Escolar Documentos
Profissional Documentos
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NCP
assesment
DATA COLECTION
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Hellen Young & Susanne Jaspar, 2006. The meaning and mearurement of acute malnutrition in
emergency. A primer for decision maker. http://se1.isn.ch/serviceengine.../en/networkpaper056-print
GAIN, FFI, MI, Unicef, 2009. Global Report 2009, Investingthe future, a united call to action on
vitamin & mineral deficiency. www.unitedcalltoacyion.org
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Kematian
Ibu, Bayi &
Balita
Penyakit infeksi
(Diare, ISPA (balita)
HIV, TB, malaria
Kekurangan gizi
mikro: Fe, vit A,
Iod, Zn
Kekurangan gizi
makro: wasting,
stunting,
underweight
Overweight,
obesitas
Penyakit degeneratif:
hipertensi, jantung,
stroke, dislipidemia, DM,
School children
with iodine
deficiency (EIU=
Ekskresi Iodium
dalam Urin<100
pg/L) = 16,3%
Pre school children
vit A def (serum
retinol
<0,70mol/L) =
19,6 %
Pregant women
with night
blindness = 1,7%
Vitamin A
supplementation
coverage = 87%
Household
consuming
adequate iodine
salt = 73%
Consequences of Malnutrition
deficiency
reduces
Vitamin A
survival
PEM
Iron
Iodine
productivity
intelligence
PHI - Undernutrition
INDICATOR
LOW
WASTING
UNDERWEIGHT
STUNTING
<5
<10
<20
% PREVALENCE
MEDIUM
HIGH
5-9.9
10-19.9
20-29.9
10-14.9
20-29.9
30-39.9
VERY
HIGH
15
30
40
Target
Classification of IDD severity
population None Low Intermedi Hig
ate
h
School<5
5-19.9
20-29.9
30
aged
children
School<5
5-19.9
20-29.9
30
aged
children
School100 50-99
20-49
<20
aged
children
Neonates
<3
3-19.9
20-39.9
40
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CATEGORY OF PUBLIC
HEALTH SIGNIFICANCE
Severe
Moderate
Mild
PREVALENCE OF
ANEMIA
> or = 40
20.0 39.9
5.0 19.9
< or = 4.9
Hemoglobin
g/l
mmol/l
110
6.83
115
7.13
120
7.45
120
7.45
110
130
6.83
8.07
Hematocrit
l/l
0.33
0.34
0.36
0.36
0.33
0.39
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PHI - VITAMIN A
Biological Indicators of Sub clinical Vitamin A Deficiency in Children 671 Mo of Age and Their Use in Detecting a Public Health Problem
(WHO 1996)
Indicator (cut-off)
Mild Moderat Sever
e
e
Functional
>01-<5%
5%
Night blindness (present at 24-71 mo <1%
of age)
Biochemical
21020%
<10%
<20%
Serum retinol (0.70 mol/L)
Breast milk retinol (1.05 mol/L or 8 <10%
1025%
g/g milk fat)
<25%
<20%
RDR (20%)
2030%
<30%
MRDR
(ratio 0.06)
30%
The
prevalence
in a population of at <20%
least two 20of the above
indicators of vitamin A status, at levels below
the cut-off,
<30%
indicates
a public health problem
Histological
RDR : Relative dose response
CIC/ICT: Modified
(abnormal
atresponse
24-71 mo of <20%
2040%
MRDR
dose
age)
CIC
: Conjunctiva impression cytology
<40%
PHI - VITAMIN A
IVACG 2001 Prevalence Criteria Indicating Significant Vitamin A
Deficiency
Criteria
Clinical
Children 2-5 y
Night blindness
Bitots spot
Corneal xerosis
Corneal ulcers
Corneal scars
Women childbearing age
Night blindness during recent pregnancy
Biochemical
Serum retinol <0.7 mol/dl
Prevalence
(%)
>0.1
>0.5
>0.01
>0.01
>0.05
>5.0
>15
Riskesdas, 2013
References
1. Corazon VC Barba.2007. Malnutrition: ProteinEnergy Malnutrition. Food and Micronutrient
Intervention Course, SEAMEO-TROPMED RCCNUI.
2. Corazon VC Barba. 2007. Obesity. Food and
Micronutrient Intervention Course, SEAMEOTROPMED RCCN-UI.
3. Soekirman. 2007. Indonesia Health Profile. Food
and Micronutrient Intervention Course, SEAMEOTROPMED RCCN-UI.
4. Micronutrient Initiative, 2007. Vitamin Mineral
Deficiency: a damage assessment report for
INDONESIA
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