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17/02/2016
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Preventing and controlling
micronutrient deficiency in
emergency area Widya Rahmawati
Defisiensi vitamin dan mineral sangat mudah terjadi dan semakin diperparah di daerah emergency
Ketika terjadi perang atau bencana, hasil pertanian dan ternak hilang, suplai makanan terputus dan penyakit infeksi dan diare mewabah
Kejadian defisiensi Vitamin and mineral pada daerah emergency: Pengungsi Burma di Thailand (2003) 65% anak menderita
anemia dieficiency besi. Selain suplemen vitamin A yang sudah rutin diberikan,
suplemen mikronutrient juga harus diberikan sebagai bagian dari program respon darurat.
Dekade akhir ini, sudahmulai diberikan multiple micronutrient fortification dalam kondisi emergency.
17/02/2016 Widya R, 2015, Preventing Micronutrient Deficiency in Emergency
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The UN Standing Committee on Nutrition memberikan rekomendasi bahwa kombinasi beberapa internvensi dapat dilakukan:
1. meningkatkan akses kepada makanan segar
2. meningkatkan fortifikasi makanan
3. distribusi suplemen
4. pemberian sprinkle atau permen terfortifikasi.
Strategic to control deficiency micronutrient
17/02/2016 Widya R, 2015, Preventing Micronutrient Deficiency in Emergency
17/02/2016 Widya R, 2015, Preventing Micronutrient Deficiency in Emergency
www.unicef.org
17/02/2016 Widya R, 2015, Preventing Micronutrient Deficiency in Emergency
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17/02/2016 Widya R, 2015, Preventing Micronutrient Deficiency in Emergency
www.unicef.org
17/02/2016 Widya R, 2015, Preventing Micronutrient Deficiency in Emergency
www.unicef.org
17/02/2016 Widya R, 2015, Preventing Micronutrient Deficiency in Emergency
www.unicef.org
17/02/2016 Widya R, 2015, Preventing Micronutrient Deficiency in Emergency
www.unicef.org
Kamp pengungsi Nangweshi di Zambia (2003), diadakan peralatan penggilingan dan fortifikasi mobile untuk memfortifikasi tepung jagung dengan mikronutrien: vitamin A, folic acid, iron and zinc.
Penelitian di 2007 menemukan bahwa pemberian tepung jagung terfortifikasi dapat menurunkan anaemia pada children dan menurunkan defisiensi vitamin pada remaja.
17/02/2016 Widya R, 2015, Preventing Micronutrient Deficiency in Emergency
17/02/2016 Widya R, 2015, Preventing Micronutrient Deficiency in Emergency
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17/02/2016 Widya R, 2015, Preventing Micronutrient Deficiency in Emergency
www.unicef.org
17/02/2016 Widya R, 2015, Preventing Micronutrient Deficiency in Emergency
www.unicef.org
17/02/2016 Widya R, 2015, Preventing Micronutrient Deficiency in Emergency
www.unicef.org
17/02/2016 Widya R, 2015, Preventing Micronutrient Deficiency in Emergency
www.unicef.org
17/02/2016 Widya R, 2015, Preventing Micronutrient Deficiency in Emergency
www.unicef.org
17/02/2016 Widya R, 2015, Preventing Micronutrient Deficiency in Emergency
www.unicef.org
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17/02/2016 Widya R, 2015, Preventing Micronutrient Deficiency in Emergency
www.unicef.org
17/02/2016 Widya R, 2015, Preventing Micronutrient Deficiency in Emergency
www.unicef.org
17/02/2016 Widya R, 2015, Preventing Micronutrient Deficiency in Emergency
www.unicef.org
17/02/2016 Widya R, 2015, Preventing Micronutrient Deficiency in Emergency
www.unicef.org
17/02/2016 Widya R, 2015, Preventing Micronutrient Deficiency in Emergency
www.unicef.org
17/02/2016 Widya R, 2015, Preventing Micronutrient Deficiency in Emergency
www.unicef.org
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17/02/2016 Widya R, 2015, Preventing Micronutrient Deficiency in Emergency
www.unicef.org
when fortified rations
are not being given,
children aged 6 to 59
months should be given
one dose each day
when fortified rations
are being given,
children aged 6 to 59
months should be given
two doses each week of
the micronutrient
supplement shown in
table 1
WHO, WFP, Unicef, 2007. 17/02/2016 Widya R, 2015, Preventing Micronutrient Deficiency in Emergency
schedule in Table 2
WHO, WFP, Unicef, 2007. 17/02/2016 Widya R, 2015, Preventing Micronutrient Deficiency in Emergency
17/02/2016 Widya R, 2015, Preventing Micronutrient Deficiency in Emergency
www.unicef.org
17/02/2016 Widya R, 2015, Preventing Micronutrient Deficiency in Emergency
www.unicef.org
17/02/2016 Widya R, 2015, Preventing Micronutrient Deficiency in Emergency
www.unicef.org
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17/02/2016 Widya R, 2015, Preventing Micronutrient Deficiency in Emergency
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17/02/2016 Widya R, 2015, Preventing Micronutrient Deficiency in Emergency
www.unicef.org
17/02/2016 Widya R, 2015, Preventing Micronutrient Deficiency in Emergency
www.unicef.org
Summary
17/02/2016 Widya R, 2015, Preventing Micronutrient Deficiency in Emergency
www.unicef.org
WFP, 2004. Nutrition in Emergencies: WFP Experiences And Challenge (www.WFP.org) USAID, 2008. Emergencies In Urban Settings (www.aed.org) ENN, 2004. Community-based therapeutic care (CTC) (www.reliefweb.int) ENN, AED, FANTA, USAID, 2008. Integration of Community-based Management of
Acute Malnutrition (www.reliefweb.int) SEAMEO-TROPMED RCCN-UI, 2004. Nutrition survey and supplementary/Therapeutic
Feeding in Emergency Situation Training International code of donation in emergency Flour Fortification Initiaitove (FFI), The Global Alliance for Improve Nutrition (GAIN),
Micronutrient Initiative (MI), UNICEF, USAID, World Bank, WHO, 2009. Investing in the future. A united call to action on vitamin and mineral deficiencies. Global Report 2009. (www.unitedcalltoaction.org/documents/Investing_in_the_future)
WHO, WFP, Unicef, 2007. Preventing and controlling micronutrient deficiencies in populations affected by an emergency (www.searo.who.int)
Course Material of Nutrition in Emergency, www.unicef.org
References
17/02/2016 Widya R, 2015, Preventing Micronutrient Deficiency in Emergency