Cover Image
close this bookNutrition Guidelines (Médecins Sans Frontières)
View the document(introduction...)
View the documentPreface
close this folderPart I : Nutrition Strategies in Emergency Situations
View the document(introduction...)
View the document1. Food crises
View the document2. Assessment of the nutritional situation
View the document3. Interventions: ensuring adequate general food availability and accessibility
View the document4. Interventions: selective feeding programmes
View the document5. Evaluation
close this folderPart II : Rapid Nutrition Surveys
View the document(introduction...)
View the document1. Introduction to anthropometric surveys
View the document2. Anthropometric measurements and indices
View the document3. Sampling methods
View the document4. Analysis, interpretation and recommendations
View the document5. Conclusions
close this folderPart III Selective feeding programmes
View the document(introduction...)
View the document1. Justification for selective programmes
View the document2. Criteria for admission and discharge to selective feeding programmes
View the document3. Screening and selection
View the document4. Treatment in a therapeutic feeding centre
View the document5. Treatment in supplementary feeding programmes
View the document6. Implementation and management of a feeding centre
View the document7. Registration and monitoring
View the document8. Evaluation of feeding programmes
View the document9. Food management
close this folderAnnexes
View the document(introduction...)
View the documentAnnex 1: Rapid assessment of the state of health of displaced populations or refugees (A.Moren - Medical News, No. 1)
View the documentAnnex 2: Mid-Upper Arm Circumference (MUAC)
View the documentAnnex 3: Nutritional status assessment in adults and adolescents
View the documentAnnex 4: Agencies involved in food relief
View the documentAnnex 5: Food composition table
View the documentAnnex 6: GENERAL RATION: How to calculate the energetic value
View the documentAnnex 7: Micronutrient deficiencies
View the documentAnnex 8: Food basket monitoring methodology
View the documentAnnex 9: Analyzing nutritional survey data
View the documentAnnex 10: Drawing of a random number
View the documentAnnex 11: Standardization of anthropometric measuring techniques
View the documentAnnex 12: Data collection forms
View the documentAnnex 13: W/H Reference tables
View the documentAnnex 14: Selection of food items for selective feeding programmes
View the documentAnnex 15: Oral rehydration for severely malnourished children
View the documentAnnex 16a: Preparation of High Energy Milk
View the documentAnnex 16b: Recipes for porridge for use in therapeutic and wet supplementary feeding programmes
View the documentAnnex 16c: Recipes for premix for dry ration supplementary feeding programmes
View the documentAnnex 17a: Example of a Therapeutic feeding centre
View the documentAnnex 17b: Example of layouth of a <<wet>> supplementary feeding centre
View the documentAnnex 17c: Example of a DRY SFP
View the documentAnnex 18a: Example of an Attendance register (tfp or SFP)
View the documentAnnex 18b: Example of a Nutritional Status Monitoring (SFP)
View the documentAnnex 19a: TFP individual monitoring card
View the documentAnnex 19b: SFP individual monitoring card
View the documentAnnex 19c: Individual card for Supplementary feeding centre
View the documentAnnex 19d: Example of an individual card for dry blanket SFC
View the documentAnnex 20: Feeding programme indicator graphs
View the documentAnnex 22: MSF nutrition kits
View the documentBibliography


This guideline is presented in 3 parts:

- Nutrition Strategies in Emergency Situations
- Rapid Nutrition Surveys
- Selective Feeding Programmes

The purpose of this book is to facilitate the application of fundamental concepts and principles necessary for the assessment of nutritional problems and the implementation of nutritional programmes to assist populations in emergency situations.

Emergency nutrition interventions are among the most vital components of an emergency relief response. It is an extremely complex subject and the form of response depends on many factors. This guideline is not supposed to be another academic work on nutrition; there are already various excellent reference works available. Nor is it meant to promote a <<recipe book>> approach to the definition of nutrition problems and the implementation/promotion of adequate responses. Every programme in each country or region has its own particularities according to the context (when in doubt, please contact your medical department at headquarters).

All MSF sections collaborated in the production of this work to help standardize nutritional emergency approaches, to allow greater comparison between programmes and over time; and to improve the impact of external reporting. Nevertheless, this guideline leaves enough room for adaption to the local context.

Nutrition should be considered as an integral part of health related issues in emergencies. Nutrition has its place in need assessment, monitoring, information systems, preventive and curative services and public health measures.

We invite field workers working in nutritional programmes to send us their comments on these guidelines. Their comments and suggestions have been essential in the formation of these guidelines and are required for the continuing development of methods and approaches to the problems faced in the field.

Please send your remarks to:

Medecins Sans Frontieres Belgium / Departement Medical
Rue du Pre, 94- 1090 Brussels
Tel.: (32) 2- 47 47 474 -
Telex: (046) 63607 MSF B -
Fax: (32) 2- 47 47 575

Medecins Sans Frontieres France / Departement Medical
8, rue Saint-Sabin, 75544 Paris Cedex 11
Tel.: (33) 1- 40 21 29 29 -
Telex: 214630 F -
Fax: (33) 1- 48 06 68 68

Medecins Sans Frontieres Holland / Medical Dept.
Max Euweplein 40, PO Box 10014 - 1001 EA Amsterdam
Tel.: (31) 20- 520 87 00 -
Telex: (044) 10773 MSF NL -
Fax: (31) 20- 620 51 70