Save the Children Bangladesh Endline Survey Results: Nobo Jibon Multi-Year Assistance Program Volume I – Report TANGO International Review Team: • Mark Langworthy, TANGO Vice President – Team Leader • Golam Kabir • Masud Rana • Thomas R. Bower, Design, Monitoring and Evaluation Specialist Draft Report Febuary 3, 2015 Nobo Jibon 1 Table of Contents Table of Contents ............................................................................................................................ 2 List of Tables .................................................................................................................................. 4 List of Figures ................................................................................................................................. 6 Acknowledgements ......................................................................................................................... 7 Acronyms ........................................................................................................................................ 8 Executive Summary ...................................................................................................................... 11 1. Introduction ........................................................................................................................... 14 2. Evaluation Methodology ....................................................................................................... 15 2.1 Methods for Endline QPE Survey ....................................................................................... 15 A. Study Design and Objectives ............................................................................................ 15 B. Sample Design .................................................................................................................. 16 C. Questionnaire .................................................................................................................... 19 D. Field Procedures ............................................................................................................... 19 E. Data Analysis .................................................................................................................... 20 2.2 Methods for Qualitative Study ............................................................................................ 26 A. Study Design and Objectives ............................................................................................ 26 B. Study Sample .................................................................................................................... 26 C. Instruments ........................................................................................................................ 27 D. Data Collection ................................................................................................................. 27 F. Estimation of Household Food Security Categories ......................................................... 28 2.3 Study Limitations and Issues Encountered ......................................................................... 29 3. Endline Survey Results .......................................................................................................... 31 Household Food Security and Vulnerability Status .................................................................. 31 Household Income and Expenditures ........................................................................................ 34 SO1 – Maternal and Child Health and Nutrition (MCHN) ....................................................... 38 Anthropometric Indicators ..................................................................................................... 38 Childhood Illness, Child Feeding Practices and Antenatal Care ........................................... 41 Water, Sanitation and Hygiene (WASH) .............................................................................. 46 Qualitative Information (SO1) ............................................................................................... 47 SO2 – Market-based Production and Income Generation ......................................................... 48 2 Agricultural Production and Marketing Practices ................................................................. 51 Qualitative Information (SO2) ............................................................................................... 58 SO3 – Disaster Risk Reduction ................................................................................................. 59 Qualitative Information (SO3) ............................................................................................... 62 Project Participation .................................................................................................................. 62 Vulnerable Groups .................................................................................................................... 68 Women’s Decision Making and Empowerment .................................................................... 68 Child Rights and Protection ................................................................................................... 71 4. Summary ................................................................................................................................ 73 Annex 1: Focus Group Discussions .............................................................................................. 76 Annex 2: Mean Values and Confidence Intervals for Indicator Performance Tracking Table (IPTT) Indicators .......................................................................................................................... 78 Annex 3: Procedures for Computing Household Economic and Food Security Status Indicators86 Annex 4: Results of Factor Analysis on Food Security Variables ................................................ 91 Annex 5: Nobo Jibon Baseline Survey Household Questionnaire ............................................... 94 Annex 6: Additional Quantitative Data ...................................................................................... 129 SO1 Tables .............................................................................................................................. 129 SO2 Tables .............................................................................................................................. 133 Annex 7: Terms of Reference, Baseline ..................................................................................... 135 3 List of Tables Table 1: Sample size by district .................................................................................................................................... 17 Table 2: Indicator definitions and calculation methods .............................................................................................. 21 Table 3: Food security variables at endline, by food security ..................................................................................... 28 Table 4: Selected household characteristics, baseline and endline survey rounds ..................................................... 30 Table 5: Program goal indicators, by district ............................................................................................................... 31 Table 6: Program goal indicators, by food security category ...................................................................................... 33 Table 7: Program goal indicators, by sex of head of household .................................................................................. 34 Table 8: Household income and expenditures (in Tk), by district ............................................................................... 35 Table 9: Household income and expenditures (in Tk), by food security category ...................................................... 36 Table 10: Household income and expenditures (in Tk), by sex of head of household ................................................ 37 Table 11: Moderate child malnutrition indicators, by food security category ............................................................ 39 Table 12: Severe child malnutrition indicators, by food security category ................................................................. 40 Table 13: Breastfeeding practices, by food security category ..................................................................................... 42 Table 14: Child feeding and care giving practices, by food security category ............................................................. 43 Table 15: Nutrient consumption among PLW, by food security category ................................................................... 44 Table 16: Attendance at antenatal care sessions, by food security category ............................................................. 45 Table 17: Percentage of children 12-23 months who received Vitamin A supplementation, deworming treatment within last 6 months, by food security category ......................................................................................................... 45 Table 18: Caregiver hygiene practices, by food security category .............................................................................. 47 Table 19: Economic and food access indicators, by food security category................................................................ 49 Table 20: Economic