This report derives from the first meeting of the CIN, which was held on 14–15 April 1994. The committee's charge—determined by USAID's Offices of Nutrition and of Democratic Initiatives and Health and Humanitarian Resources (DIHHR)—was to review the findings of five nutrition surveys and related surveillance activities conducted in Russia and the Newly Independent States (NIS) by a variety of organizations, including the U.S. government, universities, and private voluntary organizations (PVOs), in order to answer the following three questions:

Contents

• COMMITTEE ON INTERNATIONAL NUTRITION
• FOOD AND NUTRITION BOARD
• BOARD ON INTERNATIONAL HEALTH
• Preface
• 1. Executive Summary
  • COMMITTEE CHARGE AND DOCUMENTS REVIEWED
  • CONCLUSIONS
• 2. Documents Reviewed by the Committee
  • RUSSIAN LONGITUDINAL MONITORING SURVEY
  • CARE PENSIONER SURVEYS
  • CARE UNDER-TWO-YEARS-OF-AGE SURVEY
  • ANEMIA PREVALENCE SURVEY IN UZBEKISTAN
  • HEALTH/NUTRITION EARLY WARNING SYSTEM
  • OTHER DOCUMENTS PROVIDED AS BACKGROUND
• 3. Framework for Discussion
  • TIME FRAME DEFINITION
  • INSTITUTION BUILDING AS A PRIORITY
  • CAUSES FOR FUTURE CHANGES
• 4. Findings and Conclusions
  • QUESTION 1: What can be concluded about the nutritional status and identification of potential issues of at-risk populations in Russia—for example, pensioners, women, and children?
  • QUESTION 2: What indicators and methodologies would be adequate (minimal safety net) and optimal for conducting nutrition monitoring systems in the NIS?
  • QUESTION 3: How can USAID programmatically apply the current findings?
• 5. Considerations for Future Activities
  • ADDITIONAL AREAS TO PURSUE
  • SPECIFIC SUGGESTIONS REGARDING ON-GOING NUTRITION SURVEYS
• Appendix A USAID's Request to the Committee
• Appendix B Recommendations for the Survey-Surveillance Activities Reviewed by the Committee

This study was supported by the U.S. Agency for International Development under the terms of Grant No. HRN-5110-G-00-3043-00. The opinions expressed herein do not necessarily reflect those of the U.S. Agency for International Development.

NOTICE: The project that is the subject of this report was approved by the Governing Board of the National Research Council, whose members are drawn from the councils of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine. The members of the committee responsible for the report were chosen for their special competencies and with regard for appropriate balance. This report has been reviewed by a group other than the authors according to procedures approved by a Report Review Committee consisting of members of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine.

The Institute of Medicine was chartered in 1970 by the National Academy of Sciences to enlist distinguished members of the appropriate professions in the examination of policy matters pertaining to the health of the public. In this, the Institute acts under both the Academy's 1863 congressional charter responsibility to be an adviser to the federal government and its own initiative in identifying issues of medical care, research, and education. Dr. Kenneth I. Shine is president of the Institute of Medicine.