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Rapid SMART Assessment Report Qala-e-Naw IDP Camps, Badghis province Date: 4-11 April 2019 AFGHANISTAN Lead by: Dr: Shafiullah Samim, Dr. M. Khalid Zakir and Dr. Nazir Sajid Author: Beka Teshome and Dr. Sayed Rahim Rastkar Funded by: AHF-OCHA Action Contre la Faim AAH is a non-governmental, non-political and non-religious organization 1 TABLE OF CONTENTS AKNOWLEDGMENT ....................................................................................................................................... 4 ACRONYMS AND ABBREVIATIONS ................................................................................................................ 5 EXECUTIVE SUMMARY .................................................................................................................................. 7 1. BACKGROUND ....................................................................................................................................... 9 2. Objectives............................................................................................................................................ 10 2.1. General objective ............................................................................................................................. 10 2.2. Specific objectives ....................................................................................................................... 10 3. METHODOLOGY .................................................................................................................................. 10 3.1. Geographic target area and population group ........................................................................... 10 3.2. Survey period .............................................................................................................................. 11 3.3. Survey design .............................................................................................................................. 11 3.4. Sample size .................................................................................................................................. 11 3.5. Sampling procedures .................................................................................................................. 12 3.5.1. First stage sampling: selection of clusters .......................................................................... 12 3.5.2. Second stage sampling: selection of households ............................................................... 12 3.6. Organization of the Survey ......................................................................................................... 13 3.6.1. Survey Coordination............................................................................................................ 13 3.6.2. Survey Teams ...................................................................................................................... 13 3.6.3. Training of the Survey Teams .............................................................................................. 13 3.7. Data collection and field work .................................................................................................... 14 3.7.1. Children anthropometric survey ......................................................................................... 14 3.7.2. Maternal nutritional status ................................................................................................. 15 3.7.3. Child Morbidity ................................................................................................................... 15 3.8. Data quality assurance ................................................................................................................ 15 4. Data management and Analysis ......................................................................................................... 15 5. Results ................................................................................................................................................. 15 5.1. Mean z-scores, Design Effects and excluded subjects ................................................................ 15 5.2. General characteristics of study population and households .................................................... 16 5.2.1. Households and children 6-59 months ............................................................................... 16 5.2.2. Pregnant and Lactating Women ......................................................................................... 17 5.3. Anthropometric results ............................................................................................................... 17 5.3.1. Distribution by sex and age ................................................................................................. 17 5.3.2. Prevalence of acute malnutrition based on weight-for-height z-scores (and/or oedema) and by sex ........................................................................................................................................... 18 5.3.3. Prevalence of acute malnutrition by age, based on weight-for-height z-scores and/or oedema 19 5.3.4. Prevalence of acute malnutrition based on MUAC cut off's (and/or oedema) .................. 20 5.3.5. Prevalence of underweight based on weight-for-age z-scores .......................................... 21 5.3.6. Prevalence of stunting based on height-for-age z-scores and by sex ................................. 22 5.4. Child morbidity ............................................................................................................................ 22 5.5. Maternal nutritional status ......................................................................................................... 23 2 5.6. Prevalence of Combined Acute Malnutrtion based on WHZ and/or MUAC .............................. 23 5.7. Proportion of acutely malnourished children enrolled in & referred to a nutrition program ... 23 6. DISCUSSION ......................................................................................................................................... 24 6.1. Nutritional status ........................................................................................................................ 24 6.2. Child health indicators ................................................................................................................ 26 7. Recommendations .............................................................................................................................. 26 Annexes ....................................................................................................................................................... 27 Annex 1: Plausibility check for: Badghis_IDP_camps_segment A _April_2019_Afghanistan.as ............ 28 Annex 2: Plausibility check for: Badghis_IDP_camps_Segment B _April_2019_Afghanistan.as ............ 28 Annex 3: Selected clusters, segment A, Qala-e-Naw IDP camp .............................................................. 29 Annex 4: Selected clusters, segment B, Qala-e-Naw IDP camp .............................................................. 30 Annex 5: Rapid SMART Assessment questionnaires for children and pregnant and lactating women . 32 Annex 6: Event calendar ......................................................................................................................... 34 3 AKNOWLEDGMENT This survey would not have been possible without the financial support provided by Afghanistan Humanitarian Fund (AHF). Action Against Hunger (AAH) would also like to thank all stakeholders and partners who provided support to the Rapid SMART Assessment teams in Qala-e-Naw city IDP Camps, Badghis province: Public Nutrition Department (PND), Nutrition cluster and Afghanistan Information Management Working Group (AIM-WG) for their support in methodological review and validation. Badghis Provincial Public Health Directorate (PPHD) and currently Badghis Provincial Nutrition officer (PNO) for the support provided in the authorization of the survey. All the community members for welcoming and supporting the survey teams during the data collection process. All health stakeholders who are currently providing health and nutrition services in the IDP camps Afghan Youth Services Organization (AYSO) especially Dr. Anasul Haq Rahimi, Dr. Abdullah Qarizada and Dr. Amanullah Saqeb for the smooth implementation of the assessments in Qala-e- Naw city IDP camps in Badghis province. Survey teams composed of enumerators and supervisors for making the whole process smooth. AAH teams at Kabul and Paris for technical, logistics and administrative support. Statement on Copyright © Action Against Hunger Action Against Hunger is a non-governmental, non-political and non-religious organization. Unless otherwise indicated, reproduction is authorized on condition that the source is credited. If reproduction or use of texts and visual materials (sound, images, software, etc.) is subject to prior authorization, such authorization was render null and void the above-mentioned general authorization and was clearly indicate any restrictions on use. The content of this document is the responsibility of the authors and does not necessarily reflect the views of AAH and AHF. 4 ACRONYMS AND ABBREVIATIONS AAH Action Against Hunger AfDHS Afghanistan Demographic Health Survey AHF Afghanistan Humanitarian Fund AIM-WG Assessment Information Management Working Group AYSO Afghan Youth Services