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Programmatic adaptations to acute malnutrition screening and treatment during the COVID-19 pandemic

Maternal & Child Nutrition Wrabel, M., Strokes-Walters, R., King, S., Funnel, G., Stobaugh, H., 2022-8-05
Article on qualitative findings from a larger mixed methods study to document practitioners' operational experiences and lessons learned from these adaptations. To enable continued case identification and service delivery while minimising transmission risks, many organisations and governments implemented adaptations to community-based management of acute malnutrition (CMAM) programmes for children under 5. These included: Family mid-upper arm circumference (MUAC); modified admission and discharge criteria; modified dosage of therapeutic foods; and reduced frequency of follow-up visits. Findings reflect insights from 37 interviews representing 15 organisations in 17 countries, conducted between July 2020 and January 2021. Overall, interviewees indicated that adaptations were mostly well-accepted by staff, caregivers and communities. Family MUAC filled screening gaps linked to COVID-19 disruptions; however, challenges included long-term accuracy of caregiver measurements; implementing an intervention that could increase demand for inconsistent services; and limited guidance to monitor programme quality and impact. Modified admission and discharge criteria and modified dosage streamlined logistics and implementation with positive impacts on staff workload and caregiver understanding of the programme. Reduced frequency of visits enabled social distancing by minimising crowding at facilities and lessened caregivers' need to travel. Concerns remained about how adaptations impacted children's identification for and progress through treatment and programme outcomes. Most respondents anticipated reverting to standard protocols once transmission risks were mitigated. Further evidence, including multi-year programmatic data analysis and rigorous research, is needed in diverse contexts to understand adaptations' impacts, including how to ensure equity and mitigate unintended consequences.
  • COVID-19 Pandemic
  • Health
  • Nutrition
  • Africa
  • Asia
  • Bangladesh
  • Congo-Kinshasa (Democratic Republic of the Congo (DRC))
  • East Africa
  • Ethiopia
  • Global
  • Horn of Africa
  • India
  • Jordan
  • Kenya
  • Malawi
  • Middle East
  • Myanmar
  • Nepal
  • Nigeria
  • Pakistan
  • Philippines
  • Somalia
  • South Asia
  • South Sudan
  • Southeast Asia
  • Sub-Saharan Africa
  • Tanzania (United Republic of)
  • Uganda
  • West Africa
  • Yemen
  • Low- and Middle-Income Countries (LMICs)
  • Children (boys and/or girls 1-10 years old)
  • Children <5 years old
  • Country-level population(s)
  • Research
  • Article
  • Journal article

Highlighted Sources

Undernourished and overlooked: A global nutrition crisis in adolescent girls and women

  • Advocacy
  • Policy
  • Research
  • Report
  • Statistical Booklet
  • Video
  • Climate Shocks
  • COVID-19 Pandemic
  • Economic
  • Food Insecurity
  • Gender and/or Agency
  • Health
  • Nutrition
  • Other Crises
  • Social Support and Protection
  • Women and/or Girls
2023-3-7
UNICEF’s 2022 Flagship Child Nutrition Report on the latest data and evidence on the status, trends, and inequities in the nutritional status of adolescent girls and women. It sheds light on the barriers they face in accessing nutritious diets, utilizing essential nutrition services, and benefitting from positive care practices. The report calls on governments and partners to work together on ten key actions to transform the food, health, and the social protection systems that aim to improve access to nutritious diets and essential nutrition services, as well as to strengthen nutrition and care practices for adolescent girls and women, everywhere. The full report, executive summary, statistical booklet, and video are available. View Source

Asia and the Pacific regional overview of food security and nutrition 2022: Urban food systems and nutrition – Launch recording, Key messages & Full report

  • Policy
  • Research
  • Article
  • Press release
  • Report
  • Video
  • COVID-19 Pandemic
  • Economic
  • Food Insecurity
  • Health
  • Nutrition
  • Ukraine War
  • Women and/or Girls
2023-01-24
Press release on the launch and key messages of the fifth annual Asia-Pacific regional SOFI report. The report’s highlights capture the challenges and system-level determinants of unhealthy diets in urban areas, both regarding undernutrition and overweight. It presents, among others, data on food security and affordability and the state of progress on achieving the global nutrition targets. The findings profile various urban environments, interventions, experiences, and opportunities to innovate at multiple levels to transform urban areas into sustainable cities. A link to the report's virtual launch event is available including the recording, key messages, and full report. View Source

Impact on public health nutrition services due to COVID-19 pandemic in India: A scoping review of primary studies on health and social security determinants affecting the first 1000 days of life

  • Research
  • Article
  • Journal article
  • COVID-19 Pandemic
  • Food Insecurity
  • Gender and/or Agency
  • Health
  • Nutrition
  • Women and/or Girls
2022-10-27
Article on the impact of COVID-19 related pathways on the first thousand days of life in the Integrated Child Development Scheme and the public distribution ecosystem in India. Data sources: Using Cochrane guidelines, electronic databases, namely Google Scholar and PubMed-NCBI, were searched for evidence between 1 March 2020 and 1 May 2022. A total of 73 studies were identified in initial search; 20 met the inclusion criteria and, thus, were included in the research analysis. Primary studies were conducted throughout pan-India in rural, urban, and semi-urban areas to study the impact of COVID-19-related pathways on the first 1000 days of life. The impact of social security, food insecurity, service delivery, nutrition of pregnant and nursing mothers (P&NMs), and infant and young child feeding (IYCF) varied between geographies and within geographies. Most of the primary studies were conducted at small scale, while only three studies were pan-Indian. The majority of studies were conducted on the mental health of P&NMs and pre-natal and post-natal service delivery disruption. The paucity of the available literature highlights the need to undertake research on the impact of the COVID-19 -related pathways on 1000 days of life in India and worldwide. The best implementation practices were observed where cross-sectional programs were carried out in relation to health services and social security for P&NMs and children. View Source