DOCSLIB.ORG

Nutrition and Mortality Survey in Lowland

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text

Load more

Nutrition and Mortality Survey in Lowland and Mountainous ecological zones Hajjah governorate, Yemen Yemen 27 August- 9 September 2015 Ministry of Public Health and Population Hajjah Governorate Health Office United Nations Children’s Fund (UNICEF) Nutrition and Mortality Survey Report Lowland and Mountainous ecological zones Hajjah Governorate, Yemen Conducted 27 August- 9 September 2015 ACKNOWLEDGEMENTS List of acronyms ARI Acute Respiratory Infection WFP-CFSS World food programme- Comprehensive Food Security Survey CI Confidence Interval CMAM Community Management of Acute Malnutrition CSO Central Statistical Organization DHS Demographic Health Survey ENA Emergency Nutrition Assessment FHS Family Health Survey GAM Global Acute Malnutrition HAZ Height for age z-score HDD Household diet diversity IPC Integrated food security phase calcification IYCF Infant and Young Child Feeding MAM Moderate Acute Malnutrition MDD Minimum Dietary Diversity MoPHP Ministry of Public Health and Population MUAC Mid-Upper Arm Circumference OTP Out-patient Therapeutic Programme SAM Severe Acute Malnutrition SD Standard Deviation SMART Standardized Monitoring and Assessment of Relief and Transitions U5 Under-five UNICEF United Nations Children’s Fund WAZ Weight for Age z-scores WHZ Weight for Height z-scores Table of contents: Executive summary...................................................................................................................................................1 Medium Term Interventions: ....................................................................................................................................2 Introduction / background: ......................................................................................................................................4 Assessment objectives:.............................................................................................................................................5 Methodology ............................................................................................................................................................6 Sampling Design and Sample Size Determination ................................................................................................6 Sampling Procedure..............................................................................................................................................8 Survey Population and Data Collection Process ................................................................................................ 10 Measurement Standardization and Quality Control ......................................................................................... 11 Data Entry and Analysis ..................................................................................................................................... 11 Data Entry Verification and Cleaning ................................................................................................................ 12 Results ................................................................................................................................................................... 13 Household Characteristics of Study Population: ............................................................................................... 13 Morbidity, Immunization Status of the U5 children:......................................................................................... 16 Infant and young child feeding (IYCF) practices: ............................................................................................... 17 Nutrition Status ................................................................................................................................................. 19 Mortality: ........................................................................................................................................................... 23 Discussion and variable association ...................................................................................................................... 24 Levels of Malnutrition: ...................................................................................................................................... 24 Child Feeding, Vitamin A Supplementation and Malnutrition Levels : ............................................................. 26 Morbidity and Malnutrition Levels: ................................................................................................................... 27 Nutrition Status and Food consumption based on household dietary diversity .............................................. 27 Water and sanitation with Nutrition situation: ................................................................................................. 28 Recommendations: ................................................................................................................................................ 28 Annexes ................................................................................................................................................................. 30 Annex 1: Hajjah governorate Nutrition Survey Questionnaire, 27 Aug-9 September 2015 ................................ 31 Annex 2: Hajjah governorate Mortality Survey Questionnaire, 27 Aug-9 September 2015 ............................... 40 Annex 3: Hajjah governorate Nutrition Survey Team, 27 Aug-9 September 2015 ............................................... 41 Annex 3: Hajjah governorate Nutrition Survey Team, 27 Aug-9 September 2015 ............................................... 42 Annex 4: job descriptions for Survey Teams (Extracted from SMART Training Materials) ................................... 43 Annex 5: Hajjah Lowland assessment Quality Checks ........................................................................................... 46 Annex 6: Hajjah Mountainous assessment Quality Checks .................................................................................. 47 Executive summary Between 27 August and 9 September 2015, MoPHP and UNICEF conducted two nutrition surveys using the Standardized Monitoring and Assessment for Relief and Transition (SMART) methodology covering the two main ecological zones in Hajja Governorate of Yemen to establish and monitor the levels of acute malnutrition, stunting and underweight among children aged 6-59 months in the different livelihood/ ecological zones, identify some of the factors associated with malnutrition, and inform on the appropriate responses. Using a two-stage Probability Proportionate to Population Size (PPS) sampling methodology, 30 clusters in Lowland and 30 clusters in Mountainous ecological zones were randomly selected for both anthropometric and mortality assessments. A minimum of 15 households per cluster in the Lowland and Mountainous Ecological Zones were randomly selected and assessed. A total of 502 households in Lowland and 497 in Mountains were surveyed, covering a total of 580 and 630 children aged 6-59 months respectively. Results indicate that the nutrition situation differs in the two zones as shown in table 1 below. The Global Acute Malnutrition (GAM) rate was 20.9 per cent (95% CI: 16.8 – 25.8), with Severe Acute Malnutrition (SAM) 3.8 per cent (95% CI: 2.1 – 6.9) in Lowland Ecological Zone. GAM and SAM rates in the Mountainous Ecological Zone were 9.9 per cent (95% CI: 7.4 – 13.2) and 0.8 per cent (95% CI: 0.3 – 2.2), respectively. These rates indicate that the nutrition situation in the Mountainous zone is poor (<10 per cent), while in the Lowland it is critical (>15 per cent), according to WHO categorization. Stunting rates in the Lowland Zone and Mountainous Zone are 53.0 per cent (95% CI: 46.4 – 59.4) and 58.1 per cent (95% CI: 52.4 – 63.6) respectively with severe stunting of 17.2 per cent (95% CI: 12.5 – 23.2) and 22.9 per cent (95% CI: 18.3 – 28.2) respectively. These rates are exceed the critical levels of 40 per cent; thus the stunting rates are of great concern. Underweight rate in the Lowlands Zone is 50.1 per cent (95% CI: 45.2 - 55.0), with severe underweight of 13.2 per cent (95% CI: 10.2 - 16.9) while the underweight and severe underweight rates in the Mountainous Zone are 41.5 per cent (95% CI: 35.9 - 47.4) and 11.1 per cent (95% CI: 8.3 - 14.8), respectively. These rates are above the critical levels of 30 per cent, as per WHO categorization. The two main sources of drinking water in the Lowland Zone were protected open wells (29.9 per cent) and unprotected open wells (24.3 per cent) while in the Mountainous Zone they were unprotected surface water (24.9 per cent) and water tanker (19.9 per cent). There was high prevalence of common disease, as recorded during the survey (diarrhea, Acute Respiratory Infection (ARI) and fever prevalence are the reported cases 2 weeks before the survey while measles was one month before the survey (table 1 ) below . Vitamin A coverage was lower than the Sphere Standards recommendation of 95 per cent coverage (Lowland Zone – 75.1 per cent; Mountains – 68.2 per cent). 1 Exclusive breastfeeding under 6 months was 34.2 per cent in Lowland zone and 28.8 per cent in Mountainous zone. continued breast feeding at one year in Lowland zone was 79.1 percent and dropped at two years to level of 45 per cent. In Mountainous zone, continued breast feeding at one year was 87.9 per cent and become 60 per cent at two years and 16.8 per cent of 6-23 children in Lowland zone are on
Recommended publications
  • 2014-15 Yemen

    2014-15 Yemen

    2014 -15 YEMEN HUMANITARIAN RESPONSE PLAN 2015 Revision Photo: WFP/Barry Came February 2015 Prepared on behalf of the Yemen Humanitarian Country Team PERIOD SUMMARY Jan 2015 – Dec 2015 This document revises the 2014-15 Yemen Humanitarian Response Plan (YHRP) in order to reflect changes in need identified in the 2015 Yemen 100% Humanitarian Needs Overview (HNO) and changes in the operational context. According to the HNO, 15.9 million people – 8 per cent more than 25.9 million last year – currently require some kind of humanitarian assistance in total population Yemen. Humanitarian partners attribute this increase mainly to a rise in localized conflict, improved data collection and deteriorating socio- 61% of total population economic conditions. In 2015, partners aim to assist 8.2 million people – 8 per cent more than last year – with a range of life-saving, protection and 15.9 million resilience-building programmes. To deliver these programmes, partners estimated number of people in are seeking US$747.5 million, or 25 per cent more than last year (and 5 need of humanitarian aid per cent more than 2013). The rise in requirements is due primarily to a transition towards resilience-focused programmes, particularly within the 32% of total population Food Security and Agriculture Cluster. The basic assumptions and strategic objectives of the 2014-15 YHRP 8.2 million remain unchanged. As a mid-term revision, this document has two major people targeted for humanitarian objectives: (1) to adapt operational plans to reflect changing needs and aid in this plan context, and (2) to improve how YHRP activities are prioritized in light of Source: Central Statistics Office, OCHA, this year’s financial request and the substantial number of people targeted Clusters as of Nov 2014 and Jan 2015 (32 per cent of Yemeni population).
  • MSF Internal Investigation of the 15 August Attack on Abs Hospital Yemen Summary of Findings

    MSF Internal Investigation of the 15 August Attack on Abs Hospital Yemen Summary of Findings

    MSF internal investigation of the 15 August attack on Abs hospital Yemen Summary of findings 27 September 2016 About the investigation This document summarises the findings from the internal investigation of the attack on the Médecins Sans Frontières (MSF)-supported Abs rural hospital in the Hajjah governorate in Yemen. A more detailed report will be released shortly. The objective of the investigation is to ascertain the facts surrounding the attack on the hospital and to establish whether the safety and security of staff and operations can be assured on the ground in Yemen. The investigation was carried out by an MSF humanitarian affairs adviser based at the organisation’s headquarters (HQ) in Barcelona, with critical support from past and present MSF staff involved in the Yemen operations at HQ and field level. For the purpose of this internal review, 35 interviews were conducted with key MSF staff from the Yemen mission and the Abs hospital project, including direct eyewitnesses of the attack, and with patients who were at the hospital at the time of the airstrike. Additionally, relevant internal and external documentation, Yemen context analyses and photographic material were reviewed. Introduction On Monday 15 August at 3.40pm local time, the Abs rural hospital in Hajjah governorate in northwestern Yemen was hit by an airstrike killing 19 people, including one MSF staff member, and injuring 24 others. At the time of the attack, there were 23 patients in surgery, 25 in the maternity ward, 12 in paediatrics and 13 newborns at Abs hospital. The airstrike constituted the fifth and deadliest attack on an MSF-supported medical service in Yemen in the past year, amidst countless attacks on other health facilities and services all over the country.
  • Yemen Events Log 3

    Yemen Events Log 3

    Yemen Events Log 3 This is a publicly available events log to keep track of the latest coalition airstrikes on civilians or civilian infrastructure in Yemen, plus any other significant reports or events that are related. It is being updated daily a couple of dedicated independent activists who have a concern for the people of Yemen and a desire to see the end of this unfolding catastrophe. If you would like to help, please drop me a direct message on Twitter. @jamilahanan For current data, May 2018 onwards, see here: May 2017 - April 2018 https://docs.zoho.com/file/1g2al5ce282ae1ccc4ea7ac011b61edb74b21 This log contains events from November 2016 - April 2017. Previous events can be found here: August 2016 - October 2016 https://docs.zoho.com/file/qqptj5d51d260604b48f691fb33fba2641be6 Before August 2016 https://docs.zoho.com/file/qu3o1a39ece47dff44380a9a48fdc45489ddf April 2017 30th April Legalcenter for Rights and Developement - Airstrikes April 30th 2017 https://www.facebook.com/lcrdye/photos/a.551858951631141.1073741828.551288185021551/8 18304141653286/?type=3&theater 29th April What are the reasons for the US-Saudi aggression on #Yemen, which have became known to all countries of the #world? https://twitter.com/PrincessOfYmn/status/858258474173706240 Yemen – the New Graveyard Where Empires Come to Die https://twitter.com/ShakdamC/status/858209772050558976 Legalcenter for Rights and Developement - Airstrikes April 29th 2017 https://www.facebook.com/lcrdye/photos/a.551858951631141.1073741828.551288185021551/8 17825941701106/?type=3&theater 28th April Legalcenter for Rights and Developement - Airstrikes April 28th 2017 https://www.facebook.com/lcrdye/photos/a.551858951631141.1073741828.551288185021551/8 17307905086243/?type=3&theater Sen. Rand Paul: The U.S.
  • Download File

    Download File

    Yemen Social Protection and COVID-19 Response Project (P173582) UCT Component SOCIAL IMPACT ASSESSMENT (SIA) UNICEF 21 January 2021 i LIST OF ACRONYMS CM Case Management CMA Case Management Assistant UCT-MIS Unconditional Cash Transfer – Management Information System UCTC Unconditional Cash Transfer Component E-Payments Electronic Payments GR Grievance Redressal ID Identification Document MFI Microfinance Institution PMT Proxy Means Test PMU Project Management Unit SFD Social Fund for Development SWF Social Welfare Fund UNICEF United Nations Children’s Fund i GLOSSARY Case Management Form Paper form, given to the cash transfer beneficiaries attesting that their identities have been verified. The form is distributed by the Case Management Team and contains a case management code. Cash Transfer Primary beneficiary or family member listed on the Beneficiary List, who Beneficiary has his/her identity verified through at least one of the UCT Program accepted IDs and who is entitled to receive the benefit Local Actors Refers to either local authority representatives or other community representatives who are approached and requested to support the implementation of the UCT component Payment Agency Institution contracted under the Unconditional Cash Transfer Component to deliver the benefit to beneficiaries. Primary Beneficiary The person registered in the SWF beneficiary list as the head of the beneficiary case. Service Provider Participating organizations, agencies, or firms including payment Organizations agencies contracted by UNICEF to fulfill specific Unconditional Cash Transfer t components. Social Welfare Fund Document containing the Unique Code provided by Social Welfare Passbook Fund. Unique Code Number/code in the UCTC database also indicated in the Social Welfare Fund (SWF) passbook.
  • Annual Report 2010 2.83 MB

    Annual Report 2010 2.83 MB

    Social Fund for Development 1 Annual Report 2010 In the Name of Allah, the Gracious, the Merciful Social Fund for 2 Development Annual Report 2010 In the Name of Allah, the Gracious, the Merciful H. E. President of the Republic Ali Abdullah Saleh Contents THE SOCIAL FUND FOR DEVELOPMENT AT A GLANCE 6 BOARD OF DIRECTORS 7 STATEMENT OF THE CHAIRMAN OF THE BOARD OF DIRECTORS 8 STATEMENT OF THE MANAGING DIRECTOR 9 EXECUTIVE SUMMARY 10 PROGRAM AND SECTOR INVESTMENTS 13 EDUCATION 16 HEALTH 22 GROUPS WITH SPECIAL NEEDS 28 WATER AND ENVIRONMENT 34 AGRICULTURE AND RURAL DEVELOPMENT 42 TRAINING AND ORGANIZATIONAL SUPPORT 48 CULTURAL HERITAGE 58 LABOR-INTENSIVE WORKS PROGRAM 64 SMALL AND MICRO ENTERPRISE DEVELOPMENT 68 THE SFD’S INSTITUTIONAL DEVELOPMENT 82 EVALUATION OF SFD OPERATIONS 86 PREPARATION FOR SFD PHASE IV (2011–15) 90 FUNDING MANAGEMENT 92 ANNEXES: ADDITIONAL DATA 102 REFERENCES 110 Social Fund for Development, Yemen Faj Ettan, P.O. Box 15485 Sana’a, Republic of Yemen Tel.: +967 1 449 669 / 8 Fax: +967 1 449 670 [email protected] www.sfd-yemen.org Social Fund for Development 5 Annual Report 2010 The Social Fund for Development at a Glance The Social Fund for Development (SFD) was established by Law No. 10 of 1997. The end of 2010 marks the completion of 13 years of SFD’s development course. 2010 also concludes the third phase of SFD’s activities, which started in 2004 and was extended in 2006 till the end of 2010 to synchronize with the government’s Third Five-Year Plan for Economic and Social Development and Poverty Reduction (2006–10) and the Public Investment Program in order to mobilize efforts and available resources to meet the development needs.
  • Ye 27 August- 9 September 2015

    Ye 27 August- 9 September 2015

    Nutrition and Mortality Survey in Lowland and Mountainous Ecological Zones Hajjah Governorate, Yemen Yemen 27 August- 9 September 2015 Ministry of Public Health and Population Hajjah Governorate Health Office United Nations Children’s Fund (UNICEF) Nutrition and Mortality Survey Report Lowland and Mountainous Ecological Zones Hajjah Governorate, Yemen Conducted 27 August- 9 September 2015 ACKNOWLEDGEMENTS The Yemen Ministry of Public Health and Population (MoPHP)/ Hodeidah Governorate Public Health and Population Office, in collaboration with UNICEF Yemen Country Office and UNICEF Hodeidah Zone, acknowledge the contribution of the various stakeholders in this survey. The UNICEF Yemen Country Office provided technical support, employing SMART methodology. The Survey Manager was provided by Taiz GHO and field supervisors were provided by the central MoPHP and Amran and Dhamar GHOs. Survey enumerators, team leaders and data entry team were provided by GHO of Hajjah. The data analysis and report writing were made by two FMF consultants. UNICEF YCO provided the overall technical assistance especially on sampling, questionnaire and the guideline. The Hodeidah Governorate Public Health and Population over saw the political and logistical arrangements for the survey, ensuring its smooth operation. The Nutrition survey was supported financially by UNICEF under a grant from the UK Department for International Development (DfID); this support is greatly appreciated. The contribution of local authorities in ensuring the survey teams’ security during fieldwork and in providing office facilities is gratefully appreciated. The data could not have been obtained without the co-operation and support of the communities assessed, especially the mothers and caretakers who took time off from their busy schedules to respond to the interviewers.
  • Yemen Emergency Crisis Response Project Fifth Additional Financing (P172662)

    Yemen Emergency Crisis Response Project Fifth Additional Financing (P172662)

    Yemen Emergency Crisis Response Project Fifth Additional Financing (P172662) SOCIAL IMPACT ASSESSMENT (SIA) For Component 3 (Emergency Cash Transfer) UNICEF August 24, 2020 i LIST OF ACRONYMS CM Case Management CMA Case Management Assistant ECT-MIS Emergency Cash Transfer – Management Information System ECTP Emergency Cash Transfer Project E-Payments Electronic Payments GR Grievance Redressal ID Identification Document MFI Microfinance Institution PMT Proxy Means Test PMU Project Management Unit SWF Social Welfare Fund UNICEF United Nations Children’s Fund i GLOSSARY Case Management Form Paper form, given to the ECTP beneficiaries attesting that their identities have been verified. The form is distributed by the Case Management Team and contains a case management code. ECTP Beneficiary Primary beneficiary or family member listed on the Beneficiary List, who has his/her identity verified through at least one of the project accepted IDs and who is entitled to receive the benefit Local Actors Refers to either local authority representatives or other community representatives who are approached and requested to support the implementation of the project Payment Agency Institution contracted under the Emergency Cash Transfer Project to deliver the benefit to beneficiaries. Primary Beneficiary The person registered in the SWF beneficiary list as the head of the beneficiary case. Service Provider Participating organizations, agencies, or firms including payment Organizations agencies contracted by UNICEF to fulfill specific Emergency Cash Transfer Project components. Social Welfare Fund Document containing the Unique Code. Passbook Unique Code Number/code in the ECTP database also indicated in the Social Welfare Fund (SWF) passbook. This code facilitates the allocation of the name in the ECTP ii TABLE OF CONTENTS 1.
  • UNHCR/UNICEF Joint Nfis Distribution Receipent List

    UNHCR/UNICEF Joint Nfis Distribution Receipent List

    Shelter Cluster Yemen ShelterCluster.org Coordinating Humanitarian Shelter Re: CCCM/Shelter/NFIs Cluster Meeting minutes Hajjah- Al- Hudaydah (Draft) Time/Date: 10:30 – 12:30 hrs. 27 April 2016 Location: MOPIC Office, Hajjah town Participants: MOPIC Hajjah, Social fund, Hajjah Deputy Governor, Head of Hajjah planning department, Hajjah YWU, Hajjah MOSAL, IOM, ZOA, Permanent Development NGO, IDP center, YRC Hajjah, UNHCR, Hajjah IDP ExU and Vision hope Aagenda 1) Updates on activities for the past period from cluster members. 2) Recent floods. 3) Achievements. 4) challenges/gaps/issues (Sub –Cluster Co-Chair)/solutions. 5) AOB Agenda Items Action Points Updates on activities for the past period from cluster members: Updates on activities for the past period from cluster members: Cluster member to share their activities with UNHCR - Between 26 and 28 April 2016 , UNHCR as Cluster lead to compile through Implementing Partner Al-Amal and resend to all cluster completed Abs distribution of ESK for members. 1,500 IDPs families / 10,043 Individual in Abs district, Hajjah Governorate, - Al-Amal supported by UNHCR continues to distribute NFIs in Al-Hudaydah Governorate, in end March and April 2016 distribution of NFIs to 504 IDP families consist of 3,252 individual, the distribution took place at Al Hali district, and to 247 IDP families consist of 1,398 individual in Al Mina district, in Al- Hudaydah Governorate. IDP families were mainly living in the open. 2-Recent floods: -As respond to recent floods YRC Hajjah on April 2016 distributed NFIs and shelter to 20 IDP families, the distribution took Agencies\organizations who place at Sharas district in Hajjah want to change Standard Governorate.
  • Haiti Intersection Review

    Haiti Intersection Review

    CHOLERA IN TIME OF WAR EVALUATION OF THE MSF-OCBA CHOLERA RESPONSE IN YEMEN françois grünewald and dr paula farias MANAGED BY THE VIENNA EVALUATION UNIT JUNE 2018 Cover picture: ©François Grünewald Disclaimer: The views expressed in this publication do not necessarily reflect the views of Médecins Sans Frontières or of the Vienna Evaluation Unit. ©2018 MSF Vienna Evaluation Unit. All rights reserved. Dissemination is welcome, please send a message to the Vienna Evaluation Unit to obtain consent. VIENNA EVALUATION UNIT The Vienna Evaluation unit started its work in 2005, aiming to contribute to learning and accountability in MSF through good quality evaluations. The unit manages different types of evaluations, learning exercises and anthropological studies and organises training workshops for evaluators. More information is available at: http://evaluation.msf.at. Electronic versions of evaluation reports are available on Tukul: http://tukul.msf.org. Table of contents Executive Summary ............................................................................................................................... 1 Acronyms ............................................................................................................................................... 5 1 Introduction .................................................................................................................................... 6 1.1 Structure of the report .........................................................................................................
  • SUB NATIONAL HEALTH CLUSTER ONLINE MEETING MINUTES Yemen, Al Hudaydah Hub 31March, 2021

    SUB NATIONAL HEALTH CLUSTER ONLINE MEETING MINUTES Yemen, Al Hudaydah Hub 31March, 2021

    SUB NATIONAL HEALTH CLUSTER ONLINE MEETING MINUTES Yemen, Al Hudaydah Hub 31March, 2021 Venue: Virtual Online Sub National Health Cluster Meetings, Using Zoom application. Date: 31, March 2021. Facilitator: Dr. Abdullah Zohairy; The Sub-National Health Cluster Coordinator of Al Hudaydah Hub, (SNHCC). MEETING AGENDA: 1. Welcome & Introduction & Review and Follow Up the Previous Action Points. 2. Updates from other Fora. 3. Outbreaks Updates & GHOs Updates. 4. Updates on Hajjah Situation. 5. Partner’s Updates & Challenges. Previous Meeting Action Points Meeting Minutes: Agenda Topic Discussion Action Points Introduction of • Sub-National Health Cluster Coordinator (SNHCC), Dr. Abdullah Zohairy welcomed all partners Partners & Review of the previous to the virtual online meeting using teleconference technology (Zoom). action Points: • An introduction was done with partners introducing themselves as well as their position within their organization. • The action points of the last SNHC meeting were discussed, and the meeting minutes were endorsed. GHO Updates: The SNHCC took the permission to give the floor to the GHOs and then we could • SNHCC to share all GHOs tackle the next item on the agenda and opened the floor for the discussion on this documents which has topic: been presented during the Dr Ali Hezam PHC DG Al Hudaydah GHO Comment: meeting with the meeting • Dr Ali started by expression his deepest thanks and appreciation to the SNHCC for giving the minutes. floor. • SNHCC to share GHOs • He conveyed the regrets of Dr /Khalid Al Madaney