1. The Nutritional Surveillance Project: a tool for intervention and change LCG-Poverty 1 December 2005

2. 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. 3 Map of NSP data collection areas Rajshahi Barisal Khulna Chittagong Dhaka Sylhet

4. 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. 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

6. 6 The NSP - a tool for nutrition research and change in Bangladesh Nationally and divisionally representative data provides a comparison against which to compare data collected from areas where interventions have been introduced. Data collection procedures can be modified to collect specific data on request and to perform special surveys.

7. 7 The NSP - a tool for nutrition research and change in Bangladesh Breadth of data enables the links between nutrition and its immediate, underlying and basic causes to be examined in a single system. Data since 1990 enables the impact of programs and policies to be measured against underlying secular trends. Data every two months enables the impact of disasters, programs and policies to be distinguished from seasonal effects.

8. 8 NSP data and findings are used to: Provide data for the purposes of advocacy and obtaining support for development efforts

9. 9 Inadequate household energy intake in rural divisions and urban slums in Dec 01/Jan 02 ‘Extreme’ poverty ‘Moderate’ poverty

10. 10 Percentage of anemic children, adolescents and mothers in 2001 Severe Moderate

11. 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. 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 Proportion (%) 1st quintile2nd quintile3rd quintile4th quintile5th quintileTotal US$ 5.42/capita/ month

13. 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. 14 Percentage of underweight children (waz <- 2sd) aged 6-59 mo and the weekly expenditure on rice per capita

15. 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. 16 Number of months that mothers took iron tablets/syrup in previous pregnancy

17. 17 Reasons why mothers did not take iron tablets/syrup during previous pregnancy

18. 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. 19 Association between the presence of a home garden and nightblindness among children who did not get a vitamin A capsule

20. 20 Sustainability Issues Scientific rigor Quality control Appropriate technology Information Dissemination Advocacy & Policy Funding

21. 21 For more information contact: Chantell Witten Country Director Helen Keller International Bangladesh Email: cd@hkidhaka.org