NUTRITION AND DIETARY SURVEYS/SURVEILLANCE

CONTRACTORS WILL DEVELOP AND REFINE RAPID, SIMPLE, LOW-COST PROCEDURES FOR: 1)ASSESSING MAGNITUDE, NATURE, AND REGIONAL DISTRIBUTION OF MALNUTRITION; 2)DETERMINING PATTERNS OF INDIVIDUAL AND FAMILY FOOD CONSUMPTION; 3)MAINTAINING A NUTRITION SURVEILLANCE SYSTEM CAPABLE OF PROVIDING AN EARLY WARNING OF NUTRITIONAL PROBLEMS. CONTRACOTES WILL ALSO ASSIST SELECTED LDC GOVERNMENTS TO IMPLEMENT COMPREHENSIVE NUTRITION MONITORING PROGRAMS. NUTRITION SURVEY TO BE DEVELOPED IS BASED ON MODEL PREVIOUSLY DEVISED BY CENTER FOR DISEASE CONTROL AND NATIONAL SCIENCE FOUNDATION. SURVEY IS BASED ON STATISTICALLY STRUCTURED SAMPLE OF "PRIME-RISK" GROUP (PRE-SCHOOL CHILDREN AND PREGNANT/LACTATING MOTHERS), RATHER THAN ON STRATIFIED SAMPLE OF ENTIRE POPULATION. IT CONSISTS OF 1)ABBREVIATED CLINICAL EXAMINATION; 2)KEY ANTHROMETRIC MEASUREMENTS (WEIGHT/HEALTH/ARM CIRCUMFERENCE);3)BIOCHEMICAL EXAMINATION FOR COMMONLY DEFICIENT NUTRIENTS (IRON, NIACIN, VITAMIN A); 4)GATHERING OF KEY SOCIO-ECONOMIC DATA. SIMPLIFIED DIETARY SURVEY TO UTILIZE SCORECARD SYSTEM TO RECORD ONLY MAJOR SOURCES OF CALORIES, PROTEIN, IRON, AND VITAMIN A. NUTRITION SURVEILLANCE PROGRAM WILL ENTAIL THE RECOMBINATION OF EXISTING INFORMATION GATHERING, ANALYSIS, AND FEEDBACK ELEMENTS IN LDC"S INTO AN APPROPRIATE MECHANISM FOR NUTRITION MONITORING. CDC AND UCLA WILL, OVER 3 YEARS, COMPLETE 8 NUTRITIONAL STATUS SURVEYS AND 4 DIETARY INTAKE SURVEYS, AND WILL DEVELOP AND TEST SURVEILLANCE METHODOLOGIES IN 2 COUNTRIES. IN ADDITION, TWO WORKSHOPS WILL BE HELD ANNUALLY TO BRING TOGETHER CONCERNED SCIENTISTS AND FIELD WORKERS. PIO/T 12/13/77 EXTENDS PROJECT AND EXPANDS SCOPE OF CDC WORK TO INCLUDE POST-SURVEY ASSISTANCE TO HOST COUNTRIES IN ESTABLISHING ONGOING COLLECTION AND ANALYSIS OF DATA. Amendment of 9/23/88 extends project 1 year to 9/89 to allow completion of the Cornell Nutritional Surveillance Program cooperative agreement during the additional time needed to design the planned follow-on Food and Nutrition Surveillance Project (9365110). Cornell"s activities will include completion of country information systems, a maternal/child food security linkages assessment, conceptual bases for including nutrition surveillance in national health programs, a surveillance manual, and seminars and training workshops. (PD-AAY-996)