X LIBERIA NATIONAL MICRONUTRIENT SURVEY 2011 Summary of Key Findings 28 September 2011 x Mamba Point Hotel.

Slides:



Advertisements
Similar presentations
MAIN RESULTS Presented by Faustina frempong-ainguah.
Advertisements

Multiple Indicator Cluster Surveys Survey Design Workshop
IMCI Unit AFRO Going to scale: Experience with Community IMCI Meeting of RBM and IMCI Task Forces 24 th –26 th September 2002 Harare, Zimbabwe Presentation.
Impact of Large-Scale Infant Feeding Promotion on Child Survival and Health in Madagascar.
Iron Deficiency in Sri Lanka
Nutrition and Global Health
Prevention of stunting- a development challenge; food/nutrient based approaches, the way forward Dr. Khizar Ashraf United Nations, World Food Programme.
Effectiveness of the National PMTCT Program in Rwanda
1 Dr Kunal Bagchi Regional Adviser – Nutrition & Food Safety WHO South-East Asia Regional Office Kathmandu, Nepal November 2011.
NATIONAL NUTRITION MONITORING BUREAU Dr.G.N.V.Brahmam Dy. Director, Field Division, National Institute of Nutrition, (I.C.M.R.) Jamai-Osmania (P.O.), Hyderabad.
Maternal, neonatal, child health and nutrition
The Tanzania Demographic and Health Survey (TDHS) June 2005.
XI CAR MATERNAL and CHILD HEALTH FORUM, Ashgabat Monitoring of Food Fortification in Turkmenistan Annamurad Nazarov Head of the State Sanitary Surveillance.
2015 TANZANIA DEMOGRAPHIC AND HEALTH SURVEY (TDHS)
The Physical Side of Hunger Concepts & Measurements.
IRAQ Multiple Indicator Cluster survey MICS4 Launch of the Final Report Baghdad, 12 December 2012.
Rwanda Demographic and Health Survey – Key Indicators Results.
Nutrition & Mortality Survey in Aden Governorate September 2012.
Performance of Community- based Management of Acute Malnutrition programme and its impact on nutritional status of children under five years of age in.
1 Child Mortality Estimation Pending Issues Workshop on MDG monitoring (SADC/ECA) Kampala, Uganda, 5-8 May 2008.
Food and Nutrition Surveillance and Response in Emergencies
Copyright restrictions may apply JAMA Pediatrics Journal Club Slides: Cord Clamping, Iron Status, and Neurodevelopment Andersson O, Domellöf M, Andersson.
The Oxford Health Alliance The Oxford Health Alliance Community Interventions for Health: Methodology Confronting the Epidemic.
Cambodia Demographic and Health Survey Key Indicators Report.
HIV/AIDS Webinar Statistics and Monitoring Tessa Wardlaw Statistics & Monitoring Section/Policy & Practice 20 October 2010.
Results of the National Micronutrient Survey in Malawi 18 June 2003.
Dr K N Prasad Community Medicine
2009 Maldives Demographic and Health Survey. The 2009 Maldives Demographic and Health Survey (MDHS) is the first DHS conducted in Maldives. The MDHS was.
MNCWH & Nutrition Strategic Plan MCH Indaba July 2012.
Malnutrition and child survival Prof Dr. Patrick Kolsteren Nutrition and Child Health Unit Institute of Tropical Medicine Antwerp.
Food and Nutrition Surveillance and Response in Emergencies Session 14 Data Presentation, Dissemination and Use.
Nutritional anaemia. Nutritional anaemia: Who definition: a condition in which the Hb content of the blood is lower than normal as a result of a deficiency.
Provincial Dashboard Manica n.a. --- n.a. REACH Indicator Dashboard MANICA – Situation Analysis DRAFT Not currently a serious problem Requiring.
INTRODUCTION TDHS is a nationally representative household-based survey designed to provide data for measuring measure levels, patterns, and trends in.
Multiple Indicator Cluster Surveys Data Interpretation, Further Analysis and Dissemination Workshop MICS Global Update.
Antenatal care MDG 5, Target 5b, Indicator 5.5
Multiple Indicator Cluster Surveys Survey Design Workshop Sampling: Overview MICS Survey Design Workshop.
Nutrition in Developing Countries Jonathan Gorstein.
SEMINAR PRESENTATIONS
NUTRITION INFORMATION SYSTEMS IN ETHIOPIA. Child Nutrition Status in Ethiopia Wasting: 10.5%, Stunting: 46.5%, Underweight: 38.4% (DHS, 2005)
Child Focused Health Education in Afghanistan Community Mobilization and Child-led Campaigns (Vitamin A)
“Promoting Positive Pregnancies through Integrated Nutrition Interventions in the Republic of Guinea" Jennifer Peterson, Helen Keller International Guinea.
National Nutrition Situation, Policies, Priorities and Programs Dr. Shyam Raj Upreti Child Health Division Department of Health Services.
Mortality assessment SESSION 13. Factors leading to missing data in emergency Lack of civic records Low level of contacts with health institutions Lack.
UNICEF and Statistical Capacity Building UN Statistical Commission 1 March 2007 Tessa Wardlaw.
Nutrition: What’s Working, What Does It Take, & What’s On the Horizon 2002 AFR SOTA Meeting Thursday, June 13.
HOUSEHOLD SALT IODISATION LEVEL AND URINARY IODINE CONCENTRATION OF CHILDREN ATTENDING PUBLIC PRIMARY SCHOOLS IN ZARIA, NORTHWEST NIGERIA James Dorcas*,
United Nations Regional Workshop on the 2010 World Programme on Population and Housing Censuses: Census Evaluation and Post Enumeration Surveys Addis Ababa,
Meeting: Iodine Villages Across Thailand to Honor Her Royal Highness Princess Maha Chakri Sirindhorn, Nutritional Princess: Overcoming the Challenges to.
General Information on Tadjikistan. Morbidity indicators:  In 1990 it was per of people;  In 1995 – 29815;  In 2001 – Morbidity.
1 Emergency Nutrition Response in Nepal 13 th – 15 th October, 2015 GNC Annual Meeting, Nairobi, Kenya 14 Priority Earthquake affected districts.
BACKGROUND TO THE SURVEY Papua New Guinea WHY DO A MICRONUTRIENT SURVEY? The prevalence of vitamin and mineral deficiencies (VMD) in Papua New Guinea.
Achieving Coverage and Compliance of Antenatal Calcium Supplementation for Prevention of Pre-eclampsia/Eclampsia– Findings from Nepal Dr Kusum Thapa FRCOG,
Child health Program in DPRK Child health Program in DPRK Mr. Pak Yong Nam MoPH DPR of Korea in Nepal Nov
Knowledge of Canada’s Food Guide to Healthy Eating and Serving Size Awareness Understanding Healthy Lifestyles: Measuring & Monitoring Behavioural Risk.
INTERAGENCY NUTRITION SURVEY ON SYRIAN REFUGEES IN JORDAN PRELIMINARY RESULTS OF SOME KEY INDICATORS 4 MAY 2014 AMMAN, JORDAN.
2014 Kenya Demographic and Health Survey (KDHS) Key Indicators Report.
2015 Afghanistan Demographic and Health Survey (AfDHS) Key Indicators Report.
Ethiopia Demographic and Health Survey 2011 Introduction and Methodology.
Micronutrient Programmes in South Africa: Where have we come from? Where are we now? and Where are we going? Ms Chantell Witten Prof David Sanders Dr Mickey.
TOPIC:KNOWLEDGE ABOUT INDIVIDUALIZED BIRTH PLAN AND OBSTETRIC DANGER SIGNS AMONG MEN ATTENDING REPRODUCTIVE AND CHILD HEALTH CLINIC AT BUGURUNI HEALTH.
Office of Overseas Programming & Training Support (OPATS) Agriculture Sector Training Package Role of Nutrition in Food Security.
TURKISH STATISTICAL INSTITUTE Sampling Design of 2012 Global Adult Tobacco Use Survey (GATS 2012) in Turkey (Comparison with GATS 2008) Yılmaz ERSAHIN.
Darfur Crisis – Impact on Health
Follow along on Twitter!
Follow along on Twitter!
Assessment of nutritional and micronutrient status Wolfgang Stütz Institute of Biological Chemistry and Nutrition University of Hohenheim Scale-N Kickoff-Meeting,
Suri S, Sr Resident, LHMC & SSKH, New Delhi
Anemia Interventions in Low Iron Deficiency Settings - Low-dose Pre-natal Iron Supplementation and MNPs Technical Briefs prepared for Sierra Leone Ministry.
The Physical Side of Hunger
Presentation transcript:

x LIBERIA NATIONAL MICRONUTRIENT SURVEY 2011 Summary of Key Findings 28 September 2011 x Mamba Point Hotel

Background Micronutrients play a critical role in child survival and human health Iron deficiency reduces adults’ physical activity and stunts mental development Vitamin A deficiency responsible for increased morbidity and mortality; blindness Iodine deficiency creates pregnancy complications and development in utero 1. 53% of children with VAD; 62% or pregnant women, 87% of children with anemia

Background Government of Liberia endorsed World Fit for Children and MDG nutrition goals Nutrition and micronutrients emphasized in Essential Package of Health Services (EPHS) Most recent available data for micronutrient status in Liberia from 1999 MOHSW and partners needed updated information for policy and programming

General Objectives Determine national and urban/rural prevalence of micronutrient deficiencies in women 15-49 years and children 6-35 months Assess coverage of ongoing interventions that aim to prevent micronutrient deficiencies Gather information on underlying determinants of micronutrient deficiencies in Libera -Vitamin A supplementation, iron for pregnant women, etc.

Specific Objectives Estimate vitamin A, iron, and iodine deficiency for women of reproductive age; iron supplementation coverage Estimate vitamin A and iron deficiency for children 6-35 months; vitamin A supplementation and deworming coverage Estimate proportion of households consuming adequately iodized salt

Methodology LNMS used a two-stage cluster design, stratified by urban and rural areas; 57 clusters in each 2008 census frame was used to select PSUs at first stage Households sampled within communities by systematic random sampling; 15 in each Minimum sample size calculated using prevalence estimates from LMIS 2009 and 1999 survey – 1,710 households total

Methodology Training held in Monrovia 7-12 March 2011; three days of pre-testing followed in urban/rural Fieldwork conducted between 7 April-18 June Teams administered paper questionnaire, measured Hb and malaria on site; took venous blood samples from women/children, urine samples from women, salt samples from HH Biological samples transported via cold chain from field to NDS at JFK Hospital

Sample Analyses Blood samples (Germany): ELISA method used to measure ferritin, transferrin receptor (sTfR), retinol binding protein (RBP), and inflammation proteins (APPs) Urine samples (Tanzania): ammonium persulfate digestion method to measure iodine concentration Salt samples (Tanzania): simple titration to measure iodine ppm

Correction Procedure Ferritin and RBP concentrations affected by infection; even if not presenting clinical signs This creates problem when using standard cut-off points defined by WHO to classify micronutrient deficiencies, esp. for children In LNMS, identified four stages of infection response using APPs, then adjusted ferritin and RBP measurements to “healthy” subgroup

Correction Procedure

Correction Procedure

Correction Procedure

Key Findings: Anemia

Key Findings: Anemia

Key Findings: Iron Deficiency

Key Findings: Iron Deficiency

Key Findings: Iron Deficiency Anemia

Key Findings: Vitamin A Deficiency

Way Forward & Next Steps Technical working group to carry out causal analysis to identify key determinants (e.g., age, geography, education) in October Final comprehensive report, including programming recommendations based on results of causal analysis by mid-November Based on findings in final report, develop and cost a micronutrient implementation plan for Liberia by end of November

Thank You