BASELINE SURVEY - SCALING UP NUTRITION (SUN) 2.0 / MCDP II DISCLAIMER: The authors’ views expressed in this publication do not necessarily reflect the views of the United States Agency for International Development or the United States Government. Annexes – Volume 1 13 December 2019 DISCLAIMER: The authors’ views expressed in this publication do not necessarily reflect the views of the United States Agency for International Development or the United States Government. BASELINE SURVEY REPORT Zambia SCALING UP NUTRITION (SUN) 2.0 / MCDP II Annexes – Volume 1 Submission Date: 13 December 2019 Prepared under: Scaling Up Nutrition Learning and Evaluation (SUN LE) USAID Contract Number 72061119C00003 Prepared by: Mathews Onyango, Chief of Party, SUN LE Patricia Sakala, Strategic Information Advisor, SUN LE Mulako Kabisa, Survey Manager, SUN LE Dr. Raider Mgode, Head Training and Collaboration, National Food and Nutrition Commission Dr. Lwendo Moonzwe, Technical Specialist, International Health and Development, ICF Dr. Stephanie Martin, Assistant Professor, Department of Nutrition, University of North Carolina, Chapel Hill Carole Metekoua Temdemnou, Data Analyst, SUN LE Submitted by: Khulisa Management Services, Inc. 4550 Montgomery Avenue, Suite 220 Bethesda, MD 20814 USA Tel: +1 (301) 951-1835 Cover Photo: SUN LE data collector and respondent. Courtesy of SUN LE staff. SUN LE Report: SUN 2.0 Baseline Survey (Annexes - Volume 1) Page | i Table of Contents LIST OF SUN INDICATORS ......................................................................................... 1 NUMBER OF STANDARD ENUMERATION AREAS (SEAS) SELECTED BY DISTRICT, CONSTITUENCY, AND RESIDENCE ........................................................................................ 2 INDICATOR DATA TABLES ......................................................................................... 4 1 Demographic results ......................................................................................................... 4 Table 1. Household interviews by districts ............................................................................................... 4 Table 2. Household characteristics .......................................................................................................... 5 Table 3. Mothers’ characteristics ............................................................................................................. 6 Figure 1. Population Pyramid of Sample (Age distribution of household members) ............................... 7 2 Goal level indicators: Reduced stunting among children <2 years of age ............................ 8 Table 4. Indicators 1 and 3 - Child nutritional status by key demographic characteristics ...................... 8 Table 5. Indicators 1 and 3 - Child nutritional status by Mean and Median birthweight....................... 10 Table 6. Indicators 1 and 3 - Child nutritional status by key mother characteristics ............................. 11 Table 7. Indicators 1 and 3 - Child nutritional status by key household characteristics ........................ 13 Table 8. Indicator 2 - Women’s BMI by age and geo-location ............................................................... 16 Table 9. Indicator 4 - Delivery of SUN services by child stunting status ................................................ 18 3 Objective 1: Adequate quantity and quality of food ........................................................ 22 Table 10. Indicator 5 - % of HHs with moderate or severe hunger by demographic characteristics and child stunting status ............................................................................................................... 22 4 Objective 1, IR 1: Increased access to safe, nutritious food .............................................. 25 Table 11. Indicator 6 – % of HHs practicing safe food processing/preparation/improved storage practice by demographic characteristics and child stunting status ....................................... 25 Table 12. Indicator 7 – % of women of reproductive age who consume targeted nutrient rich value chain commodities by demographic characteristics and child stunting status ...................... 28 Table 13. Indicator 8 – Women’s Dietary Diversity (MDD-W): No. of food groups consumed by demographic characteristics and child stunting status .......................................................... 30 Table 14. Indicator 9 – % of HHs that sold or bartered nutritious crops (and/or livestock) that they grew by demographic characteristics and child stunting status ............................................ 32 Table 15. Indicator 10 – % of HHs producing safe and nutritious crops and livestock for consumption by demographic characteristics and child stunting status ..................................................... 34 Table 16. Indicator 11 – % of HHs with minimum dietary diversity (proxy indicator per definitions) ... 36 Table 17. Indicator 14 – % of HHs reporting stronger resilience to lean season and environmental shocks ..................................................................................................................................... 37 Table 18. Indicator 14 – Reported HH coping strategies ........................................................................ 38 5 Objective 1, IR 2: Adoption of better feeding and HH Hygiene practices .......................... 39 Table 19. Indicator 15 – % of HH practicing essential hygiene actions by demographic characteristics and child stunting status ........................................................................................................ 39 Table 20. Indicator 16 – % of HHs practicing essential nutrition actions by demographic characteristics and child stunting status ........................................................................................................ 41 Table 21. Indicator 17 - % of children exclusively breastfed to 6 months by key demographic characteristics and child stunting status ................................................................................ 43 Table 22. Indicator 18 - % of children meeting minimal standards for child feeding (IYCF) by key demographic characteristics and child stunting status .......................................................... 44 SUN LE Report: SUN 2.0 Baseline Survey (Annexes - Volume 1) Page | ii 6 Objective 2: Improved health conditions ........................................................................ 46 Table 23. Indicator 19 - % of children who had diarrhoea in the preceding 2 weeks by key demographic characteristics and child stunting status .......................................................... 46 7 Objective 2, IR 3: Improved delivery of health and nutrition services ............................... 48 Table 24. Indicator 20 - % of women of reproductive age practicing family planning by key demographic characteristics and child stunting status .......................................................... 48 Table 25. Indicator 21 - % of children who had diarrhoea in the preceding 2 weeks who received treatment from a health facility or a provider ....................................................................... 50 Table 26. Indicator 21 - % of children who had diarrhoea in the preceding 2 weeks who received therapeutic Zinc supplements or ORS by key demographic characteristics and child stunting status ...................................................................................................................................... 51 8 Objective 2, IR 4: Healthier and cleaner environment ..................................................... 53 Table 27. Indicator 24 – % HH with access to basic drinking water by demographic characteristics and child stunting and diarrhoea status........................................................................................ 53 Table 28. Indicator 24 – No. people with access to basic drinking water (based on Table 27 and HH size) by demographic characteristics ..................................................................................... 54 Table 29. Indicator 24 – HH water characteristics ................................................................................. 55 Table 30. Indicator 25 – % HHs practicing correct use of water treatment technologies by demographic characteristics and stunting status .................................................................. 56 Table 31. Indicator 25 – % of HHs practicing correct use of water treatment technologies ................. 58 Table 32. Indicator 26 – % of HHs practicing correct storage of treated water by demographic characteristics and stunting and diarrhoea status ................................................................. 58 Table 33. Indicator 26 – % of HH practicing correct storage of treated water ...................................... 59 Table 34. Indicator 29 – % of HHs with access to basic sanitation by demographic characteristics and stunting and diarrhoea status ................................................................................................ 59 Table 35. Indicator 29 – No. people with access to basic sanitation (based on Table 34 and HH size) by demographic characteristics .................................................................................................. 61 Table 36. Indicator 29 – HH sanitation services ..................................................................................... 62 Table 37. Indicator 30 – % of children exposed