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close this bookNutrition Guidelines (MSF, 1995, 191 p.)
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

Annex 22: MSF nutrition kits

The MSF Nutrition kit was designed to contain all the elements necessary to start a feeding programme quickly. Many of the materials should be available locally and so if there is time it is often preferable to chose your own materials.

The kit lists are also useful for helping decide what you need to run a nutrition programme.

The kits are arranged in modules for different components of a nutrition programme. The kit lists are being updated. Refer to the MSF kit guide for latest kit specifications. MODULE 1: Nutrition Surveys/Surveillance

MODULE 1 and 2: Screening and Registration to Nutrition Programmes

MODULE 3: Therapeutic Feeding Programmes for 100 Children

MODULE 4: Supplementary Feeding Programmes for 250 Children

All modules will contain the MSF nutrition guidelines - other nutrition books are available through headquarters.

MODULE 1 Nutrition surveys/Screening

1 Salter scales (25 kg) and hanging pants
50 MUAC armbands
4 Clipboards - folding double for protection of sheets
4 Exercise books (notebooks)
8 Pens
8 Pencils
4 Rubbers
4 Sharpeners
4 Rulers
4 Indelible marker pens (permanent markers)
4 Scissors
1 Calculator - solar
4 Plasticized W/H tables - in Z-Scores and % of the median
1 Height boards - MSF plastic or wooden pieces for field construction = to be reviewed.
2 Rolls of OXFAM sticky measuring tape
4 Nylon light weight backpacks
1 Set of instructions for training survey staff
1 Roll of strong nylon rope (15m)
1 MSF nutrition guidelines
1 Manual counter
1 Expatriate nutritionist
1 Standard 1 kg weights (to check scales)

* Extra salter scale and height board could be ordered separately.

MODULE 2 Registration (to be used in conjunction with Module 1 for screening and registering for nutrition programmes - 350 people)

400 I.D. Bracelets - clear + red popper
1000 I.D. bracelets - clear + green popper
4 Register books - hard back A4
400 MSF individual monitoring cards - TFP
1000 MSF individual monitoring cards - wet SFP
4 Card boxes - plastic (size for card A4)
2 Pocket calculator - solar
10 Indelible marker pens
10 Pens
10 Pencils
10 Rubbers
10 Pencil sharpeners
10 Rulers
4 Plasticized W/H tables - in Z-Scores and % of the median
1 Graph paper (packet)

MODULE 3 Therapeutic feeding kit (100 children)

1 100 litres cooking pot with lid
2 50L cooking pots with lids
2 Wooden paddles
120 Mastic cups - 400 ml
120 Plastic bowls
10 Metal teaspoons
500 Mastic teaspoons
4 Measuring jugs - 1 litre
4 Scoops marked for sugar, oil, cam, etc.
4 Ladles - 250 ml capacity
4 Whisks
2 Tin openers
1 Salter scale (25 Kg) and weighing pants
1 Salter scale (50 Kg)
4 Measuring spoons calibrated for measuring 2g and 10g of Potassium chloride
2 Alarm clocks + batteries
4 Scrubbing brushes - floor
4 Scrubbing brushes - pots/pans
4 Plastic water containers (20L)
12 Plastic buckets + lids (10L)
6 Torches + batteries
5 Indelible marker pens
25 Plastic potties
4 Large food mixing bowls/washing up bowls - wide rimmed
1 Adult bathroom scale

500 Water purifying tablets (chloramine)
10 Bars of soap
4 Clipboards
30 Candles + matches
30 Naso - gastric tubes (CH No. 8 Luer)
30 Naso - gastric tubes (CH No. 10 Luer)
60 Syringe (60ml Luer)
1 Pestle and mortar
200 Milk cards
1 MSP nutrition guidelines
5 Syringe of 20ml (Luer)
2 Water filter

MODULE 4 Supplementary feeding kit (250 children)*

1 Cooking pot - 100L
2 Cooking pot - 50L
3 Wooden Paddles
500 Plastic cups - 400 ml
500 Plastic bowls

500 Plastic teaspoons
10 Metal spoons
4 Scoops
4 Measuring jugs (5L)
1 Measuring jug (1L)
6 Ladles (250 ml)
3 Wisks
2 Tin openers
4 Scrubbing brushes - floor
4 Scrubbing brushes - pots/pans
10 Graduate plastic buckets + lids
8 Plastic water containers (201)
500 Water purifying tabs
2 Alarm clocks + batteries
1 Salter scale (50 kg)
1 Salter scale (25 Kg) and weighing pants
1 Measuring spoon calibrated for 2g and 10g of Potassium chloride
5 Indelible marker pens
4 Large food mixing bowls
20 Bars of soap
1 MSF nutrition guidelines

* This Module is designed for wet supplementary feeding - it can be used for dry supplementary feeding programmes as well but there will be a lot of wasted material. It is advised that dry supplementary feeding programme materials be purchased locally.

Instructions for the construction of a height measuring board


The board should be made of strong, but light wood (1 - 2 cm thick). Wood should be polished to avoid splinters and pieces should be fixed together with screws rather than nails.

Measuring tape should be fixed down either side of the board to make reading the measurement easier when the child stands along the middle of the board.

The tape should be fixed in place by the supervisor of the survey and should be fixed along a ruled line to ensure it is straight and not at an angle. We preferably use OXFAM sticky measuring tape which is designed to minimize errors in reading the measurement. Do not stretch the tape when securing it to the board and make sure that the tape starts at zero at the bottom of the board, flush with the foot piece.

65 cm should be clearly marked children below this should not be measured (too young) unless their age is known.

85 cm should be clearly marked children below this should be measured lying down unless their age is known.

110 cm should be clearly marked children above this should not be measured (too old) unless their age is known.

The sliding head board should be made so that it slides easily up and down the board.

The head piece sides should overlap the height board so that they guide the headpiece up and down the board and minimize sideways movement but the fit should not be so tight that it is difficult to slide the head piece.