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Review of the efficacy and impact of emergency programmes

Donor: CIDA

Collaborators: SCUK and Westminster University

ENN Project Lead: Jeremy Shoham

Timeframe: Project completed in 2011


This project was undertaken in response to the fact that there was no credible overall assessment of the impact of effectiveness of emergency Supplementary Feeding Programmes (SFPs).

Critics of emergency SFPs have raised questions about how appropriate they are in the absence of an adequate general ration and the relative cost-inefficiency of setting up a separate infrastructure from the general ration programme in order to allocate small quantities of food to vulnerable groups of people. There are also many examples of emergency SFPs that have failed to meet SPHERE targets due to problems such as difficult terrain and therefore poor access, insecurity and staffing problems. Many programmes are also not rigorously evaluated and evaluation findings are rarely published. In response to this, a research project was undertaken by the ENN, with SCUK, to evaluate data from SFPs and subsequently, carry out a literature review of the impact and effectiveness of emergency nutrition interventions. 

Project Summary

This project involved two studies funded by CIDA on the efficacy and impact of emergency programmes. The first was a retrospective study (2006) and the second a literature review (2011), both of which are described below. 

Retrospective Study of Emergency Supplementary Feeding Programmes, ENN and SCUK (2006)

ENN and SCUK undertook research in 2005-6 to evaluate the efficacy and effectiveness of emergency supplementary feeding programmes. The study involved an analysis of 82 programme data sets from 22 countries undertaken by 16 international humanitarian agencies between 2002 and 2005.

The key findings of the study were as follows:

The main recommendations of the study included: 

Literature review of peer reviewed publications showing nutritional impact of emergency nutrition programmes (2010-2011)

At the end of 2010 CIDA sanctioned the use of an under-spend to conduct a review of the peer reviewed literature into the nutritional impact of emergency nutrition programmes. This review, which was completed in July 2011, followed on from a similar earlier ENN review published in 2006 (Duffield et al 2006). As with the earlier review, it was found that there is very little published evidence on nutritional impact of emergency programmes. Most of the published studies since 2005 relate to Community Management of Acute Malnutrition programmes (CMAM). There are also a handful of studies on impact of programmes on micronutrient status. The review also found that methodological rigour of studies was in some cases flawed. The review involves re-analysis of some of the CMAM data with surprising findings about weight gain. It also draws a number of conclusions about the lack of research in emergencies and the need for institutional change if we are to increase the evidence base for nutrition programming in emergencies.


Measuring the effectiveness of supplementary feeding programmes in emergencies (2008)

The impact and effectiveness of emergency nutrition and nutrition-related interventions: a review of published evidence 2004-2010

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