MICS4 WS1 308 Anthropometry by d428S2


									Multiple Indicator Cluster Surveys
      Survey Design Workshop

Questionnaire for Children Under Five:

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       One-third of global child deaths attributable to

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
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

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Anthropometry Data Requirements

– Height

– Weight

– Sex (male or female)

– Age in months

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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)

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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.

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             Anthropometry Module
Assess prevalence of malnutrition in children under 5 years

All children under 5 years

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

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

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

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

• Classroom

• Clinic, daycare, nursery

• Field practice

• Standardization exercise

     Good training & practice ensure high quality data!
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            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)

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     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

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      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

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                    Other issues
Take measurements after under-five questionnaire interview

• 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

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• Retention of fluid in the tissues of the body;
  sign of kwashiorkor, a form of severe acute

• Oedema new in MICS4; only include if

• Calculation of indicators will not change
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           Prepared by:

            Holly Newby
Statistics and Monitoring Section
         UNICEF/New York

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