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Nutrition In Emergencies Question Paper

Nutrition In Emergencies

Course:Bachelor Of Science In Food, Nutrition And Dietetics

Institution: Kenyatta University question papers

Exam Year:2009

KENYATTA UNIVERSITY
UNIVERSITY EXAMINATIONS 2008/2009
SECOND SEMESTER EXAMINATION FOR THE DEGREE OF BACHELOR
OF SCIENCE IN FOOD NUTRITION AND DIETETICS
HFN 417: NUTRITION IN EMERGENCIES

DATE: Monday 7th September, 2009 TIME: 11.00 a.m. – 1.00 p.m.

INSTRUCTIONS
Answer ALL questions in the answer booklet provided.

QUESTION ONE
You work as a nutritionist for an NGO dealing with relief operation in Tana River
district where there has been severe famine because of prolonged drought.
a)Suggest the types of malnutrition which the majority of children under
five years of age are likely to be suffering from.
[2 marks]
b) Suggest three nutrition interventions that would have an immediate impact on the nutritional status of the malnourished children and give the rationale for your choice.
[6 marks]
c) Suggest four interventions (not nutritional in nature) that may also need to
be put into place to help improve the nutritional status of the children.
[4 marks]
d) Giving reasons, state the four population sub-groups likely to be most affected by the famine. Identify the nutritional indices that would be most appropriate in establishing the nutritional status of each of these population sub-groups and give a rationale for your choice.
[8 marks]

QUESTION TWO
a) Differentiate between the following: [6 marks]
I) Selective Feeding Programmes and General Food Ration
II) Targeted and Blanket Supplementary Feeding Programmes
III) Anthropometric and Nutrition surveys.

b) State the admission and discharge criteria for admission for Supplementary Feeding Programme for the following people.
[6 marks)
I) Children under five years of age
II) Pregnant women

c) Explain why the ‘take-home ration’ is the preferred mode of distribution of food by many in supplementary feeding programmes.
[8 marks]
d) Suggest four interventions that could be integrated in ‘take-home’ supplementary
feeding programmes.
[4 marks]

QUESTION THREE
a) Explain the rationale for conducting Nutrition Surveys in emergency situations.
[6 marks]
b) Discuss why Community Therapeutic Care (CTC) is recommended for the management of severe malnutrition in emergency set-ups.
[4 marks]

QUESTION FOUR
a) Interpret the following levels of global and severe acute malnutrition (based Z-scores weight-for-height index) for children under five years of age in emergency situations using the WHO guidelines.
[8 marks]
I) Global acute malnutrition [GAM] 4.8% [CI: 3.2 – 5.6]
II) Global acute malnutrition [GAM] 16.8% [13.0 – 17.3]
III) Severe acute malnutrition [SAM] 3.1% [CI: 2.4 – 4.3]
IV) Severe acute malnutrition [SAM] 1.2% [CI: 0.3 – 2.3]

b) Interpret the nutritional status represented by the following:
[8 marks]
I) -0.3 weight-for-height Z scores for children under five years of age, no oedema.
II) -0.1 weight-for-height Z scores for children under five years of age, oedema present.
III) +0.2 weight-for-height Z scores for children under five years of age, oedema absent.
IV) 68% weight-for-height percent of the median, oedema absent.
V) MUAC 100mm for children under five years of age, oedema absent.
VI) MUAC 23mm for pregnant women.
VII) -2.5 weight-for-height Z scores for children under five years of age, no Oedema.
VIII) 85% weight-for-height percent of the median for children under five years of age no oedema.

Nutrition In Emergencies Question Paper

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