Technical Competency Framework for Nutrition in Emergencies Practitioners Version 1.0 (25.07.2013) Competency Domain (A) Humanitarian system & standards (B) Coordination Level 1 Behaviours Level 2 Behaviours A1.1 Demonstrates awareness of relevant Sphere or organisation specific standards and indicators A2.1 Implements programmes in line with humanitarian standards B1.1 Identifies relevant local stakeholders, including representatives from the beneficiary population, for inclusion in nutrition programme coordination activities B2.1 Disseminates information to all relevant stakeholders on a timely basis B1.2 Assists in compiling nutrition activity inputs for proposals Level 3 Behaviours A3.1 Designs programme strategies that are coherent with humanitarian standards A2.2 Able to describe responsibilities of different organisations within the humanitarian response B2.2 Develops good relations with other nutrition actors and other sectors B3.1 Initiates contacts and effectively communicates with all relevant local, national, and global stakeholders B3.2 Ensures integration, coordination, and harmonisation of tools with stakeholders B3.3 Works effectively with stakeholders on development of strategies and proposals B1.3 Attends and actively participates in all relevant meetings B1.4 Effectively communicates with relevant stakeholders (C) Measuring Malnutrition: Rapid Assessments C1.1 Demonstrates ability to participate in rapid assessments of the nutritional situation C2.1 Organises assessment teams and ensures adherence to guidelines C3.1 Plans, organises, and leads nutritional assessments C2.2 Conducts rapid assessments in line with guidelines and protocols C3.2 Provides technical support to teams where needed (D) Measuring Malnutrition: Surveys D1.1 Collects good quality data (anthropometric and non-anthropometric) D2.1 Demonstrates understanding of different survey designs D3.1 Assesses all available information to select appropriate survey designs for the context D1.2 Correctly uses growth charts and malnutrition cut-offs D2.2 Understands the use of both quantitative and qualitative methods D3.2 Develops context specific strategies for measuring malnutrition D1.3 Obtains secondary data and identifies gaps D2.3 Trains teams to effectively use quantitative and qualitative methods D3.3 Provides technical leadership, coordination, and support for survey activities D1.4 Conducts data entry using spread sheet or statistical software D2.4 Supervises surveys and ensures data quality D3.4 Collates, analyses, interprets and disseminates nutrition information Nutrition in Emergencies Technical Competency Framework Page 1 of 6 Competency Domain Level 1 Behaviours Level 2 Behaviours D2.5 Conducts data analysis using statistical software Level 3 Behaviours D2.6 Conducts full situation analyses, triangulates data, and prepares good quality survey reports D2.7 Demonstrates understanding of the cultural determinants of malnutrition D2.8 Uses appropriate conceptual frameworks for analysis (E) Health and Disease Assessment: The Link with Nutrition E1.1 Demonstrates awareness of nutrition/disease interactions and importance of health and WASH interventions for nutrition E2.1 Ensures nutrition/disease relationship is considered in all nutrition programmes E3.1 Actively engages with health, WASH, and other relevant sectors E2.2 Initiates health assessments where appropriate E3.2 Designs appropriate interventions accounting for disease status of target population (e.g. HIV/AIDS, malaria, chronic disease) F1.1 Demonstrates ability to participate in food security assessments F2.1 Demonstrates understanding of livelihoods and household economy analysis methods F3.1 Initiates food security and livelihoods assessments where appropriate F1.2 Demonstrates understanding of the role of food security in preventing malnutrition F2.2 Correctly uses livelihoods framework in causal analysis F3.2 Actively integrates nutrition and food security sector activities E1.2 Implements appropriate measures to reduce risk of communicable disease transmission (F) Food Security and Livelihoods Assessment F2.3 Ensures good communication links with food security staff F2.4 Demonstrates familiarity with Integrated Phase Classification (G) Surveillance and Early Warning G1.1 Correctly collects and records the different types of data required for the surveillance system G2.1 Conducts appropriate trend analysis G2.2 Understands the importance of nonanthropometric data (e.g. disease incidence) G2.3 Sources both primary data and secondary data (e.g. from routine crop assessment reports) (H) Design and Implementation of Nutrition Programmes G3.1 Designs, implements, and follows up surveillance and early warning programmes G3.2 Provides guidance on use of indicators for monitoring H1.1 Effectively implements nutrition programmes under guidance of programme manager H2.1 Manages nutrition programmes in line with humanitarian standards and documents any deviations H3.1 Develops new project proposals building on lessons learned from previous programme experiences H1.2 Demonstrates awareness of programme H2.2 Manages programmes with long term H3.2 Oversees design and implementation of Nutrition in Emergencies Technical Competency Framework Page 2 of 6 Competency Domain Level 1 Behaviours objectives H1.3 Demonstrates awareness of both preventative and curative interventions Level 2 Behaviours transitions in mind H2.3 Monitors programme performance H2.4 Interprets results or analyses data to design or improve existing programs appropriately H2.5 Demonstrates understanding of the importance of cultural considerations for successful programme design H2.6 Adapts programmes to local contexts Level 3 Behaviours nutrition programmes ensuring all are in line with humanitarian standards, and documents any deviations H3.3 Analyses nutrition programmes on an ongoing basis and proposes and implements improvements H3.4 Designs programmes with awareness of long- term transitions H3.5 Ensures other programmes and sectors are considered when designing the programme H2.7 Assesses local capacity and ensures programmes are integrated into existing health systems where appropriate H2.8 Ensures projects are implemented in accordance with set timeframes H2.9 Contributes to development of project proposals (I) General Food Distribution and Cash/Voucher Programmes I1.1 Demonstrates ability to participate in general food distributions (GFD)and/or cash/voucher distributions I1.2 Demonstrates awareness of potential challenges and necessary precautions I2.1 Plans and manages GFD or cash/voucher distributions I2.2 Calculates nutritional content of rations and suggests suitable alterations where necessary I2.3 Conducts market analysis I3.1 Demonstrates awareness of different food assistance strategies and reasons for choosing them I3.2 Designs appropriate food assistance programmes I2.4 Demonstrates understanding of the implications of conditional cash transfers (J) Blanket Supplementary Feeding J1.1 Demonstrates ability to participate in blanket supplementary feeding programmes (BSFP) J2.1 Plans and manages BSFP J3.1 Designs appropriate programmes and strategies to prevent malnutrition (K) Management of Moderate and Severe Acute Malnutrition K1.1 Demonstrates ability to participate in active screening for targeted groups K2.1 Maintains and supports CMAM programme activities (TSFP/OTP/SC) K1.2 Applies standard assessment tools K2.2 Integrates CMAM into existing health systems where appropriate K3.1 Assesses suitability for integration of CMAM programmes into health systems where appropriate K1.3 Executes monitoring activities for CMAM K1.4 Adheres to protocols for in/outpatient Nutrition in Emergencies Technical Competency Framework K2.3 Provides leadership on CMAM approaches K3.2 Develops implementation strategy and effectively manages the implementation of CMAM programmes Page 3 of 6 Competency Domain Level 1 Behaviours treatment K1.5 Delivers appropriate nutrition messages to carers/mothers at OTP/TSFP sites Level 2 Behaviours K2.4 Provides technical assistance and support to all programme staff Level 3 Behaviours K3.3 Designs and Implements CMAM monitoring tools K2.5 Ensures all staff adhere to protocols K3.4 Provides technical assistance to programme managers and government departments K2.6 Maintains and shares programme monitoring database K3.5 Facilitates the development and scheduling of outreach activities K3.6 Conducts regular field visits (L) Micronutrient deficiencies (M) Infant and Young Child Feeding in Emergencies (IYCF-E) L1.1 Correctly identifies micronutrient deficiencies from clinical signs L2.1 Builds micronutrient deficiency assessments into surveys when appropriate L3.1 Designs interventions to treat and prevent micronutrient deficiencies L1.2 Appropriately treats deficiencies or refers to appropriate health staff L2.2 Proposes suitable interventions to prevent deficiencies L3.2 Provides technical support to staff when necessary L1.3 Demonstrates awareness of possible interventions for preventing micronutrient malnutrition including supplementation, fortification, and diet diversification L2.3 Conducts nutritional analysis of food assistance to determine whether all micronutrient needs are met M1.1 Demonstrates understanding of Operational Guidance on IYCF-E M2.1 Provides technical guidance to teams M1.2 Provides support for breastfeeding M2.2 Ensures all staff adhere to criteria set out in the Operational Guidance on IYCF-E M1.3 Takes appropriate measures to minimise risks of artificial feeding M3.1 Ensures all actions of staff are contributing to supporting breastfeeding and minimising risks of artificial feeding M3.2 Ensures logisticians are aware that they should adhere to the guidelines on distribution and use of breastmilk substitutes and other milk products (N) Behavioural Change Communication (BCC) N1.1 Performs BCC sessions with beneficiaries N2.1 Oversees behavioural change communication activities N3.1 Designs and implements behavioural change communication programmes (O) Emergency Preparedness O1.1 Conducts activities outlined in emergency preparedness plan O2.1 Identifies potential disasters for inclusion in preparedness plan O1.2 Involves communities in preparedness activities O2.2 Assesses populations to identify at risk groups O3.1 Designs, develops and oversees implementation of emergency preparedness plan O1.3 Demonstrates understanding of objectives of emergency preparedness O2.3 Identifies activities to mitigate risk and ensure nutrition response is timely and Nutrition in Emergencies Technical Competency Framework O3.2 Facilitates links between emergency response, DRR, and development teams O3.3 Uses disaster risk reduction frameworks to Page 4 of 6 Competency Domain Level 1 Behaviours Level 2 Behaviours appropriate O2.4 Uses early warning systems and projections Level 3 Behaviours identify potential impact of disasters on nutritional status (P) Logistics P1.1 Follows system for monitoring stock levels and reporting procurement needs P2.1 Develops procurement plans and liaises with logisticians P3.1 Develops strategic procurement plans well in advance and liaises with logisticians ensuring all details and timelines are understood (Q) Monitoring and Evaluation (M&E) Q1.1 Conducts data collection for key nutritional indicators Q2.1 Develops M&E framework / work plan in line with existing programmes Q3.1 Designs and implements strong M&E systems Q1.2 Participates in analysis of data Q2.2 Adapts M&E system to local context Q1.3 Conducts the M&E work plan Q2.3 Ensures strong monitoring systems are in place that collect data for key nutrition indicators Q3.2 Ensures effective supervisory mechanisms are in place Q1.4 Supports programme evaluations Q3.3 Evaluates programmes on a regular basis and adapts them in line with findings Q2.4 Ensures all data is analysed, reviewed and responded to on an on-going basis (R) Advocacy and Communication R1.1 Communicates with relevant stakeholders to convey nutrition messages R2.1 Communicates effectively with government, media, and other organisations R3.1 Proactive in communicating nutrition agenda with all relevant stakeholders R2.2 Demonstrates ability to independently structure and write relevant, clear and precise reports in different formats and for different audiences R3.2 Oversees all communication ensuring appropriate messages are being conveyed R3.3 Develops advocacy strategies to influence policy R2.3 Provides inputs into policy development (S) Reporting S1.1 Reports accurately and in a timely manner S1.2 Writes in a clear and concise manner, providing all required information Nutrition in Emergencies Technical Competency Framework S2.1 Compiles and verifies nutrition reports S2.2 Clearly presents data, using appropriate graphs and tables S2.3 Submits good quality narrative and financial reports in a timely manner S3.1 Submits high quality reports, both narrative and financial, in a timely manner to internal and external parties. S3.2 Takes responsibility for ensuring a regular reporting system is in place Page 5 of 6 Competency Domain (T) Capacity Development and Training Level 1 Behaviours Level 2 Behaviours T1.1 Identifies areas in need of strengthening T2.1 Assesses training needs of nutrition staff T1.2 Delivers basic training to teams of national staff T2.2 Designs, delivers, and supports staff training Level 3 Behaviours T3.1 Liaises with appropriate authorities to develop capacity building plan for national staff T3.2 Designs training materials and delivers and supports staff training at all levels including training of trainers T3.3 Provides mentoring BSFP: blanket supplementary feeding programmes, CMAM: community based management of acute malnutrition, TSFP: targeted supplementary feeding programmes, OTP: outpatient treatment programme, SC: stabilisation centre, WASH: water, sanitation and hygiene This framework was designed as part of an interagency collaboration involving: Concern Worldwide; Emergency Nutrition Network; International Medical Corps; Save the Children, UK; University College London; Valid International; and World Vision International Nutrition in Emergencies Technical Competency Framework Page 6 of 6