CAPIZ DISSEMINATION FORUM September 23, 2019 Marzan Hotel. Kalibo, Aklan 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 (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 PSA Board Resolution No. 06 Approving and Adopting the Survey Design of the Expanded National Nutrition Survey 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 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 Replicated Formation of replicates Provinces and HUCs covered in the 2018 ENNS Cagayan Valley Capiz Maguindanao Isabela City Isabela Mandaue City Butuan City Davao City Nueva Vizcaya Siquijor Quezon City Davao Occidental Olongapo City Eastern Samar City of Manila Sultan Kudarat Zambales Tacloban City City of Caloocan Oriental Mindoro Bulacan Western Samar City of San Juan Baguio City Laguna Northern Samar City of Las Piñas Mountain Province Camarines Norte Iloilo Province City of Makati Abra Sorsogon Iloilo City City of Mandaluyong Cagayan De Oro City City of Taguig Aklan Zamboanga Del Norte Camiguin Level Eligible Response Response Rate (%) Household 52,285 45,957 87.9 Individuals 196,332 159,926 81.5 Households Individual Province Eligible Response Response Eligible Response Response Rate (%) Rate (%) Capiz 1,492 1,463 98.1 5,622 4,768 84.8 2018 Expanded National Nutrition Survey Sociodemographic and Socioeconomic Profiles of Households and Its 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 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%. 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 education, covering the programs on all courses of study leading to a bachelor degree. 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 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 Profile of Households Household Size Sex of Household Members Mean 4.2 5 members and below 78.6% Male Female More than 5 21.4% members 48.1% 51.9% Population Groups Age groups n (%) Women of Reproductive Age 0-23 months 125 3.4 n (%) 24-71 months 418 10.4 36 3.5 72-120 months 476 8.9 96 9.6 >10-19 years 1,016 19.8 20-59 years 2,111 46.1 908 86.9 60 years and over 622 11.4 Profile of Household Heads Sex Civil Status 100 80 63.2 60 40 Male Female 20 16.7 10.6 5.3 77.5% 22.5% 4.1 0 Separated Single Common Widowed Married Law/Live-in Farmers, Forestry workers, Fishermen 30.9 Laborers and unskilled workers 22.3 Plant and machine operators 15.0 Occupation Service Workers 13.8 Craft and related traders workers 8.7 Officials of the gov't, Corporate executives, managers, supervisors 2.3 Professionals 2.1 Technicians and associate prof 2.0 Clerks 1.3 Not classified elsewhere 1.1 Special Occupations 0.4 0 10 20 30 40 50 70 60 43.8 Educational 50 37.0 40 30 18.3 Attainment 20 10 0.8 0.2 0 No education Elementary level At Least At Least Others Secondary Level* College Level** * including Post-Secondary Non-Tertiary and Short- Cycle Tertiary Education or Equivalent ** including Master and Doctoral Level Education or Equivalent Food Security Status Capiz, 2018 Percentage of households by food security status: Capiz, 2018 100 100 Philippines Capiz 80 80 60 46.1 60 35.2* 38.9* % 40 28.8 % 40 20 12.3 12.8 20 12.6 13.3 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 33.4 11.1 36.3 11.7 UL 48.0 12.9 30.5 14.4 UL 37.0 14.2 41.5 14.9 * p<0.10 Percentage of households by food insecurity items: Capiz, 2018 Percentage of food insecure households = 64.8% Worried about food 59.8 40.2 Yes No Unable to eat preferred food 59.3 40.7 Ate just a few kinds of food 53.8 46.2 Ate food they really do not want to eat 46.9 53.1 Ate a smaller meal 40.9 59.1 Ate a fewer meals in a day 20.8 79.2 Had no food of any kind in the household 5.2 94.8 Experienced going to sleep hungry 6.9 93.1 Experienced going a whole day and night without eating 2.8 97.2 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: Capiz, 2018 Food Secure Food Insecure 100 81.8 80 70.6 64.8 63.1 65.2 57.6 62.0 60 42.4 35.2 36.9 34.8 38.0 40 29.4 Percentage 18.2 20 0 Capiz Poor* Non-poor 1-5 members More than 5 Male Female members Wealth Status Household Size Sex of Household Head * p<0.10 Nutritional Status of Filipino Preschool-Age Children in Capiz Prevalence of malnutrition among children under five (0-59 months) in the Philippines and Capiz: ENNS, 2018 Philippines Capiz