USAID Advancing Nutrition develops, curates, packages, and shares multi-sectoral nutrition knowledge to help you stay on top of developments and evidence in global nutrition programming.
Barriers and Facilitators to Growth Monitoring and Promotion in Nepal: Household, Health Worker and Female Community Health Volunteer Perceptions
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Nutrition and Health SystemsGrowth Monitoring and Promotion
Growth assessment, analysis of growth status, and counseling are important factors in measuring growth monitoring and promotion (GMP). Research finds that providers and beneficiaries view GMP as secondary to curative services. Distance, long lines, and crying children hinder engagement, while provider knowledge, skills, and training are barriers.
The Sensitivity of Anthropometric Estimates to Errors in the Measurement of Height, Weight, and Age for Children Under Five in Population-Based Surveys
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Monitoring, Evaluation, and LearningAdolescent NutritionInfant and Young Child Nutrition (IYCN)
Height-for-age (HAZ), weight-for-age (WAZ), and weight-for-height (WHZ) scores for children under 5 years are based on a transformation of height, weight, and age into bivariate relationships.
Nutrition Information Management, Surveillance and Monitoring in the Context of COVID-19 Brief No. 2
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Monitoring, Evaluation, and LearningCOVID-19Nutrition Assessment, Counseling, and Support (NACS)
This brief provides recommendations for undertaking a nutrition situation analysis and estimating its magnitude, monitoring impacts of COVID-19, and pursuing alternative data collection strategies. Even once restrictions have been lifted, practitioners should conduct harm-versus-risk analyses to assess the necessity of the data despite health and safety risks.
The international community lacks consensus around key indicators or summary measures to capture effective, high-quality care to reduce maternal and child death. The Quality of Care Index (QOCI) consists of 17 indicators related to family planning, antenatal care, delivery care, immunization, child curative care, and WASH.
Net Benefit and Cost-Effectiveness of Universal Iron-Containing Multiple Micronutrient Powders for Young Children in 78 Countries: A Microsimulation Study
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Monitoring, Evaluation, and LearningAnemiaMicronutrient InterventionsInfant and Young Child Nutrition (IYCN)
The net health benefits of micronutrient powders vary between countries, are highest where the prevalence of moderate and severe anemia is greatest but infection prevalence is smallest, and are ameliorated when coverage of the intervention is poor.
Geospatial Modelling of Changes and Inequality in Nutrition Status Among Children in Mali
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Monitoring, Evaluation, and LearningGrowth Monitoring and Promotion
Results from 2006 and 2018 studies using geospatial modelling techniques show that children’s minimum dietary diversity, mother’s education, and mother’s body mass index are strongly associated with stunting, while children’s minimum dietary diversity and aridity are associated with wasting.
Effective Coverage Measurement in Maternal, Newborn, Child, and Adolescent Health and Nutrition: Progress, Future Prospects, and Implications for Quality Health Systems
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Monitoring, Evaluation, and LearningInfant and Young Child Nutrition (IYCN)Maternal Nutrition
The widely used intervention coverage metric does not address quality and potentially overestimates the health benefits of services. Authors recommend that effective coverage be defined as the proportion of a population in need of a service that results in a positive health outcome from the service, and they identify several research priorities.
Can Children Catch Up from the Consequences of Undernourishment? Evidence from Child Linear Growth, Developmental Epigenetics, and Brain and Neurocognitive Development
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Early Childhood DevelopmentAdolescent NutritionGrowth Monitoring and PromotionInfant and Young Child Nutrition (IYCN)Nutrition Assessment, Counseling, and Support (NACS)
Undernutrition increases susceptibility to illness and risk of death and contributes to neurocognitive development delays, reduced school achievement, reduced earnings in adulthood, and increased probability of chronic diseases.
Stakeholder Community Meeting: Mitigating the Impacts of COVID-19 on Food, Nutrition, and Water Security
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Food SystemsCOVID-19Emergency NutritionFood SecurityInfant and Young Child Nutrition (IYCN)Water, Sanitation and Hygiene (WASH)
COVID-19 will drive 70–100 million people into poverty and 80–130 million into chronic hunger. These impacts will persist beyond 2021, the number of malnourished children will increase, and access to water and sanitation services will decrease.
Food SystemsSocial and Behavior Change and GenderFood Security
Digital technologies to increase sustainable healthy diets and progressively realize the right to adequate food are powerful but may also have adverse impacts.
U.S. Agency for International Development Bureau for Resilience and Food Security COVID-19 Learning Hub
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Food SystemsNutrition and Health SystemsCOVID-19Emergency NutritionFood SecurityInfant and Young Child Nutrition (IYCN)Nutrition Sensitive AgricultureResilienceWater, Sanitation and Hygiene (WASH)
This Learning Hub disseminates lessons learned about how to prevent widespread hunger, poverty, malnutrition, and water insecurity. It also provides guidance about how to mitigate and respond to the pandemic’s impacts through agriculture, nutrition, resilience, and water security, sanitation, and hygiene policy and programming.
Responding to COVID-19’s Impact on Resilience and Food Security
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Food SystemsNutrition and Health SystemsCOVID-19Emergency NutritionFood SafetyFood SecurityInfant and Young Child Nutrition (IYCN)Water, Sanitation and Hygiene (WASH)
The U.S. Agency for International Development predicts that 148 million additional people may fall into extreme poverty and that emergency food assistance needs will increase by 25% due to COVID-19.
Food SystemsEmergency NutritionFood SafetyFood SecurityNutrition Assessment, Counseling, and Support (NACS)
COVID-19 impacts income and affordable nutritious food, and many food producers and sellers are struggling to survive. Health systems and social safety nets are overwhelmed, many are reluctant to seek health care, and misinformation hinders breastfeeding. While demand for humanitarian assistance grows, safe delivery is a challenge.
COVID-19’s Triple Threat to Gender Equality, Nutrition and Future Potential
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Nutrition in Humanitarian ContextsCOVID-19Food SecurityMicronutrient InterventionsNutrition Assessment, Counseling, and Support (NACS)Resilience
COVID-19 threatens women’s and girls’ health, nutrition, development, and gender equality gains. Financial hardships, overwhelmed health systems, and reduced access to health services compound these threats.
Food SystemsMonitoring, Evaluation, and LearningBreastfeedingCOVID-19Emergency NutritionFood SafetyFood SecurityInfant and Young Child Nutrition (IYCN)
These resources focus on multi-sectoral nutrition programming in the context of COVID-19. Research and reports provide guidance about nutrition in humanitarian contexts, monitoring, evaluation and learning, safe breastfeeding practices for COVID-19 positive women, social and behavior change for nutrition in context of COVID-19, and food security.
This collection captures research about the threats to health systems, food security, local businesses, national economies, and reaching Sustainable Development Goals; and harnesses knowledge for emergency response, recovery, and resilience.
How Countries Can Reduce Child Stunting at Scale: Lessons from Exemplar Countries
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Nutrition and Health SystemsWastingInfant and Young Child Nutrition (IYCN)Maternal NutritionNutrition Assessment, Counseling, and Support (NACS)Water, Sanitation and Hygiene (WASH)
Reducing child stunting requires interventions in multiple sectors. Improving maternal education, fertility practices, and nutrition, as well as maternal and newborn care, are strong contributors to change. Investing to improve reproductive health practices are important to increase contraceptive use, delay first pregnancy, and increase birth spacing.
Fisheries can address malnutrition and micronutrient deficiencies with critical nutrients, such as fatty acids, zinc, iron, calcium, and vitamins. Overfishing, climate change, and international trade reduce local availability of nutritious and affordable fish in low income countries.
Defining Diet Quality: A Synthesis of Dietary Quality Metrics and Their Validity for the Double Burden of Malnutrition
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Food SystemsNutrition and Health SystemsFood SafetyMaternal Nutrition
Addressing the double burden of malnutrition requires attention to diet-related maternal and child health (MCH) and non-communicable diseases (NCDs). Identifying a unified global dietary quality metric that can measure the relative contributions of MCH and NCD to malnutrition would help policy and programmatic decision-making.