2. BACKGROUND TO THE SURVEY Papua New Guinea

3. WHY DO A MICRONUTRIENT SURVEY? The prevalence of vitamin and mineral deficiencies (VMD) in Papua New Guinea is believed to be high. Poor nutritional status, specifically in relation to micronutrient deficiencies contributes to poor health and nutrition (high infant, child and maternal mortality rates). BUT there is no comprehensive national data, to show that there is a problem with nutrition in Papua New Guinea.

4. WHY IS THIS SURVEY SO IMPORTANT? 1)Plan future interventions 2)Advocate, secure, and sustain the required resources for programming 3)Monitor the impact of current and future interventions Furthermore, this national survey will provide an opportunity for capacity development for the DoH and other partners in PNG!!!

5. SO WHAT DO WE INTEND TO DO?.......

6. WE INTEND TO….. Assess the overall micronutrient status of various population groups Evaluate current interventions to improve micronutrient status in PNG Enable the DoH to manage existing interventions and to plan, implement and monitor new programs

7. the household coverage of adequately iodized salt the urinary iodine levels among non-pregnant women of child-bearing age (15-49 years of age) the prevalence of anaemia and iron deficiency in children 6-59 months of age and non-pregnant women of child-bearing age The specific objectives of the survey are to obtain regional estimates of the following:

8. the prevalence of vitamin A deficiency in children 6-59 months of age and non-pregnant women of child-bearing age the prevalence of stunting and wasting in children 6 months to 5 years of age the prevalence of underweight and overweight in non- pregnant women of child-bearing age and men over 18 years of age. the prevalence of anaemia in men 18 years of age and above The specific objectives of the survey are to obtain regional estimates of the following:

9. the contribution of malaria and hookworm to anaemia. to obtain nationally representative data on the use and consumption levels of centrally- processed staple foods (salt, flour, oil, sugar and rice), in order to determine their suitability as vehicles for fortification The specific objectives of the survey are to obtain regional estimates of the following:

10. WHO WILL BE INCLUDED IN THE SURVEY?

12. SURVEY DESIGN The survey is designed to provide regional estimates (Highlands, Momase, Islands and Southern region) In each region 25 census units have been selected. So 100 census units have been selected in total In each census unit the survey team will visit 16- 20 households to collect data

13. NATIONAL AND NCD CLUSTERS 6 NCD Census Units Interviews Anthropometry Specimen collection Phlebotomy Exit Household 94 Census Units Interviews Anthropometry Specimen collection Exit Household

14. TEAMS There will be 6 teams In each team there will be: 1 team leader 1 interviewer 1 anthropometrist 1 laboratory technician Each team will be allocated several clusters. There will be several focal persons assisting each team and supplying local support

16. General training ALL Lab, Interview and anthropometry training Announcement of field teams Team leaders training Leave for the field Pilot Training NCD clusters Monday 9 Wed 11 Tuesday 10 Thurs 12 Fri 13 Tuesday 17 Saturday 14 Monday 16 Wed 18 Thurs 19 Fri 20 Sat 21 Sunday 22 Week 1 Week 2 Training Process and Timeline