The document provides a guide for entering, cleaning, analyzing, and utilizing infant and young child feeding (IYCF) data, addressing common challenges and solutions faced by organizations. It outlines the purpose, tools, and methodologies to improve data collection and analysis while ensuring alignment with WHO guidelines. The guide is designed for NGOs, implementing agencies, and educational institutions, emphasizing critical steps in data management and providing practical resources for users.

1. 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

2. 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

3. 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

4. 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)

5. 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

6. 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

7. 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

8. 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

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

10. 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

11. 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)

12. 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

13. 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

14. 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

15. 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

16. 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

17. 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

18. 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

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

20. 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

21. 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

22. 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

23. 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

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

25. Instructions for small group work 3 tables Data entry/management 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

26. Thank you!