WFP Angola Nutrition Work

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WFP Angola Nutrition Work

  1. 1.  <br /> <br /> <br />World Food Programme Angola<br />Senior Project and Optional Rotation <br />June 5, 2006 – August 4, 2006<br />Cathy Hsu<br />
  2. 2. Overview<br />Introduction to Angola<br />Current situation in Angola<br />WFP Angola’s SMI program<br />Projects done in Angola<br />Senior project: Focus groups with women<br />Side project: Data analysis <br />Side project: Community nutrition assessment<br />Conclusions<br />
  3. 3. Introduction to Angola<br />Colonized by the Portuguese<br />Independence in 1975<br />Quickly followed by a civil war<br />Cease-fire in 2002<br />
  4. 4. Current situation in Angola<br />Rich with diamonds, oil, and fertile land<br />70% of population under the poverty line<br />4 million people displaced from the war<br />Heavily mined country interior<br />Devastated infrastructure: transportation, sanitation, education, health systems<br />
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  7. 7. Maternal and Child Health in Angola<br />Maternal mortality: 1850/100000<br />Hemorrhaging <br />Malarial and iron-deficiency anemia<br />Infant mortality: 150/1000<br />Malaria<br />Vaccine preventable diseases<br />Vitamin A deficiency<br />Reduce by increasing attendance of women at prenatal and postpartum health care.<br />
  8. 8. Saude Materno Infantil (SMI)Maternal and Child Health<br />Distribute food rations to women attending prenatal and postpartum health centers<br />Goals<br />To reduce maternal and infant mortality through increased usage of health services<br />To improve the nutrition status of pregnant and lactating women and infants<br />
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  10. 10. SMI<br />Rations provided: Corn-soy blend, fortified maize meal, vitamin A fortified oil, iodized salt<br />Two areas<br />Rural Huambo<br />Peri-urban Viana<br />
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  14. 14. 1. Senior Project: Focus Groups<br />Conduct focus groups with pregnant women at health centers implementing SMI<br />8 focus groups<br />4 in Huambo 4 in Viana<br />2 small 2 large 2 small 2 large<br />
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  16. 16. Methods<br />Received IRB approval from Medford Social Sciences<br />At each health center<br />6-8 women were recruited to participate<br />All women were orally consented<br />Asked questions regarding:<br />Health care access<br />Health care quality<br />Food rations<br />
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  21. 21. Preliminary results<br />All women believe that prenatal care is very important for a good pregnancy outcome.<br />Women in semi-urban areas have more sources for health information than women in rural areas.<br />Women make health center choices based on quality of health care provided.<br />Quality of care suffers from inadequate medication supply.<br />Adequate transportation is a barrier to health care access.<br />
  22. 22. Preliminary Results<br />Knowledge of the importance of mosquito nets has not translated into the practice of using mosquito nets.<br />All women breastfeed for 1-2 years, but knowledge and practice of exclusive breastfeeding varies.<br />Food rations are not a universally motivating component of the program.<br />Most women spend less money the month that they receive the rations.<br />
  23. 23. 2. Side project: Data analysis<br />Data from Government of Angola survey<br />214 children under five <br />Huambo province<br />Nutritional, household, health information<br />Software used<br />Epi-Info for stratified frequency and means<br />WHO Anthro 2005 for z-score calculations<br />ArcView for chloropleth maps of data<br />
  24. 24. Results<br />Average household size: 5.5<br />Average prenatal consults: 5.1 <br />7% of children were wasted<br />28% of children were underweight<br />60% of children were stunted<br />73% of children received vitamin A<br />55% of children received measles vaccine<br />
  25. 25. Stunting graphs<br />
  26. 26. 3. Side project: Nutrition assessment<br />UNITA community of displaced people<br />WFP Angola to continue or end assistance<br />Conduct an assessment of nutrition status of children under five<br />57 Children<br />Weight, height, MUAC<br />History of sickness, vitamin A, measles vacc<br />Clinical indicators of severe malnutrition<br />
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  28. 28. Results<br />Wasted: 10%<br />Underweight: 18%<br />Stunting: 26%<br />32% had diarrhea in past 2 weeks<br />33% had ARI in past 2 weeks<br />93% had measles vacc and vitamin A<br />No children had edema, Bitot spots, cheilosis, angular stomatitis<br />
  29. 29. In conclusion…<br />Focus groups<br /><ul><li>Follow-up for qualitative analysis
  30. 30. Follow up with Field Exchange publication
  31. 31. Discuss with WFP Angola possible changes and improvements to SMI program or implications for future programs</li></li></ul><li>Data analysis<br /><ul><li>Submitted analysis and graphics to GSA
  32. 32. Discussed results and use in future</li></ul>Nutrition assessment<br /><ul><li>Submitted analysis to FAM and Dep. Country Director
  33. 33. Discussed and decided to discontinue aid</li></li></ul><li>Thank you, obrigada, and tuapandula!<br />

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