4 décembre 2015 Brussels, CRED CEDAT, June 9 & 10, 2011 Innovative Methods to assess a nutritional situation Damien PEREYRA, Epidemiologist Cécile SALPETEUR, HIV & Nutrition Research Advisor
4 décembre Content Pastoralist Survey Method (PSM) – applied research Listening Posts – applied research ACF Main sources of data Examples of ACF databases
4 décembre Pastoralist Survey Method (PSM) Aim: to design, test and validate a new method for assessing the nutrition condition in pastoralist populations Rationale: Vulnerability of pastoralists to shocks Lack of suitable survey method Progress: Method designed & peer reviewed in 2007 First field test in Mali in 2008 Second test in Ethiopia in March 2010 Third test in Chad in May 2011 Funding: ACF and donors in each country Scientific partners: Anne Marie Mayer, Mark Myatt, Paul Baxter – independent consultants
4 décembre Innovations of PSM Qualitative phase + quantitative phase Case definition of SAM Sampling frame Bootstrap estimator Specific worksheet with formulas
4 décembre Organogram of Mali field test Organizing Factor: organization of the nomadic troupes geographically or socially & seasonally
4 décembre PSM Sampling Average PSU size Sample size depends on Prevalence estimate (15%) Precision (3%) Average PSU size (15) Sample size = 43 PSUs Systematic sample of PSUs based on Social Organising Factor (e.g. water points) PSU: Primary Sampling Units
4 décembre PSM quantitative phase Identify all eligible children (6- 59 months) Measure MUAC & oedema Collect other data
4 décembre PSM dissemination FEX article, issue #35, on Mali experience, 2008 Poster at ALNAP fair, London, Nov 2009 Presentation at MSF Scientific Day, London, May 2010 Abstract at Porto WPHN conference, Sept 2010 Article in a peer reviewed journal on the 3 experiences Sharing of survey guideline & toolbox via a website? Uptake by stakeholders in pastoralist areas
4 décembre Listening Posts – surveillance system Aim: to design, test and validate a new method for Surveillance system which will be replicable and sustainable and which collects basic data on food prices, terms of trade and nutritional status Rationale: 2008 Food price crisis impact on nut status unknown Absence or inadequate methods to link food insecurity and economic status to malnutrition Progress: Method designed & peer reviewed in 2009 ACF field test in Burkina Faso in (ongoing) SC UK field test in Zimbabwe in (ongoing) Soon a third test in Liberia in 2011 by ACF Funding: ACF, SC UK and donors in each country Scientific partners: Mark Myatt – independent consultant
4 décembre Listening Posts project >> HUnger Monitoring System (HUMS) Livelihoods zones mapping with sentinel sites selected Small cohort of children 6-24 mo with renewed inclusions Frequency: quarterly data collection Data on Staple food prices, Terms of trade Anthropometry Food diversity and food frequency Contextual information And possibly secondary data on: Feeding centre admissions Changes in the minimum cost of a healthy diet Food access Coping strategies
4 décembre HUMS dissemination Presentation of the concept at WFP meeting, June 2009 Presentation at a meeting hosted by Institute of Medicine ‘Mitigating the Nutritional Impacts of the Global Food Price Crisis’ in Washington in July 2009 Article in a peer reviewed journal on the 3 experiences Sharing of survey guideline & toolbox via a website? Uptake by stakeholders in existing national surveillance systems
4 décembre ACF Main sources of data SMART SURVEYS: Nut. Surv. DB: with around 1000 surveys from the 90’s until now Children Surv. DB: with around children from 25 countries (from around 400 cluster surveys ) THERAPEUTIC PROGRAMMES: Therapeutic Prog. DB: with around SAM children treated in 9 countries by ACF from 2005 until now. Monthly report data: collected monthly with beneficiaries information (data not centralized). RESEARCH PROJECTS: ad hoc databases
4 décembre Nutrition Survey Database
4 décembre Children Survey Database
4 décembre Therapeutic Programme Database
4 décembre Improving data collection and use How to estimate incidence of acute malnutrition to better tailor nutrition programmes size & resources? Partnership with Health and Nutrition Tracking Service (HNTS) project (C. Prudhon et al.) How to improve validity of nut surveys conducted by NGOs? SMART project: partnership with Centre for Disease Control & Prevention (CDC) How to improve causal analysis of acute malnutrition to better address it? Nutritional Causal Analysis (NCA) applied research project: partnership with Tufts University How to transmit Knowledge to field teams !!
4 décembre THANKS