MICS4 WS1 308 Anthropometry by d428S2

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									Multiple Indicator Cluster Surveys
      Survey Design Workshop

Questionnaire for Children Under Five:
          Anthropometry



          MICS4 Survey Design Workshop
                            Background
       One-third of global child deaths attributable to
                        malnutrition

Millennium Development Goal (MDG)
Goal 1: Eradicate extreme poverty and hunger
Target 1C: Halve, between 1990 and 2015, the proportion of people who suffer from
hunger
Indicator 1.8: Prevalence of underweight children under-five years of age


World Fit for Children Goal:
Between 2000-2010, reduction of child malnutrition among children under 5 years by
at least one third



                          MICS4 Survey Design Workshop
Anthropometry Data Requirements

– Height

– Weight

– Sex (male or female)

– Age in months


             MICS4 Survey Design Workshop
Child Nutritional Status Indicators
Compared against the international reference population,
  proportion (%) under fives who are

   • # 2.1a & 2.1b - Underweight (low weight-for-age, <-2 SD)
     and severely underweight (<-3 SD)

   • # 2.2a & 2.2b - Stunted (low height-for-age, <-2 SD) and
     severely stunted (<-3 SD)

   • # 2.3a & 2.3b - Wasted (low weight-for-height, <-2 SD)
     and severely wasted (<-3 SD)

                 MICS4 Survey Design Workshop
International Reference Population
The WHO Child Growth Standards (2006)
Currently recommended


The NCHS/WHO/CDC reference population (1978)
Previously used


The change in reference population will not affect the way we
measure, just the way we analyze and report.


                   MICS4 Survey Design Workshop
             Anthropometry Module
Purpose
Assess prevalence of malnutrition in children under 5 years

Eligibility
All children under 5 years

Data collection
Each team will have a dedicated measurer, special equipment




                     MICS4 Survey Design Workshop
                  Equipment

Weight scales:
  Seca 874 U electronic scale
  150 kilo capacity, precision of 100 grams

Height/length boards:
   Wooden child measuring board (UNICEF supply
     catalogue)
   130 centimeter capacity

               MICS4 Survey Design Workshop
                    Personnel

Measurer (one per team)
Assistant (all field staff trained)

Training
• Classroom

• Clinic, daycare, nursery

• Field practice

• Standardization exercise



     Good training & practice ensure high quality data!
               MICS4 Survey Design Workshop
            Weight measurement
Remove clothing, underpants okay

Weighing children
    If child cannot stand, mother holds child
    If child can stand, stands on scale

Do weigh children with missing limbs or cast, but do not record
  result (just note in margin)




                  MICS4 Survey Design Workshop
     Height measurement, part 1
Height versus length measurement
   Lying down: <2 years (if age unknown, <85 cm)
   Standing up: >2 years (if age unknown, >85 cm)


Other considerations
   If child has a physical deformity, measure but do not
    record result; note in margin
   Beware of hairstyles that affect measurement -- undo




                MICS4 Survey Design Workshop
      Height measurement, part 2

•   Be quick and calm!
•   Start with older children
•   Clear area
•   Safety – both hands to guide/support child,
    pen and questionnaire on ground



                MICS4 Survey Design Workshop
MICS4 Survey Design Workshop
MICS4 Survey Design Workshop
                    Other issues
Timing:
Take measurements after under-five questionnaire interview

Equipment:
• New equipment is recommended; ensure that old equipment
  is field-ready before use
• Proper care of equipment is essential for accurate results
• Each team should have cleaning fluid, paper towels




                   MICS4 Survey Design Workshop
                    Oedema
• Retention of fluid in the tissues of the body;
  sign of kwashiorkor, a form of severe acute
  malnutrition

• Oedema new in MICS4; only include if
  appropriate

• Calculation of indicators will not change
               MICS4 Survey Design Workshop
           Prepared by:

            Holly Newby
Statistics and Monitoring Section
         UNICEF/New York
          1-212-303-7932
       hnewby@unicef.org

       MICS4 Survey Design Workshop

								
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