1 / 139

Assessment of Pregnant Women in Donetsk and Luhansk Oblasts

This assessment aims to collect information on nutrition and breastfeeding beliefs among pregnant women in government-controlled areas of Donetsk and Luhansk oblasts, in order to design targeted interventions. Data was collected through health facility-based surveys, focus group discussions, and key informant interviews.

ajerry
Télécharger la présentation

Assessment of Pregnant Women in Donetsk and Luhansk Oblasts

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. UNICEF/CDCAssessment of Pregnant Womenin Government Controlled Areas of Donetsk and Luhansk oblasts September 26, 2016 Nutrition Sub-Cluster of the Health and Nutrition Cluster Кластерная группа по питанию Кластера здравоохранения и питания https://www.humanitarianresponse.info/operations/ukraine/nutrition

  2. Introduction • In January 2016, the Ukrainian Ministry of Health and UNICEF implemented an anemia surveillance system for pregnant women in government controlled areas (GCA) of Donetsk and Luhansk oblasts • Sentinel surveillance sites were selected in both areas (5 in Donetsk and 5 in Luhansk) • High levels of anemia were detected in both areas • No assessments of anemia prevalence and risk factors for pregnant women have been completed

  3. Assessment Goal • Collect information on nutrition and breastfeeding beliefs among pregnant women in order to help design and inform interventions of the key partner agencies working in the health and nutrition sectors. • Specifically, provide advice on the requirements for adapted and targeted assistance for pregnant women living in the government controlled areas of Donetsk and Luhansk oblasts.

  4. Methods • Quantitative • Cross-sectional health facility based survey • Qualitative • Focus group discussions • Key informant interviews

  5. Sampling • Obtained lists of all antenatal health facilities in GCA in Donetsk and Luhansk oblasts • Selected health facilities servicing the highest proportion of pregnant women and those included as sentinel sites for anemia surveillance • All pregnant women who visited selected health facilities the day of the survey were included

  6. Survey Sites-Donetsk

  7. Survey Sites-Donetsk

  8. Survey Sites-Luhansk

  9. Survey Sites-Luhansk

  10. Inclusion Criteria • Pregnant women visiting the health facility on the day the survey was conducted • Consented to participate in the survey

  11. Survey Administration Sample size of 550 pregnant women • 275 women from both Donetsk and Luhansk oblasts • Sample was allocated to prenatal clinics proportional to the number of pregnant women registered at the clinic Data collection was conducted from 29 August to 9 September 2016 • 10 trained data collectors

  12. Survey Topics • Questions • Household and individual demographics, income • Information on previous children • Access to humanitarian assistance • Food intake and dietary diversity • Supplementation during pregnancy • Breastfeeding information and beliefs • Reported hemoglobin level • From health card

  13. Questionnaire-Demographics and Income • Weeks pregnant • Education • Age • Marital status • Living situation • Head of household • IDP status • Number of people in household • Employment status • Total income • Number of antenatal care visits • Weeks pregnant at first visit

  14. Questionnaire-Previous Children • Number of children given birth to • Age of youngest child

  15. Questionnaire-Humanitarian Assistance • Receipt of aid • Cash/Vouchers • Food • Non-food

  16. Questionnaire-Nutrition and Food Insecurity Nutrition • Foods eaten yesterday • Number of meals eaten yesterday • Amount of iron-rich foods eaten yesterday • Number of times food groups eaten in past week • Individual dietary diversity • Calculated based on the Minimum Dietary Diversity for Women of Reproductive Age (MDD-W) developed by the Food and Agriculture Organization (FAO) of the United Nations and the USAID’s Food and Nutrition Technical Assistance III Project (FANTA)1 1. FAO and FHI 360.2016. Minimum Dietary Diversity for Women: A Guide for Measurement. Rome: FAO.

  17. Questionnaire-Supplementation • Currently taking/ever took nutritional supplements/vitamins during this pregnancy • Reasons for not taking supplements • Supplements currently taking • Name, amount, who recommended • Supplements taken in the past • Name, how many weeks took supplement, reason stopped

  18. Questionnaire-Breastfeeding Information/Beliefs • Prenatal courses available at clinic • Information on breastfeeding provided at individual health care visits • Breastfeeding/complementary feeding counseling • Breastfeeding beliefs • Breastfeeding initiation • Exclusive breastfeeding • Continued breastfeeding • Complementary feeding

  19. Questionnaire-Hemoglobin • Hemoglobin levels • From medical record card

  20. Focus Group Discussions • 4 Focus Group (FG) Discussions with pregnant women: • Women without children • Women with children • Single women • Women from rural areas • Range of 7-8 participants in each focus group

  21. Key Informant Interviews • 5 Key informant interviews (KII) with pregnant women: • Single woman • IDP • Woman with first child • Woman with previous children • Woman from rural area

  22. Household Survey Results

  23. Information on previous children

  24. Information on previous children

  25. Information on previous children

  26. Nutrition

  27. Types of Foods Eaten Yesterday

More Related