International Workshop on the Integration of Community-Based Management
of Acute Malnutrition
Workshop Report Published by the Emergency Nutrition Network
(ENN)
The Workshop Report for the April 2008 International Workshop on
the Integration of Community-Based Management of Acute Malnutrition
(CMAM) provides an overview of the overarching issues, obstacles
and successes encountered in the integration of CMAM into national
health systems. These range from the importance of Ministry of Health
leadership, the need to strengthen capacities at most levels of
a health system, and provide simple protocols to facilitate implementation,
to the critical need for open and frequent information sharing.
The report highlights presentations and discussions by international
experts in CMAM, including those from USAID, UNICEF, WHO, developing
country Ministries of Health and NGO-implementers.
 Download
the Report
 USAID's
Office of Food for Peace Occasional Paper 6
Emergencies in Urban Settings: A Technical Review of Food-Based
Program Options
Although food assistance needs in urban and peri-urban areas are
expected to require increased resources in the coming years, most
experience with food-based programs is in rural areas. Against this
backdrop, USAID's Office of Food for Peace Occasional Paper No.
6, Emergencies in Urban Settings: A Technical Review of Food-Based
Program Options, examines 11 common food-based programs to highlight
advantages, disadvantages, targeting and implementation modalities
in the urban context. The paper also presents tools to help determine
the most appropriate interventions and approaches for given settings.
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Occasional Paper 6
 A
Guide to Monitoring and Evaluation of Nutrition Assessment, Education
and Counseling of People Living With HIV
A Guide to Monitoring and Evaluation of Nutrition Assessment,
Education and Counseling of People Living With HIV provides
guidance and tools to support programs in monitoring and evaluating
nutrition interventions for people living with HIV (PLHIV). It is
designed for use by program managers, M&E officers and other program
and government health system staff who are responsible for designing
and implementing M&E systems. The guide can be used to select indicators,
set targets, plan data collection and tabulation processes and interpret
and use the information obtained.
Download
the guide
FANTA-2 Awarded to AED
Food and Nutrition Technical Assistance II Project (FANTA-2) works
to improve nutrition and food security policies, strategies and
programs through technical support to USAID and its partners, including
host country governments, international organizations and NGO implementing
partners. Focus areas for technical assistance include maternal
and child health and nutrition, HIV and other infectious diseases,
food security and livelihood strengthening, and emergency and reconstruction.
FANTA-2 develops and adapts approaches to support the design and
quality implementation of field programs, while building on field
experience to improve and expand the evidence base, methods and
global standards for nutrition and food security programming. The
project, funded by USAID, is a five-year cooperative agreement.
Learn
more about FANTA-2
 Precision,
Time, and Cost: A Comparison of Three Sampling Designs in an Emergency
Setting
Article published in Emerging Themes in Epidemiology
FANTA, in collaboration with CRS, Save the Children (SC)/US and
Ohio State University, applied LQAS methods to develop and test
three new sampling designs to respond to the data collection priorities
of emergency settings. These alternative
sampling designs have been field tested in Sudan and Ethiopia,
where they were shown to provide rapid and statistically reliable
methods for assessing the prevalence of global acute malnutrition,
in addition to a number of other child and household level indicators.
An article reporting on the FANTA and SC/US field test in Sudan,
"Precision, Time,
and Cost: A Comparison of Three Sampling Designs in an Emergency
Setting", has been published in Emerging Themes in Epidemiology.
 Review
of Community-based Management of Acute Malnutrition (CMAM) in the
Post-emergency Context: Synthesis of Lessons on Integration of CMAM
into National Health Systems
With Community Management of Acute Malnutrition (CMAM) incorporated
into government health facilities and protocols to varying degrees
in Ethiopia, Malawi and Niger, USAID's FANTA Project undertook a
comprehensive review of the challenges, successes and lessons learned
from the experience in these three countries. The synthesis report
discusses recommendations for successful and sustainable integration
of CMAM, outlining specific steps donors, Ministries of Health,
the UN and NGOs can take to facilitate the process and next steps
needed to expand the knowledge and evidence base for CMAM integration.
Download
the synthesis report
International Workshop on the Integration of Community-Based Management of Acute Malnutrition (CMAM)
April 28-30, 2008, Washington, DC
At the request of USAID, FANTA hosted an International Workshop on the Integration of CMAM in Washington DC, sponsored by USAID’s Office of Foreign Disaster Assistance and Office of Health, Infectious Diseases and Nutrition. The workshop was organized jointly with UN, MOH and NGO partners. The April 2008 workshop provided an opportunity to share current practices in the integration and scale-up of Community-Based Management of Acute Malnutrition.
Learn more about the workshop
Dietary
Diversity as a Measure of Women's Diet Quality in Resource-Poor
Areas: Results from Rural Bangladesh Site
Simple population-level indicators are needed to assess the quality
of women’s diets and to monitor progress in improving diets. FANTA
is working with a number of researchers on a Women’s Dietary Diversity
Project (WDDP), whose broad objective is to use existing data sets
with dietary intake data from 24-hour recall to analyze the relationship
between simple indicators of diet diversity–such as those that could
be derived from the new Demographic and Health Surveys (DHS)–and
dietary quality for women.
With funding from USAID’s Bureau for Global Health, the WDDP is
analyzing data sets from five countries: Bangladesh, Burkina Faso,
Mali, Mozambique and the Philippines. The final report for Bangladesh
indicates that food group diversity indicators may be a simple and
valid option for population-level assessment and for monitoring
progress toward improved micronutrient intakes among women of reproductive
age.
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the report
Essential
Nutrition Actions in Public Health Programs in Ethiopia
The Essential Nutrition Actions (ENA) package is an approach to expand the coverage of seven affordable and evidence-based actions to improve the nutritional status of women and children, especially those under two years of age. FANTA’s Review of Incorporation of Essential Nutrition Actions into Public Health Programs in Ethiopia found that the approach has been incorporated into the Ethiopia Federal Ministry of Health system and multilateral and NGO programming, however, improved training and other steps are necessary to further institutionalize the approach. The review, requested by USAID/Ethiopia, examined a number of facilitating and inhibiting factors to ENA integration in the context of Ethiopia’s health system.
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the review
Sudan
Food Assistance Transition Study
USAID's FANTA Project and TANGO International have released Sudan
Food Assistance Transition Study. The report provides an analysis
of the key issues related to food insecurity and the high rates
of malnutrition in Southern Sudan and the Three Areas (Abyei, the
Nuba Mountains and Blue Nile). It examines current Title II activities
and recommends how to increase their impact on food security and
nutrition. The study proposes possible steps for addressing food
security through development of an integrated food security strategy
and by leveraging Title II and Disaster Assistance funds in a complementary
manner that emphasizes the multiple transitions taking place in
the areas of livelihoods, education, health, nutrition, institutions
and security.
Download
the study
 Comparing
Preventive and Recuperative Approaches to Targeting Maternal and
Child Health and Nutrition Programs in Haiti
FANTA's five-year effectiveness study on food-assisted nutrition
programs demonstrated that a preventive approach is more effective
in reducing child malnutrition than a recuperative approach: after
three years, the prevalence of stunting, underweight and wasting
was significantly lower in the preventive communities than in communities
where a recuperative approach had been used.
Read
more about the study and subsequent article found in The Lancet
Journal
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