DOCSLIB.ORG

(IMC) Pochalla Anthropometric and Mortality Survey Final

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
(IMC) Pochalla Anthropometric and Mortality Survey Final International Medical Corps (IMC) Pochalla Anthropometric and Mortality Survey Final Report 12th – 22ndFebruary, 2014 Contents List of Tables ................................................................................................................................................ 4 List of Figures ............................................................................................................................................... 4 Abbreviations ................................................................................................................................................ 5 Acknowledgement ........................................................................................................................................ 6 Executive Summary ...................................................................................................................................... 7 Introduction ............................................................................................................................................... 7 Objectives ................................................................................................................................................. 7 Methodology ............................................................................................................................................. 8 Results ....................................................................................................................................................... 8 Conclusion and Recommendations ......................................................................................................... 10 1.1 Introduction ............................................................................................................................................. 1 1.2 Survey Justification ................................................................................................................................. 1 1.3Survey Objective ...................................................................................................................................... 2 1.3.1 General Objective ............................................................................................................................ 2 1.3.2 Specific Objectives .......................................................................................................................... 2 1.4Methodology ............................................................................................................................................ 2 1.4.1 Sample Size ...................................................................................................................................... 2 1.4.2 Cluster Selection .............................................................................................................................. 2 1.4.3Household Selection ......................................................................................................................... 3 1.4.4 Case Definition ................................................................................................................................ 3 Malnutrition by Z-Score: WHO (2006) Standard ................................................................................. 3 Malnutrition by MUAC ........................................................................................................................ 3 1.4.5 Questionnaire ................................................................................................................................... 3 1.5 Survey Teams.......................................................................................................................................... 3 1.6 Training ................................................................................................................................................... 4 1.7 Data Analysis .......................................................................................................................................... 4 2.1 Results ..................................................................................................................................................... 5 2.1.1Anthropometric Results (Based on WHO Standards 2006) .............................................................. 5 2.1.1.1 Sex and Age Distribution .......................................................................................................... 5 ii 2.1.1.2 Prevalence of Acute Malnutrition (Wasting) ............................................................................ 5 2.1.1.3 Prevalence of Stunting and Underweight .................................................................................. 7 2.1.2 Mortality .......................................................................................................................................... 7 2.1.3 Children Morbidity .......................................................................................................................... 8 2.1.4 Immunization and Vitamin A Supplementation Coverage .............................................................. 8 2.1.5 IYCF ................................................................................................................................................ 9 2.1.6 WASH ............................................................................................................................................ 10 2.1.7 Food Security and Livelihood ........................................................................................................ 11 2.1.8 Demographics ................................................................................................................................ 12 2.2. Discussion ............................................................................................................................................ 13 2.3 Conclusion ............................................................................................................................................ 14 2.4 Recommendation .................................................................................................................................. 14 2.4.1 Short Term Recommendation ........................................................................................................ 14 2.4.2 Long Term Recommendation ........................................................................................................ 15 Annexes ...................................................................................................................................................... 16 Annex I: Recommendations in Table Format ......................................................................................... 16 Annex II: Data Collection Tools ............................................................................................................. 17 Annex III: Plausibility Results ................................................................................................................ 18 Annex IV: Assignment of Clusters ......................................................................................................... 19 Annex V: Calendar of Local Events ....................................................................................................... 21 Annex VI: Result Tables for NCHS growth reference 1977 .................................................................. 21 Annex VII: Map of Pochalla County ...................................................................................................... 25 iii List of Tables Table 1: Summary of Indicators.................................................................................................................... 8 Table 2: Sample Size Calculation Anthropometric and Retrospective Mortality Survey ............................. 2 Table 3: Distribution of age and sex of sample............................................................................................. 5 Table 4: Prevalence of acute malnutrition based on weight-for-height z-scores (and/or oedema) and by sex ...................................................................................................................................................................... 5 Table 5: Prevalence of Stunting and Underweight ....................................................................................... 7 Table 6: Children Morbidity ......................................................................................................................... 8 Table 7: Food Security and Livelihood ....................................................................................................... 11 Table 8: Demographic Characteristics ........................................................................................................ 12 List of Figures Figure 1: Weight-for-Height Distribution ..................................................................................................... 6 Figure 2: Immunization ................................................................................................................................. 9 Figure 3: IYCN Indicators .......................................................................................................................... 10 Figure 4: Population Pyramid ....................................................................................................................
Load more

Recommended publications
  • Movement/South Sudan Defence Army (§Sdm/Ssda-Cobra Faction)
    AGREEMENT ON THE RESOLUTION OF THE CONFLICT iN JONGLEI STA'JfE BETWEEN THE GOVERNMENT OF THE REPUBLIC OF SOUTHSUDAN AND THE SOUTH SUDAN DEMOCRATIC MOVEMENT/SOUTH SUDAN DEFENCE ARMY (§SDM/SSDA-COBRA FACTION) ADDIS ABABA ETHIOPIA ~~ 1 PREAMBLE The Government of the Republic of South Sudan and the South Sudan Democratic Movement/Defense Army Cobra Faction met in Addis Ababa, Ethiopia between April 30 to May 9 2014 under the auspices of the Church Leadership Mediation Initiative (CLMI) on Jonglei peace dialogue chaired by Bishop Paride Taban: DETERMINED to achieve peace and promote unity amongst the different ethnic communities in the region including the Dinka, Nuer, Murle, Anyuak, Kechipo and Jie being multicultural, multi-lingual and multi-religious; COMMITTED to abandon the culture of rev.enge including inhuman activities such as child abduction, murder, rape and torture; MINDFUL of the fact that the country is in need ofa peaceful and durable solution to the conf1ict that made the SSDM/A, Cobra Faction resort to armed option; A W ARE of the current engagement in negotiations to find solutions to the conflicts taking place in the Country generally in order to reach a comprehensive peace deal; CONSCIOUS of the need to end the problem of internal displacement amongst the population; and NOW THEREFORE, the parties agree to abide by the terms of this agreement and respect its implementation to the letter and spirit: ~ +~ ,.. Ar 2 ~1}/1J 2 GUIDING PRINCIPLES 2. ı The Republic of South Sudan is governed on the hasis ofa decentralizcd democratic system and is an all-embracing homeland for its people generally; 2.
    [Show full text]
  • An Analysis of Pibor County, South Sudan from the Perspective of Displaced People
    Researching livelihoods and services affected by conflict Livelihoods, access to services and perceptions of governance: An analysis of Pibor county, South Sudan from the perspective of displaced people Working Paper 23 Martina Santschi, Leben Moro, Philip Dau, Rachel Gordon and Daniel Maxwell September 2014 About us Secure Livelihoods Research Consortium (SLRC) aims to generate a stronger evidence base on how people make a living, educate their children, deal with illness and access other basic services in conflict-affected situations (CAS). Providing better access to basic services, social protection and support to livelihoods matters for the human welfare of people affected by conflict, the achievement of development targets such as the Millennium Development Goals (MDGs) and international efforts at peace- and state-building. At the centre of SLRC’s research are three core themes, developed over the course of an intensive one- year inception phase: . State legitimacy: experiences, perceptions and expectations of the state and local governance in conflict-affected situations . State capacity: building effective states that deliver services and social protection in conflict- affected situations . Livelihood trajectories and economic activity under conflict The Overseas Development Institute (ODI) is the lead organisation. SLRC partners include the Centre for Poverty Analysis (CEPA) in Sri Lanka, Feinstein International Center (FIC, Tufts University), the Afghanistan Research and Evaluation Unit (AREU), the Sustainable Development Policy
    [Show full text]
  • The Greater Pibor Administrative Area
    35 Real but Fragile: The Greater Pibor Administrative Area By Claudio Todisco Copyright Published in Switzerland by the Small Arms Survey © Small Arms Survey, Graduate Institute of International and Development Studies, Geneva 2015 First published in March 2015 All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, without prior permission in writing of the Small Arms Survey, or as expressly permitted by law, or under terms agreed with the appropriate reprographics rights organi- zation. Enquiries concerning reproduction outside the scope of the above should be sent to the Publications Manager, Small Arms Survey, at the address below. Small Arms Survey Graduate Institute of International and Development Studies Maison de la Paix, Chemin Eugène-Rigot 2E, 1202 Geneva, Switzerland Series editor: Emile LeBrun Copy-edited by Alex Potter ([email protected]) Proofread by Donald Strachan ([email protected]) Cartography by Jillian Luff (www.mapgrafix.com) Typeset in Optima and Palatino by Rick Jones ([email protected]) Printed by nbmedia in Geneva, Switzerland ISBN 978-2-940548-09-5 2 Small Arms Survey HSBA Working Paper 35 Contents List of abbreviations and acronyms .................................................................................................................................... 4 I. Introduction and key findings ..............................................................................................................................................
    [Show full text]
  • Mining in South Sudan: Opportunities and Risks for Local Communities
    » REPORT JANUARY 2016 MINING IN SOUTH SUDAN: OPPORTUNITIES AND RISKS FOR LOCAL COMMUNITIES BASELINE ASSESSMENT OF SMALL-SCALE AND ARTISANAL GOLD MINING IN CENTRAL AND EASTERN EQUATORIA STATES, SOUTH SUDAN MINING IN SOUTH SUDAN FOREWORD We are delighted to present you the findings of an assessment conducted between February and May 2015 in two states of South Sudan. With this report, based on dozens of interviews, focus group discussions and community meetings, a multi-disciplinary team of civil society and government representatives from South Sudan are for the first time shedding light on the country’s artisanal and small-scale mining sector. The picture that emerges is a remarkable one: artisanal gold mining in South Sudan ‘employs’ more than 60,000 people and might indirectly benefit almost half a million people. The vast majority of those involved in artisanal mining are poor rural families for whom alluvial gold mining provides critical income to supplement their subsistence livelihood of farming and cattle rearing. Ostensibly to boost income for the cash-strapped government, artisanal mining was formalized under the Mining Act and subsequent Mineral Regulations. However, owing to inadequate information-sharing and a lack of government mining sector staff at local level, artisanal miners and local communities are not aware of these rules. In reality there is almost no official monitoring of artisanal or even small-scale mining activities. Despite the significant positive impact on rural families’ income, the current form of artisanal mining does have negative impacts on health, the environment and social practices. With most artisanal, small-scale and exploration mining taking place in rural areas with abundant small arms and limited presence of government security forces, disputes over land access and ownership exacerbate existing conflicts.
    [Show full text]
  • South Sudan: Jonglei – “We Have Always Been at War”
    South Sudan: Jonglei – “We Have Always Been at War” Africa Report N°221 | 22 December 2014 International Crisis Group Headquarters Avenue Louise 149 1050 Brussels, Belgium Tel: +32 2 502 90 38 Fax: +32 2 502 50 38 [email protected] Table of Contents Executive Summary ................................................................................................................... i I. Introduction ..................................................................................................................... 1 II. Jonglei’s Conflicts Before the Civil War ........................................................................... 3 A. Perpetual Armed Rebellion ....................................................................................... 3 B. The Politics of Inter-Communal Conflict .................................................................. 4 1. The communal is political .................................................................................... 4 2. Mixed messages: Government response to intercommunal violence ................. 7 3. Ethnically-targeted civilian disarmament ........................................................... 8 C. Region over Ethnicity? Shifting Alliances between the Bahr el Ghazal Dinka, Greater Bor Dinka and Nuer ...................................................................................... 9 III. South Sudan’s Civil War in Jonglei .................................................................................. 12 A. Armed Factions in Jonglei ........................................................................................
    [Show full text]
  • Pochalla County
    Report on Food Security & Livelihoods Assessment in Pochalla County September 2014 Compiled by: Mawa Isaac J. Email: [email protected] [email protected] Web: www.spedp.org Table of Content Acknowledgements………………………………………………………………………………..2 Abbreviations and acronyms……………………………………………………………………....3 Contacts: Partner NGOs on the Ground…………………………………………………………...4 Executive summary………………………………………………………………………………..5 Objectives of the assessment……………………………………………………………………...8 Approach and Methodology used during the assessment…………………………………………8 Limitations of the assessment……………………………………………………………………10 Needs analysis................................................................................................................................11 Emergency context – Pochalla County ………………………………………………………….12 Findings of the assessment.............................................................................................................14 Household food consumption patterns...........................................................................................14 Food security past and current trends……………………………………………………………15 Sources of Income.........................................................................................................................17 Fishing industry………………………………………………………………………………….17 Market outlook, access and perceptions…………………………………………………………18 Agriculture and Livelihoods potential – Pochalla County……………………………………….19 Seasonal Calendar – Pochalla County…………………………………………………………...20 Coping mechanism.........................................................................................................................21
    [Show full text]
  • South Sudan 2021 Humanitarian Response Plan
    HUMANITARIAN HUMANITARIAN PROGRAMME CYCLE 2021 RESPONSE PLAN ISSUED MARCH 2021 SOUTH SUDAN 01 About This document is consolidated by OCHA on behalf of the Humanitarian Country Team and partners. The Humanitarian Response Plan is a presentation of the coordinated, strategic response devised by humanitarian agencies in order to meet the acute needs of people affected by the crisis. It is based on, and responds to, evidence of needs described in the Humanitarian Needs Overview. Manyo Renk Renk SUDAN Kaka Melut Melut Maban Fashoda Riangnhom Bunj Oriny UPPER NILE Abyei region Pariang Panyikang Malakal Abiemnhom Tonga Malakal Baliet Aweil East Abiemnom Rubkona Aweil North Guit Baliet Dajo Gok-Machar War-Awar Twic Mayom Atar 2 Longochuk Bentiu Guit Mayom Old Fangak Aweil West Turalei Canal/Pigi Gogrial East Fangak Aweil Gogrial Luakpiny/Nasir Maiwut Aweil West UNITY Yomding Raja NORTHERN South Gogrial Koch Nyirol Nasir Maiwut Raja BAHR EL Bar Mayen Koch Ulang Kuajok WARRAP Leer Lunyaker Ayod GHAAL Tonj North Mayendit Ayod Aweil Centre Waat Mayendit Leer Uror Warrap Romic ETHIOPIA Yuai Tonj East WESTERN BAHR Nyal Duk Fadiat Akobo Wau Maper JONGLEI CENTRAL EL GHAAL Panyijiar Duk Akobo Kuajiena Rumbek North AFRICAN Wau Tonj Pochalla Jur River Cueibet REPUBLIC Tonj Rumbek Kongor Pochala South Cueibet Centre Yirol East Twic East Rumbek Adior Pibor Rumbek East Nagero Wullu Akot Yirol Bor South Tambura Yirol West Nagero LAKES Awerial Pibor Bor Boma Wulu Mvolo Awerial Mvolo Tambura Terekeka Kapoeta International boundary WESTERN Terekeka North Mundri
    [Show full text]
  • Jonglei and Greater Pibor Administrative Area
    Jonglei and Greater Pibor Administrative Area Humanitarian Update as of 8 December 2020 HIGHLIGHTS • Large-scale inter-communal and sub-national violence, mainly during the dry season, and massive flooding during the rainy season have displaced hundreds of thousands of people in Jonglei and Greater Pibor Administrative Area (GPAA) in 2019 and 2020. These recurrent shocks have created new humanitarian needs, in addition to those planned for in the 2020 Humanitarian Response Plan (HRP), which targets some 1 million people in the area. • More than 100 humanitarian organizations have operated in Jonglei during 2020. Half of them are national NGOs. • Conflict, insecurity, flooding and COVID-19 restrictions have severely impacted humanitarian organizations’ ability to reach the most vulnerable people with much-needed assistance. Of the nine humanitarian workers killed in 2020, eight lost their lives in Jonglei and GPAA. All were South Sudanese. • It is highly likely that sub-national conflict and flooding will occur again in Jonglei and GPAA in 2021 and lead to further displacement and an increase in people’s emergency needs, unless mitigating measures are taken to reduce their impact. Pariang Panyikang Maban Baliet Waves of violence anduair displacementPul Luthni e ana in February-July 2020 Rubkona Atar Kee UPPER NILE Longochuk Guit Atar Tor Fair Pauir d ana Wunam UAN Toch Canal/Pigi Fangak Nyadin Luakpiny/Nasir EHA Pail Maiwut Nyirol CAR Koch uturu Nyirol anda Ulang anien Par UNITY Haat 30,000+ displaced DRC Tonj Ku UA KENYA North ie in
    [Show full text]
  • ORIGINS DISPUTED in Early April 2008, the Ethiopian Dracunculiasis
    Public Health Service Centers for Disease Control DEPARTMENT OF HEALTH & HUMAN SERVICES and Prevention (CDC) Memorandum Date: May 30, 2008 From: WHO Collaborating Center for Research, Training and Eradication of Dracunculiasis Subject: GUINEA WORM WRAP-UP #181 To: Addressees Number of uncontained cases of dracunculiasis outside of Sudan so far in 2008: 60 in Ghana;5 in Ethiopia, Zero in Mali, Nigeria, and Niger. ETHIOPIA REPORTS MORE CASES: ORIGINS DISPUTED In early April 2008, the Ethiopian Dracunculiasis Eradication Program (EDEP) received reports of several cases of dracunculiasis in Gog Woreda (also known as Gillo District) in Gambella Region. Worms had begun emerging from many of the cases in March. A total of 27 cases were reported in March and April, of which 19 were females and 18 were 15 years old or older. All of the cases are Ethiopian citizens and belong to the Agnuak ethnic group. An investigation by the EDEP reported that all of the patients had a history of travel to southern Sudan in early 2007, especially the town of Pochalla and surrounding villages in Pochalla County, where they presumably got infected. The EDEP notified the Southern Sudan GWEP immediately. Three ponds suspected to have been contaminated in Awukoy village in Gog Woreda were treated with ABATE® larvicide within 14 days after possible contamination. Two female patients ages 15 and 17 were diagnosed and contained in the town of Gambella; 20 of the 26 other cases were admitted to a case containment center at Gog Janjior clinic, located 32 kilometers from a camp for Sudanese refugees at Pugnido Town.
    [Show full text]
  • Pochalla County
    Anthropometric and Mortality Survey February – March, 2014 International Medical Corps (IMC) Pochalla County. Background Pochalla County is located in the eastern part of Jonglei State, bordering Ethiopia The current population of Pochalla County is estimated as 76,131 (former United Sudan Household Census of 2008 [Sudan 2008]) Much of its territory is located between two rivers, Akobo to the east and Oboth to the west International Medical Corps has been present in South Sudan since 1994, and working in Pochalla County since January 2009 IMC has supported eight health facilities in Pochalla County in delivery of the Basic Package of Health Services (BPHS) and invested in building the capacity of the County Health Department (CHD) Map of Pochalla County Rationale of the Survey No nutrition survey has been conducted in the past 1 year despite the county having been on the spotlight over insecurity and floods A rapid nutrition assessment conducted in July had revealed that out of 684 children who were screened 78 were moderately while 22 were severely malnourished based on MUAC cut-offs In mid-October, the Relief and rehabilitation commission in Pochalla did raise a concern that close to 6000 people were affected by hunger due to poor harvest and flooding. Most of them migrating to Ethiopia, in search of food Overall Objective The overall goal of this assessment was to establish the extent and the severity of acute malnutrition and determine the retrospective mortality rate in Pochalla County Specific Objectives • To estimate the
    [Show full text]
  • South Sudan: Bi-Weekly Humanitarian Situation Report Emergency Type: Humanitarian Crises Issue 13 | Date: 16- 31 July 2020
    South Sudan: Bi-Weekly Humanitarian Situation Report Emergency type: Humanitarian Crises Issue 13 | Date: 16- 31 July 2020 KEY FIGURES COVID-19 SITUATION 7.5M 2.24M 2 499 47 1 293 People in Need of South Sudanese confirmed deaths recoveries Humanitarian Refugees cases Assistance HIGHLIGHTS 1.67M 1.3M Internally Displaced Malnourished Children • Since the first case of COVID-19 confirmed in South Sudan on 5 April 2020, a total of 2 499 cases and 47 deaths (case fatality rate of 1.9%) has been reported. 188K 352K • A state of emergency has been declared in Jonglei State and the 1 Persons living in PoC Malnourished Women Pibor Greater Administrative Area as a result of worsening flooding in the areas. Across the country, over 200000 people have been affected by floods. 64 6.48M • WHO has prepositioned cholera investigation and treatment kits in Stabilization Centers Severely Food Insecure all the states to strengthen the capacity of the states to investigate and respond to suspected cholera outbreak during the flooding season. • The national Ministry of Health and WHO has completed an investigation of a suspected yellow fever outbreak in Magwi County during which 61 samples were collected for testing. Children under one year vaccinated 121 066 with oral polio vaccine (20%) Initial numbers of children vaccinated 962 158 against measles Counties with confirmed measles 5 outbreaks in 2020 PoC1 s sites with confirmed measles 1 outbreaks in 2020 WHO mobile medical team delivering integrated health services to Counties with malaria cases 4 surpassing
    [Show full text]
  • LIFE IS PRICKLY. NARRATING HISTORY, BELONGING, and COMMON PLACE in BOR, SOUTH SUDAN a Dissertation Submitted to the Temple
    LIFE IS PRICKLY. NARRATING HISTORY, BELONGING, AND COMMON PLACE IN BOR, SOUTH SUDAN A Dissertation Submitted to the Temple University Graduate Board In Partial Fulfillment of the Requirements for the Degree DOCTOR OF PHILOSOPHY by Brendan R. Tuttle January 2014 Examining Committee Members: Dr. Paul Garrett, Advisory Chair, Anthropology Dr. Mindie Lazarus-Black, Department of Anthropology Dr. Marilyn Silberfein, Geography and Urban Studies, Temple University Dr. Heather Sharkey, External Member, Near Eastern Languages and Civilizations, University of Pennsylvania i ABSTRACT An ethnography based on research carried out between 2009 and 2010 in the vicinity of Bor Town, the capital of Jonglei State, in what was then Southern Sudan, this dissertation is primarily concerned with people’s reflections on making agreements with one another during a period when the nature of belonging was being publically discussed and redefined. It examines historical narratives and discussions about how people ought to relate to the past and to each other in the changed circumstances following the formal cessation of hostilities between the Government of Sudan and the Sudan People’s Liberation Army in 2005. This dissertation departs from much of the literature on Southern Sudan by focusing on the common place, the nature of promises and ordinary talk, as opposed to state failure and armed conflict. After 21 years of multiple and overlapping conflicts in Sudan, a Comprehensive Peace Agreement (CPA) was signed in January of 2005. The agreement stipulated national elections during a six-year Interim Period, at the end of which, the people of Southern Sudan were to hold a referendum on self-determination to decide whether to remain united with Sudan or to secede.
    [Show full text]