Menu ENN Search

A small-quantity, lipid-based nutrient supplement to reduce anaemia and stunting among refugees in the Horn of Africa

Research snapshot1

Daddab Refugee Camp, KenyaStunting and micronutrient malnutrition are persistent public health problems in refugee populations. As one approach to address these issues, UNHCR and its partner organisations implement blanket supplementary feeding programmes. The evidence base for the efficacy and effectiveness of a small quantity of lipid-based nutrient supplement (LNS), Nutributter®, in reducing stunting and anaemia is limited.

Secondary data analysis was used to assess the effectiveness of Nutributter® distribution on anaemia and stunting in children aged 6-23 months (the programme target group) and 6-59 months (the standard age group sampled in routine nutrition surveys). Analysis was conducted using routine pre- and post-intervention cross-sectional nutrition survey data collected between 2008 and 2011 in five refugee camps in Kenya and Djibouti. Changes in total anaemia (haemoglobin<110g/L), anaemia categories (mild, moderate and severe) and stunting (height-for-age z-score<-2) were explored using available data on the Nutributter® programme and other camp nutrition and health surveillance data.

Results show a significant reduction in the prevalence of anaemia in children aged 6-23 months and 6-59 months in four of five camps and in all five camps, respectively (p<0.05). Reductions ranged from 12.4 to 23.0% and 18.3 to 29.3% in each age group. Improvements were largely due to reductions in moderate and severe anaemia and occurred where the prevalence of acute malnutrition was stable or increasing. No change in stunting was observed in four of five camps (stunting decreased significantly between baseline and end-line in Dadaab-Hagadera camp only). The replicability of findings across five sites strongly suggests that Nutributter® distribution was associated with a reduction in anaemia but not stunting among refugee children in the Horn of Africa. Benefits were not restricted to the 6-23 months old group targeted by the nutrition programme. However, anaemia remained a serious public health problem even after this intervention and additional work to define and evaluate an effective intervention package is warranted.

Read more...

Footnotes

1Style S, Tondeur M, Grijalva-Eternod C, Pringle J, Kassim I, Wilkinson C, et al. (2017) Assessment of the effectiveness of a small quantity lipid-based nutrient supplement on reducing anaemia and stunting in refugee populations in the Horn of Africa: Secondary data analysis. PLoS ONE 12(6): e0177556. https://doi.org/10.1371/journal.pone.0177556 

More like this

Research on the Prevention and Reduction of Anaemia and Micronutrient Deficiencies in Refugee Populations

Donor: UNHCR Collaborators: UCL Institute for Global Health ENN Project Lead: Carmel Dolan Timeframe: 2009 - 2013 Background During 2009, UNHCR commenced the...

LNS study

New study out: Assessment of the effectiveness of a small quantity lipid-based nutrient supplement on reducing anaemia and stunting in refugee populations in the Horn of...

NEX: Tackling high defaulting rates in refugee camp settings – lessons from Chad

Seife Kifleyohannes Temere Seife Kifleyohannes Temere is a Nurse Nutritionist. He has been working for International Medical Corps since 2010. In eastern Chad there are 12...

FEX: Independent and combined effects of improved WASH and improved complementary feeding on child stunting and anaemia in rural Zimbabwe

Summary of research1 Location: Zimbabwe What we know: Stunting and anaemia remain prevalent in children; plausible interventions have shown limited or inconsistent...

FEX: UNHCR Technical Workshop on the Operational Guidance on the use of Special Nutritional Products

By Sarah Style and Andrew Seal Sarah Style is an ENN consultant working on the UNHCR/ENN Anaemia Control, Prevention and Reduction Project. Andy Seal is a lecturer and...

FEX: Research snapshots

Factors influencing pastoral and agropastoral household vulnerability to food insecurity in Kenya Kenya has a population of more than 38 million, 10% of whom are classified as...

FEX: Fighting long-term nutritional deprivation among the Sarahawi refugees

Summary of report1 The Saharawi refugee population (approximately 150,000) living in south Algeria have been in crisis since 1975 when conflict over the status of Western...

FEX: Effect of adding RUSF to ageneral food distribution on child nutritional status and morbidity: a cluster randomised controlled trial

Summary of research1 Child during appetite test at a health facility offering treatment in Monrovia, Liberia The authors of a recent study hypothesized that including a daily...

FEX: ENN’s perspective on the nutrition response in the Syria crisis

By Carmel Dolan, Marie McGrath and Jeremy Shoham Unless otherwise stated, referenced articles feature in Field Exchange 48. While the ENN's role is first and foremost to...

FEX: Lipid-Based Nutrient Supplement Research Network Meeting

By Sarah Style Sarah Style is part of the ENN team working with UNHCR on the Anaemia Control, Prevention and Reduction Project In April 2011, the International Lipid-Based...

FEX: MAM and SAM cases reduced through a stunting prevention programme in Malawi and the associated costs averted

By Jackson Mason-Mackay, Arghanoon Farhikhtah, Mica Jenkins, Trust Takudzwa Mlambo, Emma Lefu and Nancy Aburto Jackson Mason-Mackay is a Programme Analyst at the World Food...

FEX: UNHCR Operational Guidance for use of special nutritional products

Mothers and caregivers taking part in an MNP demonstration session during acceptability tests in a refugee camp in Algeria This article summarises UNHCR's 'Operational...

FEX: Impact of nutrition education alongside treatment of moderate acute malnutrition in Madagascar

By Paul Sanyas, Brigitte Audras, Margot Magnin and Voahangy Rajaobelina View this article as a pdf Lisez cet article en français ici Paul Sanyas is a paediatrician...

FEX: United Nations High Commissioner for Refugees (UNHCR)

Name United Nations High Commissioner for Refugees (UNHCR) Website www.unhcr.org/nutrition Address 94, rue de Montbrillant, 1202 Geneva, Switzerland High Commissioner for...

FEX: Postscript to 'Fresh food vouchers for refugees in Kenya'

By Mary Lung'aho, CARE USA, and Allison Oman, UNHCR During the period 2006 through the present, CARE, UNHCR, GTZ, IRC, NCCK and other partners have worked in an interagency...

FEX: TreatFOOD study in Burkina Faso

Summary of presentation1 of published research2 View this article as a pdf By Susan Shepherd Dr Susan Shepherd is Director of Clinical and Operational Research for...

FEX: Micronutrients Supplementation Can Redress Stunting Up to Six Years of Age

Published research1 Research was conducted between May 1998 and January 1999 at Saharawi refugee camps near the town of Tindouf in south west Algeria. After political changes...

FEX: Higher heights: a greater ambition for maternal and child nutrition in South Asia

Research Summary 1 Poor nutrition in early life threatens the growth and development of children, which has a knock-on effect on the sustainable development of nations. This...

FEX: Monitoring and evaluation of programmes in unstable populations: Experiences with the UNHCR Global SENS Database

By Melody Tondeur, Caroline Wilkinson, Valerie Gatchell, Tanya Khara and Mark Myatt View this article as a pdf Lisez cet article en français ici Mélody Tondeur...

FEX: Upcoming research shared at ACF research conference

At the ACF research conference, November 6th, 2016, experiences were shared from a number of studies where final results will be made available in 2017. A snapshot of what to...

Close

Reference this page

A small-quantity, lipid-based nutrient supplement to reduce anaemia and stunting among refugees in the Horn of Africa. Field Exchange 55, July 2017. p22. www.ennonline.net/fex/55/asmallquantitylipidbased