BACKGROUND TO THE SURVEY

Papua New Guinea

WHY DO A MICRONUTRIENT SURVEY?

• The prevalence of vitamin and mineral deficiencies (VMD) in Papua New Guinea is believed to be high.

• Poor nutritional status, specifically in relation to micronutrient deficiencies contributes to poor health and nutrition (high infant, child and maternal mortality rates).

BUT there is no comprehensive national data, to show that there is a problem with nutrition in Papua New Guinea.

WHY IS THIS SURVEY SO IMPORTANT?

1) Plan future interventions

2) Advocate, secure, and sustain the required resources for programming

3) Monitor the impact of current and future interventions

Furthermore, this national survey will provide an opportunity for capacity development for the DoH and other partners in PNG!!!

SO WHAT DO WE INTEND TO DO?.......

WE INTEND TO…..

• Assess the overall micronutrient status of various population groups

• Evaluate current interventions to improve micronutrient status in PNG

• Enable the DoH to manage existing interventions and to plan, implement and monitor new programs

• the household coverage of adequately iodized salt

• the urinary iodine levels among non-pregnant women of child-bearing age (15-49 years of age)

• the prevalence of anaemia and iron deficiency in children 6-59 months of age and non-pregnant women of child-bearing age

The specific objectives of the survey are to obtain regional estimates of the following:

• the prevalence of vitamin A deficiency in children 6-59 months of age and non-pregnant women of child-bearing age

• the prevalence of stunting and wasting in children 6 months to 5 years of age

• the prevalence of underweight and overweight in non-pregnant women of child-bearing age and men over 18 years of age.

• the prevalence of anaemia in men 18 years of age and above

The specific objectives of the survey are to obtain regional estimates of the following:

• the contribution of malaria and hookworm to anaemia.

• to obtain nationally representative data on the use and consumption levels of centrally-processed staple foods (salt, flour, oil, sugar and rice), in order to determine their suitability as vehicles for fortification

The specific objectives of the survey are to obtain regional estimates of the following:

WHO WILL BE INCLUDED IN THE SURVEY?

Interview Anthropometry Hb Dried blood spots

Malaria Urine Stool Salt collection

Children 6 months to 5 years of age

Women of child-bearing age (15-49 years)

Men 18 years and older

Household

SURVEY DESIGN

The survey is designed to provide regional estimates (Highlands, Momase, Islands and Southern region)

In each region 25 census units have been selected. So 100 census units have been selected in total

In each census unit the survey team will visit 16- 20 households to collect data

NATIONAL AND NCD CLUSTERS

6 NCD Census Units

Interviews

Anthropometry

Specimen collection

Phlebotomy

Exit Household

94 Census Units

Interviews

Anthropometry

Specimen collection

Exit Household

TEAMSThere will be 6 teams

In each team there will be:

1 team leader

1 interviewer

1 anthropometrist

1 laboratory technician

Each team will be allocated several clusters. There will be several focal persons assisting each team and supplying local support

TEAM 1 (16 CLUSTERS)

WESTERN F/POINT

GULF F/POINT LUK E FIRITI

CENTRAL F/POINT K EN WAIBUA

SOUTHERN HIGHLAND F/POINT GEORGE TUS

Cluster no.

Ward Census unit

Cluster no.

Ward

Census unit

Cluster no.

Ward Census unit

Cluster no.

Ward Census unit

1 Bal.ur Bal.ur 5 Sarota Sarota 7 Davana/g

Mailiu is.

26 Parare 1

Opokai

2 Mougulu

Mog.mission

6 Mariki Upaia 8 Cent.ivan 1&2

Sene 27 Dauli 3 peri

Dem.sch mbira

3 Miamrae

Senamrae

9 Akuku K uriva/on

28 Hujenoma 1

Wake/tokomu

4 Wemnevere

Iokwa 10 Rarai Rarai 29 Mendi town

Cath.mission

11 Alukuni Alukuni 30 Pulim 3 Mala

General training ALL

Lab, Interview and anthropometry training

Announcement of field teams

Team leaders training

Leave for the field

Pilot Training

NCD clusters

Monday 9

Wed 11

Tuesday 10

Thurs 12

Fri 13

Tuesday 17

Saturday 14

Monday 16

Wed 18

Thurs 19

Fri 20

Sat 21

Sunday 22

Week 1

Week 2

Training Processand Timeline