International Medical Corps (IMC) Pochalla Anthropometric and Mortality Survey Final Report 12th – 22ndFebruary, 2014 Contents List of Tables ................................................................................................................................................ 4 List of Figures ............................................................................................................................................... 4 Abbreviations ................................................................................................................................................ 5 Acknowledgement ........................................................................................................................................ 6 Executive Summary ...................................................................................................................................... 7 Introduction ............................................................................................................................................... 7 Objectives ................................................................................................................................................. 7 Methodology ............................................................................................................................................. 8 Results ....................................................................................................................................................... 8 Conclusion and Recommendations ......................................................................................................... 10 1.1 Introduction ............................................................................................................................................. 1 1.2 Survey Justification ................................................................................................................................. 1 1.3Survey Objective ...................................................................................................................................... 2 1.3.1 General Objective ............................................................................................................................ 2 1.3.2 Specific Objectives .......................................................................................................................... 2 1.4Methodology ............................................................................................................................................ 2 1.4.1 Sample Size ...................................................................................................................................... 2 1.4.2 Cluster Selection .............................................................................................................................. 2 1.4.3Household Selection ......................................................................................................................... 3 1.4.4 Case Definition ................................................................................................................................ 3 Malnutrition by Z-Score: WHO (2006) Standard ................................................................................. 3 Malnutrition by MUAC ........................................................................................................................ 3 1.4.5 Questionnaire ................................................................................................................................... 3 1.5 Survey Teams.......................................................................................................................................... 3 1.6 Training ................................................................................................................................................... 4 1.7 Data Analysis .......................................................................................................................................... 4 2.1 Results ..................................................................................................................................................... 5 2.1.1Anthropometric Results (Based on WHO Standards 2006) .............................................................. 5 2.1.1.1 Sex and Age Distribution .......................................................................................................... 5 ii 2.1.1.2 Prevalence of Acute Malnutrition (Wasting) ............................................................................ 5 2.1.1.3 Prevalence of Stunting and Underweight .................................................................................. 7 2.1.2 Mortality .......................................................................................................................................... 7 2.1.3 Children Morbidity .......................................................................................................................... 8 2.1.4 Immunization and Vitamin A Supplementation Coverage .............................................................. 8 2.1.5 IYCF ................................................................................................................................................ 9 2.1.6 WASH ............................................................................................................................................ 10 2.1.7 Food Security and Livelihood ........................................................................................................ 11 2.1.8 Demographics ................................................................................................................................ 12 2.2. Discussion ............................................................................................................................................ 13 2.3 Conclusion ............................................................................................................................................ 14 2.4 Recommendation .................................................................................................................................. 14 2.4.1 Short Term Recommendation ........................................................................................................ 14 2.4.2 Long Term Recommendation ........................................................................................................ 15 Annexes ...................................................................................................................................................... 16 Annex I: Recommendations in Table Format ......................................................................................... 16 Annex II: Data Collection Tools ............................................................................................................. 17 Annex III: Plausibility Results ................................................................................................................ 18 Annex IV: Assignment of Clusters ......................................................................................................... 19 Annex V: Calendar of Local Events ....................................................................................................... 21 Annex VI: Result Tables for NCHS growth reference 1977 .................................................................. 21 Annex VII: Map of Pochalla County ...................................................................................................... 25 iii List of Tables Table 1: Summary of Indicators.................................................................................................................... 8 Table 2: Sample Size Calculation Anthropometric and Retrospective Mortality Survey ............................. 2 Table 3: Distribution of age and sex of sample............................................................................................. 5 Table 4: Prevalence of acute malnutrition based on weight-for-height z-scores (and/or oedema) and by sex ...................................................................................................................................................................... 5 Table 5: Prevalence of Stunting and Underweight ....................................................................................... 7 Table 6: Children Morbidity ......................................................................................................................... 8 Table 7: Food Security and Livelihood ....................................................................................................... 11 Table 8: Demographic Characteristics ........................................................................................................ 12 List of Figures Figure 1: Weight-for-Height Distribution ..................................................................................................... 6 Figure 2: Immunization ................................................................................................................................. 9 Figure 3: IYCN Indicators .......................................................................................................................... 10 Figure 4: Population Pyramid ....................................................................................................................