We’ve collected the data. Now what?

We’ve collected the data. Now what?
Step-by-step instructions to enter, clean,
analyze and use IYCF data
CORE Group Meeting
Baltimore, MD 29 April 2010
Bethann Cottrell, CARE
Carlos Rojas, CARE
Kirk Dearden, Consultant to CARE and Boston University
Mary Lung’aho, Special Advisor, CARE

Organization
Introductions
Learning Objectives
Overview of the Guide
Plenary and small group work to identify:
Challenges you’ve had with data entry/management, analysis, use
Solutions you’ve used to address those challenges
Report out on small group work
We’ll add challenges and successes with the Guide thus far
Brainstorm in plenary about next steps
Additional time using Guide/tools for those who are interested

Learning objectives
Describe purpose of Guide, name who it is for
List tools and how they can be used
Identify challenges/successes you’ve had with:
Data entry/management
Data analysis
Use of data
Name ways the Guide might be used in the future
Identify next steps

Brief history
Grew out of need to:
better understand IYCF and how to measure globally-agreed-upon measures
equip field staff with basic skills (database set-up, data management and analysis, calculation of indicators, use of results to inform programming)
Piggybacking IYCF surveys/anthropometry assessments
improves understanding of IYCF-E and reduce costs of data collection
Guide: options other than piggybacking (most common)

Brief history
Inception: Dadaab, Kenya
Transitions
From old definitions of IYCF behaviors to new WHO definitions
From EpiInfo/SPSS to Excel
From IYCF-E to IYCF
From mid-level (“non-M&E”) staff to M&E staff

Brief history
Field tests
Sierra Leone with external TA
Indonesia “ without ” external assistance
Informal use of the Guide (SC/UK in Gaza, Afghanistan, Pakistan)
MPH course on international nutrition
Input from colleagues (Mark Myatt, Marko Kerac, Andrew Seal)
Guide/tools now available

Purpose of the Guide
Assess trends in IYCF
Target populations at risk
Make decisions about resource allocation
Monitor and evaluate progress toward achieving goals, and
Determine the impact of programs
How do we change an extractive process of data collection into one that helps field staff think about the quality and meaning of IYCF data?
To be used with smaller-scale surveys
Staff should be able to use the Guide without external support

What the Guide DOESN’T do…
Help users develop questionnaires
But a generic questionnaire provides standard wording to obtain IYCF data and is provided as a tool in the Guide
prompts the user to obtain/record critical data such as the date of interview, child’s date of birth, etc.
Provide guidance on training of interviewers and data collection
Help users collect and analyze anthropometric data

Who should use it
NGOs
Cooperating Agencies
Other implementing agencies (e.g., UN)
MOH staff
Universities?

Things you should know about the Guide…
Consistent with latest (2009) WHO guidance on measuring IYCF behaviors
Focuses on current gaps:
How to identify an appropriate sampling strategy
Simple data entry and cleaning
How to think critically about data
Calculation of 10 IYCF indicators
Use of findings

The Guide walks users through critical steps
Modifying the data collection instrument (ch 2)
Sampling (ch 3)
Data entry (ch 4)
Checking and cleaning data (ch 5)
Analyzing IYCF data (ch 6)
calculation of 10 IYCF indicators
Producing and interpreting tables and bar graphs, including simple chi-square tests (ch 7)

The tools…
Electronic copy of the Guide itself
Recent WHO guidance on IYCF indicators
Questionnaire
Sample size calculator
Practice data file
Syntax for calculating each of the 10 IYCF indicators
Chi-square calculator
‘ Report card’ for sharing results of the IYCF survey

10 IYCF indicators
Timely initiation of breastfeeding
Exclusive breastfeeding
Timely complementary feeding
Introduction of solid, semi-solid or soft foods
Continued breastfeeding at 1 year
Minimum dietary diversity
Minimum meal frequency
Minimum acceptable diet
Consumption of iron-rich or iron-fortified foods
Bottle feeding

Indicators
Instructions available for users to calculate indicators manually and using Excel syntax

Example: Timely Initiation of Breastfeeding
Definition: Proportion of children 0-23 months who were put to the breast within one hour of birth
Children 0-23 months who were put to the breast within one hour of birth
Children 0-23 months
Calculation:
Age in months<24 and Q6=0
Age in months<24

Calculations can become complicated!
Minimum dietary diversity
Child must be age eligible
User must determine whether child is getting 1+ foods from each of 7 food groups
User must determine how many food groups child gets
We’ve broken down instructions into smaller, more manageable steps

The tools…
Electronic copy of the Guide itself
Recent WHO guidance on IYCF indicators
Questionnaire
Sample size calculator
Practice data file
Syntax for calculating each of the 10 IYCF indicators
Chi-square calculator
‘ Report card’ for sharing results of the IYCF survey

Brainstorm in plenary…
About challenges with:
Data analysis
Use of data
Focus is NOT limited to IYCF, rather CS in general

Instructions for small group work
3 tables
Data analysis
Use of data
Briefly add any additional challenges you’ve had in your organization
Based on your own experience, identify solutions to these challenges
Report back in plenary

Thank you!

We’ve collected the data. Now what?

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