Post on 17-Dec-2015
The
Nutritional Surveillance Project:a tool for intervention and change
LCG-Poverty
1 December 2005
2
Nutritional Surveillance Project
Longest running nutrition surveillance system in the world.
Established in 1990 by Helen Keller International in collaboration with the Institute of Public Health Nutrition.
15 years of data on the nutrition and health of children and their mothers in Bangladesh.
Each year data are obtained from about 90,000 women and children and their households in rural Bangladesh.
Current funding from the Royal Embassy of the Netherlands (RNE) through March ‘06
3
Map of NSP datacollection areas
Rajshahi
Barisal
Khulna
Chittagong
Dhaka
Sylhet
4
What does the NSP do?
Data collected every 2 months to reflect the agricultural seasons in Bangladesh.
Data collected by NGO partners with quality control, analysis and dissemination by HKI and IPHN.
Data are collected from all children aged less than 5 years, the mother, the household and the village.
Data are collected on a broad range of indicators of nutrition, household food security and socio-economic status.
Since 1998 the data are statistically representative at divisional and national level.
5
Breadth of data collected every 2 months
Nutritional status and health of children aged <60 months and their mothers
Nightblindness and vitamin A capsule receipt Breastfeeding and child feeding practices Socioeconomic and livelihood indicators Household food consumption and food security Household food production Household expenditure and resources Gender and equity Water and sanitation Disasters and crisis coping
8
NSP data and findings are used to:
Provide data for the purposes of advocacy and obtaining support for development efforts
9
Inadequate household energy intake in rural divisions and urban slums in Dec 01/Jan 02
0 20 40 60 80
Khulna
Chittagong
Dhaka
Barisal
Chittagong
Dhaka
Sylhet
Rajshahi
Khulna
Slu
ms
Rur
al d
ivis
ion
Percentage (%)
<1805 kcal/person/day 1805-2121 kcal/person/day
‘Extreme’ poverty
‘Moderate’ poverty
10
Percentage of anemic children, adolescents and mothers in 2001
0
20
40
60
80
100
6-11 mo 12-23 mo 24-35 mo 36-47 mo 48-59 mo 5-11 yr 12-14 yr 15-19 yr Non-preg Pregnant
Pre-school children School-aged children andadolescents
Mothers
Female Male%
Severe
Moderate
11
NSP data and findings are used to:
Provide data for the purposes of advocacy and obtaining support for development efforts.
Examine progress towards development goals and trends in rural development.
12
Proportion of overall expenditure that was spent on food by quintiles of total expenditure per capita
0
10
20
30
40
50
60
70
80
90
100
Food
Pro
po
rtio
n (
%)
1st quintile 2nd quintile 3rd quintile 4th quintile 5th quintile Total
US$ 5.42/capita/ month
13
NSP data and findings are used to:
Provide data for the purposes of advocacy and obtaining support for development efforts.
Examine progress towards development goals and trends in rural development.
Examine determinants of malnutrition.
14
Percentage of underweight children (waz <-2sd) aged 6-59 mo and the weekly expenditure on rice per capita
56
58
60
62
64
66
68
70
72
74
76
1992 1993 1994 1995 1996 1997 1998 1999 2000
Year
Un
de
rwe
igh
t ch
ildre
n (
%)
0.20
0.25
0.30
0.35
0.40
0.45
0.50
0.55
0.60
We
ekl
y e
xpe
nd
iture
on
ric
e
pe
r ca
pita
(U
SD
)
Underweight Rice expenditure
15
NSP data and findings are used to:
Provide data for the purposes of advocacy and obtaining support for development efforts.
Examine progress towards development goals and trends in rural development.
Examine determinants of malnutrition.
Plan and improve health programmes.
16
Number of months that mothers took iron tablets/syrup in previous pregnancy
0
10
20
30
40
50
60
70
0 <1 1-2 3+
Number of months mothers took iron in last pregnancy
Per
cent
age
y
17
Reasons why mothers did not take iron tablets/syrup during previous pregnancy
0 5 10 15 20 25 30
Others
Baby will grow too big
Side-effect
None available
No money
Did not need them
Did not know/nobody told her
Percentage
18
NSP data and findings are used to:
Provide data for the purposes of advocacy and obtaining support for development efforts.
Examine progress towards development goals and trends in rural development.
Examine determinants of malnutrition.
Plan and improve health programmes.
Monitor and evaluate programs to improve food security and alleviate malnutrition.
19
01234567
No Home Garden Home Garden
nigh
t blin
dne
ss (
%) 12-23 mo
24-35 mo
36-47 mo48-59 mo
Association between the presence of a home garden and nightblindness among children who did not get a vitamin A capsule
20
Sustainability Issues
Scientific rigor Quality control Appropriate technology Information Dissemination Advocacy & Policy Funding
21
For more information contact:
Chantell Witten
Country Director
Helen Keller International Bangladesh
Email: cd@hkidhaka.org