WFP Angola Nutrition Work
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WFP Angola Nutrition Work

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WFP Angola Nutrition Work Presentation Transcript

  • 1.  
     
     
    World Food Programme Angola
    Senior Project and Optional Rotation
    June 5, 2006 – August 4, 2006
    Cathy Hsu
  • 2. Overview
    Introduction to Angola
    Current situation in Angola
    WFP Angola’s SMI program
    Projects done in Angola
    Senior project: Focus groups with women
    Side project: Data analysis
    Side project: Community nutrition assessment
    Conclusions
  • 3. Introduction to Angola
    Colonized by the Portuguese
    Independence in 1975
    Quickly followed by a civil war
    Cease-fire in 2002
  • 4. Current situation in Angola
    Rich with diamonds, oil, and fertile land
    70% of population under the poverty line
    4 million people displaced from the war
    Heavily mined country interior
    Devastated infrastructure: transportation, sanitation, education, health systems
  • 5.
  • 6.
  • 7. Maternal and Child Health in Angola
    Maternal mortality: 1850/100000
    Hemorrhaging
    Malarial and iron-deficiency anemia
    Infant mortality: 150/1000
    Malaria
    Vaccine preventable diseases
    Vitamin A deficiency
    Reduce by increasing attendance of women at prenatal and postpartum health care.
  • 8. Saude Materno Infantil (SMI)Maternal and Child Health
    Distribute food rations to women attending prenatal and postpartum health centers
    Goals
    To reduce maternal and infant mortality through increased usage of health services
    To improve the nutrition status of pregnant and lactating women and infants
  • 9.
  • 10. SMI
    Rations provided: Corn-soy blend, fortified maize meal, vitamin A fortified oil, iodized salt
    Two areas
    Rural Huambo
    Peri-urban Viana
  • 11.
  • 12.
  • 13.
  • 14. 1. Senior Project: Focus Groups
    Conduct focus groups with pregnant women at health centers implementing SMI
    8 focus groups
    4 in Huambo 4 in Viana
    2 small 2 large 2 small 2 large
  • 15.
  • 16. Methods
    Received IRB approval from Medford Social Sciences
    At each health center
    6-8 women were recruited to participate
    All women were orally consented
    Asked questions regarding:
    Health care access
    Health care quality
    Food rations
  • 17.
  • 18.
  • 19.
  • 20.
  • 21. Preliminary results
    All women believe that prenatal care is very important for a good pregnancy outcome.
    Women in semi-urban areas have more sources for health information than women in rural areas.
    Women make health center choices based on quality of health care provided.
    Quality of care suffers from inadequate medication supply.
    Adequate transportation is a barrier to health care access.
  • 22. Preliminary Results
    Knowledge of the importance of mosquito nets has not translated into the practice of using mosquito nets.
    All women breastfeed for 1-2 years, but knowledge and practice of exclusive breastfeeding varies.
    Food rations are not a universally motivating component of the program.
    Most women spend less money the month that they receive the rations.
  • 23. 2. Side project: Data analysis
    Data from Government of Angola survey
    214 children under five
    Huambo province
    Nutritional, household, health information
    Software used
    Epi-Info for stratified frequency and means
    WHO Anthro 2005 for z-score calculations
    ArcView for chloropleth maps of data
  • 24. Results
    Average household size: 5.5
    Average prenatal consults: 5.1
    7% of children were wasted
    28% of children were underweight
    60% of children were stunted
    73% of children received vitamin A
    55% of children received measles vaccine
  • 25. Stunting graphs
  • 26. 3. Side project: Nutrition assessment
    UNITA community of displaced people
    WFP Angola to continue or end assistance
    Conduct an assessment of nutrition status of children under five
    57 Children
    Weight, height, MUAC
    History of sickness, vitamin A, measles vacc
    Clinical indicators of severe malnutrition
  • 27.
  • 28. Results
    Wasted: 10%
    Underweight: 18%
    Stunting: 26%
    32% had diarrhea in past 2 weeks
    33% had ARI in past 2 weeks
    93% had measles vacc and vitamin A
    No children had edema, Bitot spots, cheilosis, angular stomatitis
  • 29. In conclusion…
    Focus groups
    • Follow-up for qualitative analysis
    • 30. Follow up with Field Exchange publication
    • 31. Discuss with WFP Angola possible changes and improvements to SMI program or implications for future programs
  • Data analysis
    • Submitted analysis and graphics to GSA
    • 32. Discussed results and use in future
    Nutrition assessment
    • Submitted analysis to FAM and Dep. Country Director
    • 33. Discussed and decided to discontinue aid
  • Thank you, obrigada, and tuapandula!