Maternal and Child Cash Transfer Programme in Chin State (MCCT) Baseline Survey Report February 2018 Funded by MATERNAL AND CHILD CASH TRANSFER PROGRAMME IN CHIN STATE (MCCT) BASELINE SURVEY REPORT 2017 Ministry of Social Welfare, Relief and Resettlement (MSWRR) Livelihoods and Food Security Trust Fund (LIFT) February 2018 ACKNOWLEDGEMENTS We thank the Department of Social Welfare (DSW) for their contribution and support as a co- principal investigator in this study. We thank the European Union and governments of Australia, Denmark, France, Ireland, Italy, Luxembourg, the Netherlands, New Zealand, Sweden, Switzerland, the United Kingdom, the United States of America for their kind contributions to improving the livelihoods and food security of rural people in Myanmar. We would also like to thank the Mitsubishi Corporation, as a private sector donor. DISCLAIMER This document has been produced with financial assistance from Australia, Denmark, the European Union, France, Ireland, Italy, Luxembourg, the Netherlands, New Zealand, Sweden, Switzerland, the United Kingdom, the United States of America and Mitsubishi Corporation. The views expressed herein can in no way be taken to reflect the official opinion of LIFT donors. The report is prepared by TABLE OF CONTENTS FIGURES AND TABLES .............................................................................................................. v MAP OF CHIN STATE ............................................................................................................... vii ACRONYMS AND ABREVIATIONS ......................................................................................... viii EXECUTIVE SUMMARY ............................................................................................................. ix BACKGROUND .......................................................................................................................... 10 STUDY DESIGN AND METHODOLOGY ................................................................................... 11 1. Design .............................................................................................................................. 11 1.1 Sample Size .............................................................................................................. 13 1.2 Sample Selection ...................................................................................................... 14 2. Data Collection Instruments ............................................................................................. 14 2.1 Village Profiles .......................................................................................................... 14 2.2 Household Questionnaire ......................................................................................... 15 2.3 Anthropometric Measurements ................................................................................. 16 3. Training and Pilot ............................................................................................................. 16 3.1 Anthropometric Training ............................................................................................ 17 3.2 Interviewer and Supervisor Training ......................................................................... 17 3.3 Pretest ....................................................................................................................... 18 4. Fieldwork .......................................................................................................................... 18 5. Data Processing and Quality ............................................................................................ 19 LIMITATIONS ............................................................................................................................. 21 ETHICAL CONSIDERATIONS ................................................................................................... 22 THEORY OF CHANGE .............................................................................................................. 23 SAMPLE CHARACTERISTICS .................................................................................................. 25 HOUSEHOLD .......................................................................................................................... 25 1. Overview .......................................................................................................................... 25 2. Household Population and Composition .......................................................................... 26 3. Education ......................................................................................................................... 27 4. Primary Occupation .......................................................................................................... 28 5. Income ............................................................................................................................. 29 6. Electricity .......................................................................................................................... 30 7. Assets and Land Ownership ............................................................................................ 31 ii RESPONDENT ....................................................................................................................... 37 1. Overview .......................................................................................................................... 37 1. Age ................................................................................................................................... 38 2. Education ......................................................................................................................... 38 3. Primary Occupation .......................................................................................................... 39 CHILDREN .............................................................................................................................. 45 1. Overview .......................................................................................................................... 45 2. Age ................................................................................................................................... 45 3. Birth Certification .............................................................................................................. 47 NUTRITIONAL OUTCOMES FOR CHILDREN AND MOTHERS .............................................. 50 1. Nutritional Outcomes for Children ................................................................................... 51 1.1 Measurements .............................................................................................................. 51 1.2 Data Collection ............................................................................................................. 51 1.3 Nutrition Levels for Children ......................................................................................... 51 1.4 Characteristics of Children ........................................................................................... 53 1. Nutritional Outcomes for Mothers and Pregnant Women ............................................. 61 1.1 Measurements .............................................................................................................. 61 2.2 Data Collection ............................................................................................................. 61 NUTRITION OF CHILDREN AND WOMEN ............................................................................... 65 1. Practices and Knowledge on Nutrition ............................................................................ 66 1.1 Adequate Food Provisioning ........................................................................................ 66 1.2 Dietary Diversity ........................................................................................................... 68 1.3 Meal Frequency ............................................................................................................ 70 1.4 Micronutrient Supplementation ..................................................................................... 70 INFANT AND YOUNG CHILD FEEDING (IYCF) ....................................................................... 83 1. Practices and Knowledge on Infant and Young Child Feeding (IYCF) ......................... 84 1.1 Early Initiation of breastfeeding .................................................................................... 84 1.2 Exclusive breastfeeding ................................................................................................ 84 1.3 Complementary Feeding .............................................................................................. 85 1.4 Continuation of breastfeeding ....................................................................................... 87 HEALTH SEEKING BEHAVIORS .............................................................................................. 97 1. Practices and Knowledge on Health Seeking Behaviors ............................................... 97 1.1 Post and Antenatal Care .............................................................................................. 98 1.2 Immunization Coverage .............................................................................................. 100