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Mareang and Paguir Final Report 2006

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Mareang and Paguir Final Report 2006 South Sudan NUTRITIONAL ANTHROPOMETRIC SURVEY CHILDREN UNDER FIVE YEARS OLD FINAL REPORT MANKIEN AND TAM PAYAMS, MAYOM COUNTY, UNITY STATE. 17TH OCTOBER- 10TH NOVEMBER, 2006 Onesmus Muinde- Assistant CMN Monica Asekon– Nutritionist Imelda .V. Awino – Nutritionist Deborah Morris – Program Assistant. 2 ACKNOWLEDGMENTS ACF - USA acknowledges the vital and invaluable support of the following: European Commission for Humanitarian Aid (ECHO) for funding the nutrition assessment Sudan Relief and Rehabilitation Commission (SRRC) in Lokichoggio, Mankien and Tam payams for facilitating the work in the field. World Relief in Mankien for their unlimited and overwhelming support in terms of accommodation and upkeep. The local surveyors for their dedication, team spirit and hard work despite the various challenges encountered. To mothers and caretakers, local authorities, and community leaders for their commitment, co-operation and dedication without which the survey would not have been a success. 3 TABLE OF CONTENTS .I. EXECUTIVE SUMMARY.....................................................................................................................................4 .I.1. INTRODUCTION ..............................................................................................................................................4 .I.2. OBJECTIVES OF THE SURVEY ......................................................................................................................4 .I.3. METHODOLOGY..............................................................................................................................................5 .I.4. SUMMARY OF FINDINGS................................................................................................................................5 .I.5. RESULTS OF THE NUTRITION SURVEY .......................................................................................................7 .I.6. RECOMMENDATIONS.....................................................................................................................................7 .II. INTRODUCTION ................................................................................................................................................9 .III. METHODOLOGY ............................................................................................................................................10 .III.1. TYPE OF SURVEY AND SAMPLE SIZE ................................................................................................................10 .III.2. SAMPLING METHODOLOGY ..............................................................................................................................10 .III.3. DATA COLLECTION ..........................................................................................................................................10 .III.4. INDICATORS, GUIDELINES, AND FORMULA’S USED.............................................................................................11 .III.4.1. Acute Malnutrition..............................................................................................................................11 .III.4.2. Mortality .............................................................................................................................................11 .III.5. FIELD WORK ...................................................................................................................................................12 .III.6. DATA ANALYSIS ..............................................................................................................................................12 .IV. RESULTS OF THE QUALITATIVE ASSESSMENT .......................................................................................12 .IV.1. SOCIAL DEMOGRAPHIC CHARACTERISTICS OF THE RESPONDENTS ....................................................................12 .IV.2. FOOD SECURITY .............................................................................................................................................13 .IV.3. HEALTH..........................................................................................................................................................16 .IV.4. WATER AND SANITATION .................................................................................................................................17 .IV.5. MOTHER AND CHILD CARE PRACTICES .............................................................................................................18 .IV.6. EDUCATION ....................................................................................................................................................19 .IV.7. ACTIONS TAKEN BY NGO’S AND OTHER PARTNERS..........................................................................................20 .V. RESULTS OF THE ANTHROPOMETRICS SURVEY.....................................................................................21 .V.1. DISTRIBUTION BY AGE AND SEX........................................................................................................................21 .V.2. ANTHROPOMETRICS ANALYSIS .........................................................................................................................22 .V.2.1. Acute Malnutrition, Children 6-59 months of Age ..............................................................................22 .V.2.2. Risk of Mortality: Children’s MUAC....................................................................................................23 .V.3. MEASLES VACCINATION COVERAGE..................................................................................................................24 .V.4. HOUSEHOLD STATUS .......................................................................................................................................24 .V.5. COMPOSITION OF THE HOUSEHOLDS.................................................................................................................24 .VI. RESULTS OF THE RETROSPECTIVE MORTALITY SURVEY ....................................................................25 .VII. CONCLUSION ...............................................................................................................................................25 .VIII. RECOMMENDATIONS.................................................................................................................................27 .IX. APPENDIX ......................................................................................................................................................28 .IX.1. SAMPLE SIZE AND CLUSTER DETERMINATION...................................................................................................28 .IX.2. ANTHROPOMETRIC SURVEY QUESTIONNAIRE ...................................................................................................29 .IX.3. HOUSEHOLD ENUMERATION DATA COLLECTION FORM FOR A DEATH RATE CALCULATION SURVEY (ONE SHEET/HOUSEHOLD).................................................................................................................................................30 .IX.4. ENUMERATION DATA COLLECTION FORM FOR A DEATH RATE CALCULATION SURVEY (ONE SHEET/CLUSTER)..........31 .IX.5. CALENDAR OF EVENTS IN MANKIEN AND TAM PAYAMS, MAYOM COUNTY............................................................32 .IX.6. FOOD MARKET PRICES: MANKIEN AND TAM PAYAM, MAYOM COUNTY, NOVEMBER 2006.....................................33 .IX.7. DISTRIBUTION OF BOREHOLES, SCHOOLS AND HEALTH FACILITIES IN MANKIEN AND TAM PAYAMS ......................34 .IX.8. MAP OF MANKIEN AND TAM PAYAMS, MAYOM COUNTY .....................................................................................35 4 .I. EXECUTIVE SUMMARY .I.1. INTRODUCTION Unity state in Western Upper Nile, bordered by Warap, Lakes and Jonglei states to the west, south and east respectively, has an area of approximately 35,956 km² and an estimated population of 175,000 (2000) is the location of some rich oil fields. Bentiu is the capital of the state. Mayom County, in Unity State, the largest County in South Sudan1 is composed of 10 Payams namely Pub, Ngop, Bieh, Wurach, Wankai, Tam, Mankien, Ruaznyibol, Kueryiek and Madul Payams with Mankien Payam situated at the center of the County. Mankien payam is bordered by Bieh, Wankai and Madul Payams to the west, east and south respectively whereas Tam payam, approximately one hours drive from Mankien Payam borders it to the south east. The Payams in Mayom County are accessible through all weather roads with an improved transport facility of the vast public service vehicles plighting the routes daily. Tam, formerly a cattle camp, became a Payam in April 2006 due to large population (34,558) 2 that hindered effective administrative management. Comparatively, Mankien Payam has a relatively smaller population (13,888) 3 and has a PHCC managed by World Relief. Additionally, Mankien Payam is Mayom County’ SRRC headquarter and commissioner’s base .The presence of oil fields in the Payam and an oil company are a plus to the community as this provides employment opportunity. Both Payams have army bases, open air markets stocked with both food and non food items. Mankien and Tam payams are traversed by seasonal rivers and swamps, with flat terrain of black cotton clay soil. The impermeability nature of this soil predisposes the area to flooding during the wet season, which explains why
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