mics4 survey design workshop multiple indicator cluster surveys survey design workshop questionnaire...
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MICS4 Survey Design Workshop
Multiple Indicator Cluster SurveysSurvey Design Workshop
Questionnaire for Children Under Five:Breastfeeding
MICS4 Survey Design Workshop
WHO/UNICEF Feeding Recommendations
• Exclusive breastfeeding for first six months
• Continued breastfeeding up to two years and beyond
• Safe, appropriate and adequate complementary foods beginning at six months
• Frequency of complementary feeding: – Breastfed: 2 times per day for 6-8 month olds; 3 times per day for 9-23 month
olds;
– Non-breastfed: 4 times per day for 6 – 23 months
MICS4 Survey Design Workshop
Background information
Indicators:• Revised set of global indicators (2008)• MICS4 adapted accordingly (a few exceptions flagged
later)
Module:• All (living) children <5 years • Current status --24 hours preceding interview
MICS4 Survey Design Workshop
Caretakers are asked about the following for each child under five
– Whether child was ever and is currently breastfed– Was the child was fed and liquids or foods in the preceding
24 hours– Types of liquids– Types of milk products and number of times consumed– Number of times non-liquid foods
Breastfeeding Module
MICS4 Survey Design Workshop
Infant and young child feeding (IYCF) indicators in MICS
• Exclusive breastfeeding (< 6 months)
• Continued breastfeeding (at one year and at two years)
• Predominant breastfeeding (<6 months)
• Duration of breastfeeding
• Bottle feeding
• Introduction of solid, semi-solid or soft foods
• Minimum meal frequency (for breastfed children and for non-breastfed children)
• Age-appropriate breastfeeding
• Milk feeding frequency for non-breastfed children
Note that early initiation of breastfeeding and children ever breastfed calculated from Maternal and Newborn Health Module
MICS4 Survey Design Workshop
Exclusive breastfeeding (<6 months)
# 2.6: Proportion of infants 0–5 months of age who are fed exclusively with breast milk
– Includes breast milk from bottle, wet nurse– Includes vitamins, medicines, ORS– Based on previous 24 hours
– Related indicator: # 2.9: Predominant breastfeeding under 6 months
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Continued breastfeeding
# 2.7: At one year:Proportion of children 12–15 months of age who are
fed breast milk
# 2.8: At two years:Proportion of children 20-23 months of age who are
fed breast milk
– Includes breast milk from bottle, wet nurse– Related indicator: Duration of breastfeeding
MICS4 Survey Design Workshop
Introduction of solids, semi-solid or soft foods
# 2.12: Proportion of infants 6–8 months of age who receive solid, semi-solid or soft foods
– Substituted for “timely introduction of complementary foods”
– Based on all infants age 6-8 months– Narrow age range = larger confidence intervals– Related indicator: Bottle feeding
MICS4 Survey Design Workshop
Minimum meal frequency
# 2.13: Proportion of breastfed and non-breastfed children 6–23 months of age who receive solid, semi-solid, or soft foods the minimum number of times or more
– Two separate indicators (proxy for energy intake)– For non-breastfed children includes milk feeds– “Minimum number of times” varies by age, breastfeeding
status
MICS4 Survey Design Workshop
Other indicators
# 2.14: Age-appropriate breastfeeding– Proportion of children 0–23 months of age who are
appropriately breastfed • <6 months exclusively breastfed• 6-23 months breasfed and consuming foods
# 2.15: Milk feeding frequency for non-breastfed children– Proportion of non-breastfed children 6–23 months of age who receive
at least 2 milk feedings
MICS4 Survey Design Workshop
Methodological issues
• Local adaptation of liquids necessary (including appropriate local terms)
• MICS does not include questions on dietary diversity– Minimum dietary diversity – Minimum acceptable diet – Consumption of iron-rich or iron-fortified foods
Infant feeding area graph example
MICS4 Survey Design Workshop
Infant feeding area graph example
MICS4 Survey Design Workshop
MICS4 Survey Design Workshop
Prepared by:
Holly NewbyStatistics and Monitoring Section
UNICEF/New York1-212-303-7932