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Summary of IUNS Malnutrition Task Force activities for 2006

Summary of IUNS Malnutrition Task Force activities for 2006. David Sanders, University of the Western Cape, South Africa. CAPACITY BUILDING. 1. Africa Regional Training on Integrated Management of Severe Malnutrition

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Summary of IUNS Malnutrition Task Force activities for 2006

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  1. Summary of IUNS Malnutrition Task Force activities for 2006 David Sanders, University of the Western Cape, South Africa.

  2. CAPACITY BUILDING 1. Africa Regional Training on Integrated Management of Severe Malnutrition • Joint training by WHO and UNICEF (with VALID and FANTA) on integration of community-based and facility-based care of Severe Malnutrition at Muhimbili University College of Health Sciences, Dar es Salaam, in September 2006. • Eight countries: Eritrea, Ethiopia, Kenya, Tanzania, Uganda, Botswana, Namibia and Lesotho. Later Botswana. • Participants : health practitioners, WHO and UNICEF regional advisors and nutrition officers, and programming staff from Ministries of Health. Short report published (SCN News, Public Health Nutrition, Nutrition Gazette, and Field Exchange) • Follow-up of participants planned starting in Tanzania, in partnership with WHO, UNICEF and RCPCH. The aim is to develop at least one centre in each country to lead capacity building activities.

  3. CAPACITY BUILDING 2. South and South East Asia Feedback was provided to SEARO regarding the Consensus Guidelines for Hospital-based Management of Severe Malnutrition, developed by the Indian Academy of Paediatrics.

  4. CAPACITY BUILDING 3. Sub-Saharan Africa • In South Africa, training and post-training support to improve inpatient management of severe malnutrition is being provided by UWC in collaboration with Provincial Departments of Health. Training started in Eastern Cape Province, now extended to KwaZulu Natal and North West Province. Staff at approximately 250 hospitals have been trained. • Operational research indicates importance of leadership and management, eg induction of new staff, on-the-job training and supervision, and resources. Research findings presented at the national nutrition congress, where dieticians are the majority. • During 2006, the management of severe malnutrition was for the first time incorporated into the nurses curriculum. This is an effort to build the nurses capacity in this field before they graduate from the nursing college. • Ongoing training and support is being provided to Kilifi district hospital (KEMRI/Wellcome Trust, Kenya) and to Mulago hospital (Uganda), mainly by Alan Jackson and Tahmeed Ahmed in partnership with IAEA.

  5. CAPACITY BUILDING 4. Latin America • In Bolivia, President Evo Morales launched a Zero Malnutrition programme. Task Force input is mainly through Ana Maria Aguilar. Programme activities include improved complementary feeding, early case-finding, community-based rehabilitation and scaling-up training to improve the inpatient treatment of severe malnutrition and scaling-up post-training support and monitoring. • In Peru, guidelines have been drafted for the integrated management of severe malnutrition.

  6. CAPACITY BUILDING 5. WHO training course on Management of Severe Malnutrition • An e-learning version of the WHO training modules is nearing completion and will be piloted. This will widen accessibility to the training course materials and is in partnership with WHO.

  7. CAPACITY BUILDING 6. Website • Work has started on developing a website that will provide a database and information about resources, training, evidence-base for treatment guidelines, review of recent research, answers to frequently asked questions, as well as information about the Task Force and its activities. Links are planned with other sites, such as the RCPCH website. The intention is to have public access, but with the database restricted to e.g. governors and focal points.

  8. CAPACITY BUILDING Paediatricians: 8. Nelson’s Textbook of Pediatrics • One of the aims of the Task Force is to see that prominent paediatric texts provide correct information about malnutrition. A new edition of Nelson’s textbook is scheduled this year and input has been provided to the Editors. Input has also been provided to International Paediatric Association. 9. Collaboration with Royal College of Paediatrics and Child Health • The incoming President has stated that the College wishes to improve the training of paediatricians in malnutrition treatment both in the UK and internationally.

  9. ADVOCACY 10. Reports and publications a) Improving child survival through improved quality of hospital care of severely malnourished children. Ashworth A, Khanum S. Background synopsis prepared forChild Survival Meeting, December 13-14th 2005. b) Improving child survival: Malnutrition Task Force and the paediatrician’s responsibility. Jackson AA, Ashworth A, Khanum S. Arch Dis Child 2006; 91: 706-10. c) Puoane T, Sanders D, Ashworth A, Ngumbela M. Training nurses to save lives of malnourished Children. Curationis. 2006, Vol 29(1): 73-78 d) Thandi Puoane and David Sanders. Improving the management of severe malnutrition. Presented at the 21st Biennial Nutrition Congress of the Nutrition Society of South Africa. Port Elizabeth, South Africa. September 24-27 2006.

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