Nutrition: Session 1
              Looking at data using the 
              Nutrition Program Design Assistant (NPDA)*:
                             STEP 1 Indicators
                                       •   IYCF 
                                       •   Micronutrients
              NPDA Reference Guide: 
              http://www.coregroup.org/storage/documents/
              Workingpapers/NPDA_RefGuide)web.pdf
              NPDA Workbook:
              http://www.coregroup.org/storage/documents/Workingpape
              rs/NPDA_workbook_web.pdf
                                  HANDOUT:  DATASET DHS AND KPC SURVEYS*                                     GROUP A           GROUP B
           INFANT AND YOUNG CHILD FEEDING                                                                 % National Level % National Level 
                                                                                                               (rural)           (rural)
                                                   BREASTFEEDING PRACTICES                                                  
           % of children born in the last 24 months who were put to the breast within one hour of birth              67.1%       47.5%
           % of infants 0-5 months of age who are fed exclusively with breast milk                                   26.9%       35.0%
           % of children 12-15 months of age who are fed breast milk                                                 95.3%       93.2%
                                              COMPLEMENTARY FEEDING PRACTICES                                               
           % of infants 6-8 months of age who receive solid, semi-solid or soft foods                                77.5%       72.4%
           % of breastfed and non-breastfed children 6-23 months of age who receive solid or soft 
           foods the minimum number of times or more                                                                 31.3%       36.3%
           % of children 6-23 months of age who receive foods from four or more food groups                          65.4%       53.8%
           % of children 6-23 months of age who receive a minimum acceptable diet                                    23.1%       22.7%
                                                     FEEDING DURING ILLNESS                                                 
           % of children 0-23 months of age with diarrhea in the last 2 weeks who were offered more 
           fluids during the illness (note: fluid is breast milk only in children under 6 months of age)             36.0%       34.3%
           % of children 6-23 months of age with diarrhea in the last 2 weeks who were offered the same 
           amount or more food during the illness                                                                    53.8%       49.1%
                                                         MICRONUTRIENTS                                                     
           % of children 6-23 months of age who ate vitamin A-rich foods in the past 24 hours                        63.3%       50.6%
           % of children 6-59 months of age who have received vitamin A supplement in previous 6 
           months                                                                                                    64.9%       43.4%
           % of children 6-59 months of age with anemia                                                              74.1%       62.0%
           % of children 6-23 months of age who ate iron-rich foods in the past 24 hours                             40.1%         n/a
           * Note that the data is taken from several different surveys done in a combination of countries in Southern Africa
             SESSION 1: LOOKING AT DATA TO DESIGN PROGRAMS
             Prioritizing IYCF Practices by looking at IYCF Indicators
             Small group work instructions:  
             Look at the data for Group A or Group B on the handout.  Which 
             practices does your group feel are very low?  Why did you 
             choose these?  (Note: choose just a few.)
              
             Examples from small group presentations:
        •   % of infants 0-5 months of age who are exclusively breastfed
         
        •   % of children 6-23 months of age who receive the minimum 
            acceptable diet.  Note this is a composite indicator which is a 
            combination of:
                  •   Diversity of diet  (low)
                  •   Frequency of feeding (lower)
         •   % of children 6-23 months of age that are sick (with diarrhea) 
             who were offered MORE fluids (including breast milk) during the 
             illness
          
         •   % of children 6-23 months of age that are sick (with diarrhea) 
             who were offered the SAME or MORE food during the illness
          
         •   % of children born who were put to the breast within 1 hour of 
             birth
          
         •   % of children 6-23 months of age who ate iron-rich foods in the 
             previous 24 hours
          
         •   % of children 6-23 months of age who received  Vitamin A 
             supplement in previous 6 months
         •   % of children 6-59 months of age with anemia
                  Small group work continued: 
                  Among the recommend infant and young child feeding 
                  practices, which does your group feel are being done by a 
                  good percentage of women? (Note: choose just a few.)
                   
            •   % of children 12-15 months who continue to be breast fed
             
            •   % of infants 6-8 months receiving solids or semi-solids or 
                soft food
             
            •   % of children 6-23 months of age sick (with diarrhea) who 
                were offered the SAME or more amount of food during the 
                illness