child health division, department of health services tek,u,, kathmandu iodized salt social marketing...
TRANSCRIPT
Child Health Division,
Department of Health Services
Tek,u,, Kathmandu
Iodized Salt Social Marketing Campaign Accham and Doti Districts
IDD Situation, Past Achievements and Key Bottlenecks
2012
Percentage of households consuming salt with 15 ppm or more iodine
Urban households Rural households Total
94
78 80
Nepal is near to USI goal of household using adequately iodized salt since around 80% household are currently consuming adequately iodized salt.
Trend in Household Use of Adequately Iodized Salt (15 ppm and above)
Nepal Iodine Deficiency Disorder Status Survey,
2005
Nepal Demographic Health Survey, 2011
0
10
20
30
40
50
60
70
80
90
58
80
Household
%
Nepal made a good progress in achieving IDD goal since 2005 due to promotion of iodized salt in the last decade, 1999 to 2011, strengthening legal system including iodized salt monitoring system in salt warehouses, capacity
building of IMS staffs, advocacy and policy, strategy and plan update.
Trend in Household Use of Iodized Salt with Two Child Logo
Nepal Iodine Deficiency Disorder Status Survey,
2005
Nepal Demographic Health Survey, 2011
0
10
20
30
40
50
60
70
38
59
Household
%
Increased household use of iodized salt with two child logo is one factor that contributed in accelerating towards IDD goal.
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10
20
30
40
50
60
70
80
90
100
85
67 68
79
88 86
68
43
83 84
92
63 66
Percentage Household with Adequately Iodized Salt
However, Geographical inequity is still persistent in some areas where the household use of adequately iodized salt is still low, around 43%.
Ref. NDHS2011
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80
90
37 37 3731
64
77
25 25
5357
62
49 49
Percentage Household using two child logo salt
In those areas, use of two child logo salt is lowest- Only 25% households in the rural areas of Mid and Far Western Hills are using two child logo salt.
Ref. NLSS2011
Key Bottlenecks - 1
69% of households in the area have high preference for large crystal salt
• Easy access• Easy to measure during
cooking (1, 2, 3,…. Crystal)
• Traditional behavior• Cheaper (Rs.15/- per kg at
District Headquater)
Reasons:
Key Bottlenecks - 2Around 75% households living in rural areas have low access to iodized salt with two child logo, replaced the demand by large crystal salt
• Poor attitude and practices, despite of having knowledge
• Iodized salt with two child logo heaping in District Headquarter since CDO office is the distribution center for subsidized salt.
• Poor Political Commitment at local level.
• Little bit expensive for two child logo salt compared to large crystal salt in District Headquater (Rs 20/- kg)
Reasons:
Saptari, Sunsari, Jhapa
Household Salt Consumption Status
52% increase in consumption of 2CL salt
2CL Indian Loose0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
-60%
-40%
-20%
0%
20%
40%
60%
30
53
17
82
16
2
52
-38
-14
Baseline Endline Increase/Decrease
2CL , 52 % Households converted
Indian Packet, 38 % Reduced
Loose, 14 % Re-duced
Use of Iodized Salt with two child logo at household level in Central and Eastern Terai
NIDDSS 2005 NDHS 20110
10
20
30
40
50
60
31
55
Surveys
Hou
seho
ld %
Iodized Salt Social Marketing Campaign in Eastern and Central Terai Region promoted the use of iodized salt with two child logo from 31% in 2005 level to 55% in 2011.
Use of Adequately Iodized salt at household level (>15 ppm) in Central and Eastern Terai
NIDDSS 2005 NDHS 20110
10
20
30
40
50
60
70
80
90
100
58
83
Surveys
Hou
seho
ld %
The increase in use of two child logo salt in the region has positive contribution in increasing household use of adequately iodized salt from 58% in 2005 level to 83% in 2011 level.
Proposed Action
The social marketing campaign approach implemented in the Western terai region from 1999 to 2006 and Eastern and Central Terai Region from 2007 to 2011 proved this approach can increase household consumption of adequately iodized salt.
Thus, the approach is proposed to implement in the Far Western and Mid Western Hills from the period from 2013 to 2017.
Program Planning
• Social Marketing Campaign will be implemented in two districts of Far Western Hills, Accham and Doti, in 2012
• The campaign will be expanded to two other districts of the same hilly region, Bajura and Bajhang, in 2013.
• Gradually, the program will cover all districts of Mid and Far Western Region.
Thank you