2019 IN-DEPTH VULNERABILITY AND NEEDS ASSESSMENT July 2019 Table of Contents EXECUTIVE SUMMARY ...................................................................................................... vi CHAPTER ONE: INTRODUCTION ........................................................................................ 1 1.1. Background ................................................................................................................. 1 1.2. Objectives .................................................................................................................... 1 1.3. Technical Scope of the In-Depth Vulnerability and Needs Assessment ..................... 2 1.4. Limitations of the Survey ............................................................................................ 2 CHAPTER TWO: METHODOLOGY ...................................................................................... 3 2.1. Study Design ................................................................................................................... 3 2.2. Target Population ............................................................................................................ 3 CHAPTER THREE: THE CONTEXT ...................................................................................... 7 3.1. The Economy .................................................................................................................. 7 3.2. Poverty ............................................................................................................................ 7 3.3. Sectoral Performance ...................................................................................................... 8 CHAPTER FOUR: FINDINGS ............................................................................................... 16 4.1. GENERAL DEMOGRAPHICS .................................................................................... 16 4.2. LIVELIHOODS ............................................................................................................ 17 4.3. ASSET OWNERSHIP .................................................................................................. 17 4.4. AGRICULTURE AND FOOD SECURITY ................................................................ 18 4.5. HEALTH ....................................................................................................................... 38 4.6. NUTRITION ................................................................................................................. 41 4.7. WATER, SANITATION AND HYGIENE (WASH) ...................................................... 43 4.8. EDUCATION................................................................................................................ 48 4.9. Development and Safety Net Projects ........................................................................... 48 4.10. INFRASTRUCTURE REHABILITATION ............................................................... 49 CHAPTER FIVE: CONCLUSIONS AND RECOMMENDATIONS .................................... 51 i 5.1. Agriculture and Food Security ...................................................................................... 51 5.2. Health ............................................................................................................................ 52 5.3. Nutrition ........................................................................................................................ 53 5.4. Water, Sanitation and Hygiene (WASH) ...................................................................... 53 5.5. Education ....................................................................................................................... 54 5.6. Development Projects and Safety Nets ......................................................................... 55 ANNEXES ............................................................................................................................... 56 Annex 1: Map Showing Assessed Districts ............................................................................. 57 Annex 2: Map Showing Districts Food Security Category ..................................................... 58 2a. Current Period ................................................................................................................ 58 Population Table for Current Period .................................................................................... 59 Population Table for Current Period Continued .................................................................. 60 2b. Projected Period ............................................................................................................. 61 Annex 3: Food Needs for Projected Population ...................................................................... 64 ii List of Figures Figure 1: Livelihood Sources and Change ............................................................................................ 17 Figure 2: Asset Ownership .................................................................................................................... 18 Figure 3:Types of Livestock Available ................................................................................................. 21 Figure 4: Period When Household Stock Would Last .......................................................................... 22 Figure 5: Commodity Prices at National Level .................................................................................... 24 Figure 6: Commodity Prices for Central Provinces .............................................................................. 24 Figure 7: Commodity Prices for Eastern Province ............................................................................... 25 Figure 8: Commodity Prices for Luapula Province .............................................................................. 25 Figure 9: Commodity Prices for Lusaka Province ................................................................................ 26 Figure 10: Commodity Prices for Northern Province ........................................................................... 26 Figure 11: Commodity Prices for Western Province ............................................................................ 27 Figure 12: Commodity Prices for Southern Province ........................................................................... 27 Figure 13: Commodity Prices for Western Provinces........................................................................... 28 Figure 14: Market Related Factors for Central Province ...................................................................... 29 Figure 15: Market Related Factors for Eastern Province ...................................................................... 30 Figure 16: Market Related Factors for Luapula Province ..................................................................... 30 Figure 17: Market Related Factors for Lusaka Province ...................................................................... 31 Figure 18: Market Related Factors for Muchinga Province .................................................................. 32 Figure 19: Market Related Factors for North – Western Province ....................................................... 32 Figure 20: Market Related Factors for Northern Province ................................................................... 33 Figure 21: Market Related Factors for Southern Province ................................................................... 33 Figure 22: Market Related Factors for Western Province .................................................................... 34 Figure 23: Food Expenditure Share ...................................................................................................... 34 Figure 24: Diseases Suffered by Households in First Quarter of 2019 ................................................. 39 Figure 25: Distribution of Household's Health Seeking Behaviour ...................................................... 40 Figure 26: Reasons for Not Seeking Health Care ................................................................................. 40 iii List of Tables Table 1: National Food Balance Sheet for the 2019/20 Agricultural Marketing Season ........................ 9 Table 2: Key Social Protection Programmes ........................................................................................ 15 Table 3: Age of Household Head .......................................................................................................... 16 Table 4: Reasons cited for Under-utilization of Available Arable Land .............................................. 19 Table 5:Input Acquisition by Province ................................................................................................. 19 Table 6: Food Consumption Score Categories...................................................................................... 35 Table 7: Household Dietary Diversity Score ........................................................................................ 36 Table 8: Reduced Copying Strategy Index ........................................................................................... 36 Table 9: Household Hunger Score ........................................................................................................ 37 Table 10: Prevalence of Wasting per Province ....................................................................................