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!