Bahwere Paluku
Food Nutr Bull. 2014 Jun;35(2 Suppl):S47-51. doi: 10.1177/15648265140352S107.
Natural and man-made disasters, including floods, droughts, earthquakes, and armed conflicts, create nutrition crises. Unfortunately, the frequency and severity of such disasters have been increasing since the beginning of the 20th century, and their contribution to the burden of acute malnutrition is increasing every year. However, their contribution to the burden of acute malnutrition is underrecognized due to the ways in which global statistics are built and causes of death are reported. Fortunately, the success of the current protocol for treatment of severe acute malnutrition (SAM) and the integrated approach to treatment has created a momentum allowing expanded coverage of treatment of SAM, especially in humanitarian emergency contexts. For this progress to be maintained and accelerated, changes in nutrition information systems at the national and global levels are needed, and the persisting barriers to the expansion and integration of treatment of SAM into routine health systems need to be removed. Emergency funding approaches and objectives have to include sustaining and amplifying the achievements of the short-term palliative interventions. Nutrition programs implemented in emergency contexts have the capacity to contribute to answering priority research questions, and this capacity should be more optimally utilized.
包括洪水、干旱、地震和武装冲突在内的自然和人为灾害会引发营养危机。不幸的是，自20世纪初以来，此类灾害的频率和严重程度一直在增加，其对急性营养不良负担的影响也逐年上升。然而，由于全球统计数据的编制方式和死亡原因的报告方式，它们对急性营养不良负担的影响未得到充分认识。幸运的是，当前严重急性营养不良（SAM）治疗方案的成功以及综合治疗方法创造了一种势头，使得SAM治疗的覆盖范围得以扩大，尤其是在人道主义紧急情况下。为了保持并加速这一进展，需要在国家和全球层面改变营养信息系统，并且必须消除将SAM治疗扩展并纳入常规卫生系统过程中持续存在的障碍。应急资金的筹集方式和目标必须包括维持并扩大短期缓解性干预措施的成果。在紧急情况下实施的营养项目有能力为回答优先研究问题做出贡献，这种能力应得到更优化的利用。
