Baseline Household Survey Report
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Growing Nutrition for Mothers and Children (GROW) Program in Ethiopia FUNDED BY: GLOBAL AFFAIRS CANADA PROGRAM IMPLEMENTED BY: CARE IN PARTNERSHIP WITH CUSO INTERNATIONAL AND MCGILL UNIVERSITY (2016-2020) Baseline household survey report Submitted to: CAEE Ethiopia Submitted by: Le Monde Health and Development Consultancy PLC Matyas Building, 5th floor, Room No. 406 & 407 P.O.BOX 3200 Code 1250 Addis Ababa, Ethiopia Tel: +251 913 05 42 65 or +251 920 10 10 10 Email: [email protected] or [email protected] December 2016 Addis Ababa Acknowledgements Le Monde Health and Development Consultancy (LHD) PLC acknowledges the efforts of all individuals and their institutions that assisted with this baseline study. Our sincere gratitude is to the study participants for their cooperation and time. Our special thank goes to the staff of CARE Ethiopia, CARE Canada and McGill University for their guidance and valuable input throughout the study. We would also like to thank Save the Children International, Concern Ethiopia and ENCU for supporting us by providing tools for the anthropometric survey. i Table of contents Acknowledgements .......................................................................................................................................................................... i Table of contents ............................................................................................................................................................................ ii List of tables.................................................................................................................................................................................... iii List of figures ................................................................................................................................................................................... v List of acronyms .............................................................................................................................................................................. vi Executive summary ....................................................................................................................................................................... vii 1. Background ............................................................................................................................................................................. 1 1.1. Introduction .................................................................................................................................................................... 1 1.2. GROW program .......................................................................................................................................................... 1 2. Objectives of the survey ...................................................................................................................................................... 2 3. Methods ................................................................................................................................................................................... 2 3.1. Study area and period ............................................................................................................................................... 2 3.2. Study design .................................................................................................................................................................. 2 3.3. Study population .......................................................................................................................................................... 2 3.4. Sample size ................................................................................................................................................................... 2 3.5. Sampling technique ...................................................................................................................................................... 3 3.6. Data collection tools ..................................................................................................................................................... 4 4. Data collection, management and analysis...................................................................................................................... 4 5. Quality control ....................................................................................................................................................................... 4 6. Ethical considerations ............................................................................................................................................................ 5 7. Findings .................................................................................................................................................................................... 5 7.1. Response rates and characteristics of respondents ............................................................................................... 5 7.2. Household characteristics and possessions .............................................................................................................. 6 7.3. Food production and consumption ............................................................................................................................ 8 7.3.1. Source of food ..................................................................................................................................................... 8 7.3.2. Home garden and livestock .............................................................................................................................. 9 7.3.3. Food preservation and storage .................................................................................................................... 12 7.3.4. Income and savings .......................................................................................................................................... 13 7.3.5. Women and Men Dietary Diversity.............................................................................................................. 15 7.4. Household food security situation........................................................................................................................... 17 7.5. Infant and Young Child Feeding Practices (IYCF) ............................................................................................... 17 7.6. Child’s Health ............................................................................................................................................................. 20 7.7. Nutritional status of children and women ............................................................................................................. 22 7.7.1. Acute malnutrition (Weight-for-height) ........................................................................................................ 22 7.7.2. Stunting (Height-for-age) ............................................................................................................................... 24 7.7.3. Underweight (Weight-for-age) ..................................................................................................................... 25 7.7.4. Nutritional status of women (MUAC) ............................................................................................................ 25 7.8. Water, Sanitation and Hygiene ............................................................................................................................. 25 7.9. Gender ........................................................................................................................................................................ 28 7.9.1. Public engagement .......................................................................................................................................... 28 7.9.2. Attitudes and perceptions ............................................................................................................................... 29 7.9.3. Household decision-making ............................................................................................................................ 30 8. Discussion .............................................................................................................................................................................. 32 9. Recommendations ............................................................................................................................................................... 33 Annexes ......................................................................................................................................................................................... 35 Annex 1: Foods and liquids given to 0-5 month infants .................................................................................................. 35 Annex 2: Food types consumed among 6-8 months old infants .................................................................................... 35 Annex 3: Prevalence of underweight .................................................................................................................................. 36 Annex 4: Baseline values for key indicators .....................................................................................................................