J. Assessment Checklists

4. Nutrition

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.
    • Commodities.
    • 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?

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TOC: J. Assessment Checklists

Last updated: May 18, 2017