Preventing Malnutrition In Children Under 2
Approach (PM2A): A Food-Assisted Approach
 TRM-01: Preventing Malnutrition in Children Under 2 Approach (PM2A): A Food-Assisted Approach, Revised November 2010
Also available in Spanish/Espanol and French/Francais
BACKGROUND
Food-assisted maternal and child health and nutrition (MCHN) programs traditionally work by identifying children under five years of age who are underweight and targeting interventions toward them. Global consensus suggests that changing who they target and relatively small changes in how these programs are implemented can greatly increase their effectiveness at preventing child malnutrition.
The International Food Policy Research Institute (IFPRI) and Cornell
University, World Vision-Haiti and USAID's Food and Nutrition Technical
Assistance (FANTA) project conducted a study that compared two methods
of targeting and delivering food-assisted MCHN programs in Haiti.
The first program used a recuperative approach that provided nine
months of food and other health and nutrition assistance to children
six months to five years of age who were identified as underweight.
The second program used a preventive approach that targeted all
children 6-23 months of age with similar food and health and nutrition
services until they were 24 months of age.
The results showed in communities receiving interventions either
through a preventive or recuperative program, that the prevalence
of undernutrition was lower in communities receiving the preventive
program, and confirm that interventions that aim to prevent undernutrition
can be much more effective than those that target children once
they have become undernourished. For a brief overview of the results,
please read IFPRI's Timing Is Everything: Preventing Child Nutrition.
Based on the evidence from the Haiti study, FFP has adopted the
preventive approach, (which they have named “Preventing Malnutrition
in Children Under Two Approach – PM2A”) as their recommended approach
for all MCHN programming in multi-year Title II programs.
The draft research reports from the five year study, as well as
supplemental information, are also available for download below.
| |
| Title |
Date
|
PDF |
|
[2-Page Brief]
Timing Is Everything: Preventing Child Undernutrition
|
November 2008 |
43 kb |
[The Lancet, Vol 371, Issue
9612, Pages 588 - 595]
Age-based preventive targeting of food assistance and behaviour
change and communication for reduction of childhood undernutrition
in Haiti: a cluster randomised trial |
February 2008 |
online
version |
[Executive Summary of Final Report]
PREVENTION IS BETTER THAN CURE. Final Report of the Evaluation:
Prevention or Cure? Comparing Preventive and Recuperative Approaches
to Targeting Maternal and Child Health and Nutrition Programs
in Rural Haiti |
December 2007 |
112 kb |
[Final Report]
PREVENTION IS BETTER THAN CURE. Final Report of the Evaluation:
Prevention or Cure? Comparing Preventive and Recuperative Approaches
to Targeting Maternal and Child Health and Nutrition Programs
in Rural Haiti, DRAFT |
December 2007 |
952 kb |
|
[Final Cost Report, Draft]
Preventive versus Recuperative Targeting of Food Aid: Accounting
for the Costs
|
March 2006 |
140 kb |
|
[Progress Report, Draft]
Progress Report: Final Evaluation of the Impact & Cost-Effectiveness
of World Vision's Integrated Health and Nutrition Program
in Central Plateau, Haiti
|
October 2005 |
48 kb |
[Final Report, Draft]
Using Operations Research to Monitor Program Implementation
and Inform Impact Evaluation, Results of a Second Round of Operations
Research of the World Vision Maternal and Child Health Program
in Haiti |
March 2005 |
473 kb |
[Final Report, Draft]
A Qualitative Study of the Patterns of Infant Feeding and Care
in the Hinche Area of Plateau Central, Haiti |
February 2005 |
88 kb |
|
[Mid-term Cost Report, Draft]
Preventive versus Recuperative Targeting of Food Aid: Accounting
for the Costs
|
December 2004 |
92 kb |
|
[Final Report, Draft]
An Operations Evaluation of World Vision's Maternal and Child
Health and Nutrition Program in Central Plateau, Haiti
|
February 2004 |
597 kb |
|
[Final Report, Draft]
Child Care, Nutrition and Health in the Central Plateau of
Haiti: The Role of Community, Household and Caregiver Resources,
Report of the IFPRI-Cornell World Vision Baseline Survey,
Haiti 2002
|
October 2003 |
688 kb |
[Progress Report, Draft]
An Operations Evaluation of World Vision's Integrated Health
and Nutrition Program in Central Plateau, Haiti |
October 2003 |
88 kb |
[Final Report, Draft]
Process Used to Design an Integrated Health and Nutrition Program
to Prevent Child Malnutrition in Rural Haiti |
July 2003 |
214 kb |
[Training and Communication Materials,
Draft]
Behavior Change Communication to Improve Infant and Young Child
Feeding Practices in Rural Haiti |
January 2003 |
182 kb |
[Final Report, Draft]
Development of a Behavior Change Communications Program to Prevent
Malnutrition in the Central Plateau of Haiti: Results and Challenges
from a Formative Research Study |
September 2002 |
1.1 mb |
ADDITIONAL RESOURCES ON INDICATORS AND M&E
WHO's
Indicators for Assessing Infant and Young Child Feeding Practices,
Part 1: Definitions, 2008
Food
for Peace M&E Workshop 2007
FFP
Information Bulletin (IB) on USAID and Food for Peace Indicators
and Reporting Systems, October 2007
FFP
Information Bulletin (IB) on New Reporting Requirements for Food
for Peace, August 2007
FANTA's
Evaluating Title II Development-Oriented Multi-Year Assistance Projects,
March 2006
FANTA's
Title II Indicator Guides
|
