The COVID-19 pandemic shocked the world, affecting organizations and institutions that supported the delivery of nutrition programs at all levels. The Agile Core Team for Nutrition Monitoring (ACT-NM) group, a collaboration amongst UNICEF, USAID, WHO and USAID Advancing Nutrition, was set up in June 2020 to provide a consolidated voice on nutrition monitoring in the ongoing context of COVID-19, but also to timely respond to the needs of the nutrition community.
Analytical framework
The comprehensive analytical framework developed by the ACT-NM encompasses the 6 maternal, infant and young children nutrition targets endorsed by WHA, the outcomes monitored towards the elimination of malnutrition in all its forms, one of the Sustainable Development Goals (SDGs) targets.
Linking the overarching categories of food, health, social protection, education, water and sanitation to outcomes and impacts of COVID-19 on nutrition, the analytical framework is a useful tool that allows users to construct context-specific pathways to study the impact of future disasters. For policymakers and program staff, this tool is a powerful and adaptable means to fortify nutrition programs in the wake of COVID-19 and future shocks.
The analytical framework groups various factors into different categories and sub-categories relevant to the intersection between COVID-19 and nutrition. It has a simplified organizational structure with 5 overarching categories, including a series of determinants (enabling, underlying and immediate) leading to outcomes and impact. In each category of determinants there are sub-categories of relevant factors: contextual (enabling determinants), systemic (underlying determinants) and behavioural and nutritional status (immediate determinants). The design of the framework also acknowledges the overall environmental context and the wide-ranging effects of the COVID-19 pandemic on the different categories and sub-categories. In addition, the framework recognizes the importance of deepening inequality and its influence on all components of the analytical framework.