Hnf 123 - Cna

Front 1

COMMUNITY NUTRITIONAL ASSESSMENT

Back 1

practical method of obtaining an overview of the nutritional status of a given community

Front 2

NUTRITIONAL ASSESSMENT

Back 2

process of collecting, processing, analyzing and interpreting information obtained from dietary, biochemical, clinical, anthropometric, community and/or related studies.

Front 3

1. quantify magnitude / nature of nutritional problem & select priority areas & groups
2. formulate objectives of nutrition action plan
3. select & design projects &/or activities to address identified nutritional problem
4. set the basis for monitoring & evaluation
5. provide information to motivate politicians, communities & the public

Back 3

USES OF CNA

Front 4

1. organize a multi-disciplinary assessment team

2. define objectives of situational analysis

3. formulate causal model of malnutrition / problem tree

4. identify data to be gathered & plan how these data will be analyzed

5. gather data

6. process, analyze & interpret data

7. validate causal model

8. present & use results

Back 4

STEPS IN CONDUCTING CNA

Front 5

1. What are the nutritional problems in the area?

2. What is the trend in the nutrition situation over the years?

3. Who are affected?

4. Where are they located?

5. How many are affected?

6. What factors cause or give rise to the nutrition situation?

7. What resources are available to address these problems?

8. What programs & projects have been implemented in the past years?

Back 5

GUIDE QUESTIONS IN THE ASSESSMENT OF NUTRITION SITUATION

Front 6

PROBLEM TREE

Back 6

tool for situational analysis that represents the factors causing malnutrition

Front 7

PROBLEM TREE

Back 7

a. tool traces the chain of factors that can affect nutrition situation

b. provides a clearer picture of possibilities for nutrition & related interventions

c. formulating the problem tree requires brainstorming among the BNC members

Front 8

1. Geographical or other boundaries

2. Population w/n boundaries

3. Socio-economic status of population

4. Housing characteristics

5. Food marketing facilities

6. Health status indicators

7. Health resources

8. Community health care programs

9. Food and nutrition assistance program

10. Education programs

11. Nutrition education programs

12. Nutrition training programs

13. Other pertinent data

Back 8

WHAT DATA TO COLLECT?

Front 9

GEOGRAPHY & ENVIRONMENT

Back 9

boundary, climate, typhoon occurrence, soil type, agricultural production, transportation, public institutions, sports facilities

Front 10

DEMOGRAPHIC

Back 10

population size, distribution, composition, structure, growth, average HH size

Front 11

SOCIO-ECONOMIC

Back 11

major source of livelihood, income, occupation, land ownership, food & other expenditures, food and cash crop production, clothes, vehicles

Front 12

HOUSING

Back 12

type and construction, number of rooms, crowding, kitchen facilities, food storage, appliances & furniture, sanitation

Front 13

SOCIO-LIVING SCALE

Back 13

home type, house & lot ownership, number of household appliances, cooking facilities, food storage facilities, source of water, lighting fixture, toilet facilities

Front 14

FOOD SUPPLY

Back 14

1. available foods

2. patterns of consumption / purchase

3. local market assessment

4. food costs

5. utilization of crops

6. farming methods

7. livestock & fishing

Front 15

EDUCATION

Back 15

public & private schools, children at school, literacy, presence of books & newspapers

Front 16

HEALTH STATISTICS RESOURCES:
Morbidity and Mortality

Back 16

birth & crude birth rates, number of home deliveries, illegitimate births, low birth weights, birth to mothers under 18, all causes of death. m&m due to chd/hpt/dbt/alc

Front 17

LOCAL HEALTH RESOURCES (1)

Back 17

nutrition resources (NDs, MNAO, BNS, trainings, coordinating councils, MNC), hospitals, bed capacities, available physicians/dentists/nurses/midwives)

Front 18

LOCAL HEALTH RESOURCES (2)

Back 18

maternity clinics, neighborhood pharmacies, faith & spiritual healers, dental care

Front 19

COMMUNITY HEALTH CARE PROGRAMS

Back 19

pre-natal & post-natal, Mag-HL Tayo, Garantisadong Pambata, child feeding, Universal Salt Iodization Campaign

Front 20

SCHOOL NUTRITION PROGRAMS

Back 20

school cafeteria, nutrition curriculum, school health programs, school lunch programs

Front 21

SOCIAL WELFARE PROGRAMS

Back 21

no. of population receiving public assistance, eligibility standards, senior citizen program, children's services

Front 22

CULTURAL FACTORS

Back 22

differences in lifestyle, food preferences / eating habits, dietary patterns, evaluation of marketplace and shopping patterns, cultural traditions, goals

Front 23

COMMUNITY POLITICAL ORGANIZATION

Back 23

community power structure, concern for nutri problems, educational programs for govt and community, locally available resources

Front 24

a. observant

b. conversant

c. very good listener

d. good recorder

e. analyst

Back 24

BASIC QUALITIES OF THOSE WHO SHALL GATHER DATA / INFO FOR CNA

Front 25

DATA COLLECTION: PRIMARY DATA

Back 25

type of data that includes

a. sample surveys

b. Focus Group Discussions (FGD)

c. Key Informant Surveys (KI)

d. Participatory Rural Appraisal (PRA)

Front 26

SURVEYS

Back 26

- needs sampling methodologies to generate representative samples

- expensive

- considers many respondents

- more accurate, less biases

- can be subjected to rigorous statistical analysis

- limited depth of data

- structures interviews

Front 27

FOCUS GROUP DISCUSSION (FGD)

Back 27

- limited respondents

- focused topic

- more depth in data

- less expensive

- less accurate data

- qualitative data analysis

- structured questions but more flexible than sample survey

Front 28

KEY INFORMANT INTERVIEW (KI)

Back 28

- few case respondents, only key persons

- less expensive than FGD

- very in-depth data

- person to person interview

- guide questions instead of structured questionnaire

- qualitative data

- flexible

- longer administration

- need for skilled interviewers

- high element of bias

- amenable to qualitative data analysis

Front 29

PARTICIPATORY RURAL APPRAISAL (PRA)

Back 29

- usually used when selecting a study site

- view primary data collection from the community perspective

- generate community data on biophysical and socio-economic characteristics

- uses the transect methods in describing the area

- multidisciplinary team needed

- can also use any of the above methods for data collection

- very qualitative and descriptive analysis

Front 30

DATA ANALYSIS

Back 30

- classifying, coding, tabulating info needed

- quantitative or qualitative

- gives meaning to data collected by applying statistical tools

Front 31

1. Prevalence, rates, averages, proportions

2. Trends

3. Comparison with known standards

4. Rank and set cut-offs

5. Mapping

6. Cross-tabulations

7. Use of statistical treatments

Back 31

Components of Data Analysis