suaahara lot quality assurance sampling (lqas) process, lessons learned and implications
TRANSCRIPT
SUAAHARA
Lot Quality Assurance Sampling (LQAS)
Process, Lessons Learned and Implications
This presentation will share ….
Background and Process
Limitations and Challenges
Top line findings
Updates and next steps
Why LQAS in Suaahara ?To generate district level data on key
outcome indicators related to IYCF, maternal and child health, WASH, HTSP, HFP etc.
Monitor programManagement and program decisions
Baseline does not give district level results
for all districts : this was not the purpose of
baseline.
Indicators Assessed in each district
0 – 6 months
• Initiation of BF
• Exclusive BF
• Colostrums
6 – 23 months
• Dietary Diversity
• Frequency• Acceptabl
e diet
All
• ANC, PNC• ORS, ARI• WASH• Agricultur
e
19/SA 19/SA 38/SA
Sample size
We did it in all 19 districts: except Parbat
Topline findings
Exclusive Breast Feeding: a slight decline from 2013
2013 201410
20
30
40
50
60
70 67.4
64
0 - 0.9 m 1 - 1.9 m 2 - 2.9 m 3 - 3.9 m 4 - 4.9 m 5 - 5.9 m
85.8 84
74.1
65.7
54.4
35.1
83.779.7
73.4
59.6
48.2
37
Exclusive Breast Feeding among infants less than 6 months old, by age (LQAS
2013 and 2014)
LQAS 2013 LQAS 2014
IYCF indicators: 6-23 months
0306090
55.581.7
4762.5
81.854.2
2013 2014
IYCF indicators: 6-23 months
0
20
40
60
80
100
55.6
95.8
63.5
31.920.6 24.2
76.3
59.9
95.6
63.6
34.5 28.3 31.1
81.3
LQAS 2013 LQAS 2014
Iron and Vitamin A rich animal source foods
020406080 69
27.8
72.8
38.6
2013 2014
ORS and Zinc
010203040 30.6
11
25.8
38.7
18.1
33.5
2013 2014
Maternal and Newborn Health
1030507090
64.955.4 52
68.458.6 55.1
2013 2014
WASH
0
20
40
60
80 78.4
21.3
45.656.3
34.6
84.4
15.2
53.265.1
60
2013 2014
WASH
0
20
40
60
80
10083.188.9
31.1
LQAS 2013 LQAS 2014
WASH
% of HHs with safety food storing ( food store in rack and/ or in closed pot)
0
20
40
60
80
100 95.2
LQAS 2014
HTSP Counseling
2013 201430
35
40
45
50
55
60
65
70
50.9
65.8
% of women who received counseling on HTSP
Contraceptive Prevalence Rate
LQAS (2013) LQAS (2014)0
5
10
15
20
25
30
20.1
24.8
% of non pregnant women with a child <24 months using any modern method of contraception.
Contraceptive Prevalence Rate
Methods to avoid pregnancyLQAS 2013
LQAS 2014
Mothers report using at least one modern method to avoid pregnancy 20.7 24.8*
Methods/products Injectable 11.2 10.3Condom 3.9 6.7Pill 2.6 3.8Male sterilization 0.1 0.1Female sterilization 1.2 0.1IUD 0.1 0.1Implants 0.1 1.2Withdrawal 0.1 0.1Rhythm method 0.0 0.0Female condom 0.0 0.0Other 0.0 0.1Lactational amenorrhea method 0.1 1.3Diaphragm 0.0 0.0Foam/jelly 0.0 0.0
Homestead Food Production
Overall 68.6 % had kitchen garden
Of them, 18.5 % had improved gardens
34 % in agriculture intensive VDCs
10.3 % in non-intensive VDCs
Poultry
% of HHs with Poultry
Mean # of poultry
% of HHs with semi intensive Coop
Mean # of eggs laid last week
% of HHs managing eggs for hatching
57.6 15.5 25.3
Ag intensive VDCs: 33
Non intensive: 17
4.2 51
Self Decision Making
Buy vege
table source
foods
Buy anim
al source
foods
Feeding c
hildren
Health ca
re of the ch
ild
Buy sanita
tin materia
ls
Particip
ate in gr
oup meetings
010203040506070
17.5 15
58.5
37 34.4 34
34
Women participation
Affiliated with at least one commuity group Participated in any meeting in the last month0
10
20
30
40
50
60
7062.1
48.9
Mass media
Baseline (2012) LQAS (2014)0
5
10
15
20
25
30
35
40
4541.3 41.9
22.2
Posession of a radio Listened to Bhanchhin Aama
What did you do as a result of listening to Bhanchhin Aama ?
81.7 % took appropriate actions in relation to IYCF
53.3 % discussed about the topics with their families and friends.
Thank You