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Report on the Nutritional Status and Mortality Survey Mareb Governorate, Yemen

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Report on the Nutritional Status and Mortality Survey Mareb Governorate, Yemen Nutritional Status and Mortality Survey – Mareb Governorate – July to August 2018 Republic of Yemen Ministry of Public Health and Population Report on the Nutritional Status and Mortality Survey Mareb Governorate, Yemen From 22 July to 6 August 2018 1 Nutritional Status and Mortality Survey – Mareb Governorate – July to August 2018 Acknowledgement The Ministry of Public Health and Population in Yemen, represented by the Public Health and Population Office in the Mareb governorate and in cooperation with the UNICEF country office in Yemen and the UNICEF branch in Sana’a, acknowledges the contribution of different stakeholders in this survey. The UNICEF country office in Yemen provided technical support, using the SMART methodology, while the survey manager and his assistants from the Ministry of Public Health and Population and the Public Health and Population Offices in Taiz, Mahwit, Hudaydah, and Al Jawf were also relied on. The surveyors and team heads were provided by the Public Health and Population Office in the Mareb governorate. The data entry team was provided by the Public Health and Population Office in Mareb. The final touches on the survey protocol were put in place by the Nutrition Department in the Ministry of Public Health and Population with technical support from UNICEF and the SMART Technical Committee. UNICEF provided technical assistance, especially with regards to daily quality checks, data analysis, and report writing. The Public Health and Population Office in the Mareb governorate was informed of the organizational and logistical arrangements for the survey in order to ensure that the process went along smoothly. UNICEF provided funding to the nutrition survey within the scope of a grant from the United Nations Central Emergency Response Fund (UNICEF YCO), and this support is greatly appreciated. The contributions of the local authorities in ensuring the security of the survey teams during their field working, and in facilitating their work, is also appreciated. It would not have been possible to get this data without the cooperation and support of the communities that were assessed, especially the mothers and caregivers who responded to the interviews. Their participation and cooperation are greatly appreciated. The Ministry of Public Health and Population and UNICEF express their thanks and appreciation to the survey team for their high level of commitment and effort during all of the stages of the assessment to ensure the high quality of the data that was collected and that this process is successful. 2 Nutritional Status and Mortality Survey – Mareb Governorate – July to August 2018 Table of Contents Acknowledgement ........................................................................................................................................ 2 Table of Contents .......................................................................................................................................... 3 Index of Tables ............................................................................................................................................. 5 List of English Abbreviations and Their Definitions – Mareb Survey – July to August 2018 ..................... 7 Introduction ................................................................................................................................................... 8 Survey Objectives ....................................................................................................................................... 10 SMART Methodology ................................................................................................................................ 12 Sample Size ................................................................................................................................................. 12 Sample Frame Description .......................................................................................................................... 14 Survey Community and Data Collection Procedures.................................................................................. 15 Monitoring Measurements and Quality Control ......................................................................................... 16 Data Entry and Analysis ............................................................................................................................. 17 Results and Discussion ............................................................................................................................... 21 Household Characteristics ...................................................................................................................... 21 Household Income Status ....................................................................................................................... 22 Water, Sanitation, and Hygiene .............................................................................................................. 23 Household Food Security ....................................................................................................................... 25 Average Coping Strategies and Food Consumption ............................................................................... 25 Child Nutrition ............................................................................................................................................ 26 Severe Malnutrition – Wasting – WHZ Indicator .................................................................................. 26 Severe Malnutrition by Mid-Upper Arm Circumference (MUAC) ........................................................ 28 Chronic Acute Malnutrition (Underweight) – WAZ Indicator ............................................................... 29 Chronic Malnutrition (Stunting) – HAZ Indicator ................................................................................. 31 Standard Deviations of the Mean, the Effect of the Design, and Outliers (Extremes) ........................... 33 Infant and Young Children Feeding (IYCF) .......................................................................................... 34 Child Morbidity ...................................................................................................................................... 34 Vitamin A Supplements and Child Vaccination ..................................................................................... 35 Nutrition of Women of Reproductive Age (15 to 49 years old) ............................................................. 35 Mortality Rate ......................................................................................................................................... 36 Nutritional Status Factors ....................................................................................................................... 37 Child Nutrition and Its Relationship to the Mother’s Nutrition .............................................................. 41 Conclusions and Recommendations ........................................................................................................... 44 The Prevalence of Global, Moderate, and Severe Acute Malnutrition Used in the Calculation of Cases ................................................................................................................................................................ 46 References ................................................................................................................................................... 47 Annexes ...................................................................................................................................................... 48 3 Nutritional Status and Mortality Survey – Mareb Governorate – July to August 2018 Annex 1: Malnutrition Survey Questionnaire – Mareb Governorate – July – August 2018 .................. 48 Annex 2: Nutrition Survey Team – Mareb Governorate – July – August 2018 ..................................... 73 Annex 3: Table to determine the ages of children using the Gregorian and Hijri calendars – Mareb Governorate – July 2018 ......................................................................................................................... 74 Annex 4(A): Plausibility Check for the Mareb City Zone – July – August 2018 .................................. 77 Annex 4(B): Plausibility Check for the Rural Mareb Zone – July – August 2018 ................................. 79 Annex 5: Report on the Child Measurement Session to Evaluate the in the Mareb Survey – July – August 2018 ............................................................................................................................................ 81 Annex 6(A): The Clusters Chosen for The Nutrition and Mortality Survey – Mareb City – July – August 2018 ............................................................................................................................................ 85 Annex 6(B): The Clusters Chosen for The Nutrition and Mortality Survey – Rural Mareb – July – August 2018 ............................................................................................................................................ 87 Annex 7(A) – Weighted Levels of Malnutrition (Stunting) in Both the Mareb City and Rural Mareb Zones .....................................................................................................................................................
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