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 NUTRITION 
 
About the Nutrition Cluster

The four main focus areas of the Global Nutrition Cluster are:
(1) Coordination: organisations often focus on one or parts of the underlying causes of under-nutrition often without coordination.  Part of this is due to a lack of leadership among the normative agencies and part is the lack of incentives to work together as agencies compete for diminishing funds and position.  Defined and measurable goals with negotiated strategies and benchmarks to achieve these goals will provide the basis to coordinate.

(2) Capacity Building: changing needs combined with mobile technical staff and often depleted national capacity strongly suggests that to have a predictable, standardised and sufficient response in emergencies requires a strategy that understands the needs, organizes the materials and is flexible enough to start to meet the needs.

(3) Emergency Preparedness, Assessment, Monitoring, Surveillance: The onset of a humanitarian disaster is often plagued by ambiguous and untimely information.  The confusion arising out of reports extends to sectors and determinants of poor nutrition that reflect the lack of systematic information gathering, analysis, and reporting.  There is a clear need for a commonly agreed upon methodology for what to collect, from whom, by whom and a process for analysis, interpretation and reporting especially among nutrition, health, agriculture, and water to ensure the best information is available for resource allocation and response.

(4)   Supply: Too many examples exist of humanitarian response delayed by a lack of appropriate supplies.  Stockpiling supplies, facilitating in-country procurement, and clarifying operational procedures for procurement would greatly remedy this gap.  The selection of products hampers response.

Completed Projects

Infant and Young Child Feeding in Emergencies:  Review the operational guidance on Infant Feeding in Emergencies (IFE) and workshop conducted in Indonesia March '08 which provides a regional forum that would facilitate information, resource, and experience sharing between a cross-section of actors and within the nutrition sector. click here for workshop report

Study of the new WHO Growth Standards: Funding was provided to the Standing Committee on Nutrition (SCN) to commission academic papers looking at the impact of new WHO Child Growth Standards on prevalence of Global and Severe Acute Malnutrition using Z-score and % median; the impact on feeding centre admissions and performance; the impact on the average duration of treatment and weight gains required for cure using the different indices; and estimating the changes in number of children eligible for admission to programs.  An informal consultation was held in Geneva 25-27 June culminating many months of research and consultation. Meeting report here

W/H and MUAC for estimating the prevalence of acute malnutrition: Research project to investigate the relationship between Mid Upper Arm Circumference (MUAC) and Weight for Height (W/H) measurements of acute under nutrition.  The project was undertaken by Save the Children UK and authored by Mark Myatt.  Opinions expressed in this paper are those of the author and do not necessarily reflect those of the Nutrition Cluster or UNICEF.  Section 1/2Section 3/4, Section 5, Appendix 3.

Guidelines & Statements

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HRSU Copyright 2010; Photos credited to IRIN