Review of the Advances and Challenges in Nutrition in Conflicts and Crises over the Last 20 Years

摘要

The main purpose of this paper is to assess the principle advances made over the past years in nutrition in conflicts and crises and to propose direction for further advances in the field. The term 'advances' refers to developments in technical knowledge and nutrition policy and practice. The Project Cycle Management is used as a framework for presenting these advances and the challenges that remain. Specifically, the paper considers the objectives of the advances and describes how well they have been achieved; determines the challenges and issues which still exist in relation to the advances; and provides recommendations on how these challenges might be overcome and issues resolved. Advances made over the last 20 years are considered with historical reference. However, this paper is not intended to be an exhaustive listing of all achievements and challenges. The paper builds on the advances documented in the ACC/SCN 4th report (UNACC/SCN (2000)) and, therefore, emphasizes more recent developments as these are the issues into which current investment is being made. Each section ends with a series of recommendations for future action. It is hoped that this will contribute to the development of a plan of action for the international community that will accelerate the pace of advances in the field of emergency nutrition: advances that will lead to significant improvements in relieving the suffering, death and degradation of disaster-affected communities.