Recommended Approach to Food Drop for Nutrition and Food Safety
The recommended approach to food drop should include regular distribution of nutritionally balanced rations, proper food safety practices, and consideration of cultural preferences to prevent malnutrition and foodborne illness. 1
Nutritional Considerations for Food Drop Programs
General Ration Requirements
- Food distribution must occur regularly, with no longer than 10-14 days between distributions to ensure consistent access to nutrition 1
- If specific food items cannot be supplied, the energy and nutrient content should be replaced with alternative available commodities as a short-term measure 1
- Grains should be provided in ground form or grinders must be made available to ensure proper utilization 1
Nutritional Composition
- Include a variety of food groups to ensure balanced nutrition, including grains, proteins, fruits, and vegetables 1
- If fresh fruits and vegetables are not available, fortified blended foods (e.g., corn-soya milk) should be provided to meet micronutrient requirements 1
- Encourage growing vegetables when possible by providing seeds, gardening implements, and suitable land to prevent deficiencies like pellagra and scurvy 1
Special Population Considerations
- Breast-feeding should be encouraged and supported; bottle feeding should be discouraged 1
- Lactating women should receive extra sources of calories and protein 1
- Appropriate weaning foods should be included in general rations 1
- Dry skim milk and other milk products should not be distributed separately but mixed with milled grains; any milk products included should be fortified with vitamin A 1
Food Safety Guidelines
Handling and Preparation
- Wash hands thoroughly before eating and during food preparation 1
- Keep all aspects of food preparation clean, including washing fruits and vegetables thoroughly 1
- Use special care in handling raw meats, fish, poultry, and eggs 1
- Thoroughly clean all utensils, countertops, cutting boards, and sponges that have contacted raw meat 1
- Keep raw meats and ready-to-eat foods separate to prevent cross-contamination 1
Cooking and Storage
- Cook foods to proper temperatures; meat, poultry, and seafood should be thoroughly cooked 1
- If foods are distributed in uncooked form, adequate fuel and cooking utensils should be made available 1
- Store foods promptly at low temperatures (below 40°F) to minimize bacterial growth 1
- Ensure beverages like milk and juices are pasteurized 1
Cultural and Practical Considerations
Cultural Adaptation
- Include culturally significant items like tea, sugar, and spices in food baskets 1
- When such items are highly valued, refugees may sell part of their ration to obtain them, resulting in reduced caloric intake 1
- Allow access to local markets and permit creation of markets to enable supplementation of diets with otherwise unavailable foods 1
Supplementary Feeding Programs (SFPs)
- Implement SFPs when general ration is less than 1,500 kcal/person or when malnutrition rates exceed specified thresholds 1
- Target vulnerable populations including undernourished children under 5, pregnant and lactating women, elderly, and chronically ill individuals 1
- SFPs should provide at least 500 kcal and 15g protein/day in one or two feedings 1
Implementation Challenges and Solutions
Food Processing Considerations
- Recognize that food processing affects nutritional quality - blanching results in leaching of vitamins and minerals, while milling can remove minerals 2
- Consider bioavailability of key minerals like iron, zinc, and calcium, which can be affected by fiber, phytic acid, and tannin content 2
- Be aware that vitamins (especially ascorbic acid, thiamin, and folic acid) are highly sensitive to processing methods 2
Packaging and Distribution
- Package foods in appropriate portion sizes to facilitate distribution and consumption 1
- Consider packaging that allows for greater stability and preservation of fresh fruits and vegetables 1
- Focus on providing nutrient-dense foods rather than simply counting calories 3
By following these guidelines, food drop programs can effectively address both nutritional needs and food safety concerns while respecting cultural preferences and practical constraints of the affected population.