USAID Advancing Nutrition develops, curates, packages, and shares multi-sectoral nutrition knowledge to help you stay on top of developments and evidence in global nutrition programming.
Defining Diet Quality: A Synthesis of Dietary Quality Metrics and Their Validity for the Double Burden of Malnutrition
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Food SystemsNutrition and Health SystemsFood SafetyMaternal Nutrition
Addressing the double burden of malnutrition requires attention to diet-related maternal and child health (MCH) and non-communicable diseases (NCDs). Identifying a unified global dietary quality metric that can measure the relative contributions of MCH and NCD to malnutrition would help policy and programmatic decision-making.
Nutrition and Health SystemsAdolescent NutritionCOVID-19Food SecurityNutrition Assessment, Counseling, and Support (NACS)
Although children are not a high-risk group for COVID-19, they are subject to indirect impacts resulting from overburdened food and health systems. To help ensure these challenges do not jeopardize children’s health and wellbeing, authors outline recommendations for key stakeholders, including governments, private sector, UN agencies, donors, faith leaders, and NGOs.
Toolkit for CHW community-based treatment of uncomplicated wasting for children 6-59 months in the context of COVID-19
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Nutrition and Health SystemsNutrition in Humanitarian ContextsWastingCOVID-19Micronutrient InterventionsNutrition Assessment, Counseling, and Support (NACS)
To help community health workers effectively adapt to the COVID-19 context, the International Rescue Committee produced this protocol and toolkit for providing treatment for uncomplicated wasting. The program adaptations and recommendations are based on current global COVID-19 guidance and represent the minimum measures required to achieve safe community-based treatment.
Foreword: Global Nutrition Report in the Context of COVID-19
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Early Childhood DevelopmentNutrition in Humanitarian ContextsFood SystemsKnowledge ManagementMonitoring, Evaluation, and LearningNutrition and Health SystemsSocial and Behavior Change and GenderCOVID-19Economic GrowthFood SecurityResilience
Inequality is a critical driver of malnutrition, particularly in the context of the global pandemic. COVID-19 disproportionally affects undernourished populations, reveals healthcare inequalities, and places additional stress on already vulnerable food systems.
Nutrition in Humanitarian ContextsNutrition and Health SystemsCOVID-19Food SecurityInfant and Young Child Nutrition (IYCN)
UNICEF, the Global Nutrition Cluster, and GTAM have put together technical guidance and tools to help address the effects of COVID-19 on nutrition programming. They are also producing a series of nutrition guidance briefs to help programmers respond to and mitigate the impacts of COVID-19.
Mixed-Methods Systematic Review of Behavioral Interventions in Low- and Middle-Income Countries to Increase Family Support for Maternal, Infant, and Young Child Nutrition during the First 1000 Days
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Nutrition and Health SystemsSocial and Behavior Change and GenderBreastfeedingInfant and Young Child Nutrition (IYCN)Maternal Nutrition
Research that draws causal inference, estimates the magnitude of impact, and identifies scalable behavioral interventions that engage fathers, grandmothers, and other family members to support mothers of infants and young children is limited.
The Cost of Not Breastfeeding: Global Results from a New Tool
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Nutrition and Health SystemsBreastfeeding
This tool aggregates data to estimate the human and economic costs of not breastfeeding. Data attributed to not breastfeeding include childhood deaths from diarrhea and pneumonia, childhood obesity, maternal breast and ovarian cancers, and type 2 diabetes.
Facility Readiness and Counseling during Antenatal Care and the Relationship with Early Breastfeeding in Haiti and Malawi
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Nutrition and Health SystemsBreastfeedingInfant and Young Child Nutrition (IYCN)
While almost all surveyed health facilities in Haiti and Malawi reported that they routinely provided breastfeeding counseling, fewer than 30% of providers reported having recently attended relevant training, and only 4% of patients were observed to have received counseling as part of antenatal care.
The International Code of Marketing of Breastmilk Substitutes: Frequently Asked Questions on the Roles and Responsibilities of Health Workers
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Nutrition and Health SystemsBreastfeedingInfant and Young Child Nutrition (IYCN)
Authors discuss common tactics that companies use to encourage health care workers to over-promote breast milk substitutes and clarify health care workers’ role and responsibilities to protect, promote, and support breastfeeding.
Frequently Asked Questions: Breastfeeding and COVID-19 for Health Care Workers
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Nutrition and Health SystemsBreastfeedingInfant and Young Child Nutrition (IYCN)
In addition to answering common questions about COVID-19 transmission through breast milk and the risks of choosing not to breastfeed, a decision tree helps health care workers understand current guidelines and precautionary steps to support breastfeeding mothers with a suspected or confirmed COVID-19 diagnosis.
The World Health Organization recommends that mothers with suspected or confirmed COVID-19 be encouraged to practice skin-to-skin contact and initiate or continue breastfeeding while practicing infection prevention and control measures. Current data suggest that the health benefits of breastfeeding outweigh the risks of potential infant or child COVID-19 infection.
Initiation of Breastfeeding in Low- and Middle-Income Countries: A Time-to-Event Analysis
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Nutrition and Health SystemsBreastfeedingInfant and Young Child Nutrition (IYCN)
Demographic and Health Survey data collected in 31 countries since 2015 show that women who deliver by cesarean section initiate breastfeeding later compared to those who give birth vaginally. Immediate skin-to-skin contact and higher parity were also significantly associated with shorter time to initiating breastfeeding.
Infant and Young Child Feeding in the Context of COVID-19
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Nutrition and Health SystemsBreastfeedingCOVID-19Emergency NutritionInfant and Young Child Nutrition (IYCN)Water, Sanitation and Hygiene (WASH)
During COVID-19, UNICEF recommends that mothers follow hygiene precautions while continuing recommended feeding practices. It calls for coordinating nutrition, health, food security and livelihood, agriculture, WASH, social protection, and mental health support to reach infants and young children.
Nutrition and Health SystemsBreastfeedingInfant and Young Child Nutrition (IYCN)Maternal Nutrition
This brief summarizes new evidence related to nutrients, dietary patterns, and nutritional supplements, including improving the micronutrient composition of breastmilk. It identifies additional research needed to design effective interventions to improve maternal and infant nutrition.
Nutrition and Health SystemsBreastfeedingInfant and Young Child Nutrition (IYCN)
This toolkit provides practical advocacy, policy, technical, and financial guidance for employers, employees, governments, and donors working to support lactation in the workplace. It includes detailed case studies and is available in Vietnamese and English.
Food SystemsKnowledge ManagementNutrition and Health SystemsNutrition in Humanitarian ContextsCOVID-19
By disrupting systems that provide nutritious food and nutrition interventions, COVID-19 is expected to critically damage the nutrition of vulnerable groups. When children are not able to reach their full potential due to poor nutrition early in their lives, we risk losing an entire generation.
Program Packages for Frontline Nutrition Services: How to Choose Them and How to Use Them Webinar
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Knowledge ManagementNutrition and Health Systems
Inadequate nutrition, suboptimal care, and poor feeding practices put children under 5 years at higher risk of disease and mortality. The nutrition needs of many are inconsistently addressed, under-addressed, or unaddressed, causing morbidity and mortality.
Infant and Young Child Feeding Recommendations When COVID-19 is Suspected or Confirmed
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Early Childhood DevelopmentNutrition in Humanitarian ContextsNutrition and Health SystemsSocial and Behavior Change and GenderBreastfeedingCOVID-19Emergency NutritionInfant and Young Child Nutrition (IYCN)
WHO and UNICEF advise caregivers and families with a suspected or confirmed COVID-19 case to continue with their usual infant and young child feeding (IYCF) practices while adhering to the recommended hygiene precautions for COVID-19.