoja Region Report UNWFP Uganda May 2013 Dr Wamani Henry Dr Bagonza Arthur Makerere University School of Public Health P.O. Box 7272 Kampala Tel: +256-77665500
More informationNUTRITION SURVEY FINAL REPORT
UNITY STATE REFUGEE CAMPS SOUTH SUDAN Survey conducted: February 2013 UNHCR IN COLLABORATION WITH WFP, SP,CARE,MSF-F & NP NUTRITION SURVEY FINAL REPORT ACKNOWLEDGMENTS UNHCR commissioned and coordinated
More informationKeeping Babies of HIV+ Mothers in Rural Zimbabwe Healthy. Risk of HIV (Richardson, et al, 2002) 10/19/2009. Breastfeeding-associated HIV infection
Keeping Babies of HIV+ Mothers in Rural Zimbabwe Healthy Exclusive breastfeeding and then what? 540,000 children acquire HIV each year Mostly from their mothers Total risk: 25-40% 5-10% 10-20% 5-20% Rebecca
More informationNutritional Status of Pre School Children
Nutritional Status of Pre School Children Mehnaz Sheikh 1, Tehmeem Taseen 2 Abstract: This study is done in order to reflect the health and nutritional status of Pre-School children of age group 2-5 years
More informationStrategy for Stunting Reduction & Prevention: Clean and Healthy Lifestyle
Strategy for Stunting Reduction & Prevention: Clean and Healthy Lifestyle Indonesia: 5 th highest number of stunted children What is stunting? Children s failure to achieve their growth and development
More informationInternational Medical Corps (IMC) Akobo Anthropometric and Mortality Survey. Final Report
International Medical Corps (IMC) Akobo Anthropometric and Mortality Survey Final Report 23 rd May 5 th June, 2014 Contents List of Tables... iii List of Figures... iii Abbreviations... iv Acknowledgement...
More informationA Descriptive Study of Outcomes of Interventions to Prevent Mother to Child Transmission of HIV in Lusaka, Zambia
ORIGINAL PAPER A Descriptive Study of Outcomes of Interventions to Prevent Mother to Child Transmission of HIV in Lusaka, Zambia Chibesa Shichitamba W, National Malaria Control Centre, Lusaka-Zambia ABSTRACT
More informationMama SASHA Baseline survey: Dietary Diversity Indices (DDI) Preliminary results. By Christine Kiria
Mama SASHA Baseline survey: Preliminary results Dietary Diversity Indices (DDI) By Christine Kiria 4 th SSP meeting for East and Central Africa Esella Country Hotel, Kampala, Uganda 16 th November 2011
More informationMaking infant feeding safer progress and challenges in feeding and infant prophylaxis. Dr Lee Fairlie Priorities 2012
Making infant feeding safer progress and challenges in feeding and infant prophylaxis Dr Lee Fairlie Priorities 2012 To Breastfeed or Not To Breastfeed? The Balancing Act IATT October 2000 and 2006 recommendation:
More informationKey Results November, 2016
Child Well-Being Survey in Urban s of Bangladesh Key Results November, 2016 Government of the People s Republic of Bangladesh Bangladesh Bureau of Statistics (BBS) Statistics and Informatics (SID) Ministry
More informationBangladesh Nutrition Cluster monthly meeting #33
Bangladesh Nutrition Cluster monthly meeting #33 17 December 2017, 2:30 04:00 pm, IPHN Meeting minutes Rapporteur: Mohammad Mainul Hossain Rony, IMO and Abigael Nyukuri, NCC Agenda 1. Welcome and introductions
More informationAnthropometric Indicators Measurement Guide
FOOD AND NUTRITION TECHNICAL ASSISTANCE 2003 Revised Edition Anthropometric Indicators Measurement Guide Bruce Cogill This publication was made possible through support provided by the Office of Health,
More informationNUTRITIONAL KNOWLEDGE OF MOTHERS / CAREGIVERS AND ANTHROPOMETRIC INDICES OF CHILDREN (2-5 YREARS) IN OBOWO LOCAL GOVERNMENT AREA, IMO STATE, NIGERIA.
NUTRITIONAL KNOWLEDGE OF MOTHERS / CAREGIVERS AND ANTHROPOMETRIC INDICES OF CHILDREN (2-5 YREARS) IN OBOWO LOCAL GOVERNMENT AREA, IMO STATE, NIGERIA. OLY-ALAWUBA N.M. AND IHEDIOHA S. A. Department of Nutrition
More informationSyria Nutrition Cluster Bulletin(Gaziantep Hub)
Syria Nutrition Cluster Bulletin(Gaziantep Hub) Jan-Jun 2017. Issue 1 Inside this issue: 1. Cluster highlights Jan to Jun 2017 1. Cluster highlights p1 2. Cluster achievements p1 3. Reached Beneficiaries
More informationMEDECINS SANS FRONTIERES - Belgium
ETHIOPIA COORDINATION MEDECINS SANS FRONTIERES - Belgium Tel.+251.1 / 61. 03. 98, 61.28.70, 61.00. 11 - Fax :+251.1/ 61.05.33 P.O.Box 2441 - Addis Ababa -ETHIOPIA e - mail: msfbaa@telecom.net.et NUTRITIONAL
More informationNutrition and Health of Low-income Populations: Changes Over Time
Nutrition and Health of Low-income Populations: Changes Over Time Jackson P. Sekhobo, PhD, MPA Methods & Approaches to the of WIC Food Packages: IOM Phase I Data Gathering Workshop March 12 13, 2015, Washington,
More informationSummary Findings of. National Nutrition and Health. Survey,
Summary Findings of National Nutrition and Health Survey, 9 th th Feb to 5 th May 2014, Nigeria SMART Methods 1. INTRODUCTION A Saving One Million Lives initiative was launched in Nigeria in October 2012
More informationNACS Glossary. Antiretroviral therapy (ART)
NACS USER S GUIDE Glossary NACS Glossary For the most recent version of the glossary, as well as updates to the NACS modules, visit http://www.fantaproject.org/tools/nacs-users-guide-modules-nutrition-assessment-counselingsupport.
More informationAFGHANISTAN. Nutrition & Mortality SMART survey preliminary report. Nangarhar province, Afghanistan. Date: December 2014
AFGHANISTAN Nutrition & Mortality SMART survey preliminary report Nangarhar province, Afghanistan Date: December 2014 Authors: Hassan Ali Ahmed, Dr Baidar Bakht Funded by: Action Contre la Faim ACF is
More informationHIV/AIDS and Nutrition Programming in ACF International Network
HIV/AIDS and Nutrition Programming in ACF International Network Main Aim of ACF-International (ACFIN) To combat malnutrition through assistance in: Nutrition Health Water and Sanitation Food Security Advocacy
More informationField Clinical Trial. Glenn H. Sullivan, PhD and Guillermo E. Sanchez, PhD Sustainable Nutritional International
The Impact of Bioactive Phytonutrients Extracted from Rice Bran and Formulated into Nutritional Supplements for Lactating Mothers and Their Breastfed Infants 2013-2014 Field Clinical Trial Glenn H. Sullivan,
More informationApplying Improvement to Keep HIV+ Mothers and Exposed Infants in Care. Anisa Ismail Improvement Advisor University Research Co.
Applying Improvement to Keep HIV+ Mothers and Exposed Infants in Care Anisa Ismail Improvement Advisor University Research Co., LLC 1 What if you found out you were pregnant? What if you knew you were
More informationNutrition Profile of the WHO South-East Asia Region
Nutrition Profile of the WHO South-East Asia Region Table of Contents iii Foreword v WHO Vision and Mandate* Department of Nutrition for Health and Development VISION vi MANDATE vii WHO South-East Asia
More informationDietetic Assessment of Children with Cystic Fibrosis
Dietetic Assessment of Children with Cystic Fibrosis Prepared by: Scottish CF Paediatric Dietitians Group Lead Author: Elsie Thomson, Royal Aberdeen Childrens Hospital SPCF MCN dietetic protocols co-ordinator/editor:
More informationCONCORDANCE BETWEEN THE ESTIMATES OF WASTING MEASURED BY WEIGHT-FOR-HEIGHT AND BY MUAC FOR CLASSIFICATION OF SEVERITY OF NUTRITION CRISIS
CONCORDANCE BETWEEN THE ESTIMATES OF WASTING MEASURED BY WEIGHT-FOR-HEIGHT AND BY MUAC FOR CLASSIFICATION OF SEVERITY OF NUTRITION CRISIS DR. OLEG BILUKHA, CDC MS. EVA LEIDMAN, CDC WEIGHT FOR HEIGHT VS
More informationNutrition Assessment in Gulu Municipality Gulu District, Northern Uganda. Action Against Hunger (ACF-USA) July 2004
Nutrition Assessment in Gulu Municipality Gulu District, Northern Uganda Action Against Hunger (ACF-USA) July 2004 A INTRODUCTION 1. Northern Ugandan Context The war in Northern Uganda has been ongoing
More informationStrengthening Maternal Nutrition Data for Policy and Program in Selected ASEAN Countries
Strengthening Maternal Nutrition Data for Policy and Program in Selected ASEAN Countries Emorn Udomkesmalee Institute of Nutrition, Mahidol University Thailand 4. Be accountable for better, more regular,
More informationUNHCR STANDARDISED EXPANDED NUTRITION SURVEY (SENS) GUIDELINES FOR REFUGEE POPULATIONS MODULE 1: ANTHROPOMETRY AND HEALTH
UNHCR STANDARDISED EXPANDED NUTRITION SURVEY (SENS) GUIDELINES FOR REFUGEE POPULATIONS MODULE 1: ANTHROPOMETRY AND HEALTH A PRACTICAL STEP-BY-STEP GUIDE VERSION 2 (2013) UNHCR SENS -Version 2 Page 1 of
More informationInternational Medical Corps (IMC) Pochalla Anthropometric and Mortality Survey. Final Report
International Medical Corps (IMC) Pochalla Anthropometric and Mortality Survey Final Report 12 th 22 nd February, 2014 Contents List of Tables... 4 List of Figures... 4 Abbreviations... 5 Acknowledgement...
More informationMalnutrition is an issue of public health concern in Sri Lanka s estate sector
1 Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized Malnutrition is an issue of public health concern in Sri Lanka s estate sector CHILDREN
More informationNutrition-sensitive Social Protection Programs: How Can They Help Accelerate Progress in Improving Maternal and Child Nutrition?
Nutrition-sensitive Social Protection Programs: How Can They Help Accelerate Progress in Improving Maternal and Child Nutrition? Harold Alderman Dec. 13, 2013 Why Focus on Nutrition Sensitive Programs?
More informationInnovative avenues for financing nutrition programmes in West Africa. Felicite Tchibindat CAADP Nutrition Workshop Dakar 9 12 Nov 2011
Innovative avenues for financing nutrition programmes in West Africa Felicite Tchibindat CAADP Nutrition Workshop Dakar 9 12 Nov 2011 Outline of the presentation Bottleneck analysis of nutrition How much
More informationPhoto by Stacey Cunningham, Kwitanda Community. Health Annual Evaluation
Photo by Stacey Cunningham, 2011 Kwitanda Community 2012 Health Annual Evaluation Background: Since 2008, VillageReach has led a program to strengthen the health system at the community and health center
More informationProtein Energy Malnutrition
Protein Energy Malnutrition Cindy Howard, MD, MPHTM Associate Director University of Minnesota November 8, 2008 Time Magazine, August, 2008 The percentage of under five mortality worldwide caused in part
More informationUndernutrition & risk of infections in preschool children
Indian J Med Res 130, November 2009, pp 579-583 Undernutrition & risk of infections in preschool children Prema Ramachandran & Hema S. Gopalan Nutrition Foundation of India, New Delhi, India Received April
More informationDemocratic Republic of Congo
Monitoring, Evaluation, Accountability, Learning (MEAL) 2016 2020 COUNTRY DASHBOARD Democratic Republic of Congo The MEAL Results Framework identifies a wide range of desired results and associated indicators
More informationAPPENDIX 4 A4.1 APPENDIX 4
APPENDIX 4 A4.1 APPENDIX 4 APPENDIX 4 A4.3 DEFINITIONS OF THE INDICATORS 1.1 BCG coverage Number 12 23-month-olds receiving BCG vaccine before 1st birthday 1 1.2 DPT coverage Number 12 23-month-olds receiving
More informationPakistan Integrated Nutrition Strategy (PINS) Nutrition, Food, Agriculture, WASH and Health Clusters Working Group
Pakistan Integrated Nutrition Strategy (PINS) Nutrition, Food, Agriculture, WASH and Health Clusters Working Group Purpose of the Presentation To present a comprehensive and integrated strategy for short,
More informationWORLD HEALTH ORGANIZATION. Nutrition and HIV/AIDS
WORLD HEALTH ORGANIZATION EXECUTIVE BOARD EB117/7 117th Session 22 December 2005 Provisional agenda item 4.5 Nutrition and HIV/AIDS Activities undertaken 2004-2005 Report by the Secretariat 1. Resolution
More informationPapua New Guinea. Monitoring, Evaluation, Accountability, Learning (MEAL) COUNTRY DASHBOARD PAPUA NEW GUINEA
Monitoring, Evaluation, Accountability, Learning (MEAL) 2016 2020 COUNTRY DASHBOARD The MEAL Results Framework identifies a wide range of desired results and associated indicators of progress across various
More informationUganda. Monitoring, Evaluation, Accountability, Learning (MEAL) COUNTRY DASHBOARD UGANDA
Monitoring, Evaluation, Accountability, Learning (MEAL) 2016 2020 COUNTRY DASHBOARD Uganda The MEAL Results Framework identifies a wide range of desired results and associated indicators of progress across
More informationIntegrated Nutrition and Retrospective Mortality SMART survey. Final Report. Duration: August 22 nd -28 th, 2014 CARE INTERNATIONAL SOUTH SUDAN
Integrated Nutrition and Retrospective Mortality SMART survey Bentiu Protection of Civilians (POCs), Unity State, Republic of South Sudan Final Report Duration: August 22 nd -28 th, 2014 CARE INTERNATIONAL
More informationActive and adaptive case-finding
Active and adaptive case-finding This case-study describes the procedure used to conduct active and adaptive case-finding (see Box 3) during SQUEAC investigations in two rural districts of Niger. The case-finding
More informationMonitoring, Evaluation, Accountability, Learning (MEAL) Enabling Environment Finance for. Nutrition
Monitoring, Evaluation, Accountability, Learning (MEAL) 2016 2020 COUNTRY DASHBOARD Country A COUNTRY A The Country Dashboard provides an overview on the progress using a standard set of indicators that
More informationSUN DONOR NETWORK Methodology and Guidance Note to Track Global Investments in Nutrition
SUN DONOR NETWORK Methodology and Guidance Note to Track Global Investments in Nutrition This guidance note presents a method to track financial investments in nutrition based on the work of the SUN Donor
More informationNutritional Survey in IDP Camps Gulu District Northern Uganda. Action Against Hunger (ACF-USA) May 2003
Nutritional Survey in IDP Camps Gulu District Northern Uganda Action Against Hunger (ACF-USA) May 2003 EXECUTIVE SUMMARY A nutritional survey was carried out in Gulu District in April- May 2003. The objectives
More informationNutrition Policy. Presentation to Executive Board. February 2017
Nutrition Policy Presentation to Executive Board February 2017 The consultative process UN, NGO and Foundations Bilateral consultations in Rome and Capitals What remains the same? Emergencies remain core
More information