Recognition and Management of Malnutrition

In disaster situations, prevention of protein-energy malnutrition should be the primary target when determining ration composition. However, adequate provision of micronutrients is also essential in order to reduce the morbidity and mortality associated with these deficiencies. Address measures directed at that goal during the early stages of the recovery phase.

Perform an initial assessment of the population affected by the disaster and devise a management plan to meet the identified needs. The plan should include the elements described in Box 1.

Some possible measures include:

• Access to clean water in sufficient quantity for people according to minimal sphere standards.
• Fortification of general rations
• Supplementation for at-risk individuals (Box 2)
• Community-focused nutrition ­education
• Food ration monitoring
• Improved sanitation