This document discusses methods for assessing nutritional status and conducting nutritional surveillance. It outlines direct methods like anthropometric measurements, biochemical/laboratory tests, clinical assessments, and dietary evaluations. Indirect methods include ecological and economic factors. Anthropometric measurements for children include height, weight, head/chest/mid-upper arm circumferences. Biochemical tests provide precise data but are time-consuming and expensive. Clinical assessments are fast but don't detect early cases. Nutritional surveillance aims to aid long-term planning, program management/evaluation, and prevent food crises.

1. NUTRITIONAL STATUS
ASSESMENT
NUTRITIONAL
SURVEILLANCE

2. PURPOSE
 IDENTIFY POPULATION AT RISK OF MALNUTRITION
 IDENTIFY POPULATION WITH MALNUTRITION
 DEVELOP HEALTH CARE PROGRAMMES
 MEASURE EFFECTIVENESS

3. METHODS
DIRECT METHODS(A.B.C.D)
 ANTHROPOMETRIC
 BIOCHEMICAL,LAB
 CLINICAL
 DIETARY EVALUATION

4. INDIRECT METHOD
 ECOLOGICAL VARIABLES
 ECONOMIC FACTORS

5. ANTHROPOMETRY
 FOR CHILDREN
 HEIGHT
 WEIGHT
 HEAD CIRCUMFERENCE
 CHEST CIRCUMFERENCE
 MID UPPER ARM CIRCUMFERENCE(MUAC)
 WAIST CIRCUMFERENCE
 HIP CIRCUMFERENCE

6. ADVANTAGES
 HIGH SPECIFICITY AND SENSITIVITY
 MEASURES MANY VARIABLES
 READINGS ARE NUMERICAL(GROWTH CHARTS)
 READINGS ARE REPRODUCABLE
 INEXPENSIVE

7. LIMITATIONS
 INTERO OBSERVATIONAL ERROR
 LIMITED NUTRITIONAL DIAGNOSIS
 PROBLEMS WITH REFERENCE AND STANDARDS

8. BIOCHEMICAL ,LABORATORY
METHODS
 STOOL EXAMINATION
 URINE EXAMINATION
 INDIVIDUAL NUTRIENT EXAMINATION(VIT D,SERUM IRON
ETC.)
 ANALYSIS OF HAIR

9. ADVANTAGES
 USEFUL IN EARLY STAGES
 PRECISE,ACCURATE,AND REPRODUCIBLE
 VALIDATE DATA FROM DIETARY METHODS

10. LIMITATIONS
 TIME CONSUMING
 EXPENSIVE
 LARGE SCALE NOT POSSIBLE
 NEED TRAINED PERSONNEL

11. CLINICAL ASSESSMENT
 NUTRITIONAL HISTORY
 GENERAL EXAMINATION
 DETECTION OF SIGNS FROM DEVIATION

12. ADVANTAGES
 FAST AND EASY
 INEXPENSIVE
 NON INVASIVE
LIMITATIONS
DID NOT DETECT EARLY CASES

13. DIETARY ASSESMENT
 24 HOURS DIETARY RECALL
 FOOD INVENTORY
 FOOD EXPENDITURE PATTERN METHOD
 DIET HISTORY
 WEIGHMENT METHOD

14. INDIRECT METHODS
 VITAL STATISTICS
 ASSESMENT OF SOCIO ECONOMIC STATUS
 ECOLOGICAL VARIABLES

15. NUTRITIONAL SURVEILLANCE
OBJECTIVES
1-TO AID LONG TERM PLANNING IN HEALTH AND
DEVELOPMENT
2-TO PROVIDE INPUT FOR PROGRAMME MANAGEMENT AND
EVALUATION
3-TO GIVE TIMELY WARNING AND INTERVENTION TO
PREVEVNT SHORT TERM FOOD CONSUMPTION CRISIS