1 WFP/IFAD VAM China Nutrition Workshop, Fiuggi, September 2001

2 WFP/IFAD VAM China Nutrition Workshop, Fiuggi, September 2001

Nutrition Surveys in WFP/IFAD Projects in China

3 WFP/IFAD VAM China Nutrition Workshop, Fiuggi, September 2001

““An indication of poverty is the prevalence of An indication of poverty is the prevalence of malnourished children” malnourished children” (http://www.oecd.org/dac/Indicators/htm/list.htm)

Why do we monitor nutrition status?Why do we monitor nutrition status?

““Growth retardation in early childhood is associated Growth retardation in early childhood is associated with significant functional impairment in adult life, with significant functional impairment in adult life, and reduced work capacity, thus affecting economic and reduced work capacity, thus affecting economic productivity” productivity” (Bulletin of The World Health Organization, 2000, 78 (10)

4 WFP/IFAD VAM China Nutrition Workshop, Fiuggi, September 2001

How is it done?

IFAD technical advisor

Project management staff and surveyors

WFP China Office

Measuring weight and height of children under 5 in sampled villages

Baseline Survey/Mid-term Review/Final Evaluation

5 WFP/IFAD VAM China Nutrition Workshop, Fiuggi, September 2001

First survey ( Shaanxi and Hubei Province)

September of 2000

Equipment were purchased/ made in Beijing

45 people were trained by IFAD advisor

1200 children in 60 villages were measured

Data were analyzed in Beijing by EpiInfo 6.04

Survey in Hubei was carried out independently without external assistance

6 WFP/IFAD VAM China Nutrition Workshop, Fiuggi, September 2001

0

510

15

2025

30

35

4045

50

Shaanxi Hubei Combined

Girls

Boys

Both Sexes

Stunting rate

7 WFP/IFAD VAM China Nutrition Workshop, Fiuggi, September 2001

0

5

10

15

20

2530

35

40

45

50

Shaanxi Hubei Combined

Girls

Boys

Both Sexes

Underweight

8 WFP/IFAD VAM China Nutrition Workshop, Fiuggi, September 2001

05

10

15

20

2530

35

40

45

50

Shaanxi Hubei Combined

Girls

Boys

Both Sexes

Wasting

9 WFP/IFAD VAM China Nutrition Workshop, Fiuggi, September 2001

0%

5%

10%

15%

20%

25%

30%

35%

40%

Stunting underw eight w asting

project area

rural area(98)

Approximately 35% of children in the project area suffer from chronic malnutrition.

Small differences in the prevalence of malnutrition when the indicators are disaggregated by gender.

The malnutrition status in the two surveyed provinces are different.

Compared with rural average of 1998 in China, the malnutrition in the project area is more serious.

Survey Results

10 WFP/IFAD VAM China Nutrition Workshop, Fiuggi, September 2001

Lessons Learned Lessons Learned

close collaboration between WFP and IFAD facilitated close collaboration between WFP and IFAD facilitated survey planning and implementation survey planning and implementation

full support from Project Management at different levels is full support from Project Management at different levels is making the process sustainablemaking the process sustainable

random sampling methodology should be consistently random sampling methodology should be consistently emphasizedemphasized

measuring procedures need to be locally acceptable - such measuring procedures need to be locally acceptable - such as need to cover children in blanketsas need to cover children in blankets

CCONCLUSIONSONCLUSIONS - C - CHINAHINA C CASEASE S STUDYTUDY

11 WFP/IFAD VAM China Nutrition Workshop, Fiuggi, September 2001

Malnutrition has become Malnutrition has become an important impact an important impact indicator in the M&E indicator in the M&E system of WFP/IFAD system of WFP/IFAD projects in China.projects in China.

Similar survey has been Similar survey has been carried out in Guangxi carried out in Guangxi province, and will be province, and will be conducted in other new conducted in other new project areas.project areas.

FFUTUREUTURE