HUNGaMA Report

HUNGaMA Report: 

HUNGaMA Report Hunger and Malnutrition – Survey 2011 State Institute of Health and Family Welfare Jaipur SIHFW: An ISO:9001:2008 certified Institution 1

PowerPoint Presentation: 

1 out of 3 malnourished children under the age of five is in India. (source- UNICEF) 20 % of Indian children (0-59 months) are wasted (acutely malnourished)and 48 % are stunted ( chronically malnourished) and 43% are underweight. (source- NFHS 3) SIHFW: An ISO:9001:2008 certified Institution 2

Facts : 

Facts Nutrition crisis: Attributable cause of 1/3-1/2 of child deaths, Causes stunted physical growth and retarded cognitive development. E conomic losses associated are estimated at 3 per cent of India’s GDP annually. SIHFW: An ISO:9001:2008 certified Institution 3

Need for the Survey : 

Need for the Survey Combating the problem of nutrition crisis and enormous consequences of malnutrition on child development ; recent set of data required Latest District-level nutrition data generated through District Level Health Survey (DLHS II) conducted in 2002-04. SIHFW: An ISO:9001:2008 certified Institution 4

HUNGaMA (Hunger and Malnutrition) Survey: 

HUNGaMA (Hunger and Malnutrition) Survey India’s first ever comprehensive survey on childhood hunger and malnutrition. Gives underweight, stunting and wasting data at the District level. Focused Children under 5 years of age. Covers nearly 20% of Indian Children. View of mother ( practices, perceptions and perceived barriers to change) taken into account also. SIHFW: An ISO:9001:2008 certified Institution 5

Sample Selection: 

Sample Selection 9 states, Districts (rural): 112, Villages: 3,360, Mothers: 74,020, Households: 73,670, Children: 109,093 Data collection : Oct 2010- Feb 2011 SIHFW: an ISO9001: 2008 certified institution 6

Sample Selection: 

Sample Selection Used UNICEF’s Child Development District Index (CDI), 2009 112 districts divided into 3 categories: - 100 focus districts (from 6 states: Bihar, Jharkhand, Madhya Pradesh, Orissa, Rajasthan and Uttar Pradesh) 6 best districts from focus states 6 best districts from 3 ‘best’ states (Himachal Pradesh, Kerala, and Tamil Nadu) SIHFW: An ISO:9001:2008 certified Institution 7

Issues Addressed in Data Collection: 

Issues Addressed in Data Collection Nutrition Weight, height, age, MUAC and oedema General Household Parents’ education, caste, religion, type of home, access to services, food consumption Mothers’ Voice Feeding practices, hygiene habits, decision-making power Anganwadi Centre About the Anganwadi Worker, infrastructure, growth monitoring Village Facilities & services available SIHFW: An ISO:9001:2008 certified Institution 8

Focus Districts: Key Findings: 

Focus Districts: Key Findings Prevalence of underweight decreased from 53 %(DLHS, 2004) to 42 % ( HUNGaMA 2011); (average annual rate of reduction of 2.9 %) By age of 24 months, 42 % of children are underweight and 58 % are stunted. 92% mothers had never heard the word “malnutrition”. 11% mothers used soap to wash hands before a meal and 19% do so after a visit to the toilet. SIHFW: An ISO:9001:2008 certified Institution 9

PowerPoint Presentation: 

Girls have a nutrition advantage over boys in the 1st months of life; however this advantage is reversed over time. Rates of child underweight and stunting is proportional with mothers levels of education. 51 % mothers did not give colostrum to the newborn and 58 % mothers fed water to their infants before 6 months. SIHFW: An ISO:9001:2008 certified Institution 10

PowerPoint Presentation: 

Birth weight an important risk-factor Prevalence of underweight in children born with a weight below 2.5 kg is 50% while Children born with a weight above 2.5 kg is 34%; Corresponding figures for stunting are 62% and 50% respectively. SIHFW: an ISO9001: 2008 certified institution 11

PowerPoint Presentation: 

Presence of AWC in 96% of the villages Out of which: 61% AWC in pucca buildings; Largest AW service accessed by mothers is immunization(86%) ; 61% of AWCs had dried rations available and 50% provided food Only 19% of the mothers reported that the Anganwadi Centre provides nutrition counseling to parents. SIHFW: an ISO9001: 2008 certified institution 12

HUNGaMA Survey : 

HUNGaMA Survey SIHFW: An ISO:9001:2008 certified Institution 13

Sample Size: 

Sample Size Total Districts: 10 Children (under 5 yrs): 11,319 Mothers interviewed: 7,683 Households: 7,674 Anganwadi Centers: 284 Anganwadi Workers: 232 SIHFW: An ISO:9001:2008 certified Institution 14

District Selected: 

District Selected Focus Districts Banswara Baran Barmer Bharatpur Dhaulpur Dungarpur Jaisalmer Jhalawar Karauli Best District Kota SIHFW: An ISO:9001:2008 certified Institution 15

Status of Severely Malnourished Children (MUAC Standards) (%): 

Status of Severely Malnourished Children (MUAC Standards) (%) SIHFW: An ISO:9001:2008 certified Institution 16

Severely Underweight Children (%): 

Severely Underweight Children (%) SIHFW: An ISO:9001:2008 certified Institution 17

Severely Stunted Children (%): 

Severely Stunted Children (%) SIHFW: An ISO:9001:2008 certified Institution 18

Villages with AWC (%): 

Villages with AWC (%) SIHFW: an ISO9001: 2008 certified institution 19

Villages with AWC Pucca Building (%): 

Villages with AWC Pucca Building (%) SIHFW: an ISO9001: 2008 certified institution 20

Villages with AWW who has heard of Malnutrition (%): 

Villages with AWW who has heard of Malnutrition (%) SIHFW: an ISO9001: 2008 certified institution 21

Mothers never heard the word Malnutrition (%): 

Mothers never heard the word Malnutrition (%) SIHFW: an ISO9001: 2008 certified institution 22

Mothers with ID (%): 

Mothers with ID (%) SIHFW: an ISO9001: 2008 certified institution 23

Mothers who gave Breast milk to Child as First Intake (%): 

Mothers who gave Breast milk to Child as First Intake (%) SIHFW: an ISO9001: 2008 certified institution 24

Mothers Breastfed Child Within 1hr of Delivery (%): 

Mothers Breastfed Child Within 1hr of Delivery (%) SIHFW: an ISO9001: 2008 certified institution 25

Mothers with Decision Making Power about Children Welfare (%) : 

Mothers with Decision Making Power about Children Welfare (%) SIHFW: an ISO9001: 2008 certified institution 26

Families using soap for washing hands before meals(%) : 

Families using soap for washing hands before meals(%) SIHFW: an ISO9001: 2008 certified institution 27

Families using Soap for Hand Washing after Visiting Toilet (%) : 

Families using Soap for Hand Washing after Visiting Toilet (%) SIHFW: an ISO9001: 2008 certified institution 28

Underweight(%) DLHS 2 v/s HUNGaMA Survey (-3SD): 

Underweight(%) DLHS 2 v/s HUNGaMA Survey (-3SD) SIHFW: An ISO:9001:2008 certified Institution 29

Underweight(%): DLHS 2 v/s HUNGaMA Survey (-2SD): 

Underweight(%): DLHS 2 v/s HUNGaMA Survey (-2SD) SIHFW: An ISO:9001:2008 certified Institution 30

Wasting in Children (0-59 mths) (%): 

Wasting in Children (0-59 mths ) (%) SIHFW: An ISO:9001:2008 certified Institution 31

Stunting in Children 0-59 mths(%): 

Stunting in Children 0-59 mths (%) SIHFW: An ISO:9001:2008 certified Institution 32

Malnutrition by (MUAC) in children 0-59 mths (%): 

Malnutrition by (MUAC) in children 0-59 mths (%) SIHFW: An ISO:9001:2008 certified Institution 33

Oedema in Children(0-59mths) (%): 

Oedema in Children(0-59mths) (%) SIHFW: An ISO:9001:2008 certified Institution 34

Problems Identified: 

Problems Identified Lack of awareness among mothers about what a malnourished child would look like. Colostrum (mother’s first milk) not being given to a newborn baby due to wide range of cultural reasons. In the unorganized sector, mother has to get back to work on the second or third day after the birth of her baby. Child is left in the care of a grandmother or some other caregiver. SIHFW: an ISO9001: 2008 certified institution 35

PowerPoint Presentation: 

Emphasized the importance of AWCs with a need of getting a real-time data out of it (computerization of AWCs). In MNREGA, some intervention (flexible/reduced working hours) to ensure that lactating mother and child stays together. SIHFW: An ISO:9001:2008 certified Institution 36

PowerPoint Presentation: 

Thank You For more details log on to www. sihfwrajasthan.com or contact : Director-SIHFW on sihfwraj@yahoo.co.in SIHFW: An ISO:9001:2008 certified Institution 37