Title: Undernutrition and Food Security
Keywords: Vulnerable groups (in general)
Nutrition
Food
Country: Spain
Institution: Spain - Barcelona Institute for Global Health - University of Barcelona
Course coordinator: Victòria Fumadó
Jorge Salamanca
Date start: 2018-03-07
Date end: 2018-03-19
About duration and dates: 7 working days face to face (in 2 weeks) Students are asked to read recommended materials before face-to-face sessions (1-2 articles to be read before 1st session) face to face: March 8th -18th 2016. Classes from Monday to Thursday from 09:00 to 13:30 with break of 30 min.
Classification: advanced optional
Mode of delivery: Face to face
Course location: University of Barcelona
Faculty of Medicine (room to be confirmed)
C/ Casanova, 143
08036 Barcelona, Spain
ECTS credit points: 3 ECTS credits
SIT: 75 hours SIT

- Hours of tutored work (not face to face): 20 h
- Hours of independent study (not face to face and not tutored): 27 h
- Hours of face to face sessions in class: 28 hours
Language: English
Description:
At the end of the module the student should be able to:

1 - Identify, assess and apply the necessary tools to address specific food security and nutritional needs in Low and Middle Income Countries as well as in conflict and insecure contexts.

2 - Develop solutions for nutrition and food security in LMIC and other crisis contexts.
Assessment Procedures:
Note that to be evaluated students need to attend 80% of face to face sessions.

The evaluation will be assessed both individually and group-based.

The final grade will be calculated considering the following aspects:
1/3 Individual class participation
1/3 Readings
1/3 Group work

1. Individual participation in class (1/3) Students are expected to be proactive in the classroom, raising and answering questions, expressing opinions, giving examples and engaging in debates. This will represent up to 1/3 of the final grade.

Participation will be assessed as follows:
• A grade of 5 or less corresponds to minimum, disruptive, or no participation;
• A grade of 8 corresponds to responding constructively to questions;
• A grade of 10 corresponds to asking perceptive questions and active constructive and educational interaction with colleagues and instructor.

2. Readings (1/3): Students are expected to read the essential bibliographic references previous to the respective class. Failing to show completion of reading through oral or written questions in class will result in the grade being reduced proportionally.

3. Group work development and presentation through continuous evaluation (1/3): At the beginning of the course, we will provide a case study to the students. This case study will start from the general base situation in one specific country, and will include a food insecurity situation and a nutritional crisis. This case will be developed along the course with tutoring from course facilitators. The students should identify, assess and apply the necessary tools to address the specific food security and nutritional situation.
The last day of class, students will develop the case in small groups and conduct an oral presentation of maximum 10 minutes, providing at the same time a written summary (no more than 3 pages).

Resit: Students that fail will be given the opportunity to individually develop and present a different practice exercise in one month.
Content:
1. Introduction to the course and overview. Review the concepts of malnutrition, definition and types, hidden malnutrition, and methods for anthropometric measures (previous reading needed).

• Analysis of the malnutrition casual tree, nutritional problems throughout the life cycle and the casual framework of malnutrition causes.
• Malnutrition in the world, evolution and main trends. Achievement of MDGs and Post-2015 (SDGs) agenda related to malnutrition.

2. Micronutrients and vitamins deficiency
• Effects of micronutrients deficiency and vitamins
• Development of strategies at community level

3. Malnutrition and infection
• Relation between infection and nutritional status.
• How to develop a good intervention with useful tools and elaborate action points.

4. Malnutrition and vulnerable groups
• HIV and nutrition:
- Challenges in the management of HIV infected malnourished patients.
- How HIV alters the clinical presentation of malnutrition.
• Reproductive health and nutrition
- Prevalence and consequences of maternal and child undernutrition in Low-and Middle-Income Countries
- Analysis of the framework for actions to achieve optimal maternal, foetal and child nutrition and development.

5. Food Security and Nutrition.
• The concept of Food Security (previous reading needed):
- From food availability to the right to food
- Food security and Malnutrition (including WASH)

• Measuring and analysing food security or insecurity:
- Food Security key documents (SOFI, VAM – WFP)
- Analysing some Proxy indicators: Coping mechanism

• A quick view of the food security situation: The state of Food Insecurity in the World 2014:
- Main trends, causes and consequences
- Agenda Post 2015 – MDG (SOFI)

6. Typology of Food Crisis
• Typology of Food Crisis:
- Types of food insecurity
- Early warning systems,
- IPC as a key agreement on triggers

• Needs assessment:
- Dimensions to be analysed
- Deciding the interventions
- Household Economy Approach (HEA)

7. Food Security Response (I)
• Responses to Food Crisis:
- Road Map to Response Analysis
- Assessing the needs
- Dimensions to be analysed

• Minimum Standards (Sphere Project)
• Food Distribution

8. Food Security Response (II)
• Cash Initiatives.
• WASH and food security related to nutrition

9. Rapid Nutrition assessment
• What is a Nutrition Rapid Assessment and how to conduct them
• The stage of food security to support the Intervention criteria

10. Nutrition Strategies (part I):
• Different types of nutrition strategies
• Strategies in adequacy with the context
• Advantages and constraints of each programme
• Different products and how to calculate a ration

11. Nutrition Strategies (part II):
• Diagnoses and types of malnutrition
• Different types of therapeutic nutritional strategies
• Election of programme depending on the type of malnutrition

12. International response to nutrition crises:
• How nutrition crises are detected and how the international response is activated through a case example

13. Final Presentation Tutorial Session

14. Final Presentation – Evaluations
Methods:
The learning methods combine individual readings, class presentation, debates in class about certain subjects and one practical exercise based in real context to be developed during the course:

• Individual readings: At least 40 minutes per document (maximum 2 mandatory readings before the main topics addressed in every block of the course) to address the main concepts that will be explained and discuss during the class. Example of mandatory reading related to nutrition:
Maternal and child nutrition: building momentum for impact
http://www.thelancet.com/pdfs/journals/lancet/PIIS0140-6736(13)60988-5.pdf
• Class presentations and debates: During the face-to-face sessions the professor will conduct oral and written presentations to illustrate the main concepts, and to propose debates about trends, solutions or tools to solve nutritional and food security problems.
• Practical Exercise: 100% related with the concepts and elements explained during the face-to-face classes, this exercise develops a real context, with food insecurity and a vulnerable situation that turns into an undernutrition crisis. The students should be able to assess the situation, to remark the tools needed to make the assessment and to define solutions.
Prerequisites:
TropEd candidates must accredit an English language level TOEFL test 550 or 213 computer-based or 79/80 internet-based or IELTS band 6.0 or equivalent.
Attendance:
Maximum of 35 students per course
Selection:
First come first served
Fees:
480 € plus university taxes
Scholarships:
Not available
tropEd accreditation:
Accredited in Yogyakarta in February 2016. This accreditation is valid until February 2021.
Email Address: nuria.casamitjana@isglobal.org
Date Of Record Creation: 2016-03-13 18:45:17 (W3C-DTF)
Date Of Record Release: 2016-03-13 22:47:49 (W3C-DTF)
Date Record Checked: 2017-03-25 (W3C-DTF)
Date Last Modified: 2017-10-10 04:43:06 (W3C-DTF)

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