NORTHERN SAMAR DISSEMINATION FORUM October 3, 2019, Ciriaco Hotel & Resort, Calbayog City 2018 Expanded National Nutrition Survey METHODOLOGY Old Survey Design of the NNS Features Description Survey Design One shot (one year) every 5 years Coverage 17 regions, 81 provinces National, Regional, Level of Disaggregation Provincial for some indicators Target Number of Households 60,000 Households and all members of the sampled Target Population households Duration of Data Collection 6.5 Months (one shot) for the reference year Why did we change the design of the NNS? . Provide Province and HUC Level estimates for local planning of specific and sensitive interventions of our stakeholders . Provide reliable National Level Estimates annually Why did we change the design of the NNS? . Adoption of the new Master Sample of the PSA to provide reliable estimations at the Province and HUC Levels Sampling Design of the 2018 ENNS 2013 Master Sample (PSA) Sampling domains: 2-Stage Cluster Sampling Design 81 provinces st 33 HUCs 1 Stage - PSUs 3 other areas PSU size ranges from (Pateros, Isabela City, Cotabato City) 100 to 400 households z 16 sample replicates are drawn from each domain 2nd stage Households from 16 replicates (1,536) Icons used were retrieved from http://www.flaticon.com PSA Board Resolution No. 06 Approving and Adopting the Survey Design of the Expanded National Nutrition Survey What is the Survey Design of the 2018 NNS? 40 Provinces & ROLLING HUCs for 2018 40 Provinces & for HUCs for 2019 SURVEY 37 Provinces & 3YEARS HUCs for 2020 Target coverage per sampling domain is 1,536 households Survey Design of ENNS – a “Rolling Survey” NNS COMPONENTS 1. Anthropometry 2018 2019 2020 2. Biochemical 3. Clinical and Health (40) (40) (37) 4. Dietary (household & individual) 5. Socio-Economic Status 6. Food Security 7. Government Program National/ Provincial/ HUC Participation 8. IYCF 9. Maternal Health and NS 1536 Households How did we select the provinces and HUCs to be included in the 2018 ENNS? Grouping of provinces and HUCs with similar characteristics into replicates A replicate has at least 5 Test variables provinces and HUCs Number of persons Number of birth registered Number of OFWs 2010 Census of Number of WRA Population and Housing Number of infants Number of children below 5 Number of disabled members Replicated Replicated Sampling Formation of replicates Provinces and HUCs covered in the 2018 ENNS Cagayan Valley Capiz Maguindanao Isabela City Isabela Eastern Samar Butuan City Davao City Nueva Vizcaya Tacloban City Quezon City Davao Occidental Olongapo City Mandaue City City of Manila Sultan Kudarat Zambales Siquijor City of Caloocan Oriental Mindoro Bulacan Samar City of San Juan Baguio City Laguna Northern Samar City of Las Piñas Mountain Province Camarines Norte Iloilo Province City of Makati Abra Sorsogon Iloilo City City of Mandaluyong Cagayan De Oro City City of Taguig Aklan Zamboanga Del Norte Camiguin Households Individual Eligible Response Response Eligible Response Response Rate (%) Rate (%) Philippines 52,285 45,957 87.9 196,332 159,926 81.5 Northern 1,484 1,441 97.1 6,763 6,231 92.1 Samar 2018 Expanded National Nutrition Survey Sociodemographic and Socioeconomic Profiles of Households and Its Individual Members Socioeconomic Status • refers to the social standing or class of an individual or group. It is often measured as a combination of education, income and occupation. Adapted from APA’s Socioeconomic Status Office publications Operational Definition Wealth Index • The wealth index is a composite measure of a household's cumulative living standard. The wealth index is calculated by principal component analysis using data on household’s ownership of selected assets, materials used for housing construction and types of water access and sanitation facilities. Wealth Index • The wealth index categorizes the households into 5 wealth quintiles, allowing us to assess how the common health and nutrition indicators differ between the poor and non-poor households. • For the provincial and HUCs estimates, wealth status is classified as poor for the bottom 30% of the income group and the non-poor for the upper 30%. Operational Definition Highest Educational Attainment* • refers to the highest grade/year of formal schooling completed by each member of the household and not the total years attended • Regrouped into: a) none - no grade completed b) elementary level - the stage of formal education concerned with providing the first six years of basic education. c) secondary level - the stage of formal education following the elementary level concerned primarily with continuing basic education and expanding it to include the learning of employable gainful skills, usually corresponding to four years of high school d) college level - the stage of formal education following the secondary level covering non-degree programs that have varying duration for three months to three years, concerned primarily with developing strong and appropriately trained middle-level skilled manpower possessing capabilities supportive of national development. e) others - Alternative Learning System, SPED , Arabic Schooling * Phil. Standard Classification of Education (PSCEd) Operational Definition Occupation • The occupation of each individual members of the household, 10 years old and above in the past 6 months • 2012 Philippine Standard Occupational Codes (PSOC) is a statistical classification of the different occupational groups of the working population, including the military work force in the country Sociodemographic Profile • Describes the population groups by: a) age - refers to the exact age of each household member as of his/her last birthday b) sex – categorized the household members of the households as males and females c) civil status – or marital status d) type of residence - urban-rural classification of PSA Operational Definitions Civil status - status of an individual in relation to marriage and classified as: a) single - a person who has never been married b) married - a person who has been united in matrimony with another person of opposite sex through a religious or civil rites. To be considered married, the couple should still be living together, or if living apart from each other, the separation must only be temporary (e.g. working elsewhere, attending seminars, etc) c) separated - a person whose partner has left permanently, with or without legal sanctions. d) widowed - a person who has been married before, whether formally or consensually but his/her partner has died and has not remarried at the time of visit. e) common law/live-in – those who live together consensually with another as husband or wife Operational Definitions Household • an aggregate of persons, generally but not necessarily bound by ties of kinship, who sleep in the same housing unit and have a common arrangement for the preparation and consumption of food. Operational Definitions Household head • person who generally provides the chief source of income for the household unit • adult person, male or female, who is responsible for the organization and care of the household or who is regarded as such by the members of the household Profile of Households Household Size Sex of Household Members Mean 5.1 5 members and below 61.8% Male Female More than 5 38.2% members 49.9% 50.1% Population Groups Age groups n (%) Women of Reproductive Age 0-23 months 237 4.5 n (%) 24-71 months 610 10.9 66 5.2 72-120 months 739 10.9 184 14.7 >10-19 years 1,555 24.0 20-59 years 2,492 41.3 1,064 80.1 60 years and over 598 8.4 Profile of Household Heads Sex Civil Status 100 80 60 53.0 40 23.9 Male Female 20 15.8 3.0 4.4 83.4% 16.6% 0 Separated Single Widowed Common Married Law/Live-in Farmers, Forestry workers, Fishermen 47.1 Laborers and unskilled workers 14.3 Plant and machine operators 11.2 Occupation Service Workers 9.8 Craft and related traders workers 7.8 Officials of the gov't, Corporate executives, managers, supervisors 3.4 Technicians and associate prof 1.7 Professionals 1.6 Clerks 1.6 Not classified elsewhere 1.2 Special Occupations 0.2 0 10 20 30 40 50 60 70 70 58.3 60 50 Educational 40 30 27.1 Attainment 20 10.8 10 3.7 0.1 0 No education Elementary Secondary College level Others level level “exists when all people, at all times, have physical and economic access to sufficient, safe and nutritious food that meets their dietary needs and food preferences for an active and healthy life”. (World Food Summit, 1996) FOOD INSECURITY “limited or uncertain availability of nutritionally adequate and safe foods or limited or uncertain ability to acquire acceptable foods in socially acceptable ways” (Institute of Nutrition, 1990) When recurrent leads to hunger and hunger when prolonged results to malnutrition METHODOLOGY Questionnaire Household Food Insecurity Access Scale (HFIAS) nine-item questionnaire based on the respondent’s perception over food situations, resources or supply self-reported experience in the past month HOUSEHOLD FOOD INSECURITY ACCESS SCALE (HFIAS) Percentage of households by food security status: Philippines, 2015 vs. 2018 Percentage of food insecure households : 66.1% vs. 53.9% 100 2015 2018 80 60 46.1 40 33.9 31.9 28.8 21.9 20 12.3 12.3 12.8 Percentage 0 * Food Secure * Mildly Food Insecure Moderately Food Severely Food Insecure Insecure * Significantly different at 5% level of significance Percentage of households by food insecurity items: Philippines, 2018 Percentage of food insecure households = 53.9% Worried about food 50.3 49.7 Yes No Unable to eat