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CED-78-144 1 (1978-06-29)

handle is hein.gao/gaobaaxkc0001 and id is 1 raw text is: DOCUMENT RESUIE 06212 - [B18468661 fNeed for a Comprehensive National Nutriti.on Surveillance System). CED-78-144; 3-133192; B-164031(3). June 29, 1976. 10 pp. Report to Secretary, Department of AgLiculture; by Henry Eschweqe, Director, Community and Pconomic Develo~nent Div. Issue Area: Health Programs (1200); Pood (17C0). Contact: Community and Economic DevelcFment Div. Budqet Function: Education, Manpower, and Social Services: Research ard General Educat-ion Aids (503); Agriculture: Aqricultural Research and Services (35i). Orqanization Concerned: Department of Health, Education, and welfa re. Conqressioial Relevance: House Committee cn Agriculture; Senate Committee on Agriculture, Nutrition, and Forestry. Authority: P.L. 95-113. The Departments ok Agriculture and Health, Education, and Welfare (HEW) developed and submitted to the Congress a joint proposal for a comprehensive hutritionaA Status c¢nitoring System (NSMS) which recognized that there was no adequate national nutrition survillance system and proposed to institute one. An effective surweillance system should: promptly identify nuttitional needs; pinpoint, within narrcw geographic boundaries, specitic tarqet groups with rutritional needs; predict future areas of nutritional ccncern; and provide data which Federal aqenci's can use to monitor the effectiveness of Proqrams for various population groups. A number of weaknesses exist which preclude current prograLs from functioning as an effective surveillance system: (1) the systems are not always specific enouqh to identify problems b) narrow geographic areas or do not alwavs include important population groups; (2) the systems do not produce information in a timely manner; and (3) the systems do not proviud ivformat.ton adequate for evaluating the effectiveness of proarams designed tc improve nutritional health. The proposed NSMS consists of four interrelated Alegents to determine nutritional and dietary rtatus, nutritional quality of foods, dietary practices and knowledge, and tLe impact of nutrition intervention programs. There are fuuz major areas of concern with tha NSMS proposal: lack of specificity and agreement between the Depa.Ttment of Agriculture aiid HEW; lack of aqreement on the collaborative, dicennial survey; the role of the system in proqram evaluation; and the inadequacy of the coordination mechanism. The Ccngress should designate either Aqriculture or HEW as the lead agency for nitrition intelligence qatherinq, and an outside party should be felected to conduct an independent peer review of the program. (BBS)

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