Course Info


Public Nutrition: Policies and Programs
Course Presentations			Course Info


Section I: Introduction			John B. Mason, PhD
			masonj@tulane.edu
Section 2: Community Based Programs			988-3987
			Tidewater Rm. 2200-30
Section 3: Micronutrient Programs			TA: Velma Lopez vlopez@tulane.edu

Section 4: National Programs & Supporting Policies			Spring 2010, Period I
			Tuesday 3:00-4:40 pm, Rm 1215
			Thursday 3:00-4:40, Rm 1215

Case Studies			Readings

	General Readings
	Tracking Progress on Child and Maternal Nutrition: Survival and Development Priority. UNICEF (2009). Repositioning Nutrition as Central to Development: A Strategy for Large Scale Action. World Bank (2006). Facts for Life: Nutrition and Growth. UNICEF (2002). State of the World's Children 2009: Maternal and Newborn Health. UNICEF (2008). Allen, LH and Gillespie, SR. What Works? A Review of the Efficacity and Effectiveness of Nutrition Interventions. ACC/SCN (2001).

	Section 1: Principles and Introduction to Programs.

	Tues, Jan 12	Introduction I
		Regional Trends in Malnutrition Lecture 1 Lecture 2
	Thurs, Jan 14	Introduction II
		Start Assignment 1: overview of nutrition programs

	Read	- Lancet Maternal and Child Undernutrition Series: 2 Maternal and child undernutrition: consequences for adult health and human capital. Victora, C., et al. (2008). PMID: 18206223


		- Ch. 3-4 of World Bank: Directions in Development. Repositioning Nutrition as Central to Development: A Strategy for Large-Scale Action. (2006). [Online]


		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.

	Recommended	-Lancet Maternal and Child Undernutrition Series: 1 Maternal and child undernutrition: global and regional exposures and health consequences. Black, R., et al. (2008). PMID: 18207566

		-Lancet Maternal and Child Undernutrition Series: 2 Maternal and child undernutrition: consequences for adult health and human capital. Victoria, CG., et al. (2008). PMID: 18206223

		-Lancet Maternal and Child Undernutrition Series: 3 What works? Interventions for maternal and child undernutrition and survival. Bhutta, Z., et al. (2008). PMID: 18206226

		- Chapters 1,3,4,5,6 of *How Nutrition Improves*

		- 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).

	Section 2: Community-Based (and Service Delivery) Programs.

	Tues, Jan 19	Discussion: Overview of Nutrition Programs Lecture: Principles of Nutrition, Food Security. and Primary Health Care Principles
		Start Assignment 2: experiences in community-based programs
		Powerpoint
	Thurs, Jan 21	Lecture: Community-Based Programs

	Tues, Jan 26	Lecture: Nutrition in the Health Sector and in Schools and the Role of CCTs Discussion: Community-Based Programs

	Thurs, Jan 28	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.
		Chapter 1 & 2 of Improving Child Nutrition in Asia.

	Recommended	The Impact of Conditional Cash Transfers on Health Outcomes and Use of Health Services in Low and Middle Income Countries. Legarde, M et al. (2009). PMID: 19821444

Top	Section 3: Micronutrient Programs

	Tues, Feb 2	Lecture: micronutrients: Intro; Vitamin A deficiency control
		Start Assignment 3: Experiences in Micronutrient Programs
		Powerpoints: Intro Vitamin A Deficiency
	Thurs, Feb 4	Lecture: micronutrients: Iodine & Iron
		Powerpoints: Iodine Iron
	Tues, Feb 9	Discussion: micronutrient programs

	Thurs, Feb 11	Discussion, continued Lecture: plan a national program



	Read	Mason, J. Vitamin A Strategy Needs Rethinking. Health Affairs (2009). Chapters 1 & 2, pp 1 - 45. Key Elements in the Design and Implementation of Micronutrient Interventions, in *Prevention o*f Micronutrient Deficiencies, Tools for Policymakers and Public Health Workers.
		- "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) - 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) - 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) - 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 (online) - UNICEF/UNU/WHO/MI Technical Workshop (1998: NewYork, N.Y.) Preventing iron deficiency in women and children: background and consensus on key technical issues and resources for advocacy, planning, and implementing national programs. (online) - 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)
	Recommended	- pp. 66 - 95 Controlling Micronutrient Deficiencies in Asia.

	Section 4: National Programs and Supporting Policies.

	Thurs, Feb 18	Lecture: National Programs and Supporting Policies
		Start Assignment 4: Plan a national program

	Tues, Feb 23	Lecture/working session: National Planning Exercise

	Thurs, Feb 25	Discussion: National Plans

	Tues, Mar 2	Discussion: National Plans

	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

		IMCI Overview
		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.

	INHL 613