Baseline Survey and Formative Research Ensuring Food Security 2019-06-25آ  Baseline Survey and...

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  • Baseline Survey and Formative Research Ensuring Food Security and Nutrition among Children 0-23 Months of

    Age in the Philippines

    FINAL REPORT

    Submitted by: College of Public Health

    University of the Philippines Manila

    Dr. Ofelia P. Saniel (Principal Investigator) Dr. Lucila B. Rabuco (Co-Investigator)

    May Antonnette O. Lebanan (Co-Investigator)

    Study mandated by: MDGF-2030 Joint Program on Child Food Security and Nutrition

    and Global Alliance for Improved Nutrition

  • ii

    CONTENTS ACKNOWLEDGEMENT .................................................................................................................................. iv

    LIST OF ABBREVIATIONS ............................................................................................................................... v

    LIST OF TABLES ............................................................................................................................................. vi

    LIST OF FIGURES .......................................................................................................................................... vii

    EXECUTIVE SUMMARY ............................................................................................................................... viii

    I. INTRODUCTION ..................................................................................................................................... 1

    II. OBJECTIVES ........................................................................................................................................... 2

    III. CONCEPTUAL FRAMEWORK ................................................................................................................. 2

    IV. APPROACH / METHODS ........................................................................................................................ 2

    4.1. Study Sites, Study Population and Outcome Variables ................................................................ 3 4.1.1. Quantitative Survey ........................................................................................................... 3 4.1.2. Qualitative Survey ............................................................................................................. 4

    4.2. Sampling Design ............................................................................................................................ 4 4.2.1. Quantitative Survey ........................................................................................................... 4 4.2.2. Qualitative Survey ............................................................................................................. 5

    4.3. Sample Size Requirement of the Quantitative Survey .................................................................. 5 4.3.1. Undernutrition .................................................................................................................. 5 4.3.2. Micronutrient Status ......................................................................................................... 5

    4.4. Data Collection Methods and Tools .............................................................................................. 6 4.4.1. Quantitative Survey ........................................................................................................... 6 4.4.2. Qualitative Survey ............................................................................................................. 7

    4.5. Data Processing and Analysis ........................................................................................................ 7 4.5.1. Quantitative Survey ........................................................................................................... 7 4.5.2. Qualitative Survey ............................................................................................................. 8

    4.6. Ethical Issues/Considerations ....................................................................................................... 8 4.6.1. Quantitative Survey ........................................................................................................... 8 4.6.2. Qualitative Survey ............................................................................................................. 8

    V. IMPLEMENTATION SCHEDULE .............................................................................................................. 9

    5.1. Training and Orientation of Field Staff ......................................................................................... 9 5.2. Data Collection and Processing ..................................................................................................... 9 5.3. Transport and Analysis of Blood Specimen ................................................................................... 9 5.4. Presentation and Dissemination of Results .................................................................................. 9

    VI. RESULTS OF QUANTITATIVE SURVEY .................................................................................................. 10

    6.1. Response Rates ........................................................................................................................... 10 6.2. Households of Children 0-23 Months ......................................................................................... 10

    6.2.1. Characteristics of Household Respondents .................................................................... 10 6.2.2. Housing Characteristics ................................................................................................... 10 6.2.3. Household Durable Goods .............................................................................................. 11 6.2.4. Socio-Economic Classification (SEC) ................................................................................ 11

    6.3. Mothers of Children 0-23 Months .............................................................................................. 12 6.3.1. Socio-demographic Characteristics ................................................................................. 12

  • iii

    6.3.2. Delivery Care and Any Gift/Sample from Infant Formula Companies ............................ 12 6.4. Children 0-23 Months ................................................................................................................. 13

    6.4.1. Demographic and Morbidity Status ................................................................................ 13 6.4.2. Anthropometric Measurement ....................................................................................... 15 6.4.3. Biochemical Measurement ............................................................................................. 16 6.4.4. Breastfeeding Practices ................................................................................................... 18 6.4.5. Complementary Feeding Practices ................................................................................. 20 6.4.6. Vitamins and Mineral Supplements ................................................................................ 24

    VII. RESULTS OF QUALITATIVE SURVEY ..................................................................................................... 25

    7.1. Respondent profiles .................................................................................................................... 25 7.2. Breastfeeding Practices ............................................................................................................... 27

    7.2.1. Early initiation of breastfeeding ...................................................................................... 27 7.2.2. Exclusive breastfeeding ................................................................................................... 30 7.2.3. Continued breastfeeding................................................................................................. 37 7.2.3.1. Duration of breastfeeding ........................................................................................... 37

    7.3. Complementary Feeding ............................................................................................................. 38 7.3.1. Perception of a child’s nutritional requirements ............................................................ 38 7.3.2. Popular complementary foods ........................................................................................ 38 7.3.3. Factors influencing the choice of complementary foods ................................................ 38

    7.4. Supportive Environment ............................................................................................................. 39 7.4.1. Role of family in supporting good IYCF practices ............................................................ 39 7.4.2. Mothers’ accounts of compliance of birthing facilities and workplaces with policies/directives that support proper IYCF practices ............................................................... 40

    7.5. Communication Environment ..................................................................................................... 42 7.5.1. Communication channels, sources of information and messages received ................... 42 7.5.2. Potential breastfeeding advocates ................................................................................. 45

    VIII. DISCUSSION ...................