|Nutrition Guidelines (MSF, 1995, 191 p.)|
|Part I: Nutrition Strategies in Emergency Situations|
|1. Food crises|
|2. Assessment of the nutritional situation|
|3. Interventions: ensuring adequate general food availability and accessibility|
|4. Interventions: selective feeding programmes|
|Part II: Rapid Nutrition Surveys|
|1. Introduction to anthropometric surveys|
|2. Anthropometric measurements and indices|
|3. Sampling methods|
|4. Analysis, interpretation and recommendations|
|Part III Selective feeding programmes|
|1. Justification for selective programmes|
|2. Criteria for admission and discharge to selective feeding programmes|
|3. Screening and selection|
|4.Treatment in a therapeutic feeding centre|
|5. Treatment in supplementary feeding programmes|
|6. Implementation and management of a feeding centre|
|7. Registration and monitoring|
|8. Evaluation of feeding programmes|
|9. Food management|
|Annex 1: Rapid assessment of the state of health of displaced populations or refugees (A.Moren - Medical News, No. 1)|
|Annex 2: Mid - Upper Arm Circumference (MUAC)|
|Annex 3: Nutritional status assessment in adults and adolescents|
|Annex 4: Agencies involved in food relief|
|Annex 5: Food composition table|
|Annex 6: GENERAL RATION: How to calculate the energetic value|
|Annex 7: Micronutrient deficiencies|
|Annex 8: Food basket monitoring methodology|
|Annex 9: Analyzing nutritional survey data|
|Annex 10: Drawing of a random number|
|Annex 11: Standardization of anthropometric measuring techniques|
|Annex 12: Data collection forms|
|Annex 13: W/H Reference tables|
|Annex 14: Selection of food items for selective feeding programmes|
|Annex 15: Oral rehydration for severely malnourished children|
|Annex 16a: Preparation of High Energy Milk|
|Annex 16b: Recipes for porridge for use in therapeutic and wet supplementary feeding programmes|
|Annex 16c: Recipes for premix for dry ration supplementary feeding programmes|
|Annex 17a:Example of a Therapeutic feeding centre|
|Annex 17b: example of layouth of a <<wet>> supplementary feeding centre|
|Annex 17c: Example of a DRY SFP|
|Annex 18a: Example of an Attendance register (tfp or SFP)|
|Annex 18b: Example of a Nutritional Status Monitoring (SFP)|
|Annex 19a: TFP individual monitoring card|
|Annex 19b: SFP individual monitoring card|
|Annex 19c: Individual card for Supplementary feeding centre|
|Annex 19d: Example of an individual card for dry blanket SFC|
|Annex 20: Feeding programme indicator graphs|
|Annex 22: MSF nutrition kits|
· Among displaced populations or refugees, evaluation of the nutritional status is essential in planning a relief programme. The measure of the prevalence of malnutrition, through a quick cross-sectional anthropometric survey gives valuable information when making decisions. The results of such a survey often have vital consequences for the community. That is the reason why these results must be reliable.
· The reliability of the results is related to compliance with the protocol. Each step is essential.
· The objectives should be clearly defined from the start, as should the plan of analysis.
· The sample should be representative of the population from which it was drawn. Systematic sampling when possible gives the same precision with half the sample size required for cluster sampling.
· Measures should be reliable. Training of data collectors and assessment of their performance through standardization tests is a corner stone of the survey.
· The report should include a summary mentioning the main findings and the recommendations made. Confidence intervals should be indicated whenever a proportion is given.
· The realization of a survey in the field is an excellent occasion for health workers to appreciate the living conditions of the population. On top of the actual proportion of malnourished children given by the survey, valuable additional information maybe observed. This additional information will be of great help in appreciating a situation.