1. 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, Oct 2018

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

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

4. What is IPC?

5. 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

6. 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.

7. 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.

8. IPC Acute Malnutrition (AMN)

9. 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.

10. 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

11. 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

12. 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

13. 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

14. IPC AMN Communication Products

15. 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

16. IPC AMN latest developments and immediate plans
Joint IPC-UNICEF East Africa regional training: 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

17. 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

18. 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?