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

The

Nutritional Surveillance Project:a tool for intervention and change

LCG-Poverty

1 December 2005

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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

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Map of NSP datacollection areas

Rajshahi

Barisal

Khulna

Chittagong

Dhaka

Sylhet

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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.

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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

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NSP data and findings are used to:

Provide data for the purposes of advocacy and obtaining support for development efforts

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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

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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

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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.

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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

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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.

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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

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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.

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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

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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

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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.

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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

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Sustainability Issues

Scientific rigor Quality control Appropriate technology Information Dissemination Advocacy & Policy Funding

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For more information contact:

Chantell Witten

Country Director

Helen Keller International Bangladesh

Email: [email protected]