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Survey analysis 28march2019_ap

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Survey analysis 28march2019_ap

  1. 1. A Common Vision for Tackling Malnutrition in India Summary Findings
  2. 2. Profile of Survey Participants Age 11 19 30 13 19 0 20 40 60 80 100 20-30 years 31-40 years 41-50 years 51-60 years Older than 60 years % Gender 41 57 1 1 Male Female Other Prefer not to say 32 5 56 8 0 20 40 60 80 100 Research Civil Society Implementation (program or technical support) Others % Primary area of work 14 10 41 11 24 0 20 40 60 80 100 Research Institute Government NGO University or Academic Organization Others % Location Affiliation 43% - Delhi 37% - State 5%- District
  3. 3. Level of emphasis India should place on different malnutrition challenges 25 38 32 32 32 53 38 38 53 46 49 62 6 9 15 19 0 10 20 30 40 50 60 70 80 90 100 Stunting Wasting Low Birth Weight Anemia among Women Overweight among Children Overweight among Adults Adult High Blood Pressure Adult High Blood Sugar % Needs Attention Top Priority
  4. 4. Most relevant immediate determinants of undernutrition 34 32 46 28 35 3334 42 43 57 56 30 0 10 20 30 40 50 60 70 80 90 100 Early Initiation of Breastfeeding Exclusive Breastfeeding Timely Introduction of Complementary Food Minimum Acceptable Diet Maternal Undernutrition Childhood Illness % Needs Attention Top Priority
  5. 5. Most relevant underlying determinants of undernutrition 32 32 47 46 32 34 25 54 43 30 39 38 41 47 0 10 20 30 40 50 60 70 80 90 100 Girls Education Early Marriage Women Economic Participation Women Social Empowerment Food Security Poverty Sanitation % Needs Attention Top Priority
  6. 6. Importance of areas of action related to food systems and agriculture for nutrition 44 44 46 39 44 35 14 24 41 20 35 22 0 10 20 30 40 50 60 70 80 90 100 Fortification of Staple Food Fortification of Foods in Public Programs Diversifying Foods in Public Programs Home Gardening Large Scale Production of Diverse Foods Biofortification of Staple Foods % Needs Attention Top Priority
  7. 7. Interventions in the first 1000 days: Which areas need most emphasis? Interventions important to improve ANC 4.33 4.46 3.85 4.51 4.17 1 2 3 4 5 All providers (public and private) given adequate guidance on frequency and components of ANC Improve monitoring of public provision of antenatal care Increase private provider compliance with ANC guidance Raise awareness among beneficiaries on the importance of early and frequent antenatal care Conduct implementation research on demand and supply-side reasons for low coverage AverageScore
  8. 8. 13 54 30 3 Low Medium High No response Likelihood of an increase in private sector involvement in ANC in future Interventions in the first 1000 days: Which areas need most emphasis?
  9. 9. Interventions in the first 1000 days: Which areas need most emphasis? Measures to ensure quality of ANC in public sector facilities and program platforms like VHSND 4.29 4.49 4.53 4.68 4.32 4.63 1 2 3 4 5 Assure Adequate Financing Improve Infrastructure Train Staff Fill Sanctioned Staff Positions Reassess Staffing Needs Improve monitoring and use of data for improvement Average Score Measures to increase consumption of IFA among pregnant women 4.34 4.05 4.54 4.76 1 2 3 4 5 Improve procurement and distribution of IFA Improve financing processes for IFA Train all healthcare providers on IFA benefits and management of side- effects Raise awareness about IFA (benefits and management of side-effects) among communities Average Score
  10. 10. Interventions in the first 1000 days: Which areas need most emphasis? Measures to ensure that all pregnant women are counselled on breastfeeding 4.64 4.45 4.53 3.71 1 2 3 4 5 Ensure wide-spread dissemination of guidance Raise awareness among private-care providers Monitor public provider compliance with guidance on breastfeeding counselling Incentivize provision of breastfeeding counselling Average Score Measures to improve IFA coverage among children 4.49 4.05 4.58 4.7 1 2 3 4 5 Improve procurement and distribution of pediatric IFA Improve financing processes for pediatric IFA Train all healthcare providers (on benefits and side effects management) Raise awareness of IFA (benefits and side effects management) among communities Average Score
  11. 11. Interventions in the first 1000 days: Which areas need most emphasis? Measures to improve coverage of child weight measurement 4.62 4.6 4.62 4.63 1 2 3 4 5 Ensure equipment is available Ensure that providers are adequately trained Identify mechanisms to ensure coverage and quality of weighing Raise beneficiary awareness of growth monitoring Average Score Measures to improve women counselling on their child weight measurement 4.62 4.63 4.45 4.5 1 2 3 4 5 Awareness of providers about importance of counselling after weighing Training of providers on growth- related counselling Ensure that providers have job aids Identify mechanisms to ensure coverage and quality of counselling Average Score
  12. 12. Interventions in the first 1000 days: Which areas need most emphasis? Measures to improve THR uptake 4.41 4.46 4.42 4.72 1 2 3 4 5 Examine THR formulations and delivery mechanisms across states Strengthen the supply chain to ensure availability of THR Raise beneficiary awareness of THR Ensure quality of THR Average Score Importance of areas of work around the ICDS THR for women and children 4.23 4.36 4.5 1 2 3 4 5 Update THR composition guidance Assess reasons for opting-out of ICDS services in low coverage-high performance states Assess beneficiary perceptions of THR and other ICDS and health program services Average Score
  13. 13. 38 41 37 39 32 30 28 28 29 25 44 44 30 39 39 34 41 44 51 52 35 34 27 28 0 10 20 30 40 50 60 70 80 90 100 Awareness about healthy diets Awareness about unhealthy food Regulate marketing of unhealthy food Regulate sales of unhealthy food Mandatory labelling norms for all foods Ban or reduce junk food and beverage in school Policies to reduce prices of healthy foods Last-mile availability of healthy foods Opportunities for physical activity Work life balance Early screening for high blood sugar Early screening for hypertension % Needs Attention Top Priority Level of emphasis India should place on overweight and non communicable diseases
  14. 14. Knowledge Needs: level of confidence on the available evidence for understanding the determinants of different malnutrition outcomes 39 43 42 44 24 34 35 49 44 42 39 46 47 46 0 10 20 30 40 50 60 70 80 90 100 Stunting Wasting Low birth weight Anemia Childhood overweight Adult overweight Adult NCDs % We know enough We need to know more
  15. 15. Knowledge Needs: level of confidence on the available evidence for understanding how to improve the following determinants of poor nutrition 75 51 34 44 25 23 32 23 37 51 41 53 54 47 0 10 20 30 40 50 60 70 80 90 100 Breastfeeding Complementary feeding Maternal undernutrition Maternal anemia Healthy and diverse diets for all Unhealthy eating Low levels of physical activity % We know enough We need to know more
  16. 16. Knowledge Needs: level of confidence on the available evidence for delivering interventions at scale with quality 59 25 43 35 13 51 43 18 35 54 44 46 48 39 38 57 0 10 20 30 40 50 60 70 80 90 100 Breastfeeding counselling and support Monitoring and compliance with code of marketing of breastmilk substitutes Complementary feeding counselling High quality complementary foods Cash transfers for families with young children Growth monitoring and counselling Screening, referral and management of severe wasting Fortified staple foods % We know enough We need to know more

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