Nutrition & Mortality Survey in Lowland & Mountainous - PowerPoint PPT Presentation

Nutrition & Mortality Survey in Lowland & Mountainous Ecological Zones, & IDPs Settlements of Hajja Governorate 5 – 21 May 2012

Overall objective To establish accurately the nutrition situation in two ecological zones of Hajja Governorate and IDPs settlements, determine some of the factors influencing malnutrition and identify the accessibility to health services

Specific objectives • To estimate the level of acute malnutrition (wasting), stunting and underweight among children aged 6-59 months in the Lowland and Mountainous Ecological Zones of Hajja Governorate as well as in IDPs settlements within the governorate • To identify factors influencing nutrition status of the children in the survey areas including disease prevalence and access to essential services. • To estimate the prevalence of some common diseases (measles, diarrhoea, fever and ARI) in the survey areas. • To estimate the measles and polio vaccination and Vitamin A supplementation coverage among children in the survey areas. • To estimate the crude and under-five mortality rates in the survey areas.

Sample size and design Parameters Lowland Mountains IDPs Estimated Acute Malnutrition 31.4 17 31.4 Prevalence (%) Desired Precision (%) 5 5 5 Design Effect 2 2 2 Average Household Size 6.9 7 7 Under 5 year old (%) 22 21 20 3 Non response household (%) 3 3 Sample Size (N) 544 368 590 Households surveyed 607 439 623 Children surveyed 787 583 850

Quality concern • Small number of teams with focus training. • Standardization of measurers. • Field test before conduct the data collection. • Intensive supervision at field. • Daily check for the quality. • Data entry verification

Plausibility check – Lowland

Plausibility check – Mountains

Plausibility check – IDPs

Findings Household characteristics

Household size Lowland Mountains IDPs N % N % N % Total Households 607 100 439 100 623 100 Household size 7.8 8.4 7.45 (Mean): Mean No of 1.4 1.5 Underfives Boys (%): 397 (49.6%) 288 (49.5%) 388 (46.5%) Girls (%): 390 (50.4%) 294 (50.5%) 446 (53.5%)

Household head gender

Household caretaker education

Household main income source

Household main drinking water source

Household drinking water containers cleanness

Latrine type

Where health service sought

Findings Children aged 6 – 59 months

Acute Malnutrition (Wasting)

Acute Malnutrition (Wasting) Lowlands Mountains IDPs

Acute Malnutrition- Case load

Underweight

Underweight Lowlands Mountains IDPs

Chronic malnutrition (Stunting)

Chronic malnutrition (Stunting) Lowlands Mountains IDPs

Compare with other surveys

Feeding practices

Vaccination and vitamin A supplementation

Morbidity

Sleep under mosquito net

Findings Mortality

Crude and underfive death rates Lowland Mountains IDPs Underfive 0.63 0.60 0.33 crude 0.22 0.25 0.13 Per 10000 per day

Pyramids Lowlands Mountains IDPs

Thanks