INHL 613 

   
Public Nutrition: Policies and Programs

Course Presentations

Course Info
   
   
Introduction: Lecture 1 ppt.

John B. Mason, PhD
Introduction:  Lecture 2 ppt.

masonj@tulane.edu
Introduction: Lecture 3 ppt.

584-3655

Community Based Programs ppt.

 Tidewater Rm. 2200-24
Nutrition in Health Services and Schools ppt.
Micronutrients Intro ppt.  

Vitamin A ppt. 

 Spring 2008, Period I
Iodine ppt.  Tuesday  3:00-5:00 pm, Rm 1825

Iron ppt. 

 Thursday 3:00-5:00, Rm 1825
National Planning ppt.

Readings

Section I, II, III, IV

Case Studies

PLEASE NOTE:  Download Syllabus above for information on which powerpoints/lectures should be brought to each class.  The course outline below contains links to the required/recommended readings for each Section.  To view the document, click on the title.  An internet connection is required to access these.  Some documents are file types that can be saved and printed, others are only viewable online. A fast connection will be needed to download some of these files. Also, for the full citation of the readings, please see above under Course Info.
   
  COURSE OUTLINE  
     
     
 

Section 1:   Principles and Introduction to Programs.
 

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 basics of malnutrition, causes and consequences
-- food security: measurement and links to poverty
 

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 scope of programs and causes addressed
  -- expected impacts and costs
  -- preliminary reviews of country experiences
       

Tues, Jan 15

 Lecture: Introduction I
       

Thurs, Jan 17

 Lecture: Introduction II    
    Start Assignment 1: Experiences Community-Based programs
     

 
  Read Food and Nutrition Bulletin vol. 20 no. 3, 1999
     - pp. 307 - 314 of  Success factors in community-based nutrition programmes.   Sanders, D.  (1999)  
   

 &

  
    - pp. 315 - 322 of Community-based programs: Success factors for public nutrition derived from Thailand's experience, Tontisirin, K.& Winichagoon, P. (1999)  
       
    - pp. 135 - 157 of Indonesia's Posyandus: Accomplishments and Future Challenges.  In: Reaching Health for All.   Eds Rohde, J., Chatterjee, M., and Morley, D.  
       
- Wasting Away. The crisis of malnutrition in India, World Bank, Washington D.C. [Esp. Chapter 3: The Response: What India has done to improve nutrition]  Measham, A.R. and Chatterjee, M. (1999).  Distributed in class.
Recommended - Chapters 1,3,4,5,6 of How Nutrition Improves
      
     
  Section 2:   Community-Based (and service delivery) Programs.
 

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 coverage, targeting, intensity and content
 

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 program components  
  -- nutrition in health services and schools
  -- case study experiences  
       
Tues, Jan 22 Lecture: Community Based Programs
     
       
Thurs, Jan 24 Lecture: Nutrition in the Health Sector and Schools
 
Tues, Jan 29  Discussion on Community Based Programs
       
 Thurs, Jan 31  Discussion Continued  

 
   
     

 
   Read Community Based Health and Nutrition Programs. 
    Mason J, Sanders D, Musgrove P, Soekirman, Galloway R. (2004).Chapter 56: ‘Disease Control Priorities in Developing Countries'; World Bank, WHO, and FIC/NIH.
  Read   Chapter 1 & 2 of Improving Child Nutrition in Asia.  
       
Top Section 3:   Micronutrient Programs  
 

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 basics  
 

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 vertical and horizontal programs  
  -- control of vitamin A deficiency (VAD)
  -- control of iodine deficiency disorders (IDD)
  -- control of iron deficiency  
  -- multiple micronutrient supplementation and fortification
   
  Thurs, Feb 7 Lecture: Micronutrients: Intro; Vitamin A deficiency control  
 Start Assignment 2: Experiences in Micronutrient Programs
   
  Tues, Feb 12 Lecture: Micronutrients: Iodine & Iron
   
Thurs, Feb 14 Discussion on Micronutrient Programs
Tues, Feb 19 Discussion Continued
  Read - Chapters 1 & 2, pp 1 - 45.  Key Elements in the Design and Implementation of Micronutrient Interventions, in Prevention of Micronutrient Deficiencies, Tools for Policymakers and Public Health Workers.
Read "Special Issue:  Successful Micronutrient Programs." Food and Nutrition Bulletin.  Eds. Mason, J.,  Soekirman, and Martorell. Vol. 25, No.1, March 2004.
Micronutrient case studies (Sri Lanka, Vietnam, Philippines & Laos)
  Recommended 

 

 - pp. 66 - 95  Controlling Micronutrient Deficiencies in Asia.
    Also:  By groups, recommended readings 3 -- 6 for class discussion.  
     
     
     
  Section 4:   National Programs and Supporting Policies.
 

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 contextual factors and supporting policies
 

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 national strategies  
       
Thurs, Feb 21 Lecture: Experiences of National Policies and Programs
     Start Assignment 3: Plan a national program  
Tues, Feb 26 Discussion: National Plans
       
Thurs, Feb 28 Discussion:  National Plans 
     
  Tues, Mar 4 Wrap-Up 
     
Read - Review Above Readings, plus…
- Chapter 5. Pp. 111-151. Gillepsie, S., McLachlan, M., and Shrimpton, R. Eds. (2003). Combating Malnutrition: Time to Act. 
  - Chs 3, 4 & 5 of Improving Child Nutrition in Asia.
    - Chapters 5 & 6  of How Nutrition Improves.
    Also:  Class discussions on case study countries..
     - Allen, L., Gillepsie, S. (2001). Effectiveness of Large Scale Nutrition Interventions. What Works? A Review of the Efficacy and Effectiveness of Nutrition Interventions. Pp. 69-87. 
       
  READINGS  
Top      
       
  Required:  
 
1.  Community Based Health and Nutrition Programs.
Mason J, Sanders D, Musgrove P, Soekirman, Galloway R. (2004).Chapter 56: ‘Disease Control Priorities in Developing Countries'; World Bank, WHO, and FIC/NIH.
 
online

2.

 Gillespie, S., Mason, J.B., & Martorell, R. (1996)  How Nutrition Improves.  Based on an ACC/SCN workshop on "Nutrition-Relevant Actions in Developing Countries -- Recent Lessons" held at the XV IUNS Congress, 25-27 September 1993, Adelaide, Australia. 99 pages. Seven chapters as follows:  
 
 

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   Ch 1: Introduction  
 

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   Ch 2: Nutrition Trends  
 

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   Ch 3: Economic Growth, Poverty, Equity and Food Security  
 

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   Ch 4: Human Resource Development and Nutrition  
 

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   Ch 5: Local Level Action to Directly Improve Nutrition  
 

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   Ch 6: Political Economy, Institutional Capacity and Nutrition Policy  
 

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   Ch 7: Conclusions  
         
    UN ACC/SCN, Geneva  
Top      
       
 

3.

 Sanders, D. (1999) Success factors in community-based nutrition programmes. Food & Nutrition Bulletin. 20 (3) 307-314.  
       
       

 

4.

 Rohde, J. (1993). Indonesia's Posyandus: Accomplishments and Future Challenges. In: Reaching Health for All. Eds Rohde, J., Chatterjee, M., and Morley, D. Pp 135 - 157. OUP.   
       
       

 

5.

 Tontisirin, K.& Winichagoon, P. (1999) Community-based programs: Success factors for public nutrition derived from Thailand's experience, Food & Nutrition Bulletin. 20 (3), 315- 322.    
       
       

 

6.

 Measham, A.R. and Chatterjee, M. (1999). Wasting Away. The crisis of malnutrition in India, World Bank, Washington D.C. [Esp. Chapter 3: The Response: What India has done to improve nutrition.   
       
       
online

7.

 Howson, C.P., Kennedy, E.T., and Horwitz, A. (1998). Key Elements in the Design and Implementation of Micronutrient Interventions. In: Prevention of Micronutrient Deficiencies. Tools for Policymakers and Public Health Workers. Institute of Medicine. National Academy Press, Washington DC. Chs 1-2, pp 1 - 45, required, others recommended.  Will be in book store & is free to read online.  
       
       
online 8. Mason, J.B., Mannar, V. & Mock, N.B. (1999).  Controlling Micronutrient Deficiencies in Asia.  Asian Development Review, 17, (1,2) 66 - 95.  ADB, Manila.  
       
       
       
Top Recommended:  
       
online

1.

 Mason, J.B., Hunt, J.,  Parker D. & Jonsson, U.  (2001) Improving Child Nutrition in Asia.   Supplement to Food and Nutrition Bulletin, 22, (3) Sept. 2001:  five chapters as follows:  
   

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   Ch 1: Situation Analysis, p. 5–22

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   Ch 2: Community-based Programs and Service Delivery, p. 23–39

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   Ch 3: Supporting Policies, p. 40–51

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   Ch 4: Proposals for Improved Nutrition Strategies, p. 52–63

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   Ch 5: Financing and Implementing Programs, p. 64–73
     
  United Nations University Press, Tokyo
 
online 2. Mason, J.B. (2000). How nutrition improves, and what that implies for policy decisions. Paper for World Bank/UNICEF Nutrition Assessment. Draft available, publication forthcoming, World Bank, Washington DC  
       
online 3. Tontisirin, K. and Gillespie, S. (1999). Linking Community-based Programs and Service Delivery for Improving Maternal and Child Nutrition. Asian Development Review, 17, (1,2) 33- 65. ADB, Manila  
       
online 4. Stanbury, J. (1998). Prevention of Iodine Deficiency. In: Prevention of Micronutrient Deficiencies, Tools for Policymakers and Public Health Workers, Pp 167 -- 201. Eds. Howson, C,P., Kennedy, E.T., and Horwitz, A. National Academy Press, Washington DC  
       
online 5. Underwood, B.A. (1998). Prevention of Vitamin A Deficiency. In: Prevention of Micronutrient Deficiencies, Tools for Policymakers and Public Health Workers, Pp 103 - 165. Eds. Howson, C.P., Kennedy, E.T., and Horwitz, A. National Academy Press, Washington DC  
       
online 6. Viteri, F.E. (1998). Prevention of Iron Deficiency. In: Prevention of Micronutrient Deficiencies. Tools for Policymakers and Public Health Workers. Pp 45 - 102. Eds. Howson, C.P., Kennedy, E.T., and Horwitz, A. National Academy Press, Washington DC

Preventing Iron Deficiency in Women and Children. (link to pdf. file)

  
       
online 7. Mason, J.B., Lotfi, M., Dalmiya, N., Sethuraman, K., and Deitchler, M.; with Geibel, S.,  Gillenwater, K., Gilman, A., Mason, K., and Mock, N. (2001).  The Micronutrient Report: Current Progress in the Control of Vitamin A, Iodine, and Iron Deficiencies.  Published by Micronutrient Initiative/International Development Research Center, Ottawa, Canada  
       
online 8. Gillepsie, S., Tontisirin, K. (1999). Linking Community-based Programs and Service Delivery for Improving Maternal and Child Nutrition. Eds. Hunt, J., Quibria, M.G., Asian Development Review. 17, (1,2) 33 - 65.  ADB, Manila.
online 9. Engle, P. (1999). The Role of Caring Practices and Resources for Care in Child Survival, Growth, and Development: South and Southeast Asia. Eds. Hunt, J., Quibria, M.G., Asian Development Review. 17, (1,2) 132 - 167.  ADB, Manila.
       
online 10.  Allen, L., Gillepsie, S. (2001).  What Works? A Review of the Efficacy and Effectiveness of Nutrition Interventions. United Nations Administrative Committee on Coordination Sub-Committee on Nutrition.  ACC/SCN: Geneva in Collaboration with the Asian Development Bank, Manila.. 
 Chapter 5 of How Nutrition Improves.
11.  IMCI Overview
   12.  IMCI Handbook  
CASE STUDIES
Top      
 

Please Note:  (will be provided on loan to groups working on each, respectively).

  
   

 

  
       
 
 
  India    
  Summary: Measham, A.R. and Chatterjee, M. (1999). Wasting Away. The crisis of malnutrition in India, World Bank, Washington D.C. [Esp. Chapter 3: The Response: What India has done to improve nutrition.]  
online

Details:

 SCN India Case Study. Also rest of Measham and Chatterjee  
       
 
 
       
  Indonesia    
  Summary: Rohde, J. (1993). Indonesia's Posyandus: Accomplishments and Future Challenges. In: Reaching Health for All.  Eds Rohde, J., Chatterjee, M., and Morley, D. Pp 135 - 157. OUP. (Required for intro sessions)  
online

Details:

 SCN Indonesia Ccase Study  
       
 
 
       
  Tanzania    
  Summary: Kavishe, F. SCN Case Study. Summary (pp xvii - xxii) and pp 148 - 158.  
online

Details:

 rest of SCN Case Study.  
       
 
 
       
  Thailand    
  Summary: Tontisirin, K.& Winichagoon, P. (1999) Community-based programs: Success factors for public nutrition derived from Thailand's experience, Food & Nutrition Bulletin. 20 (3), 315- 322. (Required for intro sessions)  
online

Details:

 SCN Case Study; also various chapters in Winichagoon, P., Kachondam, Y., Attig, G. & Tontisirin, K. (1992).  Integrating Food and Nutrition into Development.  Thailand’s Experiences and Future Visions.  UNICEF/EAPRO & Inst. Nutrition  Mahidol University (INMU), Thailand.  
       
       
       
  Additional Case Study Materials:  
Top      
       
online Costa Rica Vargas, W, (1995). Development and Characteristics of Health and Nutrition Services for Urban and Rural Communities' of Costa Rica, In: Munoz, C. & Scrimshaw, N.S. (1995). The Nutrition and Health Transition of Democratic Costa Rica. International Nutrition Foundation for Developing Countries (INFCD), Boston, USA  
       
online  

Philippines

 Heaver, R. and Mason, J.B. (2000).  "Making a National Impact on Malnutrition in the Philippines: You Can't Get There From Here"  A Case Study of Government Policies and Programs, and the Role of UNICEF and the World Bank. June 2000,. Forthcoming as WB/UNICEF publication. Summary: pp i - ix, and pp 24 - 29. Details: rest of report.  
       
online   Mason, J.B., Hunt, J., Parker, D., and Jonsson, U. (1999). Investing in Child Nutrition in Asia. Asian Development Review, 17, (1,2) 1 - 32 . ADB, Manila.  
       
   Micronutrient Case Studies:  
       
online   "Special Issue:  Successful Micronutrient Programs." Food and Nutrition Bulletin.  Eds. Mason, J.,  Soekirman, and Martorell. Vol. 25, No.1, March 2004.   
       
online Tuazon, MA, Habito, RCF. (2003) "Successful Micronutrient Programs: The National Salt Iodization Program, The Phillipines."  Regional Training Program on Food and Nutrition Planning, College of Human Ecology, University of the Phillipines, May.
online Naphayvong, S., Vongvicht, P., Deitchler, M., and Knowles, J. (2004) "Programs for Micronutrient Deficiency Control in Laos, PDR."  In Association with The Ministry of Health, Lao, PDR, Tulane University, and FANTA, February.
online Pedro, MRA., Cheong, RL., Madriaga, JR., Barba, CVC. (2003). "Indicative Impact, Policy, and Supplementation Implications of the Phillipines Vitamin A Supplementation Program."  Food and Nutrition Research Institute, Department of Science and Technology, Phillipines.
       
online Witten, C., Jooste, P., Sanders, D., Chopra, M. (2003).  "Micronutrient Programs in South Africa."  Medical Research Council, Tygerberg, University of the Western Cape, School of Public Health.
       
online   Ninh, NX., Khan, NC., Khoi, HH. (2003). "Successful Micronutrient Programs: Micronutrient Deficiency Control Strategies in Vietnam." National Institute of Nutrition, Hanoi, Vietnam, May.