1. For every child Health, Education, Equality, Protection ADVANCE HUMANITY The Zimbabwe Food and Nutrition Sentinel Site Surveillance System Nairobi Feb 1 – 3, 2007

2. For every child Health, Education, Equality, Protection ADVANCE HUMANITY 1. Inform and influence programming Evidence-based decisions Better targeting of interventions Monitor interventions (VAS) 2. Early warning 3. Monitor trends The Zimbabwe Food and Nutrition Sentinel Site Surveillance System Uses of Information

3. For every child Health, Education, Equality, Protection ADVANCE HUMANITY Some Background Pilot implemented in November of 2004 with the first round of data collection Three more subsequent rounds of data collection carried out in March 05, November 05, October 06 Coordinated by the Food and Nutrition Council in collaboration with the National Nutrition Unit of the MoHCW The Zimbabwe Food and Nutrition Sentinel Site Surveillance System

4. For every child Health, Education, Equality, Protection ADVANCE HUMANITY Methodology Pilot was 1 district from each province as a sentinel site as well as the 2 major cities (Harare and Bulawayo), 10 villages each district with 30 children in each village -District chosen by Provincial Medical Director as vulnerable district, criteria provided including VAC results 3 rd and 4 th rounds expanded to 23 sites, with 2-3 districts per province Same villages sampled each round, households random Future to consider rolling sample of villages, with each village being sampled at least twice for trends Indicators collected on anthropometry (6-59 mos), health, wat/san, hunger, VAS, HH salt IDD, bfing, OVC status, chronic ill in HH The Zimbabwe Food and Nutrition Sentinel Site Surveillance System

5. For every child Health, Education, Equality, Protection ADVANCE HUMANITY Methodology Overall concept to be a bi-annual collection of data utilizing sentinel site methodology Due to costs and duplication of effort with VAC, being considered to have bi-annual data collection: VAC in April/May for post harvest data Sentinel site in Oct/Nov for early warning, update on VAC VAC to be scaled back closer to monitoring exercise The Zimbabwe Food and Nutrition Sentinel Site Surveillance System

6. For every child Health, Education, Equality, Protection ADVANCE HUMANITY Commercial Farm n=33

7. For every child Health, Education, Equality, Protection ADVANCE HUMANITY The Zimbabwe Food and Nutrition Sentinel Site Surveillance System

8. For every child Health, Education, Equality, Protection ADVANCE HUMANITY Some Issues Government desire to scaling up (necessary?, feasible?) Sustainability without external assistance (limited/short- term), even with low costs Limited utilization of secondary data and developing a more holistic approach to analysis Multiple sources of information available (DHS, NNS, HMIS, therapeutic feeding stats, PASS, MN survey) Timely release of information The Zimbabwe Food and Nutrition Sentinel Site Surveillance System

9. For every child Health, Education, Equality, Protection ADVANCE HUMANITY Successes Four data collections (sentinel site), three for trend data The system has been accepted and approved by the government (SSAC and Cabinet) and is now recognized as a means of regular data collection and reporting Evidence for better programming: UNICEF and VAS, MoHCW supplementary budget System is flexible and has adjusted rapidly based on lessons learned The Zimbabwe Food and Nutrition Sentinel Site Surveillance System

10. For every child Health, Education, Equality, Protection ADVANCE HUMANITY Way Forward Monitoring, integrating and reporting of other information, such as disease surveillance, early warning systems, crop assessments, drought data, etc Essentially more integrated system utilizing multiple sources of information to establish context Establishment of posts within government, capacity building The Zimbabwe Food and Nutrition Sentinel Site Surveillance System