Figure 1
IIPAN Logic model for program monitoring and evaluation.
Table 1
Characteristics of patients by region.
| ALL SITES | AFRICA | ASIA | CENTRAL AMERICA | SOUTH AMERICA | |
|---|---|---|---|---|---|
| n (%) | |||||
| Age (mean ± SD) | 6.6 ± 4.9 | 6.7 ± 4.8 | 4.9 ± 4.3 | 8.1 ± 4.8 | 9.6 ± 5.4 |
| Sex | |||||
| Male | 7,435 (57.0) | 5,265 (57.4) | 926 (60.6) | 888 (51.5) | 356 (57.9) |
| Female | 5,607 (43.0) | 3,908 (42.6) | 603 (39.4) | 837 (48.5) | 259 (42.1) |
| Setting | |||||
| Outpatient | 2,438 (20.1) | 1,144 (13.4) | 281 (19.4) | 549 (40.5) | 464 (82.5) |
| Inpatient | 9,323 (79.9) | 7,364 (86.6) | 1,066 (80.6) | 797 (59.5) | 96 (17.5) |
| Type of visit | |||||
| Initial nutrition assessment | 1,703 (14.9) | 1,274 (15.0) | 219 (17.3) | 128 (9.9) | 82 (20.1) |
| Follow‑up nutrition assessment | 9,746 (85.1) | 7,366 (85.0) | 1,066 (82.7) | 1,168 (90.1) | 326 (79.9) |
| Primary diagnosis | |||||
| Oncologic | |||||
| Solid tumor | 6,826 (52.5) | 5,293 (57.8) | 354 (23.5) | 671 (39.1) | 508 (82.9) |
| Hematologic | 5,153 (39.6) | 3,560 (38.8) | 653 (43.4) | 851 (49.6) | 89 (14.5) |
| Other | 1,022 (7.9) | 316 (3.4) | 498 (33.1) | 192 (11.2) | 16 (2.6) |
[i] Abbreviation: n, number.
Table 2
Nutritional status of patients by region.
| ALL SITES | AFRICA | ASIA | CENTRAL AMERICA | SOUTH AMERICA | |
|---|---|---|---|---|---|
| n (%) | |||||
| Hematological malignancy or other diagnosis | |||||
| Nutritional status classified by BMI‑for‑age z‑score | |||||
| SAM | 444 (10.3) | 307 (10.5) | 115 (17.0) | 21 (3.2) | 1 (2.6) |
| MAM | 578 (13.5) | 414 (14.2) | 89 (13.1) | 74 (11.4) | 1 (2.6) |
| Healthy weight | 2,804 (65.4) | 1,956 (66.8) | 385 (56.8) | 440 (68.0) | 23 (59.0) |
| Risk of overweight | 146 (3.4) | 62 (2.1) | 34 (5.0) | 48 (7.4) | 2 (5.1) |
| Overweight | 215 (5.0) | 122 (4.2) | 35 (5.2) | 48 (7.4) | 10 (25.6) |
| Obese | 86 (2.0) | 57 (1.9) | 14 (2.1) | 13 (2.0) | 2 (5.1) |
| Severely obese | 17 (0.4) | 8 (0.3) | 6 (0.9) | 3 (0.5) | 0 (0.0) |
| Solid tumors | |||||
| Nutritional status classified by MUAC | |||||
| SAM | 735 (13.3) | 672 (15.0) | 17 (5.6) | 21 (5.5) | 25 (7.1) |
| MAM | 1,036 (18.6) | 872 (19.5) | 35 (11.5) | 75 (19.6) | 54 (15.4) |
| Healthy weight | 3,747 (67.9) | 2,937 (65.5) | 252 (82.9) | 286 (74.9) | 272 (77.5) |
| All diagnoses | |||||
| Nutritional status classified by height‑for‑age z‑score | |||||
| Severely stunted | 1,229 (10.2) | 1,049 (12.5) | 132 (7.7) | 32 (1.9) | 16 (4.4) |
| Stunted | 2,063 (17.0) | 1,503 (17.9) | 316 (18.5) | 204 (12.4) | 40 (11.0) |
| Healthy height | 8,812 (72.8) | 5,827 (69.5) | 1,262 (73.8) | 1,414 (85.7) | 309 (84.7) |
[i] Abbreviations: n, number; SAM, severe acute malnutrition; MAM, moderate acute malnutrition; BMI, body mass index; MUAC, mid‑upper arm circumference.
Figure 2A
Severe and moderate acute malnutrition at initial and follow‑up nutrition consultations, by region.
Bars represent the proportion of nutrition consultations classified as moderate or severe acute malnutrition based on body mass index‑for‑age or mid‑upper arm circumference, shown at initial assessment and at follow‑up (≥14 days).
Figure 2B
Overweight and obesity at initial and follow‑up nutrition consultations, by region.
Bars represent the proportion of nutrition consultations classified as overweight or obese based on body mass index‑for‑age z‑scores, shown at initial assessment and at follow‑up (≥14 days).
Table 3
Time to assessment and delivery of nutrition services by region.
| ALL SITES | AFRICA | ASIA | CENTRAL AMERICA | SOUTH AMERICA | |
|---|---|---|---|---|---|
| n (%) | |||||
| Time from admission to initial nutrition visit | |||||
| Nutrition assessment within 24 hours of admission | 5,133 (95.8) | 4,763 (95.8) | 5 (71.4) | 292 (97.7) | 73 (91.3) |
| Nutrition assessment within 24–48 hours of admission | 124 (2.3) | 121 (2.4) | 0 (0) | 3 (1.0) | 0 (0) |
| Nutrition assessment within 48–72 hours of admission | 40 (0.7) | 35 (0.7) | 0 (0) | 2 (0.7) | 3 (3.8) |
| Nutrition assessment 72 hours or more after admission | 62 (1.2) | 54 (1.1) | 2 (28.6) | 2 (0.7) | 4 (5.0) |
| Nutrition education | |||||
| Patients receiving individual nutrition education | 12,537 (96.0) | 8,187 (97.2) | 2,491 (97) | 1,493 (90.5) | 366 (89) |
| Therapeutic foods or formula | |||||
| Patients receiving therapeutic foods or formula | 5,791 (42.8) | 3,993 (47.4) | 1,092 (59.5) | 540 (32.7) | 166 (40.4) |
| Patients with SAM receiving therapeutic foods or formula | 1,695 (86.0) | 1,384 (86.6) | 211 (82.7) | 76 (88.4) | 24 (80.0) |
| Patients meeting 50% or less of calorie or protein needs receiving therapeutic foods or formula | 1,052 (55.0) | 221 (87.0) | 528 (41.8) | 278 (74.7) | 25 (67.6) |
| Enteral or parenteral nutrition | |||||
| Patients receiving enteral or parenteral nutrition | 450 (3.5) | 227 (2.7) | 137 (4.6) | 73 (4.4) | 13 (3.2) |
| Patients identified as needing enteral or parenteral nutrition who received it | 378 (40.3) | 181 (52.6) | 135 (29.7) | 49 (42.6) | 13 (52.0) |
[i] Abbreviations: n, number; SAM, severe acute malnutrition.
Figure 3
Minimum dietary diversity outcomes during nutrition assessments across regions.
Bars represent the proportion of nutrition consultations meeting the Minimum Dietary Diversity threshold based on a 24‑hour dietary recall, calculated only for consultations in which dietary recall was performed.
Table 4
Service delivery indicators by region.
| ALL SITES | AFRICA | ASIA | CENTRAL AMERICA | SOUTH AMERICA | |
|---|---|---|---|---|---|
| n | |||||
| Average patients seen per year (clinical + research) | 14,331 | 8,583 | 1,315 | 3,288 | 1,145 |
| Average clinical visits per year | 29,295 | 19,319 | 2,864 | 5,955 | 1,157 |
| Average number of repeat visits per year | 2.1 | 2.4 | 2.1 | 1.7 | 2.8 |
| Hours of group education per year | 232 | 96 | 2 | 20 | 114 |
| Number of attendees receiving education per year | 4,355 | 3,888 | 140 | 185 | 142 |
| Average research visits per year | 1,440 | 245 | 517 | 225 | 453 |
| Nutritionist:patient ratio | 1:73 | 1:64 | 1:58 | 1:89 | 1:116 |
[i] Abbreviation: n, number.
Figure 4
Average annual nutrition consultations by region.
Bars represent the total number of nutrition consultations delivered by IIPAN nutritionists across clinical care and research‑related activities, shown as annual service volume.