nutrition in emergency -...

Nutrition in Emergency| Nutrition Department, Faculty of Medicine, University of Brawijaya 1

2014

NUTRITION DEPARTMENT

UNIVERSITY OF BRAWIJAYA

1/20/2014

NUTRITION IN EMERGENCY


INTRODUCTION

Welcome to the course: Nutrition in Emergency, hope you enjoy the content, learning experiences and assessment tasks contained in this learning guide as well as the benefits of managing your own learning. This guide has been designed specifically for your use during your studies in Nutrition in Emergency Subject This learning guide includes:

o Competencies o A guide to the objectives of the subject o Contacts and resources for the subjects o Reference to the required texts for the subjects o A summary of lecture, inquiry session o Assignments and Evaluation of learning

TEACHING STAFF AND CONTACTS

1. COURSE COORDINATOR NAME : Widya Rahmawati, S.Gz, M.Gizi PHONE : 0857 4888 2660 / 081 334 769 045 EMAIL : [email protected], [email protected],

2. SUBJECT LECTURER NAME : Nia Novita Wirawan, STP, M.Sc. PHONE : 081 296 74 654 EMAIL : [email protected], [email protected] NAME : Amalia Ruhana, SP, MPH PHONE : 08121340915 EMAIL : [email protected]

3. GUEST LECTURER

1. Dr. Ali Imam (Team of Emergency and Disasater Universitas Brawijaya) 2. Dian Widya Ningtas, STP, MP (Fakultas Teknologi Pertanian Universitas Brawijaya)

4. PBL FASILITATOR

1. Yudi Arimba Wani, SKM, MPH

2. Ilmia Fahmi, S.Gz, Dietisien

mailto:[email protected]


1. COMPETENCIES (BERDASARKAN SK Mendiknas No. 045/U/2002 dan Committee Accreditation Dietitian Education (CADE), 2002):

Nomor Kompetensi

Kompetensi yang Dicapai

Kes.Gz.01.13.01 CD 13

Menginterpretasikan dan memadukan pengetahuan ilmiah terbaru dalam praktek kegizian. Interpret and incorporate new scientific knowledge into practice

Kes.Gz.01.30.01 CD 30

Mengawasi penapisan gizi untuk individu. Supervise nutrition screening of individual

Kes.Gz.01.40.01 CD 40

Mengawasi penapisan status gizi kelompok masyarakat. Supervise screening of nutritional status of population or community

Kes.Gz.01.25.01 CD 25

Mengawasi penerjemahan kebutuhan gizi menjadi menu makanan untuk kelompok sasaran. Supervise translation of nutrition into foods/menus for target population

Kes.Gz.01.24.01 CD 24

Mengawasi pengembangan dan atau modifikasi resep/formula. Supervise development and or modification of recipes/formulas

Kes.Gz.02.07.01 CD7

Mengawasi dokumentasi pengkajian dan intervensi gizi. Supervise documentation of assessment and interventions

2. GOAL : Setelah mengikuti perkuliahan Nutrition in Emergency, mahasiswa diharapkan mampu menjelaskan jenis-jenis nutrition in emergencies dan masalah gizi/kesehatan pada kondisi emergencies, melakukan pengkajian status gizi, mendesain feeding program serta mendesain produk formulasi makanan untuk kondisi emergency

3. OBJECTIVES: Setelah mengukuti perkuliahan ini, mahasiswa mampu:

1) Menjelaskan gambaran umum nutrition in emergency 2) Menjelaskan gambaran umum masalah gizi dan kesehatan pada emergency 3) Menjelaskan dan melakukan metode nutritional assessment dalam emergency 4) Menjelaskan dan menyusun proposal screening/survey nutritional assessment dalam

emergency 5) Menjelaskan dan menentukan kebutuhan makanan dan gizi dalam emergency 6) Menjelaskan dan mendesain feeding program dalam emergency 7) Menjelaskan manajemen pelayanan makanan massal pada emergency 8) Menjelaskan upaya untuk mengatasi dan mencegahan defisiensi mikronutrien pada

emergency 9) Menjelaskan dan mendesain produk formulasi makanan untuk emergency


4. Course Program

Waktu Topik Metode PIC

Senin,

20 Jan 2014

08.00-09.40

Introduction to the course

Distribution of Group

Distribution of reading material

Lecture WR

A review of nutrition in emergency

o Type of nutritional emergency

o Health & Nutrition Problems in Emergency (who will

be affected, magnitude of problems)

o Emergency indicators

o Importance of food & nutrition in emergency

o Type of feeding program in emergency

Lecture WR

10.00-12.00 Food & Nutrition Program in Emergency PBL, DK1 WR, AR,

IF, YAW

13.00-16.00 Self Study

Selasa,

21 Jan 2014

08.00-09.40

Rapid nutritional assessment in emergency I:

Warming up 1 (Kelompok 1&2):

Rapid Nutritional Assessment in Emergency, individual

assessment

o Assessment of Acute malnutrition (WHZ, MUAC,

oedema)

o Micronutrient deficiencies (VAD, IDA, IDD)

NNW

10.00-11.40 Praktek/Penugasan NNW

13.00-14.40 Rapid nutritional assessment in emergency II

Warming up 2 (Kelompok 3&4):

Rapid Nutritional Assessment in Emergency

o Nutritional survey in emergency situation

o Alternative sampling desain for emergency situation

o Survey Methodology

o Planning for

- training & supervision during survey

- data analysis & interpretation

- interpreting result & report finding

o Design data collection protocol

NNW

14.40-16.00 Exercise:

Developing Survey Proposal for Emergency Situation

NNW

Rabu,

22 Jan 2014

08.00-12.00

Self study/Skills lab WR

13.00-15.00 Food & Nutrition Management in Emergency PBL, DK2 WR, AR,

IF, YAW


Kamis,

23 Jan 2014

08.00-09.40

Self study/Skills lab

10.00-11.40 Developing local food product for emergency

condition

1) Potensi bahan makan lokal Indonesia

2) Karakteristik bahan makan lokal Indonesia

3) Pengembangan formulasi makanan untuk

mendapatkan mutu gizi dan organoleptik optimal

4) Berbagai produk hasil pengembangan diversifikasi

pangan lokal Indonesia untuk kondisi darurat

Presentation,

Lecture

DWN

13.00-16.00 Skills lab & Pleno preparation Groupwork

Jumat,

24 Jan 2014

08.00-09.30

Pleno presentation

09.30-11.10 Food and Water Management in Emergency

Response

Physiological stress, digestive system and nutrient

needs in emergency situation

Principles of first food aids in emergency

Ensuring food safety in emergency

Hygiene and sanitation in emergency situation

Emergency treatment of drinking water

Working with communities, and advocacy and

communication in emergencies

13.00-16.00 Kuliah Klarifikasi

Food formulation product for emergency

Food and Nutrition for Emergency

Lecture

AR

WR

Senin,

27 Jan 2014

Examination

5. Evaluation of learning

Course Grading : a. Examination : 40% b. Seminar/Presentation : 20%

c. Assignment/Reports : 20% d. Class participation : 15

e. Peer assessment : 5%


6. Pembagian Kelompok. Satu Kelas terdiri dari 4 kelompok yang sesuai dengan tema yang akan dibahas selama satu minggu perkuliahan: 1) "Bencana alam terisolir", contoh Banjir Mentawai 2) "Bencana alam tidak terisolir", contoh Tsunami Aceh 3) "Keadaan rawan pangan": contoh paceklik panjang, kekeringan, gagal panen 4) "KLB Gizi buruk" : terdapat KLB Gizi Buruk, contoh KLB Gizi Buruk NTB

Masing-masing kelompok dibebaskan untuk memberi nama kelompoknya masing-masing sesuai tema.

7. Assigments A. Warming up

Masing-masing kelompok diberikan kesempatan untuk mempresentasikan materi yang akan dibahas pada hari itu.

B. Skills Lab: Rabu, 22 Jan 2014 pk. 08.00-12.00; Kamis, 23 Jan 2014 pk. 08.00-10.00, pk.

13.00-selesai

1. Membuat rancangan proporal Rapid Nutritional Assessment 2. Membuat rencana dan monev program pangan dan gizi untuk kondisi darurat 3. Menghitung kebutuhan bahan makanan yang diperlukan untuk General Food Distribution 4. Membuat siklus menu untuk dapur umum makanan emergency 5. Membuat formulasi makanan sesuai jenis program yang dipilih (wet dan dry ration) 6. Membuat standar operasional prosedur (SOP) manajemen pelayanan makanan darurat

(makanan dan minuman) 7. Merencanakan kebutuhan biaya untuk seluruh program yang diusulkan (populasi

menggunakan asumsi)

C. Jumat, 24 Januari 2014. Presentasi Masing-masing kelompok mempresentasikan hasil diskusi kelompok selama Mata Kuliah Nutrition in Emergency.

D. Format Laporan: 1. Halaman Sampul

Tugas Mata Kuliah Nutrition in Emergency Judul Laporan

Logo Universitas Brawijaya

Kelompok … 1. Nama (NIM) TTD 2. Nama (NIM) TTD

JURUSAN GIZI FAKULTAS KEDOKTERAN UNIVERSITAS BRAWIJAYA

MALANG 2014


2. Daftar isi Skenario Unclear Term Problem Identification Learning Issues Hasil Diskusi Kelompok 1 Hasil Diskusi Kelompok 2 Kesimpulan dan Saran

3. Daftar pustaka 4. Lampiran (Hasil Skills Lab) 5. Laporan dijilid dengan mika putih

Laporan diketik di kertas A4 dengan spasi 1.5, dikumpulkan dalam bentuk hard copy dan soft copy, paling lambat dikumpulkan pada Hari Jumat, 24 Januari 2014, pukul 08.00.

E. Reading Material Topics Referensi

Rapid nutritional assessment in emergency 1 & 2

ENCU/DPPA, 2006, Guiding principles for rapid nutrition assessment (www.dppc.got.et) FANTA, 2007. Alternative sampling design for emergencies setting. (www.fantaproject.org) FANTA, 2009. Alternative sampling design for emergencies setting: a guide for survey planning, data collection & analysis. www.fantaproject.org) The Johns Hopkins and IFRC Public Health Guide for Emergencies. Chapter 6. Food and Nutrition. (www.adpc.net) WHO, 1995, Field guide on Rapid Nutritional Assessment in Emergencies, Geneva: WHO (whqlibdoc.who.int/emro) WHO, 2000. Adults assessment of nutritional status in emergencies-affected population (www.unscn.org) Young H & Jaspar. The meaning and measurement of acute malnutrition in emergencies. UK: Humanitarian Practice Network (se1.isn.ch serviceengine)

Young H & Jaspar. The meaning and measurement of acute malnutrition in emergencies. UK: Humanitarian Practice Network (se1.isn.ch serviceengine)

Food and nutrient needs in emergency

ENCU, 2004. Emergency Nutrition Intervention Guideline. (www.dppc.gov.et) ENN, 2004. Community-based therapeutic care (CTC) (www.reliefweb.int) ENN, 2004. Targeting food aid in emergencies. (www.reliefweb.int) ENN, AED, FANTA, USAID, 2008. Integration of Community-based Management of Acute Malnutrition (www.reliefweb.int) IBFAN-ICDC, 2009. The Code and infant feeding in emergencies (worldbreastfeeding.net) Jaspar S & Young H, 1995. General Food Distribution in emergency. UK: Relief & Rehabilitation Network & Overseas Development Institute (www.odipn.org)

http://www.dppc.got.et/

http://www.fantaproject.org/

http://www.fantaproject.org/

http://www.adpc.net/

http://www.unscn.org/

http://www.dppc.gov.et/

http://www.reliefweb.int/



http://www.odipn.org/


SEAMEO-TROPMED RCCN-UI, 2004. Nutrition survey and supplementary/Therapeutic Feeding in Emergency Situation Training The Johns Hopkins and IFRC Public Health Guide for Emergencies. Chapter 6. Food and Nutrition. (www.adpc.net) UNHCR, UNICEF, WFP, WHO, 2001. Food and nutrition needs in emergencies (whqlibdoc.who.int) UNHCR/WFP, 1999. Guidelines for Selective Feeding Programmes in Emergencies, 1999 (www.who.int) USAID, 2008. Emergencies In Urban Settings (www.aed.org) WFP, 2004. Nutrition in Emergencies: WFP Experiences And Challenge (www.wfp.org)

Preventing and controlling micronutrient deficiency in emergency area

WHO, WFP, UNICEF, Preventing and controlling micronutrient deficiencies in populations affected by an emergency (www.searo.who.int) The Johns Hopkins and IFRC Public Health Guide for Emergencies. Chapter 6. Food and Nutrition. (www.adpc.net)

WFP, 2004. Nutrition in Emergencies: WFP Experiences And Challenge (www.WFP.org)

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)

Gail G. Harrison. Public Health Interventions to Combat Micronutrient Deficiencies. Public Health Reviews, Vol. 32, No 1, 256-266. (www.publichealthreviews.eu/upload/pdf_files/7/14_PHI_Harrisson)

Developing food formulation product for emergency

Barba, Corazon V, 2007. Food Formulation. Food and Micronutrient Intervention Course. SEAMEO-TROPMED RCCN UI. de Pee Saskia, and Bloem, Martin W, Current and Potential role of special formulated foods and food supplements for preventing malnutrition among 6-23 months old and treating moderate malnutrition among 6-59 months old children. (www.who.int) WFP, 2004. Nutrition in Emergencies: WFP Experiences And Challenge (www.WFP.org)


http://www.who.int/

http://www.aed.org/

http://www.wfp.org/

http://www.searo.who.int/


http://www.wfp.org/

http://www.unitedcalltoaction.org/documents/Investing_in_the_future

http://www.publichealthreviews.eu/upload/pdf_files/7/14_PHI_Harrisson

http://www.who.int/

http://www.wfp.org/


DAFTAR PESERTA MKP NUTRITION IN EMERGENCY

NO NIM NAMA Kelompok

1 105070300111002 Ika Candra K. 1

2 105070300111005 Diajeng Rochma I 2

3 105070300111009 Fitriana Nugraheni 3

4 105070300111015 Hanifa 4

5 105070300111016 Arieska Malia N.P. 1

6 105070300111018 Irvan Noer Oela 2

7 105070300111019 Baiq Fitria Rahmiati 3

8 105070300111024 Lavrencia A R 4

9 105070300111026 Nur Afifah Dwi P 1

10 105070300111030 Yeny Kusuma Wardhani 2

11 105070300111032 Olga Lona M W 3

12 105070300111034 Gati Putri Wiratama 4

13 105070300111036 Mief Qur`Anin S 1

14 105070300111042 Amelia Farina 2

15 105070300111044 Tyas Permata Sari 3

16 105070300111046 Arif Sabta Aji 4

17 105070301111002 Laily Fandianty Ningsih 1

18 105070301111004 Mega Silvia 2

19 105070301111006 Widya Adrianingtias 3

20 105070301111007 Nila Reswari Haryana 4

21 105070301111012 Novita Widya Rachmania 1

22 105070301111024 Intrida Anggi Pratiwi 2

23 105070301111025 Wismia Arintika 3

24 105070303111003 Rois Al Farisi 4

25 105070304111001 Ika Fitriana Putri W 1

26 105070304111002 Desita Nurramadhani 2

27 105070304111003 Netta Meridianti Putri 3

28 105070307111003 Elvira Febriani P 4

29 105070307111009 Shabrina Rahadi Murtiningrum 1

30 105070307111015 Zahrina Tresna Wahidin 2

31 125070309111001 Monita Fadyastiti 3

32 125070309111002 Nur Widyaning Rochmawati 4

33 125070309111003 Arrum Nur Afifah 1

34 125070309111004 Roziana Hasnum 2

35 125070309111009 Kartika Wijayanti 3

36 125070309111010 Faridatul Adhiyah 4

37 125070309111011 Anggun Faradhita 1

38 125070309111015 Rahmah 2

39 125070309111016 Nanda Restu Uswatul Hasanah 3

40 125070309111017 Riris Yunita Damanik 4

41 125070309111019 Rosy Handayani 1


42 125070309111020 Rina Julianti Siregar 2

43 125070309111021 Verawaty Sitorus 3

44 125070309111023 Alief Lutvika Nuraini 4

45 125070309111026 Intan Permata Sari 1

46 125070309111030 Siti Zulaikah 2

47 125070309111032 Wahyu Dian Ilmi 3

48 125070309111038 May Shinta Prastiwi 4

49 125070309111046 Wulan Rahmasari 1

50 125070309111047 Risda Hukama 2

51 125070309111049 Okthavia Kusuma Wardhani 3

52 125070309111050 Vyanty Hastuty 4

53 125070309111051 Ummi Habibah 1

54 125070309111052 Yuni Wahyu Triana 2


Nama berdasarkan kelompok


1 105070300111002 Ika Candra K. 1

2 105070300111016 Arieska Malia N.P. 1

3 105070300111026 Nur Afifah Dwi P 1

4 105070300111036 Mief Qur`Anin S 1

5 105070301111002 Laily Fandianty Ningsih 1

6 105070301111012 Novita Widya Rachmania 1

7 105070304111001 Ika Fitriana Putri W 1

8 105070307111009 Shabrina Rahadi Murtiningrum 1

9 125070309111003 Arrum Nur Afifah 1

10 125070309111011 Anggun Faradhita 1

11 125070309111019 Rosy Handayani 1

12 125070309111026 Intan Permata Sari 1

13 125070309111046 Wulan Rahmasari 1

14 125070309111051 Ummi Habibah 1


1 105070300111005 Diajeng Rochma I 2

2 105070300111018 Irvan Noer Oela 2

3 105070300111030 Yeny Kusuma Wardhani 2

4 105070300111042 Amelia Farina 2

5 105070301111004 Mega Silvia 2

6 105070301111024 Intrida Anggi Pratiwi 2

7 105070304111002 Desita Nurramadhani 2

8 105070307111015 Zahrina Tresna Wahidin 2

9 125070309111004 Roziana Hasnum 2

10 125070309111015 Rahmah 2

11 125070309111020 Rina Julianti Siregar 2

12 125070309111030 Siti Zulaikah 2

13 125070309111047 Risda Hukama 2

14 125070309111052 Yuni Wahyu Triana 2


1 105070300111009 Fitriana Nugraheni 3

2 105070300111019 Baiq Fitria Rahmiati 3

3 105070300111032 Olga Lona M W 3

4 105070300111044 Tyas Permata Sari 3

5 105070301111006 Widya Adrianingtias 3

6 105070301111025 Wismia Arintika 3


7 105070304111003 Netta Meridianti Putri 3

8 125070309111001 Monita Fadyastiti 3

9 125070309111009 Kartika Wijayanti 3

10 125070309111016 Nanda Restu Uswatul Hasanah 3

11 125070309111021 Verawaty Sitorus 3

12 125070309111032 Wahyu Dian Ilmi 3

13 125070309111049 Okthavia Kusuma Wardhani 3


1 105070300111015 Hanifa 4

2 105070300111024 Lavrencia A R 4

3 105070300111034 Gati Putri Wiratama 4

4 105070300111046 Arif Sabta Aji 4

5 105070301111007 Nila Reswari Haryana 4

6 105070303111003 Rois Al Farisi 4

7 105070307111003 Elvira Febriani P 4

8 125070309111002 Nur Widyaning Rochmawati 4

9 125070309111010 Faridatul Adhiyah 4

10 125070309111017 Riris Yunita Damanik 4

11 125070309111023 Alief Lutvika Nuraini 4

12 125070309111038 May Shinta Prastiwi 4

13 125070309111050 Vyanty Hastuty 4

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