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Infant feeding indicators for use in emergencies: an analysis of current recommendations and practice

Published online by Cambridge University Press:  02 January 2007

Marie McGrath
Affiliation:
Save the Children (UK), 17 Grove Lane, London SE5 8RD, UK
Andrew Seal*
Affiliation:
Institute of Child Health, University College London, 30 Guildford Street, London WC1N 1EH, UK
Anna Taylor
Affiliation:
Save the Children (UK), 17 Grove Lane, London SE5 8RD, UK
*
*Corresponding author: Email a.seal@ich.ucl.ac.uk
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Abstract

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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.

Type
Research Article
Copyright
Copyright © CABI Publishing 2002

References

1Yip, R, Sharp, T. Acute malnutrition and high childhood mortality related to diarrhoea. Lessons from the 1991 Kurdish Refugee Crisis. J. Am. Med. Assoc. 1993; 270: 587—90.Google Scholar
2UNICEF. End-decade Assessment Indicators for Assessing Progress Globally. CF/EXD 1999–03, Annexe 3. New York: UNICEF, 2000.Google Scholar
3WHO. Indicators for Assessing Breastfeeding Practices. Report of an informal meeting, 11–12 June 1991. WHO/CDD/SER/91.14. Geneva: WHO, 1991.Google Scholar
4WHO. Indicators for Assessing Health Facility Practices that Affect Breastfeeding. Report of the Joint WHO/UNICEF Informal Interagency Meeting. WHO/CDR/93.1 UNICEF/SM/93.1. Geneva: WHO, 1992.Google Scholar
5WHO. World Health Organization Recommended Surveillance Standards. WHO/CDS/CSR/ISR/99.2. Geneva: WHO, Department of Communicable Diseases Surveillance and Response, 2000.Google Scholar
6WHO/UNICEF. Innocenti Declaration on the protection, promotion and support of breastfeeding. Breastfeeding in the 1990's: A Global Initiative. Italy: WHO/UNICEF, 1990.Google Scholar
7Wellstart International. Toolkit for Monitoring and Evaluating Breastfeeding Practices and Programs. San Diego, CA: Wellstart International, 1996.Google Scholar
8Prudhon, C. Including infants in nutrition surveys: experiences of ACF in Kabul city. Field Exchange 2000; 9: 15–7.Google Scholar
9Hamill, PVV, Drizd, TA, Johnson, CL, Reed, RB, Roche, AF. Growth Curves for Children, Birth to 18 years. US Department of Health, Education and Welfare Publications No. PHD 78-1650. Hyattsville, MD: National Center for Health Statistics, 1977.Google Scholar
10CDC/NCHS. CDC Growth Charts: United States. No. 314. Hyattsville, MD: National Center for Health Statistics, 2000.Google Scholar
11Whitehead, RG, Paul, AA. Longterm adequacy of exclusive breastfeeding: how scientific research has led to revised opinions. Proc. Nutr. Soc. 2000; 59: 1723.CrossRefGoogle ScholarPubMed
12WHO Working Group on the Growth Reference Protocol. A Growth Curve for the 21st Century: The WHO Multicentre Growth Reference Study. Geneva: WHO, 1998.Google Scholar
13Ad Hoc Group. Infant Feeding in Emergencies. Policy, Strategy and Practice. Report of the Ad Hoc Group on Infant Feeding in Emergencies. London: Ad Hoc Group, 1999.Google Scholar
14Forsyth, V. Report on Infant Feeding Consultancy to FYR Macedonia and Albania. Copenhagen: WHO, 1999.Google Scholar
15ICH. Meeting the Nutritional Needs of Infants during Emergencies: Recent Experiences and Dilemmas. Report of an international workshop. London: ICH, 1999.Google Scholar
16 Humanitarian charter and minimum standards in disaster response, The Sphere Project, Geneva, 1998.Google Scholar
17WHO. International Code of Marketing of Breastmilk Substitutes. Geneva: WHO, 1981.Google Scholar
18 WHO. WHO Forty-Seventh World Health Assembly, A47/VR/11, Agenda Item 19, WHA 47.5, 1994.Google Scholar