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Vitamin and Mineral Nutrition Information System (VMNIS) WHO Global Database on Anaemia The database on Anaemia includes data by country on prevalence of anaemia and mean haemoglobin concentration NICARAGUA Last Updated: 2010-02-26 Level Date Region and sample descriptor Sex Age (years) Sample size 70 Proportion (%) of population with haemoglobin below: Haemoglobin (g/l) 100 110 115 120 130 Notes Mean SD Method Reference General Line N 2005 NPW: Total F 15.00-49.99 431 9.2 134 12 B 5855b * 1 Pre-SAC: Total B 0.50-4.99 497 15.8 120 11.6 2 N 2004 NPW: Total F 15.00-49.99 413 9.4 133 12.6 B 5855c * 3 Pre-SAC: Total B 0.50-4.99 496 15.3 121 11.9 4 N 2003-2005 NPW: Total F 15.00-49.99 1246 11.2 132 12.7 B 5855a * 5 Pre-SAC: Total B 0.50-4.99 1466 20.1 119 11.8 6 NPW by age F 15.00-19.99 128 12.8 131 14.5 7 NPW by age F 20.00-29.99 683 9.9 133 11.8 8 NPW by age F 30.00-39.99 325 12.4 131 12.9 9 NPW by age F 40.00-49.99 110 14.7 132 14.8 10 NPW by location: Urban F 15.00-49.99 741 13.1 132 13.4 11 NPW by location: Rural F 15.00-49.99 505 8.6 133 116 12 NPW by region: Managua F 15.00-49.99 378 14.0 131 13.6 13 NPW by region: Pacifico F 15.00-49.99 370 14.1 132 12.5 14 NPW by region: Rest of country F 15.00-49.99 498 7.2 133 12 15 Pre-SAC by sex F 0.50-4.99 742 18.4 120 11.5 16 PreSAC by sex M 0.50-4.99 742 21.7 119 12 17 PreSAC by age B 0.50-0.99 142 38.0 113 13 18 PreSAC by age B 1.00-1.99 340 29.4 116 12.5 19 PreSAC by age B 2.00-2.99 308 16.4 119 11.1 20 PreSAC by age B 3.00-3.99 376 15.6 121 10.6 21 PreSAC by age B 4.00-4.99 300 10.7 123 10.2 22 PreSAC by location: Urban B 0.50-4.99 865 16.3 121 12.2 23 PreSAC by location: Rural B 0.50-4.99 601 24.9 117 10.9 24 PreSAC by region: Managua B 0.50-4.99 436 13.0 123 12 25 PreSAC by region: Pacifico B 0.50-4.99 442 23.9 118 11.5 26 PreSAC by region: Rest of country B 0.50-4.99 588 21.8 117 11.3 27 N 2003 NPW: Total F 15.00-49.99 402 15.3 130 13.1 B 5855d * 28 Pre-SAC: Total B 0.50-4.99 473 26.3 117 12.3 29 N 2000 Women: Total F 15.00-NS 2232 B 3109 * 30 Pre-SAC: Total B 0.50-4.99 2307 33.5 113 13 31 Women by physiological status: NPW F 15.00-NS 2083 22.3 127 14 32

Vitamin and Mineral Nutrition Information System (VMNIS) WHO Global Database on Anaemia The database on Anaemia includes data by country on prevalence of anaemia and mean haemoglobin concentration NICARAGUA Last Updated: 2010-02-26 Level Date Region and sample descriptor Sex Age (years) Sample size 70 Proportion (%) of population with haemoglobin below: Haemoglobin (g/l) 100 110 115 120 130 Notes Mean SD Method Reference General Line N 2000 Women by physiological status: PW F 15.00-NS 149 32.9 B 3109 33 NPW by age F 15.00-19.99 252 22.6 34 NPW by age F 20.00-24.99 569 21.6 35 NPW by age F 25.00-29.99 496 18.7 36 NPW by age F 30.00-34.99 315 26.6 37 NPW by age F 35.00-39.99 226 26.3 38 NPW by age F 40.00-44.99 139 21.1 39 NPW by age F 45.00-NS 86 20.3 40 NPW by area: Urban F 15.00-NS 1128 23.8 41 NPW by area: Rural F 15.00-NS 955 20.0 42 NPW by region: Pacifico urbano F 15.00-NS 417 24.3 43 NPW by region: Pacifico rural F 15.00-NS 320 22.1 44 NPW by region: Managua F 15.00-NS 267 24.0 45 NPW by region: Central urbano F 15.00-NS 291 18.8 46 NPW by region: Central rural F 15.00-NS 453 12.9 47 NPW by region: Atlantico urbano F 15.00-NS 153 36.0 48 NPW by region: Atlantico rural F 15.00-NS 182 31.8 49 Pre-SAC by sex F 0.50-4.99 1133 32.2 50 Pre-SAC by sex M 0.50-4.99 1159 34.3 51 Pre-SAC by age B 0.50-0.99 267 61.8 52 Pre-SAC by age B 1.00-1.99 637 54.2 53 Pre-SAC by age B 2.00-2.99 604 31.9 54 Pre-SAC by age B 3.00-3.99 454 20.4 55 Pre-SAC by age B 4.00-4.99 345 11.6 56 Pre-SAC by area: Urban B 0.50-4.99 1233 33.6 57 Pre-SAC by area: Rural B 0.50-4.99 1074 33.3 58 Pre-SAC by region: Pacifico urbano B 0.50-4.99 441 27.0 59 Pre-SAC by region: Pacifico rural B 0.50-4.99 354 30.6 60 Pre-SAC by region: Managua B 0.50-4.99 293 39.4 61 Pre-SAC by region: Central urbano B 0.50-4.99 320 25.8 62 Pre-SAC by region: Central rural B 0.50-4.99 507 30.2 63 Pre-SAC by region: Atlantico urbano B 0.50-4.99 179 50.0 64 Pre-SAC by region: Atlantico rural B 0.50-4.99 213 42.8 65 N 1993 Women: Total F NS 1730 0.2 33.6 114 B 806 * Pre-SAC B 1.00-4.99 1776 1.2 28.4 106

Vitamin and Mineral Nutrition Information System (VMNIS) WHO Global Database on Anaemia The database on Anaemia includes data by country on prevalence of anaemia and mean haemoglobin concentration NICARAGUA Last Updated: 2010-02-26 Level Date Region and sample descriptor Sex Age (years) Sample size 70 Proportion (%) of population with haemoglobin below: Haemoglobin (g/l) 100 110 115 120 130 Notes Mean SD Method Reference General Line N 1993 Women by area: Managua F NS NS 39.2 113 B 806 Women by area: Other urban regions F NS NS 28.9 115 Women by area: Rural F NS NS 33.4 113

NOTES NICARAGUA Reference No: Line note 1 Line note 2 Reference No: Line note 3 Line note 4 Reference No: Line note 5 Line note 6 Line note 7 Line note 8 Line note 9 Line note 10 Line note 11 Line note 12 Line note 13 Line note 14 Line note 15 Line note 16 Line note 17 Line note 18 Line note 19 Line note 20 Line note 21 Line note 22 Line note 23 Line note 24 Line note 25 Line note 26 Line note 27 5855b Multi-stage PPS cluster sampling - 50 clusters. Sample selected from 500 households with a child less than 5 years of age. Sample of nonpregnant women are either mother or nursemaid of the child. 2003 data also reported in References 4466 and 5730. 2004 data also reported in Reference 5730. Current reference has weighted values. 95% CI: 6.2%, 12.2% 95% CI: 10.5%, 21.2% 5855c Multi-stage PPS cluster sampling - 50 clusters. Sample selected from 500 households with a child less than 5 years of age. Sample of nonpregnant women are either mother or nursemaid of the child. 2003 data also reported in References 4466 and 5730. 2004 data also reported in Reference 5730. Current reference has weighted values. 95% CI: 6.5%, 12.3% 95% CI: 10.2%, 20.3% 5855a Multi-stage PPS cluster sampling - 50 clusters. Sample selected from 500 households with a child less than 5 years of age. Sample of nonpregnant women are either mother or nursemaid of the child. 2003 data also reported in References 4466 and 5730. 2004 data also reported in Reference 5730. Current reference has weighted values. 95% CI: 9.3%, 13.2% 95% CI: 15.8%, 24.4% 95% CI: 7.2%, 18.4% 95% CI: 7.5%, 12.2% 95% CI: 9.3%, 13.2% 95% CI: 7.4%, 22.0% 95% CI: 10.4%, 15.8% 95% CI: 5.8%, 11.5% 95% CI: 10.9%, 17.1% 95% CI: 10.2%, 17.9% 95% CI: 4.9%, 9.4% 95% CI: 12.7%, 24.1% 95% CI: 16.7%, 26.8% 95% CI: 23.7%, 52.2% 95% CI: 20.8%, 38.1% 95% CI: 10.4%, 22.3% 95% CI: 10.5%, 20.6% 95% CI: 4.7%, 16.6% 95% CI: 12.1%, 20.5% 95% CI: 18.0%, 31.7% 95% CI: 12.3%, 12.0% 95% CI: 11.8%, 11.5% 95% CI: 11.7%, 11.3%

Reference No: Line note 28 Line note 29 5855d Multi-stage PPS cluster sampling - 50 clusters. Sample selected from 500 households with a child less than 5 years of age. Sample of nonpregnant women are either mother or nursemaid of the child. 2003 data also reported in References 4466 and 5730. 2004 data also reported in Reference 5730. Current reference has weighted values. 95% CI: 11.4%, 19.1% 95% CI: 19.3%, 33.3% Reference No: 3109 Sampling: multistage stratified cluster selection (1. departments; 2. census segments; 3. families) with probability proportion to size, 2372 out of 2537 selected families were enrolled; Hb determination only for subsample (2232 women, 2307 children). Line note 30 Prevalence of anaemia 22.9% (Hb <110 g/l PW, Hb <120 g/l NPW). Line note 31 Weighted prevalence value; disaggregated data by mother characteristics, family characteristics, morbidity, vitamin A and iron supplements, food consumption. Line note 32 Weighted prevalence value; disaggregated data by literacy, education, employment, bread consumption. Line note 33 Weighted prevalence value. Line note 34 Weighted prevalence value. Line note 35 Weighted prevalence value. Line note 36 Weighted prevalence value. Line note 37 Weighted prevalence value. Line note 38 Weighted prevalence value. Line note 39 Weighted prevalence value. Line note 40 Weighted prevalence value. Line note 41 Weighted prevalence value. Line note 42 Weighted prevalence value. Line note 43 Weighted prevalence value. Line note 44 Weighted prevalence value. Line note 45 Weighted prevalence value. Line note 46 Weighted prevalence value. Line note 47 Weighted prevalence value. Line note 48 Weighted prevalence value. Line note 49 Weighted prevalence value. Line note 50 Weighted prevalence value. Line note 51 Weighted prevalence value. Line note 52 Weighted prevalence value. Line note 53 Weighted prevalence value. Line note 54 Weighted prevalence value. Line note 55 Weighted prevalence value. Line note 56 Weighted prevalence value. Line note 57 Weighted prevalence value. Line note 58 Weighted prevalence value. Line note 59 Weighted prevalence value. Line note 60 Weighted prevalence value. Line note 61 Weighted prevalence value. Line note 62 Weighted prevalence value. Line note 63 Weighted prevalence value.

Line note 64 Line note 65 Weighted prevalence value. Weighted prevalence value. Reference No: 806 Sampling: multistage stratified cluster selection with probability proportion to size of preschool-age children (12-59 months) and their mothers (total n=1791 families); sample women not national representative.

NICARAGUA Reference 806 Reference 3109 Reference 5855 R E F E R E N C E S Ministerio de Salud, Direccion General de Promocion de la Salud, Direccion de Nutricion. Encuesta nacional sobre deficiencia de micronutrientes en Nicaragua 1993: resumen ejecutivo [National survey of micronutrient deficiencies in Nicaragua 1993: executive summary]. Managua, Ministerio de Salud, 1994. Ministerio de Salud. Encuesta nacional de micronutrientes (ENM 2000) [National survey of micronutrients (ENM 2000)]. Managua, Ministerio de Salud, 2002. Ministerio de Salud. Sistema integrado de vigilancia de intervenciones nutricionales (SIVIN) 2003-2005. Managua, Ministerio de Salud, 2006.

NICARAGUA Reference 2862 Reference 3460 Reference 4466 Reference 5094 Reference 5730 ADDITIONAL REFERENCES Ministerio de Salud, Dirección General de Higiene y Epidemiologia, Dirección de Nutrición. Deficiencias nutricionales especificas en Nicaragua [Specific nutritional deficiencies in Nicaragua]. Managua, Ministerio de Salud, 1991. Ministerio de Salud [Nicaragua], Instituto Nacional de Estadisticas y censos [Nicaragua]. Encuesta Nicaragüense de Demografía y Salud 2001 [Demographic Health Survey Nicaragua 2001]. Calverton, MD, Macro International Inc., 2002. Ministerio de Salud. Sistema integrado de vigilancia de intervenciones nutricionales (SIVIN): primer informe de progreso 2002-2003 [Integrated system of monitoring nutrition interventions (SIVIN): first progress report 2002-2003]. Managua, Ministerio de Salud, 2004. Micronutrient Operational Strategies and Technologies (MOST), United States Agency for International Development (USAID) Micronutrient Program. Second National Micronutrient Survey: Nicaragua, 2000 [Summary report, a translation]. Arlington, VA, United States Agency for International Development, 2002. Gurdián M, Kontorovsky I, Alvarado E, Ramírez SA, Hernández R. Sistema Integrado de Vigilancia de Intervenciones Nutricionales (SIVIN). Informe de Progreso. Nicaragua, Ministerio de Salud, 2005.