Poster Topical Area: Global Nutrition
Location: Hall D
Poster Board Number: 569
Objectives: The 2014 Global Nutrition Report highlighted the gap in data for national-level coverage of nutrition interventions in low and middle income countries (LMIC). Many LMIC rely on standardized national household surveys (e.g. DHS) implemented every 3-5 years that include limited data on nutrition interventions. Our objective was to develop and implement a new low-cost survey module to measure coverage of a wider range of facility and community-based nutrition interventions targeting pregnant and lactating women (PLW) and children under 5 (e.g. appropriately timed and targeted nutrition counseling, screening for malnutrition and provision of nutritional support) as well as intake of unhealthy foods by young children, adolescents and women of reproductive age.
Methods: In 2017, we carried out two nationally-representative household surveys in Burkina Faso (BF) (2,283 households) and Kenya (K) (4,628 households) to measure intervention coverage and dietary intake among children under 5y (n= 4586 BF; 6467 K) and women age 10-49y (n= 3608 BF; 7207 K).
Results: Among women 15-49 with birth in last 2 years receiving antenatal care (ANC), 95.9% BF and 92.5% K reported being weighed over 2+ visits. Among these, 61.9% BF and 70.6% K were counseled about their weight gain by health provider. In both countries, only 1% received food support during pregnancy. 54% BF and 75% K reported receiving breastfeeding counseling during ANC; 67% BF and 74% K at delivery; 40% BF and 28% K at postnatal visit <30 days of birth and 66% BF and 65% K at sick child visits. In BF and K, <40% of mothers with children 6-23m received age-appropriate complementary feeding counseling. Among children 0-59m, 34.3% BF and 59.2% K reported at least 1 of 3 methods of growth monitoring (weight, height, MUAC) in last 30 days. Of these 7% BF and 3% K reported receiving food supplement to treat malnutrition. Consumption of fried or sugary foods or sugary beverages in the previous day was reported by 41.6% BF and 46.4% K of children 6-23m and 39.8% BF and 70.4 % K of adolescents and women 10-49y.
Conclusions: Our first-ever coverage estimates for nutrition assessment, counseling and support interventions show unacceptably low reach as well as high consumption of unhealthy foods in two LMIC. The module will inform uptake of new questions by global survey programs.
Funding Source: Bill and Melinda Gates Foundation
Johns Hopkins Bloomberg School of Public Health