Maximising the Nutritional Impact of FSL Interventions FINAL

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4.2.1 Use dietary diversity scores (DDS) to measure the outcome of a short-term (
Table 6: Example of log-frame for FSL standalone intervention lasting less than one year Title: Livestock for improved nutrition Log-frame objectives Overall Objective Specific Objective Contribute to the improvement of nutritional status and food security of targeted population through a livestock-based intervention Improve the intake of micronutrient-rich foods by vulnerable households by X % in rural areas of Shan State Objectively Verifiable Indicators Not applicable - % of household have improved their dietary diversity score from X to X food groups - % of individuals (or groups at risk) have improved their dietary diversity score from X to X food groups - Minimum diet diversity for child 6-23 months is attained - Consumption of iron-rich or iron-fortified food for child 6- 23 months is improved - Knowledge of at least 4 key nutrition messages promoted during nutrition promotion - HDDS guidelines developed by FANTA 34 and FAO - IDDS guidelines developed by FANTA 35 and FAO - IYCF guidelines developed by FANTA & WHO & UNICEF - IYCF guidelines developed by FANTA & WHO & UNICEF - Attendance list for nutrition promotion sessions & IEC material - Pre/Post tests - Pre/Post KAP survey Be aware of the main limitations of DDS: • DDS do not provide any information related to quantity of food and calorific intake. • DDS do not account for potential substitution effects. For instance, households may have increased their consumption of ASF but the DDS remains the same, as in the meantime they have decreased the consumption of lentils that are another good source of protein. • Due to their different nutritional requirements, statistics need to be disaggregated by age groups, especially for children under 6 months, from 6 to 12 months and from 12 to 24 months. As already stated, this will only give trends as the sample size will not be representative to provide statistically significant data. • As a proxy indicator, DDS does not reflect how the food is used and absorbed by the body. For instance, parasitic infections such as hookworms or roundworms reduce the absorption of iron. Children may consume more frequently iron-rich food with the project intervention but without significant effects on the nutritional and health status. 34 Note that FAO & the EU have developed revised guidelines for measuring household and individual dietary diversity in 2011. The main changes compared to the FANTA protocols are: i) new individual dietary diversity score based on results of the Women’s Dietary Diversity Project, and ii) an annex that classifies food items into food groups. 35 See Annex 3, 4 and 5 for HDDS, IDDS and IYCF guidelines. 29
Page 1 and 2: A C F I n t e r n a t i o n a l Max
Page 3 and 4: Preface This manual aims to provide
Page 5 and 6: Table of Contents Acknowledgements
Page 7 and 8: 7.4 Encourage safe childcare initia
Page 9 and 10: List of Boxes Box 1 : Bangladesh is
Page 11 and 12: Introduction There is a renewed foc
Page 13 and 14: More than 2 billion people are defi
Page 15 and 16: 1.3 Consequences Undernutrition has
Page 17 and 18: 1.5 What works? As stated earlier,
Page 19 and 20: Further reading and websites • Ho
Page 21 and 22: impact of FSL interventions require
Page 23 and 24: • Micronutrient surveys. Note tha
Page 25 and 26: Box 2: Links between nutrition and
Page 27 and 28: 2.2 Assess food consumption pattern
Page 29 and 30: programmatic decisions accordingly.
Page 31 and 32: 2.4 Explore local perceptions of ma
Page 33 and 34: Guidance 3 - Identify the most nutr
Page 35 and 36: Box 7: Identifying children under t
Page 37: In a multi-sectoral programme that
Page 41 and 42: Table 7: Example of log-frame for l
Page 43 and 44: Getting the programme theory ‘rig
Page 45 and 46: • How much of the change can be a
Page 47 and 48: Guidance 5 - Budget for nutrition-s
Page 49 and 50: 2.2 Implementing the intervention T
Page 51 and 52: Box 11: Millennium Village Project
Page 53 and 54: 6.2 Agricultural interventions Agri
Page 55 and 56: Box 14: Keyhole gardens in small pl
Page 57 and 58: Box 18: Introducing orange-fleshed
Page 59 and 60: 6.2.4 Improve post-harvest handling
Page 61 and 62: • Provide protective clothes and/
Page 63 and 64: 6.3 Livestock interventions and fis
Page 65 and 66: Prevention of disease can be achiev
Page 67 and 68: 6.4 Food aid Food aid interventions
Page 69 and 70: ecommendation for GDF ration is to
Page 71 and 72: 6.5 Income generating activities In
Page 73 and 74: 6.6 Cash-based interventions Cash-b
Page 75 and 76: Box 27: Hunger safety nets in Niger
Page 77 and 78: with food safety. Vouchers may also
Page 79 and 80: Key questions include: • What is
Page 81 and 82: Further reading and websites • FA
Page 83 and 84: It may not be possible to address a
Page 85 and 86: Box 38: Absorption of iron Remember
Page 87 and 88: List of Annexes Annex 1: Extract of
Page 89 and 90:
Caufield, L, Richard, S, Black, R,
Page 91 and 92:
Food Policy Research Institute, 201
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Maximising the Nutritional Impact of FSL Interventions FINAL

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