Nutrition Surveys and Surveillance Activities in Russia and the Newly Independent States A Review of USAID-Sponsored Activities (1994) / Chapter Skim
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Pages 59-73
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From page 59... ...
. To the extent that there are ongoing changes in the NIS that threaten market and household food security and the quality of the food supply, the food and nutrition situation in the NIS should continue to be monitored.
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From page 60... ...
Emergency feeding in the form of direct feeding programs should be based on evidence of food shortage, rather than a lack of purchasing power. One exception is the careful targeting of vulnerable groups who consume a relatively small proportion of the food supply.
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The review will take experts several days to accomplish. · Based on the former two activities and qualitative evidence of food insecurity in Russia, USAID and NIS counterparts will be able to develop a core group of essential indicators for monitoring the ongoing effects of economic reforms.
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From page 63... ...
Included are a memorandum (Klement to IOM, through G/N) which concisely describes USAID's nutrition efforts in the NIS, and four loose-leaf binders containing protocols, questionnaires, instructional manuals, trip reports, country profiles, other information, and an index to the loose-leaf binders.
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From page 64... ...
indicators and methodologies that would be adequate and optimal for conducting nutrition monitoring systems in the NIS; and · how USAID may programmatically apply the current findings.
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From page 65... ...
To date, nutrition activities supported by USAID in the NIS have been initiated primarily by EHA, thus focusing on emergency health conditions and immediate food security problems, However, as USAID shifts focus away from short-term emergency responses to health and nutrition problems, the Office of Democratic Initiatives and Health and Humanitarian Resources (DIHHR) is responsible for longer term health programs which focus on institutional development.
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From page 66... ...
The system in Russia was initially designed to include a longitudinal survey on nutritional status, food consumption patterns, and purchasing power of the Russian population. However, due to project delays and lack of response from the government of Russia, the food surveillance component of the system was never achieved.
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From page 67... ...
to review selected nutrition surveys and related surveillance activities in the NIS. The purpose of this meeting is to review the findings of the various surveys with regards to the nutritional status of populations at risk, to recommend future survey/surveillance activities to be undertaken in the NIS and to recommend operational application of these findings to develop health and nutrition delivery programs which address the problems.
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From page 68... ...
and optimal for conducting nutrition monitoring systems in the NIS; and, · how can USAID programmatically apply the current findings.
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From page 69... ...
Appendix B Recommendations for the Survey-Surveillance Activities Reviewed by the Committee The committee offers the following recommendations for improving the study methods of each of the five nutrition survey-surveillance activities that the committee reviewed. RUSSIAN LONGITUDINAL MONITORING SURVEY With the wealth of information collected in this multilevel survey, it is frustrating that very little could be said about the effects of macroeconomic reforms, based on the available data.
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How serious is the food shortage among pensioners, and what is the situation of their personal food stock? What are some coping strategies by which pensioners can maintain their health and diet in light of these shortages?
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From page 71... ...
Questions on perceived changes in food availability-accessibility should be validated and related to other objective measures of nutritional status. It is conceivable that these subjective responses may indicate some breakdown in food production, distribution, or accessibility that could be a forerunner of a larger food problem.
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From page 72... ...
In a follow-on survey of a former CARE Pensioner Survey of April 1992, 347 pensioners were surveyed in August 1992 for assessment of nutritional risk based on food security. The monthly public health bulletins provided a much-needed way to improve communication both within the NIS as well as between the NIS and international agencies involved in assistance for health and nutrition surveillance.
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