1. SUAAHARA Lot Quality Assurance Sampling (LQAS) Process, Lessons Learned and Implications

2. This presentation will share …. Background and Process Limitations and Challenges Top line findings Updates and next steps

3. Why LQAS in Suaahara ? To generate district level data on key outcome indicators related to IYCF, maternal and child health, WASH, HTSP, HFP etc. Monitor program Management and program decisions Baseline does not give district level results for all districts : this was not the purpose of baseline.

4. Indicators Assessed in each district 0 – 6 months Initiation of BF Exclusive BF Colostrums 6 – 23 months Dietary Diversity Frequency Acceptable diet All ANC, PNC ORS, ARI WASH Agriculture 19/SA 19/SA 38/SA Sample size

5. We did it in all 19 districts: except Parbat

6. Topline findings

7. Exclusive Breast Feeding: a slight decline from 2013

8. IYCF indicators: 6-23 months

10. Iron and Vitamin A rich animal source foods

11. ORS and Zinc

12. Maternal and Newborn Health

13. WASH

16. HTSP Counseling

17. Contraceptive Prevalence Rate

18. Methods to avoid pregnancyLQAS 2013 LQAS 2014 Mothers report using at least one modern method to avoid pregnancy 20.724.8* Methods/products Injectable11.210.3 Condom3.96.7 Pill2.63.8 Male sterilization0.1 Female sterilization1.20.1 IUD0.1 Implants0.11.2 Withdrawal0.1 Rhythm method0.0 Female condom0.0 Other0.00.1 Lactational amenorrhea method0.11.3 Diaphragm0.0 Foam/jelly0.0

19. Homestead Food Production Overall 68.6 % had kitchen garden Of them, 18.5 % had improved gardens 34 % in agriculture intensive VDCs 10.3 % in non-intensive VDCs

20. Poultry % of HHs with Poultry Mean # of poultry % of HHs with semi intensive Coop Mean # of eggs laid last week % of HHs managing eggs for hatching 57.615.525.3 Ag intensive VDCs: 33 Non intensive: 17 4.251

21. Self Decision Making 34

22. Women participation

23. Mass media

24. What did you do as a result of listening to Bhanchhin Aama ? 81.7 % took appropriate actions in relation to IYCF 53.3 % discussed about the topics with their families and friends.

25. Thank You