Operational Guidance on the use of special nutritional products in refugee populations

Sarah Style, Melody Tondeur, Caroline Wilkinson, Allison Oman, Paul Spiegel, Ismail A R Kassim, Carlos Grijalva-Eternod, Carmel Dolan, Andrew Seal

Research output: Contribution to journalArticle

Abstract

Background. Stunting, acute malnutrition, and micronutrient malnutrition are persistent public health problems in refugee populations worldwide. In recent years there has been an increase in the availability and use of special nutritional products in emergency and development contexts to help address inadequate nutrient intakes from low-diversity diets. The availability of new special nutritional products, and the decision by the United Nations High Commissioner for Refugees (UNHCR) to use blanket supplementary feeding programs to prevent stunting and anemia, raised new challenges for designing, monitoring, and evaluating nutritional programs. Objective. To develop an Operational Guidance on the use of special nutritional products for the prevention of micronutrient malnutrition, stunting, and acute malnutrition in refugee populations. Methods. A literature review and a series of consultations with technical experts, operational organizations, and field staff were performed over a period of 2 years. The Operational Guidance was finalized and released in December 2011. Results. The Operational Guidance describes six stages for defining nutritional problems and identifying possible solutions; assessing and managing risks; testing acceptabilityand adherence, program design and implementation; and monitoring and evaluation. Key performance indicators are defined and a working nomenclature for new special nutritional products is described. Conclusions. The UNHCR Operational Guidance has filled an important gap in helping field staff deal with the opportunities and challenges of preventing undernutrition through the use of new products in blanket supplementary feeding programs. The need for further integration of guidance on selective feeding programs is discussed.

Original languageEnglish (US)
Pages (from-to)420-428
Number of pages9
JournalFood and Nutrition Bulletin
Volume34
Issue number4
StatePublished - Dec 2013
Externally publishedYes

Fingerprint

Refugees
refugee
Malnutrition
malnutrition
Growth Disorders
Infant Nutritional Physiological Phenomena
growth retardation
UNHCR
United Nations
Population
Micronutrients
dietary minerals
dietary supplements
trace element
monitoring
staff
anemia
new products
nomenclature
literature review

Keywords

  • Anemia
  • Lipid-based nutrient supplement
  • Malnutrition
  • Micronutrient deficiencies
  • Prevention
  • Refugees
  • Stunting
  • Wasting

ASJC Scopus subject areas

  • Geography, Planning and Development
  • Nutrition and Dietetics
  • Food Science

Cite this

Style, S., Tondeur, M., Wilkinson, C., Oman, A., Spiegel, P., Kassim, I. A. R., ... Seal, A. (2013). Operational Guidance on the use of special nutritional products in refugee populations. Food and Nutrition Bulletin, 34(4), 420-428.

Operational Guidance on the use of special nutritional products in refugee populations. / Style, Sarah; Tondeur, Melody; Wilkinson, Caroline; Oman, Allison; Spiegel, Paul; Kassim, Ismail A R; Grijalva-Eternod, Carlos; Dolan, Carmel; Seal, Andrew.

In: Food and Nutrition Bulletin, Vol. 34, No. 4, 12.2013, p. 420-428.

Research output: Contribution to journalArticle

Style, S, Tondeur, M, Wilkinson, C, Oman, A, Spiegel, P, Kassim, IAR, Grijalva-Eternod, C, Dolan, C & Seal, A 2013, 'Operational Guidance on the use of special nutritional products in refugee populations', Food and Nutrition Bulletin, vol. 34, no. 4, pp. 420-428.
Style S, Tondeur M, Wilkinson C, Oman A, Spiegel P, Kassim IAR et al. Operational Guidance on the use of special nutritional products in refugee populations. Food and Nutrition Bulletin. 2013 Dec;34(4):420-428.
Style, Sarah ; Tondeur, Melody ; Wilkinson, Caroline ; Oman, Allison ; Spiegel, Paul ; Kassim, Ismail A R ; Grijalva-Eternod, Carlos ; Dolan, Carmel ; Seal, Andrew. / Operational Guidance on the use of special nutritional products in refugee populations. In: Food and Nutrition Bulletin. 2013 ; Vol. 34, No. 4. pp. 420-428.
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