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Renk Survey Final Report SOUTH SUDAN NUTRITIONAL ANTHROPOMETRIC SURVEY CHILDREN UNDER 5 YEARS OLD IDP CAMPS & RENK, JELHAK, SHOMEDI AND GEIGER PAYAMS, RENK COUNTY, UPPER NILE STATE 11TH SEPTEMBER – 18TH OCTOBER 2007 Edward Kutondo- NSP Manager Joseph Nganga – Nutritionist Samuel Jikany – Program Assistant Simon Tut – Program Assistant 1 ACKNOWLEDGMENTS Action against Hunger (ACF-USA) would like to express gratitude to the following agencies and individuals: ¾ United Nations Children's Fund (UNICEF) for funding the survey; ¾ North Upper-Nile Consortium for offering transport to ACF-USA survey teams during field visits; ¾ South Sudan Relief and Rehabilitation Commission (SSRRC) in Renk County for providing valuable information and guidance to ensure smooth survey implementation; ¾ The local surveyors for their determination and cooperation in contributing towards fulfillment of the survey objectives; ¾ Final but not least, appreciation goes to mothers and caretakers, local authorities, and community leaders without whose cooperation and assistance the survey could not have been accomplished. 2 TABLE OF CONTENTS .I. EXECUTIVE SUMMARY................................................................................................................................................ 4 .II. INTRODUCTION.......................................................................................................................................................... 12 .III. OBJECTIVES ............................................................................................................................................................... 13 .IV. METHODOLOGY........................................................................................................................................................ 13 .IV.1. TYPE OF SURVEY AND SAMPLE SIZE ......................................................................................................................... 13 .IV.2. SAMPLING METHODOLOGY ....................................................................................................................................... 13 .IV.3. DATA COLLECTION ................................................................................................................................................... 14 .IV.4. INDICATORS, GUIDELINES, AND FORMULA’S USED ................................................................................................... 15 .IV.4.1. Acute Malnutrition............................................................................................................................................. 15 .IV.4.2. Mortality ............................................................................................................................................................ 15 .IV.5. FIELD WORK ............................................................................................................................................................. 16 .IV.6. DATA ANALYSIS ....................................................................................................................................................... 16 .V. RESULTS OF THE QUALITATIVE ASSESSMENT................................................................................................ 16 .V.1. SOCIO- DEMOGRAPHIC CHARACTERISTICS OF THE RESPONDENTS .............................................................................. 16 .V.2. FOOD SECURITY ......................................................................................................................................................... 18 .V.3. HEALTH...................................................................................................................................................................... 23 .V.4. WATER AND SANITATION ........................................................................................................................................... 24 .V.5. MATERNAL AND CHILD CARE PRACTICES................................................................................................................... 26 .V.6. EDUCATION ................................................................................................................................................................ 28 .V.7. ACTIONS TAKEN BY NGO’S AND OTHER PARTNERS .................................................................................................. 29 .VI. RESULTS OF THE ANTHROPOMETRIC SURVEY............................................................................................. 30 .VI.1. ANTHROPOMETRIC SURVEY RESULTS IN RENK, JELHAK, GEIGER AND SHOMEDI PAYAMS ................................ 30 .VI.2. DISTRIBUTION BY AGE AND SEX ............................................................................................................................... 30 .VI.3. ANTHROPOMETRICS ANALYSIS ................................................................................................................................. 31 .VI.3.1. Acute Malnutrition, Children 6-59 months of Age............................................................................................. 31 .VI.3.2. Risk of Mortality: Children’s MUAC................................................................................................................. 33 .VI.4. MEASLES VACCINATION COVERAGE......................................................................................................................... 33 .VI.5. HOUSEHOLD STATUS................................................................................................................................................. 34 .VI.6. COMPOSITION OF THE HOUSEHOLDS ......................................................................................................................... 34 .VI.7. ANTHROPOMETRIC SURVEY RESULTS IN IDP CAMPS........................................................................... 34 .VI.7.1. Distribution by Age and Sex .............................................................................................................................. 34 .VI.7.2. Anthropometrics Analysis .................................................................................................................................. 35 .VI.7.3. Risk of Mortality: Children’s MUAC................................................................................................................. 37 .VI.7.4. Measles Vaccination Coverage.......................................................................................................................... 38 .VI.7.5. Household Status ............................................................................................................................................... 38 .VI.7.6. Composition of the Households ......................................................................................................................... 38 .VII. RESULTS OF THE RETROSPECTIVE MORTALITY SURVEY....................................................................... 39 .VIII. CONCLUSION .......................................................................................................................................................... 39 .IX. RECOMMENDATIONS.............................................................................................................................................. 41 .X. APPENDIX ..................................................................................................................................................................... 43 .X.1. IDP CAMP SAMPLE SIZE AND CLUSTER DETERMINATION .......................................................................................... 43 .X.2. RENK PAYAMS SAMPLE SIZE AND CLUSTER DETERMINATION ................................................................................... 44 .X.3. ANTHROPOMETRIC SURVEY QUESTIONNAIRE ............................................................................................................ 46 .X.4. HOUSEHOLD ENUMERATION DATA COLLECTION FORM (ONE SHEET/HOUSEHOLD)...................................................... 47 .X.5. ENUMERATION DATA COLLECTION FORM FOR A DEATH RATE CALCULATION SURVEY (ONE SHEET/CLUSTER)............ 49 .X.6. CALENDAR OF EVENTS IN RENK COUNTY IN THE LAST FIVE YEARS ............................................................................ 50 .X.7. AVERAGE FOOD PRICES IN RENK COUNTY MARKETS OCTOBER 2007......................................................................... 52 .X.8. IDP CAMPS AND RENK COUNTY MAPS OCTOBER 2007 .............................................................................................. 53 3 .I. EXECUTIVE SUMMARY Introduction Renk is one of the counties that constitute the Upper Nile state which is located North East of South Sudan. The County is bordered by Manyo County to the West, Melut County to the South, Longuchuk County to the South East and Jebelen to the North. The county comprises of four administrative Payams namely; Renk, Jelhak, Shomedi and Geiger. Renk payam which is cosmopolitan is subdivided into planned block settlements such as Wunkiir, Medakon and Gaberona (Graves) IDP camps. Jelhak, Shomedi and Geiger are sub-divided into bigger settlements called bomas. The total accessible population in Renk County was approximately 74, 5961. The IDP population in Wunkiir, Medakon and Gaberona was estimated to be 3,900, 400 and 3114 respectively. The ethnic groups are Dinka, Shilluk, Arab, Nuer and Darfurians among others. The nature
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