20160322 Nutrition presentation in FS sector meeting

Nutrition Sector

Nigeria

[22 March 2016]

Mainstreaming nutrition into Food security interventions.

Nigeria

Nutrition Sector Coordination.3

Content

• What is malnutrition

• Why should we worry about malnutrition

• Nigeria nutrition situation

• Link between food security and Malnutrition

• Possible areas of collaboration between FS and Nutrition

sector.

Nigeria


What is malnutrition

• Chronic Malnutrition

Stunting HAZ (Child is too short for

their age) – Long-term

manifestation

• Acute Malnutrition- wasting

WHZ – short term

manifestation/sudden onset

• Individuals are malnourished, or suffer from undernutrition

if their diet does not provide them with adequate calories

and protein for maintenance and growth, or they cannot

fully utilize the food they eat due to illness.

• Malnutrition can also be defined as the insufficient,

excessive or imbalanced consumption of nutrients.

Nigeria


Screening for malnutrition

MUAC

Weight for Height Z scores

Photos courtesy of ACF

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REFERRAL CRITERIA FOR MALNOURISHED PERSONS

MUAC CATEGORY ACTION

• <11.5cm for

children

• Severe

malnutrition

• Refer urgently to health facility for

immediate assistance

• 11.5- <12.5cm

• < 21cms for P&L

women

• Moderate

malnutrition

• Refer to health facility where

services for management at risk and

moderate malnutrition are available

Severity PREVALENCE OF GLOBAL ACUTE MALNUTRTION (GAM)

Acceptable < 5%

Poor 5-9%

Serious 10-14%

Critical >= 15%

Nutrition emergencies benchmarks and thresholds

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Management of acute malnutrition

Screening

Children with Moderate Malnutrition

Supplementary Feeding Program

No Malnutrition

Children with Severe Malnutrition

No Complications Complications

Outpatient Therapeutic Care

Inpatient Therapeutic Care

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WHY SHOULD WE WORRY?

Malnutrition is closely linked with child mortality.

Malnutrition has long-term adverse effects.

� Poor cognitive development leading to reduced school achievement and work performance

� Mental and Physical development is delayed or retarded

� Immune system is impaired –frequent episodes of infection

� Poor development of foetus and Low birth weight if pregnant women is malnourished

RISK OF

DEATH

ACUTEMALNUTRITIONINCREASE THE RISK OF

STUNTED GROWTH

AND DEVELOPMENT

CHILDRENSUFFERING FROM

MODERATE ACUTE

MALNUTRITION

ARE 3 TIMESM ORE LIKELY TO DIETHAN HEALTHY CHILDREN

IF THEY HAVESEVERE ACUTEM ALNUTRITIO NTHEY ARE 9 TIMES

M ORE LIKELY TO DIE

LIKELY TO SUCCUMB TO

INFECTIONSMEANWHILE

INFECTIONSWORSEN THE SEVERITY

OF THE MALNUTRITION

CHILDREN MAY NOT

GROW TO THEIR

FULL POTENTIALOR REACH THEIR OPTIMUM

MENTAL DEVELOPM ENT

EPISODES OF

HIGHER

CHILDREN ARE MO RE

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Nigeria Nutrition situation

Nigeria


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Link between food security and Malnutrition

• Food insecurity is one of the main underlying causes of malnutrition as

conceptualized in the model below. Insufficient access to food leads to

inadequate dietary intake, which in turn can lead to malnutrition.

• Although food insecurity is rarely the only cause of malnutrition, which in most

cases is also accompanied by high disease rates, it has nevertheless a great

impact, especially in emergency situations.

Nigeria


Opportunities for FS integration with the

nutrition Sector

What opportunities for FS

integrating with Nutrition

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Opportunities for FS integration with the nutrition Sector

• Joint food nutrition security assessments

• Maximizing nutrition impact by targeting same areas/beneficiaries

i. Targeting the nutritionally vulnerable for CBT

ii. Targeting HH with malnourished children for IGA, Seeds and tools or CFW.

• Nutrition sensitive programming (distribution of crops and vegetables seeds nutritionally

enriched. Extra calories for pregnant and lactating mother) Nutrition messaging

i. infant and young child feeding

ii. Utilization of food

• Nutrition information and CH analysis

• Common behaviour messaging and Common advocacy messages

• FS Partners screening and referral of malnourished children to health facilities with

CMAM.

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Thank you

20160322 Nutrition presentation in FS sector meeting

Documents

Transcript of 20160322 Nutrition presentation in FS sector meeting