Nutrition in emergencies: Do we know what works?

Webb, Patrick; Boyd, Erin; Pee, Saskia de; Lenters, Lindsey; Bloem, Martin W.; Schultink, Werner

doi:10.1016/j.foodpol.2014.03.016

Cited by 34 publications

(32 citation statements)

References 31 publications

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“…Other clinical trials (Diop et al, 2004;Manary et al, 2004;Ndekha et al, 2005) as well as descriptive studies (Webb et al, 2014) conducted in emergency nutrition situations have all demonstrated that the CMAM approach can achieve successful outcomes in nutritional recovery and promote child survival.…”

Section: Management Of Acute Malnutritionmentioning

confidence: 99%

Recovery, Relapse, and Episodes of Default in the Management of Acute Malnutrition in Children in Humanitarian Emergencies: A systematic review

Akparibo¹,

Lee²,

Özerdem³

2017

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Section: Management Of Acute Malnutritionmentioning

confidence: 99%

Recovery, Relapse, and Episodes of Default in the Management of Acute Malnutrition in Children in Humanitarian Emergencies: A systematic review

Akparibo¹,

Lee²,

Özerdem³

2017

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“…While wasting has long been seen as a problem linked to humanitarian emergencies (rather than a development issue), it is increasingly realized that even moderate and mild forms of wasting carry a high mortality risk, and that the number of wasted children in countries not affected by humanitarian disasters is large Webb et al 2014). For example, during the second half of the 2000s, 53 countries reported wasting rates exceeding 5 % (WHO 2013).…”

Section: Global Problems and Global Goalsmentioning

confidence: 99%

Measuring multiple facets of malnutrition simultaneously: the missing link in setting nutrition targets and policymaking

2015

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Attention to nutrition continues to grow. The recent surge in interest has included widening agreement on two major issues: first, nutrition goals cannot be achieved through targeted actions alone; nutrition-sensitive interventions are needed as well. Second, the multiple actions required to address all forms of malnutrition through the lifecycle cannot be proxied by a single target or metric. Although the Millennium Development Goals included one concrete measure of nutrition (children underweight), the post-2015 Sustainable Development Goals will include multiple measures that better inform a diversity of policy and programming actions. This suggests a need for improved understanding of how multiple forms of malnutrition are linked, how public investments may affect one form of malnutrition but possibly not others, and how best to measure progress on multiple nutrition fronts, including through nutrition-sensitive actions, such as investments in agriculture. This paper proposes a composite index that highlights the state of nutrition across six separate nutrition goals endorsed by the World Health Assembly in 2012, allowing for ranking (comparison among countries) and monitoring of change (within countries) over time. Establishing an index that captures gains or losses in nutrition across all six goals simultaneously highlights the complexity of nutrition problems and required solutions. Such an index can be used to track progress towards goals set for 2025, but also support dialogue on the individual index components and how investments should be prioritized for maximum impact.

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“…A review investigating the reasons for the poor uptake of IYCF‐E programmes highlighted the following practical actions at global level that would most help practitioners to continue or strengthen IYCF‐E programming: (a) development of practical step‐by‐step guidance on how to do IYCF‐E in different contexts; (b) development of evaluation tools to measure outcome and impact; (c) creation of an evidence base; (d) delivery of training; (e) advocacy for funding; and (f) experience‐sharing and development of multisectoral links (Save the Children, ). The lack of evidence on the effectiveness of IYCF‐E programmes has also been highlighted by several papers reviewing evidence‐based nutrition interventions in emergencies (Blanchet, Sistenich, & Ramesh, ; Webb et al, ).…”

Section: Introductionmentioning

confidence: 99%

“…(c) creation of an evidence base; (d) delivery of training; (e) advocacy for funding; and (f) experience-sharing and development of multisectoral links (Save the Children, 2012). The lack of evidence on the effectiveness of IYCF-E programmes has also been highlighted by several papers reviewing evidence-based nutrition interventions in emergencies (Blanchet, Sistenich, & Ramesh, 2015;Webb et al, 2014).…”

mentioning

confidence: 99%

Informing infant and young child feeding programming in humanitarian emergencies: An evidence map of reviews including low and middle income countries

Prudhon

Benelli

Maclaine

et al. 2017

Maternal & Child Nutrition

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Around 200 million people were affected by conflict and natural disasters in 2015. Whereas those populations are at a particular high risk of death, optimal breastfeeding and complementary feeding practices could prevent almost 20% of deaths amongst children less than 5 years old. Yet, coverage of interventions for improving infant and young child feeding (IYCF) practices in emergencies is low, partly due to lack of evidence. Considering the paucity of data generated in emergencies to inform programming, we conducted an evidence map from reviews that included low- and middle-income countries and looked at several interventions: (a) social and behavioural change interpersonal and mass communication for promoting breastfeeding and adequate complementary feeding; (b) provision of donated complementary food; (c) home-based fortification with multiple micronutrient powder; (d) capacity building; (e) cash transfers; (f) agricultural or fresh food supply interventions; and (g) psychological support to caretakers. We looked for availability of evidence of these interventions to improve IYCF practices and nutritional status of infants and young children. We identified 1,376 records and included 28 reviews meeting the inclusion criteria. The highest number of reviews identified was for behavioural change interpersonal communication for promoting breastfeeding, whereas no review was identified for psychological support to caretakers. We conclude that any further research should focus on the mechanisms and delivery models through which effectiveness of interventions can be achieved and on the influence of contextual factors. Efforts should be renewed to generate evidence of effectiveness of IYCF interventions during humanitarian emergencies despite the challenges.

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Nutrition in emergencies: Do we know what works?

Cited by 34 publications

References 31 publications

Recovery, Relapse, and Episodes of Default in the Management of Acute Malnutrition in Children in Humanitarian Emergencies: A systematic review

Recovery, Relapse, and Episodes of Default in the Management of Acute Malnutrition in Children in Humanitarian Emergencies: A systematic review

Measuring multiple facets of malnutrition simultaneously: the missing link in setting nutrition targets and policymaking

Informing infant and young child feeding programming in humanitarian emergencies: An evidence map of reviews including low and middle income countries

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