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DOCUMENT RESUA-IE
06211 - rB-846863]
fJoint Proposal for a Nutrition Surveillance System],
CED-78-145; B-133192; B-164i031(3). June 29, 1S78. 10 pp.
Report to Secretary, Department of Health, Educotion, and
Welfare; by Gregory J. Ahart, Director, Human Beaources Div.
Issue Area: Food (1700); Health Programs f1200).
Contact: Community and Economic Development. Div.
Budqet Function: Education, Manpower, and Social Services:
Research and General Education Aids (503); Agriculture:
Agricultural Research and Servic.s (352).
Orqanization Concerned: Department of ;griculture.
Congressional Relevance: House Committee on Interstate and
Foreign Commerce; Sena':e Cormittee on Human Resources.
Authoriti: P.L. 95-113.
The Departments of Agriculture and Health, Education,
and Welfare (HEW) developed and submitted to the Congress a
joint proposal for a comprehensive Nutritional Status Ninitoring
Syster (NSMS) which reccqnized that ,*re was no adequate
national nutrition surveillance system and proposed to institute
one. An effective surveillance system should: promptly identify
nutritional needs; pinpoint, within carrcw geographic
houndaries, specitic ;arget groups with nutritional needs;
predict future areas of nutritional ccrcern; and provide data
which Federal agencies can use to monitor the effectiveness of
programs for various population qrcups. A number of weaknesses
exist which preclude current programs from functioning as an
effective surveillance system: (1) the systems are not always
specific enough to identify problems by narrow geographic areas
or do not always include importaut population groups; 42) the
sfstems dn not protiuce information ir a tinely manner; and (3)
the systems do not provide information adequate tar evaluating
tha effectiveness of programs designed to improve nutritional
health. The proposed BLMS consists of tour interrelated elements
to determine nutritional and dietary status, nutritional quality
of foods, dietary practices and knowledge, and the impact of
nutrition intervention programs. There are four major areas of
concern with the NSMS: lack o.& speciticity and agreement between
the Department of Agriculture and HEW, lack of agreement on the
collaborative, dicennial survey; the role of the system in
program evaluation; and the inadequacy of the coordination
mechanism. The Congress should designate either Agriculture or
HEW as the lead agency for nutrition intelligence gathering, and
an outside party should be selected to conduct an independent
peer review of the program. (RRS)](ViewImageLocal?handle=hein.gao/gaobaaxkb0001&div=1&collection=&method=preview&ext=.png&size=3)