Preparing the Second Community-Based Early Childhood Development Project
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Technical Assistance Consultant’s Report Project Number: 37430 June 2008 Kyrgyz Republic: Preparing the Second Community- Based Early Childhood Development Project (Financed by the Japan Special Fund) Prepared by EPOS Health Consultants GmbH Germany For Office of the President, Kyrgyz Republic This consultant’s report does not necessarily reflect the views of ADB or the Government concerned, and ADB and the Government cannot be held liable for its contents. (For project preparatory technical assistance: All the views expressed herein may not be incorporated into the proposed project’s design. KYRGYZ REPUBLIC Office of the President ASIAN DEVELOPMENT BANK PREPARING THE SECOND COMMUNITY-BASED EARLY CHILDHOOD DEVELOPMNET PROJECT TA: 4797-KGZ REPORT OF THE BASELINE AND NEEDS ASSESSMENT May 2007 EPOS Hindenburgring 18 Telefon: +49-(0)6172-930-370/373 Health Consultants GmbH D-61348 Bad Homburg Fax: +49-(0)6172-930-372 E-Mail: [email protected] Deutschland Homepage: http://www.epos.de TABLE OF CONTENTS 1. Introduction .............................................................................................................................4 2. Objectives and Tasks of the Needs Assessment Survey: ........................................................4 3. Methodology of the Survey .....................................................................................................4 3.1 Target Group and Sampling ................................................................................................5 3.2 Pilot Survey ...........................................................................................................................6 3.3 Implementation of the Survey in Raions ...............................................................................6 4. Results .....................................................................................................................................7 4.1 Information on Parents and Socio-Economical Situation of the Families ............................7 4.2 Iodine Salt Consumption and Anemia Problems...................................................................8 4.3 Access to Medical Facilities and Drugs ................................................................................9 4.4 Kindergartens ......................................................................................................................10 4.5 Nutrition ..............................................................................................................................11 4.6 Children’s Development......................................................................................................12 4.7 Community Potential...........................................................................................................14 4.8 Information about Children from Birth to 8 Years of Age..................................................15 5. Conclusions ...........................................................................................................................18 Annex 1. Sampling Annex 2. Questionnaire in Russian, Kyrgyz, and Uzbek Annex 3. Instructions for conducting the survy Annex 4. Survey data in tables in figures 2 List of Abbreviations AO Aiyl Okmotu ECD Early Childhood Development FAP Feldsher Accoucher (midwife) Post FGP Family Group Practice IDD Iodine Deficiency Disorders IDA Iron Deficiency Anemia KR Kyrgyz Republic NGO Non-Government Organization PPTA Project Preparatory Technical Assistance ToR Terms of Reference 3 ANNEX 1 Questionnaire Needs Assessment Questionnaire Pilot interview Needs Assessment Questionnaire Questionnaire #____________ Name of an interviewer _________________ Date _____________________ Name of respondent _________________ Time from ___ until__________ Name of supervisor ____________________ Name of controller_____________________ Rayon Notes of controller: Aiyl okmotu Village Address Telephone Introduction Hello, my name is: __________________________ Thank you very much for your time and cooperation. In our survey we are interviewing mothers of children under 8 years old. We select households randomly. The information received during our interview together with other interviews made in three oblasts will help us to understand the needs of small children in these oblasts. We hope that this information will help to our government in its work aimed for better development, improvement of health, nutrition, care and education of children under 8 years old. The questionnaire will take 35-40 minutes to complete. Your names and addresses will not be revealed to anyone. Filter questions 1. Do you have children under 8? [ ] 1. Yes [ ] 2. No b finish interview 2. I need to talk to mother of these children. Is she at home? [ ] 1. Yes [ ] 2. No b finish interview 3. Do you agree to answer my questions? (This question should be addressed to the mother of child/children) [ ] 1. Yes [ ] 2. No b finish interview 24.01.2007 1 Needs Assessment Questionnaire Pilot interview Information on parents/guardians of children under 8 in a family 1 Does a father of your children under 8 live together with you and your children? [ ] 1. Yes [ ] 2. No [ ] 3. Other ____________________________ 2_3 Employment 2_1 Age 2_2 Education 2_4 Ethnicity status [ ] 1.Primary 2 [ ] 1. 18-23 [ ] 2.Secondary [ ] 1. Housewife / [ ] 1. Kyrgyz [ ] 2. 24-30 [ ] 3.Professional unemployed [ ] 2. Uzbek [ ] 3. 31-35 education [ ] 3. Russian [ ] 4. 36-40 [ ] 4.Incomplete higher [ ] 2. Farmer / [ ] 4. Tajik [ ] 5. 41-45 education agricultural [ ] 5. Kazakh [ ] 6. 46-50 [ ] 5.Higher education worker [ ] 6. Tatar [ ] 7. Older [ ] 6.No education [ ] 7. Other Mother than 50 [ ] 3. Employed ___________ (Where?) ___________________ [ ] 4. Other ______________ 3_3 Employment 3_1 Age 3_2 Education 3_4 Ethnicity status [ ] 1. Primary [ ] 1. Unemployed 3 [ ] 1. 18-23 [ ] 2. Secondary [ ] 1. Kyrgyz [ ] 2. 24-30 [ ] 3. Professional [ ] 2. Farmer / [ ] 2. Uzbek [ ] 3. 31-35 education agricultural [ ] 3. Russian [ ] 4. 36-40 [ ] 4. Incomplete higher worker [ ] 4. Tajik [ ] 5. 41-45 education [ ] 5. Kazakh [ ] 6. 46-50 [ ] 5. Higher education [ ] 3. Employed [ ] 6. Tatar [ ] 7. Older [ ] 6. No education (Where?) [ ] 7. Other Father than 50 ___________________ ___________ [ ] 4. Other _____________ Questions on socio-economic situation of the family 4 Heating in the house Electrical 1 Gas 2 Wood Furnace 3 Other _________________ 4 24.01.2007 2 Needs Assessment Questionnaire Pilot interview 5 Clean water used for drinking/cooking In the house 1 Outside the house 2 On the long distance (more than 1 km) 3 No access 4 6 Way of cooking food On electric stove 1 On gas stove 2 On wood furnace 3 Other ___________________ 4 7 Electricity: Do you have problems with electricity supply? Never 1 Seldom ( a couple of times a year) 2 Sometimes (monthly) 3 Frequently (weekly) 4 Very frequently (daily) 5 Iodised salt consumption 8 Did you ever hear of the importance of iodine for the health? [ ] 1. Yes [ ] 2. No [ ] 3. Don’t know 9 Do you think it is important to use iodized salt? [ ] 1. Very important [ ] 2. Rather important [ ] 3. Less important [ ] 4. Not important at all [ ] 5. Other____________________________ 10 Why do you think it is important to use iodized salt? (Mark off only one answer) (Interviewer: Don’t read listed answers) [ ] 1. Prevents from goitre [ ] 2. Prevents disorders in the development of foetus during pregnancy [ ] 3. Prevents from iodine deficiency disorders [ ] 4. Don’t know [ ] 5. Other ______________________ 11 Is your salt is iodized? [ ] 1. Yes, salt is iodized [ ] 2. No, salt is not iodized [ ] 3. Don’t know 24.01.2007 3 Needs Assessment Questionnaire Pilot interview 12 May I look at salt you use for cooking? (Interviewer: Please, check if it is iodized salt) [ ] 1. Yes, salt is iodized [ ] 2. No, salt is not iodized [ ] 3. It is not clear [ ] 4. Other ______________________ Anemia 13 Were you ever diagnosed anaemic during pregnancy? [ ] 1. Yes [ ] 2. No b proceed to question 17 [ ] 3. Don’t know 14 If yes, were you prescribed iron tablets? [ ] 1. Yes [ ] 2. No [ ] 3. Don’t know [ ] 4. Other_______________________________________ 15 If prescribed iron tablets, about how many tablets did you take? [ ] 1. 0 - 30 [ ] 2. 31 – 60 [ ] 3. 60 – 90 [ ] 4. Don’t know [ ] 5. Other_______________________________________ 16 If you did not take the recommended number of tablets, why not? [ ] 1. Not enough money to buy [ ] 2. Pharmacy or health facility too far [ ] 3. Side effects [ ] 4. Didn’t know how to take the tablets [ ] 1. Other _______________ Access to medical facilities and drugs The last time you had to seek treatment for your child(ren), where did you go? 17 [ ] 1. FAP [ ] 2. FGP [ ] 3. FMC [ ] 4. Rayon Hospital [ ] 5. Oblast Hospital [ ] 6. Local healer [ ] 7. Other________________________________________ 24.01.2007 4 Needs Assessment Questionnaire Pilot interview 18 Did you have problems with access to medical help in 2006 when your children were sick or needed regular check? [ ] 1. Yes, I always had problems [ ] 2. Sometimes I experienced difficulties [ ] 3. I didn’t have any problems [ ] 4. No problems b proceed to question 20 19 Please, indicate if the following reasons were among difficulties you faced when you sought medical assistance? Yes No 19_a No health facility in our village 1 2 19_b I don’t trust to our medical staff 1 2 19_c I had no money to pay for services 1 2 19_d Long distance was an obstacle 1 2 19_e Health facility was closed 1 2 19_f Other reason_______________________________