Transcript Anthropometry - Childinfo

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
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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
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
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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
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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!
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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
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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
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
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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
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Prepared by:
Holly Newby
Statistics and Monitoring Section
UNICEF/New York
1-212-303-7932
[email protected]
MICS4 Survey Design Workshop