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We’ve collected the data. Now what? Step-by-step instructions to enter, clean, analyze and use IYCF dataBethann Cottrell, CARECarlos Rojas, CAREKirk Dearden, Consultant to CARE and Boston UniversityMary Lung’aho, Special Advisor, CARECORE Group Spring Meeting, April 29, 2010
Citation preview
We’ve collected the data. Now what?
Step-by-step instructions to enter, clean,analyze and use IYCF data
CORE Group MeetingBaltimore, MD 29 April 2010
Bethann Cottrell, CARECarlos Rojas, CAREKirk Dearden, Consultant to CARE and Boston UniversityMary Lung’aho, Special Advisor, CARE
Organization
•Introductions•Learning Objectives•Overview of the Guide•Plenary and small group work to identify:
– Challenges you’ve had with data entry/management, analysis, use
– Solutions you’ve used to address those challenges•Report out on small group work
– We’ll add challenges and successes with the Guide thus far•Brainstorm in plenary about next steps
•Additional time using Guide/tools for those who are interested
Learning objectives
•Describe purpose of Guide, name who it is for•List tools and how they can be used•Identify challenges/successes you’ve had with:
– Data entry/management– Data analysis– Use of data
•Name ways the Guide might be used in the future– Identify next steps
Brief history
•Grew out of need to:– better understand IYCF and how to measure globally-
agreed-upon measures– equip field staff with basic skills (database set-up, data
management and analysis, calculation of indicators, use of results to inform programming)
•Piggybacking IYCF surveys/anthropometry assessments– improves understanding of IYCF-E and reduce costs of
data collection• Guide: options other than piggybacking (most
common)
Brief history
•Inception: Dadaab, Kenya•Transitions
– From old definitions of IYCF behaviors to new WHO definitions
– From EpiInfo/SPSS to Excel– From IYCF-E to IYCF– From mid-level (“non-M&E”) staff to M&E staff
Brief history
•Field tests– Sierra Leone with external TA– Indonesia “without” external assistance– Informal use of the Guide (SC/UK in Gaza,
Afghanistan, Pakistan)– MPH course on international nutrition
•Input from colleagues (Mark Myatt, Marko Kerac, Andrew Seal)•Guide/tools now available
Purpose of the Guide
•Assess trends in IYCF•Target populations at risk•Make decisions about resource allocation•Monitor and evaluate progress toward achieving goals, and•Determine the impact of programs
How do we change an extractive process of data collection into one that helps field staff think about the quality and meaning of IYCF data?
•To be used with smaller-scale surveys•Staff should be able to use the Guide without external support
What the Guide DOESN’T do…
•Help users develop questionnaires – But a generic questionnaire provides standard wording to obtain
IYCF data and is provided as a tool in the Guide– prompts the user to obtain/record critical data such as the date
of interview, child’s date of birth, etc.•Provide guidance on training of interviewers and data collection•Help users collect and analyze anthropometric data
Who should use it
•NGOs•Cooperating Agencies•Other implementing agencies (e.g., UN)•MOH staff•Universities?
Things you should know about the Guide…
•Consistent with latest (2009) WHO guidance on measuring IYCF behaviors •Focuses on current gaps:
– How to identify an appropriate sampling strategy– Simple data entry and cleaning
• How to think critically about data– Calculation of 10 IYCF indicators– Use of findings
The Guide walks users through critical steps
•Modifying the data collection instrument (ch 2)•Sampling (ch 3)•Data entry (ch 4)•Checking and cleaning data (ch 5)•Analyzing IYCF data (ch 6)
– calculation of 10 IYCF indicators•Producing and interpreting tables and bar graphs, including simple chi-square tests (ch 7)
The tools…
•Electronic copy of the Guide itself•Recent WHO guidance on IYCF indicators•Questionnaire•Sample size calculator•Practice data file•Syntax for calculating each of the 10 IYCF indicators•Chi-square calculator•‘Report card’ for sharing results of the IYCF survey
The tools…
•Electronic copy of the Guide itself•Recent WHO guidance on IYCF indicators•Questionnaire•Sample size calculator•Practice data file•Syntax for calculating each of the 10 IYCF indicators•Chi-square calculator•‘Report card’ for sharing results of the IYCF survey
The tools…
•Electronic copy of the Guide itself•Recent WHO guidance on IYCF indicators•Questionnaire•Sample size calculator•Practice data file•Syntax for calculating each of the 10 IYCF indicators•Chi-square calculator•‘Report card’ for sharing results of the IYCF survey
The tools…
•Electronic copy of the Guide itself•Recent WHO guidance on IYCF indicators•Questionnaire•Sample size calculator•Practice data file•Syntax for calculating each of the 10 IYCF indicators•Chi-square calculator•‘Report card’ for sharing results of the IYCF survey
The tools…
•Electronic copy of the Guide itself•Recent WHO guidance on IYCF indicators•Questionnaire•Sample size calculator•Practice data file•Syntax for calculating each of the 10 IYCF indicators•Chi-square calculator•‘Report card’ for sharing results of the IYCF survey
The tools…
•Electronic copy of the Guide itself•Recent WHO guidance on IYCF indicators•Questionnaire•Sample size calculator•Practice data file•Syntax for calculating each of the 10 IYCF indicators•Chi-square calculator•‘Report card’ for sharing results of the IYCF survey
10 IYCF indicators
• Timely initiation of breastfeeding• Exclusive breastfeeding• Timely complementary feeding• Introduction of solid, semi-solid or soft foods• Continued breastfeeding at 1 year• Minimum dietary diversity• Minimum meal frequency• Minimum acceptable diet• Consumption of iron-rich or iron-fortified foods• Bottle feeding
Indicators
Instructions available for users to calculate indicators manually and using Excel syntax
Example: Timely Initiation of Breastfeeding
Definition: Proportion of children 0-23 months who were put to the breast within one hour of birth
Children 0-23 months who were put to the breast within one hour of birthChildren 0-23 months
Calculation: Age in months<24 and Q6=0
Age in months<24
Calculations can become complicated!
Minimum dietary diversity1.Child must be age eligible2.User must determine whether child is getting 1+
foods from each of 7 food groups3.User must determine how many food groups child
gets
We’ve broken down instructions into smaller, more manageable steps
The tools…
•Electronic copy of the Guide itself•Recent WHO guidance on IYCF indicators•Questionnaire•Sample size calculator•Practice data file•Syntax for calculating each of the 10 IYCF indicators•Chi-square calculator•‘Report card’ for sharing results of the IYCF survey
The tools…
•Electronic copy of the Guide itself•Recent WHO guidance on IYCF indicators•Questionnaire•Sample size calculator•Practice data file•Syntax for calculating each of the 10 IYCF indicators•Chi-square calculator•‘Report card’ for sharing results of the IYCF survey
Brainstorm in plenary…
•About challenges with:– Data entry/management– Data analysis– Use of data
•Focus is NOT limited to IYCF, rather CS in general
Instructions for small group work
•3 tables– Data entry/management– Data analysis– Use of data
•Briefly add any additional challenges you’ve had in your organization•Based on your own experience, identify solutions to these challenges •Report back in plenary
Thank you!