1. Provincial Dashboard Manica

2. --- ---- -. n.a. --- n.a. REACH Indicator Dashboard MANICA – Situation Analysis DRAFT Not currently a serious problem Requiring action Urgent problem requiring urgent action Not applicable Nutritional impact Underlying causes Basic causes Stunting Wasting Vitamin A deficiency Iron deficiency Iodine deficiency disorders Food security Health & sanitation Care Education Population Gender Poverty Indicator Prevalence of stunting among children 6-59 mo. old GAM prevalence among children 6-59 mo. old SAM prevalence among children 6-59 mo. old Children <5 with Vitamin A deficiency Children 6-59 mo. with anemia Women 15-49 yrs. with anemia School-aged children w/ iodine deficiency disorders Households with poor or borderline food consumption Proportion of population undernourished Global Hunger Index rating Under 5 mortality rate (deaths per 1,000 live births) Women15-49 yrs. w/ problem(s) accessing health care Household access to improved water source Household access to improved sanitation facilities Timely initiation of breastfeeding* Infants 0–6mo. exclusively breastfed ◊ Children 6-23 mo. old with min acceptable diet Caregivers washing hands after using toilet Time to fetch water (households that take ≥30 min) Females that completed primary school or higher Literate females ages 15-49 yrs. old Total fertility rate % of women 15-19 who are pregnant or have a child % of women married before 18 yrs Global Gender Gap ranking Population living under national poverty line Status Source Year Severity 41.9% DHS 2011 6.7% 2.5% n.a. 67.5% 42.6% 52.1µg/L 0.1% DHS n.a. DHS MISAU/ UNICEF CFSVA --- DHS MICS DHS n.a. DHS DHS. MICS - INSIDA 36.0%* 45.0%** ---- 84.2% 20.1% 51.5% 34.0% 7.9% n.a. 38.3% TBC 49.4% 5.8 38.7 58.1% -- 114/1000 40.3% 15.2% 2011 n.a. 2011 2006 2010 --- 2011 2008 2011 n.a. 2011 2013 2008 -. 2009 Trend *Periurban Zones ** Urban Zones

3. Key ProblemsIndicatorStatusSource Year Intervention Nutritional Outcomes Stunting Wasting Underweight LBW % of stunted children under 5 years (<-2 HAZ) % of wasted children under 5 years (GAM) % of wasted children under 5 years (SAM) % of under weight children under 5 years % of children weighing less than < 2.5 kg at birth 41.9% 6.7% 2.5% 10.8% 13.6% DHS 2011 Care Poor IYCF Practices Median duration of exclusive breastfeeding in months % of children (0-5 months) exclusively breastfed % of children 6-23 mo who, in addition to breast milk consume 4+ food groups* and receive the minimum amount of meals 0.6 mo 34.0% 7.9 DHS 2011 MICS 2008 DHS 2011 Exclusive breastfeeding Complementary Feeding Inadequate maternal care % of women 15-49 using contraceptives Median interval of months between births % of pregnant women attending 4+ ANC visits Median month of pregnancy for first ANC visit % of women with adequate weight gain during pregnancy 13.2% 34.7 n.a. DHS 2011 Family Planning Family planning ANC Supplements and MNPs Health and Sanitation Soil, water borne & endemic diseases % of HH with improved sanitation % children 12-59 months who are dewormed % of HH (where a hand washing station was observed) equipped with water and soap/cleansing material 84.2% TBC 37.0% DHS 2011 Latrines Deworming Hygiene promotion Micronutrient Deficiencies % of children 6-59 months receiving VAS % of children 6-59 month anemia % of pregnant women with anemia % of women who consumed iron/folate supplements for 90+ days during pregnancy 84.9% 67.5% n.a. 54.0% MICS 2008 DHS 2011 Vitamin A Supplements and MNPs Iron/folate supplementation Food Insufficient macro and micronutrient intake % households consuming adequately iodized salt % of processing industries that fortified selected foods and comply with the regulation and standards developed (TBD) % of HH consuming micronutrient rich foods 81.3% n.a. DHS 2011Iodized salt Food Fortification Nutrition education Food Insecurity Households with poor or borderline food consumption % of undernourished population % of population living under national poverty line 36.0% * 45.0%** -- 15.2% CFSVA 2010 -- INSIDA 2009 Production of nutritious foods Appropriate processing and storage Cash transfers *Periurban Zones ** Urban Zones