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Combined Protocol for SAM/MAM Treatment October 2016 Issue 53 • Combined protocol for SAM/MAM treatment • Intergenerational malnutrition in Somalia • Programming during conflict in South Sudan • Micronutrient distribution in Burundi • Resilience to emergency programming in the Yemen • Mobile phone survey data collection in Kenya • WHO SAM medical kits in South Sudan • Sampling during insecurity in Afghanistan Contents............................................................... 11 Meta-analysis of associations between An investment framework for stunting and child development 40 1 Editorial nutrition: Reaching the global targets 11 Who should finance the World Health for stunting, anaemia, breastfeeding Field Articles Organization’s work on emergencies? and wasting 12 Tackling the double burden of 41 Advancing Early Childhood 2 Nutrition programming in conflict malnutrition in low and middle-income Development: From Science to Scale settings: Lessons from South countries: response of the international Role of nutrition in integrated early Sudan community 43 child development 5 Pilot micronutrient powder 14 Ethiopia’s Productive Safety Net distribution in Burundi: Acting on Programme: Power, Politics and Practice lessons learned 15 Admission profile and discharge News outcomes for infants aged less than six 44 Combined protocol for SAM/MAM 51 Grand Bargain: Reform or business as treatment: The ComPAS study months admitted to inpatient therapeutic care in ten countries usual? 47 Adapting a resilience 17 Chronic disease outcomes after SAM in 52 Call for experiences on mothers improvement programme in measuring MUAC conflict: Experiences from Yemen Malawian children (ChroSAM): A cohort study 53 AuthorAID: A global network for early Open Data Kit Software to 67 Adolescent nutrition in Mozambique: career researchers from low and conduct nutrition surveys: Field 19 putting policy into practice middle-income countries experiences from Northern Kenya Robust evidence for an evidence-based 54 Accelerating the scale-up of WHO emergency nutrition 21 69 approach to humanitarian action treatment for severe acute response in South Sudan malnutrition Evidence in humanitarian emergencies: Sampling in insecure 22 75 What does it look like? 55 Global School Feeding Sourcebook: environments: Field experiences Lessons from 14 countries from coverage assessments in 23 Recovery rate of children with moderate Afghanistan acute malnutrition treated with ready- 56 The missing ingredients: Are policy- to-use supplementary food (RUSF) or makers doing enough on water, Intergenerational cycle of acute 79 improved corn-soya blend (CSB+) sanitation and hygiene to end malnutrition among IDPs in malnutrition? Somalia 25 Impact of child support grant in South Africa on child nutrition 57 Nutrition funding: The missing piece of the puzzle 26 Public health nutrition capacity: The Research quality of workforce for scaling up 58 Biofortification: Helping meet 8 Research Snapshots nutrition programmes nutrition needs worldwide 8 Factors influencing pastoral and 28 Research priorities on the relationship 60 Minimum Standards for Age and agropastoral household between wasting and stunting Disability Inclusion in Humanitarian vulnerability to food insecurity in 29 Co-trimoxazole prophylaxis to prevent Action Kenya mortality in children with complicated 61 Regional humanitarian challenges in 8 Determinants and trends of severe acute malnutrition the Sahel socioeconomic inequality in 30 The impact of intensive counselling and 62 NOMA: A neglected disease! child malnutrition in a mass media campaign on Mozambique complementary feeding practices and 64 Improving care of people with NCDs in humanitarian settings 8 The migrant camp that doctors child growth in Bangladesh built 32 Direct procurement from family farms 64 eLearning module on improving 9 Trends in adult body-mass index for national school feeding programme nutrition through agriculture and in 200 countries from 1975 to in Brazil food systems 2014: A pooled analysis 33 Relationships between wasting and 65 FANTA’s Body Mass Index (BMI) Wheel 9 Effect of lipid-based nutrient stunting and their concurrent 65 Launch of BabyWASH Coalition supplements on morbidity in occurrence in Ghanaian pre-school rural Malawian children children 66 En-net update 9 Thailand eliminates mother-to- 34 Local spatial clustering of stunting and child transmission of HIV and wasting among children under the age syphilis of five years Views 10 Decline in the prevalence of 36 Carbohydrate malabsorption in acutely 73 South Sudan nutrition: Overcoming anaemia among children malnourished children and infants: A the challenges of nutrition through wheat flour fortification systematic review information systems in Jordan 37 Nutrition among men and household 10 Making progress towards food food security in an internally displaced security in rural Rwanda persons camp in Kenya Agency Profile 10 Global and regional health 38 How to engage across sectors: 72 Wateraid effects of future food production Lessons from agriculture and nutrition under climate change: A in the Brazilian School Feeding modelling study Programme Editorial ................................................................. Dear readers integrated ECD, which makes the case for mul- partners over a period of years to inform hu- ti-sector programming that considers responsible manitarian programming, with government here are three themes running through parenting, learning stimulation, education, and health information systems. ere are also two this issue of Field Exchange. We have social protection, in addition to health and nu- articles related to chronic disease in the context four field articles which describe the trition. Another summary presents the findings of emergency programming, One is a summary very real practical challenges of having of a study on the impact of a cash support grant of a study looking at mortality and risk factors toT adapt programming in the face of conflict in South Africa on stunting. No impact is seen for chronic disease in children who had been and insecurity. An article by Mustafa Ghulam and this is explained by high levels of HIV and ‘successfully’ treated for SAM seven years earlier and Mohammed Alshama’a, Save the Children, unemployment, which may confound any effect. in Malawi. Functional deficits were found and describes adapting a resilience improvement ere is also a summary of a study in 13 countries most alarming, nearly one-third of discharged programme in conflict affected Yemen and how looking at the degree to which nutrition is ex- cases had died and another 15% were lost to a scaled up e-voucher scheme still managed to plicitly mentioned in water, sanitation and follow-up. ese findings really challenge our improve dietary diversity in spite of the high hygiene (WASH) policies and vice versa. Perhaps notion of ‘cure’ when it comes to SAM; a return level of insecurity. Meanwhile, an article by surprisingly for this day and age, there is limited to normal anthropometry is not matched with Mercy Laker and Joy Toose, World Vision, doc- incorporation of nutrition and WASH in the a return to pre-SAM risk level, with long term uments how a CMAM programme had to be respective policies of the other sector. Interestingly, morbidity and mortality implications. e adapted in South Sudan when conflict broke the report authors suggest that the nutrition second article summarises a meeting held by out but still managed to provide critical life- sector has more of a vested interest in incorpo- MSF recently which focused on improving care saving treatment to young children. Afghanistan rating WASH objectives since we depend on of people with non-communicable disease (NCD) is the setting of a field article by Action Contre WASH to achieve nutrition outcomes; typical in humanitarian settings. e strand linking all la Faim, which describes measures taken to WASH outcomes do not depend on nutrition these pieces, either explicitly or through impli- allow sampling during programme coverage as- and so there may be less incentive for integration. cation, is that there are inextricable links between sessments that both maintained data integrity ere are also two research summaries about so called emergency and development nutrition, while protecting the safety of enumeration staff. the national school feeding programme in Brazil yet the analytical frameworks and architecture Finally, an article written about WHO’s emergency which has managed to legislate for procurement which underpin responses do not reflect this nutrition response in South Sudan documents from local farmers who provide the food for the adequately. Availability of resources for nutrition the development of a specific medicines kit (and programme. One of the studies looks specifically is undoubtedly a common challenge for all; a associated training package) for the treatment at lessons learnt about engaging across sectors study by the World Bank provides a timely re- of complicated severe acute malnutrition (SAM), from more of a political economy perspective minder of what it will cost to achieve global which allowed programming to continue in the and what is required to maximise success. targets for stunting, anaemia, exclusive breast- feeding and SAM treatment – applicable to both A final theme, and one which effectively pro- humanitarian and stable contexts. e bill comes vides an overarching framework for the themes in at $70 billion over ten years! discussed above, is the relationship between de- velopment and humanitarian programming and
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