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Gogrial Final South Sudan NUTRITIONAL ANTHROPOMETRIC SURVEY CHIILDREN UNDER FIVE YEARS OF AGE GOGRIAL WEST AND EAST COUNTIES WARRAP STATE GOGRIAL WEST COUNTY: 30TH JANUARY TO 18TH FEBRUARY 2008 GOGRIAL EAST COUNTY: 14TH FEBRUARY TO 7TH MARCH 2008 Edward Kutondo - NSP Manager Imelda .V. Awino and Joseph Nganga - Nutritionists; Samuel Jikany, Simon Tut Gony, Victor Biar and Gabriel Biar -Program Assistants 2 ACKNOWLEDGMENTS ACF-USA South Sudan would like to express utmost appreciation to the following, without whom the survey objectives would not have been actualized. European Commission Humanitarian Aid Office (ECHO) for the financial support; World Vision International for accommodating the ACF-USA south Sudan team during the survey as well as providing all necessary logistical support; World Vision staffs; Merab Opondo, Lois Miano and Joy Kiruntimi and the ACF-USA south Sudan survey team for ensuring actualization of survey objectives; The Warrap state, Gogrial West and East County authorities for availing relevant planning information for survey implementation; The team members (Measurers, Data recorders and Supervisors) involved in ensuring the survey obtained good quality data; The parents and caretakers for providing valuable information by patiently taking there time to be interviewed and allowing their children to be measured. 3 TABLE OF CONTENTS .I. EXECUTIVE SUMMARY................................................................................................................................4 .II. INTRODUCTION ...........................................................................................................................................7 .III. OBJECTIVES ...............................................................................................................................................8 .IV. METHODOLOGY.........................................................................................................................................8 .IV.1. Type of Survey and Sample Size .........................................................................................................8 .IV.2. Sampling Methodology .........................................................................................................................8 .IV.3. Data Collection......................................................................................................................................9 .IV.4. Indicators, Guidelines, and Formula’s Used.......................................................................................10 .IV.4.1. Acute Malnutrition........................................................................................................................10 .IV.4.2. Mortality .......................................................................................................................................11 .IV.5. Field Work...........................................................................................................................................11 .IV.6. Data Analysis ......................................................................................................................................12 .V. RESULTS OF THE QUALITATIVE ASSESSMENT ...................................................................................12 .V.1. Socio- demographic Characteristics of the Respondents....................................................................12 .V.2. Food Security.......................................................................................................................................14 .V.3. Health...................................................................................................................................................17 .V.4. Water and Sanitation ...........................................................................................................................19 .V.5. Maternal and Child care practices .......................................................................................................21 .V.6. Education .............................................................................................................................................22 .V.7. Actions Taken by NGO’s and other partners.......................................................................................22 .VI. RESULTS OF THE ANTHROPOMETRIC SURVEY .................................................................................24 .VI.1. Distribution by Age and Sex................................................................................................................24 .VI.2. Anthropometrics Analysis ...................................................................................................................24 .VI.2.1. Acute Malnutrition, Children 0-59 months of Age........................................................................24 .VI.2.2. Risk of Mortality: Children’s MUAC .............................................................................................26 .VI.3. Measles Vaccination Coverage ..........................................................................................................26 .VI.4. Household Status................................................................................................................................26 .VI.5. Composition of the Households..........................................................................................................26 .VI.6. Distribution by Age and Sex................................................................................................................27 .VI.7. Anthropometrics Analysis ...................................................................................................................27 .VI.7.1. Acute Malnutrition, Children 0-59 months of Age........................................................................27 .VI.7.2. Risk of Mortality: Children’s MUAC .............................................................................................29 .VI.8. Measles Vaccination Coverage ..........................................................................................................29 .VI.9. Household Status................................................................................................................................29 .VI.10. Composition of the Households........................................................................................................29 .VII. RESULTS OF THE RETROSPECTIVE MORTALITY SURVEY ..............................................................30 .VIII. CONCLUSION .........................................................................................................................................30 .IX. RECOMMENDATIONS..............................................................................................................................31 .X. APPENDIX ..................................................................................................................................................32 .X.1. Sample Size and Cluster Determination- GOGRIAL WEST COUNTY ...............................................32 .X.2. Sample Size and Cluster Determination- GOGRIAL EAST COUNTY ................................................34 .X.3. Anthropometric Survey Questionnaire.................................................................................................36 .X.4. Household enumeration data collection form for a death rate calculation survey (one sheet/household)..........................................................................................................................................37 .X.5. Enumeration data collection form for a death rate calculation survey (one sheet/cluster)..................38 .X.6. Calendar of events- Gogrial West County – Warrap state; February 2008.........................................39 .X.7. Calendar of events- Gogrial East County – Warrap state; February 2008..........................................40 .X.8. Food market prices- Gogrial West and East County February/March 2008........................................41 4 .I. EXECUTIVE SUMMARY Introduction Gogrial West County consists of 9 payams namely; Alek South, Alek North, Alek West, Gogrial, Kuac North, Kuac South, Riau, Akon North and Akon South. The county’s area coverage is estimated at 6400 km² with 643,9401 inhabitants. Gogrial East County is composed of 6 administrative payams namely; Pathuon East, Pathuon West, Toch East, Toch West, Toch North and Nyang Payams, and has a populace of about 216,1792. The nutrition survey covered all the payams of Gogrial East County and 7 payams of Gogrial West namely; Alek West, Alek South, Gogrial, Alek North, Riau, Kuac North and Kuac South payams. Generally, the region has a flat low lying terrain. The soil is a mixture of sandy and loamy type with portions of clay soil (proportions varying with locality). This soil structure and the terrain predispose the area to flooding more so during the rainy season. Rivers Jur, Nyantit and Malualawein cut across the county and are good sources of livelihood to the community at certain times of the year. The Dinka are the major denizens of the area. Nevertheless the signing of the comprehensive peace agreement (CPA), improved road access and trade in the region has greatly enhanced coexistence with other communities such as Jurchuol, Nuer and traders from other places such as the Equatorial region and Uganda. Heavy downpour in September – November
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