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Edited by David E. Sahn, Richard Lockwood, and Nevin S. Scrimshaw
Report of a workshop on the Evaluation of Food and Nutrition Programmes, sponsored by the United Nations University on behalf of the United Nations ACC Sub-committee on Nutrition, held at the Massachusetts Institute of Technology, Cambridge, Massachusetts, USA, in September 1981.
THE UNITED NATIONS UNIVERSITY
© The United Nations University, 1984
The views expressed in this publication are those of the authors and do not necessarily reflect the views of the United Nations University.
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Second printing, 1988
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1. Basic concepts for the design of evaluation during programme implementation
Introduction
Costs of evaluation
Purposes of evaluation
Setting programme objectives as a basis for evaluation
Investigating causality
Confounding variables and evaluation design
Levels of analysis
Definitions of population groups involved
Effect/cost
Appropriate indicators for different objectives
Note on sample size
References
Bibliography
2. Stages in the evaluation of ongoing programmes
Introduction
Stage 1: preliminary tasks
Stage 2: evaluating the plan of the programme
Stage 3: evaluating implementation
Stage 4: evaluating gross outcome
Stage 5: evaluating net outcome
Stage 6: move to a built-in evaluation
References
3. Measuring the impact of nutrition interventions on physical growth
Introduction
General considerations
Minimum anthropometric battery
Methodology
Physical growth norms
References
4. Measuring impact using laboratory methodologies
Introduction
Development of a primary nutritional deficiency
Choice of tissue for laboratory assessment
Selection of laboratory methodologies for nutritional impact evaluation
Laboratory methods for assessment of nutritional impact
Annex A. Laboratory evaluation of protein nutriture
Annex B. Laboratory evaluation of vitamin A nutriture
Annex C. Suggested methods for hematology
References
5. Measuring impact using clinical, morbidity, and mortality data
Framework for analysis
Methods of measurement
Annex A. Field nutrition assessment form
Annex B. Xerophthalmia field survey forms
Annex C. Diarrhoea/growth study illness surveillance form
Annex D. Brief examination of child
Annex E. Birth report form
Annex F. Death report form
Annex G. Maternity history questionnaire
References
Bibliography
6. Measuring impact by assessing dietary intake and food consumption
Reasons for assessing household food practices
Deciding on a method
Models for household dietary assessment
Additional data
Steps and procedures in surveying
Assessing dietary change
Summary
Annex A. Development of a score card for the rapid assessment of calorie and nutrient intakes
Annex B. Household quantitative intake record
References
7. Measuring impact using immunologic techniques
Introduction
Methodologies
Concluding remarks
References
Bibliography
8. Measuring impact on physical activity and physical fitness
Introduction
Physical activity and energy expenditure
General comments on methodology
Techniques available for measuring energy expenditure
General considerations in use of techniques
Physical fitness measurement
Conclusion
Bibliography
9. Methods for the behavioural assessment of the consequences of malnutrition
Description of methods in published studies
An information-processing approach
Annex: Behavioural test battery
References
10. Anthropological methodologies for assessing household organization and structure
Introduction
The basic household interview
Components of the basic household interview
Some general methodological issues concerning the household interview
Reference
11. Micro-economic analysis in the evaluation of supplementary feeding programmes
Introduction
The use of micro-economic analysis
Measurement issues
Summary and conclusion
Reference
12. Data recording and processing
Introduction
Data recording
Data processing
Concluding remarks
References
A policy evaluation methodology
Implication of evaluation methodology
Reference
14. Built-in evaluation systems for supplementary feeding programmes why and how
Introduction
The concept of a built-in evaluation system
Reasons for built-in evaluation
Characteristics of a built-in evaluation system
Implementing a built-in evaluation system
Use of the data for overall programme management
References