Consumption Monitoring and Nutrition Surveillance
23 September 2016
As a follow up to the East, Central, and Southern African Health Community (ECSA) food fortification workshop held in March 2016, the Consumption Monitoring and Program Impact (CMPI) group decided to have further training on concepts related to consumption monitoring and nutrition surveillance.
The objective of this online course was for participants to:
- Distinguish between internal, regulatory, and consumption monitoring and nutrition surveillance in the context of food fortification
- Define consumption monitoring and nutrition surveillance
- Cite country examples of consumption monitoring and nutrition surveillance activities as they relate to food fortification.
"Internal monitoring refers to the quality control and quality assurance (QC/QA) practices conducted by producers, importers and packers” as defined by the World Health Organization and Food and Agriculture Organization in the 2006 book “Guidelines on food fortification with micronutrients.”
Regulatory monitoring refers to monitoring completed by governments: external, import and commercial. This is from a “Flour Fortification Monitoring Manual” written by authors from the U.S. Centers for Disease Control and Prevention (CDC), Food Fortification Initiative, and the Global Alliance for Improved Nutrition. The manual is currently under review.
"The overarching aim of consumption monitoring is to periodically assess the additional micronutrient content provided to a population via the consumption of flour that by law or standards, should be fortified," according to the Flour Fortification Monitoring Manual in review.
"Public health surveillance is the ongoing, systematic collection, analysis, interpretation, and dissemination of data regarding a health-related event for use in public health action to reduce morbidity and mortality and to improve health” is a definition from the 2001 CDC document “Updated Guidelines for Evaluating Public Health Surveillance Systems”. The definition can be adapted to refer specifically to nutrition.
- An Introduction to Consumption Monitoring: An Example using Grain Fortification - PDF
- Introduction to Consumption Monitoring: An Example using Grain Fortification - recording
- Nutrition Surveillance Case Study from Guatemala - PDF
- Nutrition Surveillance Case Study from Guatemala - recording
- Using consumption and compliance data to estimate program impact - recording