A&T India Maternal Nutrition Baseline Survey 2017: Households - Recently Delivered Women

This dataset is the result of the household/recently delivered women (RDW) survey that was conducted to gather data for the Maternal Nutrition Baseline as a part of an impact evaluation study of the Alive & Thrive (A&T) interventions delivered through the Reproductive, Maternal, Newborn, Child Health (RMNCH) services in India. These include provision of iron and folic acid (IFA) and calcium supplements, interpersonal counseling on diet during pregnancy and consumption of IFA and calcium, community mobilization, and adequate weight-gain monitoring during pregnancy. A&T is a global initiative that supports the scaling up of nutrition interventions to save lives, prevent illnesses, and contribute to healthy growth and development through improved maternal nutrition, breastfeeding and complementary feeding practices. Using a cluster randomized evaluation design, the primary objectives of the A&T evaluation study in India are to answer the following questions : 1) Can the coverage and utilization of key maternal nutrition interventions be improved by integrating nutrition-focused social behavior change (SBC) communication and systems strengthening approaches into antenatal care (ANC) services under the RMNCH program? 2) What factors affect effective integration of maternal nutrition interventions into a well-established government ANC service delivery platform under the RMNCH program? 3) What are the impacts of the program on i) consumption of diversified foods and adequate intake of micronutrient, protein, and energy compared to recommended intake; ii) intake of IFA and calcium supplements during pregnancy; iii) weight gain monitoring; and iv) early initiation of breastfeeding. The baseline survey was conducted in 26 blocks in Uttar Pradesh. Thirteen blocks from two districts (Kanpur Dehat and Unnao) were randomly allocated to receive intensified maternal nutrition interventions. Another 13 blocks from the same two districts were randomly allocated to the comparison groups. The survey took place between October and December 2017 by the team from International Food Policy Research Institute (IFPRI), in collaboration with the survey firm, NEERMAN (Network for Engineering and Economics Research and Management). The baseline survey comprised 7 questionnaires: 1) Household questionnaire for recently delivered women (RDW) with children <6 months of age, 2) Household questionnaire for pregnant women (PW) of the second and third trimester of pregnancy (with detailed dietary recall), 3) Household questionnaire for husbands of PWs and husbands of RDWs, 4) Household questionnaire for mothers/mothers-in-law of PWs and mothers/mothers-in-law of RDWs, 5) Frontline health workers: Anganwadi workers (AWW), 6) Frontline health workers: Accredited Social Health Activist (ASHA), and 7) Frontline health workers: Auxiliary Nurse Midwife (ANM). The household survey for recently delivered women (RDW) captured the main impact indicators for A&T (consumption of IFA and calcium, maternal dietary diversity, quantity and quality of diet, breastfeeding practices), use of NC services and exposure to A&T’s intervention platforms, and a variety of other data related to the use of the interventions. This included data on caregiver knowledge and perceptions about maternal nutrition, caregiver resources (such as education, physical and mental health, decision-making power, and domestic violence) and household resources (such as household composition, socioeconomic status, and food security).

本数据集为近期分娩妇女（Recently Delivered Women, RDW）家庭调查的成果，该调查旨在为孕产妇营养基线收集数据，作为“生命与成长（Alive & Thrive, A&T）”干预项目影响评估研究的一部分，该项目通过印度生殖、孕产妇、新生儿与儿童健康（Reproductive, Maternal, Newborn, Child Health, RMNCH）服务体系推行。其干预措施包括提供铁叶酸（Iron and Folic Acid, IFA）与钙剂补充剂、孕期饮食及铁叶酸、钙剂服用的人际咨询、社区动员，以及孕期规范体重增长监测。“生命与成长”是一项全球倡议，致力于通过改善孕产妇营养、母乳喂养及辅助喂养实践，推广营养干预措施，以挽救生命、预防疾病、助力健康成长与发育。本研究采用整群随机评估设计，印度区“生命与成长”评估研究的核心目标为解答以下三个问题：1. 能否通过将聚焦营养的社会行为改变（Social Behavior Change, SBC）传播与系统强化方法融入RMNCH项目下的产前保健（Antenatal Care, ANC）服务，提升关键孕产妇营养干预的覆盖与使用水平？2. 哪些因素会影响孕产妇营养干预在RMNCH项目下成熟的政府ANC服务交付平台中的有效整合？3. 该项目对以下方面产生了哪些影响：i）多样化食物摄入及微量营养素、蛋白质、能量的摄入是否符合推荐摄入量；ii）孕期铁叶酸与钙剂补充剂的服用情况；iii）体重增长监测情况；iv）母乳喂养的早期启动情况。本次基线调查于2017年10月至12月在北方邦的26个街区开展。其中，来自坎普尔德哈特（Kanpur Dehat）和乌纳奥（Unnao）两个地区的13个街区被随机分配至强化孕产妇营养干预组；同一两个地区的另外13个街区则被随机分配至对照组。本次调查由国际食物政策研究所（International Food Policy Research Institute, IFPRI）团队与调查机构NEERMAN（工程与经济研究与管理网络）合作完成。本次基线调查共包含7类问卷：1. 针对子女年龄小于6个月的近期分娩妇女的家庭问卷；2. 针对妊娠中晚期孕妇（含详细膳食回顾内容）的家庭问卷；3. 针对孕妇及近期分娩妇女的丈夫的家庭问卷；4. 针对孕妇及近期分娩妇女的母亲或婆婆的家庭问卷；5. 一线医护人员：安格瓦迪工作人员（Anganwadi Workers, AWW）；6. 一线医护人员：认证社会健康活动家（Accredited Social Health Activist, ASHA）；7. 一线医护人员：辅助护士助产士（Auxiliary Nurse Midwife, ANM）。本次针对近期分娩妇女的家庭调查覆盖了“生命与成长”项目的核心影响指标，包括铁叶酸与钙剂服用情况、孕产妇膳食多样性、膳食的数量与质量、母乳喂养实践、产前保健服务使用情况及对“生命与成长”干预平台的接触情况，同时收集了与干预措施使用相关的各类其他数据，涵盖照护者对孕产妇营养的认知与观念、照护者资源（如教育水平、身心健康状况、决策权及家庭暴力情况）以及家庭资源（如家庭结构、社会经济地位及粮食安全状况）。