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Sierra Leone National Nutrition Survey 2017 SLNNS 2017 Sierra Leone National Nutrition Survey 2017 SLNNS 2017 SIERRA LEONE NATIONAL NUTRITION SURVEY 2017 i | P a g e Sierra Leone National Nutrition Survey 2017 SLNNS 2017 SIERRA LEONE NATIONAL NUTRITION SURVEY 2017 August 28 – October 10, 2017 ii | P a g e Sierra Leone National Nutrition Survey 2017 SLNNS 2017 FOREWORD The implementation of Sierra Leone National Nutrition Survey 2017 was led by technical oversight and management of Action Against Hunger’s Consultant, Dr Tom Oguta, who was recruited from Action Against Hunger Canada roster of SMART Survey consultants. The consultant managed the survey from Planning, Implementation, Data Analysis, and Reporting. The consultant disseminated preliminary report in October 2017 and collected inputs from participants that were used later to finalize the report. The consultant did coordination of the survey from training, field pretest, including management of Data entry, quality control, and analysis and reporting. This report summarizes the findings of Sierra Leone National Nutrition Survey of 2017, funded by Irish Aid and carried out by the Ministry of Health and Sanitation (MoHS), Directorate of Food and Nutrition (DFN) and Action Against Hunger. The fieldwork took place between August 28th and October 10th, 2017. Additional information regarding Sierra Leone National Nutrition Survey 2017 can be obtained from: Directorate of Food and Nutrition Ministry of Health and Sanitation, Sierra Leone Central Medical Stores, Freetown Sierra Leone Telephone: +23276300770 Email: [email protected] Further information regarding Sierra Leone National Nutrition Survey can also be obtained from: Country Director/Head of Mission Action Against Hunger, 10 Sall Drive Cockle Bay, Off Aberdeen Road Freetown, Sierra Leone Telephone: +23278151217 Email: [email protected] National Coordination and Management Committee of SLNNS 2017 Aminata Shamit Koroma (Directorate of Food and Nutrition-MOHS Sierra Leone) Kajali Paintal (Nutrition Program Manager-UNICEF Hannah Yankson (Nutrition Officer- World Health Organization- WHO) Fortune Maduma (Nutrition Officer-World Food Program-WFP) Damarice Ager (Action Against Hunger-Health and Nutrition HoD) Mumin Kallon (Action Against Hunger (Deputy HoD Nutrition) Francis Tommy (Statistics Sierra Leone- Principal Statistician) Dr. Mohammed Foh (SUN Secretariat) Dr Brima Kargbo Anwar Ali Chief Medical officer Country Director Ministry of Health and Sanitation Action Against Hunger Sierra Leone iii | P a g e Sierra Leone National Nutrition Survey 2017 SLNNS 2017 ACKNOWLEDGEMENT The Directorate of Food and Nutrition within the Ministry of Health and Sanitation role is to oversee nutrition status of Sierra Leonian population and offer directives for improving and ensuring population to meet their nutritional needs in order to prevent undernutrition. The implementation of Sierra Leone National Nutrition Survey 2017 remained successful because of joint efforts and consultations with Nutrition Technical Working Group (NTWG) members that include UNICEF, WFP, WHO, FAO, MAFFS, Sun Secretariat, Statistics Sierra Leone, Action Against Hunger, Helen Keller, Focus 1000 and other individuals who might have not been mentioned. The coordination of SLNNSwas well organized and managed by the DFN from inception to final implementation of the activity. The NTWG were exceptional during this period since they were also responding to the Mudsilde emergency at the same time, this did not prevent them from ensuring the two important activities were accomplished simaltaniously. The DFN and entire NTWG would like to convey special gratitude to Irish Aid for funding the Survey, and Action Against Hunger for providing the leadership on successful completion of the survey in collaboration with the DFN and NTWG members. Special thanks goes to Sierra Leone Statistics, Francis Tommy who was instrumental in ensuring sampling was done in accordance with incountry policies and production of maps that supported survey team in the field throughout the activity implementation. Special recognition is extended to WHO, UNICEF, FAO, WFP, MAFFS, SUN Secretariat, Action Against Hunger and Helen Keller for technical support offered during the activity implementation till preliminary and final report dissemination; their contribution especially during preliminary report dissemination made it easier for consultant to produce final results timely. More recognition and thanks goes to DHMT members, the DMOs who offered technical insight during preliminary report dissemination. DFN and Action Against Hunger would also like to extend further gratitude to WHO and Focus 1000 for their support in providing Tablets for data collection and WFP for transportation assistance in Makeni and Tonkolili districts. Lastly, the DFN would like to extend appreciation to Action Against Hunger not only for managing funds and logistics and entire coordination but also technical support thorought the survey. The enormous technical oversight offered from Action Against Hunger headquarter in Paris from Nutrition and Health Technical Advisors was commendable; these include identification, evaluation and recruitment of survey consultant, remote backup to the consultant and final dissemination of report to stakeholders. Aminata Shamit Koroma Director of Food and Nutrition Ministry of Health and Sanitation iv | P a g e Sierra Leone National Nutrition Survey 2017 SLNNS 2017 Table of Contents FOREWORD ................................................................................................................................................ iii ACKNOWLEDGEMENT ............................................................................................................................. iv List of Tables .............................................................................................................................................. viii List of Figures ............................................................................................................................................... ix List of Abbreviations & Acronyms ............................................................................................... x Glossary ....................................................................................................................................................... xii EXECUTIVE SUMMARY ........................................................................................................................... xv 1. INTRODUCTION ...................................................................................................................... 1 1.1 General Background ........................................................................................................................... 1 1.2 Justification ........................................................................................................................................... 3 1.3 Nutrition Context .................................................................................................................................. 3 1.3.1 Sources of Nutrition Information ............................................................................................... 3 1.3.2 Nutrition Situation in the country: Secondary Review ........................................................... 4 2 OBJECTIVES ........................................................................................................................... 5 2.1 Overall Objective .................................................................................................................................. 5 2.2 Specific Objectives .............................................................................................................................. 5 3. METHODOLOGY ..................................................................................................................... 6 3.1 Study Design ........................................................................................................................................ 6 3.2 Study Population .................................................................................................................................. 6 3.3 Sampling ............................................................................................................................................... 6 3.3.1 Sampling Strategy ....................................................................................................................... 6 3.3.2 Sample Size Calculation ............................................................................................................ 6 3.3.3 Cluster Selection ......................................................................................................................... 8 3.3.4 Household Selection ................................................................................................................... 8 3.4 Conceptual Framework ....................................................................................................................... 9 3.5 Study Tools ........................................................................................................................................... 9 3.6 Field Data Collection Procedures .................................................................................................... 10 3.6.1 Social mobilization ...................................................................................................................
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