Apresentao do PowerPoint

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Windows of opportunity offered by National
Immunization Days the development of Health and
Nutrition Days in Brazil

Leonor Maria Pacheco Santos Rômulo Paes-Sousa
Jarbas B. Silva Jr Janine G. Coutinho Muriel
Gubert Ana Beatriz Vasconcellos

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Rationale
To monitor progress towards the first MDG it is
essential to have baseline data about child
nutrition National household surveys such as DHS
are costly, time consuming and do not furnish
information about specific poverty stricken areas
or deprived populations We used the windows of
opportunity offered by National Immunization Days
which are held regularly since 1980 to obtain
such anthropometric data
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Objective

• To describe the development of Health and
  Nutrition Days (HND) simultaneous with NIDs,
  carried out among high-risk under five children
• Semi-arid region (n16,239), 2005
• Agrarian reform settlements (n1,305), 2005
• Quilombolas (isolated rural blacks) (n2,723),
  2006
• North region (n15,249), 2007
• Estimates obtained for more than 4.3 million
  children from different subgroups of
  underprivileged populations who had never before
  been studied in such detail

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The methodology involved data collection to
estimate coverage of health and social welfare
services and nutrition assessment employing the
WHO 2006 standard.
Methodology

• Careful sample design allowed calculation sample
  weight
• Large coordination between 2 Ministries and about
  500 State and Municipal Health Secretariats
• Data collection involved more than 5,000
  previously trained health workers and volunteers
• Nutrition assessment employed the WHO 2006
  standard
• Data obtained to estimate coverage of health and
  social welfare services

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Figure 1 Social and economic data
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Figure 2 Health and social program coverage
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Figure 3 Anthropometric Indicators
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Figure 4 Comparison DHS x HND
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Discussion
The highest prevalence of stunting (Height/Age lt
-2SD) was found among children from Amazon
region 23.1 Around 95 of children had a Child
Health Card, but it was used for growth
monitoring in only 65 of cases More than five
prenatal visits varied from 60-80 of mothers
Education data confirmed very poor social
conditions, as indicated by 30 to 81 heads of
household with less than four years of schooling
in the Amazon and rural settlements, respectively

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Conclusion
The implementation of HNDs nested with NIDs
proved feasible in Brazil and resulted in
essential data for health policy-makers, obtained
quickly and at a much lower cost than household
based surveys The NIDs windows of opportunity
may be useful and are valid whenever immunization
coverage is very high   
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Ministry of Social Development and the fight
against hunger BRAZIL leonor.pacheco_at_mds.gov.b
r http//www.mds.gov.br