Cover Image
close this bookNutrition Guidelines (MSF, 1995, 191 p.)
View the document(introduction...)
View the documentPreface
close this folderPart I: Nutrition Strategies in Emergency Situations
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 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 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 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

5. Evaluation

The collection of information for monitoring and evaluation should be an integral part of all nutrition programmes. Evaluation is a learning process involving continuous collection of information to monitor the progress in achieving set goals and to suggest adaptations to the progamme, or closure with time.

Monitoring and evaluation will involve the planned and regular collection and analysis of:

· PROCESS INDICATORS to evaluate the progress in implementation and the trends in programme needs over time (i.e. attendance rates, coverage, recovery rates).

· IMPACT INDICATORS to evaluate the effect the programme is having/had on the population, and to summarize the total efficacy of the programme (malnutrition prevalence, mortality figures, numbers served).

Assessment of impact is extremely difficult as analysis of trends in health indicators does not prove that the programme has caused the change. However, a well collected data set can be used to argue for an association of the programme with the change in overall health status.

It makes little sense to only look at indicators of IMPACT for evaluating a nutritional programme. First it is necessary to know that the programme serves a useful purpose and is running well. PROCESS information will allow you to see how well the programme is functioning and adapt programme emphasis and design over time. PROCESS Indicators should be thoroughly analyzed and Interpreted (see Chapter 8, Part III).

The collection of information for evaluation needs to be planned during initial programme design. If information is not collected in a regular and systematic fashion, quality and relevance of the programme cannot be assessed while giving services.

It is the responsibility of coordinators and the team to implement the collection of process evaluation data systems and compile and analyze the data. Coordinators and their teams should be prepared to act to change programme design and management procedures based on feedback received through regular evaluation (see Chapter 8, Part III).

In camps, IMPACT indicators may be collected along with malnutrition prevalence rates, mortality rates, etc., and interpreted as a function of nutritional programme efficacy in conjunction with other relief activities.