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eCommons@AKU Department of Paediatrics and Child Health Division of Woman and Child Health 2011 Pakistan National Nutrition Survey, 2011 Zulfiqar A Bhutta Aga Khan University Sajid Bashir Soofi Aga Khan University S. Shujaat H Zaidi Aga Khan University Atif Habib Aga Khan University, [email protected] Imtiaz Hussain Aga Khan University Follow this and additional works at: https://ecommons.aku.edu/ pakistan_fhs_mc_women_childhealth_paediatr Recommended Citation Bhutta, Z., Soofi, S., Zaidi, S., Habib, A., Hussain, I. (2011). akistanP National Nutrition Survey, 2011. Available at: https://ecommons.aku.edu/pakistan_fhs_mc_women_childhealth_paediatr/262 Forward National economic planning has a key role in socio economic development of any country, which requires accurate and current data and statistics. The Planning Commission maintains updated national socio economic statistics - an important element of sustained planning process. The nutrition status which is both the cause and consequence of poverty is a key challenge for any country. Malnutrition, particularly in mothers and children leads to many adverse consequences for development. It impacts learning abilities in children and put them at disadvantage in life. Nutrition remains a difficult area to gauge and monitor by virtue of its multiple dimensions and vulnerability to the changes in allied sectors. The present National Nutrition Survey (NNS) Report, based on information collected and managed through cross sectional population survey, is fourth in the series since 1980. The Report provides an important input for policy planning with priorities aligned in line with the present time challenges. The Survey not only analyses data and information about existing nutritional status of the population but also co-relates these to the course of action to be developed. It also identifies underlying causes like food security, dietary behaviours, breastfeeding and complementary feeding practices, literacy level, etc. contributing towards present level of malnutrition. The work on the fourth National Nutrition Survey was initiated during 2010-11 with the objective of assessing the nutritional status of the population particularly women and children. The task was assigned to Aga Khan University (AKU) Karachi with the technical & financial support of development partners. The exercise was overseen and ratified by the Federal Steering Committee while detailed micro planning was carried out by a Technical Committee comprising relevant stakeholders; from Federal and Provincial Governments, International NGOs, the UN Agencies, Pakistan Bureau of Statistics (PBS) and Pakistan Medical and Research Council (PMRC). The agreed survey manual covering sampling procedure, questionnaire and consent form was reviewed and approved by the National Bioethics Committee (NBC) of the Government of Pakistan and the AKU’s Research Ethics Review Committee. The field work was conducted during the first half of 2011. The survey implementation was closely monitored by the AKU University, UNICEF and external monitors.The results were disseminated at federal level in September 2011, with subsequent information sharing and dissemination workshops organized for the provincial governments and regions. Following their inputs and endorsement, the report has been finalized. This is the first nutrition survey that provides key nutrition data for the provinces and the regions. The NNS 2011 presents the current nutrition situation, analysis of the trends in indicators and gauges progress towards the targets set for the Millennium Development Goals (MDGs) and beyond. The survey also assesses the severity and geographical scope of nutrition related issues. Furthermore, it sets the platform for policy and strategy development to prioritize the programs for short, medium and long term interventions at the national and provincial level. The survey reports that in past decade there has been marginal improvement in the core maternal and childhood indicators, universal salt iodization, while other key indicators like stunting, wasting, anaemia, and vitamin A deficiency have shown declining trends which is more prominent in the rural areas. Government of Pakistan wishes to thank all concerned for undertaking this survey, which is the one of largest survey of this kind in Pakistan. We are committed to a vigorous policy response to the findings of this survey in order to make malnutrition history in Pakistan. (AHSAN IQBAL) Federal Minister/Deputy Chairman Ministry of Planning & Development Acknowledgement The completion of the NNS 2011 is an important achievement supporting the Government of Pakistan in its quest to set priorities for the development of the country in the post devolution scenario. This is the first national nutrition survey conducted after a decade of the last survey and provides essential information on the actual scale and magnitude of under-nutrition in Pakistan. It gives critical information on determinants, differentials and provides information for policy guidance to the federal and provincial Governments. The completion of the survey is the outcome of concerted efforts of a well guided and technically robust survey team supervised by Ministry of Health, whose members worked tirelessly and continuously under exceptionally difficult circumstances. We wish to express our deep gratitude for all those that contributed to the completion of this enormous task. Firstly, we deeply acknowledge the participating families, mothers, and the children for their willingness and cooperation with the survey team, provision of the required information, samples and valuable insights during the survey. Without their support, this survey would not have been possible. We wish to express our sincere gratitude to government institutions, including representatives of the former Ministry of Health and its pre-devolution Nutrition Wing, represented by Dr. Abdul Baseer Khan Achakzai, Director Nutrition (Former Deputy Director General/National Nutrition Focal Person for the Survey, Mr Mohammed Ayub and Mr Muhammad Aslam Shaheen of the Planning Commission, Dr. Ali Nasir Bugti, Dr. Mehmood Ahmad, Dr. Dure Shehwar, Dr. Qaisar Ali, Dr. Shabir Dar, Dr. Fawad Khan, Mr. M.Abbas, Mr. Khair ul Bashar of the Provincial Nutrition Cells, and Mr. Muhammad Ramzan Khan of the PBS, for supporting this ambitious survey in Pakistan. We would like to express our sincere appreciation to the National Steering Committee for its directives and guidance. We are most appreciative of the invaluable technical inputs provided by the National Technical Committee members which included representatives from Federal and Provincial Departments of Health, the Nutrition Wing of the Ministry of Health, Pakistan Bureau of Statistics, Planning Commission, Agricultural University Peshawar, National Institute of Health, WHO, UNICEF, WFP, AusAID, DFID, USAID, World Bank, and the Micronutrient Initiative. Special thanks to UNICEF for taking overall responsibility for supporting and coordination of the survey through the Aga Khan University and Pakistan Medical Research Council. We wish to acknowledge Prof. Zulfiqar A Bhutta, Dr. Sajid Soofi and their team from the Aga Khan University, Dr. Assad Hafeez of HSA and Dr. Huma Qureshi from the Pakistan Medical Research Council, for conducting the survey in a highly professional manner, including in- depth survey preparation, data collection, analysis, and dissemination and completion of the report. We are grateful to DFID and AusAID for the core financial support without which this valuable survey would not have been possible. At the end I urge all the nutrition partners to come forward for their technical and resources support in the planning of nutrition interventions for the provinces and regions in Pakistan to address the issues of malnutrition, specifically of mothers and children. (Imtiaz Inayat Elahi) SECRETARY CREDITS Principal Survey Lead Institution: Aga Khan University, Pakistan Principal Investigator: Professor Zulfiqar A Bhutta, FCPS, FRCPCH, PhD Founding Chair Division of Women and Child Health & Director Center of Excellence in Women and Child Health, Aga Khan University, Pakistan National Survey Coordinator: Dr. Sajid Bashir Soofi, MBBS, FCPS Assistant Professor, Department of Paediatrics & Child Health, Aga Khan University, Pakistan Survey Coordinators Dr. Muhammad Atif Habib, Senior Instructor, Research Mr. Imtiaz Hussain Hilbi, Senior Social Scientist, Research Mr. S. Shujaat H. Zaidi, Senior Social Scientist, Research Dr. Noushad Ali, Research Supervisor Regional Coordinators Mr. Maswar Hussain, Dr. Abdul Razzaq Lasi, Mr. Gul Nawaz, Dr. Azam Baber, Dr. Tariq Samejo, Dr. Mushtaq Dero, Mr. Mushtaq Mirani, Dr. Aftab Bhatti and Mr. Asmatullah Khan Data Management Analyst Mr. Imran Ahmed, Data Manager, Mr. Zaid Shakoor Bhatti, Data Analyst & Mr. Najeebur Rehman, Data Coordinator Management and Administration Mir Asghar Ali Khan, Senior Manager, Research and Grants Mr. Ishrat Abbas, Manager, Budget and Finance Mr. M. Siddique, Shukurullah Baig, Fida H. Choghtai, Logistic Management Mr. Rashid Khan and Mr. Khuram Noorani, Financial Management Mr. Didar Alam, Laboratory Coordinator Collaborators: Pakistan Medical Research Council (PMRC) Dr. Huma Qureshi, Deputy Director Dr. Arif Munir, Mr. Mehmood and Mr. Rizwanullah Federal Bureau of Statistics Mr. Muhammad Ramzan Khan, Ex-Director, Sample Design Planning Commission, Government of Pakistan Federal & Provincial Nutrition Wing, Ministry of Health, Government of Pakistan
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