Many millions of people around the world are affected by emergencies, the majority of whom are women and children. Among them are many who are known to be living with HIV and others who may not know their HIV status.
A Briefing Note for policy makers and programme implementers
This is a synthesis document that accompanies three case studies carried out by ENN to document nutrition-sensitive and multi-sector programme experiences in several countries, with a focus on the sub-national level. It is done as part of ENN’s work under the Technical Assistance for Nutrition (TAN) programme, funded by the UK Department for International Development (DFID) to support the Scaling Up Nutrition (SUN) Movement in its second phase (2016-2020).
For the second year running we include a special section that shares key outputs of Action Against Hunger's Research for Nutrition Conference held in November 2016. Elsewhere, experiences are shared including:
•scale up of integrated management of acute malnutrition in Afghanistan
•health systems strengthening in Somalia
•treating acute malnutrition in older people in Ethiopia
•UNHCR experiences of programme monitoring in unstable populations
Since its inception over ten years ago, the Global Nutrition Cluster (GNC) has progressed from its early focus on the development of technical tools and materials and filling research gaps to a much greater emphasis on strengthening country coordination and providing surge support to secure appropriate and high-quality nutrition programming in emergency contexts.
Currently, the level of attention afforded to linear growth below international standards (stunting) in humanitarian and protracted emergency contexts is below what is needed, given the very high burden and prevalence of stunting in these contexts. A good deal of the policy, research and programming focus is directed towards the treatment of wasting in order to prevent excess mortality among children under five years of age. Yet stunting (both moderate and severe) can be highly prevalent in protracted situations, e.g.
The Operational Guidance on Infant and Young Child Feeding in Emergencies (OG-IFE) was first produced by the Interagency Working Group on Infant and Young Child Feeding in Emergencies in 2001. This Working Group included members of the IFE Core Group; an inter-agency collaboration concerned with the development of training materials and related policy guidance on infant and young child feeding in emergencies (IFE/IYCF-E, hereon referred to as IFE).
This issue of Nutrition Exchange is our sixth and we continue to profile the writing of those working at national and sub-national level. This issue contains 13 original articles from Bangladesh,
Chad, Democratic Republic of Congo, Ethiopia, Kenya, Niger and Somalia and two with a regional and geographical perspective.
A number of recent reviews of crises, including Syria (ENN 2014), Lebanon and the Ukraine (GNC-ENN 2015) have raised questions about the humanitarian nutrition response in contexts where levels of wasting are not elevated or high in terms of emergency thresholds, but where stunting is prevalent.
This case study documents how the nutrition information systems in South Sudan, once weak and unreliable, have been transformed into a well-developed system supported by government, donors and Nutrition Cluster (NC) partners. It highlights how increased technical capacity in nutrition and information management within the Cluster Lead Agency (UNICEF) has allowed for the NC to focus on coordination. Integrating nutrition information management capacity into Ministry of Health (MoH) systems remains a work in progress.
Lessons from the Hodeidah sub-national Nutrition Cluster
This case study is one of six case studies produced through a year-long collaboration in 2015 between ENN and the Global Nutrition Cluster (GNC) to capture and disseminate knowledge aboutthe Nutrition Cluster experiences of responding to Level 2 and Level 3 emergencies. They each provide very rich insights into the achievements of the cluster approach and the challenges of working in complex environments. The findings and recommendations documented in this case study are those of the authors.
A. Aim of this guidance
The note outlines benefits, risks, options, and resources for supporting appropriate infant and young child feeding (IYCF) in children under 2 years of age in refugee and migrant transit situations in Europe.