2016-03-19-世界卫生组织-The_Second_meeting_of_the_WHO_UNICEF_Technical_Expert_Advisory_Group_on_Nutrition_Monitoring_TEAM_23页_666kb

报告摘要

WHO-UNICEF Nutrition Monitoring TEAM Meeting Summary (Feb 2016)

This report summarizes key discussions and agreements from the second meeting of the WHO-UNICEF Technical Expert Advisory Group on Nutrition Monitoring (TEAM), held February 4-5, 2016.

1. WHA Nutrition Targets

1.1 2018 Postponed Indicators (4 core)

Minimum Acceptable Diet (MAD): Debated whether to replace with Minimum Dietary Diversity (MDD). No final decision; more work needed on justification, especially for countries without stunting issues.
Iron Folic Acid (IFA) Supplementation: Refined definition; allowed flexible formulations (iron, folic acid, or multivitamins) but needs operational guidance development.
Receiving Counselling on Optimal BF: Rejected proxy (ANC); prioritized developing a new indicator capturing counseling and challenges like age/retrospect.
Trained Nutrition Professionals: Rejected proxy; invest in further developing indicator (definition/refinement).

1.2 2016 Core Indicators (10)

No changes recommended for indicators except:

Diarrhoea Treatment: Coverage of children seeking facility care preferred over proxy measures.
Women's BMI (<18.5): Adopted WHO's age-specific calculation.
Others remained unchanged.

2. On Track/Off Track Rules

Recommendation: Use 3 categories ("On Track", "Some Progress", "No Progress/Worsening") at country level; collapse to 2 categories ("On Track"/"Not On Track") for global/regional assessments.
Data Use: Use entire data series (not just latest estimate) for analysis whenever possible.
Wasting: Rules based primarily on current levels due to lack of reliable trends; consider rolling averages/manufactured data later.

3. Prevalence Level Ranges for Malnutrition Significance

Consensus: Overhaul current public health significance levels using global data, including country/regional variations.
Recommendations: Standardize levels for all indicators, revised in collaboration with FANTA, considering routine data quality, etc.

4. Anthropometry Data Quality

Areas for Action:
- Prioritize implementation of FANTA meeting recommendations on indicator refinement, technical guidelines, and data harmonization.
- Plan sub-working groups for specific work streams (e.g., routine vs survey data, database review criteria).
- Investigate technology for field data collection and small area estimation methods.

5. Partner Meeting Recap and Workplan Revision

Partner Engagement: Clarified TEAM role; partner priorities informed work plan but not sole driver.
5-Year Research Priorities:
- Indicator refinement & operationalization
- On-track/off-track rule testing
- Data quality & anthropometry standards
- Tracking diet transition (e.g., MUAC, diet-related indicators) and small area estimation
Workplan Update: Addressed long-term capacity building through sub-working groups and resource requirements (not finalized).