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|INDICATOR 1: Wasting – Moderate and severe: Percentage of children aged 0–59 months who are below minus two standard deviations from median weight-for-height (WHZ < -2SD) of the WHO Child Growth Standard|
| Why this indicator? What will it measure and provide information for?
Wasting or thinness indicates in most cases a recent and severe process of weight loss, which is often associated with acute starvation and/or severe disease and is strongly correlated with under-5 mortality. However, wasting may also be the result of a chronic unfavorable condition. Provided there is no severe food shortage, the prevalence of wasting is usually below 5%, even in poor countries. If possible, measurements (height, weight, age) are generally taken at the same time. Hence, data for the stunting indicator (height-for-age) will also be collected.
| What Sustainable Development Goal is the indicator connected to?
* SDG Goal 2: “End hunger, achieve food security and improved nutrition, and promote sustainable agriculture.
SDG Goal 2.1: By 2030, end hunger and ensure access by all people, in particular the poor and people in vulnerable situations including infants, to safe, nutritious and sufficient food all year round.
SDG Goal 2.2: By 2030, end all forms of malnutrition, including achieving by 2025 the internationally agreed targets on stunting and wasting in children under five years of age, and address the nutritional needs of adolescent girls, pregnant and lactating women, and older persons.”
| Definitions and key terms
* Underweight: weight for age < –2 standard deviations (SD) of the WHO Child Growth Standards median
* Stunting: height for age < –2 SD of the WHO Child Growth Standards Median
* Wasting: weight for height < –2 SD of the WHO Child Growth Standards Median
* Overweight: weight for height > +2 SD of the WHO Child Growth Standards Median
| Data and information required to calculate the indicator
number of children under five under moderate wasting
number of children under five under severe wasting
* Denominator: Total number of children under 5 surveyed
| Suggested method for data collection
* o FANTA project (for method)
* o WHO (for interpretation)
* o WHO Software
* o WHO Child Growth Standards
* o UNICEF Child Nutrition Interactive Dashboard
| Possible data sources
* Household survey
* Local, sub-national, national or regional nutritional surveys
* WHO regional or global nutritional data
* UNICEF regional and global nutritional data
| Resources needed for data collection
The quantitative and qualitative data collection, storage and analysis should be conducted by CARE and partners. Partners may include research / university partners. Data collection needs to be included in the monitoring and evaluation plan and budgeted for
| Reporting results for this indicator: number of people for which the change happened
* Reporting Purpose: þBaseline þProgress þ Evaluation
* The percentage and rate of children under five under moderate or severe wasting
| Questions for guiding the analysis and interpretation of data (explaining the how and why the change happened, and how CARE contributed to the change)
* What is level of wasting among children under five?
* What are the underlying causes of the deteriorated nutrition?
* How are boys and girls impacted differently?
This indicator provides information about the quality of food provision and of child care practices.
| Other considerations
FGDs can provide qualitative verification, especially in regards to other external factors (insecurity, political instability, disasters, fail crops, diseases outbreak, market’s inflation, etc.) which could have affected food availability, access and utilization or hygiene, sanitation and health conditions.