Multi-Sectoral Nutrition Resource Review
As a leader in global nutrition and development, the U.S. Government recognizes the critical role that the 1,000-day window between pregnancy and a child’s second birthday has on child growth, cognitive development, and disease prevention.
Multi-Sectoral Nutrition Resource Review
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. Current evidence demonstrates that the most effective strategy to reduce stunting is through programs that prevent rather than treat linear growth retardation in the first 1,000 days. Authors argue that early undernutrition has irreversible impacts and cautions against studies suggesting otherwise.
Multi-Sectoral Nutrition Resource Review
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.
Multi-Sectoral Nutrition Resource Review
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. Geospatial modelling may help the Government of Mali target programming at lower administrative levels and inform the allocation of resources and program implementation.
Multi-Sectoral Nutrition Resource Review
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.
Multi-Sectoral Nutrition Resource Review
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. It provides insights into subnational regions and health service areas that most need quality of care interventions. Future research should consider additional indicators, including indicators that capture client experience.
Multi-Sectoral Nutrition Resource Review
Nutrition Information Management, Surveillance and Monitoring in the Context of COVID-19 Brief No. 2
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. Discussion focuses on remote data collection, how to estimate the number of people in nutritional need, and how to monitor the nutrition situation and programs during COVID-19.
Multi-Sectoral Nutrition Resource Review
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. This report aims to improve understanding of how changes in these measurements can induce changes in the means and standard deviations of HAZ, WAZ, and WHZ, as well as stunting, wasting, underweight, and overweight estimates. Data from Peru and Nepal were used because of their different nutritional profiles and evidence of good data quality.
Multi-Sectoral Nutrition Resource Review
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. Community‐ and home‐based interventions with trained and supervised community‐based providers may be superior to facility‐based options.
Multi-Sectoral Nutrition Resource Review
Successful delivery of nutrition interventions requires a skilled and motivated health workforce, an effective supply chain, demand for services, and access to services. Programs should encourage delivery of nutrition interventions at every client-provider interaction and should actively generate demand for both general and nutrition services. It is critical to identify health system components responsible for the greatest bottlenecks and opportunities for impact.