Nutrition Indicators for Assessment

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17 Νοε 2013 (πριν από 3 χρόνια και 8 μήνες)

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Nutrition Indicators for Assessment


1


Identified the need to have a common pool of
nutrition indicators for assessment in order to
better respond to assessment needs


2012 July GNC meeting


included in the
2012
-
13
workplan


Assessment Working Group lead


Renewed interest in nutrition indicators after
exposure to IASC NATF MIRA framework


2


2009 IRA Tool


assessment indicators included


2010 GNC AWG first set of 10 nutrition indicators for
assessment to feed into NATF MIRA process (prior to
setting up of GFSC)


GNC contribution to MIRA process at Geneva level (GNC
member / WFP KO AWG Co chair)


IFE group providing indicator input after IRA Tool
experience


2011 MIRA draft did not include nutrition specific
indicators
-

despite constant contributions


July 2012 GNC meeting recognition
-

to be more proactive


Core group of GNC members consulted in January 2013 to
take this topic forward

3


Initial set of nutrition assessment indicators to
be agreed on for use in emergencies that fits in
with existing assessment methods and practice


Recognition of MIRA breakdown of “phases of
data collection”


Preparedness


Phase I (72 hours)


Phase II (14 days)


Phase III (30 days)


Phase IV (45 days)

4


2010 indicators, IYCF indicators and indicators
submitted to IASC NATF


New comprehensive list of indicators including



Indicator name & description


Disaggregation



Appropriate phase for collection & likely source
and collection methods


Any additional general & technical guidance


Identification of an overall
Nutrition Cluster
Needs and Analyses Framework


5


6


7

MIRA

IRA

MIRA

IRA

Nut assessment


IYCF surveys

Nutrition assessment

SMART

IYCF

8

Title

description

disa
ggre
gati
on

Appro
-
piate

phase

Source /

method

General
guidance

Unit
of
mea
sure
men
t

Thre
shol
ds

Global
Acute

malnu
trition

prevalance

rate (%)
of global acute
malnutrition in
children 6 to 59
months of age
based on presence
of bilateral pitting
oedema

and / or
weight
-
for
-
height
z
-
score less than
-
2
standard
deviations of the
median of the
standard
population (WHO
2006)

Geog
raphi
cal
area;

Age;

sex

Preparat
ory:

Phase III

Phase IV

population
surveys with
representative
sampling
methods
(MICS, DHS,
SMART)

Should be
based on a
methodologi
cally solid
anthropome
-
tric

nutrition
survey
findings and
include
Confidence
Intervals;

Not
comparable
with MUAC

%

WHO
1995
classifi
cation:
5,10,
15%

9


Collaborative process 6 core GNC members


IFE core group IYCF workshop


Indicators shared with wider GNC group at side
meeting yesterday (n:18)


Initial feedback to GNC


Ways forward to:


Finalise list


Prioritise indicators


Formulate the assessment questions that can be
used for collection of indicators

10


16 anthropometry related indicators for
different age groups (0
-
5 months; 6
-
59 months;
adults; and nutritionally vulnerable groups (PLW,
elderly, adolescents)


2 dietary quality indicators


1 cooking facilities indicator (link to FS and
shelter)


5 micronutrient status indicators


2 health related indicators (measles & morbidity)


15 IYCF indicators


11


First step towards consolidating a list of
appropriate nutrition indicators for assessment

Next steps:

1.
F
inalising wording and collection methods

2.
Classifying and prioritising indicators for
different phases

3.
Identifying indicators that will also be
performance indicators

4.
Devising appropriate assessment questions to
systematically feed into assessment design

12


Open process of consultation to those
interested in actively contributing to work


Matching this theoretical process with needs
assessment realities and practice


13

14