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Multiple Indicator Cluster Surveys Survey Design Workshop

Multiple Indicator Cluster Surveys Survey Design Workshop. Questionnaire for Children Under Five: Breastfeeding. WHO/UNICEF Feeding Recommendations. Exclusive breastfeeding for first six months Continued breastfeeding up to two years and beyond

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Multiple Indicator Cluster Surveys Survey Design Workshop

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  1. Multiple Indicator Cluster SurveysSurvey Design Workshop Questionnaire for Children Under Five: Breastfeeding MICS4 Survey Design Workshop

  2. WHO/UNICEF Feeding Recommendations • Exclusive breastfeeding for first six months • Continued breastfeeding up to two years and beyond • Safe, appropriate and adequate complementary foods beginning at six months • Frequency of complementary feeding: • Breastfed: 2 times per day for 6-8 month olds; 3 times per day for 9-23 month olds; • Non-breastfed: 4 times per day for 6 – 23 months MICS4 Survey Design Workshop

  3. Background information Indicators: • Revised set of global indicators (2008) • MICS4 adapted accordingly (a few exceptions flagged later) Module: • All (living) children <5 years • Current status --24 hours preceding interview MICS4 Survey Design Workshop

  4. Breastfeeding Module Caretakers are asked about the following for each child under five • Whether child was ever and is currently breastfed • Was the child was fed and liquids or foods in the preceding 24 hours • Types of liquids • Types of milk products and number of times consumed • Number of times non-liquid foods MICS4 Survey Design Workshop

  5. Infant and young child feeding (IYCF) indicators in MICS • Exclusive breastfeeding (< 6 months) • Continued breastfeeding (at one year and at two years) • Predominant breastfeeding (<6 months) • Duration of breastfeeding • Bottle feeding • Introduction of solid, semi-solid or soft foods • Minimum meal frequency (for breastfed children and for non-breastfed children) • Age-appropriate breastfeeding • Milk feeding frequency for non-breastfed children Note that early initiation of breastfeeding and children ever breastfed calculated from Maternal and Newborn Health Module MICS4 Survey Design Workshop

  6. Exclusive breastfeeding (<6 months) # 2.6: Proportion of infants 0–5 months of age who are fed exclusively with breast milk • Includes breast milk from bottle, wet nurse • Includes vitamins, medicines, ORS • Based on previous 24 hours • Related indicator: # 2.9: Predominant breastfeeding under 6 months MICS4 Survey Design Workshop

  7. Continued breastfeeding # 2.7: At one year: Proportion of children 12–15 months of age who are fed breast milk # 2.8: At two years: Proportion of children 20-23 months of age who are fed breast milk • Includes breast milk from bottle, wet nurse • Related indicator: Duration of breastfeeding MICS4 Survey Design Workshop

  8. Introduction of solids, semi-solid or soft foods # 2.12: Proportion of infants 6–8 months of age who receive solid, semi-solid or soft foods • Substituted for “timely introduction of complementary foods” • Based on all infants age 6-8 months • Narrow age range = larger confidence intervals • Related indicator: Bottle feeding MICS4 Survey Design Workshop

  9. Minimum meal frequency # 2.13: Proportion of breastfed and non-breastfed children 6–23 months of age who receive solid, semi-solid, or soft foods the minimum number of times or more • Two separate indicators (proxy for energy intake) • For non-breastfed children includes milk feeds • “Minimum number of times” varies by age, breastfeeding status MICS4 Survey Design Workshop

  10. Other indicators # 2.14: Age-appropriate breastfeeding • Proportion of children 0–23 months of age who are appropriately breastfed • <6 months exclusively breastfed • 6-23 months breasfed and consuming foods # 2.15: Milk feeding frequency for non-breastfed children • Proportion of non-breastfed children 6–23 months of age who receive at least 2 milk feedings MICS4 Survey Design Workshop

  11. Methodological issues • Local adaptation of liquids necessary (including appropriate local terms) • MICS does not include questions on dietary diversity • Minimum dietary diversity • Minimum acceptable diet • Consumption of iron-rich or iron-fortified foods MICS4 Survey Design Workshop

  12. Infant feeding area graph example MICS4 Survey Design Workshop

  13. Infant feeding area graph example MICS4 Survey Design Workshop

  14. Prepared by: Holly Newby Statistics and Monitoring Section UNICEF/New York 1-212-303-7932 hnewby@unicef.org MICS4 Survey Design Workshop

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