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Integrated Nutrition and Mortality Smart Survey

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Integrated Nutrition and Mortality Smart Survey INTEGRATED NUTRITION AND MORTALITY SMART SURVEY REPORT ELBARDE DISTRICT, BAKOOL REGION, SOMALIA NOVEMBER 2020 I ACKNOWLEDGEMENTS Action against Hunger (ACF), would like to acknowledge all the support provided during the preparation, training and field activities of the survey, which includes but not limited to; ➢ Technical and logistical support provided by Elbarde Municipality and the Ministry of Health in South West state of Somalia, facilitation during the training and field work. ➢ We would like to acknowledge the roles of the assessment teams including the team leaders, enumerators and community field guides and all the parents/caregivers who provided valuable information to the survey team, and participated the assessment. ➢ Assessment Information Management Working Group (AIMWG) members for the technical inputs and validations. ➢ Appreciation also goes to SIDA, for the generous financial supports to conduct this nutrition and mortality survey. Statement on Copyright © Action Against Hunger 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 will render null and void the above-mentioned general authorization and will clearly indicate any restrictions on use. II Table of contents ACKNOWLEDGEMENTS ................................................................................................................................. II Table of contents ..................................................................................................................................... III List of tables ............................................................................................................................................. IV List of Figures ........................................................................................................................................... VI 1. INTRODUCTION ......................................................................................................................................... 1 1.1. Background ........................................................................................................................................ 1 1.2. Justifications ....................................................................................................................................... 1 1.3 Overall objective: .......................................................................................................................... 2 1.3.1. Specific objectives ....................................................................................................................... 2 2.0. METHODOLOGY ..................................................................................................................................... 3 2.1. Survey Design ..................................................................................................................................... 3 2.2. Study Population ................................................................................................................................ 3 2.3. Geographic target area and population group .................................................................................. 3 2.4. Sample size calculation ...................................................................................................................... 3 2.5. Cluster Sampling Strategy. ................................................................................................................. 5 The survey employed a two stage cluster sampling technique where ..................................................... 5 2.6. Variables collected ............................................................................................................................. 6 2.7 Case Definitions and inclusion Criteria ............................................................................................... 6 2.7.1 Anthropometry ............................................................................................................................ 6 2.7.2. Mortality ..................................................................................................................................... 8 2.7.3. Health .......................................................................................................................................... 8 2.7.4 Morbidity ..................................................................................................................................... 8 2.7.5. Water Sanitation and Hygiene (WASH) ...................................................................................... 8 2.8. Data Management and Survey Teams. .............................................................................................. 9 2.8.1. Survey Teams .............................................................................................................................. 9 2.8.2 Quality Assurance ........................................................................................................................ 9 2.8.3 Data Analysis and Reporting ........................................................................................................ 9 2.9. COVID-19 Preventive Measures ....................................................................................................... 10 3. RESULT .................................................................................................................................................... 11 3.1 Demographic ..................................................................................................................................... 11 3.2 Education Level ................................................................................................................................. 11 III 3.3 Anthropometric results (based on WHO standards 2006): .......................................................... 12 3.3.1 Acute malnutrition (Weight-for-height Z score (WHZ) .............................................................. 12 3.3.2. Acute Malnutrition based on MUAC ......................................................................................... 14 3.3.3. Prevalence of Underweight based on weight for Age Z - scores .............................................. 15 3.3.4. Prevalence of Stunting based on Height for Age Z - scores ...................................................... 16 3.4 Mortality results (retrospective over x months/days prior to interview)......................................... 17 3.5. Children’s morbidity ......................................................................................................................... 18 3.6. Health Seeking Practices .................................................................................................................. 19 3.7 Vaccination Results ........................................................................................................................... 19 3.8 Programme coverage ........................................................................................................................ 20 3.9 Vitamin A Supplementations and Deworming.................................................................................. 20 3.10. Maternal Malnutrition ................................................................................................................... 20 3.10.1. Physical Status for Mothers .................................................................................................... 20 3.10.2. Maternal nutrition and Multiple Micronutrient supplementations ....................................... 21 3.11. Water Sanitation and Hygiene (WASH) ......................................................................................... 21 3.12. Food Security and Livelihood ......................................................................................................... 21 3.12.1. Dietary diversity ...................................................................................................................... 21 3.12.2. Reduced Coping Strategies Index (rCSI) and Household Hunger Scores (HHS) .......................... 22 4.0. DISCUSION ........................................................................................................................................... 23 5. CONCLUSIONS .................................................................................................................................... 23 6. RECOMMENDATIONS AND PRIORITIES............................................................................................... 24 7. REFERENCES .......................................................................................................................................... 1 8. APPENDICES .......................................................................................................................................... 2 Appendix 8.1: Plausibility Report for: Elbarde Deyr' 2020.as ................................................................... 2 Appendix 8.2. Assignment of Clusters ...................................................................................................... 3 Appendix 8.3. Evaluation of Enumerators ................................................................................................ 4 List of tables Table
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