J. Assessment Checklists
Note: Refer to chapter III, Food and Nutrition section, for the methods used in assessing nutritional status mentioned in the section below.
a. Nutritional Status
- Determine rate of moderate acute malnutrition.
- Determine rate of severe acute malnutrition.
- Determine how surveys were conducted.
- Methodology used, such as 30 by 30 cluster surveys, mid-upper arm circumference, weight for height/age, and height for age.
- Sample size.
- How sample was selected.
- Determine if data are available from mother and child health clinics.
- Determine if data are available from existing supplementary feeding programs (SFPs), center-based therapeutic feeding programs (TFCs), or community-based therapeutic care (CTC) programs:
- When programs began.
- Number of children cared for.
- For TFCs and CTCs:
- Mortality, cure, default rate.
- Number of children with marasmus or kwashiorkor.
- For SFPs:
- Targeted or general distribution.
- Protection rate (e.g., families of children in SFPs receiving general food rations).
- Dry or wet ration distribution.
- Frequency of distribution.
- If a food distribution program exists, identify:
- Targeted or general.
- Ration and kilocalories per person per day.
- Method of distribution (daily/weekly/monthly).
- How long has the population been receiving this ration?
- Ascertain the prior nutritional status of the affected population.
b. Public Health-Related Risk of Malnutrition
- Identify disease outbreaks that may affect nutrition status (e.g., measles, acute diarrhea). Is there a risk that outbreaks will occur in the future?
- Estimate the measles vaccination coverage of the population.
- Are there apparent micronutrient deficiencies?
- Estimate the vitamin A supplement coverage. Is vitamin A provided in measles vaccinations?
- Ascertain the crude mortality rate/under-5 mortality rate. What method was used to determine the rate?
- Identify factors that affect the energy requirements of the affected population or make them more vulnerable to malnutrition:
- Presence of persons with HIV/AIDS or tuberculosis (TB).
- Current or predicted decline in ambient air temperature (which can also increase the prevalence of acute respiratory infections).
- Have people been in water or wet clothes for long periods of time?
c. Care-Related Risk of Malnutrition
- Ascertain whether changes in work patterns (e.g., due to migration, displacement, or armed conflict) have altered household composition, roles, and responsibilities. Are there large numbers of separated children?
- Determine whether the normal care environment has been disrupted (e.g., through displacement) or has altered access to water, food for children, secondary careers.
- Describe normal infant feeding practices:
- Length of time mothers exclusively breastfeed their children.
- Whether mothers are bottle-feeding or using manu-factured complementary foods.
- Is there an infrastructure that can support safe bottle feeding?
- Determine whether evidence exists of donations of baby foods and milks, bottles and teats, or requests for donations.
- In pastoral communities, have the herds been away from young children for long? Has access to milk changed from normal?
- Ascertain whether HIV/AIDS has affected caring practices at the household level.
d. Food Access-Related Risk of Malnutrition
- See the Food section of this chapter.
e. Nutrition Interventions
- Describe nutrition intervention or community-based support that existed before the disaster, and identify the groups involved (e.g., NGOs, religious groups, government or UN agencies).
- Describe nutrition policies (past, ongoing, and lapsed), planned long-term nutrition responses, and programs being implemented or planned in response to the current situation.
- Identify formal and informal local structures through which potential interventions could be channeled. Describe the capacity of the Ministry of Health, religious organizations, HIV/AIDS community support groups, infant feeding support groups, or NGOs with a long- or short-term presence in the area.
- Determine the availability of food and describe the food pipeline.
- Is the population likely to move (for pasture/assistance/work) in the near future?