United Nations High Commissioner for Refugees feeding program performance in Kenya and Tanzania: a retrospective analysis of routine Health Information System data.
BACKGROUND
The United Nations High Commissioner for Refugees (UNHCR) Health Information System is a primary source of routine nutrition program data and provides a comprehensive assessment of UNHCR selective feeding programs in more than 90 refugee camps in 18 countries worldwide.


OBJECTIVE
To evaluate the coverage and effectiveness of UNHCR supplementary and therapeutic feeding programs for malnourished children under 5 years of age in Kenya and Tanzania refugee camps.


METHODS
Analysis of Kenya and Tanzania refugee camp population, growth monitoring and nutrition program data from the UNHCR Health Information System.


RESULTS
UNHCR-supported implementing partners in Kenya and Tanzania admitted nearly 45,000 malnourished refugee children in selective feeding programs between January 2006 and May 2009. Average recovery rates of 77.1% and 84.6% in the therapeutic and supplementary programs, respectively, mortality rates of less than 1%, and average readmission below 5% suggest that feeding programs had a beneficial effect on enrolled children.


CONCLUSIONS
Increasing admission and enrollment in supplementary feeding programs was successful in preventing cases of severe malnutrition in some camps. Further attention to these camps would be likely to yield sizeable benefits in terms of absolute reductions in malnutrition prevalence and mortality rates.
Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland 21205, USA. htappis@jhsph.edu
Hannah
H
Tappis
Shannon
S
Doocy
Christopher
C
Haskew
Caroline
C
Wilkinson
Allison
A
Oman
Paul
P
Spiegel
D001837:Body Weights and Measures; D002657:Child Development; D002675:Child, Preschool; D003906:Developing Countries; D005260:Female; D005522:Food Services; D006801:Humans; D007223:Infant; D007256:Information Systems; D007630:Kenya / Q000453:epidemiology; D008297:Male; D044342:Malnutrition / Q000178:diet therapy* / Q000453:epidemiology / Q000503:physiopathology / Q000517:prevention & control; D015995:Prevalence; D015397:Program Evaluation; D012036:Refugees; D012189:Retrospective Studies; D055502:Secondary Prevention; D012720:Severity of Illness Index; D013636:Tanzania / Q000453:epidemiology; D014480:United Nations; D014857:Warfare