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 of 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 z households 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 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 PSA Board Resolution No. 06 Approving and Adopting the Survey Design of the Expanded National Nutrition Survey 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 Sampling Formation of replicates Provinces and HUCs covered in the 2018 ENNS Cagayan Valley Capiz Maguindanao Isabela City Isabela Iloilo Province Butuan City Cagayan De Oro City Nueva Vizcaya Iloilo City Quezon City Camiguin Olongapo City Mandaue City City of Manila Davao City Zambales Siquijor City of Caloocan Davao Occidental Bulacan Eastern Samar City of San Juan Sultan Kudarat Laguna Tacloban City City of Las Piñas Oriental Mindoro Camarines Norte Samar City of Makati Baguio City Sorsogon Northern Samar City of Mandaluyong Mountain Province Aklan Zamboanga Del Norte City of Taguig Abra Households Individual Eligible Response Response Eligible Response Response Rate (%) Rate (%) Philippines 52,285 45,957 87.9 196,332 159,926 81.5 Samar 1,438 1,387 96.5 6,611 5,778 87.4 2018 Expanded National Nutrition Survey Sociodemographic and Socioeconomic Profiles of Households and Its Individual Members 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 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 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%. Profile of Households Household Size Sex of Household Members Mean 5.1 5 members and below 59.5% Male Female More than 5 40.5% members 50.2% 49.8% Population Groups Age groups n (%) Women of Reproductive Age 0-23 months 238 4.7% n (%) 24-71 months 563 10.6% 42 3.4% 72-120 months 685 10.4% 201 16.6% >10-19 years 1,329 23.1% 20-59 years 2,373 42.1% 980 79.9% 60 years and over 590 9.0% Profile of Household Heads Sex Civil Status 100 80 60 55.3 40 21.2 Male Female 20 14.9 82.4% 17.6% 3.6 5.0 0 Separated Single Common Widowed Married Law/Live-in Farmers, Forestry workers, Fishermen 53.4 Laborers and unskilled workers 12.7 Service Workers 9.9 Occupation Plant and machine operators 8.3 Craft and related traders workers 6.7 Officials of the gov't, Corporate executives, managers, supervisors 3.3 Professionals 1.6 Technicians and associate prof 1.3 Clerks 1.1 Special Occupations 0.8 Not classified elsewhere 0.7 0 10 20 30 40 50 60 70 80 70 58.5 60 Educational 50 40 Attainment 30 24.8 20 11.7 10 5.0 0.1 0 No education Elementary Secondary College level Others level level FOOD SECURITY “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 33.9 40 31.9 28.8 21.9 12.3 12.3 12.8 Percentage 20 0 Food Secure* Mildly Food Moderately Food Severely Food * Insecure 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 preferred food 47.5 52.5 Ate just a few kinds of food 43.2 56.8 Ate food they really do not want to eat 37.8 62.2 Ate a smaller meal 33.8 66.2 Ate a fewer meals in a day 19.1 80.9 Had no food of any kind in the household 7.7 92.3 Experienced going to sleep hungry 7.3 92.7 Experienced going a whole day and night without eating 3.3 96.7 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: Philippines, 2018 Food Secure Food Insecure 100 82.0 84.1 80 62.1 55.7 60 53.9