Abstract
The global community is committed to addressing malnutrition. And yet, coverage data for high-impact interventions along the continuum of care remain scarce due to several measurement and data collection challenges. In this analysis paper, we identify 24 nutrition interventions that should be tracked by all countries, and determine if their coverage is currently measured by major household nutrition and health surveys. We then present three case studies, using published literature and empirical data from large-scale initiatives, to illustrate the kind of data collection innovations that are feasible. We find that data are not routinely collected in a standardised way across countries for most of the core set of interventions. Case studies—of growth monitoring and screening for acute malnutrition, infant and young child feeding counselling, and nutrition monitoring in India—highlight both challenges and potential solutions. Advancing the nutrition intervention coverage measurement agenda is essential for sustained progress in driving down rates of malnutrition. It will require (1) global consensus on a core set of validated coverage indicators on proven, high-impact nutrition-specific interventions; (2) the inclusion of coverage measurement and indicator guidance in WHO intervention recommendations; (3) the incorporation of these indicators into data collection mechanisms and relevant intervention delivery platforms; and (4) an agenda for continuous measurement improvement.
Highlights
Child and maternal undernutrition and poor diets are the top two risk factors for death and disability worldwide, accounting for 11.5% and 9.6% of disability-adjusted life years lost, respectively.[1 2]
The global community has committed to addressing malnutrition, as evidenced by several declarations and goals— including a set of six global nutrition targets, endorsed by the World Health Assembly (WHA) in 2012 and the second Sustainable Development Goal (SDG 2) which aims to end hunger and all forms of malnutrition by 2030
Given the glaring gaps in data on nutrition interventions and their centrality to programme management and progress assessment, this paper focuses on intervention coverage—defined as the proportion of individuals in need of a service that receive the service
Summary
Child and maternal undernutrition and poor diets are the top two risk factors for death and disability worldwide, accounting for 11.5% and 9.6% of disability-adjusted life years lost, respectively.[1 2] The global community has committed to addressing malnutrition, as evidenced by several declarations and goals— including a set of six global nutrition targets, endorsed by the World Health Assembly (WHA) in 2012 and the second Sustainable Development Goal (SDG 2) which aims to end hunger and all forms of malnutrition by 2030
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