Updates on IPC Acute Malnutrition GNC Meeting, Amman, 22-24 Oct 2018 Integrated Food Security and Nutrition Phase Classification Evidence and Standards for Better Food Security and Nutrition Decisions Updates on IPC Acute Malnutrition GNC Meeting, Amman, 22-24 Oct 2018

IPC Nutrition Working Group Acknowledgement IPC Steering Committee IPC Technical Advisory Group IPC Nutrition Working Group

Outline What is IPC? IPC AMN – how does it work? How do different IPC scales relate? IPC AMN latest developments and immediate plans Discussion

What is IPC?

What is IPC? IPC Stands for Integrated food security and nutrition Phase Classification IPC is a set of protocols to classify areas/groups based on the severity of food security and malnutrition outcomes, identify major contributing factors to food security and/or malnutrition, and provide actionable knowledge by consolidating wide-ranging evidence on food security and malnutrition

IPC comes with 3 distinctive but interrelated classifications to inform decision making Situation Analysis Response Analysis Interventions with short-term objectives to address acute food insecurity IPC ACUTE FOOD INSECURITY Food insecurity of a severity that threatens lives and/or livelihoods regardless of the causes, context or duration. Complementarity Complementarity Decision making process IPC ACUTE MALNUTRITION Short- and long-term objectives to decrease acute malnutrition Nutrition situation and outcomes in relation to food security and non-food factors and causes of malnutrition. IPC CHRONIC FOOD INSECURITY Interventions with medium and long-term strategic objectives Food insecurity that persists due to structural causes.

Integrated food Security & nutrition Phase Classification IPC is a situation analysis tool that focusses on the analysis of the severity of and contributing factors to acute and chronic food insecurity and acute malnutrition IPC does not collect information but uses existing information on food security and nutrition outcomes and contributing factors Scale Acute Food Insecurity Acute Malnutrition Chronic Food Insecurity Outcome Food Consumption Livelihood Change Etc. GAM by WHZ GAM by MUAC Stunting Contributing factors Food availability, access, utilization, etc. Diseases, food intake, care practices, health system functioning, etc.

IPC Acute Malnutrition (AMN)

How does the IPC AMN work? Areas are classified based on the acute malnutrition outcomes (i.e. prevalence of acute malnutrition) GAM by WHZ and GAM by MUAC Major contributing factors to acute malnutrition are identified based on the IPC AMN Analytical Framework: IPC AMN uses a modified version of the UNICEF Conceptual Framework on Malnutrition as the analytical framework The severity and magnitude of acute malnutrition along with the possible contributing factors are agreed through consensus and communicated IPC analyses are organized through the in-country Nutrition Cluster/Sectors and in coordination with the other Clusters – i.e. FS, Health, and WASH.

Classification in IPC AMN Sources of data: surveys, sentinel sites, and screening Each has a set of minimum quality criteria Different thresholds for WHZ and MUAC based classifications MUAC based classifications take into account the relationship between WHZ and MUAC contributing factors prevalence of acute malnutrition based on GAM

Contributing factors to acute malnutrition A list of minimum indicators under each cause of malnutrition Additional indicators can be added based on context For food insecurity, the results from the IPC Acute Food Insecurity analysis is used

Relationship between different levels of AFI and AMN IPC AMN & IPC AFI Together, they provide the full acute food security and nutrition situation analysis for strategic response Relationship between different levels of AFI and AMN AFI AMN AFI AMN AFI AMN High Severity level AFI AMN Low Causes of AMN likely non-food related. Urgent treatment for AMN and focus on feeding practices, WASH and health (disease epidemics) Save livelihoods and reduce gaps in consumption, especially quality; maintain AMN at low levels Urgent need to save lives and livelihoods. Scale up treatment for AMN, improve WASH, and address disease epidemics Low priority areas for IPC. Maintain AFI and AMN at low levels. Priority program objectives

IPC AMN projection analysis Assessment of Current Drivers Immediate causes Inadequate Dietary Intake Diseases Underlying causes Acute Food Insecurity Care for children and women Insufficient health Services & Unhealthy Environment Basic Causes Human Capital Physical capital Financial Capital Natural capita Social capital Polices, Institutions and Processes Usual/normal shocks Unusual shocks Analysis of impact of likely changes of each driver on Current levels of Acute Malnutrition Assumptions on likely changes Projected IPC AMN Phase

IPC AMN Communication Products

IPC AMN latest developments and immediate plans New manual (IPC Technical Manual version 3.0) harmonizing the 3 IPC scales developed Revised protocols New guidance on data collection in areas with limited/no humanitarian access Harmonization between the 3 different scales New criteria for evaluating evidence and determining the quality of data Trainings on the new manual and rollout of IPC based on the new manual are currently underway

IPC AMN latest developments and immediate plans Joint IPC-UNICEF East Africa regional training: 26-29 Nov. 2019 Selected countries from Southern Africa IPC AMN analyses Mali and Burkina Faso: end Oct. 2018 Burundi: Dec. 2018 Afghanistan, Pakistan, Djibouti, Sudan, CAR, Cambodia… : early 2019 Other countries where IPC AMN already ongoing on regular basis: South Sudan, Kenya, and Mozambique Focus is on regional and country capacity development in IPC version 3 so countries are able to conduct analysis themselves with support from regional experts Plans to aggregate and produce regional maps and food security and nutrition outlook

IPC in country process IPC works through IPC Technical Working Groups (TWG) Nutrition Clusters/Sectors are members (if not co-chairs) of IPC TWG NIWG-NC/Sector takes the lead in organizing the IPC AMN NIWG forms the core of the IPC AMN analysis team WASH, Health, Food Security clusters provide technical inputs Strongly recommend to carry out IPC AMN and IPC AFI simultaneously Focus on areas with high acute food insecurity and low acute malnutrition and vice versa If simultaneous analysis is not possible, can be done separately

Key issues for discussion What would be the possible ways to integrate IPC AMN in national plans so that it becomes part of the nutrition situation analysis? How to address the data availability and quality? How to make sure that the IPC analysis findings and recommendations are taken into account in the response? What are the views of GNC partners in using combined estimates (WHZ and MUAC) in the calculation and reporting of the magnitude of the acute malnutrition – i.e. total burden of acute malnutrition?