DAVAO OCCIDENTAL September 3, 2019 Grand Regal Hotel, Davao City 2018 Expanded National Nutrition Survey Sociodemographic and Socioeconomic Profiles of the Households and 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 Definitions 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 see how the common health and nutrition indicators differs between the poor and non-poor. • For the provincial and HUCs estimates, wealth status are classified as poor for the bottom 30% of the income group and the non-poor for the upper 30%. Operational Definitions 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 Definitions 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 • refers to groupings or categories created commonly used to describe certain population groups: a) age - refers to the exact age of each household member as of his/her last birthday b) sex - refers to the sex of the household member as males and females c) type of residence - urban-rural classification Operational Definitions d) 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 Davao Occidental Profile of Households Household Size Sex of Household Members Mean 4.5 5 members and below 72.8% Male Female More than 5 27.2% members 47.9% 52.1% Population Groups Age groups n (%) Women of Reproductive Age 0-23 months 197 4.6 n (%) 24-71 months 539 12.5 54 5.1% 72-120 months 596 12.3 154 14.5% >10-19 years 967 18.2 20-59 years 2,133 45.2 925 80.4% 60 years and over 442 7.2 Profile of Household Heads Sex Civil Status 100 80 70.5 60 40 Male Female 20 13.2 11.7 85.8% 14.2% 2.6 1.9 0 Separated Single Common Widowed Married Law/Live-in Farmers, Forestry workers, Fishermen 59.0 Plant and machine operators 7.4 Service Workers 6.0 Occupation Laborers and unskilled workers 13.5 Craft and related traders workers 7.8 Technicians and associate prof 1.6 Officials of the gov't, Corporate executives, managers, supervisors 2.3 Professionals 1.2 Clerks 0.7 Not classified 0.5 Special Occupations 0.1 0 10 20 30 40 50 60 70 80 70 60.3 60 50 Educational 40 30 21.4 Attainment 20 12.3 6.1 10 0.0 0 No education Elementary Secondary College level Others level level Food Security Status Davao Occidental, 2018 Percentage of households by food security status: Davao Occidental, 2018 100 100 Philippines Davao Occidental 80 80 60 46.1 60 49.4* % 40 28.8 % 40 17.9* 22.7* 20 12.3 12.8 20 10.0 0 0 Food Secure Mildly Food Moderately Severely Food Food Secure Mildly Food Moderately Severely Food Insecure Food Insecure Insecure Insecure Food Insecure Insecure 90% Confidence Interval 90% Confidence Interval LL 44.1 11.7 27.1 11.2 LL 15.1 8.4 46.8 20.1 UL 48.0 12.9 30.5 14.4 UL 20.7 11.7 52.0 25.3 * Significantly different at 10% level of significance Percentage of households by food security status: Davao Occidental, 2016 & 2018 100 100 2016 2018 80 80 60 46.7 60 49.4 % 40 % 40 26.3 22.7 16.6 17.9 20 10.4 20 10.0 0 0 Food Secure Mildly Food Moderately Severely Food Food Secure Mildly Food Moderately Severely Food Insecure Food Insecure Insecure Insecure Food Insecure Insecure 90% Confidence Interval 90% Confidence Interval LL 14.4 9.0 44.5 23.4 LL 15.1 8.4 46.8 20.1 UL 18.9 11.9 48.8 29.1 UL 20.7 11.7 52.0 25.3 Percentage of households by food insecurity items: Davao Occidental, 2018 Percentage of food insecure households = 82.1% Worried about food 78.5 21.5 Yes No Unable to eat preferred food 78.1 21.9 Ate just a few kinds of food 74.2 25.8 Ate food they really do not want to eat 70.6 29.4 Ate a smaller meal 66.4 33.6 Ate a fewer meals in a day 42.5 57.5 Had no food of any kind in the household 16.7 83.3 Experienced going to sleep hungry 15.5 84.5 Experienced going a whole day and night without eating 8.1 91.9 0 10 20 30 40 50 % 60 70 80 90 100 Percentage of households by food security status by wealth status, household size and sex of household head: Davao Occidental, 2018 Food Secure Food Insecure 100 94.3 82.1 86.3 82.8 76.9 80.5 77.6 80 60 40 23.1 19.5 22.4 Percentage 17.9 17.2 20 13.7 5.7 0 Davao Occidental Poor* Non-poor 1-5 members More than 5 Male Female members Wealth Status Household Size Sex of Household Head * p<0.10 Summary Davao Occidental Food insecurity is higher among poorer households (bottom, 30%). Nutritional Status of Filipino Preschool-Age Children Davao Occidental Trends in the prevalence of malnutrition among children, under-five years old (0-59 months): Philippines, 2003-2018 40 33.8 33.7 32.9 32.2 33.4 30.3 30.3 30 21.5 20.7 20.0 20.2 20.0 20.0 19.1 20 8.0 10 7.3 7.1 6.1 5.8 6.0 5.6 1.9 5.1 3.5 4.3 3.9 4.0 0 2.9 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 Underweight Stunting Wasting Overweight-for-height Prevalence of malnutrition among children under five (0-59 months) in the Philippines and Davao Occidental: ENNS, 2018 Philippines Davao Occidental 50 50 40.8 40 30.3 40 30 30 19.1 21.0 20 20 5.6 (%) Prevalence Prevalence (%) Prevalence 10 4.0 10 5.2 1.4 0 0 Underweight Stunting Wasting Overweight-for-Height Underweight Stunting Wasting Overweight-for-Height 90% CI Underweight Stunting Wasting Overweight- 90% Underweight Stunting * Wasting Overweight-* for-Height CI for-Height Lower 17.7 28.2 5.2 3.6 Lower 18.2 37.0 3.5 0.3 Limit Limit Upper 20.5 32.4 6.1 4.3 Upper 23.8 44.7 6.9 2.5 Limit Limit Prevalence of malnutrition among children under five (0-59 months) in Davao Occidental: LFHNS, 2016 & ENNS, 2018 50 44.4 40.8 40 30 24.8 21.0 20 Prevalence (%) Prevalence 10 5.0 5.2 1.8 1.4 0 Underweight Stunting Wasting Overweight-for-Height LFHNS 2016 ENNS 2018 Prevalence of malnutrition among children under five (0-59 months) by sex and wealth status: Davao Occidental ENNS, 2018 60 Underweight 60 Stunting 54.7 50 50 42.5 40.8 39.1 40 40 35.5 28.4 30 21.0 22.6 30 19.3 17.0 20 20 10 Prevalence (%) Prevalence 10 Prevalence (%) Prevalence 0 0 All Male Female Poor * Non- All Male Female Poor* Non- Poor Poor Prevalence of malnutrition among children under five (0-59 months) by sex and wealth status: Davao Occidental ENNS, 2018 20 Wasting 20 Overweight-for-Height 10 10 6.2 5.2 5.3 4.0 4.9 Prevalence (%) Prevalence Prevalence (%) Prevalence 1.4 1.4 1.4 1.6 0.4 0 0 All Male Female Poor Non- All Male Female Poor Non- Poor Poor in preschool-age children Prevalence of anemia among preschool-age children 6 mos to 5 years old (6-71 months) in Davao Occidental: ENNS, 2018 30 20 14.3 12.5 12.0 11.2 10 Prevalence (%) Prevalence 0 90% CI Philippines DavaoDavao Occidental MaleMale FemaleFemale Occidental Lower 12.8 7.7 8.5 5.1 Limit Upper 15.9 16.3 16.6 17.3 Limit PREVALENCE OF IDD AND VAD • Urinary iodine excretion and the determination of IDD is not covered among preschool-age children.