MASTER OF GLOBAL HEALTH GLOH5136 Nutrition in Global Settings SEMESTER 2, 2025 Assignment 2 – Nutrition Interventions (60% of Marks) Assessment Task Prepare a 3500-word written assignment using one of the following five scenarios: Scenarios and questions 1. You manage a social protection program in a low- or middle-income country, and your primary focus is on poverty reduction. UN organisations are urging you to make your programs more nutrition-sensitive. They especially want to ensure that social protection programs contribute to meeting the target of reducing low birth weight by 2030. In preparing your essay, you should select a specific country and cover the following areas: • Start your essay by briefly describing the epidemiology, trends, and disease burden of low birth weight in that country. • Also, describe the current programs and their strengths and limitations • Outline the objectives of your nutrition-sensitive social protection program and your approach to implementing the interventions. • Describe your new strategy and the new package of interventions to make social protection for poor pregnant women more nutrition-sensitive to reduce the rates of low birth weight. Include a diagram showing the program’s impact pathway. • You should review the evidence regarding the effectiveness of the components of your strategy in your setting or in other countries to justify their inclusion in the program. • When developing the nutrition-sensitive social protection program, explain and justify the choices between unconditional cash transfers, conditional cash transfers, and food supplements. 2. You are a manager of a child nutrition program in a middle- or high-income country and have identified a significant increase in the availability and consumption of commercial milk formulas and complementary foods marketed for older infants and young children (ages 6-36 months). Many of these products are nutritionally inadequate and ultra-processed, and some, such as milk for toddlers, are socially unnecessary. There are concerns that these products displace breastfeeding and healthy complementary foods. In preparing your essay, select a specific country and cover the following areas: • Begin your essay by briefly describing trends in infant and young child feeding, and if possible, find relevant data or studies describing changes in purchasing behaviours or consumption of commercial products. • Explain what factors might drive the changes in the above indicators and the consumption of these products, including commercial determinants, such as marketing. • Describe the policy situation in your country, including the extent to which the International Code of Marketing of Breastmilk Substitutes has been implemented and other relevant policies that influence the marketing and consumption of these products. • Outline the objectives of your food system approach and your approach to implementing the interventions • Describe how policies will be strengthened to protect, promote, and support breastfeeding and reduce the harmful marketing of commercial foods for infants and young children. • You should review the evidence regarding the effectiveness of your food system strategy in your setting or other countries to justify your approach in the essay. 3. The Finance Department has evaluated the iron/folic acid supplementation program in your country (a low- or middle-income country) and questions whether the investment is worthwhile because the levels of anaemia remain high in pregnant and non-pregnant women of reproductive age despite the program. The Minister of Health requests a new strategy to control anaemia in women, which you are to develop as the Director of National Nutrition Programmes. In preparing your essay, you should select a specific country and cover the following areas: • Start your essay by briefly describing the epidemiology, trends, and disease burden of anaemia in women of reproductive age in the country. • In addition, describe the current program, its strengths, and its weaknesses. • Outline the objectives of your intervention package and the approach to implementing the interventions. • Describe your new strategy and the interventions you would implement to control anaemia in women. Include a diagram showing the program’s impact pathway. • You should review the evidence regarding the effectiveness of the components of your strategy in your setting or in other countries to justify their inclusion in the program. • When developing anaemia control strategies, consider other diseases or conditions that need to be addressed to ensure the success of the new program. 4. You oversee a multi-sectoral nutrition program in a high- or middle-income country and have identified the need to adopt a set of whole-of-food system approach to improve nutrition. You can choose up to 3 approaches to describe. Examples of approaches (policies and programs) include school feeding programs, agricultural policies, taxes on unhealthy food. Your country is experiencing a double burden of malnutrition, with increasing rates of overweight and obesity in adults and children; however, in some parts of the country, underweight persist. In preparing your essay, you should select a specific country and cover the following areas: • Start your essay by naming your selected country and briefly describing the epidemiology, trends, and disease burden of: a) overweight and obesity and b) underweight individuals in the country. • Describe the current food system, highlighting its limitations. You may wish to describe some or all of the following: agricultural food production, supply chains, food trade and imports, the types of places (the food environment) from which people acquire food (e.g. supermarkets, markets, home gardens), the presence or absence of school lunch programs, and the differences in food available in urban and rural areas • Outline the objectives of your food system approach/es and briefly outline your approach to implementing these. Approaches could include taxes, school lunch programs, marketing restrictions, and agricultural interventions. • Describe how your selected food system approach/es to improving food system outcomes (nutrition, environmental sustainability and livelihoods) especially in terms of reducing overweight and obesity. Include a diagram showing the approach’s predicted impact pathway or (pathways if you select more than 1 approach). • You should review the evidence regarding the effectiveness of the components of your food system approach/es in your setting or in other countries to justify their inclusion in the program. • Explain and justify your choices regarding the interventions to improve the food environment in the personal and external domains. 5. You oversee nutrition programs in a low- or middle-income country and have identified childhood stunting as an important public health nutrition problem. Furthermore, UN organisations are urging you to do more to ensure that your country reaches the World Health Assembly targets for the reduction of childhood stunting by 2030. In preparing your essay, you should select a specific country and cover the following areas: • Begin your essay by briefly describing the epidemiology, trends, and disease burden of childhood undernutrition in the country. • In addition, describe the current programs and their strengths and weaknesses. • Outline the objectives of your intervention package and the approach to implementing the interventions. • Describe your new strategy and the package of interventions you would implement to reduce childhood stunting. Include a diagram showing the program’s impact pathway. • You should review the evidence regarding the effectiveness of the components of your strategy in your setting or in other countries to justify their inclusion in the program. • When developing your stunting control strategy, consider the possibility of food- insecure populations and adjust your programs to accommodate them. Instructions You should carefully prepare arguments for your essay and provide relevant references. The word limit for the assignment is 3500 words. Your assignment will be marked according to the criteria provided below: In addition, make sure you look at the Canvas marking rubric. Submit your assignment to the Canvas GLOH5136 site by 11:59 PM AEDT (Sydney time) on Wednesday, 19 November 2025. CRITERIA (please also refer to marking rubric, downloada ble here) Mark Description of the epidemiology, trends and disease burden of the nutritional condition /10 Description of the current programs or food system /10 Appropriateness of the proposed new intervention, including aims, strategy, key elements & approach to implementation /20 Review of evidence and rationale for including different components in the intervention /15 Analysis and interpretation of information /10 Use of evidence and critical thought /10 Structure of paper /10 Referencing and sources /10 Style and format of paper /5 Penalty (if any) TOTAL GRADE /100 High Distinction >85 Distinction 75-84 Credit 65-74 Pass 50- 64 Fail <50
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