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Infant feeding indicators for use in emergencies: an analysis of current recommendations and practice
Andrew Seal1, Marie McGrath, Andrew Seal
1Save the Children (UK), London, UK.
Insights
Standardizing infant nutrition and health indicators is crucial for effective emergency response. Inconsistent indicators prevent accurate monitoring of infant health during crises.
Area of Science:
- Public Health
- International Health
- Nutrition Science
Background:
- Infant nutrition and health monitoring is critical during emergencies.
- Existing indicators lack standardization, hindering effective assessment.
Purpose of the Study:
- To evaluate the applicability and consistency of infant nutrition and health indicators in emergency settings.
- To identify challenges in using these indicators during humanitarian crises.
Main Methods:
- Compiled and analyzed indicators from international organizations for infant feeding practices.
- Reviewed health and nutrition surveys from Kosovo (1996-1999) focusing on infant feeding and morbidity indicators.
Main Results:
- International organizations have varying indicators for infant feeding practices, with inconsistencies in target populations and measurement methods.
- Indicator use during the Kosovo crisis was inconsistent, impeding evaluation of the international response's effectiveness.
- Lack of standardized indicators prevents accurate population-level monitoring of infant health and nutrition in emergencies.
Conclusions:
- There is a need to establish and promote standardized indicators for surveying emergency-affected populations.
- Failure to standardize indicators will perpetuate the inability to monitor infant health and nutrition during international relief operations.
Objective:
To assess the applicability and use of infant nutrition and health indicators during emergencies.
Design:
Indicators recommended by international health and nutrition organisations for assessing infant feeding practice were compiled and analysed to evaluate their consistency and applicability for use in surveys of emergency-affected populations. These indicators included measures of breast-feeding status, use of artificial feeding, anthropometric status and morbidity. Health and nutrition surveys performed on the resident or refugee population of Kosovo during the years 1996-1999 were then reviewed and the use of infant feeding and morbidity indicators were compared.
Results:
A number of recommended indicators exist for assessing infant and child feeding practice which have been generated by different international organisations. A comparison of these indicators revealed a number of inconsistencies, both in target population and measurement method. Their use during the Kosovo crisis was likewise inconsistent and prevented conclusions being drawn about the effectiveness of the international response in protecting infant health and nutrition.
Conclusions:
Standard indicators need to be agreed and promoted for use during surveys of emergency-affected populations. Failure to do so will lead to a continued inability to monitor the health and nutrition of infants at a population level during international relief operations.
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