Public Nutrition: Assessment and Advanced Analysis INHL 709 Spring 2010 Tues Thurs: 9.00—10.30 + troubleshooting 1.30-3.00 Fridays in 2200-23. Note: Trouble shooting on Friday afternoons, 1.30-3.00.
Assessment and Advanced Analysis
Tues Thurs: 9.00—10.30
+ troubleshooting 1.30-3.00 Fridays in 2200-23
Note: Trouble shooting on Friday afternoons, 1.30-3.00.
PANDA (Practical Analysis of Nutritional Data) is main material for course, available on web
Tulane.edu/~panda3; also can be got on CD if needed..
Beaton, G., Kelly, A., Kevany, J., Martorell, R. & Mason, J. (1990) Appropriate Uses of Anthropometric Indices in Children. ACC/SCN State‑of‑the‑Art Series, Nutrition Policy Discussion Paper No. 7. ACC/SCN, Geneva. http://www.unscn.org/archives/npp07/index.htm
UNICEF Survey (MICS) Manual.
SMART nutrition survey methodology manual
Public Health Surveillance: A Tool for Targeting and Monitoring Interventions. Nsubuga et al. 2006. DCP2 Ch 53 p997
Developing Nutrition Information Systems In Eastern And Southern Africa.
Report of Regional Technical Working Group Meetings Nairobi, 1-3 February and 19-21 April 2007. By: UNICEF Eastern and Southern Africa Regional Office (ESARO) and
Tulane University, Department of International Health and Development
(p:\niaer\FNB publn\Wshops report.doc)
Nutritional surveillance in relation to the food price and economic crises. J Mason. Workshop Summary, Institute of Medicine, July 2009, pp 67-72.
ASSESSMENT AND ANALYSIS
what is data? what is its relation to reality?
levels and units of analysis
types of variables
determining -- causal, interactive, confounding
2. Planning framework:
questions to address
(and dummy tables)
For programme planning …
You need to decide:
Coverage: how many people?
Content: what activities (components)?
Specify … keep going till you answer them … refer back to them when you get lost
(tables, models, graphics)
Work up dataset
Research questions on malnutrition (examples):
How serious/extensive is it? (Compare to norms)
Is it worse in some places/for some populations? (Compare between groups at one time)
Is it getting better or worse, for whom? (Compare between times, for groups: norm 0.5 – 1 ppt/yr)
What is cause of current situation, or changes? (Analyze associations; includes evaluation)
You could also ask: what problems are we trying to solve, and what resources do we have … this would come in at question 1, but then continue to ask how the resources address the problems ...
E.G of dummy table
E.g. of cut-points: 10% warning, 20% emergency
Example of dummy table: compare districts A and B
Don’t forget precise title!
Prevalences of wasting and stunting in children < 110 cms in Northern province, January 2007
3.Is malnutrition getting better or worse, for whom?
Example of dummy table
Prevalences of wasting in children 6-59 months in January and July 2007 in Northern province
Prevalences of underweight children (6-59 mo) in 2001 (May-July) and 2005 (June-Nov)
Sources: DHS, 2001; MICS, 2005
4A.What are possible causes of the current levels of malnutrition?
Prevalence of underweight in children (6-59 mo) by food security and district, controlling for education level
4B.What are possible causes of changes in malnutrition?
Changes in prevalences of malnutrition Jan – July 2007 in children (6-59 months) with receipt of food aid, for food insecure and secure households.
3. Language, variables, indicators
4. Data sources
5. Data transformations, units of analysis