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Stamps representing anaemia status. Anaemia prevalence in boys and girls aged months and months per Bolivian Chaco Departments. Bolivia Total Population millions Diarrhea is a major killer of young children in developing countries.

MUAC cut-off points were established at mm for severe acute malnutrition and mm for moderate acute malnutrition. Material for Hb analysis includes microcuvettes, lancets, gloves, alcohol, toilet paper, cotton, batteries and a waste bottle.

Just 35 percent of married Bolivian women were using a modern contraceptive in —the same percentage as in Out of these nine cases, only one was classified as acutely malnourished using weight for height zscore. The characteristics of each locality determined the household sampling method used in a given locality. But use of effective family planning remains low and the endaa fertility rate TFR —3. Between 52 and 58 localities were sampled in each department.

Nutrition Landscape Information System: Reference: details

Crude mortality rate CMR in a boligia population over a specific period of time. Rapid assessment of nutrition and food security in Chaco municipalities affected by droughts. The SMART Methodology provides a basic, integrated method for assessing nutritional status and mortality rate in emergency situations.

SMART surveys measure acute malnutrition of the boligia population via estimates of: The inclusion of haemoglobin Hb analysis to determine anaemia status in SMART surveys gives a more complete nutritional status assessment, particularly with regard to potential constraints for adequate child growth and development due to iron deficiency. The authors would like to acknowledge the political and health authorities from regional to community level.


The optional food security component provides the context for nutrition and mortality data analysis. Microcuvettes do not need refrigeration and as the Hb analysis is implemented right after the blood sample is taken, there is no special requirement for transport or storage.

The main field constraint to take into account is the climatic environment. Fertility is unlikely to fall further without an increase in the use of effective contraceptives that allow women to avoid pregnancies they do not want. Some Health Indicators Improve Inan estimated 50 of every 1, infants in Bolivia died before reaching their first birthday, just slightly lower than in This is not far below the 4. Its reduction through program- mes and policies which impact the structural causes must therefore be a key government goal.

It provides the basis for endza the magnitude and severity of a humanitarian crisis. Population Reference Bureau,accessed on Aug.

Bolivia (Plurinational State of)

Puncture zone on middle hand finger. A model of the card given to each family with the results is shown in Figure 2. In this case, and largely to allow comparisons, anaemia classification was based on the same cutoff points used for children between months old in ednsa previous Demographic and Health National Survey in Bolivia.

But there are some signs that infant and child health may improve. This portable analyser allows field measurement of the Hb concentration in peripheral blood through photometric detection.

Malnutrition prevalence in each department is specified in Table enxsa.

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Cut off points for anaemia and the severity scale varies according to authors, age, pregnancy, countries and geographic altitude Nolivia Height, weight, mid-upper arm circumference MUAC measurements and bilateral oedema check-up, as well as the blood test, were done for each selected child following standardised protocols.

The fact that results are obtained immediately allows the family to have the Hb status of their children confirmed instantaneously.


Results card for the families, one per child. It provides a more profound understanding of the nutritional problems affecting a population than anthropometric surveys alone and hence the policies, strategies and programmes that must be pursued to eradicate malnutrition. Even more striking is the heavy reliance on traditional family planning methods. One way to reassure the population about this fear was to allow them to keep the microcuvettes used for their analysis.

Some parents did not authorise Hb analysis, so final sample sizes for bolviia of anaemia data were slightly lower. It has very irregular weather patterns affecting temperatures, rains and winds and is characterised by intense rainy summers and dry winters.

Values are shown in Table 1. Over the same period, however, the incidence of diarrhea in the two weeks preceding the survey among children under age 5 edged up from 22 percent to 26 percent. Some 26 percent of couples used a traditional method, primarily periodic abstinence, which has a high failure rate as commonly practiced.

Age, sex and district differences were found: Boliviw most recent demographic and health survey DHSconducted inshows some improvement in infant and child health. However, the ethnic composition varies between the Chaco provinces. Assessment, Prevention and Control. The Bolivian Chaco is located in the southeast of the country and extends endwa five provinces belonging to the departments of Cordillera, Tarija and Chuquisaca see map.

Contraceptive use was higher among wealthier women and women with higher educational attainment, but modern use did not exceed 47 percent even among women in the wealthiest fifth of households.