title: Nutrition interventions for children aged less than 5 years following natural disasters: a systematic review.
abstract: The objective of this paper was to review various nutritional interventions targeted at under-five children in countries that had suffered from natural disasters and to analyse their effect on nutrition-related outcomes.
  
  
  
  Systematic review.
  
  
  
  Countries that had suffered from natural disasters.
  
  
  
  Children aged <5 years who were given any nutritional intervention to improve overall nutritional status after a natural disaster.
  
  
  
  Primary nutrition-related outcomes were stunting, wasting and underweight. The secondary nutrition-related outcome was anaemia.
  
  
  
  Of the 1218 studies that the reviewers agreed on, five matched the inclusion criteria and were included in this narrative synthesis. Four studies were longitudinal and one was cross-sectional in design. Food supplementation was an integral part of nutritional interventions in all the included studies. The most consistent nutritional outcome in all five included studies was reduced prevalence of wasting, followed by reduced prevalence of underweight in four, stunting in three and anaemia in one of the five included studies. The largest reduction in the prevalence of wasting and underweight was reported by the study in Sri Lanka. Overall, the quality of evidence ranged from moderate to weak.
  
  
  
  Integrated nutrition interventions using locally available health resources yielded the best results. However, sound evidence on the most effective interventions is still lacking. Intervention studies with comparison groups are necessary to obtain more robust evidence on the effectiveness of nutrition interventions.
authors.affiliation: Department of Community Medicine and Public Health, Maharajgunj Medical Campus, Institute of Medicine, Tribhuvan University, Kathmandu, Nepal.
authors.forename: Pranil Man Singh
authors.identifier: 0000-0002-0066-8583
authors.initials: PM
authors.lastname: Pradhan
authors.affiliation: Department of Community and Global Health, Graduate School of Medicine, University of Tokyo, Tokyo, Japan.
authors.forename: Rolina
authors.initials: R
authors.lastname: Dhital
authors.affiliation: FHI-360, Kathmandu, Nepal.
authors.forename: Huma
authors.initials: H
authors.lastname: Subhani
mesh_terms: D015362:Child Nutrition Disorders / Q000628:therapy*; D002675:Child, Preschool; D003430:Cross-Sectional Studies; D019587:Dietary Supplements; D004190:Disasters; D005260:Female; D005523:Food Supply / Q000706:statistics & numerical data*; D005527:Food, Fortified; D006801:Humans; D007223:Infant; D007228:Infant Nutrition Disorders / Q000628:therapy*; D038622:Internationality; D008137:Longitudinal Studies; D008297:Male
keywords: Malnutrition; Natural Disasters; Nutritional intervention; Under five children