1. 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

2. 4 décembre 20152 Content  Pastoralist Survey Method (PSM) – applied research  Listening Posts – applied research  ACF Main sources of data  Examples of ACF databases

3. 4 décembre 20153 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. 4 décembre 20154 Innovations of PSM  Qualitative phase + quantitative phase  Case definition of SAM  Sampling frame  Bootstrap estimator  Specific worksheet with formulas

5. 4 décembre 20155 Organogram of Mali field test Organizing Factor: organization of the nomadic troupes geographically or socially & seasonally

6. 4 décembre 20156 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

7. 4 décembre 20157 PSM quantitative phase Identify all eligible children (6- 59 months) Measure MUAC & oedema Collect other data

8. 4 décembre 20158 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 - 2011  Sharing of survey guideline & toolbox via a website?  Uptake by stakeholders in pastoralist areas

9. 4 décembre 20159 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 2010-2011 (ongoing)  SC UK field test in Zimbabwe in 2010-2011 (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

10. 4 décembre 201510 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

11. 4 décembre 201511 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 - 2012  Sharing of survey guideline & toolbox via a website?  Uptake by stakeholders in existing national surveillance systems

12. 4 décembre 201512 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 370 000 children from 25 countries (from around 400 cluster surveys 2001-2010)  THERAPEUTIC PROGRAMMES: Therapeutic Prog. DB: with around 73 000 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

13. 4 décembre 201513 Nutrition Survey Database

14. 4 décembre 201514 Children Survey Database

15. 4 décembre 201515 Therapeutic Programme Database

16. 4 décembre 201516 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 !!

17. 4 décembre 201517 THANKS