tracking tool - version 2.3 quick guide 22 november, 2016 · tracking tool - version 2.3 quick...

Quick guide – Tracking Tool Page i

Tracking Tool - Version 2.3 Quick guide 22 November, 2016

Table of Contents

Background iii

Acknowledgement iii

The Tracking Tool overview 1

Module 1. Country indicator profiles 3

Country selection 3

Progress report 3

5

Tab 1 – Status 5

Tab 2 - What if 6

7

Tab 1 – Status 8

Tab 2 - What if 8

10

Tab 1 – Status 11

Tab 2 - What if 11

12

Tab 1 – Status 12

Tab 2 - What if 13

14

Tab 1 – Status 14

Quick guide – Tracking Tool Page ii

Module 2. Indicator mapping 15

Tab 1 – Prevalence 15

Tab 2 – Numbers affected 16

Module 3. Global and regional overviews 17

17

Filters 18

Export 18

19

Quick guide – Tracking Tool Page iii

Background In 2012, WHO Member States endorsed six global nutrition targets for improving maternal, infant and young child nutrition. To assist countries setting their own targets and monitor progress, WHO, UNICEF and the European Commission, with the support of other key partners, developed a web-based tracking tool. The translation of global targets into national targets needs to consider nutrition profiles, risk factor trends, demographic changes, experience with developing and implementing nutrition policies, and health system development. The tracking tool allows users to explore scenarios taking into account different rates of progress for the six targets and the time left to 2025. The tool complements existing tools on nutrition interventions, impact and costing. The tool’s underlying data will be updated as new estimates of the target indicators become available, such as the UNICEF-WHO-World Bank joint malnutrition estimates for stunting, wasting and overweight. Outputs from the Tracking Tool will feed into the Global Monitoring Framework for Maternal, Infant and Young Child Nutrition, the Global Nutrition Report, and reports from other global initiatives, such as the SUN Movement and the UN Secretary-General’s Zero Hunger Challenge.

Acknowledgement Yves Martin-Prevel with support from Pauline Allemand, IRD, developed a prototype for the stunting tool. Elaine Borghi and Monika Blössner from the WHO Department of Nutrition provided data and technical advice for this pilot project, financed by the European Commission. The expanded and enhanced web-based tool covering all six global nutrition target indicators was developed by Elaine Borghi and Monika Blössner, WHO Department of Nutrition, and Roderic Mills, IT consultant. Julia Krasevec, UNICEF data and analytics unit, provided the data and target design for exclusive breastfeeding. She also reviewed the tool development versions. Additional valuable suggestions and ideas were received from Yves Martin-Prevel (IRD), Pauline Allemand (FAO), Lina Mahy (UNSCN), Patrizia Fracassi and Shaoyu Lin (SUN), Rebecca Olson and Jennifer Rigg (1000days), Ellen Piwoz (Bill and Melinda Gates Foundation), Lawrence Haddad (IFPRI), Georgina Fekete (Child Investment Fund Foundation), and Katrin Engelhardt, Gretchen Stevens, Laurence Grummer-Strawn, Mercedes de Onis and Francesco Branca from WHO. The team is grateful to the continuous support from staff at WHO headquarters, in Geneva, and Kuala Lumpur IT teams.

Quick guide – Tracking Tool Page 1

The Tracking Tool overview – version 2.3 November 2016 This interactive tool contains three modules:

1. Country indicator profiles 2. Indicator mapping 3. Global and regional overviews

Version 2.3 includes modules 1 and 2 for: child stunting1, overweight1, and wasting1, exclusive breastfeeding2 and anaemia in women of reproductive age (15 to 49 years), pregnant and non-pregnant combined 3,4 , as well as separate. Country estimates for low birth weight are still in preparation and will be added in a future version of the tool. In module 3, target indicator progress tables include the same five indicators mentioned above and the global progress report includes summary data for all six global target indicators.

This document provides a quick user’s guide on the tool features. Glossary and technical notes for methods and data sources are also available at www.who.int/nutrition/gtt_glossary.pdf. For a complete list of available support documentation, please consult the “Guide” tab or the help

botton - of the tool’s homepage.

Indicator estimates used in the tool will be updated regularly (at least once a year). The year referred to as “report year” serve as a reference for progress monitoring purposes only. In the 2016 edition, report year is 2015.

The six WHO targets on nutrition were set at the global level as default national targets included in this tool, but countries should define their own national targets for contributing to each of the global targets.

The tool is available at www.who.int/nutrition/trackingtool.

1 United Nations Children’s Fund, World Health Organization, The World Bank. UNICEF-WHO-The World Bank: 2012 Joint child malnutrition estimates - Levels and trends. UNICEF, New York; WHO, Geneva; The World Bank, Washington, DC; 2013. http://www.who.int/nutgrowthdb/estimates2012. 2 UNICEF Global databases 2014 (based on MICS, DHS and other national surveys 1990-2012). 3 WHO. Global anaemia prevalence and trends 1995-2011. Geneva: World Health Organization; forthcoming. 4 Stevens GA et al. Global, regional, and national trends in haemoglobin concentration and prevalence of total and severe anaemia in children and pregnant and non-pregnant women for 1995-2011: a systematic analysis of population-representative data. The Lancet Global Health 2013;1:e16-e25.

! DISCLAIMER:

The common WHO disclaimer applies, which includes the cautionary note:

All reasonable precautions have been taken by the World Health Organization to verify the information contained in this tool. However, the published material is being distributed without warranty of any kind, either expressed or implied. The responsibility for the interpretation and use of the material lies with the reader. In no event shall the World Health Organization be liable for damages arising from its use.

http://www.who.int/nutrition/trackingtool

http://www.who.int/nutgrowthdb/estimates2012


When clicking on any of the links, the respective dashboard opens in a new window. To return to the home page, one has to click on the Tab of the home page window (“Targets_Menu”).

To export charts or tables to Excel, use the export icon that appears at the top right corner. For exporting maps, right click on the image and choose “Save image as” option.

Any feedback, suggestions or questions not covered by the Q&A , please send to

[email protected] with the subject “Tracking Tool”, or click on the icon available on the top right of in any of the windows.

! Export cautionary note:

Details such as titles or selections made are not exported, only images and tables. Users have to add this information to the results exported and thus can tailor it to their needs.

The following disclaimer should be added to the maps: “The boundaries and names shown and the designations used on this map do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted and dashed lines on maps represent approximate border lines for which there may not yet be full agreement.”

Recommended citation: WHO, UNICEF and European Commission (2016). Tracking tool - Version 2.3 November 2016. http://www.who.int/nutrition/trackingtool. Accessed [date].

mailto:[email protected]

http://www.who.int/nutrition/trackingtool


Module 1. Country indicator profiles

Country selection

Directly on the tool home page, the user can select a country from the drop down—

— the selection will apply to all indicators in this module. Clicking on any target indicator opens the respective indicator dashboard in a new window. Users can change to another country at any time by selecting a new country from the dashboard specific country drop down list. When opening an indicator profile, the window presents a table on top, followed by two tabs, Status and What if, and a table below.

Progress report

The “Progress report” presents a two-page country profile with basic information on the status of each of the five WHA nutrition target indicators for which data are currently available compared to the baseline. The tool’s underlying indicator data will be regularly updated. For stunting and anaemia, summary tables are displayed with information on baseline, latest status, progress compared to the baseline, and current and required progress rates.

Methods and definitions are described elsewhere (www.who.int/nutrition/gtt_glossary.pdf).

http://www.who.int/nutrition/gtt_glossary.pdf


The two-page report is open on a web page as a PDF file and can be saved or printed. The country progress report includes the six global nutrition targets and their indicator definitions on the right-side column. The following section introduces the specific features for each of the indicator profile dashboards.


The table at the summarizes the information on the baseline and projections for year 2025 considering the current trend (based on current Average Annual Rate of Reduction - AARR) and the trend based on the required AARR to reach the target if the global target is applied.

The required AARR is calculated based on the stunting estimate at baseline and the number of years between baseline year and 2025. To reflect the fact that baseline year is not always 2012, the column “Reduction (% in number)” depict the adjusted target relative reduction in number of stunted children for that country, if global target is to be achieved – 40% reduction in the number of stunted between 2012 and 2025 (approximately 3.9% relative reduction per year over 13 years).

Tab 1 – Status

The bar chart shows in yellow the number of stunted children at baseline, in blue the number based on the current trend for 2025, and in green the number of stunted children using the required Average


Annual Rate of Reduction (AARR) to reach the target if global target for 2025 is applied. Population estimates5 refer to the baseline year and 2025 (target year). The table at the bottom presents, on the right the historical data used in the analysis with survey year, corresponding under-5-years population and prevalence estimates (scroll down to see more rows); and on the left the different regional memberships for the selected country.

Tab 2 - What if

The What-if tab opens a chart with years on the x-axis and stunting prevalence on the y-axis. The chart plots survey data (dots), modelled current trend (dashed blue line), trend towards the target prevalence for 2025 according to the start year and corresponding required AARR (if global target applied) considering the years left to 2025 (dashed green line), as well as a dashed orange what-if trend according to the selected start year and selected AARR .

With the What if calculator – interactive feature, users can select a start year and an alternative AARR to project to 2025 and simulate different target scenarios. The following results will be shown: 1. Once user selects a new start year (drop down avails year range from latest survey year to 2024), the predicted stunting prevalence for that year based on current trend (except for baseline year – for that year, the baseline prevalence is shown) and the required AARR to reach the target (if global target applied starting from that year) will be displayed (A); the orange and green lines will start from that year. 2. Next, the user can select an alternative AARR (drop down avails range 0.0-10.0). Based on the selection, the gauge indicates the number of children spared from stunting (in thousands), that is, the difference between the number stunted projected to 2025 using the current AARR and the number of stunted projected to 2025 using the selected yearly progress rate (AARR) (B).

5 United Nations, Department of Economic and Social Affairs, Population Division (2015) World Population Prospects: the 2015

Revision. CD-ROM Edition.

! Note: In the case where the number displayed in the gauge is negative, it means that no child will be spared

from stunting, but on the contrary, more children will be stunted compared to the current trend projection for 2025. That happens when the country’s projected stunting number for 2025 based on the current trend (top table) is lower than the projected number using the selected AARR (bottom of the gauge).


At the bottom, the resulting stunting prevalence estimate (C) and the number of stunted children projected to 2025 with the selected AARR (D), and the relative reduction in numbers stunted for the selected scenario (E) compared to the baseline number (shown in the top table). The latter can be compared with the country’s target reduction (top table - 40% if baseline year is 2012).

The table at the summarizes the information on the baseline, current trend (current AARR) and projections to 2025 based on the required AARR to reach the proposed target level. As the global target for overweight is “no increase in childhood overweight”, a required AARR equals to zero is displayed. This required AARR corresponds to a target for 2025 which is the worst case scenario, when target prevalence equals to the baseline prevalence, that is, is no increase in overweight but also no decrease.

Tab 1 – Status


The chart on the Status tab depicts survey data (dots), the green line from baseline and target prevalence for 2025, and the blue line showing the current trend based on available data between 2008 and the latest survey year (based on the current (AARR).

The table at the bottom presents, on the right the historical data used in the analysis with survey year, corresponding under-5-years population and prevalence estimates (scroll down to see more rows); and on the left the different regional memberships for the selected country.

Tab 2 - What if

The chart on the “What if tab” shows survey data (dots), the trend based on the current AARR (dashed blue line), a straight line (dashed green line) from baseline year to 2025 corresponding to the scenario where the global target is adopted, but target prevalence is equal to baseline prevalence, that is, no increase in overweight but also no decrease (required AARR is zero), and last the what-if trend according to the selected start year and selected AARR (dashed orange line). With the What if calculator – interactive display feature - users can select a start year and AARR to project to 2025 and simulate a target scenario. The following results will be shown: 1. Once user selects a new start year (drop down avails year range from latest survey year to 2024), the predicted estimate for that year based on the current trend (except for the baseline year – for that year, the baseline prevalence is shown) and the required AARR to reach the target (if global target applied starting from that year) will be displayed (A); the green and orange lines will start from the new selected year. 2. Next, the user can select an alternative AARR (drop down avails range 0.0-10.0). Based on the selection, the gauge indicates the 2025 projected prevalence using the selected progress rate (B). At the bottom, the resulting number of overweight children in 2025 corresponding to the selected AARR (C), and the relative reduction in prevalence compared to the baseline (D) are displayed.

! Note, although the global target is “no increase in childhood overweight”, countries encouraged to lower

their overweight rates.


Anaemia dashboard allows for the selection of anaemia data for all women of reproductive age (15 to 49 years), as well as separately by pregnancy status. The three indicators share identical features as described below.

The table at the top summarizes the information on the baseline, and projections for year 2025 considering the current trend (based on current AARR) and the trend based on the required AARR to reach the target if global target applied.

The required AARR is calculated based on the anaemia estimate at baseline and the number of years between baseline year and 2025. To reflect the fact that baseline year is not always 2012, the column “Reduction (% in prevalence)” depict the adjusted target relative reduction in prevalence for that country, if global target is to be achieved – 50% reduction in anaemia between 2012 and 2025 (approximately 5.2% relative reduction per year over 13 years).


Tab 1 – Status

The chart on the Status tab depicts model-based country estimates3,4 (solid blue line), the projected trend to 2025 based on the current (dashed blue line), and the trend to 2025 based on the required AARR to reach the country’s target reduction in anaemia prevalence (if global target applied).

The table at the bottom presents, on the right the data depicted – year and corresponding female population (15-49 years) and model-based prevalence estimates (scroll down to see more rows), and on the left the different regional memberships for the selected country.

Tab 2 - What if

The chart in the “What if” tab depicts model-based country estimates3 (solid blue line), the projected trend to 2025 based on the calculated AARR (dashed blue line), the trend to 2025 based on the required AARR to reach the country’s target reduction in anaemia prevalence if global target applied (green dashed line), and the what-if trend according to the selected start year and AARR (dashed orange line). With the What if calculator – interactive display feature - users can select a start year and AARR to project anaemia prevalence to 2025 and simulate a scenario. The following results will be shown: 1. Once user selects a new start year (drop down avails year range from latest survey year to 2024), the predicted anaemia prevalence for the selected year based on the current AARR (except for the baseline year – for that year, the baseline prevalence is shown) (A) and the required AARR to reach the target will be displayed (B); the green and orange lines will start from the new selected year. 2. Next, the user can select an alternative AARR (drop down avails range 0.0-10.0). Based on the selection, the gauge indicates the 2025 projected prevalence using the selected progress rate (C). At the bottom, the resulting number of anaemic women of reproductive age for 2025 (D) and the relative reduction in prevalence compared to the baseline (E) are displayed. The latter can be compared with the target reduction if global target applied (top table) or any other target reduction country aims for.


The table at the top summarizes the information on the baseline, and projections for year 2025 considering the current trend (based on current Average Annual Rate of Increase - AARI) and the trend based on the AARI required to reach the recommended exclusive breastfeeding (EBF) target for the country, which is based on a 30% reduction in the non-exclusive breastfeeding rate between baseline year and 2025 (for more details, see technical notes available at

www.who.int/nutrition/gtt_glossary.pdf).

! Note, countries with already high rates of exclusive breastfeeding are encouraged to keep efforts to

continue increasing rates.



Tab 1 – Status

The chart on the Status tab depicts survey data (dots), the green line from baseline to the proposed target rate for 2025, and the blue line showing the current trend based on available data between 2008 and the latest survey year (based on the current AARI).


Tab 2 - What if

The chart on the “What if” tab shows survey data (dots), trend towards the recommended target rate for 2025 according to the required AARI (dashed green line), and the what-if trend according to the selected start year and target EBF rate (dashed orange line).

With the What if calculator – interactive display feature – users can select a new start year and a target EBF rate for 2025 to simulate different scenarios. The following results will be shown: 1. Once user selects a new start year (drop down avails year range from latest survey year to 2024), the predicted rate based on the current AARI (except by the baseline year – for that year, the baseline rate is shown) will be displayed (A); the green and orange lines will start from the new selected year. 2. Next, the user can select a target rate to achieve by 2025 (drop down will avail range from the baseline rate, rounded upwards, to 99%). Based on the selection, the gauge indicates the required AARI to achieve the selected target rate (B). At the bottom, the resulting number of children estimated to be exclusively breastfed in 2025 corresponding to the selected target rate (C), and the relative increase in rate compared to the baseline (D) are displayed.

! Note, countries with already high rates of exclusive breastfeeding are encouraged to keep efforts to

continue increasing rates.


The table on top summarizes the information on the baseline only and it indicates the ceiling for the wasting prevalence according to the global targets (5%).

Tab 1 – Status

The chart in the “Status” tab depicts survey data (dots) and the line indicating the ceiling of 5% below which countries should aim to maintain their wasting rates.


! There is no What-if calculator for child wasting as this indicator is prone to sudden changes and thus

national trends are not meaningful. Countries should aim to reach the level of 5% as early as possible and keep rates below that threshold throughout.


Module 2. Indicator mapping

For all indicators, the maps show the same features as described below for the example of stunting.

Tab 1 – Prevalence

A global map shows latest available country prevalence estimates (%) colour coded according to severity

levels with a legend in the top-right corner. Hover over a specific country to see the respective data

details and meta-data.

A slider at the bottom right allows for filtering the displayed data based on prevalence range (A). Also,

users can filter for mapped regions by checking the corresponding box in the table below the map, or

can create their own country group checking the respective boxes selected from the full country list (B).


Note: To reset the filter(s) for the regions and countries, use the “Clear selection” icon that appears

when hovering over the top right of each regional classification or country list.

Tab 2 – Numbers affected

This tab depicts a global map with the numbers affected derived using the latest available country

prevalence estimates times the corresponding survey year population estimates. Hover over a specific

country to see the data details.

A slider at the bottom right allows for filtering the displayed data based on prevalence range (A). Also,

users can filter for mapped regions by checking the corresponding box in the table below the map, or

can create their own country group checking the respective boxes selected from the full country list (B).


Module 3. Global and regional overviews

This module produces two kinds of reports/output: 1) – target indicator progress report, a table that

produces an overview showing all countries with data for all the available indicators with respect to

their baseline and latest status (whenever data beyond the baseline year becomes available); and 2) the

global progress report, which contains all the information available on at global level for every indicator.

The output provided by this feature is a table for all countries with summary information on the five

available target indicators (i.e. all but low birth weight, for which data are currently in preparation). For

each indicator, information on the baseline, on the current status and recent trends (current

AARR/AARI), and, for monitoring purposes, the progress made compared to the baseline (e.g. relative

decrease in prevalence for anaemia or in number affect for stunting, or relative increase in prevalence

for EBF). The table does not include countries’ targets or required AARR/AARI, as these will be defined

by the countries.


Filters

Results can be filtered by regions (figure above), a group of countries, or by prevalence ranges (figures

below). Note that when using multiple filters, they have an additive effect, that is, they add up to

narrow further the selection of countries. To clear the filters up:

Regional filters: select the blank region in the top of the dropdown list.

Country filter: use the “Clear selection” icon that appears at the right top of the country list

when hovering over it.

Prevalence range filters: use the “Clear selection” icon that appears at the right top of the

Prevalence range slider to clear all, or at the right of each indicator slider to clear a specific

indicator prevalence range filter, when hovering over them.

Export:

The table can be exported to Excel using the icon placed at the top right corner of the table. Once in

Excel, users can sort, rank or use the data for other exercises or other tool at their best convenience.


The “Global progress report” opens a two-page summary which includes basic information on the

global status of each of the five WHA nutrition target indicators. The tool’s underlying data will be

regularly updated. The global progress report includes summary details for child stunting and anaemia in

women of reproductive age. Relevant definitions and methods can be found in the glossary and

technical notes document (www.who.int/nutrition/gtt_glossary.pdf).

The two-page report is open on a web page as a PDF file and can be saved or printed.


tracking tool - version 2.3 quick guide 22 november, 2016 · tracking tool - version 2.3 quick...

Documents