Global Nutrition cluster Gaps analysis - mapping Mija-tesse Ververs CDC Anna Ziolkovska GNC - CT Shabib alqobati GNC - CT

Recap from GNC NYC March 2018 meeting From the interviews CDC conducted in 2017 the following mapping requests were expressed by GNC partners: Maps to support partners to identify: Where the current needs are now If partners are responding to these needs If partners are at the right locations with the right programs and right capacity (and quality) Quantity and location of people in need for assistance Quantity and location of people assisted compared to those that need assistance Population movements impacting programming Location and timing for cluster and partner needed to scale up, scale down or maintain current programming activities Scenario – projected status of crisis over the next 3 months: => typically covered by the IPC, FEWSNET, etc.  

What do partners want to be mapped? (related to gaps analyses) Recap from GNC NYC March 2018 meeting What do partners want to be mapped? (related to gaps analyses) More concretely: e.g. Sites where services are provided with GPS locations Gaps in services – functioning and non-functioning locations (providing nutritional services) in relation to people in need (#, distance) Distance defined by 500m from health facility

Recap from GNC NYC March 2018 meeting And… Trends - identifying what values are going up or have gone up or down - arrows/dotted lines/shading (need for time series – monthly/weekly) Most partners want less focus on dashboards, but more localized info (smaller geographical areas) Desire for more interactive maps

What do partners want to be mapped? (related to gaps analyses) More concretely: e.g. Sites where services are provided with GPS locations Gaps in services – functioning and non-functioning locations (providing nutritional services) in relation to People in Need (PiN) (#, distance) Distance defined by 500m from health facility How to do this?

Definitions exist… Source: http://nutritioncluster.net/wp-content/uploads/sites/4/2016/05/HumanitarianProfileSupportGuidance_Final_May2016.pdf

Aide memoire -

What are outstanding issues we need your inputs on? What should be the definition of Total People in Need (PiN) the total PiN is any person in need of nutrition services, regardless of age. PiN per nutritional service – which services do we include/prioritise to map (see table)

Nutrition services – examples of services that might need to be rolled out in humanitarian settings And others

How do we estimate People Targeted? for SAM/MAM treatment N is the size of the population in the program area P is estimated prevalence of SAM or MAM. It is important that prevalence is estimated for the program's admitting case-definition. K is a correction factor to account for new (incident cases) over a given time period. C is expected mean program coverage over a given time period. Program coverage may range from 10% to 90%.

How do we estimate People in need? for SAM/MAM treatment N is the size of the population in the program area P is estimated prevalence of SAM or MAM. It is important that prevalence is estimated for the program's admitting case-definition. K is a correction factor to account for new (incident cases) over a given time period. C is expected mean program coverage over a given time period. Program coverage may range from 10% to 90%.

A few outstanding issues… Also we need to include to take a decision on who is beneficiary for IYCF counseling (caregivers, mothers, 0-23 months, other?) And….to decide formalization by UNICEF and WFP the calculation of GAM/MAM/SAM cases through the use of combined prevalences by WFH and MUAC?

A few outstanding issues… PIN and People reached for iycf services We need to agree on aide memoire: 1. Catchment area 2. Caseload 3. What about differentiation on acute or non-acute needs

1. Catchment – do we agree? When referring to the term ‘catchment’ use this in the context of how many people are residing in a geographical area that is served by one specific health facility or nutritional service.

2. Caseload – do we agree to Avoid the use of “caseload” for mapping purposes in relation to gaps analysis. Why? Many practitioners use the term caseload in a variety of ways and it can have various different meanings: It can refer to the number of people in a geographical area that are targeted for an intervention or present themselves at a facility or are identified having a certain condition (e.g. SAM) We recommend to avoid this term in maps for gaps analysis and rather use ‘cases’, for example estimation of SAM cases, not “SAM caseload”. Do we also agree on: avoid the term “burden” that might create confusion as a burden is not a number but the effect on the country of having malnourished people.

3. Should we distinguish between immediate need (‘acute’) and non-acute? OCHA has been using in their Humanitarian Needs Overview two different PiNs: PiN and people in acute need. And e.g. Syria – PiN by severity (major problem vs severe problem vs critical problem)….. A discussion is needed whether and if so, how the GNC wants to use this distinction, if at all…. And why?

What are other outstanding issues that need to be addressed?

Our work We need more decisions to be taken on definitions and calculations What and how to conduct gaps analyses – mapping Tomorrow IMO + NCC meeting on information management Pilot projects anticipated (CDC and gnc) But…

So……. And we need you!