1) Percentage of children age 6-59 months who were given iron tablets or syrups in the last 12 months.
2) Percentage of children age 6-59 months who were given multiple micronutrient powders in the last 12 months.
3) Percentage of children age 6-59 months who were given iron-containing supplements in the last 12 months.
4) Percentage of children age 6-59 months who were given vitamin A supplements in the last 6 months.
5) Percentage of children age 12-59 months who were given deworming medication in the last 6 months.
Coverage:
Population base: (KR file).
a) Living children 6-59 months of age (indicators 1-4)
b) Living children 12-59 months of age (indicator 5)
Time period:
a) 12 months preceding the interview (indicators 1-3)
b) 6 months preceding interview (indicators 4-5)
Numerators:
1) Number of living children 6-59 months who were given iron tablets or syrups in the 12 months preceding the interview (b5 = 1 & b19 in 6:59 & h42 = 1)
2) Number of living children 6-59 months who were given multiple micronutrient powders in the 12 months preceding the interview (b5 = 1 & b19 in 6:59 & h80a = 1)
3) Number of living children 6-59 months who given iron-containing supplements in the 12 months preceding the interview (b5 = 1 & b19 in 6:59 & (h42 = 1 or h80a = 1))
4) Number of living children 6-59 months who were given vitamin A supplements in the 6 months preceding the interview (b5 = 1 & b19 in 6:59 & ( (v008a - CDCode(h33d, h33m, h33y)/DaysMonth) < 6 or h34 = 1) ), where DaysMonth = 30.4375
5) Number of living children 12-59 months who received deworming medication in the 6 months preceding the interview (b5 = 1 & b19 in 12:59 & h43 = 1)
Denominators:
a) For numerator 1-4: Number of living children 6-59 months of age (b5 = 1 & b19 in 6:59)
b) For numerators 5: Number of living children 12-59 months of age (b5 = 1 & b19 in 12:59)
Variables: KR file, HR file.
|
b5 |
Child is alive |
|
b19 |
Current age of child in months |
|
h33d |
Vitamin A1 day |
|
h33m |
Vitamin A1 month |
|
h33y |
Vitamin A1 year |
|
h34 |
Vitamin A in last 6 months |
|
h42 |
Last 12 months given iron tablets, sprinkles or syrup |
|
h43 |
Medicines for intestinal worms in last 6 months |
|
h80a |
In the last 12 months given: LOCAL NAME for multiple micronutrient powders |
|
v008a |
Date of interview Century Day Code (CDC) |
|
v005 |
Women’s individual sample weight |
For numerator 4: CDCode represents the century day code (CDC) calculated from the day, month and year when the child last received a vitamin A supplement (See Century Day Code in Chapter 1).
Numerator divided by denominator, multiplied by 100.
Missing values and “don’t know” excluded from numerator (assumes did not consume or receive). Missing values and “don’t know” for month and year of last vitamin A supplement are excluded from numerator (assumes did not receive), but if only day is missing or “don’t know” day is imputed as 15.
Mothers are asked whether their child had iron tablets or syrup in the last 12 months. Similarly, mothers are asked whether their child had multiple micronutrient powders in the last 12 months. Multiple micronutrient powders contain a range of vitamins and minerals (and nearly always include iron, per WHO recommendations) enclosed in a single-dose sachet added to foods; Sprinkles™ is a brand name used for micronutrient powders. Iron-containing supplements is defined as having had either iron tablets/syrup or multiple micronutrient powders.
WHO does not recommend giving deworming to children to 6-12 months and country programs do follow this so by including those younger kids you will be underestimating the coverage of deworming in children.
The indicators have changed over time. In DHS-7 and previous surveys the reference period for iron tablet or syrup and multiple micronutrient powders was the 7 days preceding the interview. In addition, in DHS-7 the iron supplementation indicator was defined as iron tablets, sprinkles, and syrups and an additional indicator was reported for multiple micronutrient powders (asked in a separate location in the questionnaire). In DHS-7 the population base for the iron supplementation was children age 6-59 months and the multiple micronutrient powders indicator was children age 6-23 months.
In DHS-8 surveys, the reference period for iron tablets or syrups and multiple micronutrient powders indicators is the last 12 months preceding the interview and the population base for both is children age 6-59 months and. In addition, the iron supplementation indicator is now defined as iron tablets or syrups and a new indicator for iron-containing supplements was added and is defined as iron tablets or syrups, and/or multiple micronutrient powders. Therefore, caution should be observed when comparing the figures from DHS-8 surveys with DHS-7 and earlier surveys.
For the child deworming indicator, in DHS-7 and previous surveys, the population base was children age 6-59 months.
For the deworming indicator in DHS-8 surveys, the population base is children age 12-59 months. Note, caution should be observed when comparing figures from DHS-8 surveys with DHS-7 and earlier surveys as previous surveys underestimate the coverage of deworming in children since WHO does not recommend giving deworming to children age 6-12 months.
UNICEF. 2018. Coverage at a Crossroads: New directions for vitamin A supplementation programmes.
New York: UNICEF. https://data.unicef.org/resources/vitamin-a-coverage/
WHO. 2017. Guideline: Preventive Chemotherapy to Control Soil-transmitted Helminth Infections in At-Risk Population Groups. Geneva: WHO. https://www.who.int/publications/i/item/9789241550116
WHO. 2016. Guideline: Daily Iron Supplementation in Infants and Children. Geneva: WHO. https://www.who.int/publications/i/item/9789241549523
WHO. 2016. Guideline: Use of Multiple Micronutrient Powders for Point-of-Use Fortification of Foods Consumed by Infants and Young Children Aged 6-23 Months and Children Aged 2-12 Years. Geneva: WHO. https://www.who.int/publications/i/item/9789241549943
WHO. 2011. Guideline: Intermittent Iron Supplementation in Preschool and School-age Children. Geneva: WHO. https://www.who.int/publications/i/item/9789241502009
WHO. 2011. Guideline: Vitamin A Supplementation in Infants and Children 6-59 Months of Age. Geneva: WHO.
https://www.who.int/nutrition/publications/micronutrients/guidelines/vas_6to59_months/en/.
DHS-8 Tabulation plan: Table 11.13
API Indicator IDs:
CN_MIAC_C_VAS, CN_MIAC_C_IRS, CN_MIAC_C_MMN, CN_MIAC_C_DWM,