Bac Ninh
Transcription
Bac Ninh
Bac Ninh Nutrition profile 2014 This report is a part of the Vietnam Nutrition Surveillance System. Data collection is performed usually in the months from June to September annually, using cluster sampling and conducted by the Provincial Preventive Medical Center(s) under technical guidance from the National Institute of Nutrition. MAIN RESULTS a. The prevalence of women aged from 15 to 49 years with chronic energy deficiency was 15.6%. The rate of using iron pills in the 3 months before or during pregnant among mother with under 2 years child was 94.6% and the rate of using Vitamin A after delivery was 38.8%. b. Among children under 5 years of age, the prevalence of stunting was 26.1%, underweight was 10.8% and wasting was 8.4%; while the prevalence of overweight and obesity was 3.2%. c. The rate of early initiation of breastfeeding was 43.2%, continued breastfeeding at 2 years rate was 20.8% while the proportion of children under 6 months old using bottle and nipple remained quite high. The proportion of children aged from 6 to 23 months receiving a minimum acceptable diet was 50.3%. The proportion of children aged from 6 to 35 months receiving vitamin A supplementation was 92.7%. d. The proportion of mothers exposed to breastfeeding or complementary feeding information in the last 3 months was 95.5%; main sources of information were mass media channels, especially TV. The proportion of mothers who met a health worker in the last 3 months was 94.3% Note: Because IYCF indicators have just been integrated into the nutrition surveillance system since 2010, additional time would be needed to improve the data collection. Basic characteristics 1 Indicator Value No. of districts and towns 7 No. of wards, town districts, and communes 126 No. of villages 780 Population 1,039,828 No. of children <5 years of age 103,791 No. of children <2 years of age 42,658 (estimated to be 41.1% of the under 5) 41% Percent ethnic minorities 0.3% Poverty rate 5.9% 1 Last update 11/1/2016 Indicator Value No. of hospitals 11 No. of polyclinics No. of commune health centers 126 No. of maternity homes No. of doctors 706 No. of assistant doctors 800 No. of nurses 610 No. of midwives/birth attendants 322 No. of village health workers 923 General Statistics Office (GSO) Viet Nam. Available from: www.gso.gov.vn. Accessed February 10, 2012 NUTRITION INFORMATION (2011 & 2014) 1. Chronic energy deficiency prevalence of mothers by age group (%) 4. Malnutrition prevalence among children under 5 years (%) 50 50 40 40 31.0 30 28.7 30 19.9 18.8 20 26.1 21.4 13.1 14.5 17.1 15.6 10 20 13.5 10.8 10 6.9 8.4 1.6 0 15-24 years 25-34 years 2011 (n=1217) 35-49 years 15-49 years 100 Underweight Stunting 2011 (n=1513) Wasting Overweight/ obese 2014 (n=1530) 5. Underweight prevalence (WAZ<-2Z) among children under 5 years by age group (%) 50 94.4 76.9 80 0 2014 (n=988) 2. Vitamin A supplements: Knowledge and use among mothers (%) 3.2 40 63.0 30 60 38.8 40 20 10 20 0 0 Knew/ heard about vitamin A capsule 2011 (n=1366) 0-5 Took vitamin A after delivery 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59 Age in months 2011 (n=1513) 2014 (n=1127) 2014 (n=1526) 3. Wasting prevalence (WHZ<-2Z) among children under 6. Stunting prevalence (HAZ<-2Z) among children under 5 years by age group (%) 5 years by age group (%) 25 50 20 40 15 30 10 20 5 10 0 0 0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59 Age in months 2011 (n=1511) 2014 (n=1518) Source of information: National Nutrition Surveillance 2014 - National Institute of Nutrition 2. Bac Ninh 0-5 6-11 12-17 18-23 24-29 30-35 36-41 42-47 48-53 54-59 Age in months 2011 (n=1509) 2014 (n=1523) 6-23 months 24-59 months NUTRITION DURING THE LIFE CYCLE 95.5 100 80 60 40 20 0 99.1 49.7 20.8 Continued breastfeeding Child deworming (last 6 Vitamin A at 2 years (n=106) months) (n=888) supplementation (last 6 months) (n=402) 100 80 60 40 20 0 85.3 88.3 75.5 67.9 100.0 Minimum dietary diversity (n=445) 99.0 Minimum acceptable diet (n=445) 94.3 0-5 months Preconception & pregnancy 72.5 60 80 43.2 40 20 20 0 0 Ever breastfed Early initiation of No squeezing out (n=625) breastfeeding colostrum (n=621) (n=619) 99.0 26.9 4.5 Non-pregnant/ lactating Pregnant Iron folic acid supplementation during last 6 months (n=910) (n=) 65.5 60 40 Child born in a health facility (n=334) Consumption of No bottle feeding iron-rich or iron(n=451) fortified foods (n=445) 100 80 100 80 60 40 20 0 (n=) 50.3 Continued Minimum meal breastfeeding at 1 frequency year (n=95) (n=445) 100 No bottle feeding (n=738) 100 80 60 40 20 0 39.6 0.0 Predominant breastfeeding under 6 months (n=94) No bottle feeding No prelacteal (n=174) feeding in the first days (n=328) 80.9 19.9 Non-pregnant (n=523) 13.2 0.6 First trimester (n=523) Second semetre Multi-nutrient (n=523) supplementation during pregnancy Iron tablet supplementattion (n=523) Iodized salt use (n=1360) Infant and young child feeding practices by age 100% Not receiving any breast milk 80% Breast milk & complementary foods 60% Breast milk & other milk/formula 40% Breast milk & non-milk liquids 20% Breast milk & plain water only Exclusively breastfed 0% 0-1 2-3 4-5 6-7 8-9 10-11 Age group in months Source of information: National Nutrition Surveillance 2014 - National Institute of Nutrition 3. Bac Ninh ACCESS TO NUTRITION INFORMATION AND SERVICES 1. Exposure to nutrition information (%) 95.5 100 4. Sources of direct contact (%) 100 94.3 88.0 80 80 66.5 60 60 48.7 40 40 20 20 0 0 See/ hear IYCF messages on mass-media last 3 months (n=533) Contact with health staff during last 3 months (n=507) 2. Sources of information from mass-media (%) 100 Communal health Village health worker/ center staff (n=507) Nutrition volunter (n=507) Women union (n=507) 5. Type of IYCF information (%) 94.9 95.1 100 90.2 81.4 80 80 60 60 50.1 41.8 40 40 24.8 18.6 20 18.6 20 0 0 TV Radio/ Newspapers/ loudspeaker magazines Poster, flipcharts About About About About breastfeeding complementary breastfeeding complementary food food Internet Health staff Mass media 2014 (n=533) 2014 (n=533) 3. Topics of nutritional counseling (%) 100 87.8 73.7 80 61.0 54.8 60 40 89.5 34.0 27.8 20 2014 (n=533) Source of information: National Nutrition Surveillance 2014 - National Institute of Nutrition 4. Bac Ninh Washing hands with soap before preparing food/ feeding child Feeding eggs, meat, fish and other animal source food after 6 months Receiving iron tablet/MMN Continue breastfed up to 24 months Not to give child any water, liquid, honey or fomular up to 6 months Feed only breast milk up to 6 months Baby should be breastfed immediately after birth 0