suaahara lot quality assurance sampling (lqas) process, lessons learned and implications

SUAAHARA

Lot Quality Assurance Sampling (LQAS)

Process, Lessons Learned and Implications

This presentation will share ….

Background and Process

Limitations and Challenges

Top line findings

Updates and next steps

Why LQAS in Suaahara ?To generate district level data on key

outcome indicators related to IYCF, maternal and child health, WASH, HTSP, HFP etc.

Monitor programManagement and program decisions

Baseline does not give district level results

for all districts : this was not the purpose of

baseline.

Indicators Assessed in each district

0 – 6 months

• Initiation of BF

• Exclusive BF

• Colostrums

6 – 23 months

• Dietary Diversity

• Frequency• Acceptabl

e diet

All

• ANC, PNC• ORS, ARI• WASH• Agricultur

e

19/SA 19/SA 38/SA

Sample size

We did it in all 19 districts: except Parbat

Topline findings

Exclusive Breast Feeding: a slight decline from 2013

2013 201410

20

30

40

50

60

70 67.4

64

0 - 0.9 m 1 - 1.9 m 2 - 2.9 m 3 - 3.9 m 4 - 4.9 m 5 - 5.9 m

85.8 84

74.1

65.7

54.4

35.1

83.779.7

73.4

59.6

48.2

37

Exclusive Breast Feeding among infants less than 6 months old, by age (LQAS

2013 and 2014)

LQAS 2013 LQAS 2014

IYCF indicators: 6-23 months

0306090

55.581.7

4762.5

81.854.2

2013 2014

IYCF indicators: 6-23 months

0

20

40

60

80

100

55.6

95.8

63.5

31.920.6 24.2

76.3

59.9

95.6

63.6

34.5 28.3 31.1

81.3

LQAS 2013 LQAS 2014

Iron and Vitamin A rich animal source foods

020406080 69

27.8

72.8

38.6

2013 2014

ORS and Zinc

010203040 30.6

11

25.8

38.7

18.1

33.5

2013 2014

Maternal and Newborn Health

1030507090

64.955.4 52

68.458.6 55.1

2013 2014

WASH

0

20

40

60

80 78.4

21.3

45.656.3

34.6

84.4

15.2

53.265.1

60

2013 2014

WASH

0

20

40

60

80

10083.188.9

31.1

LQAS 2013 LQAS 2014

WASH

% of HHs with safety food storing ( food store in rack and/ or in closed pot)

0

20

40

60

80

100 95.2

LQAS 2014

HTSP Counseling

2013 201430

35

40

45

50

55

60

65

70

50.9

65.8

% of women who received counseling on HTSP

Contraceptive Prevalence Rate

LQAS (2013) LQAS (2014)0

5

10

15

20

25

30

20.1

24.8

% of non pregnant women with a child <24 months using any modern method of contraception.

Contraceptive Prevalence Rate

Methods to avoid pregnancyLQAS 2013

LQAS 2014

Mothers report using at least one modern method to avoid pregnancy 20.7 24.8*

Methods/products    Injectable 11.2 10.3Condom 3.9 6.7Pill 2.6 3.8Male sterilization 0.1 0.1Female sterilization 1.2 0.1IUD 0.1 0.1Implants 0.1 1.2Withdrawal 0.1 0.1Rhythm method 0.0 0.0Female condom 0.0 0.0Other 0.0 0.1Lactational amenorrhea method 0.1 1.3Diaphragm 0.0 0.0Foam/jelly 0.0 0.0

Homestead Food Production

Overall 68.6 % had kitchen garden

Of them, 18.5 % had improved gardens

34 % in agriculture intensive VDCs

10.3 % in non-intensive VDCs

Poultry

% of HHs with Poultry

Mean # of poultry

% of HHs with semi intensive Coop

Mean # of eggs laid last week

% of HHs managing eggs for hatching

57.6 15.5 25.3

Ag intensive VDCs: 33

Non intensive: 17

4.2 51

Self Decision Making

Buy vege

table source

foods

Buy anim

al source

foods

Feeding c

hildren

Health ca

re of the ch

ild

Buy sanita

tin materia

ls

Particip

ate in gr

oup meetings

010203040506070

17.5 15

58.5

37 34.4 34

34

Women participation

Affiliated with at least one commuity group Participated in any meeting in the last month0

10

20

30

40

50

60

7062.1

48.9

Mass media

Baseline (2012) LQAS (2014)0

5

10

15

20

25

30

35

40

4541.3 41.9

22.2

Posession of a radio Listened to Bhanchhin Aama

What did you do as a result of listening to Bhanchhin Aama ?

81.7 % took appropriate actions in relation to IYCF

53.3 % discussed about the topics with their families and friends.

Thank You